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Software Nemoceph Gratis
The time-consuming nature of conventional tracing and the high license cost of cephalometric software with overall bulk of armamentarium refrain the orthodontists from instant cephalometric reading, especially for outstation consultation. A cost-effective and portable alternative for daily use was much awaited to serve instantaneous cephalometric reading.
The samples were selected based on quality of image by expert orthodontists who were blinded for the study. This study evaluated the accuracy of two software for cephalometric analysis. As this was not a follow-up study, so no dropout was noted.
Computer programs are also proven to be reliable and an excellent alternative to conventional method.[14] The study of Iacob et al.[15] reported values comparable to manual and clinically acceptable. In contrast, Eslamian et al.[16] suggested that manual technique is still efficacious. Similarly, Agrawal et al.[10] in their study using CADCAS software for landmark identification reported these software to be unreliable for bilateral structures.
More recently, researchers have compared and evaluated different software programs specific for cephalometric analysis. A comparative study of three software (Planmeca Romexis, Orthalis and AxCeph) by Rusu et al.[17] reported a reliable result with no statistical significant difference.
Although the cephalometric analysis software has proven to be reliable with accuracy comparable to manual technique in majority, the availability and affordability of these commercially available software remained a problem for routine clinical use in the developing country and for the budding orthodontist. The requirement of some instant cephalometric values especially in consultation practice is among the other necessity that remains unfulfilled.
This study found the accuracy of free download CephNinja software for android comparable to commercially available NemoCeph for computers both clinically and statistically in majority. Therefore, CephNinja can be used with reliability as an alternative to commercially available cephalometric analysis software.
All lateral cephalograms were transferred to a computer loaded with Planmeca software, saved in bitmap files and taken in a CD ROM for tracing and analysis on Nemotech digital imaging software (Version 6.0). 16 linear and 6 angular hard tissue parameters given by Legan and Burstone were measured in the present study after identification of appropriate landmarks (Fig. 1).
NemoCeph is the most used cephalometric software worldwide. It encompasses the most advanced technology and forms the basis for correctly diagnosing the problem and thoroughly planning orthodontic treatment.
Analiza modelos virtuales para diagnosticar y planificar digitalmente tus tratamientos de ortodoncia. Ingresa la tomografía de tus pacientes al software para visualizar el movimiento de corona y raíz, obtener guías de cementado de brackets y crear alineadores dentales. Genera confianza y satisface la expectativa de tus pacientes mostrando el resultado final del tratamiento con la simulación de imágenes en 3D.
Realiza estudios con trazado cefalométrico para brindar un diagnóstico de ortodoncia completo. Crea una planeación quirúrgica en 2D personalizada y comunica a tus pacientes sus tratamientos de manera sencilla y efectiva. NemoCeph es el software de cefalometría más utilizado en las universidades de todo el mundo.
The assessment of craniofacial structure forms an integral part of the orthodontic diagnosis. From the time lateral cephalogram was invented, lateral cephalometric analysis continues to be one of the gold standard diagnostic aids in orthodontics. Manual cephalometric analysis consumes valuable time due to the tedious procedures associated with it. Various cephalometric software is currently available in the market, which is easy to use and saves time.3,4,5,6,7,8,9,10 These software are expensive and would require a laptop or a desktop which makes it laborious and less accessible. Practitioners in most developing and underdeveloped countries find it difficult to afford such software.
All statistical analysis was carried out using Statistical Package for Social Sciences version 20.0 (SPSS Inc., Chicago, IL, USA). An independent sample T-test was done to compare the mean values of each parameter between manual tracing and OneCeph tracing keeping the level of significance at 95%. After a week of completing the initial measurements, five radiographs were randomly selected out of twenty previously selected radiographs and the measurements were repeated using OneCeph software and manual tracing to check for intra-operator errors using the paired T-test.
Similar studies have been done for desktop software like Dolphin, NemoCeph, VistadentTM, Quick Ceph, AOCephTM, FACAD, and AutoCEPH. The authors have claimed that the accuracy and reliability of this software are similar to the manual cephalometric tracing and therefore can be used as an aid in diagnosing, planning, monitoring, and evaluating orthodontic treatment both in clinical and research settings.3,4,5,6,7,8,9,10 However, the disadvantages of desktop cephalometric software are that it can only be used on a desktop or a laptop, expensive, and require an internet connection.
In recent years, much cephalometric software like Smile-Ceph, Ceph Ninja, and Smart Ceph Pro apps have been launched in the market, which can be used on tablets and smartphones. Few of the studies have found that these mobile digital cephalometric software and applications were accurate and can be used as an alternative to manual tracing.17,18 A study by Gorracci et.al showed good reliability for all cephalometric measurements obtained with an iPad-based software Smile-Ceph, desktop software NemoCeph and manual tracing.12 One of the disadvantages of this software is that it can be accessed on an iPad tablet and IOS devices only.
OneCeph is one such mobile software that is easy to use, quick, and easily dispensable, and user-friendly as it is operated by Android mobile phones.11 The software is versatile as it can be used to do most of the conventional as well as contemporary cephalometric analysis. OneCeph can work on a smartphone even without an internet connection; hence can be used in doing studies in rural centers with less accessibility to the internet. However, this software is currently available only in the android play store and not available in other operating systems like Windows, IOS, etc. Android smartphones are widely used in developing countries as it is easily available and affordable. Hence, OneCeph software can be conveniently used by dental practitioners and dental students serving in primary health care centers in rural areas. Since this software can do analysis only on 2D images hence the disadvantages of all the 2D analysis apply to this software as well. An integrated approach of diagnosis, treatment planning using smartphone cephalometric analysis software will be a valuable tool in rural villages in developing countries with little access to specialized oral health care services, where there is an immense need for orthodontic treatment, orthognathic surgery, cleft, and craniofacial deformity management. With the recent advent of the COVID-19 pandemic, orthodontic expertise can be shared with the general dental practitioners serving in rural dental clinics via teleconferencing and can successfully enhance the timely orthodontic intervention for patients with urgent need.
The reliability and accuracy of the OneCeph software application were at par with manual tracing. OneCeph is a simple, reliable, accurate alternative to manual tracing which can be easily accessed on a smartphone without an internet connection thereby saving clinical time and armamentarium. 2ff7e9595c
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