Feasibility of occlusal plane in predicting the changes in anteroposterior mandibular position: a comprehensive analysis using deep learning-based three-dimensional models

Abstract Background A comprehensive analysis of the occlusal plane (OP) inclination in predicting anteroposterior mandibular position (APMP) changes is still lacking. This study aimed to analyse the relationships between inclinations of different OPs and APMP metrics and explore the feasibility of O...

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Main Authors: Bingran Du, Kaichen Li, Zhiling Shen, Yihang Cheng, Jiayan Yu, Yaopeng Pan, Ziyan Huang, Fei Hu, Xiaohui Rausch-Fan, Yuanpeng Zhu, Xueyang Zhang
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Oral Health
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Online Access:https://doi.org/10.1186/s12903-024-05345-9
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author Bingran Du
Kaichen Li
Zhiling Shen
Yihang Cheng
Jiayan Yu
Yaopeng Pan
Ziyan Huang
Fei Hu
Xiaohui Rausch-Fan
Yuanpeng Zhu
Xueyang Zhang
author_facet Bingran Du
Kaichen Li
Zhiling Shen
Yihang Cheng
Jiayan Yu
Yaopeng Pan
Ziyan Huang
Fei Hu
Xiaohui Rausch-Fan
Yuanpeng Zhu
Xueyang Zhang
author_sort Bingran Du
collection DOAJ
description Abstract Background A comprehensive analysis of the occlusal plane (OP) inclination in predicting anteroposterior mandibular position (APMP) changes is still lacking. This study aimed to analyse the relationships between inclinations of different OPs and APMP metrics and explore the feasibility of OP inclination in predicting changes in APMP. Methods Overall, 115 three-dimensional (3D) models were reconstructed using deep learning-based cone-beam computed tomography (CBCT) segmentation, and their accuracy in supporting cusps was compared with that of intraoral scanning models. The anatomical landmarks of seven OPs and three APMP metrics were identified, and their values were measured on the sagittal reference plane. The receiver operating characteristic curves of inclinations of seven OPs in distinguishing different anteroposterior skeletal patterns and correlations between inclinations of these OPs and APMP metrics were calculated and compared. For the OP inclination with the highest area under the curve (AUC) values and correlation coefficients, the regression models between this OP inclination and APMP metrics were further calculated. Results The deviations in supporting cusps between deep learning-based and intraoral scanning models were < 0.300 mm. The improved functional OP (IFOP) inclination could distinguish different skeletal classification determinations (AUC Class I VS Class II = 0.693, AUC Class I VS Class III = 0.763, AUC Class II VS Class III = 0.899, all P values < 0.01) and the AUC value in skeletal Classes II and III determination was statistically higher than the inclinations of other OPs (all P values < 0.01). Moreover, the IFOP inclination showed statistical correlations with APMP metrics (r APDI = -0.557, r ANB = 0.543, r AF−BF = 0.731, all P values < 0.001) and had the highest correlation coefficients among all OP inclinations (all P values < 0.05). The regression analysis models of IFOP inclination and APMP metrics were yAPDI = -0.917x + 91.144, yANB = 0.395x + 0.292, and yAF−BF = 0.738x − 2.331. Conclusions Constructing the OP using deep learning-based 3D models from CBCT data is feasible. IFOP inclination could be used in predicting the APMP changes. A steeper IFOP inclination corresponded to a more retrognathic mandibular posture.
