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Srinivasan M, Berisha F, Bronzino I, Kamnoedboon P, Leles CR. Reliability of a face scanner in measuring the vertical dimension of occlusion. J Dent 2024; 146:105016. [PMID: 38679136 DOI: 10.1016/j.jdent.2024.105016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2023] [Revised: 04/18/2024] [Accepted: 04/21/2024] [Indexed: 05/14/2024] Open
Abstract
OBJECTIVE This study evaluated the reliability of a face scanner in measuring the vertical dimension of occlusion (VDO). METHODS Fully dentate volunteers (n = 20; mean-age = 30.0 ± 10.7 years) were recruited. Clinical facial measurements were obtained using a digital caliper and a face scanner (Obiscanner, Fifthingenium, Italy). The scans were imported into a mesh-processing software, and the distances were measured digitally. Measurements were obtained for each participant with the jaws positioned in maximal intercuspation (MI) and with increased vertical distances of 2, 4, and 6 mm. Vertical and horizontal measures were obtained using facial anatomical landmarks: Glabella (GL), Pronasale (PrN), Subnasale (SbN), inferior border of the right and left Alare, Labiale superius (Ls), right and left Cheilion (Ch), Soft Pogonion (SPg), right and left Tragus of the ear (Tr), for all selected vertical positions. Data analysis included intra-class correlation coefficient (ICC), pairwise comparison tests, Bland-Altman plots, and Passing-Bablok regression. RESULTS 120 VDO measurements (clinical=60, digital=60) were recorded by two independent evaluators. Mean differences between digital and clinical measurements ranged from 0.054 ± 0.14 mm to 0.203 ± 0.13 mm. All parameters were strongly correlated (r > 0.93; p < 0.001). ICC estimates revealed excellent reliability, and the measuring procedure yielded the same results on repeated trials irrespective of the raters and measurement methods. Bland-Altman plots revealed a difference, between digital and clinical measurements, of 1.7 % for the vertical measurements. Regression analysis revealed no significant proportional difference between the two methods, so both can be used interchangeably. CONCLUSIONS The findings of this study demonstrate that VDO can be measured accurately from face scans using 3D mesh-processing software and that even small changes in the VDO could be detected using the digital methods. CLINICAL SIGNIFICANCE Findings provide evidence about the reliability of a digital method for jaw relation registrations and may be applied towards incorporating this method into clinical workflows for computer-aided-design/ computer-assisted-manufacturing (CAD-CAM) dentures.
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Affiliation(s)
- Murali Srinivasan
- Clinic of General-, Special Care- and Geriatric Dentistry, Center for Dental Medicine, University of Zurich, Zurich, Switzerland.
| | - Florentin Berisha
- Clinic of General-, Special Care- and Geriatric Dentistry, Center for Dental Medicine, University of Zurich, Zurich, Switzerland
| | - Innocenzo Bronzino
- Clinic of General-, Special Care- and Geriatric Dentistry, Center for Dental Medicine, University of Zurich, Zurich, Switzerland
| | - Porawit Kamnoedboon
- Clinic of General-, Special Care- and Geriatric Dentistry, Center for Dental Medicine, University of Zurich, Zurich, Switzerland
| | - Claudio Rodrigues Leles
- Clinic of General-, Special Care- and Geriatric Dentistry, Center for Dental Medicine, University of Zurich, Zurich, Switzerland; School of Dentistry, Federal University of Goias, Goiania, Brazil; Department of Reconstructive Dentistry, Division of Gerodontology, School of Dental Medicine, University of Bern, Bern, Switzerland
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König J, Kelemen K, Czumbel LM, Szabó B, Varga G, Borbély J, Németh O, Hegyi P, Hermann P. Current status of optical scanning in facial prosthetics: A systematic review and meta-analysis. J Prosthodont Res 2024; 68:1-11. [PMID: 37286516 DOI: 10.2186/jpr.jpr_d_22_00221] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
Purpose To assess the accuracy of scanning technologies for constructing facial prostheses on human faces.Study selection Our systematic search was performed on five databases. Studies reporting on human volunteers (P) whose faces were scanned with a scanning technology were eligible. The anthropometrical interlandmark distances (ILDs) were used as indicators of accuracy; the ILDs are measured on the virtual models (I) and directly on the faces (C). The virtual models deviated from their true values (O). Studies reporting the measurements on patients with or without facial deformities were included, but cadavers or inanimate objects were reasons for exclusion. We performed a mean difference (MD) / standardized MD analysis with a random effect model. The difficulties regarding the scanning procedure mentioned in the articles were also assessed.Results We found 3723 records after duplicate removal. Twenty five articles were eligible for the qualitative review, and ten articles were included in the quantitative synthesis. Eight different ILDs were compared in MD analyses. The differences were between -0.54-0.43 mm. We also performed a regional three-dimensional analysis to compare scanning technologies in each major region. No significant differences were found in any of the regions and axes. The most mentioned difficulties were artifacts due to motion or blinking.Conclusions The results suggest no systematic skew in linear dimensions neither between direct caliper measurements nor between measurements on the scanned models, scanning technologies, or facial regions.
