Affiliation:
1. Dental Implant Research Center, Hamedan University of Medical Sciences, Hamedan, Iran
2. Department of Oral and Maxillofacial Radiology, School of Dentistry, Hamedan University of Medical Sciences, Hamedan, Iran
3. Department of Biostatistics, School of Public Health, Hamedan University of Medical Sciences, Hamedan, Iran
Abstract
Abstract
Introduction:
Biomedical models (rapid prototyping) had a vast use in maxillofacial diagnosis and surgeries. Using this technology can lead to improvement in preoperative treatment planning and an increase in surgery quality. In this study, we investigated and compared the models derived from multidetector computed tomography (MDCT) and cone-beam computed tomography (CBCT) radiography systems.
Aim:
In this study, we investigated and compared the models derived from MDCT and CBCT radiography systems to see which is the most accurate.
Materials and Methods:
Five dried human mandibles were chosen in this study. These landmarks were chosen to investigate the reproduction ability: mental foramen, genial tubercle, central incisor, alveolar crest edge to the inferior mandibular border in midline, two bone defects in approximate dimensions of 3 × 3 mm2, first molar socket depth in the mesiobuccal line angle, mesiodistal length of tooth socket bone at the buccal and buccolingual width of tooth socket bone at mesial. Radiographs were taken using one MDCT and two CBCT systems. Then, models were built through a three-dimensional (3D) printer, and the mentioned landmarks were measured using a digital caliper. Data were entered in SPSS version 23 software and were analyzed with the ANOVA and Tukey tests.
Results:
In the reproduction of superior-inferior dimension and mesiodistal width of all mentioned landmarks, there were no significant differences between models made by data derived from Cranex 3D and NewTom 3G with a small field of view, in comparison with the gold standard (P > 0.05). However, there is a significant difference in the reproduction of landmarks between models made from MDCT and NewTom 3G with a large field of view, in comparison with the gold standard (P < 0.05).
Conclusion:
Models made from CBCT Devices with a small field of view have an acceptable and reliable accuracy for assessing bone structures. However, for CBCT devices with a large field of view and computed tomography-scan devices, models have less accuracy.