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Reply on “Reliability of two different presurgical preparation methods for implant dentistry based on panoramic radiography and cone-beam computed tomography in cadavers” JPIS

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Journal of Periodontal

& Implant Science

JPIS

pISSN 2093-2278 eISSN 2093-2286 Copyright © 2012 Korean Academy of Periodontology

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/).

Reply on “Reliability of two different presurgical preparation methods for implant dentistry based on panoramic radiography and cone-beam computed tomography in cadavers”

Kyung-Seok Hu1, Sungtae Kim2,*

1Division of Anatomy and Histology, Department of Oral Biology, Yonsei University College of Dentistry, Seoul, Korea

2Department of Periodontology,Dental Research Institute, Seoul National University School of Dentistry, Seoul, Korea J Periodontal Implant Sci 2012;42:145 • http://dx.doi.org/10.5051/jpis.2012.42.4.145

Letter to the editor

To the editor:

We thank Dr. Sabour for his comments about our article on reliability of two different presurgical preparation methods for implant dentistry based on panoramic radiography and cone-beam computed tomography in cadavers. We appreci- ate valuable comments from your profound knowledge and numerous research experiences to you.

We agree that it would have been better if agreement in one researcher in two different time points had been mea- sured or if two researchers had been participated with evalu- ation of agreement by intra-class correlation coefficient (ICC).

Presurgical measurement was performed by beginner den- tists. However, measurements in the radiograph after implant surgery and in the real specimen were performed by one re- searcher. Even if we assumed the measurement by one re- searcher who was the instructor of presurgical implant course

could have been reliable enough, ICC should have been eval- uated in advance.

If you think ICC or weighted kappa should be applied in- stead of the statistical method we used in the present study, the reason why we used the specific statistical method is as follows. From our clinical experiences, we already knew there would be magnification of anatomic structure in radiographic images irrespective of radiographic modalities. In addition, at the specific site of two radiographs taken in different time points, the magnification could not be considered same.

Therefore, serial measurements on specific site from differ- ent radiographs could not be considered to be performed in the same situation. ICC could not be considered as the most appropriate method for this study. Weighted kappa could not be considered as a statistical method because qualitative variables were not used in this study.

Received:  Aug. 15, 2012; Accepted:  Aug. 23, 2012

*Correspondence:  Sungtae Kim 

Department of Periodontology, Dental Research Institute, Seoul National University School of Dentistry, 101 Daehak-ro, Jongno-gu, Seoul 110-744, Korea E-mail: [email protected], Tel: +82-2-2072-4712, Fax: +82-2-744-0051

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