TY - JOUR

T1 - Reproducibility of intraoral photography for pink and white tissue assessment - Is it worth the hassle?

AU - Bertl, Kristina

AU - Bertl, Michael H

AU - Gotfredsen, Klaus

AU - Heimel, Patrick

AU - Lettner, Stefan

AU - Bertl, Wolfgang

AU - Stavropoulos, Andreas

N1 - Copyright © 2019 Japan Prosthodontic Society. Published by Elsevier Ltd. All rights reserved.

PY - 2019

Y1 - 2019

N2 - PURPOSE: To assess the effect of the shooting angle variation on linear and planimetric measurements of the pink and white tissues on intraoral photographs.METHODS: From intraoral three-dimensional (3D) scans of the anterior region in 10 patients, ninety-nine two-dimensional (2D) "scan pictures" each were generated with different shooting angles, each varying in 5° horizontal and vertical increments. Eleven intraoral photographs of each patient and tooth site were taken free-hand: one shot at baseline and 5 shots after 3 and 6 months at slightly varying shooting angles. Papilla height (PH) and area (PA) and tooth crown area (TCA) were estimated on all photographs; the "best-match-to-baseline" photograph from those taken at 3 and 6 months was chosen by 6 evaluators.RESULTS: Within the first 10° of deviation from the baseline shooting angle, measurements on the 2D "scan pictures" distorted ≤0.5 mm for PH and ≤10% for PA and TCA. Compared to baseline, only 6 out of 100 photographs presented ≥0.5 mm difference in PH, none of the TCA measurements showed distortion ≥10%, and only in 4 instances a ≥10% distortion of the PA was observed. Poor to moderate inter- and intra-rater agreement in choosing the "best-match-to-baseline" photograph was found, but photographs with clinically relevant changes were only seldomly chosen.CONCLUSIONS: Deviations in the shooting angle ≤10° from the baseline shot cause clinically negligible distortions in linear and planimetric measurements. Highly comparable intraoral photographs of the anterior maxillary teeth can be captured "free-hand" in slightly varying perspective, and then selecting the "best-match-to-baseline".

AB - PURPOSE: To assess the effect of the shooting angle variation on linear and planimetric measurements of the pink and white tissues on intraoral photographs.METHODS: From intraoral three-dimensional (3D) scans of the anterior region in 10 patients, ninety-nine two-dimensional (2D) "scan pictures" each were generated with different shooting angles, each varying in 5° horizontal and vertical increments. Eleven intraoral photographs of each patient and tooth site were taken free-hand: one shot at baseline and 5 shots after 3 and 6 months at slightly varying shooting angles. Papilla height (PH) and area (PA) and tooth crown area (TCA) were estimated on all photographs; the "best-match-to-baseline" photograph from those taken at 3 and 6 months was chosen by 6 evaluators.RESULTS: Within the first 10° of deviation from the baseline shooting angle, measurements on the 2D "scan pictures" distorted ≤0.5 mm for PH and ≤10% for PA and TCA. Compared to baseline, only 6 out of 100 photographs presented ≥0.5 mm difference in PH, none of the TCA measurements showed distortion ≥10%, and only in 4 instances a ≥10% distortion of the PA was observed. Poor to moderate inter- and intra-rater agreement in choosing the "best-match-to-baseline" photograph was found, but photographs with clinically relevant changes were only seldomly chosen.CONCLUSIONS: Deviations in the shooting angle ≤10° from the baseline shot cause clinically negligible distortions in linear and planimetric measurements. Highly comparable intraoral photographs of the anterior maxillary teeth can be captured "free-hand" in slightly varying perspective, and then selecting the "best-match-to-baseline".

U2 - 10.1016/j.jpor.2019.04.001

DO - 10.1016/j.jpor.2019.04.001

M3 - Journal article

C2 - 31053442

VL - 63

SP - 404

EP - 410

JO - Journal of Prosthodontic Research

JF - Journal of Prosthodontic Research

SN - 1883-1958

IS - 4

ER -