Cranio paper marks study
Wednesday, January 1, 2014

Summary of 'Clinician Accuracy When Subjectively Interpreting Articulating Paper Markings'

Summary

The purpose of this study was to determine whether subjective interpretation of paper markings is a reliable method for identifying the relative occlusal force content of tooth contacts. Two-hundred and ninety-five clinicians selected the “Most Forceful” and “Least Forceful” occlusal contacts in six occlusal-view photographs of articulating paper marks that were later compared against computerized occlusal analysis relative occlusal force measurements of the same tooth contacts. After the analysis of the 295 questionnaire results it was determined that subjective interpretation is an ineffective clinical method for determining the relative occlusal force content of tooth contacts. The reported low scores obtained from a large group of participant dentists suggest clinicians are unable to reliably differentiate high and low occlusal force from looking at articulating paper marks. This longstanding method of visually observing articulating paper marks for occlusal contact force content should be replaced with a measurement-based, objective method.

View the full article in The Journal of Craniomandibular Practice

*Kerstein, R.B., and Radke, J. Clinician Accuracy When Subjectively Interpreting Articulating Paper Markings, The Journal of Craniomandibular & Sleep Practice, 2013, VOL. 32 NO. 1