Operator Performance of the Digital Setup Fabrication for Orthodontic–Orthognathic Treatment: An Explorative Study
The purpose of this study was to explore the operator performance of the fabrication of digital orthodontic setups integrated into cone beam computed tomography (CBCT) scans. Fifteen patients who underwent a combined orthodontic–orthognathic surgical treatment were included. The pre-treatment digita...
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-12-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/11/1/145 |
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| author | Olivier de Waard Robin Bruggink Frank Baan Hendrikus A. J. Reukers Ewald M. Bronkhorst Anne Marie Kuijpers-Jagtman Edwin M. Ongkosuwito |
| author_facet | Olivier de Waard Robin Bruggink Frank Baan Hendrikus A. J. Reukers Ewald M. Bronkhorst Anne Marie Kuijpers-Jagtman Edwin M. Ongkosuwito |
| author_sort | Olivier de Waard |
| collection | DOAJ |
| description | The purpose of this study was to explore the operator performance of the fabrication of digital orthodontic setups integrated into cone beam computed tomography (CBCT) scans. Fifteen patients who underwent a combined orthodontic–orthognathic surgical treatment were included. The pre-treatment digital dental models and CBCT scans were fused, and four operators made virtual setups twice for all patients. Differences between the virtual setups were calculated by recording tooth crown movement from the pre-treatment model to the virtual setup. To examine performance, Pearson’s correlation coefficients, duplicate measurement errors, and inter-operator differences were calculated. For intra-operator performance, correlation values varied among tooth types, with mean correlation values from 0.66 to 0.83 for the maxilla and 0.70 to 0.83 for the mandible. For inter-operator performance, mean correlation values varied from 0.40 to 0.87 for the maxilla and from 0.44 to 0.80 for the mandible. Rotational mean differences exceeded the range of clinical acceptance (>2 degrees) at 18% for the maxilla and 20.8% for the mandible, and translational mean differences exceeded the range of clinical acceptance (0.6 mm) at 9.7% and 26% for the maxilla and mandible, respectively. The intra- and inter-operator performance of digital orthodontic setup construction for virtual three-dimensional orthognathic planning shows significant errors. |
| first_indexed | 2024-03-10T03:35:32Z |
| format | Article |
| id | doaj.art-3bc2fbeade5b43628a0db0ce9b136dd2 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T03:35:32Z |
| publishDate | 2021-12-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-3bc2fbeade5b43628a0db0ce9b136dd22023-11-23T11:44:20ZengMDPI AGJournal of Clinical Medicine2077-03832021-12-0111114510.3390/jcm11010145Operator Performance of the Digital Setup Fabrication for Orthodontic–Orthognathic Treatment: An Explorative StudyOlivier de Waard0Robin Bruggink1Frank Baan2Hendrikus A. J. Reukers3Ewald M. Bronkhorst4Anne Marie Kuijpers-Jagtman5Edwin M. Ongkosuwito6Department of Dentistry—Orthodontics and Craniofacial Biology, Radboud University Medical Center, 6500 HB Nijmegen, The NetherlandsDepartment of Dentistry—Orthodontics and Craniofacial Biology, Radboud University Medical Center, 6500 HB Nijmegen, The NetherlandsDepartment of Dentistry—Orthodontics and Craniofacial Biology, Radboud University Medical Center, 6500 HB Nijmegen, The NetherlandsKindt & Reukers Orthodontists, 6524 CV Nijmegen, The NetherlandsDepartment of Dentistry, Radboud Institute for Health Sciences, Radboud University Medical Center, 6500 HB Nijmegen, The NetherlandsDepartment of Orthodontics, University Medical Center Groningen, University of Groningen, 9713 GZ Groningen, The NetherlandsDepartment of Dentistry—Orthodontics and Craniofacial Biology, Radboud University Medical Center, 6500 HB Nijmegen, The NetherlandsThe purpose of this study was to explore the operator performance of the fabrication of digital orthodontic setups integrated into cone beam computed tomography (CBCT) scans. Fifteen patients who underwent a combined orthodontic–orthognathic surgical treatment were included. The pre-treatment digital dental models and CBCT scans were fused, and four operators made virtual setups twice for all patients. Differences between the virtual setups were calculated by recording tooth crown movement from the pre-treatment model to the virtual setup. To examine performance, Pearson’s correlation coefficients, duplicate measurement errors, and inter-operator differences were calculated. For intra-operator performance, correlation values varied among tooth types, with mean correlation values from 0.66 to 0.83 for the maxilla and 0.70 to 0.83 for the mandible. For inter-operator performance, mean correlation values varied from 0.40 to 0.87 for the maxilla and from 0.44 to 0.80 for the mandible. Rotational mean differences exceeded the range of clinical acceptance (>2 degrees) at 18% for the maxilla and 20.8% for the mandible, and translational mean differences exceeded the range of clinical acceptance (0.6 mm) at 9.7% and 26% for the maxilla and mandible, respectively. The intra- and inter-operator performance of digital orthodontic setup construction for virtual three-dimensional orthognathic planning shows significant errors.https://www.mdpi.com/2077-0383/11/1/145orthodonticsCBCTorthognathic surgerysetup |
| spellingShingle | Olivier de Waard Robin Bruggink Frank Baan Hendrikus A. J. Reukers Ewald M. Bronkhorst Anne Marie Kuijpers-Jagtman Edwin M. Ongkosuwito Operator Performance of the Digital Setup Fabrication for Orthodontic–Orthognathic Treatment: An Explorative Study Journal of Clinical Medicine orthodontics CBCT orthognathic surgery setup |
| title | Operator Performance of the Digital Setup Fabrication for Orthodontic–Orthognathic Treatment: An Explorative Study |
| title_full | Operator Performance of the Digital Setup Fabrication for Orthodontic–Orthognathic Treatment: An Explorative Study |
| title_fullStr | Operator Performance of the Digital Setup Fabrication for Orthodontic–Orthognathic Treatment: An Explorative Study |
| title_full_unstemmed | Operator Performance of the Digital Setup Fabrication for Orthodontic–Orthognathic Treatment: An Explorative Study |
| title_short | Operator Performance of the Digital Setup Fabrication for Orthodontic–Orthognathic Treatment: An Explorative Study |
| title_sort | operator performance of the digital setup fabrication for orthodontic orthognathic treatment an explorative study |
| topic | orthodontics CBCT orthognathic surgery setup |
| url | https://www.mdpi.com/2077-0383/11/1/145 |
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