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Gaceta Médica Espirituana

On-line version ISSN 1608-8921

Abstract

GONZALEZ ESPANGLER, Liuba; BOSCH MARRERO, Liliana; BOSCH NUNEZ, Ana Ibis  and  ROMERO GARCIA, Lázaro Ibrahim. Interdisciplinarity in the diagnosis of Moyers skeletal class III syndrome. Gac Méd Espirit [online]. 2022, vol.24, n.1, pp. 26-37.  Epub Apr 01, 2022. ISSN 1608-8921.

Background:

Among the occlusion anomalies that cause esthetic and functional affectation in patients, Moyers skeletal class III syndrome stands out, its diagnosis should be accurate and early.

Objective:

To quantify the concordance between orthodontic and medical diagnostic criteria in patients with Moyers skeletal class III syndrome.

Methodology:

An observational, descriptive and cross-sectional study was conducted at the "Mártires del Moncada" Provincial Teaching Dental Care Clinic of Santiago de Cuba from January 2018 to January 2020. 15 patients aged 8 to 18 years clinically and cephalometrically diagnosed with Moyers skeletal class III were studied by Orthodontics and different selected medical specialties.

Results:

The level of agreement between Orthodontics and the different medical specialties was slight for Ophthalmology (Kappa=0.10), almost perfect for Orthopedics (Kappa=1.00), poor for Gastroenterology and Otolaryngology (Kappa of 0.09 and 0.10 respectively), statistically significant results only for Orthopedics.

Conclusions:

The manifest concordance between orthodontic and orthopedic diagnoses in skeletal class III syndrome is evident, unlike the rest of the medical specialties; probably associated with non-standard clinical evaluations.

Keywords : Interdisciplinarity; orthodontics; malocclusion angle class III; syndrome class III; jaw abnormalities; tooth abnormalities and diagnosis; skeletal anomaly.

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