KPG index versus OPG measurements: a comparison between 3D and 2D methods in predicting treatment duration and difficulty level for patients with impacted maxillary canines

KPG 指数与 OPG 测量:3D 和 2D 方法在预测上颌阻生尖牙患者治疗时间和难度方面的比较

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Abstract

AIM: The aim of this study was to test the agreement between orthopantomography (OPG) based 2D measurements and the KPG index, a new index based on 3D Cone Beam Computed Tomography (CBCT) images, in predicting orthodontic treatment duration and difficulty level of impacted maxillary canines. MATERIALS AND METHODS: OPG and CBCT images of 105 impacted canines were independently scored by three orthodontists at t 0 and after 1 month (t 1), using the KPG index and the following 2D methods: distance from cusp tip and occlusal plane, cusp tip position in relation to the lateral incisor, and canine inclination. Pearson's coefficients were used to evaluate the degree of agreement and the χ(2) with Yates correction test was used to assess the independence between them. RESULTS: Inter- and intrarater reliability were higher with KPG compared to 2D methods. Pearson's coefficients showed a statistically significant association between all the indexes, while the χ(2) with Yates correction test resulted in a statistically significant rejection of independency only for one 2D index. CONCLUSIONS: 2D indexes for predicting impacted maxillary canines treatment duration and difficulty sometimes are discordant; a 3D index like the KPG index could be useful in solving these conflicts.

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