1. Accuracy of a Method to Monitor Root Position Using a 3D Digital Crown/Root Model during Orthodontic Treatments
- Author
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Kaho Ogawa, Yoshiki Ishida, Yukinori Kuwajima, Cliff Lee, Jacob R. Emge, Mitsuru Izumisawa, Kazuro Satoh, Shigemi Ishikawa-Nagai, John D. Da Silva, and Chia-Yu Chen
- Subjects
Tooth Crown ,Crowns ,stomatognathic system ,Root Resorption ,Humans ,Radiology, Nuclear Medicine and imaging ,Cone-Beam Computed Tomography ,Tooth ,digital dentistry ,CBCT ,digital scans ,orthodontic tooth movement - Abstract
This study aimed to assess the accuracy of a method of predicting post-movement root position during orthodontic treatment using a 3D digital crown/root model (3DCRM) created with pre-movement records of both cone-beam computed tomography (CBCT) and dental arch digital scans. Pre- and post-movement CBCT scans and dental arch digital scans of five patients who had completed orthodontic treatments were used in this study. The 3DCRM was superimposed onto the post-movement scanned dental arch to identify the post-movement root position (test method). Post-movement CBCT (referenced as the current method) served as the control to identify the actual post-movement root position. 3D-coordinate analysis revealed no significant differences between the test and current methods along the X and Y axes. However, the discrepancy on the Z axis (especially in cases of intrusion) was greater than that in all other directions for all three tooth types examined (p < 0.05). A strong positive correlation between the degree of discrepancy and the distance of tooth movement was observed on the Z axis (r = 0.71). The 3DCRM method showed promising potential to accurately predict root position during orthodontic treatments without the need for a second CBCT. However, root resorption, which affected the Z axis prediction, needs to be closely monitored using periapical radiographs to complement this method.
- Published
- 2022