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1. Applications of Computers in Orthodontics
INDIAN DENTAL ACADEMY
Leader in continuing dental education
www.indiandentalacademy.com
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2. Applications of Computers in Orthodontics
Contents
1.
2.
3.
4.
5.
Introduction
History of Computer
Technology and Systems
Computer – Hardware
Computer – Software
History of Technology in
Orthodontics
6.
7.
Classification of Applications
Survey
8.
Results
9.
Summary
10. Bibliography
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Application of computers in orthodontics – Contents
sem1/sb/09-04
3. Computer
A computer is any device used to process
information according to a well-defined procedure
The word ‘Computer’ was originally used to
describe people employed to do arithmetic
calculations, with or without mechanical aids, but
was transferred to the machines
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Application of computers in orthodontics – Introduction
sem1/sb/09-04
4. Reason for computer technology system
Principally technology is used to solve
Input
Processing
Output
Communication problems
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Application of computers in orthodontics – Introduction
sem1/sb/09-04
5. History of Information Technology and Systems
Four Basic Periods of Information Technology
1.
2.
3.
4.
Pre mechanical
Mechanical
Electromechanical
Electronic
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Application of computers in orthodontics – History
sem1/sb/09-04
6. The Premechanical Age: 3000 B.C. - 1450 A.D. The
First Calculators: The Abacus
The First Information Processor
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Application of computers in orthodontics – History
sem1/sb/09-04
7. Charles Babbage - Eccentric English Mathematician
1792-1871
The Difference Engine
The Analytical Engine
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Application of computers in orthodontics – History
sem1/sb/09-04
8. The Electromechanical Age: 1840 - 1940.
•The discovery of ways to harness electricity by
Benjamin Franklin was the key advance made during
this period.
•Information could now be converted into electrical
impulses.
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Application of computers in orthodontics – History
sem1/sb/09-04
9. Alan Mathison Turing
Father of Modern Computer Science
Concept of algorithm and
computation: the Turing
machine
British mathematician
and cryptographer
Designed one of the
FIRST electronic
programmable digital
computers
THE COLOSSUS
"Can machines think?"
1954 1912
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Application of computers in orthodontics – History
sem1/sb/09-04
10. The Electronic Age: 1940 - Present
The Four Generations of Digital Computing
•
•
•
•
The First Generation (1951-1958) Punch Cards
The Second Generation (1959-1963) Transistors
The Third Generation (1964-1979) Integrated Circuits
The Fourth Generation (1979-Present) VLSIC
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Application of computers in orthodontics – Recent past
sem1/sb/09-04
11. The Fourth Generation (1979-present)
1.
2.
3.
4.
CPU = Central Processing Unit
Personal computers or PCs
IBM
- 1981
Apple Mac - 1984
MS-DOS
Graphical User Interfaces
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Application of computers in orthodontics – Present
sem1/sb/09-04
12. Know Your Computer
Hardware
Input Devices
Central Processing Unit
Memory
Output Devices
Peripherals
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Application of computers in orthodontics – Hardware
sem1/sb/09-04
13. Know Your Computer
Hardware
Let us see how does our computer ‘Boot Up’
Switch >
Power >
Power Good Signal >
Mother board Ready >
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Application of computers in orthodontics – Hardware
sem1/sb/09-04
14. Know Your Computer
Hardware
B I O S (Basic input output device)
Involuntary function
E E PROM – Electronically Erasable Programmable
Read Only Memory
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Application of computers in orthodontics – Hardware
sem1/sb/09-04
15. Know Your Computer
Hardware
CMOS
Complimentary Metal Oxide Semiconductor
Stores the configuration of the hardware
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Application of computers in orthodontics – Hardware
sem1/sb/09-04
16. Know Your Computer
Hardware
Hard Disk first handshake protocol
Request for HD to Read Track 0 (System files of operating system)
Triggers startup of Operating System
OS is ready and Displayed on the screen
OS is ready to run any software
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Application of computers in orthodontics – Hardware
sem1/sb/09-04
17. Know Your Computer
Software
• All the Operating Systems are stored in the Hard Disk
• All Data is stored in a Hexadecimal Code
• Program Files are stored in Alphanumeric formats:
- Executable file .exe
- Movies .dat
- AutoCAD .dwg
- Corel Draw .cdr
- System Files .sys
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Application of computers in orthodontics – Software
sem1/sb/09-04
18. Know Your Computer
Software
• Earlier with OS like DOS most
applications were Text based
• Graphics were available but difficult to
work and No Real Time images
• WYSIWYG
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Application of computers in orthodontics – Software
sem1/sb/09-04
19. Know Your Computer
Software
•Today Graphics have developed to such a extent that real time
images are created on the screen
•Advent of Digital peripherals and Data Acquisition Systems
has opened the use age of computers in the field of
Orthodontics
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Application of computers in orthodontics – Software
sem1/sb/09-04
21. Academic Applications
Administration
•THE "PAPERLESS PRACTICE"
Charles A. Lewis
1991- To optimize efficiency
1994 - Hardware technology progressed to required
levels for the first orthodontic Paperless Practice to
begin operation in Florida
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Application of computers in orthodontics – Academic
sem1/sb/09-04
22. Academic Applications
Administration
Appeared unanimous that paperless operation is
cost effective, improves efficiency, and reduces
stress for patients, doctor, and staff.
Still then, only we can ultimately decide whether
operating in paperless mode is right for our
practice
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Application of computers in orthodontics – Academic
sem1/sb/09-04
23. Computer Applications
• What is Graphic application?
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Application of computers in orthodontics – Clinical / Graphic / Image Archiving
sem1/sb/09-04
24. Clinical /Graphic Application
Graphics
Software applications that convey information Pictorially are called
Graphic applications
Visualized on the screen or VDU - CRT / LCD / Plasma Screen etc..
Important Terminology – Pixel, Bitmap, Gray Scale, Resolution,
Contrast, Density, Display, Enhancement, Quality…
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Application of computers in orthodontics – Clinical / Graphic / Image Archiving
sem1/sb/09-04
25. Clinical / Graphic / Research Application
What is a DIGITAL IMAGE?
DIGITAL IMAGES are
electronic snapshots taken of a
scene or scanned from
documents, such as
photographs, manuscripts,
printed texts, and artwork
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Application of computers in orthodontics – Clinical / Graphic / Image Archiving – Digital Image
sem1/sb/09-04
26. Clinical / Graphic / Research Application
• Digital Image
• Matrix of square pieces
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Application of computers in orthodontics – Clinical / Graphic / Image Archiving – Digital Image
sem1/sb/09-04
27. Clinical / Graphic / Research Application
Pixel Values
bitonality of image - each pixel is assigned a tonal value, in
this example
0 for black and
1 for white.
Each ‘0 and 1’ is called as – BIT
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Application of computers in orthodontics – Clinical / Graphic / Image Archiving – Digital Image
sem1/sb/09-04
28. Clinical / Graphic / Research Application
In a 2-bit image, there are four possible
combinations:
00, 01, 10, and 11
"00“ represents black
"11" represents white
"01" equals dark gray
"10" equals light gray
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Application of computers in orthodontics – Clinical / Graphic / Image Archiving – Digital Image
sem1/sb/09-04
29. Clinical / Graphic / Research Application
Two Compression Technique’s
i. Lossy compression
JPEG
JBIG/JBIG2
Wavelet
ImagePac
ii. Lossless compression
ITU-T.6**
JBIG/JBIG2
Wavelet
LZW
Deflate
TIFF 6.0
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Application of computers in orthodontics – Clinical / Graphic / Image Archiving – Digital Image
sem1/sb/09-04
30. Clinical / Graphic / Research Application
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Application of computers in orthodontics – Clinical / Graphic / Image Archiving – Digital Image
sem1/sb/09-04
31. Clinical / Graphic / Research Application
Image Quality
a) Spatial resolution
b) Optical density
c) Image display
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Application of computers in orthodontics – Clinical / Graphic / Image Archiving – Digital Image
sem1/sb/09-04
32. Clinical / Graphic / Research Application
Image Quality / Spatial summation
• Spatial Summation – It’s the ability to record and
differentiate separate images of small objects closely
placed
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Application of computers in orthodontics – Clinical / Graphic / Image Archiving – Digital Image
sem1/sb/09-04
33. Clinical / Graphic / Research Application
Optical Density
• Blackness or Whiteness
• Algorithm of the ratio of light incident to the light
transmitted by the film
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Application of computers in orthodontics – Clinical / Graphic / Image Archiving – Digital Image
sem1/sb/09-04
34. Clinical / Graphic / Research Application
Image Display
•
•
•
•
Controlled by Display monitor
No of Raster Images v/s Vector Images
625 lines used usually
2048 lines improves image quality tremendously
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Application of computers in orthodontics – Clinical / Graphic / Image Archiving – Digital Image
sem1/sb/09-04
35. Clinical / Graphic / Research Application
Dynamic Range
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Application of computers in orthodontics – Clinical / Graphic / Image Archiving – Digital Image
sem1/sb/09-04
36. Clinical / Graphic / Research Application
• Prerequisite for a digital camera
• CCD Silicon sensor preferred over a CMOS
sensor
• 4MP and above for a professional user
• Compression Ratio, Noise, Jaggies, Optical
zoom… issues to be seen
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Application of computers in orthodontics – Clinical / Graphic / Image Archiving – Digital Image
sem1/sb/09-04
37. Clinical / Graphic / Research Application
• Flash, Red eye reduction, Macro mode,
Video clip recording with audio, Voice
recording, MP3 playback and Web cam are
important features
• Optical view finder v/s LCD display
• Expandable memory supports cards like CF,
SD/MMC, xD or Memory stick
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Application of computers in orthodontics – Clinical / Graphic / Image Archiving – Digital Image
sem1/sb/09-04
38. Applications of Computers in Clinics
•
•
•
•
•
Conventional v/s Computerised Clinics
CT Scan
MRI
Digital Radiography - DENOPTIX
Cephalometric Analysis –
RMO’s Jiffy Orthodontic Evaluation
PorDios
DIGICEPH
DIGIGRAPH
• Computer aided Space Analysis
• Computer aided Tooth Width Analysis
• VTO/VTP
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Application of computers in orthodontics – Clinical / Graphic
sem1/sb/09-04
39. Clinical / Graphic Application
Conventional
•
•
•
•
•
•
•
•
Computerised
Case Paper
Impression & Diagnostic Casts
Radiographs
Manual Tracing
Cephalometric Analysis
Diagnostic Set-up
Treatment-Preformed System
Mid Term Evaluation
•
•
•
•
•
•
•
•
Data Sheet
3D Photography
RVG, Digital Radiography
Digitised Tracing
Advanced software's
VTO / VTP
Treatment-Customised
Continuous Monitoring
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Application of computers in orthodontics – Clinical / Graphic
sem1/sb/09-04
40. Clinical / Graphic Application
•Orthodontic correction and orthognathic surgery - a
routine procedure for the correction of facial and dental
deformity
•Pre-operative surgical planning is still a major
undertaking, requiring the collaboration
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Application of computers in orthodontics – Clinical / Graphic
sem1/sb/09-04
41. Clinical / Graphic / Research Application
•Inadequate planning, at this early stage can lead to an
increase incidence failure and lessens the likelihood of the
patients expectations being meet
•The most commonly used method of planning is to cut up
profile photographs - magnified to the same size as the
standardized lateral skull radiographs
•These are then superimposed over the cephalographs.
