Introduction: We have been studying the effectiveness of the intraoral scanner (
IOS
) as a tool for dental health guidance. We have confirmed the possibility of scanning the gingiva with high precision and of capturing gingival changes quantitatively and visually by aligning the scan data. In the present study, we investigated whether the shape changes of marginal gingiva generated experimentally by inserting a gingival retraction cord into the gingival sulcus could be quantified and visualized by using
IOS
recording. In addition, we also studied the improvement of accuracy by alignment method. In other words, the objective of this study was to quantify and visualize the clinical shape changes of the gingiva with high precision by
IOS
, and to connect them to clinical applications.
Subjects and methods: The subjects were three faculty members of the Faculty of Health Sciences, Osaka Dental University. First, the oral cavity was scanned three times repeatedly. Then, gingival retraction cords were inserted into the gingival sulcus of four teeth, two in the maxilla and two in the mandible, for each study subject. The data was saved for
IOS
and as exported data in Standard Triangulated Language (STL) format. The STL data before and after gingival retraction were compared using three-dimensional inspection software.
Results: In the prealignment, which is the aligning of the scanned whole before and after gingival retraction, the deviation on the tooth surface was within ±0.5 mm in the interquartile range (IQR) for most of the measurement points. The deviation on the gingiva was slightly more variable than that on the tooth surface. For the local best-fit alignment on all tooth surfaces, the deviation on the tooth surface was smaller and less varied than that for the prealignment. On the other hand, the deviation at the gingiva in the local best-fit alignment on all tooth surfaces was larger and more varied than that in the prealignment. As for marginal gingival changes, 97.7% had bulging marginal gingiva and 89.4% had depressed gingival sulcus in the prealignment. In the local best-fit alignment on all tooth surfaces, 98.1% had distended marginal gingiva and 89.4% had depressed gingival sulcus. In the local best-fit alignment on the gingival retracted tooth surface, 97.7% had bulging marginal gingiva and 88.4% had depressed gingival sulcus.
Conclusions: The following conclusions were drawn from these results: 1. There was little difference in quantification or visualization between prealignment, which optimally aligned both tooth and gingival surfaces, and alignment, which optimally aligned all tooth surfaces in the dentition. 2. Although there is an error in the scanning of the oral cavity by
IOS
, it is precise enough to be used for dental health guidance. 3. Intraoral scans by
IOS
allow quantification and visualization of gingival changes.
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