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Affiliation(s)
- János König
- Department of Prosthodontics, Faculty of Dentistry, Semmelweis University, Budapest, Hungary
- Centre for Translational Medicine, Semmelweis University, Budapest, Hungary
| | - Kata Kelemen
- Department of Prosthodontics, Faculty of Dentistry, Semmelweis University, Budapest, Hungary
- Centre for Translational Medicine, Semmelweis University, Budapest, Hungary
| | - László Márk Czumbel
- Centre for Translational Medicine, Semmelweis University, Budapest, Hungary
- Department of Periodontology, Faculty of Dentistry, Semmelweis University, Budapest, Hungary
| | - Bence Szabó
- Centre for Translational Medicine, Semmelweis University, Budapest, Hungary
| | - Gábor Varga
- Centre for Translational Medicine, Semmelweis University, Budapest, Hungary
- Department of Oral Biology, Faculty of Dentistry, Semmelweis University, Budapest, Hungary
| | - Judit Borbély
- Department of Prosthodontics, Faculty of Dentistry, Semmelweis University, Budapest, Hungary
- Centre for Translational Medicine, Semmelweis University, Budapest, Hungary
| | - Orsolya Németh
- Centre for Translational Medicine, Semmelweis University, Budapest, Hungary
- Department for Community Dentistry, Faculty of Dentistry, Semmelweis University, Budapest, Hungary
| | - Péter Hegyi
- Centre for Translational Medicine, Semmelweis University, Budapest, Hungary
- Division of Pancreatic Diseases, Heart and Vascular Center, Semmelweis University, Budapest, Hungary
- Institute for Translational Medicine, Medical School, University of Pécs, Pécs, Hungary
| | - Péter Hermann
- Department of Prosthodontics, Faculty of Dentistry, Semmelweis University, Budapest, Hungary
- Centre for Translational Medicine, Semmelweis University, Budapest, Hungary
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Joda T, Balmer M, Jung RE, Ioannidis A. Clinical use of digital applications for diagnostic and treatment planning in prosthodontics: A scoping review. Clin Oral Implants Res 2023. [PMID: 38140771 DOI: 10.1111/clr.14230] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2023] [Revised: 11/24/2023] [Accepted: 12/08/2023] [Indexed: 12/24/2023]
Abstract
AIM This scoping review aimed to compile and evaluate clinical trials investigating digital applications in prosthetic diagnostics and treatment planning by assessing their clinical relevance and future potential. METHODS Following the PCC-framework for scoping reviews and combining the source of analysis (Population/P: "prosthodontics"), the technique of interest (Concept/C: "digital application") and the field of interest (Context/C: "diagnostics"), a three-pronged search strategy was applied in the database PubMed and Web of Science. Clinical trials (≥10 study participants, English/German) were considered until 2023-03-09. Reporting adhered to the PRISMA-ScR statement. RESULTS The search identified 520 titles, of which 18 full-texts met the inclusion criteria for data extraction. The trials involved a total of 14,457 study participants and were mapped for prosthetic subdisciplines: fixed (n = 9; 50%) and removable (n = 4; 22%) prosthodontics, reconstructive dentistry in general (n = 3; 17%), and temporo-mandibular joint disorders (n = 2; 11%). Data merging of medical format files, as DICOM+STL, was the dominant digital application (n = 7; 39%); and virtual treatment simulation using digital smile design or digital wax-up represented the most frequent prosthetic diagnostics (n = 6; 33%). CONCLUSION This scoping review identified a relatively low number of clinical trials. The future potential of digital diagnostics appears to be mostly related to the subdiscipline of fixed prosthodontics, especially regarding virtual treatment simulation for communication with the patient and among dental professionals. Artificial intelligence emerged as a key technology in many of the identified studies. Further research in this area is needed to explore the capabilities of digital technologies in prosthetic diagnostics and treatment planning.