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Application of computers in orthodontics – Clinical / Graphic
sem1/sb/09-04
42. Clinical / Graphic / Research Application
• Radiographic and photographic registration and superimposition
are approximate because of the inherent distortion
• The image geometry of the camera that took the photograph and
the X-ray machine that took the radiograph are different
• The radiographic photographic superimposition is carried out
manually using the soft tissue profile and is subject to human error
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Application of computers in orthodontics – Clinical / Graphic
sem1/sb/09-04
43. Clinical / Graphic / Research Application
•Computer packages - have partially replaced the manual
method of simulating orthognathic and maxillofacial
operations
•A digital camera is used to capture the facial profile
•Skeletal and dental landmarks are digitized from the lateral
cephalograph and superimposed on the facial image
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Application of computers in orthodontics – Clinical / Graphic
sem1/sb/09-04
44. Clinical / Graphic / Research Application
•Bone-face registration - the surgeon can analyze the face and
plan the operation
•Main drawback - analysis and prediction of pre and post
operative appearance were limited to two dimensions
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Application of computers in orthodontics – Clinical / Graphic
sem1/sb/09-04
45. Clinical / Graphic / Research Application
•To address these problems a
truly 3D modality of planning
is required
• Obtaining a 3D image of the
underlying skeletal hard tissue is
routinely carried out using
• Computerized tomography (CT)
• Magnetic resonance imaging
(MRI)
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Application of computers in orthodontics – Clinical / Graphic
sem1/sb/09-04
46. Clinical / Graphic / Research Application
Many techniques for 3D soft tissue capture are available including
Biostereometrics
Moiré scanning
Morph analysis
Sterolithography
Laser scanning
Ultrasonography and
Direct digitization
Stereo photogrammetry
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Application of computers in orthodontics – Clinical / Graphic
sem1/sb/09-04
47. Clinical / Graphic / Research Application
Disadvantages
•Laser scanning takes along time to complete and eyes need to
be closed,
•Morphanalysis - extremely elaborate, expensive, complicated
and time consuming technique
•Ultrasonography is in its experimental stage and there are
major problems with data acquisition, reduction and storage
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Application of computers in orthodontics – Clinical / Graphic
sem1/sb/09-04
48. Clinical / Graphic / Research Application
•The most promising method of soft
tissue capture is stereo
photogrammetry
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Application of computers in orthodontics – Clinical / Graphic
sem1/sb/09-04
49. Clinical / Graphic / Research Application
• Computerised Tomography
• 1972 - Godfrey Hounsfield of EMI Lab England
• 1979 – First image of human body
• Sliced images are referred to as tomograms and a computer is
necessary to generate the pictures - Computed Tomography
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Application of computers in orthodontics – Clinical / Graphic
sem1/sb/09-04
50. Computerised Tomography
• Principle
An image of a layer within
the body is produced while
the images of the structures
above and below that layer
are made invisible by
blurring
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Application of computers in orthodontics – Clinical / Graphic
sem1/sb/09-04
52. Computerised Tomography
• CT for the evaluation of the TMJ
was introduced by Wegener and
colleagues for demonstrating bone
abnormalities within the TMJ.
• Determining changes in bone
density
• Internal derangement - arthrosis is
suspected –
• Planning treatment or operations on
jaws and TMJ diseases and
deformities
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Application of computers in orthodontics – Clinical / Graphic
sem1/sb/09-04
53. Micro Computed Tomography
• Principally the same as CT - The reconstructed cross
sections are confined to a much smaller area
• Significantly reduces radiation dosage
• Clinically used to evaluate alveolar remodeling
(osteoblastic/osteoclastic activity) as well as bone
dehiscence and root resorption
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Application of computers in orthodontics – Clinical / Graphic
sem1/sb/09-04
54. Magnetic Resonance Imaging
• Emission imaging
• Essentially imaging of water in
the tissue
• When images are displayed;
intense signals show as white
and weak ones as black.
Cortical bone and teeth with low
presence of hydrogen are poorly
imaged and appear black
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Application of computers in orthodontics – Clinical / Graphic
sem1/sb/09-04
55. Magnetic Resonance Imaging
• Assessing diseases of the
TMJ
• Cleft lip and palate
• Tonsillitis and adenoiditis
• Cysts and infections
• Tumors
• MRI can clearly
differentiate the soft tissue
components
• Preferred imaging
technique when
information regarding the
articular disc or the
presence of adhesions,or
joint effusion is desired
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Application of computers in orthodontics – Clinical / Graphic
sem1/sb/09-04
56. Clinical / Graphic / Research Application
Denoptix
• Digital radiographic technique
• Better than CCD sensor attached to computer
• Phosphor imaging plates to capture and store images
• Advantages
- Alternative to conventional film
- Same machine and settings
- No dark room required
- Environment friendly- no heavy metal wastage
- Can be reused thousands of times
- Transmission of images
- Saving staff time
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Application of computers in orthodontics – Clinical / Graphic
sem1/sb/09-04
57. Clinical / Graphic / Research Application
• Phosphor plate
PROTECTIVE LAYER
PHOSPHOR LAYER
SUPPORT
BACKING LAYER
BAR CODE LABEL
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Application of computers in orthodontics – Clinical / Graphic
sem1/sb/09-04
58. • Imaging cycle
1.Load intraoral or panoramic
imaging plate
5. Erase imaging plates
for reuse
2. Take X ray
Image on computer
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3. Mount imaging plates in carousel
4. Place in scanner & Scan images
59. Clinical / Graphic / Research Application
• Digital images can be manipulated using
software filters
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Application of computers in orthodontics – Clinical / Graphic
sem1/sb/09-04
60. Clinical / Graphic / Research Application
• Digital Cephalometry
• Digitization is a process by which analog information is
converted into digital form
- Indirect computer digitization of the ceph
- Direct computer digitization of the ceph
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Application of computers in orthodontics – Clinical / Graphic
sem1/sb/09-04
62. Clinical / Graphic / Research Application
• Digitizing tablet with cross hair cursor
– Fine electronic grid- 0.009mm
– Two wires arranged in a cross hair pattern embedded in a
glass window (Bulls Eye)
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Application of computers in orthodontics – Clinical / Graphic
sem1/sb/09-04
63. Clinical / Graphic / Research Application
Modes of Digitisation
Point Mode
• Connecting discretely digitised landmarks with lines and curves
• Time consuming but accurate
• Preferred for predictive treatment planning
• Precise positioning – adv in research applications
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Application of computers in orthodontics – Clinical / Graphic
sem1/sb/09-04
64. Clinical / Graphic / Research Application
Modes of Digitisation
•
•
•
•
•
Stream Mode
Stream of coordinate points are recorded as we trace radiographic
contour
Operator uses a cursor
Technique sensitive
Needs skill to operate
Landmark identification is less accurate
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Application of computers in orthodontics – Clinical / Graphic
sem1/sb/09-04
65. Clinical / Graphic / Research Application
Cephalometric Analysis
• Static Cephalometric functions
• Dynamic Cephalometric functions
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Application of computers in orthodontics – Clinical / Graphic
sem1/sb/09-04
66. Clinical / Graphic / Research Application
• RMO’s Jiffy Orthodontic
Evaluation
• PorDios – Purpose On
Request Digitiser Input
Output System
• 1960 – First to provide
computer aided
Cephalometric analysis
•
•
•
•
IBM Compatible machines
Multilingual
Cephalometrc analysis
Produce a data base file
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Application of computers in orthodontics – Clinical / Graphic
sem1/sb/09-04
67. Clinical / Graphic / Research Application
DIGICEPH
• Developed by IIT and
AIIMS – New Delhi
• Computerised ceph
digitisation
• Automatic analysis
• Plot superimposition
• 13 Ceph analysis
• Ceph placed on digitizer
• Point mode used to move
cursor
• Stream mode to finish and
come out of system
• X – Y co-ordinates are
recorded and analysed
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Application of computers in orthodontics – Clinical / Graphic
sem1/sb/09-04
68. Digigraph
• Introduced by Dolphin
imaging systems
• Non radiographic system
• Video imaging is also
possible
• VTO
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Application of computers in orthodontics – Clinical / Graphic
sem1/sb/09-04
69. Digigraph
Cum
Frequency Percent Valid Percent Per
Yes
53 100.0
100.0
Yes
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Application of computers in orthodontics – Clinical / Graphic
sem1/sb/09-04
72. Computer Aided Space Analysis
• Chen Hsing Yen
• Bolton ratio
• Tooth size relation of U & L
arches
• Overjet and Overbite
• Posterior intercuspation
• Arch length
• Advantage
• Time saving
• Disadvantages
• Direct measurement of 3D
object – potential error!
