Fig.
Rapid palatal expansion appliance
The aim of this work is to assess the volumetric
variations relative to the palate after the active phase
of rapid expansion and after constriction, six months
after the removal of the appliance.
So it's a matter of carrying out a comparative study of
the variations of the set of teeth in three different
moments, employing plaster casts (or other material)
taken after each phase of the treatment using a
tecnique that allows the maximum limitation of the
inaccuracies in the survey of the measurements.
Up to now the transversal diameter was measured by
means of calipers while plaster casts were put in
occlusion to estimate the expansion of both dental
arches. From here aroused the search for a method of
tridimensional surveying that could allow a more
accurate and reliable metrical analysis.
As a matter of fact, the analytical photogrammetry,
starting from two castings, allows the creation of a
"model" of the object that has the characteristic of
being the same as the object and from which all the
measurements of the distance and of the level
differences between all visible points can be carried
out.
The points are obtained from the onward intersection,
carried out from two points called "projection centres"
of a pair of homologous radii relative to the same
detail seen on two different photograms.
The production of the model and its insertion in a
complete reference system, whose information are
obtained through topographical operations, can be
realized through two operations of relative and
absolute orientation from which it is possible to
calculate the tridimensional values (x, y, Z) of each
point of the model.
One of the first problems brought about by this kind of
study is represented precisely by the possibility of
making the three different takings of the casts
comparable through the creation of just one reference
system and through the possibility of finding a
method that starting from various points taken from
objects with uneven shapes and no directly
recognizable element allows a highly precise
evaluation and the comparison of the deformations.
It is necessary to underline anyway that the choise of
photogrammetry doesn't depend exclusively on the
advantages connected with the higher precision of the
measurements, but also on the amount of
information it provides, that enable the specialists to
produce estimates which are undoubtedly more
accurate (Vozikis, 1985).
2. DATA ACQUISITION
The study, then, was about six plaster casts
respectively: three for the upper arch and three for the
lower one, corresponing to the three different phases
of the treatment. In particular they correspond to: 1)
Pair C (upper arch cast n° 6 and lower arch cast n° 5)
before the expansion orthopedical treatment; 2) Pair B
(upper arch cast n° 4 and lower arch cast n° 3) after the
three month expansion and contention; 3) Pair A
(upper arch cast n° 1 and lower arch cast n° 2) after six
months from the removal of the appliance.
For the stereoscopical photographs the casts have been
fixed to a bar placed inside a "cage" metrically
predetermined using 40 points that allowed to carry
out all the orientation operations of the casts making
them homogeneous between them.
The photographs have been taken with a metric
camera terrestrial model WILD P31 with a focal lengh
of 99.24 mm at a distance of 1.00 m from the object for
the photographs 1-2 relative to the left side of the casts
and for the 5-6 photographs relative to the right side,
and of 1.70 m for the photographs 3-4 relative to the
front view for an overall of 6 photographs (3 models)
(fig.2).
3. DATA PROCESSING
Eventually a restitution of each cast was got under way
separately so to get to the representation in scale 1:1 of
the cast's morfology seen frontally and from both sides
of a series of orizontal and vertical profiles each 2 mm
(figg.3-4-5-6). The appliance used for the restitution is
an analytical system of the WILD BC1 whose data have
been subsequently turned in the .DXF size of AutoCad
to allow further processing of tridimensional
representation and modelling.
From the restitution protocols it is already possible to
define within which endurance margins our analysis
was carried out with respect to the prepared survey
conditions.
From the table relative to the absolute orientations of
the three models with respect to the points of the cage,
appeared precisions in the three co-ordinates on an
average of about 8 tenths of a millimetre (tab.1).
The estimated taking conditions permitted to carry out
directly on the stereoscopical models controls on the
tridimensional changes of the palate with respect to
the three phases of the therapy, choosing some
elements of the set of teeth clearly identifiable and
comparable between them in the different casts (tab.2).