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Affiliation(s)
- Tim Joda
- Clinic of Reconstructive Dentistry, Center for Dental Medicine, University of Zurich, Zürich, Switzerland
- Department of Reconstructive Dentistry, University Center for Dental Medicine Basel, University of Basel, Basel, Switzerland
| | - Marc Balmer
- Clinic of Reconstructive Dentistry, Center for Dental Medicine, University of Zurich, Zürich, Switzerland
| | - Ronald E Jung
- Clinic of Reconstructive Dentistry, Center for Dental Medicine, University of Zurich, Zürich, Switzerland
| | - Alexis Ioannidis
- Clinic of Reconstructive Dentistry, Center for Dental Medicine, University of Zurich, Zürich, Switzerland
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Singh P, Hsung RTC, Ajmera DH, Leung YY, McGrath C, Gu M. Can smartphones be used for routine dental clinical application? A validation study for using smartphone-generated 3D facial images. J Dent 2023; 139:104775. [PMID: 37944629 DOI: 10.1016/j.jdent.2023.104775] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2023] [Revised: 11/01/2023] [Accepted: 11/06/2023] [Indexed: 11/12/2023] Open
Abstract
OBJECTIVES To compare the accuracy of smartphone-generated three-dimensional (3D) facial images to that of direct anthropometry (DA) and 3dMD with the aim of assessing the validity and reliability of smartphone-generated 3D facial images for routine clinical applications. MATERIALS AND METHODS Twenty-five anthropometric soft-tissue facial landmarks were labelled manually on 22 orthognathic surgery patients (11 males and 11 females; mean age 26.2 ± 5.3 years). For each labelled face, two imaging operations were performed using two different surface imaging systems: 3dMDface and Bellus3D FaceApp. Next, 42 inter-landmark facial measurements amongst the identified facial landmarks were measured directly on each labelled face and also digitally on 3D facial images. The measurements obtained from smartphone-generated 3D facial images (SGI) were statistically compared with those from DA and 3dMD. RESULTS SGI had slightly higher measurement values than DA and 3dMD, but there was no statistically significant difference between the mean values of inter-landmark measures across the three methods. Clinically acceptable differences (≤3 mm or ≤5°) were observed for 67 % and 74 % of measurements with good agreement between DA and SGI, and 3dMD and SGI, respectively. An overall small systematic bias of ± 0.2 mm was observed between the three methods. Furthermore, the mean absolute difference between DA and SGI methods was highest for linear (1.41 ± 0.33 mm) as well as angular measurements (3.07 ± 0.73°). CONCLUSIONS SGI demonstrated fair trueness compared to DA and 3dMD. The central region and flat areas of the face in SGI are more accurate. Despite this, SGI have limited clinical application, and the panfacial accuracy of the SGI would be more desirable from a clinical application standpoint. CLINICAL SIGNIFICANCE The usage of SGI in clinical practice for region-specific macro-proportional facial assessment involving central and flat regions of the face or for patient education purposes, which does not require accuracy within 3 mm and 5° can be considered.
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Affiliation(s)
- Pradeep Singh
- Discipline of Orthodontics, Faculty of Dentistry, the University of Hong Kong, Hong Kong SAR, China
| | - Richard Tai-Chiu Hsung
- Department of Computer Science, Hong Kong Chu Hai College, Hong Kong SAR, China; Discipline of Oral and Maxillofacial Surgery, Faculty of Dentistry, the University of Hong Kong, Hong Kong SAR, China
| | - Deepal Haresh Ajmera
- Discipline of Orthodontics, Faculty of Dentistry, the University of Hong Kong, Hong Kong SAR, China
| | - Yiu Yan Leung
- Discipline of Oral and Maxillofacial Surgery, Faculty of Dentistry, the University of Hong Kong, Hong Kong SAR, China
| | - Colman McGrath
- Discipline of Applied Oral Sciences & Community Dental Care, Faculty of Dentistry, the University of Hong Kong, Hong Kong SAR, China
| | - Min Gu
- Discipline of Orthodontics, Faculty of Dentistry, the University of Hong Kong, Hong Kong SAR, China.
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Bertazzo TL, D'Ornellas MC. Protocol for capturing 3D facial meshes for rhinoseptoplasty planning. Braz J Otorhinolaryngol 2023; 89:101289. [PMID: 37467657 PMCID: PMC10372377 DOI: 10.1016/j.bjorl.2023.101289] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2023] [Revised: 05/09/2023] [Accepted: 06/27/2023] [Indexed: 07/21/2023] Open
Abstract
OBJECTIVES To present and execute a protocol for the capture of 3D facial images using photogrammetry through the open access software Blender and its add-on OrtogOnBlender (OOB) and to evaluate the compatibility of the 3D meshes generated with Computed tomography (CT) of the sinuses. METHODS Individuals >18 years old, candidates for Rhinoseptoplasty in a tertiary hospital, were submitted to a photographic session to perform the standardized protocol. In the session, divided into 3 phases, sequential photos were taken for processing the photogrammetry in the OOB and producing 3D meshes of the face. The photogrammetry reconstructions were compared with the reference mesh of the soft tissue surface of the Sinus CT scan to assess compatibility between them. RESULTS 21 patients were included, 67% female. 3 photogrammetry meshes and 1 CT reference mesh were generated, which demonstrated matching compatibility, as most of the mean distances between cloud points were <1.48 mm. Phase 3 of the session with the highest number of photos (54.36 ± 15.05) generated the most satisfactory mesh with the best resolution. CONCLUSIONS The proposed protocol is reproducible and feasible in clinical practice, generated satisfactory 3D meshes of the face, being a potential tool for surgical planning and comparison of results. For the implementation of photogrammetry for use in 3D anthropometry, it is necessary to validate this method. LEVEL OF EVIDENCE: 3 OCEBM Levels of Evidence Working Group.1 "The Oxford 2011 Levels of Evidence". Oxford Centre for Evidence-Based Medicine. http://www.cebm.net/index.aspx?o=5653.
