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Gaceta Médica Espirituana
versão On-line ISSN 1608-8921
Resumo
GONZALEZ ESPANGLER, Liuba; BOSCH MARRERO, Liliana; BOSCH NUNEZ, Ana Ibis e 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 01-Abr-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.
Palavras-chave : Interdisciplinarity; orthodontics; malocclusion angle class III; syndrome class III; jaw abnormalities; tooth abnormalities and diagnosis; skeletal anomaly.