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Application of computers in orthodontics – Clinical / Graphic
sem1/sb/09-04
73. Computerised Tooth Width Analysis
• Christopher T.C.Ho &
Terrence.J.Freer
• Ho Freer Graphical analysis
• Digital calipers or manual input
through VB 3.0 for Windows
• Five Screens
Patient details
Mesiodistal tooth width
Tooth width ratio
Tooth width excess
Graphic display
Advantages
Convenient, Consistent and Easy to operate
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Application of computers in orthodontics – Clinical / Graphic
sem1/sb/09-04
74. Clinical / Graphic / Research Application
Most widely used
• G A C’s – VISTADENT
• Dolphin imaging systems and 3M’s – DOLPHIN
• ORAMETRIX’s
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Application of computers in orthodontics – Clinical / Graphic
sem1/sb/09-04
75. CAD / CAM
• CAD
Computer Aided Designing
• CAM
Computer Aided Manufacturing
•
•
•
•
•
Occlusal Splints
Planning Surgeries
Bone Implants
Restorations
Designing structures for
FEAnalysis
• Appliances and
equipment
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Application of computers in orthodontics – Research
sem1/sb/09-04
76. CAD / CAM
• Engineers and draftsmen used the drawing board
drawings on paper with ink or pencil
• Instruments (trisquare, protractor, etc.) are used on
it to draw parallel, perpendicular or oblique lines
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Application of computers in orthodontics – Research
sem1/sb/09-04
77. CAD / CAM
• Also known as a drafting table, or draughting table
• Sketchpad was a revolutionary program written by Ivan
Sutherland in 1963
• Novel method of Human-computer interaction
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Application of computers in orthodontics – Research
sem1/sb/09-04
78. CAD / CAM
A computer display, monitor or screen is a computer
peripheral device capable of showing still or moving images
generated by a computer and processed by a graphics card
Monitors generally conform to one or more display standards
•Cathode ray tube (CRT)
•Liquid crystal display (LCD)
•Plasma display
•Video projector
• A light pen
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Application of computers in orthodontics – Research
sem1/sb/09-04
79. CAD / CAM
•A graphical user interface (or GUI, pronounced "gooey")
•The graphical user interface was invented by researchers at the Stanford
Research institute
•First commercial applications of CAD were in large companies in
automotive and aerospace industry, as well as in electronics
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Application of computers in orthodontics – Research
sem1/sb/09-04
80. CAD / CAM
Advantages
•Reuse of design components
•Ease of design modification and versioning
•Automatic generation
•Validation/verification against specifications and rules
•Simulation without building a physical prototype
•Output of design directly to manufacturing facilities
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Application of computers in orthodontics – Research
sem1/sb/09-04
81. CAD / CAM
•A wire frame model is an electronic
representation of a 3-dimensional or physical
object.
•Solid modeling studies unambiguous
representations, models, of solid objects suitable
for computer processing. It is also known as
volume modeling
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Application of computers in orthodontics – Research
sem1/sb/09-04
82. CAD / CAM
•Primary uses of solid modeling are for CAD,
computer graphics and animation,
•Rapid prototyping
•Medical testing and
•Visualization of scientific research.
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Application of computers in orthodontics – Research
sem1/sb/09-04
83. CAD / CAM
Application of CAD / CAM
•CNC stands for Computer Numerically Controlled
•Lathes
•Milling machines
•Grinding wheels
•Drills
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Application of computers in orthodontics – Research
sem1/sb/09-04
84. CAD / CAM
Application of CAD / CAM
•Finite element analysis (FEA) is the application of the
finite element method to the analysis of static or dynamic
physical objects and systems
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Application of computers in orthodontics – Research
sem1/sb/09-04
85. CAD / CAM
The GRAAL Techinique
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Application of computers in orthodontics – Research
sem1/sb/09-04
87. CAD / CAM
Computer Aided Designing
• In Dentistry
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Application of computers in orthodontics – Research
sem1/sb/09-04
88. CAD / CAM
Procedure for designing a splint or a restoration
• Surface geometry of casts scanned by 3D laser surface
scanner
• Facial morphology – 3D triangular facets – connecting
spatial coordinates –landmarks from frontal & lateral
Cephalograms
• 3D virtual image for surgical simulation
www.indiandentalacademy.com
Application of computers in orthodontics – Research/Clinical / Manufacturing
sem1/sb/09-04
89. CAD / CAM
Procedure for designing a splint or a restoration
• 3D virtual image used to plan the amount and direction of
bone displacement – post surgically
• Surgical splint designed on this image
• 3D graphic image of surgical splint is transferred to a laser
lithography unit for polymerization
www.indiandentalacademy.com
Application of computers in orthodontics – Research / Clinical / Manufacturing
sem1/sb/09-04
90. CAD / CAM
• INCOGNITO Bracket System
Rapid Prototyping technology is used
for the actual manufacturing of the
lingual brackets
• Elan And Orthos by Craig
Andreiko
• Invisalign by Zia Chisthi
www.indiandentalacademy.com
Application of computers in orthodontics – Manufacturing
sem1/sb/09-04
91. CAD / CAM
Incognito
a.
The bracket body is designed independently of the
bracket base
b.
Filler spaces such as those occurring in the
individualized positioning of prefabricated brackets
is avoided
c.
Arch wire runs parallel to the tooth surface hence
gives it, its characteristic platform shape in the
anterior segment
www.indiandentalacademy.com
Application of computers in orthodontics – Manufacturing
sem1/sb/09-04
92. CAD / CAM
c.
d.
The actual bracket body can consequently be much
more delicately shaped The resulting arch wire
morphology differs substantially from the previously
customary design
Such arch wires can be precision-manufactured using
the bending robot describe under production
www.indiandentalacademy.com
Application of computers in orthodontics – Manufacturing
sem1/sb/09-04
93. CAD / CAM
Invisalign Braces
• Invisalign braces invented by
Zia Chishti, are transparent,
removable, and moldable.
Unlike regular braces,
Invisalign braces can be
removed for teeth cleaning. A
series of braces are worn in
succession each created by a
computer
.
Zia Chishti along with business
partner Kelsey Wirth, founded
Align Technology in 1997 to
develop and manufacture the
braces, first made available to
the public in May, 2000.
www.indiandentalacademy.com
Application of computers in orthodontics – Manufacturing
sem1/sb/09-04
94. CAD / CAM
The Wave Spring
Vogt W
J Clin Orthod. 2004 May ; 38(5): 28891
The Butterfly System
Bowman SJ, Carano A
J Clin Orthod. 2004 May ; 38(5): 27487
www.indiandentalacademy.com
Application of computers in orthodontics –Manufacturing / Articles
sem1/sb/09-04
95. The Butterfly System
• The Butterfly System improves upon the straightwire concept
with seven unique features
•
•
•
•
•
•
•
PROGRESSIVE POSTERIOR TORQUE
REVERSIBLE SECOND PREMOLAR ROOT ANGULATION
PREVENTATIVE MANDIBULAR ANTERIOR TORQUE
MANDIBULAR ANTERIOR PROGRESSIVE ANGULATION
CONVERTIBLE TUBES WITH -6° ANGULATION
VERTICAL SLOT FOR CONVENIENCE AND VERSATILITY
A VERSATILE SYSTEM
www.indiandentalacademy.com
Application of computers in orthodontics –Manufacturing / Articles
sem1/sb/09-04
97. The Wave Spring
Super-Elastic Nitanium Coil Spring
www.indiandentalacademy.com
Application of computers in orthodontics –Manufacturing / Articles
sem1/sb/09-04
98. The Wave Spring
Super-Elastic Nitanium Coil Spring
www.indiandentalacademy.com
Application of computers in orthodontics –Manufacturing / Articles
sem1/sb/09-04
99. Bending Art System (B A S)
www.indiandentalacademy.com
Application of computers in orthodontics – Research
sem1/sb/09-04
100. Bending Art System (B A S)
• Fischer-Brandies. H. and Orthuber Wolfgang invented BAS
in 1983
• 1st prototype of BAS manufactured in 1993
• Components of BAS
1. Stereoscopic camera
2. Personal computer and its software
3. Arch wire bending device
www.indiandentalacademy.com
Application of computers in orthodontics – Research
sem1/sb/09-04
101. Bending Art System
Stereoscopic camera
• A camera with its flat film has been described as a perfect
perspective machine, which has proved artists were wrong
for centuries
• The keystone effect, which is such a nuisance in
stereoscopy, is part of the perspective laws
• Converging verticals, which are such a nuisance in
architectural photography, are only a problem because of
the ‘laws of perspective’
www.indiandentalacademy.com
Application of computers in orthodontics – Research
sem1/sb/09-04
102. Bending Art System
Stereoscopic camera
• Our two eyes look at the world around us and our brain is
able to combine the two slightly different views from each
eye to produce three dimensional (3-D) perception
• Machine vision algorithms work on 2-D cases
• Three dimensional information is obtained using special
purpose sensors like acoustics, radar, or laser range finders
www.indiandentalacademy.com
Application of computers in orthodontics – Research
sem1/sb/09-04
103. Bending Art System
Stereoscopic camera
• Technique called stereo vision, similar in concept to human
binocular vision, is to use two cameras to obtain two images
from which distance information can be obtained
• Compared to the alternatives mentioned above, stereo vision
has the advantage that it achieves the 3-D acquisition
without energy emission or moving parts
www.indiandentalacademy.com
Application of computers in orthodontics – Research
sem1/sb/09-04
104. Bending Art System
Stereoscopic camera
• Stereoendoscopy,
Stereo radiographs
• scanning electron
microscope
• surveillance
www.indiandentalacademy.com
Application of computers in orthodontics – Research
sem1/sb/09-04
105. Bending Art System
Stereoscopic camera
• Digital photogrammetry,
remote sensing
• Stereo lithography,
stereo sculpting
www.indiandentalacademy.com
Application of computers in orthodontics – Research
sem1/sb/09-04
106. Bending Art System
Stereoscopic camera
• Stereoscopic camera consists of CCD which
can be directly used in the patients mouth
• Procedure
- SS measuring plates placed on the bracket
slots & molar tubes
- Mirror of camera moves two times forward
and backward
- Scans using White light
www.indiandentalacademy.com
Application of computers in orthodontics – Research
sem1/sb/09-04
107. Bending Art System
Stereoscopic camera
• Accuracy of camera – mean
measuring error btw 2 close marks - .
