Author/Editor     Ovsenik, M
Title     Zanesljivost intraoralnega vrednotenja zobnih in čeljustnih nepravilnosti in določitev okluzijskega indeksa pri štirinajstletnikih
Translated title     Intraoral assessment of malocclusion in fourteen-year-old children
Type     članek
Source     Zobozdrav Vestn
Vol. and No.     Letnik 60, št. 3-5
Publication year     2005
Volume     str. 287-93
Language     slo
Abstract     Background: Assessment of malocclusion on study casts is more time-consuming, costly and unpleasant for the child than intraoral evaluation. The two methods give comparable results in 8-year-old children. The aim of the present study was to compare their reliability in 14-year-olds. Subjects and methods: The study population consisted of 92 children, 53 girls and 39 boys. In each subject, 15 morphological traits of malocclusion were evaluated intaorally and on study casts. Agreement between the two methods was determined with Kappa (K) statistics. The most significant traits were identified by regression analysis. Results: Complete agreement between the two methods was found for anterior crossbite, transverse buccal occlusion, open bite and crowding (K = 0.81-1.00). Excellent agreement was obtained for rotation of incisors and canines, buccal segment relationship, overjet and axial inclination of teeth (K = 0.61-0.80). Moderate agreement was observed for vestibular eruption of canines, overbite and midline discrepancy (x = 0.40-0.60). Conclusions: Our results suggest that intra-oral assessment of malocclusion in 14-yearold children is equally reliable as assessment on study casts. The most significant morphological traits which should be included in intraoral evaluation are open bite, rotation of incisors and canines, overjet, transverse and sagittal buccal occlusion, and axial tooth inclination.
Summary     Izhodišče: Ugotavljanje in merjenje morfoloških znakov zobnih in čeljustnih nepravilnosti na modelu je bolj zamudno, dražje in otrokom manj prijazno od intraoralnega načina. Zanesljivost intraoralnega načina dela je pri 8-letnih otrocih podobno kakor na modelu, ni pa bila še preverjena zanesljivost intraoralnega ugotavljanja in merjenja pri 14-letnikih. Preiskovanci in metode: Obseg malokluzije petnajstih morfoloških znakov smo ugotavljali in merili intraoralno ter na študijskih modelih pri 92 štirinajstletnih preiskovancih (53 deklicah, 39 dečkih). Metoda je vključevala merjenje in vrednotenje prostorskih razmer v zobnem loku, nepravilnosti zob in nepravilnosti med zobnima lokoma v sagitalni, transferzalni in vertikalni ravnini. Skladnost intraoralnih meritev morfoloških znakov malokluzije intraoralno in na modelih smo ugotavljali s koeficientom kappa (K) po Cohenu. Z metodo multiple regresije smo določili za obseg malokluzije pomembne, intraoralno izmerjene morfološke znake. Ugotovitve: Popolna skladnost med meritvama je bila pri križnem grizu sekalcev in podočnikov, transferzalni okluziji ličnikov in kočnikov, odprtem grizu in tesnem stanju (K=0,81-1,0), odlična skladnost med meritvama pri rotaciji sekalcev in podočnikov, singularnem antagonizmu v sagitali podočnikov, ličnikov in kočnikov, sagitalni stopnici in vzdolžnem nagibu zoba (K=0,61-0,80), dobra skladnost pri distopiji podočnikov, incizalnem previsu in neskladju središčnic (K=0,41-0,60). Stopnja zanesljivosti intraoralnih meritev za določitev zobnih in čeljustnih nepravilnosti pri šestnajstletnikih je podobna kot pri meritvah na modelu. (Izvleček prekinjen pri 2000 znakih)
Descriptors     MALOCCLUSION
CHILD