A method based on 3D affine alignment for the quantification of palatal expansion
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Published on: February 23, 2024
Andrea Maggiordomo1, Marco Farronato2, Gianluca Tartaglia2,3,4
1Department of Computer Science, Università Degli Studi di Milano, Milano, Italy.
Introduction:
The current methodologies to quantify the palatal expansion are based on a preliminary rigid superimposition of 3D digital models representing the status of a given patient at different times. A new method based on affine alignment is proposed and compared to the gold standard, leading to the automatic analysis of 3-dimensional structural changes and to a simple numeric quantification of overall expansion vector and a better alignment of the digital models.
Materials And Methods:
40 digital models (timing span delta 25.8 ± 12.5 months) from young patients (mean age 10.7 ± 2.6) treated with two different palatal expansion techniques (20 subjects with RME-Rapid Maxillary Expander, and 20 subjects with NiTiSE, NiTi self-expander) were superimposed with the new affine alignment technique implemented as an extension package of the open-source MeshLab, from a golden standard starting point of rigid alignment. The results were then compared.
Results:
The new measurement function indicates a mean expansion expressed in a single numeric value of 9.3%, 10.3% for the RME group and 8.4% for the NiTiSE group respectively. The comparison with the golden standard showed a decrease to the average error from 0.91 mm to 0.58 mm.
Conclusions:
Affine alignment improves the current perspective of structural change quantification in the specific group of growing patients treated with palatal expanders giving the clinician useful information on the 3-dimensional morphological changes.

