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Insights into Occlusal Analysis: Articulating Paper versus Digital Devices
Manuela-Maria Manziuc1, Mara Mihaela Savu1, Oana Almăşan1
1Prosthetic Dentistry and Dental Materials Department, Iuliu Hațieganu University of Medicine and Pharmacy, 32 Clinicilor Street, 400006 Cluj-Napoca, Romania.
Journal of Clinical Medicine
|August 10, 2024
Summary
Forty-micrometer articulating paper detected more occlusal contacts than digital devices like Medit i700 and OccluSense. However, an ideal method for recording dental occlusion has not yet been established.
Area of Science:
- Dentistry
- Digital Dentistry
- Occlusion Analysis
Background:
- Digital dentistry is increasingly adopted, with devices replacing traditional occlusal contact recording methods.
- Evaluating the reliability and accuracy of new digital tools against conventional methods is crucial.
Purpose of the Study:
- To assess inter-rater reliability of occlusal contact detection using 40 μm articulating paper, Medit i700, and OccluSense.
- To compare occlusal contact distribution between articulating paper and intraoral scanners.
Main Methods:
- 25 participants (20-30 years old) were included.
- Occlusal contacts were recorded in MIP, protrusive, and laterotrusive movements using 40 μm articulating paper and digital devices.
- Cohen's Kappa and Wilcoxon signed-rank tests were used for reliability and comparison.
Main Results:
- 40 μm articulating paper demonstrated almost perfect inter-rater agreement.
- Articulating paper recorded a higher mean number of occlusal contacts per tooth compared to Medit i700, excluding third molars.
- Digital devices showed lower detection rates for occlusal contacts.
Conclusions:
- 40 μm articulating paper is more effective in detecting overall occlusal contacts, especially in posterior areas, compared to current digital devices.
- The optimal method for registering occlusal contacts in dentistry remains undetermined.
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