TODENTJ-25-03-2019_TODENTJ-12-104
1553507287
Bentham Open
doi@benthamopen.net
Bentham Open
The Open Dentistry Journal
TODENTJ
1874-2106
01
31
2018
12
1
Digital Dynamic 3D Monitoring of Lower Incisors Intrusion in Lingual Orthodontics
Elia Kodjo
Chardey
Rosamaria
Fastuca
Matteo
Beretta
Alberto
Di Blasio
Nicolò
Vercellini
Alberto
Caprioglio
Piero Antonio
Zecca
Aldo
Macchi
Objective:
The aim of the present study is to propose a 3-dimensional evaluation of lower intrusion obtained with lingual orthodontics considering not only the crowns but also dental roots.
Methods:
9 adult patients underwent fixed lingual orthodontic treatment with i-TTя lingual brackets system for the correction of crowding in the lower arch associated with a deep overbite. Initial records, consisting of photos, CBCTs and intraoral scans were collected. Threshold segmentation of the CBCT was performed to generate a three-dimensional virtual model of each the teeth of the lower arch, superimposed with the crown of the same teeth obtained by intraoral scan models to generate a complete set of digital composite lower arch The same procedure was performed to monitor one key step of the i-TTЯ technique consisting in lower incisors intrusion (T2). T1-T2 three-dimensional superimposition and color displacement maps were generated to measure and evaluate the movements obtained at the lower arch.
Results:
The root displacement of the incisors during their intrusion in the early stage was totally “bone-safe” in the 88.9% (8 of 9) of the cases observed. No significant extrusion of the premolars used as anchorage unit was measured.
Conclusion:
This method has proved to be an accurate and reliable approach to dynamically visualize the 3-dimensional positions of the teeth, including their roots, with no additional radiation for in-progress treatment monitoring. The 3-dimensional evaluation showed that the employed lingual appliance allowed to obtain significant lower incisors intrusion with negligible undesired extrusion of premolars employed as anchorage teeth.
01
31
2018
104
117
TODENTJ-12-104
1
10.2174/crossmark_policy
opendentistryjournal.com
benthamopen.com
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2017-11-17
2017-12-20
2018-01-05
2018-01-31
https://creativecommons.org/licenses/by/4.0/legalcode
10.2174/1874210601812010104
1553507287
https://opendentistryjournal.com/VOLUME/12/PAGE/104/
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