0178 + .0188 and .0228 + .0245
• Arch form selected with
superimposition of occlusal view
• MD, BL, extrusive, intrusive, torque,
rotational dimensions are specified
www.indiandentalacademy.com
Application of computers in orthodontics – Research
sem1/sb/09-04
108. Bending Art System
Arch Wire Bending Component
• Three components
> Holding cone
> Inner cone
> Partial cone
www.indiandentalacademy.com
Application of computers in orthodontics – Research / Manufacturing
sem1/sb/09-04
109. Bending Art System
Arch Wire Bending Component
- Round wire and Rectangular wire used
- SS, TMA or Ni-Ti wires
-Bending begins only after all bends are manipulated
- Approximately takes 5 – 7 min
www.indiandentalacademy.com
Application of computers in orthodontics – Research / Manufacturing
sem1/sb/09-04
110. Bending Art System
Arch Wire Bending Component
Accuracy of bends
- 0.016 x 0.016 and 0.016 x 0.022 inch Ribbon wise and Edge wise
- 6 - 54 degree angulations repeated 15 times
- Ribbon wise – 0.016” x 0.022” showed error of 0.43 + 0.11 degrees
- Edge wise – 0.16” x0.022” showed error of 0.87 + 0.42 degrees
www.indiandentalacademy.com
Application of computers in orthodontics – Research / Manufacturing
sem1/sb/09-04
111. Bending Art System
Advantages
Disadvantages
• Precision arch wires
• Rapid fabrication
• Fabricate full size passive arch
wires for surgical cases
• T loop L loop construction
• Utility arches made
• Patient data base
• Time required for the insertion
of measuring plates and their
identification
• Clinical judgment still vital
• Steel wire easily deformed
www.indiandentalacademy.com
Application of computers in orthodontics – Research / Manufacturing
sem1/sb/09-04
112. Bending Art System (B A S)
• The system SureSmile (from Orametrix)
• Developed on the basis of the Bending Art System (BAS) introduced
in 1994
• Combination of three-dimensional image processing, computerassisted diagnosis, planning and realization of the treatment,
• Permits high quality orthodontia
www.indiandentalacademy.com
Application of computers in orthodontics – Research / Manufacturing
sem1/sb/09-04
113. Structured Light Vision
• Shape from structured light is
based on active triangulation
• A very simple technique to
achieve depth information with
the help of structured light is to
scan a scene with a laser plane
and to detect the location of the
reflected stripe
www.indiandentalacademy.com
Application of computers in orthodontics – Research
sem1/sb/09-04
114. Structured Light Vision
• The depth information can be
computed out of the distortion
along the detected profile
• In order to get dense range
information the laser plane has
to be moved in the scene
• Structured light vision
techniques greatly simplify the
process of triangulating the
position of a point in space
www.indiandentalacademy.com
Application of computers in orthodontics – Research
sem1/sb/09-04
115. Structured Light Vision
• Using structured light
techniques, one can do realtime
navigation
• This is because one is able to
project a beam with known
coordinates
• This provides information about
at least one aspect of the
geometry in front of the camera,
so the triangulation equations
are much easier
www.indiandentalacademy.com
Application of computers in orthodontics – Research
sem1/sb/09-04
116. Structured Light Vision
• Structured light vision is to
project a light beam of known
geometry onto a scene and then
use a video camera to observe
how it is distorted by objects
• Using simple geometric
formulas, we can reconstruct
the shape of those objects
www.indiandentalacademy.com
Application of computers in orthodontics – Research
sem1/sb/09-04
117. Structured Light Vision
• CCD cameras will detect
infrared laser beams quite well
(some cameras are more
sensitive to infrared light).
• A diode laser projects light
down onto a spinning mirror
which is 45 degrees from the
vertical axis
• This projects a plane of light
360 degrees around the scanner
as the motor turns
www.indiandentalacademy.com
Application of computers in orthodontics – Research
sem1/sb/09-04
118. Structured Light Vision
• Self-scanning laser diode
projecting a beam onto the
region in front of it; above
is the camera.
www.indiandentalacademy.com
Application of computers in orthodontics – Research
sem1/sb/09-04
120. Structured Light Vision
• The first image is what the
camera sees with the laser on
• The second image is what the
camera sees with the laser off
• The third image is the
mathematical difference of the
two
www.indiandentalacademy.com
Application of computers in orthodontics – Research
sem1/sb/09-04
121. Structured Light Vision
• By subtracting the first two
images, only the difference
between them is left: the
laser projection
• This will aid in map
building
www.indiandentalacademy.com
Application of computers in orthodontics – Research
sem1/sb/09-04
124. Structured Light
- Projection of a structure of lines or grids onto the face
- As the projected pattern is distorted by the contours of
face, this distorted pattern is recorded by a digital camera
www.indiandentalacademy.com
Application of computers in orthodontics – Research
sem1/sb/09-04
125. 3D Photography / Scanning
• Visual3D™ is a hardware independent 3D Motion
Analysis software package for visualizing and
analyzing motion capture data
• It has advanced biomechanics capabilities for
sophisticated needs of clinical researchers and clinics
www.indiandentalacademy.com
Application of computers in orthodontics – Research / Manufacturing
sem1/sb/09-04
126. 3D Photography / Scanning
• How does the OraScanner work?
The OraScanner captures 3-D images by taking pictures of
teeth
The OraScanner uses a flashing white light (non-laser)
much like a video camera so the scanner can see the teeth
www.indiandentalacademy.com
Application of computers in orthodontics – Research / Manufacturing
sem1/sb/09-04
127. 3D Photography / Scanning
• Why take pictures of the teeth?
The OraScan provides a record of our teeth
To see what teeth look like at the beginning of treatment
or at any stage of treatment
This enables determine optimum orthodontic treatment,
monitor results, and provide very accurate custom
appliances to move teeth quickly
www.indiandentalacademy.com
Application of computers in orthodontics – Research / Manufacturing
sem1/sb/09-04
128. 3D Photography / Scanning
How long does it take to make an OraScan?
The OraScan takes between 20 and 40 minutes. Several
factors such as size of the mouth, tooth crowding, and
amount of space around the teeth affect the length of time
that a scan takes
www.indiandentalacademy.com
Application of computers in orthodontics – Research / Manufacturing
sem1/sb/09-04
129. 3D Photography / Scanning
• A revolutionary new technology for orthodontics:
• SureSmile is shown to reduce orthodontic treatment times
through diagnostic imaging and appliance customization
• SureSmile is a unique new solution for orthodontics that
enables 3-D scanning of teeth rather than use of
conventional 2-D images.
www.indiandentalacademy.com
Application of computers in orthodontics – Research / Manufacturing
sem1/sb/09-04
130. 3D Photography / Scanning
• SureSmile is a unique, state-ofthe-art imaging, treatment
planning, and appliance design
system which gives precise
customized orthodontic care
www.indiandentalacademy.com
Application of computers in orthodontics – Research / Manufacturing
sem1/sb/09-04
131. 3D Photography / Scanning
• There are three components to SureSmile:
1. OraScanner a white light (non-laser) scanner that creates an accurate
3-D image of our teeth
2. Diagnostic and treatment planning software
3. Precision Appliance ServiceSM creates custom arch wires
www.indiandentalacademy.com
Application of computers in orthodontics – Research / Manufacturing
sem1/sb/09-04
132. 3D Photography / Scanning
Rather than using a standard bracket prescription that requires multiple
wire adjustments,
The orthodontist uses a customized wire that requires very few
adjustments, which will decrease treatment time
As a custom wire is used, teeth move to the desired positions more
directly, resulting in reduced treatment time.
www.indiandentalacademy.com
Application of computers in orthodontics – Research / Manufacturing
sem1/sb/09-04
133. 3D Photography / Scanning
• How does SureSmile decrease the amount of time to wear
braces?
•
•
•
•
Successful tooth movement depends on three major factors:
Physiology
Orthodontic mechanics
Patient compliance.
www.indiandentalacademy.com
Application of computers in orthodontics – Research / Manufacturing
sem1/sb/09-04
138. Pulsed- Laser Holography
•
LASER
Light Amplification by Stimulated Emission of Radiation
•
Dennis Graber – 1965 with the advent of LASER realized
his idea of Holography
www.indiandentalacademy.com
Application of computers in orthodontics – Research
sem1/sb/09-04
139. Pulsed- Laser Holography
• HOLOGRAPHY
Means of creating a unique photographic image
without the use of a lens
The photographic recording of the image is called a
hologram, which appears to be an unrecognizable
pattern of stripes
www.indiandentalacademy.com
Application of computers in orthodontics – Research
sem1/sb/09-04
140. Pulsed- Laser Holography
• A moving object can be made to appear to be at rest when a hologram
is produced with the extremely rapid and high-intensity flash of a
pulsed ruby laser
•
The duration of such a pulse can be less than 1/10,000,000 of a
second; and, as long as the object does not move more than 1/10 of a
wavelength of light
• This short time interval, a usable hologram can be obtained
www.indiandentalacademy.com
Application of computers in orthodontics – Research
sem1/sb/09-04
141. Pulsed- Laser Holography
• Laser Holography is used to forecast the longitudinal tooth
displacement by evaluating the initial displacement on the
dry skull.
