Dimensional Measurement Accuracy Of 3-Dimensional Models From Cone Beam Computed Tomography Using Different Voxel Sizes

Objectives. To compare the geometric accuracy and measurement reliability of 3-dimensional (3D) reconstructed models of the mandible created from cone beam computed tomography (CBCT) images obtained with 0.2-mm and 0.4-mm voxel sizes with the reference standard model and compare the accuracy of the CBCT-based models to each other.Study design. The reference standard 3D model of a dry human mandible was obtained using a white light scanner. The mandible was scanned with CBCT 10 times at each voxel size. The models created from the CBCT data were compared with the reference standard by using a point-based rigid registration algorithm where the distance differences between the superimposed CBCT models and the reference standard model were recorded. The measurements derived from the 2 CBCT-based scans were also compared.Results. Mean deviations from the reference standard for 0.2-mm and 0.4-mm voxel scans were 0.4342 mm and 0.4580 mm, respectively (P >= .16). The CBCT scans with both 0.2-mm and 0.4-mm voxels produced good measurement reliability and did not significantly differ from each other (P >= .20).Conclusions. CBCT scans with 0.2-mm and 0.4-mm voxel sizes delivered similarly accurate models. Larger voxels can be used to minimize radiation exposure.