Digital Models as an Alternative to Plaster Casts in Assessment of Orthodontic Treatment Outcomes

Objective. This study aimed to compare the use of digital models and plaster casts in assessing the improvement in occlusion following orthodontic treatment. Materials and Methods. Digital models and plaster casts of 39 consecutive patients at pre- and posttreatment stages were obtained and assessed...

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Main Authors: Chung-Yan Vanessa Leung, Yanqi Yang, Chongshan Liao, Urban Hägg, Ricky Wing Kit Wong, Colman McGrath, Min Gu
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:The Scientific World Journal
Online Access:http://dx.doi.org/10.1155/2018/9819384
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author Chung-Yan Vanessa Leung
Yanqi Yang
Chongshan Liao
Urban Hägg
Ricky Wing Kit Wong
Colman McGrath
Min Gu
author_facet Chung-Yan Vanessa Leung
Yanqi Yang
Chongshan Liao
Urban Hägg
Ricky Wing Kit Wong
Colman McGrath
Min Gu
author_sort Chung-Yan Vanessa Leung
collection DOAJ
description Objective. This study aimed to compare the use of digital models and plaster casts in assessing the improvement in occlusion following orthodontic treatment. Materials and Methods. Digital models and plaster casts of 39 consecutive patients at pre- and posttreatment stages were obtained and assessed using the Peer Assessment Rating (PAR) index and the Index of Complexity and Treatment Need (ICON). PAR and ICON scores were compared at individual and group levels. Categorization of improvement level was compared using Kappa (κ) statistics. Results. There was no significant difference in neither PAR scores (p > 0.05) nor ICON scores (p > 0.05) between digital and plaster cast assessments. The Intraclass Correlation Coefficient (ICC) values for changes in PAR and ICON scores were excellent (ICC > 0.80). Agreement of ratings of occlusal improvement level between digital and plaster model assessments was 0.83 (κ) for PAR and 0.59 (κ) for ICON, respectively. Conclusion. The study supported the use of digital models as an alternative to plaster casts when assessing changes in occlusion at the ‘individual patient’ level using ICON or PAR. However, it could not fully support digital models as an alternate to plaster casts at ‘the group level’ (as in the case of clinical audit/research).
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issn 2356-6140
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publishDate 2018-01-01
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series The Scientific World Journal
spelling doaj-art-fae63b9c5565417b96b81fa0eba7c4172025-02-03T05:50:23ZengWileyThe Scientific World Journal2356-61401537-744X2018-01-01201810.1155/2018/98193849819384Digital Models as an Alternative to Plaster Casts in Assessment of Orthodontic Treatment OutcomesChung-Yan Vanessa Leung0Yanqi Yang1Chongshan Liao2Urban Hägg3Ricky Wing Kit Wong4Colman McGrath5Min Gu6Orthodontics, Faculty of Dentistry, The University of Hong Kong, 34 Hospital Road, Hong KongOrthodontics, Faculty of Dentistry, The University of Hong Kong, 34 Hospital Road, Hong KongOrthodontics, Faculty of Dentistry, The University of Hong Kong, 34 Hospital Road, Hong KongOrthodontics, Faculty of Dentistry, The University of Hong Kong, 34 Hospital Road, Hong KongDepartment of Dentistry and Maxillofacial Surgery Cleft Center (Craniofacial Orthodontics), United Christian Hospital, 130 Hip Wo Street, Kwun Tong, Kowloon, Hong KongDental Public Health, Faculty of Dentistry, The University of Hong Kong, 34 Hospital Road, Hong KongOrthodontics, Faculty of Dentistry, The University of Hong Kong, 34 Hospital Road, Hong KongObjective. This study aimed to compare the use of digital models and plaster casts in assessing the improvement in occlusion following orthodontic treatment. Materials and Methods. Digital models and plaster casts of 39 consecutive patients at pre- and posttreatment stages were obtained and assessed using the Peer Assessment Rating (PAR) index and the Index of Complexity and Treatment Need (ICON). PAR and ICON scores were compared at individual and group levels. Categorization of improvement level was compared using Kappa (κ) statistics. Results. There was no significant difference in neither PAR scores (p > 0.05) nor ICON scores (p > 0.05) between digital and plaster cast assessments. The Intraclass Correlation Coefficient (ICC) values for changes in PAR and ICON scores were excellent (ICC > 0.80). Agreement of ratings of occlusal improvement level between digital and plaster model assessments was 0.83 (κ) for PAR and 0.59 (κ) for ICON, respectively. Conclusion. The study supported the use of digital models as an alternative to plaster casts when assessing changes in occlusion at the ‘individual patient’ level using ICON or PAR. However, it could not fully support digital models as an alternate to plaster casts at ‘the group level’ (as in the case of clinical audit/research).http://dx.doi.org/10.1155/2018/9819384
spellingShingle Chung-Yan Vanessa Leung
Yanqi Yang
Chongshan Liao
Urban Hägg
Ricky Wing Kit Wong
Colman McGrath
Min Gu
Digital Models as an Alternative to Plaster Casts in Assessment of Orthodontic Treatment Outcomes
The Scientific World Journal
title Digital Models as an Alternative to Plaster Casts in Assessment of Orthodontic Treatment Outcomes
title_full Digital Models as an Alternative to Plaster Casts in Assessment of Orthodontic Treatment Outcomes
title_fullStr Digital Models as an Alternative to Plaster Casts in Assessment of Orthodontic Treatment Outcomes
title_full_unstemmed Digital Models as an Alternative to Plaster Casts in Assessment of Orthodontic Treatment Outcomes
title_short Digital Models as an Alternative to Plaster Casts in Assessment of Orthodontic Treatment Outcomes
title_sort digital models as an alternative to plaster casts in assessment of orthodontic treatment outcomes
url http://dx.doi.org/10.1155/2018/9819384
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