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Comparing virtual setup software programs for clear aligner treatment.

Manhal Eliliwi1, Tarek ElShebiny2, Luciane Macedo de Menezes3

  • 1Private Practice, Springfield, Virginia.

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Different virtual dental software programs yield significantly different tooth movement outcomes, though the number of aligners needed remains consistent across platforms. This impacts treatment predictability in digital orthodontics.

Keywords:
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Area of Science:

  • Orthodontics
  • Digital Dentistry
  • Biomedical Engineering

Background:

  • Virtual setup software is crucial for planning orthodontic treatments.
  • Evaluating the accuracy and consistency of different virtual setup software programs is essential for predictable treatment outcomes.

Purpose of the Study:

  • To compare the accuracy of tooth movement achieved by four different virtual setup software programs.
  • To assess the reliability and differences in virtual tooth movement predictions among ClinCheck Pro, SureSmile Aligner, Ortho Insight 3D, and Ortho Analyzer.

Main Methods:

  • A retrospective study involving 32 patients treated with Invisalign.
  • Initial and final stereolithography (STL) files were exported from four software programs after virtual tooth movement.
  • Superimposition of final STL files using Geomagic Control X software to create color-coded maps of differences.

Main Results:

  • High reliability (0.995-0.997) was observed for the methodology.
  • Significant differences in absolute, positive, and negative tooth movement averages were found among all software programs.
  • The smallest differences were between ClinCheck Pro and SureSmile Aligner, while the largest were between ClinCheck Pro and Ortho Analyzer.
  • No significant differences were noted in the number of aligners per patient.

Conclusions:

  • The final tooth movement outcomes vary significantly across different virtual setup software programs.
  • Despite variations in predicted tooth movement, the number of aligners required per patient was consistent.
  • Clinicians should be aware of software-specific differences in virtual setup predictions for accurate orthodontic treatment planning.