The genial tubercle: A prospective novel landmark for the diagnosis of mandibular asymmetry.
10.4041/kjod.2017.47.1.50
- Author:
Seung Youp LEE
1
;
Dong Soon CHOI
;
Insan JANG
;
Geun Su SONG
;
Bong Kuen CHA
Author Information
1. Department of Orthodontics, School of Dentistry, Chonbuk National University, Jeonju, Korea.
- Publication Type:Original Article
- Keywords:
Cone-beam computed tomography;
Three-dimensional cephalometrics;
Genial tubercle;
Menton
- MeSH:
Adult;
Cone-Beam Computed Tomography;
Diagnosis*;
Humans;
Prospective Studies*
- From:The Korean Journal of Orthodontics
2017;47(1):50-58
- CountryRepublic of Korea
- Language:English
-
Abstract:
INTRODUCTION: Identifying menton (Me) on posteroanterior cephalograms and three-dimensional (3D) cone-beam computed tomography (CBCT) images is difficult, because the midpoint of the symphyseal area is not identifiable after the mandibular symphysis fuses at an early age. The aim of this study was to evaluate the reliability of the identification of the genial tubercle (GT) in patients with mandibular asymmetry and to compare it with that of the traditional landmark, Me. METHODS: The samples comprised 20 CBCT images of adults with mandibular asymmetry. Two examiners performed the identifications and measurements. Me and GT were marked, and the anteroposterior, vertical, and transverse distances to the three reference planes were measured on 3D-reconstructed CBCT images. The intra- and inter-examiner reliability of landmark identification of Me and GT were assessed using the intraclass correlation coefficient (ICC) and Bland-Altman plots. RESULTS: The Me and GT landmarks showed excellent reliability (ICC ≥ 0.993) three-dimensionally. In the transverse evaluation, the ICC values of the GT (range, 0.997–0.999) tended to be slightly higher than those of Me (range, 0.993–0.996). In the Bland-Altman plots for the two separate assessments, Me showed a maximum error of 1.76 mm in the transverse direction, whereas the GT showed a maximum error of 0.96 mm in the 95% limit. CONCLUSIONS: Our results suggest that both Me and GT are clinically reliable and equally useful landmarks for the evaluation of mandibular asymmetry on CBCT images.