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Affiliation(s)
- Taíse Leitemperger Bertazzo
- Universidade Federal de Santa Maria (UFSM), Centro de Ciências da Saúde (CCS), Programa de Pós-Graduação Mestrado Profissional em Ciências da Saúde, Santa Maria, RS, Brazil.
| | - Marcos Cordeiro D'Ornellas
- Universidade Federal de Santa Maria (UFSM), Departamento de Computação Aplicada, Santa Maria, RS, Brazil
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Cho RY, Byun SH, Yi SM, Ahn HJ, Nam YS, Park IY, On SW, Kim JC, Yang BE. Comparative Analysis of Three Facial Scanners for Creating Digital Twins by Focusing on the Difference in Scanning Method. Bioengineering (Basel) 2023; 10:bioengineering10050545. [PMID: 37237615 DOI: 10.3390/bioengineering10050545] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2023] [Revised: 04/24/2023] [Accepted: 04/27/2023] [Indexed: 05/28/2023] Open
Abstract
BACKGROUND Multi-dimensional facial imaging is increasingly used in hospital clinics. A digital twin of the face can be created by reconstructing three-dimensional (3D) facial images using facial scanners. Therefore, the reliability, strengths, and weaknesses of scanners should be investigated and approved; Methods: Images obtained from three facial scanners (RayFace, MegaGen, and Artec Eva) were compared with cone-beam computed tomography images as the standard. Surface discrepancies were measured and analyzed at 14 specific reference points; Results: All scanners used in this study achieved acceptable results, although only scanner 3 obtained preferable results. Each scanner exhibited weak and strong points because of differences in the scanning methods. Scanner 2 exhibited the best result on the left endocanthion; scanner 1 achieved the best result on the left exocanthion and left alare; and scanner 3 achieved the best result on the left exocanthion (both cheeks); Conclusions: These comparative analysis data can be used when creating digital twins through segmentation, selecting and merging data, or developing a new scanner to overcome all shortcomings.
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Affiliation(s)
- Ran-Yeong Cho
- Department of Oral and Maxillofacial Surgery, Hallym University Sacred Heart Hospital, Anyang 14066, Republic of Korea
- Graduate School of Clinical Dentistry, Hallym University, Chuncheon 24252, Republic of Korea
- Institute of Clinical Dentistry, Hallym University, Chuncheon 24252, Republic of Korea
| | - Soo-Hwan Byun
- Department of Oral and Maxillofacial Surgery, Hallym University Sacred Heart Hospital, Anyang 14066, Republic of Korea
- Graduate School of Clinical Dentistry, Hallym University, Chuncheon 24252, Republic of Korea
- Institute of Clinical Dentistry, Hallym University, Chuncheon 24252, Republic of Korea
| | - Sang-Min Yi
- Department of Oral and Maxillofacial Surgery, Hallym University Sacred Heart Hospital, Anyang 14066, Republic of Korea
- Graduate School of Clinical Dentistry, Hallym University, Chuncheon 24252, Republic of Korea
- Institute of Clinical Dentistry, Hallym University, Chuncheon 24252, Republic of Korea
| | - Hee-Ju Ahn
- Department of Oral and Maxillofacial Surgery, Hallym University Sacred Heart Hospital, Anyang 14066, Republic of Korea
- Graduate School of Clinical Dentistry, Hallym University, Chuncheon 24252, Republic of Korea
- Institute of Clinical Dentistry, Hallym University, Chuncheon 24252, Republic of Korea
| | - Yoo-Sung Nam
- Department of Oral and Maxillofacial Surgery, Hallym University Sacred Heart Hospital, Anyang 14066, Republic of Korea
- Graduate School of Clinical Dentistry, Hallym University, Chuncheon 24252, Republic of Korea
- Institute of Clinical Dentistry, Hallym University, Chuncheon 24252, Republic of Korea
| | - In-Young Park
- Graduate School of Clinical Dentistry, Hallym University, Chuncheon 24252, Republic of Korea
- Institute of Clinical Dentistry, Hallym University, Chuncheon 24252, Republic of Korea
| | - Sung-Woon On
- Graduate School of Clinical Dentistry, Hallym University, Chuncheon 24252, Republic of Korea
- Institute of Clinical Dentistry, Hallym University, Chuncheon 24252, Republic of Korea
- Division of Oral and Maxillofacial Surgery, Department of Dentistry, Hallym University Dongtan Sacred Heart Hospital, Hwaseong 18450, Republic of Korea
| | - Jong-Cheol Kim
- Department of Oral and Maxillofacial Surgery, Hallym University Sacred Heart Hospital, Anyang 14066, Republic of Korea
- Mir Dental Hospital, Daegu 41940, Republic of Korea
| | - Byoung-Eun Yang
- Department of Oral and Maxillofacial Surgery, Hallym University Sacred Heart Hospital, Anyang 14066, Republic of Korea
- Graduate School of Clinical Dentistry, Hallym University, Chuncheon 24252, Republic of Korea
- Institute of Clinical Dentistry, Hallym University, Chuncheon 24252, Republic of Korea
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Cascos R, Ortiz Del Amo L, Álvarez-Guzmán F, Antonaya-Martín JL, Celemín-Viñuela A, Gómez-Costa D, Zafra-Vallejo M, Agustín-Panadero R, Gómez-Polo M. Accuracy between 2D Photography and Dual-Structured Light 3D Facial Scanner for Facial Anthropometry: A Clinical Study. J Clin Med 2023; 12:jcm12093090. [PMID: 37176531 PMCID: PMC10179155 DOI: 10.3390/jcm12093090] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2023] [Revised: 04/18/2023] [Accepted: 04/21/2023] [Indexed: 05/15/2023] Open
Abstract
