Are there differences between comparison methods used to evaluate the accuracy and reliability of digital models?

Hero Breuning,Oswaldo De Vasconcellos Vilella,Leonardo Tavares Camardella

doi:10.1590/2177-6709.22.1.065-074.oar

Hero Breuning, Oswaldo De Vasconcellos Vilella + Show 1 more

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https://doi.org/10.1590/2177-6709.22.1.065-074.oar

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Abstract

ABSTRACTObjectives: The accuracy and reliability of plaster models and digital models acquired with two different surface laser scanners were tested by means of three methods: measurement with calipers, digital measurement with proper software and superimposition of the digital models. Methods: Thirty plaster models with permanent dentition that met the inclusion criteria were selected and scanned with two laser scanners (R700 and Xcad). Three examiners measured distances on plaster models with a digital caliper and on digital models using Ortho Analyzer software. The digital models were also compared by means of superimposition of the models using the Geomagic Qualify software. The intra and inter-examiner reliability of the measurements were evaluated using the ICC. Paired t test was used to test the accuracy of the measurements on digital and plaster models.Results: The measurements on plaster and digital models acquired by two different scanners showed high values for the ICC. Although statistically significant differences between the measurements on plaster and digital models have been found, these discrepancies were not considered clinically relevant. The superimposition method with Geomagic Qualify software showed that the two digital models were not significantly different.Conclusions: Digital models created from scanned plaster models using the R700 or Xcad scanners were clinically accurate according to the two methods of comparison used.

Highlights

Plaster models have been an essential part of patient records for orthodontic treatment
For digital models scanned with the R700 scanner (3Shape models), mean difference of 0.035 mm in measurement error for all parameters was found for examiner one, 0.184 mm for examiner two and 0.057 mm for examiner three
The analysis of the reliability of the measurements performed by the three examiners revealed a high intraclass correlation coefficient (ICC) for the measurements on the plaster model, as well as on the digital models

Summary

Introduction

Plaster models have been an essential part of patient records for orthodontic treatment. They are a valuable tool for diagnosis and treatment, and can provide a dynamic copy of the actual treatment progress of orthodontic cases. It is widely used but often associated with some problems such as storage, breakage and loss.[1,2] The procedure of scanning the plaster models to create digital models, or directly scanning the teeth, gingiva and palate, is becoming a routine in clinical orthodontics. The manufacturing of dental models to be used for CAD/CAM systems in Prosthetic Dentistry has been used for some decades.[4]

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