Three-dimensional evaluation of root position at the reset appointment without radiographs: a proof-of-concept study

Abstract Background Accurate root position is integral for successful orthodontic treatment. Current methods of monitoring root position are either inaccurate, exhibit poor resolution, or use relatively large amount of radiation relative to the benefits for the patient. The purpose of this study was...

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Main Authors: Robert J. Lee, Sarah Pi, Justyn Park, Gerald Nelson, David Hatcher, Snehlata Oberoi
Format: Article
Language:English
Published: SpringerOpen 2018-06-01
Series:Progress in Orthodontics
Online Access:http://link.springer.com/article/10.1186/s40510-018-0214-4
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author Robert J. Lee
Sarah Pi
Justyn Park
Gerald Nelson
David Hatcher
Snehlata Oberoi
author_facet Robert J. Lee
Sarah Pi
Justyn Park
Gerald Nelson
David Hatcher
Snehlata Oberoi
author_sort Robert J. Lee
collection DOAJ
description Abstract Background Accurate root position is integral for successful orthodontic treatment. Current methods of monitoring root position are either inaccurate, exhibit poor resolution, or use relatively large amount of radiation relative to the benefits for the patient. The purpose of this study was to present an approach that can monitor root position during orthodontic treatment with minimal radiation. Methods Cone-beam computed tomography (CBCT) scans were taken for a patient at pre-treatment and at a dedicated reset appointment. An extra-oral laser scan of a poured up cast was taken at the reset appointment. An expected root position (ERP) setup, an approximation of the root position at the reset appointment, was generated using the pre-treatment CBCT scan and reset appointment cast. The ERP setup was compared to the CBCT scan taken at the reset appointment which served as the control. Color displacement maps were generated to measure any differences between the expected and true root positions. Results Color map displacement analysis after indirect superimposition found displacement differences of 0.021 mm ± 0.396 mm for the maxillary roots and 0.079 mm ± 0.499 mm for the mandibular roots. Conclusions This approach was demonstrated in a patient at the reset appointment to have the potential to accurately monitor root positions during treatment in three dimensions without the need for additional radiographs.
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spelling doaj.art-ae0f4731175b4c91915787a29c7dcc7d2022-12-22T03:48:09ZengSpringerOpenProgress in Orthodontics2196-10422018-06-011911910.1186/s40510-018-0214-4Three-dimensional evaluation of root position at the reset appointment without radiographs: a proof-of-concept studyRobert J. Lee0Sarah Pi1Justyn Park2Gerald Nelson3David Hatcher4Snehlata Oberoi5Division of Orthodontics, University of California San FranciscoSchool of Dentistry, University of California San FranciscoSchool of Dentistry, University of California San FranciscoDivision of Orthodontics, University of California San FranciscoDepartment of Orofacial Sciences, University of California San FranciscoDepartment of Orofacial Sciences, University of California San FranciscoAbstract Background Accurate root position is integral for successful orthodontic treatment. Current methods of monitoring root position are either inaccurate, exhibit poor resolution, or use relatively large amount of radiation relative to the benefits for the patient. The purpose of this study was to present an approach that can monitor root position during orthodontic treatment with minimal radiation. Methods Cone-beam computed tomography (CBCT) scans were taken for a patient at pre-treatment and at a dedicated reset appointment. An extra-oral laser scan of a poured up cast was taken at the reset appointment. An expected root position (ERP) setup, an approximation of the root position at the reset appointment, was generated using the pre-treatment CBCT scan and reset appointment cast. The ERP setup was compared to the CBCT scan taken at the reset appointment which served as the control. Color displacement maps were generated to measure any differences between the expected and true root positions. Results Color map displacement analysis after indirect superimposition found displacement differences of 0.021 mm ± 0.396 mm for the maxillary roots and 0.079 mm ± 0.499 mm for the mandibular roots. Conclusions This approach was demonstrated in a patient at the reset appointment to have the potential to accurately monitor root positions during treatment in three dimensions without the need for additional radiographs.http://link.springer.com/article/10.1186/s40510-018-0214-4
spellingShingle Robert J. Lee
Sarah Pi
Justyn Park
Gerald Nelson
David Hatcher
Snehlata Oberoi
Three-dimensional evaluation of root position at the reset appointment without radiographs: a proof-of-concept study
Progress in Orthodontics
title Three-dimensional evaluation of root position at the reset appointment without radiographs: a proof-of-concept study
title_full Three-dimensional evaluation of root position at the reset appointment without radiographs: a proof-of-concept study
title_fullStr Three-dimensional evaluation of root position at the reset appointment without radiographs: a proof-of-concept study
title_full_unstemmed Three-dimensional evaluation of root position at the reset appointment without radiographs: a proof-of-concept study
title_short Three-dimensional evaluation of root position at the reset appointment without radiographs: a proof-of-concept study
title_sort three dimensional evaluation of root position at the reset appointment without radiographs a proof of concept study
url http://link.springer.com/article/10.1186/s40510-018-0214-4
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