• Initial tooth displacement has been measured by means of
laser measuring techniques -
www.indiandentalacademy.com
Application of computers in orthodontics – Research
sem1/sb/09-04
142. Pulsed- Laser Holography
• Holography
• Speckle interferometry
• Laser reflection technique
• These techniques are non-invasive (nondestructive testing) and permit the measurement
of small tooth and bone displacements varying
between 0.5 and 15 microns
www.indiandentalacademy.com
Application of computers in orthodontics – Research
sem1/sb/09-04
143. Pulsed- Laser Holography
• Holography Stand Table
Prevents any Vibration
• Laser pointer
www.indiandentalacademy.com
Application of computers in orthodontics – Research
sem1/sb/09-04
144. Pulsed- Laser Holography
• Split Beam
Reflection
Technique
• Laser Gas or
Semiconductor
Laser former
www.indiandentalacademy.com
Application of computers in orthodontics – Research
sem1/sb/09-04
146. Pulsed- Laser Holography
• Beam splitter is a piece of
GLASS fitted to a plastic holder
• The beam which passes through
the splitter is called the
OBJECT beam
• REFERENCE beam is the one
which is reflected from the
splitter
www.indiandentalacademy.com
Application of computers in orthodontics – Research
sem1/sb/09-04
149. Pulsed- Laser Holography
Pulsed laser holography in studies of
bone motions and deformations
Unification of finite element methods
High precision hologrammetry
Holographic determination of rigidbody motions and application of
the method to orthodontics
Determination of arbitrary tooth
displacements
R. J. Pryputniewicz, C. J. Burstone, and W. W. Bowley
www.indiandentalacademy.com
Application of computers in orthodontics – Research
sem1/sb/09-04
150. Finite Element Method
• Finite Element term coined by Argyris
• First introduced to the Dental arena in the 1970’s
and was documented by Moss
• Advantages
Accuracy
Reproducibility
No usage of materials
Generation of intra material results
www.indiandentalacademy.com
Application of computers in orthodontics – Research
sem1/sb/09-04
151. Finite Element Method
Basic Steps involved
1. Preprocessing
2. Processing
3. Post processing
www.indiandentalacademy.com
Application of computers in orthodontics – Research
sem1/sb/09-04
152. Finite Element Method
Pre-processing
• Modelling of the structure being studied
• Most crucial step in the FEA
• The structure being studied is discretised into
smaller units termed ELEMENTS
• Each Element is free to be displaced in all
three planes of space
www.indiandentalacademy.com
Application of computers in orthodontics – Research
sem1/sb/09-04
153. Finite Element Method
• The element co-ordinates (x,y,z) can be either:
a. Global Co-ordinate system
b. Local Co-ordinate system
• Categories of Elements:
Shell Element
Beam Element
Truss Element
www.indiandentalacademy.com
Application of computers in orthodontics – Research
sem1/sb/09-04
154. Finite Element Method
• Elements are connected at certain points termed NODES
• This joining of Elements into Nodes and eliminating
duplicate Nodes is termed as MESHING
• The Mesh size is a crucial determinant of the accuracy
of the result
• Mesh size is inversely related to the time involved in the
analysis
www.indiandentalacademy.com
Application of computers in orthodontics – Research
sem1/sb/09-04
155. Finite Element Method
Possibilities of modelling of complex structures
a. 3-D CT scanning
b. 3-D Laser scanner
c. Voxel modelling
www.indiandentalacademy.com
Application of computers in orthodontics – Research
sem1/sb/09-04
156. Finite Element Method
Processing
a. Solving of differential equations
b. Assemblage into matrices
c. Summation of matrix equations
The equation of simplest linear static analysis is represented
as [F] = {K} {u}
The non-linear analysis is solved usually by what is termed
as the Newton-Raphson Method
www.indiandentalacademy.com
Application of computers in orthodontics – Research
sem1/sb/09-04
157. Finite Element Method
• Post-processing:
a. Graphical Output
b. Numerical Output
c. Animated Output
www.indiandentalacademy.com
Application of computers in orthodontics – Research
sem1/sb/09-04
158. Finite Element Method
• Software's for Finite Element Analysis Studies
• ANSYS
• NASTRAN / PARTRAN
• ALGOR
www.indiandentalacademy.com
Application of computers in orthodontics – Research
sem1/sb/09-04
159. Finite Element Method
•Originally developed for aerospace structural analysis
•FEA has grown to provide a convenient and speedy tool
for approximation of the solution to a wide variety of
complicated engineering problems
•In the hands of a competent user, the method of FEA
can produce accurate, reliable approximate solutions, at a
small fraction of the cost of more rigorous, closed-form
analyses
www.indiandentalacademy.com
Application of computers in orthodontics – Research
sem1/sb/09-04
160. Finite Element Method
Finite Element Analysis (FEA) is a numerical method
which provides solutions to problems that would otherwise
be difficult to obtain
•In terms of fracture, FEA most often involves the
determination of stress intensity factors
•FEA, however, has applications in a much broader range
of areas; for example, fluid flow and heat transfer
•While this range is growing, one thing will remain the
same: the theory of how the method works
www.indiandentalacademy.com
Application of computers in orthodontics – Research
sem1/sb/09-04
161. Finite Element Method
•OtherAlternative Methods
oBoundary Element Method
oComputational Fluid Dynamics (CFD)
oDiscrete Element Method
oFinite Difference Method
oFinite Strip Method
oFinite Volume Method
www.indiandentalacademy.com
Application of computers in orthodontics – Hardware
sem1/sb/09-04
162. Finite Element Method
Finite element analysis for
Static structural analysis
Steady-state thermal analysis
Free vibrational analysis
www.indiandentalacademy.com
Application of computers in orthodontics – Research
sem1/sb/09-04
163. Applications of Computers in Orthodontics
Dr Sangamesh B 1
st
Yr PG
www.indiandentalacademy.com
Dept of Orthodontics and Dentofacial Orthopedics, SDMCDS, Dharwad
sem1b / sb / 24/09/04
164. Nano Technology
• Definition of "nanotechnology"
• “Molecular nanotechnology"
• “Molecular manufacturing."
www.indiandentalacademy.com
Application of computers in orthodontics – Research
sem1/sb/09-04
165. Nano Technology
• Manufactured products are made from atoms
• The properties of those products depend on how those
atoms are arranged
• If we rearrange the atoms in coal we can make diamond
• If we rearrange the atoms in sand (and add a few other trace
elements) we can make computer chips
• If we rearrange the atoms in dirt, water and air we can make
potatoes.
www.indiandentalacademy.com
Application of computers in orthodontics – Research
sem1/sb/09-04
166. Nano Technology
• Today's manufacturing methods are very crude at
the molecular level
• Casting, grinding, milling and even lithography
move atoms in great thundering statistical herds
www.indiandentalacademy.com
Application of computers in orthodontics – Research
sem1/sb/09-04
167. Nano Technology
• This technology gets essentially every atom
in the right place
• And also make almost any structure
consistent with the laws of physics that we
can specify in molecular detail
www.indiandentalacademy.com
Application of computers in orthodontics – Research
sem1/sb/09-04
168. Nano Technology
"The principles of physics, as far as we can see, do not
speak against the possibility of maneuvering things
atom by atom."
• We need to apply at the molecular scale the concept
that has demonstrated its effectiveness at the
macroscopic scale: making parts go where we want
by putting them where we want!
www.indiandentalacademy.com
Application of computers in orthodontics – Research
sem1/sb/09-04
169. Nano Technology
• There are two more concepts commonly
associated with nanotechnology:
• Positional assembly
• Massive parallelism
www.indiandentalacademy.com
Application of computers in orthodontics – Research
sem1/sb/09-04
170. Nano Technology
• Positional assembly implies an interest in molecular
robotics, e.g., robotic devices that are molecular both in
their size and precision.
• These molecular scale positional devices are likely to
resemble very small versions of their everyday macroscopic
counterparts.
• Positional assembly is frequently used in normal
macroscopic manufacturing today, and provides tremendous
advantages.
www.indiandentalacademy.com
Application of computers in orthodontics – Research
sem1/sb/09-04
171. Nano Technology
• One robotic arm assembling molecular parts is going to take
a long time to assemble anything large — so we need lots of
robotic arms: this is what we mean by Massive parallelism
• While earlier proposals achieved Massive parallelism
through self replication, today's "best guess" is that future
molecular manufacturing systems will use some form of
convergent assembly
www.indiandentalacademy.com
Application of computers in orthodontics – Research
sem1/sb/09-04
172. Nano Technology
• Imagine trying to build a Tooth, Periodontal
Ligament and Bone with both hands tied behind
your back!
