Determining the Accuracy of the Mandibular Canal Region in 3D Biomodels Fabricated from CBCT Scanned Data: A Cadaveric Study

Author(s): Syed Yusoff Alzawawi Syed Abd Fattah* , Firdaus Hariri , Phrabhakaran Nambiar , Zulkiflee Abu Bakar , Zainal Ariff Abdul Rahman .

Journal Name: Current Medical Imaging

Volume 15 , Issue 7 , 2019

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Graphical Abstract:


Abstract:

Objective: To validate the accuracy of the mandibular canal region in 3D biomodel produced by using data obtained from Cone-Beam Computed Tomography (CBCT) of cadaveric mandibles.

Methods: Six hemi-mandible samples were scanned using the i-CAT CBCT system. The scanned data was transferred to the OsiriX software for measurement protocol and subsequently into Mimics software to fabricate customized cutting jigs and 3D biomodels based on rapid prototyping technology. The hemi-mandibles were segmented into 5 dentoalveolar blocks using the customized jigs. Digital calliper was used to measure six distances surrounding the mandibular canal on each section. The same distances were measured on the corresponding cross-sectional OsiriX images and the 3D biomodels of each dentoalveolar block.

Results: Statistically no significant difference was found when measurements from OsiriX images and 3D biomodels were compared to the “gold standard” -direct digital calliper measurement of the cadaveric dentoalveolar blocks. Moreover, the mean value difference of the various measurements between the different study components was also minimal.

Conclusion: Various distances surrounding the mandibular canal from 3D biomodels produced from the CBCT scanned data was similar to that of direct digital calliper measurements of the cadaveric specimens.

Keywords: Cone-beam computerized tomography, mandible, software, computer-aided, 3D biomodel, digital calliper.