(1) Background: Facial scanners are used in different fields of dentistry to digitalize the soft tissues of the patient's face. The development of technology has allowed the patient to have a 3-dimensional virtual representation, facilitating facial integration in the diagnosis and treatment plan. However, the accuracy of the facial scanner and the obtaining of better results with respect to the manual or two-dimensional (2D) method are questionable. The objective of this clinical trial was to evaluate the usefulness and accuracy of the 3D method (a dual-structured light facial scanner) and compare it with the 2D method (photography) to obtain facial analysis in the maximum intercuspation position and smile position. (2) Methods: A total of 60 participants were included, and nine facial landmarks and five interlandmarks distances were determined by two independent calibrated operators for each participant. All measurements were made using three methods: the manual method (manual measurement), the 2D method (photography), and the 3D method (facial scanner). All clinical and lighting conditions, as well as the specific parameters of each method, were standardized and controlled. The facial interlandmark distances were made by using a digital caliper, a 2D software program (Adobe Photoshop, version 21.0.2), and a 3D software program (Meshlab, version 2020.12), respectively. The data were analyzed by SPSS statistical software. The Kolmogorov-Smirnov test revealed that trueness and precision values were normally distributed (p > 0.05), so a Student's t-test was employed. (3) Results: Statistically significant differences (p ≤ 0.01) were observed in all interlandmark measurements in the 2D group (photography) to compare with the manual group. The 2D method obtained a mean accuracy value of 2.09 (±3.38) and 2.494 (±3.67) in maximum intercuspation and smile, respectively. On the other hand, the 3D method (facial scanner) obtained a mean accuracy value of 0.61 (±1.65) and 0.28 (±2.03) in maximum intercuspation and smile, respectively. There were no statistically significant differences with the manual method. (4) Conclusions: The employed technique demonstrated that it influences the accuracy of facial records. The 3D method reported acceptable accuracy values, while the 2D method showed discrepancies over the clinically acceptable limits.
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Affiliation(s)
- Rocío Cascos
- Department of Conservative Dentistry and Orofacial Prosthodontics, Faculty of Dentistry, Complutense University of Madrid, 28040 Madrid, Spain
- Department of Nursing and Estomatology, Faculty of Health Sciences, Rey Juan Carlos University, 28922 Madrid, Spain
| | - Laura Ortiz Del Amo
- Department of Nursing and Estomatology, Faculty of Health Sciences, Rey Juan Carlos University, 28922 Madrid, Spain
| | - Francisco Álvarez-Guzmán
- Department of Conservative Dentistry and Orofacial Prosthodontics, Faculty of Dentistry, Complutense University of Madrid, 28040 Madrid, Spain
| | - José Luis Antonaya-Martín
- Department of Nursing and Estomatology, Faculty of Health Sciences, Rey Juan Carlos University, 28922 Madrid, Spain
| | - Alicia Celemín-Viñuela
- Department of Conservative Dentistry and Orofacial Prosthodontics, Faculty of Dentistry, Complutense University of Madrid, 28040 Madrid, Spain
| | - Diego Gómez-Costa
- Department of Nursing and Estomatology, Faculty of Health Sciences, Rey Juan Carlos University, 28922 Madrid, Spain
| | - Mónica Zafra-Vallejo
- Department of Conservative Dentistry and Orofacial Prosthodontics, Faculty of Dentistry, Complutense University of Madrid, 28040 Madrid, Spain
| | - Rubén Agustín-Panadero
- Department of Stomatology, Faculty of Medicine and Dentistry, University of Valencia, 46010 Valencia, Spain
| | - Miguel Gómez-Polo
- Department of Conservative Dentistry and Orofacial Prosthodontics, Faculty of Dentistry, Complutense University of Madrid, 28040 Madrid, Spain
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Nogueira BR, Oliveira Junior OB, de Sousa Gomes Costa JL, Zanetti TF, Pretel H. Cloner
3D
photogrammetric facial scanner: Assessment of accuracy in a controlled clinical study. J ESTHET RESTOR DENT 2022; 35:508-516. [PMID: 36458520 DOI: 10.1111/jerd.12987] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2022] [Revised: 11/09/2022] [Accepted: 11/14/2022] [Indexed: 12/03/2022]
Abstract
OBJECTIVE To evaluate the accuracy of facial measurements on three-dimensional images obtained using a new photogrammetric scanner. MATERIAL AND METHODS A total of 11 participants were included in the study. Nine customized adhesive labels were used to identify the facial landmarks: Trichion (Tri), Glabella (G), Right (Exr) and Left (Exl), Pronasal (Pn), Subnasal (Sn), Chelion right (Chr) and left (Chl) and Mentonian (Me). Two trained and calibrated examiners were responsible for performing seven linear measurements for each participant (Tri-G, Sn-Me, Exr-Exl, Chr-Chl, Exr-Chr, Exl-Chl, Pn-Sn) first with a digital caliper and later with a three-dimensional model obtained after digitalization with photogrammetric technology. The intraclass correlation coefficient (ICC), mean difference, SD, and Bland-Altman correlation were used to compare the measurements performed. RESULTS Intra and inter-examiner reliability were excellent (ICC >0.9). In general, the measurements presented a variation of a minor 2.0 mm. However, only three measures (Sn-Me, Exr-Exl, and Exr-Chr) were outside the clinical acceptability range. CONCLUSIONS The 3D Cloner scanner showed clinically acceptable accuracy comparable to the digital caliper with a variation of -0.8 ± 1.2 mm. Inter- and intra-examiner agreement on digital measurements was also observed. CLINICAL SIGNIFICANCE Scanners with accurate 3D model reproductions associated with reliable digital measurements provide a more precise diagnosis and better planning in orofacial treatment.
