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An accurate and efficient method for occlusal tooth wear assessment using 3D digital dental models.

ABSTRACT: Tooth or material wear in a dentition is a common finding that requires timely diagnosis for management and prevention of further loss or associated esthetic or functional impairment. Various qualitative and quantitative methods have been suggested to measure tooth or material wear, but they present with limitations, such as imprecision, subjectivity, or high complexity. Here we developed and assessed an efficient 3D superimposition method to accurately measure occlusal tooth wear on 3D digital dental models. For this purpose, teeth on plaster casts were manually grinded on their occlusal surfaces to simulate various degrees of tooth wear. The casts were scanned using a surface scanner. Grinded tooth crowns (T1) were segmented and compared to the original crowns (T0) using five 3D surface superimposition techniques and a gold standard technique (GS). GS measurements were obtained by using intact adjacent structures as superimposition references. The technique of choice (complete crown with 30% estimated overlap of meshes) showed the best reproducibility (maximum difference?3) and excellent agreement with the GS technique (median difference: 0.032 mm³). The suggested 3D superimposition method offers a highly efficient and accurate tool for tooth wear assessment, which could be applicable to clinical conditions.

SUBMITTER: Gkantidis N

PROVIDER: S-EPMC7308323 | biostudies-literature | 2020 Jun

REPOSITORIES: biostudies-literature

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An accurate and efficient method for occlusal tooth wear assessment using 3D digital dental models.

Gkantidis Nikolaos N Dritsas Konstantinos K Ren Yijin Y Halazonetis Demetrios D Katsaros Christos C

Scientific reports 20200622 1

Tooth or material wear in a dentition is a common finding that requires timely diagnosis for management and prevention of further loss or associated esthetic or functional impairment. Various qualitative and quantitative methods have been suggested to measure tooth or material wear, but they present with limitations, such as imprecision, subjectivity, or high complexity. Here we developed and assessed an efficient 3D superimposition method to accurately measure occlusal tooth wear on 3D digital ...[more]

PMID: 32572141

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Project description:The occlusal morphology of the teeth is mostly determined by the enamel-dentine junction morphology; the enamel-dentine junction plays the role of a primer and conditions the formation of the occlusal enamel reliefs. However, the accretion of the enamel cap yields thickness variations that alter the morphology and the topography of the enamel-dentine junction (i.e., the differential deposition of enamel by the ameloblasts create an external surface that does not necessarily perfectly parallel the enamel-dentine junction). This self-reliant influence of the enamel on tooth morphology is poorly understood and still under-investigated. Studies considering the relationship between enamel and dentine morphologies are rare, and none of them tackled this relationship in a quantitative way. Major limitations arose from: (1) the difficulties to characterize the tooth morphology in its comprehensive tridimensional aspect and (2) practical issues in relating enamel and enamel-dentine junction quantitative traits. We present new aspects of form representation based exclusively on 3D analytical tools and procedures. Our method is applied to a set of 21 unworn upper second molars belonging to eight extant anthropoid genera. Using geometrical analysis of polygonal meshes representatives of the tooth form, we propose a 3D dataset that constitutes a detailed characterization of the enamel and of the enamel-dentine junction morphologies. Also, for the first time, to our knowledge, we intend to establish a quantitative method for comparing enamel and enamel-dentine junction surfaces descriptors (elevation, inclination, orientation, etc.). New indices that allow characterizing the occlusal morphology are proposed and discussed. In this note, we present technical aspects of our method with the example of anthropoid molars. First results show notable individual variations and taxonomic heterogeneities for the selected topographic parameters and for the pattern and strength of association between enamel-dentine junction and enamel, the enamel cap altering in different ways the "transcription" of the enamel-dentine junction morphology.

Dataset Information

An accurate and efficient method for occlusal tooth wear assessment using 3D digital dental models.

Publications

An accurate and efficient method for occlusal tooth wear assessment using 3D digital dental models.

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