Accuracy evaluation and clinical realization of digital interproximal enamel reduction for orthodontics: a case study

Abstract Objective This study presents a novel digital interproximal enamel reduction (IER) clinical procedure, aiming to improve the effectiveness of IER processes in orthodontic treatment. Methods A malocclusion case of skeletal-class I and angle-class I was selected for the experimental investiga...

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Main Authors: Jia You, Xiangyu Zhou, Xiaofan Xia, Jianxing Zhang, Yunfeng Liu
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BioMedical Engineering OnLine
Subjects:
Online Access:https://doi.org/10.1186/s12938-025-01329-0
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author Jia You
Xiangyu Zhou
Xiaofan Xia
Jianxing Zhang
Yunfeng Liu
author_facet Jia You
Xiangyu Zhou
Xiaofan Xia
Jianxing Zhang
Yunfeng Liu
author_sort Jia You
collection DOAJ
description Abstract Objective This study presents a novel digital interproximal enamel reduction (IER) clinical procedure, aiming to improve the effectiveness of IER processes in orthodontic treatment. Methods A malocclusion case of skeletal-class I and angle-class I was selected for the experimental investigation. A three-dimensional (3D) model of the dentition was constructed using scanning data from a plaster model. The IER volume was measured by the overlay area of two neighboring crowns on the arranged virtual teeth. For the upper dentition, a guide plate was innovatively designed based on the original surface of the dentition and the calculated IER volume. The guide plate was fabricated using stereolithography 3D printing (SLA), and was successfully employed during the IER operation. For the lower dentition, the IER procedure was performed using the free-hand method, guided by the predesigned IER volume. Preoperative and postoperative 3D models of the dentition were compared to assess the accuracy of both IER methods. Results The standard deviation of upper dentition IER with guide plate was calculated as 0.13 mm, while that of lower dentition IER by freehand was 0.24 mm. Conclusion Through the integration of laser scanning, 3D reconstruction, virtual arrangement, guide plate design, and 3D printing, this study not only explores a novel digital IER method, but also demonstrates its clinical applicability. The findings provide compelling evidence of the method’s superior accuracy in clinical practice, offering a new approach for high-precision IER operations in orthodontic treatment.
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institution Kabale University
issn 1475-925X
language English
publishDate 2025-01-01
publisher BMC
record_format Article
series BioMedical Engineering OnLine
spelling doaj-art-c6b396371ae14761b860cf5e3ddc90bd2025-01-19T12:33:11ZengBMCBioMedical Engineering OnLine1475-925X2025-01-0124111110.1186/s12938-025-01329-0Accuracy evaluation and clinical realization of digital interproximal enamel reduction for orthodontics: a case studyJia You0Xiangyu Zhou1Xiaofan Xia2Jianxing Zhang3Yunfeng Liu4College of Mechanical Engineering, Zhejiang University of TechnologyCollege of Mechanical Engineering, Zhejiang University of TechnologyHangzhou 6D Dental Tech Co, Ltd.Department of Stomatology, Zhejiang HospitalCollege of Mechanical Engineering, Zhejiang University of TechnologyAbstract Objective This study presents a novel digital interproximal enamel reduction (IER) clinical procedure, aiming to improve the effectiveness of IER processes in orthodontic treatment. Methods A malocclusion case of skeletal-class I and angle-class I was selected for the experimental investigation. A three-dimensional (3D) model of the dentition was constructed using scanning data from a plaster model. The IER volume was measured by the overlay area of two neighboring crowns on the arranged virtual teeth. For the upper dentition, a guide plate was innovatively designed based on the original surface of the dentition and the calculated IER volume. The guide plate was fabricated using stereolithography 3D printing (SLA), and was successfully employed during the IER operation. For the lower dentition, the IER procedure was performed using the free-hand method, guided by the predesigned IER volume. Preoperative and postoperative 3D models of the dentition were compared to assess the accuracy of both IER methods. Results The standard deviation of upper dentition IER with guide plate was calculated as 0.13 mm, while that of lower dentition IER by freehand was 0.24 mm. Conclusion Through the integration of laser scanning, 3D reconstruction, virtual arrangement, guide plate design, and 3D printing, this study not only explores a novel digital IER method, but also demonstrates its clinical applicability. The findings provide compelling evidence of the method’s superior accuracy in clinical practice, offering a new approach for high-precision IER operations in orthodontic treatment.https://doi.org/10.1186/s12938-025-01329-0Digital interproximal enamel reductionIER guide plateOrthodonticsClinical experiment
spellingShingle Jia You
Xiangyu Zhou
Xiaofan Xia
Jianxing Zhang
Yunfeng Liu
Accuracy evaluation and clinical realization of digital interproximal enamel reduction for orthodontics: a case study
BioMedical Engineering OnLine
Digital interproximal enamel reduction
IER guide plate
Orthodontics
Clinical experiment
title Accuracy evaluation and clinical realization of digital interproximal enamel reduction for orthodontics: a case study
title_full Accuracy evaluation and clinical realization of digital interproximal enamel reduction for orthodontics: a case study
title_fullStr Accuracy evaluation and clinical realization of digital interproximal enamel reduction for orthodontics: a case study
title_full_unstemmed Accuracy evaluation and clinical realization of digital interproximal enamel reduction for orthodontics: a case study
title_short Accuracy evaluation and clinical realization of digital interproximal enamel reduction for orthodontics: a case study
title_sort accuracy evaluation and clinical realization of digital interproximal enamel reduction for orthodontics a case study
topic Digital interproximal enamel reduction
IER guide plate
Orthodontics
Clinical experiment
url https://doi.org/10.1186/s12938-025-01329-0
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AT xiaofanxia accuracyevaluationandclinicalrealizationofdigitalinterproximalenamelreductionfororthodonticsacasestudy
AT jianxingzhang accuracyevaluationandclinicalrealizationofdigitalinterproximalenamelreductionfororthodonticsacasestudy
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