Influence of Scanner Precision and Analysis Software in Quantifying Three-Dimensional Intraoral Changes: Two-Factor Factorial Experimental Design.


Journal

Journal of medical Internet research
ISSN: 1438-8871
Titre abrégé: J Med Internet Res
Pays: Canada
ID NLM: 100959882

Informations de publication

Date de publication:
27 11 2020
Historique:
received: 27 11 2019
accepted: 27 07 2020
revised: 22 06 2020
entrez: 27 11 2020
pubmed: 28 11 2020
medline: 2 3 2021
Statut: epublish

Résumé

Three-dimensional scans are increasingly used to quantify biological topographical changes and clinical health outcomes. Traditionally, the use of 3D scans has been limited to specialized centers owing to the high cost of the scanning equipment and the necessity for complex analysis software. Technological advances have made cheaper, more accessible methods of data capture and analysis available in the field of dentistry, potentially facilitating a primary care system to quantify disease progression. However, this system has yet to be compared with previous high-precision methods in university hospital settings. The aim of this study was to compare a dental primary care method of data capture (intraoral scanner) with a precision hospital-based method (laser profilometer) in addition to comparing open source and commercial software available for data analysis. Longitudinal dental wear data from 30 patients were analyzed using a two-factor factorial experimental design. Bimaxillary intraoral digital scans (TrueDefinition, 3M, UK) and conventional silicone impressions, poured in type-4 dental stone, were made at both baseline and follow-up appointments (mean 36 months, SD 10.9). Stone models were scanned using precision laser profilometry (Taicaan, Southampton, UK). Three-dimensional changes in both forms of digital scans of the first molars (n=76) were quantitatively analyzed using the engineering software Geomagic Control (3D Systems, Germany) and freeware WearCompare (Leeds Digital Dentistry, UK). Volume change (mm The median (IQR) volume change for Geomagic using profilometry and using the intraoral scan was -0.37 mm As expected, the method of data capture, software used, and measurement metric all significantly influenced the measurement outcome. However, when appropriate analysis was used, the primary care system was able to quantify the degree of change and can be recommended depending on the accuracy needed to diagnose a condition. Lower-resolution scanners may underestimate complex changes when measuring at the micron level.

Sections du résumé

BACKGROUND
Three-dimensional scans are increasingly used to quantify biological topographical changes and clinical health outcomes. Traditionally, the use of 3D scans has been limited to specialized centers owing to the high cost of the scanning equipment and the necessity for complex analysis software. Technological advances have made cheaper, more accessible methods of data capture and analysis available in the field of dentistry, potentially facilitating a primary care system to quantify disease progression. However, this system has yet to be compared with previous high-precision methods in university hospital settings.
OBJECTIVE
The aim of this study was to compare a dental primary care method of data capture (intraoral scanner) with a precision hospital-based method (laser profilometer) in addition to comparing open source and commercial software available for data analysis.
METHODS
Longitudinal dental wear data from 30 patients were analyzed using a two-factor factorial experimental design. Bimaxillary intraoral digital scans (TrueDefinition, 3M, UK) and conventional silicone impressions, poured in type-4 dental stone, were made at both baseline and follow-up appointments (mean 36 months, SD 10.9). Stone models were scanned using precision laser profilometry (Taicaan, Southampton, UK). Three-dimensional changes in both forms of digital scans of the first molars (n=76) were quantitatively analyzed using the engineering software Geomagic Control (3D Systems, Germany) and freeware WearCompare (Leeds Digital Dentistry, UK). Volume change (mm
RESULTS
The median (IQR) volume change for Geomagic using profilometry and using the intraoral scan was -0.37 mm
CONCLUSIONS
As expected, the method of data capture, software used, and measurement metric all significantly influenced the measurement outcome. However, when appropriate analysis was used, the primary care system was able to quantify the degree of change and can be recommended depending on the accuracy needed to diagnose a condition. Lower-resolution scanners may underestimate complex changes when measuring at the micron level.

Identifiants

pubmed: 33245280
pii: v22i11e17150
doi: 10.2196/17150
pmc: PMC7732705
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

e17150

Informations de copyright

©Saoirse O'Toole, David Bartlett, Andrew Keeling, John McBride, Eduardo Bernabe, Luuk Crins, Bas Loomans. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 27.11.2020.

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Auteurs

Saoirse O'Toole (S)

Centre for Clinical, Oral and Translational Sciences, King's College London, London, United Kingdom.

David Bartlett (D)

Centre for Clinical, Oral and Translational Sciences, King's College London, London, United Kingdom.

Andrew Keeling (A)

University of Leeds, Leeds, United Kingdom.

John McBride (J)

University of Southampton, Southampton, United Kingdom.

Eduardo Bernabe (E)

Centre for Clinical, Oral and Translational Sciences, King's College London, London, United Kingdom.

Luuk Crins (L)

Radboud University Medical Centre, Nijmegen, Netherlands.

Bas Loomans (B)

Radboud University Medical Centre, Nijmegen, Netherlands.

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Classifications MeSH