Scan-layered reconstructions: A pilot study of a nondestructive dental histoanatomical analysis method and digital workflow to create restorations driven by natural dentin and enamel morphology

Ten Years of Micro-CT in Dentistry and Maxillofacial Surgery: A Literature Overview

Micro-computed tomography (micro-CT) is a consolidated imaging technology allowing non-destructive three-dimensional (3D) qualitative and quantitative analysis by the observation of microstructures with high resolution. This paper aims at delivering a structured overview of literature about studies performed using micro-CT in dentistry and maxillofacial surgery (MFS) by analyzing the entire set of articles to portray the state of the art of the last ten years of scientific publications on the topic. It draws the scenario focusing on biomaterials, in vitro and in/ex vivo applications, bone structure analysis, and tissue engineering. It confirms the relevance of the micro-CT analysis for traditional research applications and mainly in dentistry with respect to MFS. Possible developments are discussed in relation to the use of the micro-CT combined with other, traditional, and not, techniques and technologies, as the elaboration of 3D models based on micro-CT images and emerging numerical methods. Micro-CT results contribute effectively with whose ones obtained from other techniques in an integrated multimethod approach and for multidisciplinary studies, opening new possibilities and potential opportunities for the next decades of developments.

Assessment of automatic segmentation of teeth using a watershed-based method

OBJECTIVE

Tooth 3D automatic segmentation (AS) is being actively developed in research and clinical fields. Here, we assess the effect of automatic segmentation using a watershed-based method on the accuracy and reproducibility of 3D reconstructions in volumetric measurements by comparing it with a semi-automatic segmentation(SAS) method that has already been validated.

METHODS

The study sample comprised 52 teeth, scanned with micro-CT (41 µm voxel size) and CBCT (76; 200 and 300 µm voxel size). Each tooth was segmented by AS based on a watershed method and by SAS. For all surface reconstructions, volumetric measurements were obtained and analysed statistically. Surfaces were then aligned using the SAS surfaces as the reference. The topography of the geometric discrepancies was displayed by using a colour map allowing the maximum differences to be located.

RESULTS

AS reconstructions showed similar tooth volumes when compared with SAS for the 41 µm voxel size. A difference in volumes was observed, and increased with the voxel size for CBCT data. The maximum differences were mainly found at the cervical margins and incisal edges but the general form was preserved.

CONCLUSION

Micro-CT, a modality used in dental research, provides data that can be segmented automatically, which is timesaving. AS with CBCT data enables the general form of the region of interest to be displayed. However, our AS method can still be used for metrically reliable measurements in the field of clinical dentistry if some manual refinements are applied.