Reliability of Measurements on Plaster and Digital Models of Patients with a Cleft Lip and Palate

Objective:The purpose of this study was to determine (1) the more and less reliable measurements/methods and (2) the influence of knowledge and skill on the inter- examiner, intra-examiner, and inter-method reliability of nasolabial measurements on plaster casts and three dimensional (3D) stereophot...

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Main Authors: R. Burcu Nur Yılmaz, Derya Germeç Çakan, Merve Altay, Halil ibrahim Canter
Format: Article
Language:English
Published: Galenos Yayinevi 2019-06-01
Series:Turkish Journal of Orthodontics
Subjects:
Online Access: http://www.turkjorthod.org/archives/archive-detail/article-preview/reliability-of-measurements-on-plaster-and-digital/53428
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author R. Burcu Nur Yılmaz
Derya Germeç Çakan
Merve Altay
Halil ibrahim Canter
author_facet R. Burcu Nur Yılmaz
Derya Germeç Çakan
Merve Altay
Halil ibrahim Canter
author_sort R. Burcu Nur Yılmaz
collection DOAJ
description Objective:The purpose of this study was to determine (1) the more and less reliable measurements/methods and (2) the influence of knowledge and skill on the inter- examiner, intra-examiner, and inter-method reliability of nasolabial measurements on plaster casts and three dimensional (3D) stereophotogrammetric images of casts in infants with an unrepaired unilateral cleft lip and palate (UUCLP).Methods:Preoperative extraoral plaster casts from 42 patients with UUCLP were measured with a digital caliper, and the image acquisition of casts was performed with the 3dMDface stereophotogrammetry system (3dMD, Atlanta, GA). Two examiners (one postgraduate student, one lecturer) evaluated 19 nasolabial measurements in two separate sessions.Results:Intra-rater, inter-rater, and inter-method reliability was lower in measurements of nasal, philtral, and nasal floor width. Almost all of the interclass correlation coefficients (ICC) for measurements performed by the lecturer were above 0.75, whereas the intra-examiner reliability of some measurements performed by the postgraduate student showed low ICC (<0.75).Conclusion:Measurements of curving slopes, such as nasal width, of small dimensions, such as nostril floor width, and deformity-affected anatomic parts, such as philtrum width, presented a low reliability. Measurements on 3D images showed a higher reliability compared to plaster model measurements performed by the postgraduate student. Therefore, it may be recommended to use 3D digital images of infants with CLP for nasolabial measurements especially if performed in postgraduate settings.
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spelling doaj.art-1ca23a7f84204027bad9178e1664eb8a2023-08-01T11:03:40ZengGalenos YayineviTurkish Journal of Orthodontics2528-96592148-95052019-06-01322657110.5152/TurkJOrthod.2019.1803513049054Reliability of Measurements on Plaster and Digital Models of Patients with a Cleft Lip and PalateR. Burcu Nur Yılmaz0Derya Germeç Çakan1Merve Altay2Halil ibrahim Canter3 Department of Orthodontics, Yeditepe University School of Dentistry, İstanbul, Turkey Department of Orthodontics, Yeditepe University School of Dentistry, İstanbul, Turkey Department of Orthodontics, Yeditepe University School of Dentistry, İstanbul, Turkey Department of Plastic, Esthetic and Reconstructive Surgery, Acıbadem Mehmet Ali Aydınlar University School of Medicine, İstanbul, Turkey Objective:The purpose of this study was to determine (1) the more and less reliable measurements/methods and (2) the influence of knowledge and skill on the inter- examiner, intra-examiner, and inter-method reliability of nasolabial measurements on plaster casts and three dimensional (3D) stereophotogrammetric images of casts in infants with an unrepaired unilateral cleft lip and palate (UUCLP).Methods:Preoperative extraoral plaster casts from 42 patients with UUCLP were measured with a digital caliper, and the image acquisition of casts was performed with the 3dMDface stereophotogrammetry system (3dMD, Atlanta, GA). Two examiners (one postgraduate student, one lecturer) evaluated 19 nasolabial measurements in two separate sessions.Results:Intra-rater, inter-rater, and inter-method reliability was lower in measurements of nasal, philtral, and nasal floor width. Almost all of the interclass correlation coefficients (ICC) for measurements performed by the lecturer were above 0.75, whereas the intra-examiner reliability of some measurements performed by the postgraduate student showed low ICC (<0.75).Conclusion:Measurements of curving slopes, such as nasal width, of small dimensions, such as nostril floor width, and deformity-affected anatomic parts, such as philtrum width, presented a low reliability. Measurements on 3D images showed a higher reliability compared to plaster model measurements performed by the postgraduate student. Therefore, it may be recommended to use 3D digital images of infants with CLP for nasolabial measurements especially if performed in postgraduate settings. http://www.turkjorthod.org/archives/archive-detail/article-preview/reliability-of-measurements-on-plaster-and-digital/53428 cleft lip and palatereliabilityplaster modelstereophotogrammetry
spellingShingle R. Burcu Nur Yılmaz
Derya Germeç Çakan
Merve Altay
Halil ibrahim Canter
Reliability of Measurements on Plaster and Digital Models of Patients with a Cleft Lip and Palate
Turkish Journal of Orthodontics
cleft lip and palate
reliability
plaster model
stereophotogrammetry
title Reliability of Measurements on Plaster and Digital Models of Patients with a Cleft Lip and Palate
title_full Reliability of Measurements on Plaster and Digital Models of Patients with a Cleft Lip and Palate
title_fullStr Reliability of Measurements on Plaster and Digital Models of Patients with a Cleft Lip and Palate
title_full_unstemmed Reliability of Measurements on Plaster and Digital Models of Patients with a Cleft Lip and Palate
title_short Reliability of Measurements on Plaster and Digital Models of Patients with a Cleft Lip and Palate
title_sort reliability of measurements on plaster and digital models of patients with a cleft lip and palate
topic cleft lip and palate
reliability
plaster model
stereophotogrammetry
url http://www.turkjorthod.org/archives/archive-detail/article-preview/reliability-of-measurements-on-plaster-and-digital/53428
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AT mervealtay reliabilityofmeasurementsonplasteranddigitalmodelsofpatientswithacleftlipandpalate
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