• The idea of manipulating and positioning individual
atoms and molecules is still new and definitely
difficult to comprehend
www.indiandentalacademy.com
Application of computers in orthodontics – Research
sem1/sb/09-04
173. Nano Technology
• In this process vast numbers of small parts are assembled by
vast numbers of small robotic arms into larger parts, those
larger parts are assembled by larger robotic arms into still
larger parts, and so forth
• If the size of the parts doubles at each iteration, we can go
from one nanometer parts (a few atoms in size) to one meter
parts (almost as big as a person) in only 30 steps
www.indiandentalacademy.com
Application of computers in orthodontics – Research
sem1/sb/09-04
174. Nano Technology
• Within minutes to hours.Orthodontic
Nanorobots could directly manipulate
periodontal tissues allowing rapid and
painless tooth movements
www.indiandentalacademy.com
Application of computers in orthodontics – Research
sem1/sb/09-04
175. Nano Technology
• Nano Materials
• Nano Electronics
•
Nano Biotechnology
www.indiandentalacademy.com
Application of computers in orthodontics – Research
sem1/sb/09-04
176. Nano Technology
• Nano Biotechnology:
following areas:
research is being carried out in the
• Novel Surfactants or nano particles for respiratory diseases
• Nano particles as catalysts- the Bhasma concept- their
enhanced activity due to nano particles
• Nano composites for dental and orthodontics use
www.indiandentalacademy.com
Application of computers in orthodontics – Research
sem1/sb/09-04
177. Nano Technology
• Nano-technology was first used in dentistry with Prime&Bond®NT
by DENTSPLY in 1997
• In 2003, Ceram.X combined nano-technology with methacrylatemodified polysiloxane, a component of technical ceramics
• The result was nano-ceramic technology and led to higher fracture
toughness and reduced monomer leakage in comparison to other
filling materials
• The Future : Nano-Ceramic Restorative Materials
www.indiandentalacademy.com
Application of computers in orthodontics – Research
sem1/sb/09-04
178. Classification of Applications
Miscellaneous
Storage of Data
Web Designing
Communication
Education - COAST /CAL / CASMAS
www.indiandentalacademy.com
Application of computers in orthodontics –Classification
sem1/sb/09-04
179. Classification of Applications
Storage of Data
ORTHOCAST
ORTHOCAD
GEODIGM CORP
www.indiandentalacademy.com
Application of computers in orthodontics –Classification
sem1/sb/09-04
186. Miscellaneous
Storage of data
• GEODIGM CORP - emodels™
• Ease of Use
• Increased Efficiency
• Interdisciplinary Treatment
Planning
• Precision
• Savings
• Secure Online Storage
• Enhanced Revenues
• Improved Access
• Cost Effective Solution
• Speed
www.indiandentalacademy.com
Application of computers in orthodontics – Miscellaneous
sem1/sb/09-04
187. Hosting a web page
The History of HTML
Tim Berners-Lee invented the World Wide Web in 1990
•Web hosting language
HTTP (hyper text transfer protocol)
HTML(hyper text markup language)
URL (universal resource locators)
www.indiandentalacademy.com
Application of computers in orthodontics – Miscellaneous
sem1/sb/09-04
188. Communication
Patient Perspective
•
•
•
•
•
•
•
Searching Websites for specialists
Net Appointments
Net Consultation
Net Counselling
Inter Speciality Referencing
VTP demo to patient
Evidence Based Dentistry
www.indiandentalacademy.com
Application of computers in orthodontics – Miscellaneous
sem1/sb/09-04
190. Computer Program
Zerobase
Dr Sarver’s Edu Prog
CAL
CASMAS
COAST
www.indiandentalacademy.com
Application of computers in orthodontics – Miscellaneous
sem1/sb/09-04
191. Computer Program
•
•
•
•
•
•
•
•
The ZeroBase computer program :
Diagnosis
Digital imaging
Visual treatment planning
Morphing (including long-range growth forecasting)
Visual treatment charts
Communication
Patient education
www.indiandentalacademy.com
Application of computers in orthodontics – Miscellaneous
sem1/sb/09-04
192. Computer Education
•
Dr. Sarver : Step-by-step procedures
necessary to create a PowerPoint
program designed to assist in patient
presentations
•
Technical aspects of creating a
powerful presentation and well as the
marketing philosophy behind the
techniques
•
Virtual private networks (VPN) which
will provide real-time access to patient
diagnostic and treatment data
Dr. Sarver
www.indiandentalacademy.com
Application of computers in orthodontics – Miscellaneous
sem1/sb/09-04
193. Computer-aided Learning (CAL)
• Package for teaching the Index of Orthodontic Treatment
Need (IOTN) dental students.
• CAL is effective in our setting it could be a valuable aid in
orthodontic teaching
www.indiandentalacademy.com
Application of computers in orthodontics – Miscellaneous
sem1/sb/09-04
194. CASMAS
Evaluation of skeletal maturation is important information for
treatment planning
A new system developed named “CASMAS” (Computer
Aided Skeletal Maturity Assessment System)
Automatically evaluate skeletal maturation
The mandibular growth prediction using bone age obtained by
CASMAS
www.indiandentalacademy.com
Application of computers in orthodontics – Miscellaneous
sem1/sb/09-04
195. COAST
• Dr Sunil Kapila
• Conduct Keynote Lectures
• Paper presentations
• Only on Orthodontic
Advances in Science and
Technology
www.indiandentalacademy.com
Application of computers in orthodontics – Miscellaneous
sem1/sb/09-04
196. Usage of Computers by PG’s and Staff at
SDMCDS
A Pilot Survey
www.indiandentalacademy.com
Application of computers in orthodontics – Survey
sem1/sb/09-04
198. OBJECTIVE
• To assess the usage of computers among
Dentists (Staff & Students) at SDMCDS
www.indiandentalacademy.com
Application of computers in orthodontics – Survey
sem1/sb/09-04
199. Sub Objectives
• The usage of computers is currently more for
information seeking and communication (emails)
• Knowledge of hardware
• Knowledge of software
• Extent of usage
• Importance of usage
• Perception of how user friendly the computer
www.indiandentalacademy.com
Application of computers in orthodontics – Survey
sem1/sb/09-04
200. Method
• Target Audience
– Each respondent is an individual who is either a Faculty or PG Student at
SDMCDS
• Sample Size
– 53 Respondents from Orthodontics, Periodontics, Implantology and Pedodontic
departments were analyzed
• Methodology
– Structured Questionnaires were administered amongst the respondents
www.indiandentalacademy.com
Application of computers in orthodontics – Survey
sem1/sb/09-04
201. SAMPLE DATA
• Age
24 - 30
31- 39
Missing
Total
:
:
:
:
34
9
10
53
• Occupation
PG Students - BDS : 39
Faculty - MDS
: 14
Total
: 53
www.indiandentalacademy.com
Application of computers in orthodontics – Survey
sem1/sb/09-04
202. SAMPLE DATA
• All 53 respondents were using computers
and were literate on usage of computers.
www.indiandentalacademy.com
Application of computers in orthodontics – Survey
sem1/sb/09-04
210. FINDINGS
configuration
50
40
30
Frequency
20
10
Std. Dev = .42
Mean = .78
N = 50.00
0
0.00
.50
1.00
configuration
configuration
Valid
Missing
Total
No
Yes
Total
System
Frequency
11
39
50
3
53
Percent
20.8
73.6
94.3
5.7
100.0
Valid Percent
22.0
78.0
100.0
Cumulative
Percent
22.0
100.0
www.indiandentalacademy.com
Application of computers in orthodontics – Survey
sem1/sb/09-04
211. Use of Computers for…
Descriptive Statistics
N
email
seminar - prez
information
data storage
chat
research
graphic
net conferencing
hosting web page
CAD
CAM
Valid N (listwise)
52
52
52
52
52
52
52
52
52
52
52
52
Minimum
0
0
0
0
0
0
0
0
0
0
0
Maximum
1
1
1
1
1
1
1
1
1
1
0
Mean
.96
.94
.87
.79
.60
.44
.27
.19
.15
7.69E-02
.00
Std. Deviation
.19
.24
.34
.41
.50
.50
.45
.40
.36
.27
.00
www.indiandentalacademy.com
Application of computers in orthodontics – Survey
sem1/sb/09-04
212. Use of Computers for…
Report
NEWDEPT
Ortho
Pedo
Perio
Implant
Total
Mean
N
Std. Deviation
Sum
Minimum
Maximum
% of Total Sum
Mean
N
Std. Deviation
Sum
Minimum
Maximum
% of Total Sum
Mean
N
Std. Deviation
Sum
Minimum
Maximum
% of Total Sum
Mean
N
Std. Deviation
Sum
Minimum
Maximum
% of Total Sum
Mean
N
Std. Deviation
Sum
Minimum
Maximum
% of Total Sum
research
.43
30
.50
13
No
Yes
56.5%
.88
8
.35
7
No
Yes
30.4%
.15
13
.38
2
No
Yes
8.7%
1.00
1
.
1
Yes
Yes
4.3%
.44
52
.50
23
No
Yes
100.0%
graphic
.33
30
.48
10
No
Yes
71.4%
.25
8
.46
2
No
Yes
14.3%
7.69E-02
13
.28
1
No
Yes
7.1%
1.00
1
.
1
Yes
Yes
7.1%
.27
52
.45
14
No
Yes
100.0%
Application of computers in orthodontics – Survey
seminar prez
1.00
30
.00
30
Yes
Yes
61.2%
.75
8
.46
6
No
Yes
12.2%
.92
13
.28
12
No
Yes
24.5%
1.00
1
.
1
Yes
Yes
2.0%
.94
52
.24
49
No
Yes
100.0%
email
.97
30
.18
29
No
Yes
58.0%
1.00
8
.00
8
Yes
Yes
16.0%
.92
13
.28
12
No
Yes
24.0%
1.00
1
.
1
Yes
Yes
2.0%
.96
52
.19
50
No
Yes
100.0%
chat
.77
30
.43
23
No
Yes
74.2%
.38
8
.52
3
No
Yes
9.7%
.38
13
.51
5
No
Yes
16.1%
.00
1
.
0
No
No
.0%
.60
52
.50
31
No
Yes
100.0%
net
conferencing
.13
30
.35
4
No
Yes
40.0%
.38
8
.52
3
No
Yes
30.0%
.23
13
.44
3
No
Yes
30.0%
.00
1
.
0
No
No
.0%
.19
52
.40
10
No
Yes
100.0%
information
.90
30
.31
27
No
Yes
60.0%
.88
8
.35
7
No
Yes
15.6%
.85
13
.38
11
No
Yes
24.4%
.00
1
.
0
No
No
.0%
.87
52
.34
45
No
Yes
100.0%
www.indiandentalacademy.com
hosting
web page
.10
30
.31
3
No
Yes
37.5%
.13
8
.35
1
No
Yes
12.5%
.31
13
.48
4
No
Yes
50.0%
.00
1
.
0
No
No
.0%
.15
52
.36
8
No
Yes
100.0%
data storage
.83
30
.38
25
No
Yes
61.0%
.88
8
.35
7
No
Yes
17.1%
.62
13
.51
8
No
Yes
19.5%
1.00
1
.
1
Yes
Yes
2.4%
.79
52
.41
41
No
Yes
100.0%
CAD
.13
30
.35
4
No
Yes
100.0%
.00
8
.00
0
No
No
.0%
.00
13
.00
0
No
No
.0%
.00
1
.
0
No
No
.0%
7.69E-02
52
.27
4
No
Yes
100.0%
CAM
.00
30
.00
0
No
No
.
.00
8
.00
0
No
No
.
.00
13
.00
0
No
No
.
.00
1
.
0
No
No
.
