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Original Research

Open Access

Using Superimposition of 3-Dimensional Cone-Beam Computed Tomography Images with Surface-Based Registration in Growing Patients

  • Kiyoshi Tai1
  • Jae Hyun Park2,*,
  • Katsuaki Mishima1
  • Hitoshi Hotokezaka3

1Department of Oral and Maxillofacial Reconstructive Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, and Private Practice of Orthodontics, Okayama, Japan

2Postgraduate Orthodontic Program, Arizona School of Dentistry & Oral Health, A. T. Still University, Mesa, AZ and International Scholar, the Graduate School of Dentistry, Kyung Hee University, Seoul, Korea

3Department of Orthodontics and Dentofacial Orthopedics, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan

DOI: 10.17796/jcpd.34.4.w8n6321878105431 Vol.34,Issue 4,July 2010 pp.361-368

Published: 01 July 2010

*Corresponding Author(s): Jae Hyun Park E-mail:


Objective: The purpose of this research was to evaluate a new method of superimposing detailed cone-beam computed tomography (CBCT) images. Materials and Methods: This study used 5 different software programs to transform the digital imaging and communication in medicine (DICOM) data from CBCT image into polygon data. The data conversion errors from different software programs were verified by the polyacetal ball test and the dry skull test. The iterative closest point (ICP) method was used for precise superimposition. To evaluate changes related to growth, three different domains were superimposed in order to investigate appropriate areas for evaluation by the ICP method. Results: The ICP method in the cranial base(excluding the peripheral zone) was indicated as the most reliable surface in this research. There were no measurement errors in converting the image data between software programs. Conclusion: The ICP method in the cranial base (excluding the peripheral zone) is one of the most accurate methods for superimposition when the mandibular rotation or displacement has not occurred during growth or treatment. This 3-dimesional(3D) superimposition technique can be used for a valid and reproducible assessment of treatment outcomes for growing subjects. This method is considered to be of clinical value because of the manageability and 3D accuracy of the data comparison with multi planar reconstruction (MPR) images.


Three-dimensional (3D) CBCT, superimposition, iterative closest point (ICP) method

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Kiyoshi Tai,Jae Hyun Park,Katsuaki Mishima,Hitoshi Hotokezaka. Using Superimposition of 3-Dimensional Cone-Beam Computed Tomography Images with Surface-Based Registration in Growing Patients. Journal of Clinical Pediatric Dentistry. 2010. 34(4);361-368.


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