Coordinate geometry method for capturing and evaluating crown preparation geometry

J Prosthet Dent. 2014 Sep;112(3):481-7. doi: 10.1016/j.prosdent.2013.11.012. Epub 2014 Mar 24.

Abstract

Statement of problem: A validated universal method requiring no human input is needed to capture and evaluate preparation geometries in a manner that can be used to see the correlation of different parameters.

Purpose: The purpose of this study was to present a method of capturing and evaluating crown preparation geometry.

Material and methods: One manually machined acrylic resin block and 9 randomly selected preparations for ceramic complete crowns prepared by general dentists were selected and prepared. The specimens were scanned (3D scanner; Nobel Biocare), and buccolingual and mesiodistal cross section images were collected. The images were imported into digitizing software (Engauge Digitizer 4.1) to convert the outlines into x and y coordinates. Six points were chosen by using a set of algorithms, and the resulting parameters were calculated.

Results: The acrylic resin block was milled with a 12 degree total occlusal convergence (TOC) instrument producing a 12.83 degree TOC. For the other specimens, average TOC values ranged from 18 degrees to 52 degrees. The mean average margin width was 0.70 mm, and the mean average base dimension was 6.23 mm. The surface area/volume ratio, resistance length, and limiting taper were also calculated.

Conclusions: The method described provides a basis for accurately evaluating preparation geometry without human input.

MeSH terms

  • Algorithms
  • Bicuspid / anatomy & histology
  • Computer-Aided Design*
  • Crowns*
  • Cuspid / anatomy & histology
  • Dental Prosthesis Retention
  • Humans
  • Incisor / anatomy & histology
  • Molar / anatomy & histology
  • Odontometry / statistics & numerical data
  • Software
  • Tooth Cervix / anatomy & histology
  • Tooth Crown / anatomy & histology
  • Tooth Preparation, Prosthodontic / statistics & numerical data*