Comparison between Digital Casts and Cone Beam Computed Tomography for Measuring Maxillary Transverse Dimensions in Patients with Impacted Canines

Cone beam computed tomography (CBTCT) scans (<i>n</i> = 45) and digital dental casts (<i>n</i> = 45) were both used to measure the maxillary transverse dimensions in patients with impacted maxillary canines. The objectives were to explore the associations of these dimensions...

Full description

Bibliographic Details
Main Authors: Elena Martinez Madero, Jaime García Montarelo, Grace Stefany Aguayo, Conchita Martin
Format: Article
Language:English
Published: MDPI AG 2022-02-01
Series:Children
Subjects:
Online Access:https://www.mdpi.com/2227-9067/9/2/278
_version_ 1797481643197333504
author Elena Martinez Madero
Jaime García Montarelo
Grace Stefany Aguayo
Conchita Martin
author_facet Elena Martinez Madero
Jaime García Montarelo
Grace Stefany Aguayo
Conchita Martin
author_sort Elena Martinez Madero
collection DOAJ
description Cone beam computed tomography (CBTCT) scans (<i>n</i> = 45) and digital dental casts (<i>n</i> = 45) were both used to measure the maxillary transverse dimensions in patients with impacted maxillary canines. The objectives were to explore the associations of these dimensions with the impaction and patient characteristics, and to compare the measurements between these techniques. The maxillary width was measured on scans and casts at the Walaridge, and the intermolar width and interpremolar width levels were measured at the first and second premolars (measured from the buccal grooves and the palatal cuspids, and the palatal and lingual amelocemental junctions). Two examiners independently compared the measurements between the control quadrants (without impaction) and the case quadrants (with impaction) in patients with unilateral impactions, and between the unilateral and bilateral impaction groups. The interclass correlation coefficient (ICC) was calculated to assess the interexaminer reliability and paired or independent Student’s <i>t</i>-tests and ANOVAs were used for comparisons. The ICCs were 0.887 and 0.919, globally, for the measurements on the CBCT scans and casts, respectively, which indicates the excellent interexaminer reliability. On the CBCT scans, statistically significant differences were found between the case and control quadrants in the transverse measurements at the lingual level on the upper first molars, and at the WALA ridge level on the upper second premolars (<i>p</i> < 0.05) in the unilateral impaction group. Significant differences were found between the case quadrants in the unilateral versus the bilateral groups at the WALA ridge on the second premolars in casts (<i>p</i> < 0.05), and at the lingual point on the first molars on the CBCT scans (<i>p</i> < 0.05). No statistically significant differences in the transverse measurements were observed between the impacted buccal and palatal canines on either the casts or CBCT scans. To the best of our knowledge, this is the first study to compare the transverse measurements between digital models and CBCT scans.
first_indexed 2024-03-09T22:17:31Z
format Article
id doaj.art-b2c32bbf74ed426b8d9e821bc8932de6
institution Directory Open Access Journal
issn 2227-9067
language English
last_indexed 2024-03-09T22:17:31Z
publishDate 2022-02-01
publisher MDPI AG
record_format Article
series Children
spelling doaj.art-b2c32bbf74ed426b8d9e821bc8932de62023-11-23T19:20:25ZengMDPI AGChildren2227-90672022-02-019227810.3390/children9020278Comparison between Digital Casts and Cone Beam Computed Tomography for Measuring Maxillary Transverse Dimensions in Patients with Impacted CaninesElena Martinez Madero0Jaime García Montarelo1Grace Stefany Aguayo2Conchita Martin3Department of Orthodontics, Faculty of Odontology, Complutense University of Madrid, 28040 Madrid, SpainDepartment of Orthodontics, Faculty of Odontology, Complutense University of Madrid, 28040 Madrid, SpainDepartment of Orthodontics, Faculty of Odontology, Complutense University of Madrid, 28040 Madrid, SpainDepartment of Orthodontics, Faculty of Odontology, Complutense University of Madrid, 28040 Madrid, SpainCone beam computed tomography (CBTCT) scans (<i>n</i> = 45) and digital dental casts (<i>n</i> = 45) were both used to measure the maxillary transverse