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Validity of Three-dimensional Facial Scan Taken with Facial Scanner and Digital Photo Wrapping on the Cone-beam Computed Tomography: Comparison of Soft Tissue Parameters

  • Aljawad, Hussein;Lee, Kyungmin Clara
    • Journal of Korean Dental Science
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    • v.15 no.1
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    • pp.19-30
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    • 2022
  • Purpose: The purpose of the study was to assess the validity of three-dimensional (3D) facial scan taken with facial scanner and digital photo wrapping on the cone-beam computed tomography (CBCT). Materials and Methods: Twenty-five patients had their CBCT scan, two-dimensional (2D) standardized frontal photographs and 3D facial scan obtained on the same day. The facial scans were taken with a facial scanner in an upright position. The 2D standardized frontal photographs were taken at a fixed distance from patients using a camera fixed to a cephalometric apparatus. The 2D integrated facial models were created using digital photo wrapping of frontal photographs on the corresponding CBCT images. The 3D integrated facial models were created using the integration process of 3D facial scans on the CBCT images. On the integrated facial models, sixteen soft tissue landmarks were identified, and the vertical, horizontal, oblique and angular distances between soft tissue landmarks were compared among the 2D facial models and 3D facial models, and CBCT images. Result: The results showed no significant differences of linear and angular measurements among CBCT images, 2D and 3D facial models except for Se-Sn vertical linear measurement which showed significant difference for the 3D facial models. The Bland-Altman plots showed that all measurements were within the limit of agreement. For 3D facial model, all Bland-Altman plots showed that systematic bias was less than 2.0 mm and 2.0° except for Se-Sn linear vertical measurement. For 2D facial model, the Bland-Altman plots of 6 out of 11 of the angular measurements showed systematic bias of more than 2.0°. Conclusion: The facial scan taken with facial scanner showed a clinically acceptable performance. The digital 2D photo wrapping has limitations in clinical use compared to 3D facial scans.

Effect of slice inclination and object position within the field of view on the measurement accuracy of potential implant sites on cone-beam computed tomography

  • Saberi, Bardia Vadiati;Khosravifard, Negar;Nourzadeh, Alireza
    • Imaging Science in Dentistry
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    • v.50 no.1
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    • pp.37-43
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    • 2020
  • Purpose: The purpose of this study was to evaluate the accuracy of linear measurements in the horizontal and vertical dimensions based on object position and slice inclination in cone-beam computed tomography (CBCT) images. Materials and Methods: Ten dry sheep hemi-mandibles, each with 4 sites (incisor, canine, premolar, and molar), were evaluated when either centrally or peripherally positioned within the field of view (FOV) with the image slices subjected to either oblique or orthogonal inclinations. Four types of images were created of each region: central/cross-sectional, central/coronal, peripheral/cross-sectional, and peripheral/coronal. The horizontal and vertical dimensions were measured for each region of each image type. Direct measurements of each region were obtained using a digital caliper in both horizontal and vertical dimensions. CBCT and direct measurements were compared using the Bland-Altman plot method. P values <0.05 were considered to indicate statistical significance. Results: The buccolingual dimension of the incisor and premolar areas and the height of the incisor, canine, and molar areas showed statistically significant differences on the peripheral/coronal images compared to the direct measurements (P<0.05). Molar area height in the central/coronal slices also differed significantly from the direct measurements (P<0.05). Cross-sectional images of either the central or peripheral position had no marked difference from the gold-standard values, indicating sufficient accuracy. Conclusion: Peripheral object positioning within the FOV in combination with applying an orthogonal inclination to the slices resulted in significant inaccuracies in the horizontal and vertical measurements. The most undesirable effect was observed in the molar area and the vertical dimension.

