Applicability of 3D-dental reconstruction in cervical odontometrics

The objective of this study was to assess the accuracy, reliability, and reproducibility of computed tomography (CT) images in measuring cervical mesiodistal and buccolingual tooth sizes, by comparing the values obtained by 3D virtual models from CT images with those obtained using digital calipers.

In total, 530 maxillary and mandibular teeth of 51 individuals from two Iron Age sites were scanned using a Siemens Somatom sensation 64-slice computed tomography machine, and the images were reconstructed and measured. Values obtained by direct measurement served as the primary reference for cervical measurements. Intra- and inter-observer reliability was assessed by calculating technical error of measurements (TEM), relative technical error of measurements (rTEM), and the coefficient of reliability (R).

Results showed that virtual cervical measurements were not significantly different from the actual measurements, and the correlation of the two measurement methods shows that the methods are comparable. Inter- and intra-observer error analysis also indicated high replicability of measurements with both measuring methods (R > 0.99). The rTEM values for all the measurements were below the 5% standards for anthropometric studies.

CT is a non-invasive technique that allows for an accurate and detailed visualization of morphological features without causing any damage to teeth. Our findings indicate that virtual odontometric analysis is a reliable method, similar to traditional physical odontometric analysis. Currently, the virtual system is likely to be more suitable for fragile specimens, such as archaeological samples.