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Affiliation(s)
- Básia R. Nogueira
- Department of Restorative Dentistry, Araraquara School of Dentistry São Paulo State University–UNESP Araraquara Brazil
| | - Osmir B. Oliveira Junior
- Department of Restorative Dentistry, Araraquara School of Dentistry São Paulo State University–UNESP Araraquara Brazil
| | | | - Thomaz Faraco Zanetti
- Department of Mechanical Engineering, School of Engineering of São Carlos (EESC) University of São Paulo ‐ USP Araraquara Brazil
- Engineering Director of DONE 3D São Carlos Brazil
| | - Hermes Pretel
- Department of Restorative Dentistry, Araraquara School of Dentistry São Paulo State University–UNESP Araraquara Brazil
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Antonacci D, Caponio VCA, Troiano G, Pompeo MG, Gianfreda F, Canullo L. Facial scanning technologies in the era of digital workflow: A systematic review and network meta-analysis. J Prosthodont Res 2022. [PMID: 36058870 DOI: 10.2186/jpr.jpr_d_22_00107] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Abstract
PURPOSE The aim of this network meta-analysis is to evaluate the accuracy of various face-scanning technologies in the market, with respect to the different dimensions of space (x, y, and z axes). Furthermore, attention will be paid to the type of technologies currently used and to the best practices for high-quality scan acquisition. MATERIAL AND METHODS The review was conducted following the PRISMA guidelines and its updates. A thorough search was performed using the digital databases MEDLINE, PubMed, EMBASE, and the Cochrane Central Register of Controlled Trials by entering research lines or various combinations of free words. The main keywords used during the search process were "photogrammetry", "laser scanner", "optical scanner", "3D, and "face". RESULTS None of the included technologies significantly deviated from direct anthropometry. The obtained mean differences in the distances between the considered landmarks range from 1.10 to -1.74 mm. CONCLUSION Limiting the movements of the patient and scanner allows for more accurate facial scans with all the technologies involved. Active technologies such as laser scanners (LS), structured light (SL), and infrared structured light (ISL) have accuracy comparable to that of static stereophotogrammetry while being more cost-effective and less time-consuming.
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Affiliation(s)
| | | | - Giuseppe Troiano
- Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy
| | | | - Francesco Gianfreda
- Department of Industrial Engineering, University of Rome "Tor Vergata", Rome, Italy
| | - Luigi Canullo
- Department of Periodontology, University of Bern, Switzerland
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Raffone C, Gianfreda F, Pompeo MG, Antonacci D, Bollero P, Canullo L. Chairside virtual patient protocol. Part 2: management of multiple face scans and alignment predictability. J Dent 2022; 122:104123. [DOI: 10.1016/j.jdent.2022.104123] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2021] [Revised: 03/29/2022] [Accepted: 04/03/2022] [Indexed: 11/25/2022] Open
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Gallardo YNR, Salazar-Gamarra R, Bohner L, De Oliveira JI, Dib LL, Sesma N. Evaluation of the 3D error of 2 face-scanning systems: An in vitro analysis. J Prosthet Dent 2021; 129:630-636. [PMID: 34362565 DOI: 10.1016/j.prosdent.2021.06.049] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2020] [Revised: 06/23/2021] [Accepted: 06/23/2021] [Indexed: 11/19/2022]
Abstract
STATEMENT OF PROBLEM Facial scanning systems have been developed as auxiliary tools for diagnosis and planning in dentistry. However, little is known about the trueness of these free software programs and apps for facial scanning. PURPOSE The purpose of this in vitro study was to evaluate the trueness of 3D facial scanning by using Bellus3D and +ID ReCap Photo. MATERIAL AND METHODS A mannequin head was used as the master model. The control group was created by scanning the mannequin head with a noncontact structured blue light 3D scanner (ATOS Core). Two facial scanning methods were used for the experimental groups: a facial scanning app (FaceApp) and the Plus identity photogrammetry methodology (ReCap Photo). In both methods, image capturing was performed under the same natural lighting conditions with a smartphone (iPhone X) calibrated with an app. Trueness was assessed from the 3D measurement error, which was calculated with a 3D mesh analysis software program (GOM Inspect). Two comparison groups were created: ATOS versus Bellus3D (B3D) and ATOS versus +ID with ReCap Photo (+IDRP). The results were statistically evaluated by using the Shapiro-Wilk and paired t tests (α=.05). RESULTS B3D had a greater error than +IDRP in measuring the regions of the upper and lower lips, nose, and mentum (P<.01). This error was statistically higher for +IDRP (P<.01) in the right face area, but the left face area showed no statistically significant difference between the evaluated scanning methods (P=.93). The 3D global trueness of B3D was 0.34 ±0.14 mm, and that of +IDRP was 0.28 ±0.06 mm. CONCLUSIONS Both methods evaluated in this study provided a 3D model of the face with clinically acceptable trueness and should be reliable tools for planning esthetic restorations.
