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...
Main Authors: | , , , , , , , , |
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Format: | Article |
Language: | English |
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SpringerOpen
2023-09-01
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Series: | International Journal of Implant Dentistry |
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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 |
first_indexed | 2024-03-09T15:10:00Z |
format | Article |
id | doaj.art-a03f6b0e78724c0db65273ff17a09a99 |
institution | Directory Open Access Journal |
issn | 2198-4034 |
language | English |
last_indexed | 2024-03-09T15:10:00Z |
publishDate | 2023-09-01 |
publisher | SpringerOpen |
record_format | Article |
series | International Journal of Implant Dentistry |
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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