.00
52
.00
0
No
No
.
sem1/sb/09-04
213. HARDWARE
Descriptive Statistics
N
windows
key board
monitor
hard disk
processor
RAM
mouse
CD drive
floppy drive
memory stick
DOS
combo drive
others
linux
Valid N (listwise)
50
50
50
50
50
50
50
50
50
50
49
50
49
50
48
Minimum
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Maximum
1
1
1
1
1
1
1
1
1
1
1
1
1
0
Mean
.82
.82
.82
.80
.80
.78
.78
.78
.74
.26
.18
.18
.12
.00
Std. Deviation
.39
.39
.39
.40
.40
.42
.42
.42
.44
.44
.39
.39
.33
.00
www.indiandentalacademy.com
Application of computers in orthodontics – Survey
sem1/sb/09-04
214. Hardware
Report
NEWDEPT
Ortho
Pedo
Perio
Implant
Total
Mean
N
Std. Deviation
Sum
Minimum
Maximum
% of Total Sum
Mean
N
Std. Deviation
Sum
Minimum
Maximum
% of Total Sum
Mean
N
Std. Deviation
Sum
Minimum
Maximum
% of Total Sum
Mean
N
Std. Deviation
Sum
Minimum
Maximum
% of Total Sum
Mean
N
Std. Deviation
Sum
Minimum
Maximum
% of Total Sum
RAM
.86
29
.35
25
No
Yes
64.1%
.57
7
.53
4
No
Yes
10.3%
.69
13
.48
9
No
Yes
23.1%
1.00
1
.
1
Yes
Yes
2.6%
.78
50
.42
39
No
Yes
100.0%
processor
.86
29
.35
25
No
Yes
62.5%
.43
7
.53
3
No
Yes
7.5%
.85
13
.38
11
No
Yes
27.5%
1.00
1
.
1
Yes
Yes
2.5%
.80
50
.40
40
No
Yes
100.0%
hard disk
.83
29
.38
24
No
Yes
60.0%
.57
7
.53
4
No
Yes
10.0%
.85
13
.38
11
No
Yes
27.5%
1.00
1
.
1
Yes
Yes
2.5%
.80
50
.40
40
No
Yes
100.0%
floppy drive
.66
29
.48
19
No
Yes
51.4%
.71
7
.49
5
No
Yes
13.5%
.92
13
.28
12
No
Yes
32.4%
1.00
1
.
1
Yes
Yes
2.7%
.74
50
.44
37
No
Yes
100.0%
CD drive
.76
29
.44
22
No
Yes
56.4%
.71
7
.49
5
No
Yes
12.8%
.85
13
.38
11
No
Yes
28.2%
1.00
1
.
1
Yes
Yes
2.6%
.78
50
.42
39
No
Yes
100.0%
memory stick
.31
29
.47
9
No
Yes
69.2%
.29
7
.49
2
No
Yes
15.4%
.15
13
.38
2
No
Yes
15.4%
.00
1
.
0
No
No
.0%
.26
50
.44
13
No
Yes
100.0%
monitor
.79
29
.41
23
No
Yes
56.1%
.57
7
.53
4
No
Yes
9.8%
1.00
13
.00
13
Yes
Yes
31.7%
1.00
1
.
1
Yes
Yes
2.4%
.82
50
.39
41
No
Yes
100.0%
mouse
.76
29
.44
22
No
Yes
56.4%
.71
7
.49
5
No
Yes
12.8%
.85
13
.38
11
No
Yes
28.2%
1.00
1
.
1
Yes
Yes
2.6%
.78
50
.42
39
No
Yes
100.0%
key board
.79
29
.41
23
No
Yes
56.1%
.71
7
.49
5
No
Yes
12.2%
.92
13
.28
12
No
Yes
29.3%
1.00
1
.
1
Yes
Yes
2.4%
.82
50
.39
41
No
Yes
100.0%
combo drive
.28
29
.45
8
No
Yes
88.9%
.14
7
.38
1
No
Yes
11.1%
.00
13
.00
0
No
No
.0%
.00
1
.
0
No
No
.0%
.18
50
.39
9
No
Yes
100.0%
windows
.76
29
.44
22
No
Yes
53.7%
.71
7
.49
5
No
Yes
12.2%
1.00
13
.00
13
Yes
Yes
31.7%
1.00
1
.
1
Yes
Yes
2.4%
.82
50
.39
41
No
Yes
100.0%
linux
.00
29
.00
0
No
No
.
.00
7
.00
0
No
No
.
.00
13
.00
0
No
No
.
.00
1
.
0
No
No
.
.00
50
.00
0
No
No
.
DOS
.14
28
.36
4
No
Yes
44.4%
.14
7
.38
1
No
Yes
11.1%
.31
13
.48
4
No
Yes
44.4%
.00
1
.
0
No
No
.0%
.18
49
.39
9
No
Yes
100.0%
others
.14
29
.35
4
No
Yes
66.7%
.17
6
.41
1
No
Yes
16.7%
7.69E-02
13
.28
1
No
Yes
16.7%
.00
1
.
0
No
No
.0%
.12
49
.33
6
No
Yes
100.0%
www.indiandentalacademy.com
Application of computers in orthodontics – Survey
sem1/sb/09-04
218. Software – Extent of Usage
Report
NEWDEPT
Ortho
Mean
N
Std. Deviation
Sum
Minimum
Pedo
Perio
word
2.63
30
.56
79
limited
use
Maximum
extensive
use
% of Total Sum
62.2%
Mean
2.63
N
8
Std. Deviation
.52
Sum
21
Minimum
moderate
use
Maximum
extensive
use
% of Total Sum
16.5%
Mean
1.85
N
13
Std. Deviation
1.34
Sum
24
Minimum
dont uuse
Maximum
Implant
Total
extensive
use
% of Total Sum
18.9%
Mean
3.00
N
1
Std. Deviation
.
Sum
3
Minimum
extensive
use
Maximum
extensive
use
% of Total Sum
2.4%
Mean
2.44
N
52
Std. Deviation
.87
Sum
127
Minimum
dont uuse
ppt
2.73
30
.64
82
access
6.67E-02
30
.25
2
excel
.83
30
.83
25
dos
.13
30
.43
4
outlook frontpage netmeetng
spss
.37 6.67E-02
.23 3.33E-02
30
30
30
30
.72
.25
.68
.18
11
2
7
1
dont uuse dont uuse dont uuse dont uuse dont uuse dont uuse dont uuse
extensive
use
59.9%
2.63
8
.52
21
moderate
use
extensive
use
15.3%
2.38
13
1.12
31
dont uuse
lisrel
anthropac
.00 3.33E-02
30
30
.00
.18
0
1
acrobat photoshop
1.07
1.57
30
30
1.01
.94
32
47
dont uuse dont uuse dont uuse dont uuse dont uuse dont uuse
flash
.60
30
.86
18
win amp publisher real player 3d smax
1.47
.20
.97 3.33E-02
30
30
30
30
1.38
.48
1.22
.18
44
6
29
1
-2
-2
-1
-2
-2
-1
-1
-1
-2
-2
-2
-2
extensive limited
moderate
dont uuse dont uuse dont uuse dont uuse
use
use
use
19.0%
.0%
18.8%
.
.
.
.
2.00
1
.
2
moderate
use
moderate
use
9.5%
.42 4.35E-02
.33 -2.17E-02 -4.35E-02 -4.35E-02 -2.17E-02
50
46
49
46
46
46
46
.81
.29
.83
.33
.29
.29
.33
21
2
16
-1
-2
-2
-1
-1
-1
-1
-1
-2
-2
-2
-2
-2 dont uuse
extensive
use
15.6%
2.00
1
.
2
moderate
use
moderate
use
4.4%
.94
48
1.10
45
maya
.00
30
.00
0
autocad corel draw photo editor
.17
1.37
.77
30
30
30
.59
1.30
1.19
5
41
23
dont uuse dont uuse dont uuse dont uuse dont uuse dont uuse dont uuse dont uuse dont uuse
limited
extensive moderate moderate limited
extensive limited
limited
extensive extensive extensive extensive
dont uuse dont uuse
use
use
use
use
use
use
use
use
use
use
use
use
66.7%
75.8% 100.0%
52.4% 100.0%
43.8%
.
.
.
.
71.1%
68.1%
72.0%
53.7%
.25
1.00
.00
.67
.00
1.00
.00
.00
.00
.00
1.00
.75
.25
2.43
4
5
4
6
3
6
3
3
3
3
4
4
4
7
.50
.71
.00
.82
.00
1.26
.00
.00
.00
.00
1.15
1.50
.50
.53
1
5
0
4
0
6
0
0
0
0
4
3
1
17
moderate
dont uuse dont uuse dont uuse dont uuse dont uuse dont uuse dont uuse dont uuse dont uuse dont uuse dont uuse dont uuse dont uuse
use
limited
moderate
moderate
extensive
moderate extensive limited
extensive
dont uuse
dont uuse
dont uuse dont uuse dont uuse dont uuse
use
use
use
use
use
use
use
use
33.3%
15.2%
.0%
19.0%
.0%
37.5%
.
.
.
.
8.9%
4.3%
4.0%
20.7%
.00
.15 -1.28E-17
.31 -1.17E-17
.23
-.15
-.15
-.15
-.15
.54
1.31
.46
1.38
13
13
13
13
13
13
13
13
13
13
13
13
13
13
.82
.90
.41
.95
.41
.83
.55
.55
.55
.55
1.27
1.18
.88
1.19
0
2
0
4
0
3
-2
-2
-2
-2
7
17
6
18
extensive moderate moderate limited
use
use
use
use
22.6%
.0%
6.1%
.0%
3.00
1.00
1
1
.
.
3
1
extensive
limited
use
use
extensive
limited
use
use
2.2%
3.0%
2.63 6.38E-02
.67 8.51E-02
52
47
49
47
.77
.48
.88
.41
137
3
33
4
dont uuse
statistica
.00
30
.00
0
games
1.4
2
1.1
4
dont uuse dont uus
moderate extensive limited
extensive extensive extensive
extensive extensive
dont uuse
use
use
use
use
use
use
use
use
75.0%
60.4%
20.0%
. 166.7%
91.1%
69.7%
71.8%
62.3%
.00
1.80
.00
.00
.00
.67
1.00
1.00
1.8
3
5
3
3
3
3
3
3
.00
1.30
.00
.00
.00
1.15
1.73
1.73
1.4
0
9
0
0
0
2
3
3
1
dont uuse dont uuse dont uuse dont uuse dont uuse dont uuse dont uuse
dont uuse
.0%
.15
13
.55
2
dont uuse dont uuse dont uuse
dont uuse dont uuse dont uuse
dont uuse dont uus
extensive
moderate extensive
extensive extensive
dont uuse dont uuse dont uuse
use
use
use
use
use
18.8%
.0%
.