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Affiliation(s)
- Yolanda N R Gallardo
- PhD student, Department of Prosthodontics, University of São Paulo (USP), São Paulo, SP, Brazil.
| | - Rodrigo Salazar-Gamarra
- Professor, Department, Paulista University, Paulista University (UNIP), São Paulo, SP, Brazil
| | - Lauren Bohner
- Professor, Department of Oral and Maxillofacial Surgery, University of Münster, Münster, Germany
| | | | - Luciano L Dib
- Professor, Post-graduation Department, Paulista University (UNIP), São Paulo, SP, Brazil
| | - Newton Sesma
- Professor, Department of Prosthodontics, University of São Paulo (USP), São Paulo, SP, Brazil
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Accuracy of a patient 3-dimensional virtual representation obtained from the superimposition of facial and intraoral scans guided by extraoral and intraoral scan body systems. J Prosthet Dent 2021; 128:984-993. [PMID: 33838919 DOI: 10.1016/j.prosdent.2021.02.023] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2020] [Revised: 02/17/2021] [Accepted: 02/17/2021] [Indexed: 11/22/2022]
Abstract
STATEMENT OF PROBLEM A patient 3-dimensional virtual representation aims to facilitate the integration of facial references into treatment planning or prosthesis design procedures, but the accuracy of the virtual patient representation remains unclear. PURPOSE The purpose of the present observational clinical study was to determine and compare the accuracy (trueness and precision) of a virtual patient obtained from the superimposition procedures of facial and intraoral digital scans guided by 2 scan body systems. MATERIAL AND METHODS Ten participants were recruited. An intraoral digital scan was completed (TRIOS 4). Four fiduciary markers were placed in the glabella (Gb), left (IOL) and right infraorbital canal (IOR), and tip of the nose (TN). Two digitizing procedures were completed: cone beam computed tomography (CBCT) (i-CAT FLX V-Series) and facial scans (Face Camera Pro Bellus) with 2 different scan body systems: AFT (ScanBodyFace) and Sat 3D (Sat 3D). For the AFT system, a reference facial scan was obtained, followed by a facial scan with the participant in the same position as when capturing the CBCT scan. For the Sat 3D system, a reference facial scan was recorded, followed by a facial scan with the patient in the same position as when capturing the CBCT scan. The patient 3-dimensional representation for each scan body system was obtained by using a computer program (Matera 2.4). A total of 14 interlandmark distances were measured in the CBCT scan and both 3-dimensional patient representations. The discrepancies between the CBCT scan (considered the standard) and each 3-dimensional representation of each patient were used to analyze the data. The Kolmogorov-Smirnov test revealed that trueness and precision values were not normally distributed (P<.05). A log10 transformation was performed with 1-way repeated-measures MANOVA (α=.05). RESULTS The accuracy of the virtual 3-dimensional patient representations obtained by using AFT and Sat 3D systems showed a trueness ranging from 0.50 to 1.64 mm and a precision ranging from 0.04 to 0.14 mm. The Wilks lambda detected an overall significant difference in the accuracy values between the AFT and Sat 3D systems (F=3628.041, df=14, P<.001). A significant difference was found in 12 of the 14 interlandmark measurements (P<.05). The AFT system presented significantly higher discrepancy values in Gb-IOL, TN-IOR, IOL-IOR, and TN-6 (P<.05) than in the Sat 3D system. The Sat 3D system had a significantly higher discrepancy in Gb-TN, TN-IOL, IOL-3, IOL-6, TN-8, TN-9, TN-11, IOR-11, and IOR-14 (P<.05) than in the AFT system. The Wilcoxon signed-rank test did not detect any significant difference in the precision values between the AFT and Sat 3D systems (Z=-0.838, P=.402). CONCLUSIONS The accuracy of the patient 3-dimensional virtual representations obtained using AFT and Sat 3D systems showed trueness values ranging from 0.50 to 1.64 mm and precision values ranging from 0.04 to 0.14 mm. The AFT system obtained higher trueness than the Sat 3D system, but both systems showed similar precision values.
