Abstract
Purpose
Many artifacts and obstacles associated with cone-beam computed tomography (CBCT) scan can obscure or distort the details of the teeth and occlusal surface, like distorted teeth, streak artifacts, noise, and some malocclusion cases with excessive overlapping between jaws cause decrease the interocclusal space, which can impact diagnosis and treatment planning, and the 3D reconstruction accuracy. Optimizing dental precision by Integrating CBCT scans with other imaging modalities, supply more information to enhance CBCT accuracy, mainly in dental areas with limited clarity.
Methods
Performing the Structure-from-Motion (SfM) photogrammetry method, using phone camera and photograph studio setup using simple hardware, to digitize the dental casts and obtain an accurate digital dental model. Using this digital dental model to enhance dental precision in the CBCT data by performing the superimposition process, using a surface-based registration method and integration process to create a virtual dentoskeletal model. Evaluate the accuracy and quality of the superimposition results using qualitative (visual inspection) and quantitative measures.
Results
The differences between the virtual dentoskeletal model and the reference CBCT model are calculating by the 3D Euclidean distance, the mean ± SD are 0.212 ± 0.169 mm and 0.26 ± 0.149 mm for the maxilla and mandible, respectively. The color-coded map shows that the two surfaces are similar, but the extremist values are concentrated in the dental region due to the presence of the noise in the reference model and the gingiva in the virtual dentoskeletal model.
Conclusions
The resulting virtual dentoskeletal model can be viewed and manipulated on a computer screen, allowing for a detailed analysis of the teeth and supporting structures. The 3D model generated by the SfM photogrammetry technique did well during the superimposition process, representing a reliable method for virtual-based processing such as orthognathic surgery planning and splint design.









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All data generated or analyzed during the present study are included in this published article.
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All authors contributed to the study conception and design. Material preparation, data collection and analysis were performed by RSM, SJH and AHA-M. The first draft of the manuscript was written by RSM, and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.
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This study was performed in line with the principles of the Declaration of Helsinki. Approval was granted by the Ethics Committee of the Department of Biomedical Engineering in Al-Nahrain University, College of Engineering. Number 1/2020.
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Mahmood, R.S., Hamandi, S.J.A. & Al-Mahdi, A.H. Create virtual dentoskeletal model by superimposing digital dental cast into cone-beam computed tomography scan. Int J CARS 19, 1855–1864 (2024). https://doi.org/10.1007/s11548-024-03111-4
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DOI: https://doi.org/10.1007/s11548-024-03111-4