Accuracy of a computed tomography scanning procedure to manufacture digital models

Introduction Accurate articulation of the digital dental casts is crucial in orthodontic diagnosis and treatment planning. We aimed to determine the accuracy of manufacturing digital dental casts from computed tomography scanning of plaster casts regarding linear dimensions and interarch relationships and to test whether eventual differences in interarch relationships between plaster and digital casts would affect orthodontic diagnostics. Methods Plaster casts with the wax bites of 2 patients were used to create digital dental casts with a computed tomography scanner. This was repeated 4 times with a 1-week interval. Linear distances were measured on plaster and digital models twice by 2 observers. Next, the 4 digital models of each patient were scored twice by 5 observers for interarch variables. Results Digital vs plaster measurements showed high Pearson correlation coefficients (>0.954), whereas the mean difference was small (