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Main Authors: Filippon, Ignacio, Tanner, Christine, von Jackowski, Jeannette A., Schulz, Georg, Töpper, Tino, Müller, Bert
Format: Preprint
Published: 2024
Subjects:
Online Access:https://arxiv.org/abs/2405.10433
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author Filippon, Ignacio
Tanner, Christine
von Jackowski, Jeannette A.
Schulz, Georg
Töpper, Tino
Müller, Bert
author_facet Filippon, Ignacio
Tanner, Christine
von Jackowski, Jeannette A.
Schulz, Georg
Töpper, Tino
Müller, Bert
contents The effectiveness of a series of optically transparent aligners for orthodontic treatments depends on the anchoring of each tooth. In contrast with roots, the crowns' positions and orientations are measurable with intraoral scans, thus avoiding any X-ray dose. Exemplified by two patients, we demonstrate that three-dimensional crown movements could be determined with micrometer precision by registering weekly intraoral scans. The data show the movement and orientation changes of the individual crowns of the upper and lower jaws as the result of the forces generated by the series of aligners. During the first weeks, the canines and incisors were more affected than the premolars and molars. We detected an overall tooth movement of up to about 1 mm during a nine-week treatment. The data on these orthodontic treatments indicate the extent to which actual tooth movement lags behind the treatment plan as represented by the aligner shapes. The proposed procedure can not only be used to quantify the clinical outcome of the therapy, but also to improve future planning of orthodontic treatments for each specific patient. The study should be treated with caution because only two cases have been investigated and the approach should be applied to a reasonably large cohort to reach strong conclusions regarding efficiency and efficacy of the therapeutic approach.
format Preprint
id arxiv_https___arxiv_org_abs_2405_10433
institution arXiv
publishDate 2024
record_format arxiv
spellingShingle Aligner-induced tooth movements in three dimensions using clinical data of two patients
Filippon, Ignacio
Tanner, Christine
von Jackowski, Jeannette A.
Schulz, Georg
Töpper, Tino
Müller, Bert
Medical Physics
The effectiveness of a series of optically transparent aligners for orthodontic treatments depends on the anchoring of each tooth. In contrast with roots, the crowns' positions and orientations are measurable with intraoral scans, thus avoiding any X-ray dose. Exemplified by two patients, we demonstrate that three-dimensional crown movements could be determined with micrometer precision by registering weekly intraoral scans. The data show the movement and orientation changes of the individual crowns of the upper and lower jaws as the result of the forces generated by the series of aligners. During the first weeks, the canines and incisors were more affected than the premolars and molars. We detected an overall tooth movement of up to about 1 mm during a nine-week treatment. The data on these orthodontic treatments indicate the extent to which actual tooth movement lags behind the treatment plan as represented by the aligner shapes. The proposed procedure can not only be used to quantify the clinical outcome of the therapy, but also to improve future planning of orthodontic treatments for each specific patient. The study should be treated with caution because only two cases have been investigated and the approach should be applied to a reasonably large cohort to reach strong conclusions regarding efficiency and efficacy of the therapeutic approach.
title Aligner-induced tooth movements in three dimensions using clinical data of two patients
topic Medical Physics
url https://arxiv.org/abs/2405.10433