The prediction of sagittal chin point relapse following two-jaw surgery using machine learning.


Journal

Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288

Informations de publication

Date de publication:
09 10 2023
Historique:
received: 02 04 2023
accepted: 04 10 2023
medline: 2 11 2023
pubmed: 10 10 2023
entrez: 9 10 2023
Statut: epublish

Résumé

The study aimed to identify critical factors associated with the surgical stability of pogonion (Pog) by applying machine learning (ML) to predict relapse following two-jaw orthognathic surgery (2 J-OGJ). The sample set comprised 227 patients (110 males and 117 females, 207 training and 20 test sets). Using lateral cephalograms taken at the initial evaluation (T0), pretreatment (T1), after (T2) 2 J-OGS, and post treatment (T3), 55 linear and angular skeletal and dental surgical movements (T2-T1) were measured. Six ML modes were utilized, including classification and regression trees (CART), conditional inference tree (CTREE), and random forest (RF). The training samples were classified into three groups; highly significant (HS) (≥ 4), significant (S) (≥ 2 and < 4), and insignificant (N), depending on Pog relapse. RF indicated that the most important variable that affected relapse rank prediction was ramus inclination (RI), CTREE and CART revealed that a clockwise rotation of more than 3.7 and 1.8 degrees of RI was a risk factor for HS and S groups, respectively. RF, CTREE, and CART were practical tools for predicting surgical stability. More than 1.8 degrees of CW rotation of the ramus during surgery would lead to significant Pog relapse.

Identifiants

pubmed: 37813915
doi: 10.1038/s41598-023-44207-2
pii: 10.1038/s41598-023-44207-2
pmc: PMC10562368
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

17005

Informations de copyright

© 2023. Springer Nature Limited.

Références

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Auteurs

Young Ho Kim (YH)

Department of Orthodontics, Institute of Oral Health Science, Ajou University School of Medicine, Suwon, South Korea.

Inhwan Kim (I)

Department of Convergence Medicine, Asan Medical Center, Asan Medical Institute of Convergence Science and Technology, University of Ulsan College of Medicine, Seoul, Korea.

Yoon-Ji Kim (YJ)

Department of Orthodontics, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

Minji Ki (M)

Department of Orthodontics, College of Medicine, Ewha Woman's University, Seoul, Korea.

Jin-Hyoung Cho (JH)

Department of Orthodontics, Chonnam National University School of Dentistry, Gwangju, Korea.

Mihee Hong (M)

Department of Orthodontics, School of Dentistry, Kyungpook National University, Daegu, Korea.

Kyung-Hwa Kang (KH)

Department of Orthodontics, School of Dentistry, Wonkwang University, Iksan, Korea.

Sung-Hoon Lim (SH)

Department of Orthodontics, College of Dentistry, Chosun University, Gwangju, Korea.

Su-Jung Kim (SJ)

Department of Orthodontics, Kyung Hee University School of Dentistry, Seoul, Korea.

Namkug Kim (N)

Department of Convergence Medicine, Asan Medical Center, Asan Medical Institute of Convergence Science and Technology, University of Ulsan College of Medicine, Seoul, Korea.

Jeong Won Shin (JW)

Department of Orthodontics, Institute of Oral Health Science, Ajou University School of Medicine, Suwon, South Korea.

Sang-Jin Sung (SJ)

Department of Orthodontics, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

Seung-Hak Baek (SH)

Department of Orthodontics, School of Dentistry, Dental Research Institute, Seoul National University, Seoul, South Korea.

Hwa Sung Chae (HS)

Department of Orthodontics, Gwangmyeong Hospital, Chungang University, Gwangmyeong, Korea. hwasungchae@cauhs.or.kr.

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