The Validity of In Vivo Tooth Volume Determinations From Cone-Beam Computed Tomography

Objective: To determine the accuracy of volumetric analysis of teeth in vivo using cone-beam computed tomography (CBCT). Materials and Methods: The physical volume (Vw) of 24 bicuspids extracted for orthodontic purposes (16 were imaged with the I-CAT and 8 with the CB MercuRay) were determined using the water displacement technique. Corresponding pretreatment CBCT image data were uploaded into Amira 4.0 for segmentation and radiographic volume (Va). All measurements were performed twice by two observers. The statistical difference between Vw and Va was assessed using a paired Hest. The intraobserver and interobserver reliability were determined by calculating Pearson correlation coefficients and intraclass correlation coefficients. Results: The overall mean Vw of teeth specimens was 0.553 +/- 0.082 cm(3), while the overall mean Va was 0.548 +/- 0.079 cm(3) (0.529 +/- 0.078 cm(3) for observer 1 and 0.567 +/- 0.085 cm(3) for observer 2). There were statistically significant differences between Va and Vw (P < .05). Between observer 1 and observer 2, Va measurements were statistically significantly different (P < .05). The interobserver and intraobserver correlation coefficient for Vw was high. Lastly, surface smoothing reduced the volume by 3% to 12%. Conclusions: In vivo determination of tooth volumes from CBCT data is feasible. The measurements slightly deviate from the physical volumes within -4% to 7%. Smoothing operations reduce volume measurements. Currently, no requirements for accuracy of volumetric determinations of tooth volume have been established. (Angle Orthod. 2010;80:160-166.)