dimensions in patients with impacted maxillary canines. The objectives were to explore the associations of these dimensions with the impaction and patient characteristics, and to compare the measurements between these techniques. The maxillary width was measured on scans and casts at the Walaridge, and the intermolar width and interpremolar width levels were measured at the first and second premolars (measured from the buccal grooves and the palatal cuspids, and the palatal and lingual amelocemental junctions). Two examiners independently compared the measurements between the control quadrants (without impaction) and the case quadrants (with impaction) in patients with unilateral impactions, and between the unilateral and bilateral impaction groups. The interclass correlation coefficient (ICC) was calculated to assess the interexaminer reliability and paired or independent Student’s <i>t</i>-tests and ANOVAs were used for comparisons. The ICCs were 0.887 and 0.919, globally, for the measurements on the CBCT scans and casts, respectively, which indicates the excellent interexaminer reliability. On the CBCT scans, statistically significant differences were found between the case and control quadrants in the transverse measurements at the lingual level on the upper first molars, and at the WALA ridge level on the upper second premolars (<i>p</i> < 0.05) in the unilateral impaction group. Significant differences were found between the case quadrants in the unilateral versus the bilateral groups at the WALA ridge on the second premolars in casts (<i>p</i> < 0.05), and at the lingual point on the first molars on the CBCT scans (<i>p</i> < 0.05). No statistically significant differences in the transverse measurements were observed between the impacted buccal and palatal canines on either the casts or CBCT scans. To the best of our knowledge, this is the first study to compare the transverse measurements between digital models and CBCT scans.https://www.mdpi.com/2227-9067/9/2/278included caninescanine impactionmaxillary transverse dimensionCBCT transversal measurementsdental cast maxillary measurementsintermolar width
spellingShingle Elena Martinez Madero
Jaime García Montarelo
Grace Stefany Aguayo
Conchita Martin
Comparison between Digital Casts and Cone Beam Computed Tomography for Measuring Maxillary Transverse Dimensions in Patients with Impacted Canines
Children
included canines
canine impaction
maxillary transverse dimension
CBCT transversal measurements
dental cast maxillary measurements
intermolar width
title Comparison between Digital Casts and Cone Beam Computed Tomography for Measuring Maxillary Transverse Dimensions in Patients with Impacted Canines
title_full Comparison between Digital Casts and Cone Beam Computed Tomography for Measuring Maxillary Transverse Dimensions in Patients with Impacted Canines
title_fullStr Comparison between Digital Casts and Cone Beam Computed Tomography for Measuring Maxillary Transverse Dimensions in Patients with Impacted Canines
title_full_unstemmed Comparison between Digital Casts and Cone Beam Computed Tomography for Measuring Maxillary Transverse Dimensions in Patients with Impacted Canines
title_short Comparison between Digital Casts and Cone Beam Computed Tomography for Measuring Maxillary Transverse Dimensions in Patients with Impacted Canines
title_sort comparison between digital casts and cone beam computed tomography for measuring maxillary transverse dimensions in patients with impacted canines
topic included canines
canine impaction
maxillary transverse dimension
CBCT transversal measurements
dental cast maxillary measurements
intermolar width
url https://www.mdpi.com/2227-9067/9/2/278
work_keys_str_mv AT elenamartinezmadero comparisonbetweendigitalcastsandconebeamcomputedtomographyformeasuringmaxillarytransversedimensionsinpatientswithimpactedcanines
AT jaimegarciamontarelo comparisonbetweendigitalcastsandconebeamcomputedtomographyformeasuringmaxillarytransversedimensionsinpatientswithimpactedcanines
AT gracestefanyaguayo comparisonbetweendigitalcastsandconebeamcomputedtomographyformeasuringmaxillarytransversedimensionsinpatientswithimpactedcanines
AT conchitamartin comparisonbetweendigitalcastsandconebeamcomputedtomographyformeasuringmaxillarytransversedimensionsinpatientswithimpactedcanines