Reliability of Tooth Width Measurements Delivered by the Clin-Check Pro 6.0 Software on Digital Casts: A Cross-Sectional Study

Milagros Adobes Martin, Erica Lipani, Laura Bernes Martinez, Alfonso Alvarado Lorenzo, Riccardo Aiuto and Daniele Garcovich
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Milagros Adobes Martin: Department of Dentistry, Universidad Europea de Valencia, 46010 Valencia, Spain
Erica Lipani: Department of Dentistry, Universidad Europea de Valencia, 46010 Valencia, Spain
Laura Bernes Martinez: Department of Dentistry, Universidad Europea de Valencia, 46010 Valencia, Spain
Alfonso Alvarado Lorenzo: Department of Oral Surgery, Universidad de Salamanca, 37007 Salamanca, Spain
Riccardo Aiuto: Department of Biomedical, Surgical, and Dental Science, University of Milan, 20122 Milan, Italy
Daniele Garcovich: Department of Dentistry, Universidad Europea de Valencia, 46010 Valencia, Spain

IJERPH, 2022, vol. 19, issue 6, 1-12

Abstract: The purpose of this study was to assess the accuracy and reliability of tooth width measurements and Bolton Indices delivered by the Clin-Check Pro 6.0 software (Align Technology, San José, CA, USA). Fifty-four plaster casts were selected and measured with a manual calliper by a trained and calibrated observer. The data gathered were compared with those delivered by the software on the corresponding fifty-four virtual casts. The method reliability of the software was assessed by comparing the measurements performed by the software on 201 pairs of clin-checks corresponding to two consecutive treatment phases. Accuracy and reliability were statistically assessed using a mixed model. The software tends to provide larger widths compared with the manual method. Statistically significant differences were found in 23 teeth. At a global level, the mean difference between the methods was −0.19 mm, with a Dahlberg error of 0.24 mm and an intraclass correlation coefficient of 0.98. The Bolton Indices delivered by the two methods had a moderate correlation (ICC = 0.59; 0.69). The within method reliability of the software was extremely high. Tooth width measurements delivered by the software, despite the positive bias, can be considered accurate and clinically acceptable for all teeth except molars. The Bolton Indices made available by the software are not accurate and clinically acceptable, especially in the case of mandibular excess.

Keywords: orthodontic model analysis; measuring agreement; digital models; 3D diagnosis and treatment planning (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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