Orthodontic tooth movements are described as the differences between initial and final tooth positions. A computer based method for determination of tooth movements for different treatment methods was developed. A total of 20 casts of the upper jaw of patients treated with tooth positioners or fixed appliances were used as a basis for this study. Tooth movement was analysed on casts before (Ci) and after treatment (Cf). The casts were digitized either with a COMT or 3D laser scanning systems. After digitization, the models were superimposed in the palate by using a surface-surface matching algorithm. Tooth surfaces of the orthodontically moved teeth were segmented and determination of tooth movement was accomplished by matching the moved teeth from Ci to Cf. The resulting transformations delivered three dimensional information on translations and rotations. An accuracy of 0.2 mm in translations and 1 degree in rotations could be demonstrated, showing the different efficiency of treatment schemes.