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Integration of a maxillary model into facial surface stereophotogrammetry

Über die Integration des Kiefermodells in die Oberflächen-Stereofotogrammetrie des Gesichtes

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Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie Aims and scope Submit manuscript

Abstract

Aims

Three-dimensional (3D) integration of a maxillary model into a facial model has only been possible by a complex procedure using face bow transfer after taking impressions of certain maxillary and facial parts. In this study, we aimed to develop a method for integrating a scanned maxillary model into a scan-realized facial model.

Material and methods

A total of 19 patients with the medical indication for cone-beam computed tomography (CBCT) and orthodontic treatment were included in this study. Facial and maxillary scans were also taken. The construction of the integrated surface model required 10 steps. This integration procedure was evaluated by taking ten 3D dentofacial linear segment measurements in the integrated scan and the CBCT. These results were analyzed using descriptive statistics.

Results

All measurements demonstrated good intra-individual reliability. We observed almost perfect congruence between integrated scan and CBCT in vertical distances, while the sagittal measurements revealed more, yet clinically acceptable, deviations possibly caused by different error sources in either of the two methods.

Conclusion

This new method is suitable for generating 3D integrated surface-scan models which can be used for growth and therapy control studies in orthodontics and other disciplines in the dentofacial fields. Since this method does not require ionizing radiation, it is highly recommendable as an application for children and adolescent patients.

Zusammenfassung

Ziele

Die dreidimensionale Integration eines Kiefermodells in ein Gesichtsmodell war bislang nur aufwendig durch Gesichtsbogenübertragung nach Abdrucknahme von Kiefer- und Gesichtsanteilen möglich. Aufgabe der vorliegenden Studie war, eine Methode zu entwickeln, welche die Übertragung der mit dem Scanner erfassten Kiefermodelle in das Scan-registrierte Gesichtsmodell ermöglicht.

Material und Methodik

Von 19 Patienten wurden aus medizinischer Indikation ein DVT, kieferorthopädische Anfangsunterlagen sowie Gesichts- und Kieferscans angefertigt. Die Erstellung des integrierten Oberflächenmodells erfolgte in zehn Teilschritten. Zur Evaluation der Integration wurden zehn dreidimensionale dentofaziale Messungen am integrierten Oberflächenmodell und am DVT durchgeführt und mittels deskriptiver Statistik miteinander verglichen.

Ergebnisse

Bei guter intraindividueller Reliabilität aller Messungen wiesen die vertikalen Distanzmessungen eine nahezu perfekte Übereinstimmung von integriertem Oberflächenmodell und DVT auf; die sagittalen Distanzmessungen zeigten mehr, jedoch klinisch akzeptable Abweichungen zwischen den beiden bildgebenden Verfahren, die allerdings von unterschiedlichen Fehlerquellen beider Methoden stammen können.

Schlussfolgerung

Die vorgestellte Methode ist geeignet, ein integriertes Oberflächenmodell herzustellen, das ohne ionisierende Strahlen für Wachstums- und Therapiestudien in der Zahn-, Mund- und Kieferheilkunde eingesetzt werden kann. Daher ist sie besonders für den Einsatz bei Kindern und jugendlichen Patienten geeignet.

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The corresponding author states that there are no conflicts of interest.

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Authors and Affiliations

  1. Department of Orthodontics, Eberhard Karl University, Osianderstr. 2-8, 72076, Tübingen, Germany

    T.E. Bechtold, T.G. Göz, E. Schaupp, A. Godt & M. Berneburg

  2. Department of Oral and Maxillofacial Surgery, Eberhard Karl University, Tübingen, Germany

    S. Reinert

  3. Department of Orthodontics, University Clinic Schleswig-Holstein, Kiel, Kiel, Germany

    B. Koos

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  1. T.E. Bechtold
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  2. T.G. Göz
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  7. M. Berneburg
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Correspondence to T.E. Bechtold.

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Bechtold, T., Göz, T., Schaupp, E. et al. Integration of a maxillary model into facial surface stereophotogrammetry. J Orofac Orthop 73, 126–137 (2012). https://doi.org/10.1007/s00056-011-0060-1

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