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Evaluating the feasibility of using augmented reality for tooth preparation
Takuya Kihara1, Andreas Keller2, Takumi Ogawa3
1Biomechanical- and Image-Guided Surgical Systems (BIGSS), Laboratory for Computational Sensing and Robotics, Johns Hopkins University, Hackerman Hall, 3400N, Charles Street, Baltimore, MD 21218, USA; Department of Fixed Prosthodontics, School of Dental Medicine, Tsurumi University, 2-1-3 Tsurumi, Tsurumi-ku, Yokohama, Kanagawa, 734-8501, Japan.
Augmented reality (AR) with head-mounted displays (HMDs) improves dental tooth preparation. The cross-sectional AR approach enhances accuracy and reduces over-reduction, making procedures safer and more efficient.
Area of Science:
- Dental Technology
- Augmented Reality
- Surgical Navigation
Background:
- Tooth preparation is a complex dental procedure requiring precise abutment shaping and ideal tooth form prediction.
- Current methods can lead to inaccuracies and over-reduction, impacting prosthodontic treatment outcomes.
Purpose of the Study:
- To develop and evaluate an augmented reality (AR) system using head-mounted displays (HMDs) for dynamic navigation in tooth preparation.
- To assess the efficacy of AR-assisted visualization techniques compared to traditional methods.
Main Methods:
- An AR system utilizing optical see-through HMDs was developed, integrating tracking algorithms and 3D modeling for real-time visualization.
- Three scenarios were tested: traditional (no AR), overlay AR, and cross-sectional AR with angular displays.
- A user study (N=24) evaluated accuracy in distance to surface and cross-sectional angles.
Main Results:
- The cross-sectional AR approach significantly improved angle adjustment and reduced tooth over-reduction compared to traditional and overlay methods.
- User feedback indicated AR-assisted approaches were less difficult, with the cross-sectional method showing superior performance.
- Quantitative analysis confirmed reduced errors in distance and angle measurements with the cross-sectional AR technique.
Conclusions:
- AR-assisted visualization, particularly with cross-sectional views and angular displays, enhances the safety and precision of tooth preparation.
- The developed AR navigation system shows potential for improving accuracy and reducing over-reduction in clinical prosthodontic treatments.
- This technology offers a promising tool to support dentists in achieving optimal tooth preparation outcomes.
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