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13
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Amezua X, Iturrate M, Garikano X, Solaberrieta E. Analysis of the influence of the facial scanning method on the transfer accuracy of a maxillary digital scan to a 3D face scan for a virtual facebow technique: An in vitro study. J Prosthet Dent 2021; 128:1024-1031. [PMID: 33722381 DOI: 10.1016/j.prosdent.2021.02.007] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2020] [Revised: 02/02/2021] [Accepted: 02/02/2021] [Indexed: 11/19/2022]
Abstract
STATEMENT OF PROBLEM With the emergence of virtual articulators, virtual facebow techniques have been developed for mounting maxillary digital scans to virtual articulators. Different scanning methods can be used to obtain 3D face scans, but the influence that these methods have on the accuracy with which a maxillary digital scan is transferred to a 3D face scan is unknown. PURPOSE The purpose of this in vitro study was to analyze the influence of the facial scanning method on the accuracy with which a maxillary digital scan is transferred to a 3D face scan in a virtual facebow technique. MATERIAL AND METHODS After a virtual facebow technique, a maxillary digital scan was transferred to a standard virtual patient-who had the maxillary digital scan in its real location-guided by an intraoral transfer element by using different 3D face scans with the intraoral transfer element in place (reference 3D face scans) obtained with 2 different scanning methods: 10 obtained with an accurate scanning method based on structured white light technology and 10 obtained with a less accurate scanning method based on structure-from-motion technology. For each situation, deviation between the maxillary digital scan at the location obtained after the virtual facebow technique and at its real location was obtained in terms of distance by using a novel methodology. From these distances, the accuracy was assessed in terms of trueness and precision, according to the International Organization for Standardization (ISO) 5725-1. The Student t test with Welch correction was used to determine if the accuracy with which the maxillary digital scan was transferred to the standard virtual patient was influenced by the facial scanning method used to obtain the reference 3D face scans (α=.05). RESULTS Significant differences (P<.05) were found among the trueness values obtained when using the different facial scanning methods, with a very large effect size. A trueness of 0.138 mm and a precision of 0.022 mm were obtained by using the structured white light scanning method, and a trueness of 0.416 mm and a precision of 0.095 mm were acquired when using the structure-from-motion scanning method. CONCLUSIONS The accuracy with which a maxillary digital scan is located with respect to a 3D face scan in a virtual facebow technique is strongly influenced by the facial scanning method used.
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Affiliation(s)
- Xabier Amezua
- Research Assistant, Department of Graphic Design and Engineering Projects, Faculty of Engineering Gipuzkoa, University of the Basque Country UPV/EHU, San Sebastian, Spain
| | - Mikel Iturrate
- Assistant Professor, Department of Business Management, Faculty of Engineering Gipuzkoa, University of the Basque Country UPV/EHU, San Sebastian, Spain
| | - Xabier Garikano
- Assistant Professor, Department of Graphic Design and Engineering Projects, Faculty of Engineering Gipuzkoa, University of the Basque Country UPV/EHU, San Sebastian, Spain
| | - Eneko Solaberrieta
- Associate Professor, Department of Graphic Design and Engineering Projects, Faculty of Engineering Gipuzkoa, University of the Basque Country UPV/EHU, San Sebastian, Spain.
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Esthetic treatment planning with digital animation of the smile dynamics: A technique to create a 4-dimensional virtual patient. J Prosthet Dent 2021; 128:130-138. [PMID: 33573832 DOI: 10.1016/j.prosdent.2020.10.015] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2020] [Revised: 10/25/2020] [Accepted: 10/26/2020] [Indexed: 11/22/2022]
Abstract
A method is presented for obtaining a virtual 4-dimensional patient that replicates the intended esthetic treatment. The process involves facial and intraoral scanning to acquire records and software manipulation to enable a virtual waxing of the smile. Once the digital design is complete, patient information can be merged to generate an animated video of the projected rehabilitation, displaying movement and smile dynamics. This strategy provides a noninvasive and reliable diagnostic tool for predicting clinical outcomes.
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Piedra-Cascón W, Meyer MJ, Methani MM, Revilla-León M. Accuracy (trueness and precision) of a dual-structured light facial scanner and interexaminer reliability. J Prosthet Dent 2020; 124:567-574. [DOI: 10.1016/j.prosdent.2019.10.010] [Citation(s) in RCA: 31] [Impact Index Per Article: 7.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2019] [Revised: 10/08/2019] [Accepted: 10/08/2019] [Indexed: 11/25/2022]
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Facially Driven Digital Diagnostic Waxing: New Software Features to Simulate and Define Restorative Outcomes. ACTA ACUST UNITED AC 2019. [DOI: 10.1007/s40496-019-00233-6] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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