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Precision of In Vivo Quantitative Tooth Wear Measurement Using Intra-Oral Scans
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Influence of Scanner Precision and Analysis Software in Quantifying Three-Dimensional Intraoral Changes: Two-Factor
Saoirse O'Toole1, David Bartlett1, Andrew Keeling2
1Centre for Clinical, Oral and Translational Sciences, King's College London, London, United Kingdom.
Journal of Medical Internet Research
|November 27, 2020
Summary
A new dental primary care system using intraoral scanners can quantify disease progression, comparable to high-precision hospital methods. Software choice impacts accuracy, with lower-resolution scanners potentially underestimating complex changes.
Area of Science:
- Dental diagnostics
- Biomedical engineering
- Digital dentistry
Background:
- Three-dimensional (3D) scanning is crucial for quantifying topographical changes and clinical outcomes.
- High costs and complex software traditionally limited 3D scan use to specialized centers.
- Advancements offer accessible 3D data capture and analysis for dental primary care, enabling disease progression quantification.
Purpose of the Study:
- To compare a dental primary care intraoral scanner method with a hospital-based laser profilometer method.
- To evaluate the performance of open-source versus commercial data analysis software.
Main Methods:
- Longitudinal dental wear data from 30 patients were analyzed.
- Intraoral scans and silicone impressions were compared to laser profilometry scans.
- Data were analyzed using Geomagic Control (commercial) and WearCompare (freeware) software.
Main Results:
- Software significantly influenced volume change measurements (P<.001 for Geomagic, P=.04 for WearCompare).
- WearCompare detected greater volume loss than Geomagic, irrespective of scanner type.
- No significant differences were found in maximum point loss or average profile loss.
Conclusions:
- Data capture method, software, and metric significantly affect measurement outcomes.
- The primary care system effectively quantifies changes when appropriate analysis is employed.
- Lower-resolution scanners may underestimate micron-level complex changes; selection depends on diagnostic accuracy needs.

