Abstract

BackgroundThe objectives of this study were to develop and validate a novel analysis protocol to measure linear and angular measurements of tip and torque of each tooth in the dental arches of virtual study models.MethodsMaxillary and mandibular dental casts of 25 subjects with a full permanent dentition were scanned using a three-dimensional model scanner. Sixty points per arch were digitized on each model, five points on each tooth. A custom analysis to measure linear distances and angles of tip and torque was developed using a new reference plane passing as a best-fit among all of the lingual gingival points, with the intermolar lingual distance set as the reference X-axis. The linear distances measured included buccal, lingual, and centroid transverse widths at the level of canines, premolars, and molars as well as arch depth and arch perimeter.ResultsThere was no systematic error associated with the methodology used. Intraclass correlation coefficient values were higher than 0.70 on every measure. The average random error in the maxilla was 1.5° ± 0.4° for torque, 1.8° ± 0.5° for tip, and 0.4 ± 0.2 mm for linear measurements. The average random error in the mandible was 1.2° ± 0.3° for torque, 2.0° ± 0.8° for tip, and 0.1 ± 0.1 mm for the linear measurements.ConclusionsA custom digital analysis protocol to measure traditional linear measurements as well as tip and torque angulation on virtual dental casts was presented. This validation study demonstrated that the digital analysis used in this study has adequate reproducibility, providing additional information and more accurate intra-arch measurements for clinical diagnosis and dentofacial research.

Highlights

  • The objectives of this study were to develop and validate a novel analysis protocol to measure linear and angular measurements of tip and torque of each tooth in the dental arches of virtual study models

  • A number of systems for on-screen measurements of virtual threedimensional (3D) study models have been proposed in the literature to replace the time-consuming traditional manual measurements on plaster casts [1,2,3,4,5]. 3D virtual casts are an appropriate and accurate reproduction of the dental arch morphology for both indirect scanning systems from plaster casts and direct intraoral scanner acquisitions [6]

  • Digital measurements have been shown to be as reliable as manual measurements with a caliper [1,2,3,4]

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Summary

Introduction

The objectives of this study were to develop and validate a novel analysis protocol to measure linear and angular measurements of tip and torque of each tooth in the dental arches of virtual study models. A number of systems for on-screen measurements of virtual threedimensional (3D) study models have been proposed in the literature to replace the time-consuming traditional manual measurements on plaster casts [1,2,3,4,5]. The digital dimension extends the diagnostic and research tools for both clinicians and researchers, As orthodontists, we are concerned about the position of each individual tooth within the dental arches, including the angulation of the teeth in the mesiodistal (tip) and faciolingual (torque) dimensions. A fairly high range of variability (1.3° to 4.0°) was found [16]

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