Intra- and Interexaminer Measurement Variability Analysis of an Orthodontic Gauge Device to Determine Incisor Occlusal Surface Angles in the Horse.

Autor: Kau S; Institute of Morphology, Department of Pathobiology, University of Veterinary Medicine Vienna, Veterinärplatz 1, 1210 Vienna, Austria., Motter KS; Institute of Morphology, Department of Pathobiology, University of Veterinary Medicine Vienna, Veterinärplatz 1, 1210 Vienna, Austria., Moser VJ; Institute of Morphology, Department of Pathobiology, University of Veterinary Medicine Vienna, Veterinärplatz 1, 1210 Vienna, Austria., Kunz JR; Department of Equine Dentistry, Maxillofacial Diagnostic Imaging and Surgery, Veterinary Clinic Gessertshausen Altano GmbH, Grasweg 2, 86459 Gessertshausen, Germany., Pellachin M; Private Equine Veterinary Dentist and Specialist on Equine Orthodontics, Via Marino Grimani 7, 35127 Padova, Italy., Hartl B; Institute of Morphology, Department of Pathobiology, University of Veterinary Medicine Vienna, Veterinärplatz 1, 1210 Vienna, Austria.
Jazyk: angličtina
Zdroj: Veterinary sciences [Vet Sci] 2022 Sep 07; Vol. 9 (9). Date of Electronic Publication: 2022 Sep 07.
DOI: 10.3390/vetsci9090481
Abstrakt: Incisor malocclusions are common in horses. As yet, an evidence-based understanding of incisor occlusal surface angle dynamics and normocclusal range is missing. Orthodontic measuring devices could help unravel this information objectively but imply measurement validation. We evaluated intra- and interexaminer variability of repeated sagittal and transversal incisor occlusal surface angle measures using a commercial orthodontic gauge device ( MaPHorse1 ). Five examiners (two experienced, three inexperienced) measured six cadaver heads on 2 consecutive days in a blinded block-randomization design, resulting in 16 measures per examiner*head. Sagittal and transversal angle measures revealed low intraexaminer variability at scale-level independent mean SDs of α 0.58° and α 0.69°, respectively. Sagittal angle measures associate with low interexaminer variability, showing small mean angle differences (max. α 0.51° ± 0.35°), small scatter, and more consistent data reproducibility. Despite comparable mean interexaminer differences, the spread of transversal angle measures was relevantly higher using the proposed landmarks (average 2.2-fold higher interquartile range). The measurement performance of experienced and inexperienced examiners did not systematically differ. The time required for individual measurements was already comparable after 24/96 repetitions. This instrument may help deciphering sagittal angle normocclusal range and orthognathic dynamics and, with a proposed procedural amendment, transversal angle as well.
Databáze: MEDLINE