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A Novel Quantitative Method for Tooth Grinding Surface Assessment Using 3D Scanning
Benedikt Sagl1, Ferida Besirevic-Bulic2, Martina Schmid-Schwap2
1Center of Clinical Research, University Clinic of Dentistry, Medical University of Vienna, 1090 Vienna, Austria.
Diagnostics (Basel, Switzerland)
|August 27, 2021
Summary
A new 3D scanning method accurately quantifies tooth grinding on splints for diagnosing sleep bruxism (involuntary tooth grinding). This fast, cost-effective approach improves upon current qualitative or 2D assessments.
Area of Science:
- Dentistry
- Biomedical Engineering
- Medical Diagnostics
Background:
- Sleep bruxism involves involuntary tooth grinding and clenching.
- Current diagnostic tools for sleep bruxism, like colored splints, have accuracy limitations due to the 3D nature of teeth.
- Existing assessment methods rely on qualitative evaluation or 2D photography, introducing significant errors.
Purpose of the Study:
- To introduce a novel, rapid, and quantitative method for assessing tooth grinding surfaces.
- To improve the accuracy of sleep bruxism diagnosis using 3D scanning and mesh processing.
- To provide a cost-effective tool for the initial diagnosis of sleep bruxism.
Main Methods:
- Development of a quantitative assessment method utilizing 3D scanning and mesh processing.
- Production of 18 standardized splints with 8 grinding surfaces each (total 144 surfaces).
- Repeated scanning and analysis (five times) of each splint to assess accuracy and repeatability.
Main Results:
- High accuracy and repeatability demonstrated by an intraclass correlation coefficient (ICC) of 0.998.
- Low variability in measurements, with a maximum standard deviation of 0.63 mm² for repeated measures.
- The proposed method shows appropriate accuracy for diagnostic use.
Conclusions:
- The study presents an innovative, fast, and cost-effective method for the quantitative assessment of tooth grinding.
- This new approach significantly enhances the accuracy of initial sleep bruxism diagnosis.
- The 3D scanning and mesh processing technique offers a superior alternative to current diagnostic methods.

