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Updated: Aug 14, 2026

Accuracy in Dental Medicine, A New Way to Measure Trueness and Precision
Published on: April 29, 2014
Quantitative analysis of errors in alveolar crest level caused by discrepant projection geometry in digital
Kyung-Hoe Huh1, Sam-Sun Lee, In-Seong Jeon
1Department of Oral and Maxillofacial Radiology, BK21, and Dental Research Institute, College of Dentistry, Seoul National University, Seoul, Korea.
Objective:
This study compared the difference between 3 intraoral radiographic techniques on digital subtraction radiography (DSR) in vivo that are commonly used in a clinical setting.
Study Design:
We evaluated and statistically analyzed the errors in the DSR image in 6 regions with 3 radiographic techniques: paralleling technique with a bite block attached to XCP, paralleling technique using XCP, and bisecting-angle technique.
Results:
The amount of error using the bisecting-angle technique was too large for DSR, compared to that of the paralleling technique with a bite block attached to XCP. In the mandibular anterior region, the paralleling technique using XCP was not different from paralleling technique with a bite block attached to XCP. The lowest degree of error was present in the anterior region whereas the highest was present in the molar region.
Conclusion:
Bisecting-angle technique should be avoided, and paralleling technique using XCP can be used in the mandibular anterior region for DSR.