[1]
Lill W, Solar P, Ulm C, Watzek G, Blahout R, Matejka M. Reproducibility of three-dimensional CT-assisted model production in the maxillofacial area. Br J Oral Maxillofac Surg 1992; 30(4): 233-6.
[http://dx.doi.org/10.1016/0266-4356(92)90265-K] [PMID: 1510897]
[2]
Mankovich NJ, Samson D, Pratt W, Lew D, Beumer J III. Surgical planning using three-dimensional imaging and computer modeling. Otolaryngol Clin North Am 1994; 27(5): 875-89.
[PMID: 7816436]
[3]
Mehra P, Miner J, D’Innocenzo R, Nadershah M. Use of 3-d stereolithographic models in oral and maxillofacial surgery. J Maxillofac Oral Surg 2011; 10(1): 6-13.
[http://dx.doi.org/10.1007/s12663-011-0183-3] [PMID: 22379314]
[4]
Ellies LG, Hawker PB. The prevalence of altered sensation associated with implant surgery. Int J Oral Maxillofac Implants 1993; 8(6): 674-9.
[PMID: 8181830]
[5]
Bartling R, Freeman K, Kraut RA. The incidence of altered sensation of the mental nerve after mandibular implant placement. J Oral Maxillofac Surg 1999; 57(12): 1408-12.
[http://dx.doi.org/10.1016/S0278-2391(99)90720-6] [PMID: 10596660]
[6]
Wismeijer D, van Waas MA, Vermeeren JI, Kalk W. Patients’ perception of sensory disturbances of the mental nerve before and after implant surgery: a prospective study of 110 patients. Br J Oral Maxillofac Surg 1997; 35(4): 254-9.
[http://dx.doi.org/10.1016/S0266-4356(97)90043-7] [PMID: 9291263]
[7]
Villa R. A technique for the presurgical simulation of the position of computer-assisted, template-based, planned implants: a clinical report. J Prosthet Dent 2014; 112(5): 1030-4.
[http://dx.doi.org/10.1016/j.prosdent.2014.05.021] [PMID: 24998322]
[8]
McGurk M, Amis AA, Potamianos P, Goodger NM. Rapid prototyping techniques for anatomical modelling in medicine. Ann R Coll Surg Engl 1997; 79(3): 169-74.
[PMID: 9196336]
[9]
D’Urso PS, Barker TM, Earwaker WJ, et al. Stereolithographic biomodelling in cranio-maxillofacial surgery: a prospective trial. J Craniomaxillofac Surg 1999; 27(1): 30-7.
[http://dx.doi.org/10.1016/S1010-5182(99)80007-9] [PMID: 10188125]
[10]
Oliveira M, Sooraj HN, Dias AG, et al. 3-D biomodelling technology for maxillofacial reconstruction. Mater Sci Eng C 2008; 28(8): 1347-51.
[http://dx.doi.org/10.1016/j.msec.2008.02.007]
[11]
Winder J, Bibb R. Medical rapid prototyping technologies: state of the art and current limitations for application in oral and maxillofacial surgery. J Oral Maxillofac Surg 2005; 63(7): 1006-15.
[http://dx.doi.org/10.1016/j.joms.2005.03.016] [PMID: 16003630]
[12]
Silva DN, Gerhardt de Oliveira M, Meurer E, Meurer MI, Lopes da Silva JV, Santa-Bárbara A. Dimensional error in selective laser sintering and 3D-printing of models for craniomaxillary anatomy reconstruction. J Craniomaxillofac Surg 2008; 36(8): 443-9.
[http://dx.doi.org/10.1016/j.jcms.2008.04.003] [PMID: 18579391]
[13]
Nizam A, Gopal RN, Naing L, Hakim AB, Samsudin AR. Dimensional accuracy of the skull models produced by rapid prototyping technology using stereolithography apparatus. Arch Orofac Sci 2006; 1: 60-6.
[14]
Varga E Jr, Hammer B, Hardy BM, Kamer L. The accuracy of three-dimensional model generation. What makes it accurate to be used for surgical planning? Int J Oral Maxillofac Surg 2013; 42(9): 1159-66.
[http://dx.doi.org/10.1016/j.ijom.2013.02.006] [PMID: 23522875]
[15]
Shahbazian M, Jacobs R, Wyatt J, et al. Accuracy and surgical feasibility of a CBCT-based stereolithographic surgical guide aiding autotransplantation of teeth: in vitro validation. J Oral Rehabil 2010; 37(11): 854-9.
[http://dx.doi.org/10.1111/j.1365-2842.2010.02107.x] [PMID: 20626574]
[16]
Primo BT, Presotto AC, de Oliveira HW, et al. Accuracy assessment of prototypes produced using multi-slice and cone-beam computed tomography. Int J Oral Maxillofac Surg 2012; 41(10): 1291-5.
[http://dx.doi.org/10.1016/j.ijom.2012.04.013] [PMID: 22578568]
[17]
Santana RR, Lozada J, Kleinman A, Al-Ardah A, Herford A, Chen JW. Accuracy of cone beam computerized tomography and a three-dimensional stereolithographic model in identifying the anterior loop of the mental nerve: a study on cadavers. J Oral Implantol 2012; 38(6): 668-76.
[http://dx.doi.org/10.1563/AAID-JOI-D-11-00130] [PMID: 23317297]
[18]
Scarfe WC, Farman AG, Sukovic P. Clinical applications of cone-beam computed tomography in dental practice. J Can Dent Assoc 2006; 72(1): 75-80.
[PMID: 16480609]
[19]
Ludlow JB, Laster WS, See M, Bailey LJ, Hershey HG. Accuracy of measurements of mandibular anatomy in cone beam computed tomography images. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2007; 103(4): 534-42.
[http://dx.doi.org/10.1016/j.tripleo.2006.04.008] [PMID: 17395068]
[20]
Gerlach NL, Ghaeminia H, Bronkhorst EM, Bergé SJ, Meijer GJ, Maal TJ. Accuracy of assessing the mandibular canal on cone-beam computed tomography: a validation study. J Oral Maxillofac Surg 2014; 72(4): 666-71.
[http://dx.doi.org/10.1016/j.joms.2013.09.030] [PMID: 24480773]
[21]
Kamburoğlu K, Kiliç C, Özen T, Yüksel SP. Measurements of mandibular canal region obtained by cone-beam computed tomography: a cadaveric study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009; 107(2): e34-42.
[http://dx.doi.org/10.1016/j.tripleo.2008.10.012] [PMID: 19138636]
[22]
Massey ND, Galil KA, Wilson TD. Determining position of the inferior alveolar nerve via anatomical dissection and micro-computed tomography in preparation for dental implants. J Can Dent Assoc 2013; 79: d39.
[PMID: 23920072]
[23]
Monnazzi MS, Passeri LA, Gabrielli MF, Bolini PD, de Carvalho WR, da Costa Machado H. Anatomic study of the mandibular foramen, lingula and antilingula in dry mandibles, and its statistical relationship between the true lingula and the antilingula. Int J Oral Maxillofac Surg 2012; 41(1): 74-8.
[http://dx.doi.org/10.1016/j.ijom.2011.08.009] [PMID: 21955366]
[24]
Nairn NJ, Ayoub AF, Barbenel J, et al. Digital replacement of the distorted dentition acquired by cone beam computed tomography (CBCT): a pilot study. Int J Oral Maxillofac Surg 2013; 42(11): 1488-93.
[http://dx.doi.org/10.1016/j.ijom.2013.01.026] [PMID: 23644040]
[25]
De Vos W, Casselman J, Swennen GR. Cone-beam computerized tomography (CBCT) imaging of the oral and maxillofacial region: a systematic review of the literature. Int J Oral Maxillofac Surg 2009; 38(6): 609-25.
[http://dx.doi.org/10.1016/j.ijom.2009.02.028] [PMID: 19464146]


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VOLUME: 15
ISSUE: 7
Year: 2019
Page: [645 - 653]
Pages: 9
DOI: 10.2174/1573405614666181012144745
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