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KMID : 1024020200500010015
Imaging Science in Dentistry
2020 Volume.50 No. 1 p.15 ~ p.22
Accuracy and reliability of 2-dimensional photography versus 3-dimensional soft tissue imaging
Ayaz Irem

Shaheen Eman
Aly Medhat
Shujaat Sohaib
Gallo Giulia
Coucke Wim
Politis Constantinus
Jacobs Reinhilde
Abstract
Purpose: This study was conducted to objectively and subjectively compare the accuracy and reliability of 2-dimensional (2D) photography and 3-dimensional (3D) soft tissue imaging.

Materials and Methods: Facial images of 50 volunteers (25 males, 25 females) were captured with a Nikon D800 2D camera (Nikon Corporation, Tokyo, Japan), 3D stereophotogrammetry (SPG), and laser scanning (LS). All subjects were imaged in a relaxed, closed-mouth position with a normal smile. The 2D images were then exported to Mirror¢ç Software (Canfield Scientific, Inc, NJ, USA) and the 3D images into Proplan CMF¢ç software (version 2.1, Materialise HQ, Leuven, Belgium) for further evaluation. For an objective evaluation, 2 observers identified soft tissue landmarks and performed linear measurements on subjects' faces (direct measurements) and both linear and angular measurements on all images (indirect measurements). For a qualitative analysis, 10 dental observers and an expert in facial imaging (subjective gold standard) completed a questionnaire regarding facial characteristics. The reliability of the quantitative data was evaluated using intraclass correlation coefficients, whereas the Fleiss kappa was calculated for qualitative data.

Results: Linear and angular measurements carried out on 2D and 3D images showed excellent inter-observer and intra-observer reliability. The 2D photographs displayed the highest combined total error for linear measurements. SPG performed better than LS, with borderline significance (P=0.052). The qualitative assessment showed no significant differences among the 2D and 3D imaging modalities.

Conclusion: SPG was found to a reliable and accurate tool for the morphological evaluation of soft tissue in comparison to 2D imaging and laser scanning.
KEYWORD
Photogrammetry, Three-dimensional imaging, Facial expression, Anthropometry
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