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Remote Online vs. Onsite Rating of GOSLON Yardstick Using Digital Models.
Supatchai Boonpratham1, Ploy Busagornruangrat1, Natchalee Srimaneekarn2
1Department of Orthodontics, Faculty of Dentistry, Mahidol University, Bangkok, Thailand.
Summary
Remote online GOSLON yardstick rating is as reliable as traditional onsite assessment for cleft lip and palate evaluations. This study confirms that digital models and remote viewing do not impact rating accuracy, ensuring consistent clinical assessments.
Area of Science:
- Dentistry
- Orthodontics
- Craniofacial Anomalies
Background:
- The GOSLON yardstick is a standard for assessing dental arch form in patients with cleft lip and palate.
- Traditional onsite assessments using the GOSLON yardstick can be resource-intensive and geographically limiting.
Purpose of the Study:
- To evaluate the reliability of remote online GOSLON yardstick assessments compared to traditional onsite evaluations.
- To determine if digital 3D dental models and remote viewing affect rating accuracy.
Main Methods:
- A crossover study design was employed with 34 patients.
- Assessors rated digital 3D dental models using the GOSLON yardstick in both onsite and remote online settings.
- Statistical analysis included Cohen's kappa, ICC, and Spearman correlation to measure agreement and reliability.
Main Results:
- Very good agreement was observed between remote online and onsite GOSLON yardstick ratings (κ > 0.83, ICC > 0.95, ρ > 0.94).
- High intrarater reliability was found for both rating methods (κ > 0.81, ICC > 0.91, ρ > 0.94).
Conclusions:
- Remote online GOSLON yardstick rating demonstrates comparable reliability to traditional onsite assessments.
- The viewing setting, environment, and device do not significantly influence GOSLON score outcomes.
- Remote online rating offers a reliable alternative for evaluating dental arch form in cleft lip and palate patients.
Keywords:
assessmentcleft lip and palatecrossbitedental archdental occlusionevidence-based practiceinstrumental assessmentmalocclusionnonsyndromic cleftingorthodonticsoutcomestelemedicineMore Related Videos
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