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The International Archives of the Photogrammetry, Remote Sensing and Spatial Information Sciences. Vol. XXXVII. Part B5. Beijing 2008
After the described procedure a dentist has teeth arches 3D
models installed in a position according given occlusion, so he
can perform all necessary investigations of the occlusion which
he needs. A dentist can observe and study relations of opposite
occlusion surfaces in different positions. In order to achieve
correct spatial placement of sections, each pair of opposite
dental arches was oriented with respect to a given plane in a
manner similar to their position in an adjustable articulator - a
device to which dental arch models can be attached according
to their position in the scull and which is used in occlusion
studies and prosthesis construction.
As a further step, it is possible to carry out tooth preparation on
plaster casts and to obtain 3D model of prepared teeth for
treatment planning. The 3D model of prepared teeth is also
placed on it real position applying the developed technique.
Later, the 3D model of constructed prostheses for the prepared
teeth is obtained and combined with the dental arch 3D models.
3.2 Separate tooth registration procedure
Prosthetic dentistry is aimed at restoring the structure and the
function of human dentition. It uses simulation and
reproduction of natural features of human dentition for
prosthesis manufacturing. For the purpose of the research some
individuals with intact chewing teeth is selected. Silicone
impressions of their dental arches are made for getting plaster
casts; silicone records of different occlusal positions are made
for positioning plaster casts; facial bow registrations are
performed for mounting plaster casts on an articulator.
After performing tooth preparation on plaster casts restorations
are designed on them. In order to obtain the required sections,
precise 3D models of dental arches are obtained using plaster
casts. Consequently, two opposite 3D dental arch models (upper
and lower) are oriented in three positions (centric, one right and
one left lateral) determined by silicone occlusal position
registrations (Fig 5). Thus it is possible to observe and study
relations of opposite occlusal surfaces in different positions.
Figure 7. Separate tooth positioning
In order to achieve correct spatial placement of sections, each
pair of opposite dental arches is oriented with respect to a given
plane in a manner similar to their position in an adjustable
articulator - a device to which dental arch models can be
attached according to their position in the skull and which is
used in occlusion studies and prosthesis construction. Spatial
orientation of 3D models is carried out with the help of
reference points on one of the parts of the articulator. As a
further step, tooth preparation is carried out on plaster casts and
3D model of prepared teeth is obtained (Fig 7).
Then the 3D models of the dental arch with those of the
prepared teeth are matched. As a result the 3D models are
spatially oriented in a correct manner. Each of these models
consisted of one upper dental arch 3D model, three lower dental
arch 3D models (showing three different occlusion positions)
and 3D models of prepared teeth (typically two or four prepared
teeth). Prostheses were constructed for the prepared teeth at a
later stage and their 3D models were obtained and combined
with the dental arch 3D models.
3.3 Face - teeth arch 3D models positioning
The next step needed for visualization and documentation of
treatment planning and results is to setup teeth arch 3D models
in proper position relatively patient face 3D model. For this task
solving a special reference object is required because teeth
arches of a patient could not be seen enough even when wide
smiling.
A dentistry tool for making silicon impression of teeth arches is
slightly modified for this purpose by adding a special silicon
reference surface on its front (Figure 8.). This reference surface
has spatial features for its identifying and matching in different
3D models.
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A
Figure 8. Patient with special reference object for upper teeth
arch position registration
For correct position of teeth arch 3D models relatively face 3D
model patient face 3D model is acquired in two conditions:
1) normal (smiling)
2) with the reference object in patient mouth (Figure 8.)
Then upper teeth arch plaster cast is also scanned in two
conditions: alone and with special reference object. Then
positioning procedure includes the following steps: