1.Sex-, growth pattern-, and growth status-related variability in maxillary and mandibular buccal cortical thickness and density
Sydney SCHNEIDER ; Vaibhav GANDHI ; Madhur UPADHYAY ; Veerasathpurush ALLAREDDY ; Aditya TADINADA ; Sumit YADAV
The Korean Journal of Orthodontics 2020;50(2):108-119
OBJECTIVE:
The primary objective of this study was to quantitatively analyze the bone parameters (thickness and density) at four different interdental areas from the distal region of the canine to the mesial region of the second molar in the maxilla and the mandible. The secondary aim was to compare and contrast the bone parameters at these specific locations in terms of sex, growth status, and facial type.
METHODS:
This retrospective cone-beam computed tomography (CBCT) study reviewed 290 CBCT images of patients seeking orthodontic treatment. Cortical bone thickness in millimeters (mm) and density in pixel intensity value were measured for the regions (1) between the canine and first premolar, (2) between the first and second premolars, (3) between the second premolar and first molar, and (4) between the first and second molars. At each location, the bone thickness and density were measured at distances of 2, 6, and 10 mm from the alveolar crest.
RESULTS:
The sex comparison (male vs. female) in cortical bone thickness showed no significant difference (p > 0.001). The bone density in growing subjects was significantly (p < 0.001) lower than that in non-growing subjects for most locations. There was no significant difference (p > 0.001) in bone parameters in relation to facial pattern in the maxilla and mandible for most sites.
CONCLUSIONS
There was no significant sex-related difference in cortical bone thickness. The buccal cortical bone density was higher in females than in males. Bone parameters were similar for subjects with hyperdivergent, hypodivergent, and normodivergent facial patterns.
2.An effective approach to assessing inter-root distances using tooth models without repeated cone-beam computed tomography scans during orthodontic treatment
Haeun MOON ; Jaewon KOH ; Veerasathpurush ALLAREDDY ; Phimon ATSAWASUWAN ; Min Kyeong LEE ; Kyungmin Clara LEE
The Korean Journal of Orthodontics 2025;55(3):202-211
Objective:
To propose the utilization of virtual tooth models (VTMs) created by combining tooth root data from cone-beam computed tomography (CBCT) and crown data gathered through intraoral scanning to assess inter-root distance and angulation during orthodontic treatment when repeated radiographic monitoring becomes necessary.
Methods:
Patients with planned dental implant placement in edentulous areas during or after orthodontic treatment and who underwent intraoral and CBCT scans at the pretreatment and posttreatment stages were selected. Tooth models were fabricated by merging intraorally scanned crowns with the corresponding CBCT-scanned roots from the pretreatment. Tooth positions posttreatment was estimated by integrating models into posttreatment intraoral scans. Moreover, the actual positions were obtained from posttreatment CBCTs. Discrepancies in the estimated and actual tooth positions, including interradicular distances and inter-root angulations, were compared.
Results:
The minimum inter-radicular distance between two adjacent teeth demonstrated no significant difference between the estimated and actual tooth positions. The difference in inter-root angulation was not statistically significant. Most interradicular distances measured at each landmark revealed no significant differences between the estimated and actual tooth positions, except at the buccolingual midpoint of the cemento-enamel junction, where a slight discrepancy was observed.
Conclusions
The tooth position of VTMs demonstrated clinically acceptable accuracy compared to CBCT scans. Additionally, VTMs can benefit both clinicians and patients by enabling accurate assessment of the inter-radicular space for dental implant placement without repeated CBCT scans.
3.An effective approach to assessing inter-root distances using tooth models without repeated cone-beam computed tomography scans during orthodontic treatment
Haeun MOON ; Jaewon KOH ; Veerasathpurush ALLAREDDY ; Phimon ATSAWASUWAN ; Min Kyeong LEE ; Kyungmin Clara LEE
The Korean Journal of Orthodontics 2025;55(3):202-211
Objective:
To propose the utilization of virtual tooth models (VTMs) created by combining tooth root data from cone-beam computed tomography (CBCT) and crown data gathered through intraoral scanning to assess inter-root distance and angulation during orthodontic treatment when repeated radiographic monitoring becomes necessary.
Methods:
Patients with planned dental implant placement in edentulous areas during or after orthodontic treatment and who underwent intraoral and CBCT scans at the pretreatment and posttreatment stages were selected. Tooth models were fabricated by merging intraorally scanned crowns with the corresponding CBCT-scanned roots from the pretreatment. Tooth positions posttreatment was estimated by integrating models into posttreatment intraoral scans. Moreover, the actual positions were obtained from posttreatment CBCTs. Discrepancies in the estimated and actual tooth positions, including interradicular distances and inter-root angulations, were compared.
Results:
The minimum inter-radicular distance between two adjacent teeth demonstrated no significant difference between the estimated and actual tooth positions. The difference in inter-root angulation was not statistically significant. Most interradicular distances measured at each landmark revealed no significant differences between the estimated and actual tooth positions, except at the buccolingual midpoint of the cemento-enamel junction, where a slight discrepancy was observed.
Conclusions
The tooth position of VTMs demonstrated clinically acceptable accuracy compared to CBCT scans. Additionally, VTMs can benefit both clinicians and patients by enabling accurate assessment of the inter-radicular space for dental implant placement without repeated CBCT scans.
