对一些非度量衡牙齿特征评估中观察者内部和观察者之间差异的分析结果

N. A. Leybova, A. Chirkova
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引用次数: 0

摘要

在俄罗斯牙科学界,本文首次介绍了在确定非度量衡牙齿特征时对观察者内部和观察者之间差异的分析结果。这项工作的基础是 2022 年由 E.V. Ayizhy(图瓦卢州立大学历史科学专业候选人)领导的图瓦卢州立大学-CPI 图瓦卢人种学和人类学考察队在图瓦卢共和国西部地区收集的材料。考察的目的是对当地居民进行全面的生物和人类学调查。该计划包括收集有关体格测量、头颅测试、头镜检查、牙科、皮肤象形、全景人类学肖像摄影和社会调查的数据。由于考察队中有两位牙科专家,因此可以对他们的独立鉴定结果进行比较分析。一个重要的因素似乎是,在图瓦考察中,首次在大规模人口人类学调查实践中使用了口内三维扫描仪,这为检验研究人员的实地测定提供了难得的机会。本文关注的是通过不同记录技术确定非度量衡牙齿特征的观察者内部和观察者之间的相关性结果。按照俄罗斯牙科采用的方案,考察期间共检查了 504 人,获得了 331 个牙齿蜡模。完整的牙科检查项目包括目测和借助牙科镜描述牙齿特征。使用口内三维扫描仪 Medit I500,总共获得了 202 份扫描结果。分析包括多个层次的观察者内部和观察者之间的相关性,并包括三个阶段的连贯实验,目的是评估在考察中和三维模型上观察到的非度量牙齿特征。这项研究以使用经验和统计方法为基础。在分析的各个阶段,在评估侧切牙的间距、拥挤和缩小时,都没有记录到观察者内部和观察者之间的差异。最难记录的特征似乎是上门牙突出。在对其进行评估时,观察者内部的相关性显示出了统计学上的显著差异。通过不同记录技术获得的口腔特征观察结果显示,在研究者个人层面上存在一些系统性偏差,表现为通过扫描确定的铲牙频率被高估,而借助牙科镜确定的铲牙频率被低估。
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Results of the analysis of intra-observer and inter-observer discrepancies in the assessment of some non-metric dental traits
For the first time in Russian odontology, this paper presents the results of the analysis of intra-observer and inter-observer discrepancies in the determination of non-metric dental traits. The basis for the work was the materials collected in 2022 in the western regions of the Republic of Tuva during the Tuva ethnographic and anthropological expedition of TuvSU-CPI under the direction of E.V. Ayizhy (Candidate of Historical Sciences, TuvSU). The aim of the expedition was comprehensive biological and anthropological investigation of the local population. The programme included collecting the data on somatometry, cephalome-try, cephaloscopy, odontology, dermatoglyphics, panoptic anthropological portrait photography, and social survey. Due to the fact that two experts in odontology worked in the expedition, it was possible to conduct a comparative analysis of their inde-pendent determinations. An important factor appeared to be that in the Tuva expedition, for the first time in the practice of mass population-anthropological investigations, an intraoral 3D scanner was employed, which provided a rare opportunity to test the field determinations made by the researcher. This paper is concerned with the results of intra- and inter-observer correlations in the determination of non-metric dental traits by different recording techniques. Following the programme adopted in Russian odontology, during the expedition, there were 504 people examined and 331 wax impressions of teeth obtained. The complete programme of the odontological examination included visual inspection and description of the traits with the aid of a dental mir-ror. Using the intraoral 3D scanner Medit I500, in total 202 scans were obtained. The analysis consisted of several levels of intra- and inter-observer correlations and included three stages of connexive experiments aimed at the assessment of the non-metric dental traits observed in the expedition and on the 3D models. The study is based upon the use of the empirical and statistical methods. At all stages of the analysis, there were no intra- and inter-observer discrepancies recorded in the assess-ment of the diastema, crowding, and reduction of lateral incisors. The most difficult feature for recording appeared to be the prominence of the shovelling of upper incisors. In its assessment, statistically significant differences were revealed during the intra-observer correlations. The results of the observation of the odontological traits obtained by different recording techniques, showed some systematic deviations at the individual researcher level, manifested in an overestimation of frequencies of the shovelling when determining by scans and underestimation of frequencies of the shovelling determined with the aid of the dental mirror.
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