Accuracy analysis of the digital occlusal relationship reconstruction workflow in patients with maxillofacial fractures: An in vitro retrospective cohort study

IF 4.8 2区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Journal of dentistry Pub Date : 2025-02-01 DOI:10.1016/j.jdent.2025.105590

Honghao Wang , Yifan Chi , Yukun Hu , Zhao Huang , Hao Xue , Jun Hou , Lisong Lin

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Abstract

Objective

To verify the accuracy of a digital workflow for occlusal relationship reduction in patients with maxillofacial fractures via cone beam computed tomograhy/ computerized tomography (CBCT/CT).

Methods

We collected CBCT/CT data and oral scan data from both general patients and fracture patients and established digital models. The differences between the oral scan model and the CBCT/CT digital model were compared. 3D-printed dental models were made for general patients, and comparisons were made matching the dental model with the original occlusion. Differences among the postoperative CT digital models of fracture patients, the virtual reconstruction models, and the model surgery reconstructed models were compared.

Results

A total of 20 general patients and 27 fracture patients participated in this study. The average error for the segmented CBCT/CT modelling group was 122.90±26.94 μm, whereas the average error for the nonsegmented CBCT/CT modelling group was 84.50±9.21 μm, with a significant difference between the two groups (t = 6.364, P < 0.01). The error in the occlusal relationship between the 3D-printed models and the patient's actual occlusion was 18.35±2.20 μm. The average error for the virtual reconstruction group was 438.89±155.55 μm, whereas it was 857.09±116.55 μm for the model surgery reconstruction group, with a significant difference between the two groups (t = 11.180, P < 0.01).

Conclusion

CBCT/CT-based digital dental models can be created with high accuracy. Using 3D-printed models and intercuspal occlusion guidance, the original occlusal relationship can be restored. Compared with model surgery, virtual fracture reconstruction offers superior accuracy.

Clinical significance

This study demonstrates the feasibility of accurate digital occlusal restoration in fracture patients, providing a new approach for maxillofacial fracture management.

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来源期刊

Journal of dentistry 医学-牙科与口腔外科

CiteScore

7.30

自引率

11.40%

发文量

349

审稿时长

35 days

期刊介绍： The Journal of Dentistry has an open access mirror journal The Journal of Dentistry: X, sharing the same aims and scope, editorial team, submission system and rigorous peer review. The Journal of Dentistry is the leading international dental journal within the field of Restorative Dentistry. Placing an emphasis on publishing novel and high-quality research papers, the Journal aims to influence the practice of dentistry at clinician, research, industry and policy-maker level on an international basis. Topics covered include the management of dental disease, periodontology, endodontology, operative dentistry, fixed and removable prosthodontics, dental biomaterials science, long-term clinical trials including epidemiology and oral health, technology transfer of new scientific instrumentation or procedures, as well as clinically relevant oral biology and translational research. The Journal of Dentistry will publish original scientific research papers including short communications. It is also interested in publishing review articles and leaders in themed areas which will be linked to new scientific research. Conference proceedings are also welcome and expressions of interest should be communicated to the Editor.