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ISRN Dentistry
Volume 2012 (2012), Article ID 949086, 6 pages
Research Article

Integration of Digital Dental Casts in Cone-Beam Computed Tomography Scans

1Department of Orthodontics and Craniofacial Biology, Radboud University Nijmegen Medical Centre, 309 Dentistry, P.O. Box 9101, 6500 HB Nijmegen, The Netherlands
2Department of Oral and Craniomaxillofacial Surgery, Radboud University Nijmegen Medical Centre, Postal Number 590, P.O. Box 9101, 6500 HB Nijmegen, The Netherlands

Received 12 June 2012; Accepted 30 August 2012

Academic Editors: M. Behr and S.-C. Choi

Copyright © 2012 Frits A. Rangel et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Cone-beam computed tomography (CBCT) is widely used in maxillofacial surgery. The CBCT image of the dental arches, however, is of insufficient quality to use in digital planning of orthognathic surgery. Several authors have described methods to integrate digital dental casts into CBCT scans, but all reported methods have drawbacks. The aim of this feasibility study is to present a new simplified method to integrate digital dental casts into CBCT scans. In a patient scheduled for orthognathic surgery, titanium markers were glued to the gingiva. Next, a CBCT scan and dental impressions were made. During the impression-taking procedure, the titanium markers were transferred to the impression. The impressions were scanned, and all CBCT datasets were exported in DICOM format. The two datasets were matched, and the dentition derived from the scanned impressions was transferred to the CBCT of the patient. After matching the two datasets, the average distance between the corresponding markers was 0.1 mm. This novel method allows for the integration of digital dental casts into CBCT scans, overcoming problems such as unwanted extra radiation exposure, distortion of soft tissues due to the use of bite jigs, and time-consuming digital data handling.