Agreement among instruments of quantitative evaluation of the hard palate in children

Concordância entre instrumentos de avaliação quantitativa do palato duro em crianças

ABSTRACT

Purpose

To evaluate the agreement among instruments of the quantitative evaluation of hard palate.

Methods

This cross-sectional study was performed with a sample of 30 children aged 6 to 11 from Santa Maria, Southern Brazil. The instruments for palate measurements evaluated were: digital caliper, used directly in the oral cavity and in plaster casts, Korkhaus tridimensional bow, used directly in the oral cavity and in plaster casts, and Dolphin Imaging Software used for measurements in cone-beam computed tomography (CBCT). The agreement among different instruments was evaluated using the Intraclass Correlation Coefficient (ICC).

Results

The means of all transversal dimensions obtained by cone-beam computed tomography were lower than those of the other instruments - the agreement values in the width between the canines and in the width between the first molars were lower when comparing the cone-beam computed tomography and the other instruments. In the width between the first and second premolars, all comparisons showed acceptable agreement values. Good concordance values were obtained when comparing the palate depth at the second premolar region when using a bow divider inside the oral cavity and in the cast.

Conclusion

Most instruments presented satisfactory agreement in the measurements related to the transverse plane of the hard palate. However, when the vertical plane was evaluated, only the bow divider applied to both cast and oral cavity presented ideal agreement.

Keywords
Hard Palate; Quantitative Assessment; Analytical Diagnostic, and Therapeutic Techniques and Equipment; Dimensional Measurement Accuracy; Child