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Journal of Peking University(Health Sciences) ›› 2020, Vol. 52 ›› Issue (1): 138-143. doi: 10.19723/j.issn.1671-167X.2020.01.022

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Accuracy of intercuspal occlusion in 3D reconstruction with the dental articulator position method

Lin-lin LI,Yi-jiao ZHAO,Hu CHEN,Yong WANG(),Yu-chun SUN()   

  1. Center of Digital Dentistry, Department of Prosthodontics, Peking University School and Hospital of Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Laboratory for Digital and Material Technology of Stomatology & Beijing Key Laboratory of Digital Stomatology, Beijing 100081, China
  • Received:2019-10-08 Online:2020-02-18 Published:2020-02-20
  • Contact: Yong WANG,Yu-chun SUN E-mail:kqcadc@bjmu.edu.cn;kqsyc@bjmu.edu.cn
  • Supported by:
    Supported by the National Key R&D Program of China(2018YFB1107200);the Capital’s Funds for Health Improvement and Research(CFH2018-2-4103);the Program for New Clinical Techniques and Therapies of Peking University School and Hospital of Stomatology(PKUSSNCT-18G01)

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Abstract:

Objective: To evaluate the three-dimensional (3D) reconstruction accuracy of the intercuspal occlusion (ICO) of the dental casts, by the dental articulator position method, and provide a refe-rence for clinical application. Methods: The standard dental casts in ICO were mounted on average values articulator, and five pairs of milling resin cylinders were respectively attached to the base of both the casts. 100 μm articulating paper and occlusal record silicone rubber were used to detect the occlusal contact number between the posterior teeth of casts mounted on articulator in ICO. The occlusal contact numbers NA detected by the two methods were calculated simultaneously, as the reference. After the upper and lower casts were scanned separately, and the buccal data of casts in ICO were scanned with the aid of the dental articulator position, registration was carried out utilizing the registration software. Then the digital casts mounted in ICO as well as the buccal occlusal data were saved in standard tessellation language (STL) format. Geomagic Studio 2013 software was used to analyze the contact number NS between digital upper and lower casts by the “deviation analysis” function. The differences were compared between NS and NA, to evaluate the sensitivity and positive predict value (PPV) of the model scanner to reproduce the occlusal contact with the aid of dental articulator position. The distance DR between the centers of the circles at the top surface of the upper and lower corresponding cylinders was obtained by the three-coordinate measuring system Faro Edge, as the reference value. The Geomagic Studio 2013 software was used to construct the cylinders of digital casts and the distance DM between the centers of the circles at the top surface of the corresponding cylinders were measured, as the test value. The one-sample T test was used to analyze the variable differences between DM and DR. Results: The PPV of reproducing the occlusal contact point was 0.76 and sensitivity was 0.81. The distance error of the opposite cylinder was (0.232±0.089) mm. There was no statistical difference between the feature points 5-5’, while there were statistical differences between the other feature points. Conclusion: By the dental articulator position method, the model scanner reproduces the occlusal contact point with high sensitivity and PPV, and that meets clinical needs. Meanwhile, the distance between the feature points is greater than the reference value, which will lead to occlusal disturbance, and require clinical grinding.

Key words: Computer simulation, Dental articulators, Dental prosthesis design, Dental occlusion, Jaw relation record

CLC Number: 

  • R783.2

Figure 1

Mount the casts on articulator (A), fix plaster model by Scanfixator (B)"

Figure 2

Articulating paper detects occlusal contact (A, NA), occlusal record silicone rubber records occlusal contact (B, NA),model scanner reproduces occlusal contact (C, NS), 3D reverse software reproduces occlusal contact by registrating both jaw casts (D, NG)"

Figure 3

Analysis of three-dimensional deviation of digital lower casts"

Figure 4

The centers of the circles at the top surface of cylinders obtained by the FARO system"

Table 1

Distance diviation between upper and lower features"

Items Mean/mm SD/mm 95%CI P
ΔD1 0.093 0.034 0.078-0.124 <0.001
ΔD2 0.202 0.047 0.173-0.240 0.016
ΔD3 0.301 0.038 0.273-0.326 0.002
ΔD4 0.308 0.038 0.280-0.325 0.001
ΔD5 0.255 0.043 0.229-0.268 0.875

Table 2

Comparison of occlusal contacts"

Items Mean SD 95%CI
Sensitivity
AP 0.81 0.04 0.78-0.84
Geomagic 0.82 0.07 0.77-0.86
PPV
AP 0.76 0.05 0.72-0.79
Geomagic 0.99 0.02 0.98-1.00
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