A Comparison of Hand Traced Conventional Lateral Cephalogram with Digital Lateral Cephalogram Using Different Calibration Techniques of Dolphin Imaging (Version 11.5).

ABSTRACT

Objective:The purpose of the study was to evaluate and compare hand tracings on conventional lateral cephalograms with different calibration techniques available in dolphin imaging on digital lateral cephalogram. Materials and Methods:50 Conventional lateral cephalogram and 50 digital lateral cephalogram were taken in (NHP) at same period of timeon the same patient. Two angular measurements Facial Axis Angle and ANB angle two linear measurements Sella to Nasion and Sella to articulare have been taken. The digital images were traced by calibration 3 techniques Ruler, DPI and Land mark available in Dolphin Imaging Software Version 11.5.The conventional were traced on lead acetate paper and data has been collected.Results: In measurement of Facial Axis Angle conventional when compared with different calibration techniques Ruler Land Mark technique show <0.001significantvalue. In measurement of ANB angle shows no significant values. In measurement of S-N length Ruler compared with DPI has shown significant p value <0.001. DPI compared with conventional shows 0.001. S-AR length has shown significant value p value 0.006, DPI compared with Landmark shows 0.007,Landmark compared with conventional shows 0.003. Conclusion: According to our study conventional when compared with calibration techniques ruler has show only one significant value DPI and land mark has shown two significant values so our study conclude that using ruler is the better option for calibration of digital radiograph. As ruler is more accurate to conventional we compare DPI and Landmark techniques to ruler, landmark shows less variation with ruler so according to our study the second option for calibration of digital radiograph is landmark and last option comes DPI.