A novel approach to determining augmented bone volume in intraoral bone block augmentation using an intraoral scanner: an in vitro study

Abstract Introduction Bone augmentation procedures are established tools for reshaping the alveolar ridge and increasing bone volume. Different approaches are being used to measure postoperative bone volume gain. This study aimed to develop an objective and automated volume measurement tool equally...

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Main Authors: Weichel Frederic, Kalchthaler Lukas, Kühle Reinald, Büsch Christopher, Ristow Oliver, Engel Michael, Freudlsperger Christian, Hoffmann Jürgen, Mertens Christian
Format: Article
Language:English
Published: SpringerOpen 2023-09-01
Series:International Journal of Implant Dentistry
Subjects:
Online Access:https://doi.org/10.1186/s40729-023-00492-0
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author Weichel Frederic
Kalchthaler Lukas
Kühle Reinald
Büsch Christopher
Ristow Oliver
Engel Michael
Freudlsperger Christian
Hoffmann Jürgen
Mertens Christian
author_facet Weichel Frederic
Kalchthaler Lukas
Kühle Reinald
Büsch Christopher
Ristow Oliver
Engel Michael
Freudlsperger Christian
Hoffmann Jürgen
Mertens Christian
author_sort Weichel Frederic
collection DOAJ
description Abstract Introduction Bone augmentation procedures are established tools for reshaping the alveolar ridge and increasing bone volume. Different approaches are being used to measure postoperative bone volume gain. This study aimed to develop an objective and automated volume measurement tool equally as precise as manual slice-by-slice annotation. Materials and methods To evaluate the proposed workflow, we performed an in vitro study with 20 pig mandibles that were grafted using three different grafting techniques—autogenous full block, split block bone and shell augmentation. The pig jaws were scanned pre- and postoperatively using an intraoral scanner. The resulting surface files (baseline, full block, split block, shell) were processed using the new volume-measuring workflow as well as using manual slice-by-slice annotation at baseline (t0) and at 6 months (t1) using the same population. Two TOSTs (Test of One-Sided Significance) and NHSTs (Null Hypothesis Significance Test) were used to compare the two workflows. The intra-rater reliability between t0 and t1 was determined using intraclass correlation coefficients. Results The mean difference for the full block augmentation technique was − 0.015 cm3 (p < 0.001); for the split block technique, it was − 0.034 cm3 p = 0.01, and for the shell technique, it was − 0.042 cm3. All results were statistically not different from zero and statistically equivalent to zero. The results also showed an excellent absolute intra-rater agreement. Conclusions The semiautomatic volume measurement established in this article achieves comparable results to manual slice-by-slice measuring in determining volumes on STL files generated by intraoral scanners and shows an excellent intra-rater reliability. Graphical Abstract
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spelling doaj.art-a03f6b0e78724c0db65273ff17a09a992023-11-26T13:27:15ZengSpringerOpenInternational Journal of Implant Dentistry2198-40342023-09-019111010.1186/s40729-023-00492-0A novel approach to determining augmented bone volume in intraoral bone block augmentation using an intraoral scanner: an in vitro studyWeichel Frederic0Kalchthaler Lukas1Kühle Reinald2Büsch Christopher3Ristow Oliver4Engel Michael5Freudlsperger Christian6Hoffmann Jürgen7Mertens Christian8Department of Oral‐ and Cranio‐Maxillofacial Surgery, Heidelberg University HospitalDepartment of Oral‐ and Cranio‐Maxillofacial Surgery, Heidelberg University HospitalDepartment of Oral‐ and Cranio‐Maxillofacial Surgery, Heidelberg University HospitalInstitute of Medical Biometry, University HeidelbergDepartment of Oral‐ and Cranio‐Maxillofacial Surgery, Heidelberg University HospitalDepartment of Oral‐ and Cranio‐Maxillofacial Surgery, Heidelberg University HospitalDepartment of Oral‐ and Cranio‐Maxillofacial Surgery, Heidelberg University HospitalDepartment of Oral‐ and Cranio‐Maxillofacial Surgery, Heidelberg University HospitalDepartment of Oral‐ and Cranio‐Maxillofacial Surgery, Heidelberg University HospitalAbstract Introduction Bone augmentation procedures are established tools for reshaping the alveolar ridge and increasing bone volume. Different approaches are being used to measure postoperative bone volume gain. This study aimed to develop an objective and automated volume measurement tool equally as precise as manual slice-by-slice annotation. Materials and methods To evaluate the proposed workflow, we performed an in vitro study with 20 pig mandibles that were grafted using three different grafting techniques—autogenous full block, split block bone and shell augmentation. The pig jaws were scanned pre- and postoperatively using an intraoral scanner. The resulting surface files (baseline, full block, split block, shell) were processed using the new volume-measuring workflow as well as using manual slice-by-slice annotation at baseline (t0) and at 6 months (t1) using the same population. Two TOSTs (Test of One-Sided Significance) and NHSTs (Null Hypothesis Significance Test) were used to compare the two workflows. The intra-rater reliability between t0 and t1 was determined using intraclass correlation coefficients. Results The mean difference for the full block augmentation technique was − 0.015 cm3 (p < 0.001); for the split block technique, it was − 0.034 cm3 p = 0.01, and for the shell technique, it was − 0.042 cm3. All results were statistically not different from zero and statistically equivalent to zero. The results also showed an excellent absolute intra-rater agreement. Conclusions The semiautomatic volume measurement established in this article achieves comparable results to manual slice-by-slice measuring in determining volumes on STL files generated by intraoral scanners and shows an excellent intra-rater reliability. Graphical Abstracthttps://doi.org/10.1186/s40729-023-00492-0Bone augmentationBone regenerationAutogenous boneBone blocks, intraoral bone graftAutomated volume measurement
spellingShingle Weichel Frederic
Kalchthaler Lukas
Kühle Reinald
Büsch Christopher
Ristow Oliver
Engel Michael
Freudlsperger Christian
Hoffmann Jürgen
Mertens Christian
A novel approach to determining augmented bone volume in intraoral bone block augmentation using an intraoral scanner: an in vitro study
International Journal of Implant Dentistry
Bone augmentation
Bone regeneration
Autogenous bone
Bone blocks, intraoral bone graft
Automated volume measurement
title A novel approach to determining augmented bone volume in intraoral bone block augmentation using an intraoral scanner: an in vitro study
title_full A novel approach to determining augmented bone volume in intraoral bone block augmentation using an intraoral scanner: an in vitro study
title_fullStr A novel approach to determining augmented bone volume in intraoral bone block augmentation using an intraoral scanner: an in vitro study
title_full_unstemmed A novel approach to determining augmented bone volume in intraoral bone block augmentation using an intraoral scanner: an in vitro study
title_short A novel approach to determining augmented bone volume in intraoral bone block augmentation using an intraoral scanner: an in vitro study
title_sort novel approach to determining augmented bone volume in intraoral bone block augmentation using an intraoral scanner an in vitro study
topic Bone augmentation
Bone regeneration
Autogenous bone
Bone blocks, intraoral bone graft
Automated volume measurement
url https://doi.org/10.1186/s40729-023-00492-0
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