Precision of the virtual occlusal record

Keyan P. Botsford, Michael C. Frazier, Ahmed Ghoneima, Achint Utreja, Surya S. Bhamidipalli, Kelton T. Stewart

Research output: Contribution to journalArticle

1 Scopus citations


Objectives: To evaluate the precision of the virtual occlusal record using the Carestream CS3600 Intraoral Scanner (Carestream Dental, Atlanta, Ga). Materials and Methods: A total of 20 participants were recruited for this prospective study using preestablished inclusion/exclusion criteria. A complete intraoral scan and two bite registrations were obtained. The participants were instructed to bite with normal pressure when bite registrations were acquired. Contact locations, size (circumference), and intensity were identified on the maxillary first molars and canines. Agreement between contact size and intensity was assessed with intraclass correlation coefficients. Kappa statistics evaluated agreement in contact locations. Statistical significance was set at P, .05. Results: All participant data were included for statistical analysis. Between the two bite registrations, nonstatistically significant differences were observed in the proportion of locations with contacts (P ¼ .7681). A nonstatistically significant difference (-0.25 mm, P ¼ .8416) in mean contact circumference size was observed. A statistically significant difference in mean contact intensity was observed (P ¼ .0448). When evaluating agreement between the bite registrations, a weak correlation for size (intraclass correlation coefficient ¼ 0.35) and intensity (intraclass correlation coefficient ¼ 0.32) was observed as well as a moderate agreement for contact location (j coefficient ¼ 0.67). Conclusions: The findings suggest that the Carestream intraoral scanner software possesses adequate precision when acquiring the location and size of the contacts in bite registrations. The scanner failed to demonstrate adequate precision when acquiring contact intensities in bite registrations. Additional research is warranted to further investigate the precision of virtual occlusal records with currently available software systems.

Original languageEnglish (US)
Pages (from-to)751-757
Number of pages7
JournalAngle Orthodontist
Issue number5
StatePublished - Jan 1 2019


  • Bite registration
  • Intraoral scanner
  • Precision
  • Virtual occlusal record

ASJC Scopus subject areas

  • Orthodontics

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  • Cite this

    Botsford, K. P., Frazier, M. C., Ghoneima, A., Utreja, A., Bhamidipalli, S. S., & Stewart, K. T. (2019). Precision of the virtual occlusal record. Angle Orthodontist, 89(5), 751-757.