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The European Journal of Orthodontics 1996 18(1):77-80; doi:10.1093/ejo/18.1.77
© 1996 by European Orthodontic Society
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Consistency of orthodontic extraction decisions

R. Ribarevski*, P. Vig*, K. Dryland Vig*, R. Weyant* and K. O'Brien**,

*School of Dental Medicine, Unviersity of Pittsburgh, USA
**Department of Dental Medicine and Surgery, Unviersity of Manchester UK

Address for correspondence Professor Kevin O'Brien, Department of Dental Medicine and Surgery Turner Dental School, Higher Cambridge Street, Manchester M15 6FH, UK

Ten orthodontists having completed specialist training, examined on two occasions 1 month apart, the complete pre-treatment records of 60 Class II division 1 patients representing the full range of dental malocclusion severity. At each session the orthodontist recorded whether their proposed treatment involved extractions. The level of agreement both betweeon and with in the orthodontists was evaluated with the Kappa statistic. Data analysis revealed that the level of agreement with in the examiners was good, however the between examiner agreement was poor. It appeared that the orthodontists were applying different criteria in terms of the extraction decision and this has implications for orthodontic patients.


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