4.An effective approach to assessing inter-root distances using tooth models without repeated cone-beam computed tomography scans during orthodontic treatment
Haeun MOON ; Jaewon KOH ; Veerasathpurush ALLAREDDY ; Phimon ATSAWASUWAN ; Min Kyeong LEE ; Kyungmin Clara LEE
The Korean Journal of Orthodontics 2025;55(3):202-211
Objective:
To propose the utilization of virtual tooth models (VTMs) created by combining tooth root data from cone-beam computed tomography (CBCT) and crown data gathered through intraoral scanning to assess inter-root distance and angulation during orthodontic treatment when repeated radiographic monitoring becomes necessary.
Methods:
Patients with planned dental implant placement in edentulous areas during or after orthodontic treatment and who underwent intraoral and CBCT scans at the pretreatment and posttreatment stages were selected. Tooth models were fabricated by merging intraorally scanned crowns with the corresponding CBCT-scanned roots from the pretreatment. Tooth positions posttreatment was estimated by integrating models into posttreatment intraoral scans. Moreover, the actual positions were obtained from posttreatment CBCTs. Discrepancies in the estimated and actual tooth positions, including interradicular distances and inter-root angulations, were compared.
Results:
The minimum inter-radicular distance between two adjacent teeth demonstrated no significant difference between the estimated and actual tooth positions. The difference in inter-root angulation was not statistically significant. Most interradicular distances measured at each landmark revealed no significant differences between the estimated and actual tooth positions, except at the buccolingual midpoint of the cemento-enamel junction, where a slight discrepancy was observed.
Conclusions
The tooth position of VTMs demonstrated clinically acceptable accuracy compared to CBCT scans. Additionally, VTMs can benefit both clinicians and patients by enabling accurate assessment of the inter-radicular space for dental implant placement without repeated CBCT scans.
5.An effective approach to assessing inter-root distances using tooth models without repeated cone-beam computed tomography scans during orthodontic treatment
Haeun MOON ; Jaewon KOH ; Veerasathpurush ALLAREDDY ; Phimon ATSAWASUWAN ; Min Kyeong LEE ; Kyungmin Clara LEE
The Korean Journal of Orthodontics 2025;55(3):202-211
Objective:
To propose the utilization of virtual tooth models (VTMs) created by combining tooth root data from cone-beam computed tomography (CBCT) and crown data gathered through intraoral scanning to assess inter-root distance and angulation during orthodontic treatment when repeated radiographic monitoring becomes necessary.
Methods:
Patients with planned dental implant placement in edentulous areas during or after orthodontic treatment and who underwent intraoral and CBCT scans at the pretreatment and posttreatment stages were selected. Tooth models were fabricated by merging intraorally scanned crowns with the corresponding CBCT-scanned roots from the pretreatment. Tooth positions posttreatment was estimated by integrating models into posttreatment intraoral scans. Moreover, the actual positions were obtained from posttreatment CBCTs. Discrepancies in the estimated and actual tooth positions, including interradicular distances and inter-root angulations, were compared.
Results:
The minimum inter-radicular distance between two adjacent teeth demonstrated no significant difference between the estimated and actual tooth positions. The difference in inter-root angulation was not statistically significant. Most interradicular distances measured at each landmark revealed no significant differences between the estimated and actual tooth positions, except at the buccolingual midpoint of the cemento-enamel junction, where a slight discrepancy was observed.
Conclusions
The tooth position of VTMs demonstrated clinically acceptable accuracy compared to CBCT scans. Additionally, VTMs can benefit both clinicians and patients by enabling accurate assessment of the inter-radicular space for dental implant placement without repeated CBCT scans.
6.An effective approach to assessing inter-root distances using tooth models without repeated cone-beam computed tomography scans during orthodontic treatment
Haeun MOON ; Jaewon KOH ; Veerasathpurush ALLAREDDY ; Phimon ATSAWASUWAN ; Min Kyeong LEE ; Kyungmin Clara LEE
The Korean Journal of Orthodontics 2025;55(3):202-211
Objective:
To propose the utilization of virtual tooth models (VTMs) created by combining tooth root data from cone-beam computed tomography (CBCT) and crown data gathered through intraoral scanning to assess inter-root distance and angulation during orthodontic treatment when repeated radiographic monitoring becomes necessary.
Methods:
Patients with planned dental implant placement in edentulous areas during or after orthodontic treatment and who underwent intraoral and CBCT scans at the pretreatment and posttreatment stages were selected. Tooth models were fabricated by merging intraorally scanned crowns with the corresponding CBCT-scanned roots from the pretreatment. Tooth positions posttreatment was estimated by integrating models into posttreatment intraoral scans. Moreover, the actual positions were obtained from posttreatment CBCTs. Discrepancies in the estimated and actual tooth positions, including interradicular distances and inter-root angulations, were compared.
Results:
The minimum inter-radicular distance between two adjacent teeth demonstrated no significant difference between the estimated and actual tooth positions. The difference in inter-root angulation was not statistically significant. Most interradicular distances measured at each landmark revealed no significant differences between the estimated and actual tooth positions, except at the buccolingual midpoint of the cemento-enamel junction, where a slight discrepancy was observed.
Conclusions
The tooth position of VTMs demonstrated clinically acceptable accuracy compared to CBCT scans. Additionally, VTMs can benefit both clinicians and patients by enabling accurate assessment of the inter-radicular space for dental implant placement without repeated CBCT scans.