The genial tubercle: A prospective novel landmark for the diagnosis of mandibular asymmetry

  • Lee, Seung-Youp;Choi, Dong-Soon;Jang, Insan;Song, Geun-Su;Cha, Bong-Kuen
    • The korean journal of orthodontics
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    • v.47 no.1
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    • pp.50-58
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    • 2017
  • Introduction: Identifying menton (Me) on posteroanterior cephalograms and three-dimensional (3D) cone-beam computed tomography (CBCT) images is difficult, because the midpoint of the symphyseal area is not identifiable after the mandibular symphysis fuses at an early age. The aim of this study was to evaluate the reliability of the identification of the genial tubercle (GT) in patients with mandibular asymmetry and to compare it with that of the traditional landmark, Me. Methods: The samples comprised 20 CBCT images of adults with mandibular asymmetry. Two examiners performed the identifications and measurements. Me and GT were marked, and the anteroposterior, vertical, and transverse distances to the three reference planes were measured on 3D-reconstructed CBCT images. The intra- and inter-examiner reliability of landmark identification of Me and GT were assessed using the intraclass correlation coefficient (ICC) and Bland-Altman plots. Results: The Me and GT landmarks showed excellent reliability ($ICC{\geq}0.993$) three-dimensionally. In the transverse evaluation, the ICC values of the GT (range, 0.997-0.999) tended to be slightly higher than those of Me (range, 0.993-0.996). In the Bland-Altman plots for the two separate assessments, Me showed a maximum error of 1.76 mm in the transverse direction, whereas the GT showed a maximum error of 0.96 mm in the 95% limit. Conclusions: Our results suggest that both Me and GT are clinically reliable and equally useful landmarks for the evaluation of mandibular asymmetry on CBCT images.

A Study on Flame Retardant Performance of Vertical Blind and Roll Screen (버티칼 브라인드와 롤 스크린의 방염성능 유지에 관한 연구)

  • Jeong, Hyun Gyu;Cho, Woncheol;Lee, Tae Sik
    • Journal of Korean Society of societal Security
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    • v.3 no.2
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    • pp.41-46
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    • 2010
  • This study focuses on two points. First, I have examined the difference on combustion between flame-retardant and non flame-retardant products including vertical blinds and roll screens that are widely used as a substitute for fabric curtains. The second point is to see how long flame-retardant goods can be durable, that is, flame retardant durability after washing in liquid. the experiment on the flame-retardant ability before and after washing of vertical blinds and roll screens that have been used for a long time in fire protection construct. Comparing and analyzing domestic and foreign laws on flame-retardant after the experiment on durability of these products. I aim to draw necessity for increased application of internal laws and regulations on flame-retardant and show how to improve the point at issue. According to the result, clear differences in performance and safety were observed between flame-retardant and non flame-retardant products. flame-retardant materials can prevent things from fire spread without igniting but melting when they've met flame and burnt, In contrast, non flame-retardant material for experiment which size is 120cm long takes less than 3 minutes only to be completely destroyed by fire. However, it was expected for flame-retardant durability of flame-retardant blinds which are not washable to decrease flame-retardant durability after being washed with water, there was no sharp difference. so it is demonstrated that flame-retardant blinds can keep flame-retardant durability. accordingly through the strict course of product we are concerned about keeping durability.

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Validity of palatal superimposition of 3-dimensional digital models in cases treated with rapid maxillary expansion and maxillary protraction headgear

  • Choi, Jin-Il;Cha, Bong-Kuen;Jost-Brinkmann, Paul-Georg;Choi, Dong-Soon;Jang, In-San
    • The korean journal of orthodontics
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    • v.42 no.5
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    • pp.235-241
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    • 2012
  • Objective: The purpose of this study was to evaluate the validity of the 3-dimensional (3D) superimposition method of digital models in patients who received treatment with rapid maxillary expansion (RME) and maxillary protraction headgear. Methods: The material consisted of pre- and post-treatment maxillary dental casts and lateral cephalograms of 30 patients, who underwent RME and maxillary protraction headgear treatment. Digital models were superimposed using the palate as a reference area. The movement of the maxillary central incisor and the first molar was measured on superimposed cephalograms and 3D digital models. To determine whether any difference existed between the 2 measuring techniques, intra-class correlation (ICC) and Bland-Altman plots were analyzed. Results: The measurements on the 3D digital models and cephalograms showed a very high correlation in the antero-posterior direction (ICC, 0.956 for central incisor and 0.941 for first molar) and a moderate correlation in the vertical direction (ICC, 0.748 for central incisor and 0.717 for first molar). Conclusions: The 3D model superimposition method using the palate as a reference area is as clinically reliable for assessing antero-posterior tooth movement as cephalometric superimposition, even in cases treated with orthopedic appliances, such as RME and maxillary protraction headgear.