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spelling doaj-art-6de1aaeb39da48b9a32ae40e1134c85b2025-01-12T12:42:03ZengBMCBMC Oral Health1472-68312025-01-0125111010.1186/s12903-024-05345-9Feasibility of occlusal plane in predicting the changes in anteroposterior mandibular position: a comprehensive analysis using deep learning-based three-dimensional modelsBingran Du0Kaichen Li1Zhiling Shen2Yihang Cheng3Jiayan Yu4Yaopeng Pan5Ziyan Huang6Fei Hu7Xiaohui Rausch-Fan8Yuanpeng Zhu9Xueyang Zhang10Department of Stomatology, Shunde Hospital, Southern Medical University (The First People’s Hospital of Shunde, Foshan)School of Mathematics, South China University of TechnologyStomatological Hospital, School of Stomatology, Southern Medical UniversityStomatological Hospital, School of Stomatology, Southern Medical UniversityStomatological Hospital, School of Stomatology, Southern Medical UniversityDepartment of Stomatology, Shunde Hospital, Southern Medical University (The First People’s Hospital of Shunde, Foshan)Stomatological Hospital, School of Stomatology, Southern Medical UniversityStomatological Hospital, School of Stomatology, Southern Medical UniversityCenter of Clinic Research, Division of Conservative Dentistry and Periodontology, University Dental Clinic, Medical University ViennaSchool of Mathematics, South China University of TechnologyDepartment of Stomatology, Shunde Hospital, Southern Medical University (The First People’s Hospital of Shunde, Foshan)Abstract Background A comprehensive analysis of the occlusal plane (OP) inclination in predicting anteroposterior mandibular position (APMP) changes is still lacking. This study aimed to analyse the relationships between inclinations of different OPs and APMP metrics and explore the feasibility of OP inclination in predicting changes in APMP. Methods Overall, 115 three-dimensional (3D) models were reconstructed using deep learning-based cone-beam computed tomography (CBCT) segmentation, and their accuracy in supporting cusps was compared with that of intraoral scanning models. The anatomical landmarks of seven OPs and three APMP metrics were identified, and their values were measured on the sagittal reference plane. The receiver operating characteristic curves of inclinations of seven OPs in distinguishing different anteroposterior skeletal patterns and correlations between inclinations of these OPs and APMP metrics were calculated and compared. For the OP inclination with the highest area under the curve (AUC) values and correlation coefficients, the regression models between this OP inclination and APMP metrics were further calculated. Results The deviations in supporting cusps between deep learning-based and intraoral scanning models were < 0.300 mm. The improved functional OP (IFOP) inclination could distinguish different skeletal classification determinations (AUC Class I VS Class II = 0.693, AUC Class I VS Class III = 0.763, AUC Class II VS Class III = 0.899, all P values < 0.01) and the AUC value in skeletal Classes II and III determination was statistically higher than the inclinations of other OPs (all P values < 0.01). Moreover, the IFOP inclination showed statistical correlations with APMP metrics (r APDI = -0.557, r ANB = 0.543, r AF−BF = 0.731, all P values < 0.001) and had the highest correlation coefficients among all OP inclinations (all P values < 0.05). The regression analysis models of IFOP inclination and APMP metrics were yAPDI = -0.917x + 91.144, yANB = 0.395x + 0.292, and yAF−BF = 0.738x − 2.331. Conclusions Constructing the OP using deep learning-based 3D models from CBCT data is feasible. IFOP inclination could be used in predicting the APMP changes. A steeper IFOP inclination corresponded to a more retrognathic mandibular posture.https://doi.org/10.1186/s12903-024-05345-9Deep learningOcclusal planeAnteroposterior mandibular position
spellingShingle Bingran Du
Kaichen Li
Zhiling Shen
Yihang Cheng
Jiayan Yu
Yaopeng Pan
Ziyan Huang
Fei Hu
Xiaohui Rausch-Fan
Yuanpeng Zhu
Xueyang Zhang
Feasibility of occlusal plane in predicting the changes in anteroposterior mandibular position: a comprehensive analysis using deep learning-based three-dimensional models
BMC Oral Health
Deep learning
Occlusal plane
Anteroposterior mandibular position
title Feasibility of occlusal plane in predicting the changes in anteroposterior mandibular position: a comprehensive analysis using deep learning-based three-dimensional models
title_full Feasibility of occlusal plane in predicting the changes in anteroposterior mandibular position: a comprehensive analysis using deep learning-based three-dimensional models
title_fullStr Feasibility of occlusal plane in predicting the changes in anteroposterior mandibular position: a comprehensive analysis using deep learning-based three-dimensional models
title_full_unstemmed Feasibility of occlusal plane in predicting the changes in anteroposterior mandibular position: a comprehensive analysis using deep learning-based three-dimensional models
title_short Feasibility of occlusal plane in predicting the changes in anteroposterior mandibular position: a comprehensive analysis using deep learning-based three-dimensional models
title_sort feasibility of occlusal plane in predicting the changes in anteroposterior mandibular position a comprehensive analysis using deep learning based three dimensional models
topic Deep learning
Occlusal plane
Anteroposterior mandibular position
url https://doi.org/10.1186/s12903-024-05345-9
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