.0%
4.4%
9.1%
7.7%
15.9%
.54
.31
-.15
-.15 7.69E-02
.46
.62
.9
13
13
13
13
13
13
13
1
1.20
.75
.55
.55
1.04
.97
1.04
.9
7
4
-2
-2
1
6
8
1
-2 dont uuse
-2
-2
extensive moderate extensive moderate extensive moderate
dont uuse dont uuse
use
use
use
use
use
use
24.6%
24.0%
22.0%
25.0%
14.6%
80.0%
.
-66.7%
2.00
3.00
3.00
1
1
1
.
.
.
2
3
3
moderate
extensive
extensive
use
use
use
moderate
extensive
extensive
use
use
use
2.9%
3.7%
6.3%
1.44
.53
1.61
.17
.98
.11 -4.35E-02 6.52E-02
48
47
51
46
49
46
46
46
1.05
.83
1.28
.49
1.27
.43
.29
.57
69
25
82
8
48
5
-2
3
-2 dont uuse
digicam
.93
30
1.28
28
-2 dont uuse
-2
-2
-2 dont uuse
extensive
use
2.2%
1.00
1
.
1
limited
use
limited
use
2.2%
.96
47
1.32
45
dont uuse dont uus
extensive
extensive extensive
use
use
use
18.2%
20.5%
17.4%
1.00
3.0
1
.
1
extensive
limited use
use
extensive
limited use
use
3.0%
4.3%
.70
.85
1.4
47
46
4
1.14
1.23
1.1
33
39
6
-2 dont uuse
dont uuse dont uus
Maximum
extensive extensive moderate extensive moderate extensive limited
extensive limited
limited
extensive extensive extensive extensive moderate extensive moderate
extensive extensive extensive
extensive extensive
dont uuse dont uuse
dont uuse
use
use
use
use
use
use
use
use
use
use
use
use
use
use
use
use
use
use
use
use
use
use
% of Total Sum 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0%
100.0%
.
.
.
. 100.0%
100.0% 100.0% 100.0% 100.0%
100.0% 100.0%
. 100.0%
100.0%
100.0% 100.0% 100.0%
www.indiandentalacademy.com
Application of computers in orthodontics – Survey
sem1/sb/09-04
220. Software – Importance
Report
NEWDEPT
Ortho
ppt
2.00
30
.00
60
access
.11
28
.63
3
excel
.76
29
.79
22
dos
.14
28
.59
4
very
important
not
important
not
important
not
important
very
important
very
important
very
important
very
important
very
important
% of Total Sum
64.4%
Mean
2.00
N
8
Std. Deviation
.00
Sum
16
Minimum
very
important
Maximum
very
important
65.2%
2.00
8
.00
16
very
important
300.0%
-.25
8
.89
-2
not at all
important
somewha
t
important
-200.0%
2.43E-17
8
.53
0
not
important
somewha
t
important
.0%
.00
1
.
0
81.5%
.13
8
1.36
1
not at all
important
100.0%
-.38
8
.74
-3
not at all
important
very
important
0
3.7%
.38
8
.74
3
-75.0%
.38
8
.52
3
0
0
Mean
N
Std. Deviation
Sum
Minimum
Maximum
Pedo
Perio
% of Total Sum
Mean
N
Std. Deviation
Sum
Minimum
Maximum
Implant
% of Total Sum
Mean
N
Std. Deviation
Sum
Minimum
Maximum
Total
% of Total Sum
Mean
N
Std. Deviation
Sum
Minimum
Maximum
% of Total Sum
word
1.93
30
.25
58
somewha
t
important
very
important
17.8%
1.56
9
.88
14
17.4%
1.56
9
.88
14
0
0
very
important
very
important
15.6%
2.00
1
.
2
15.2%
2.00
1
.
2
very
important
very
important
0
very
important
very
important
0
2.2%
1.87
48
.44
90
2.2%
1.92
48
.40
92
0
0
very
important
100.0%
very
important
outlook frontpage netmeetng
spss
.11
.18
.18 -3.57E-02
28
28
28
28
.63
.48
.77
.51
3
5
5
-1
not at all
important
not
important
somewha
t
important
42.9%
.13
8
1.25
1
not at all
important
somewha
t
important
100.0%
-.38
8
.74
-3
not at all
important
very
important
0
not at all
important
very
important
100.0%
.25
8
1.39
2
not at all
important
very
important
acrobat photoshop
.80
1.20
30
30
1.03
.81
24
36
not at all
important
not at all
important
not at all
important
not at all
important
not at all
important
somewha
t
important
.
-.38
8
.74
-3
not at all
important
somewha
t
important
.
-.38
8
.74
-3
not at all
important
somewha
t
important
.
-.38
8
.74
-3
not at all
important
somewha
t
important
.
-.38
8
.74
-3
not at all
important
0
0
0
0
.
.13
8
.83
1
.
-.25
8
.46
-2
.
-.25
8
.46
-2
.
-.13
8
.35
-1
not
important
not
important
not
important
0
flash
.77
30
.86
23
win amp
1.30
30
.92
39
not at all
important
67.2%
1.13
8
.83
9
140.0%
-.38
8
.74
-3
not at all
important
57.7%
.63
8
.74
5
0
0
.0%
1.25
8
1.04
10
76.7%
.13
8
.64
1
not
important
somewha
t
important
3.3%
.63
8
.92
5
not
important
0
0
0
0
very
important
somewhat
important
very
important
14.3%
2.00
1
.
2
60.0%
.00
1
.
0
-40.0%
.00
1
.
0
.
.00
1
.
0
.
.00
1
.
0
.
.00
1
.
0
.
.00
1
.
0
19.4%
2.00
1
.
2
21.3%
1.00
1
.
1
0
very
important
0
0
0
0
0
0
very
important
somewhat
important
0
very
important
0
0
0
0
0
0
very
important
somewhat
important
.0%
8.89E-02
45
.63
4
not at all
important
28.6%
.16
45
.82
7
not at all
important
.0%
.11
45
.61
5
not at all
important
.0%
.
.11 -6.67E-02
45
45
.86
.62
5
-3
not at all
not at all
important important
.
-.13
45
.55
-6
not at all
important
somewha
t
important
.
.
-.11
45
.57
-5
not at all
important
somewha
t
important
.
6.5%
.66
47
1.03
31
not at all
important
2.1%
1.00
47
.96
47
not at all
important
very
important
.
-.11
45
.57
-5
not at all
important
somewha
t
important
.
16.7%
1.00
1
.
1
somewha
t
important
somewha
t
important
3.3%
.64
47
.85
30
not at all
important
very
important
very
important
very
important
100.0%
very
important
very
important
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
Application of computers in orthodontics – Survey
100.0%
very
important
.
somewha
t
important
.
-.38
8
.74
-3
not at all
important
76.6%
4.86E-17
8
.93
0
not at all
important
0
very
important
not at all
important
77.4%
-.13
8
.83
-1
not at all
important
somewha
t
important
-3.2%
.75
8
.89
6
0
very
important
not at all
important
somewha
t
important
.
.13
8
.35
1
0
very
important
not at all
important
very
important
very
important
very
important
not at all
important
very
important
0
.0%
2.22E-02
45
.66
1
not at all
important
0
very
important
very
important
11.1%
1.00
1
.
1
somewha
t
important
somewha
t
important
3.7%
.59
46
.91
27
not at all
important
maya
-.11
28
.50
-3
very
important
very
important
somewha
t
important
75.0%
.00
1
.
0
3d smax
-.18
28
.55
-5
very
important
-60.0%
.38
8
.74
3
not
important
publisher real player
.25
.50
28
30
.80
1.01
7
15
very
important
14.3%
.13
8
.83
1
not
important
0
40.0%
-.25
8
.46
-2
statistica
lisrel
anthropac
1.04E-17 -3.57E-02 -3.57E-02
28
28
28
.54
.51
.58
0
-1
-1
100.0%
very
important
100.0%
www.indiandentalacademy.com
0
very
important
15.5%
1.00
8
.93
8
0
very
important
digicam
.86
28
.97
24
games
.7
3
.9
2
not at all
important
0
not at all
important
0
not
importan
very
important
very
important
very
important
very
important
very
importan
.
-.38
8
.74
-3
not at all
important
81.8%
.50
8
.76
4
65.7%
.8
71.4%
.13
8
.83
1
0
not
important
75.0%
.38
8
1.30
3
not at all
important
very
important
very
important
very
importan
.8
0
0
very
important
.
.00
8
.00
0
.
-.13
8
.35
-1
9.1%
.38
8
.92
3
4.8%
.50
8
.76
4
9.4%
.56
9
1.13
5
20.0%
.3
0
not
important
not
important
0
not
important
not
importan
very
important
very
importan
15.6%
.00
1
.
0
8.6%
2.0
-60.0%
.13
8
.83
1
not
important
not
important
very
important
very
important
very
important
0
0
0
very
important
13.8%
2.00
1
.
2
20.0%
.00
1
.
0
15.4%
2.00
1
.
2
.
.00
1
.
0
.
.00
1
.
0
.
.00
1
.
0
6.8%
1.00
1
.
1
very
important
0
very
important
0
0
0
somewhat
important
somewhat
important
0
very
importan
very
important
0
very
important
0
0
0
somewhat
important
somewhat
important
0
very
importan
.0%
.11
45
.80
5
not at all
important
7.7%
.55
47
.97
26
not at all
important
very
important
very
important
very
important
100.0%
100.0%
100.0%
3.4%
1.23
47
.89
58
0
19.2%
.50
8
1.07
4
somewha
t
important
.
-.13
8
.35
-1
not
important
autocad corel draw photo editor
.11
1.20
.54
28
30
28
.88
.89
.96
3
36
15
.
-.11
45
.49
-5
not at all
important
somewha
t
important
.
.
.
-.13 -2.22E-02
45
45
.50
.78
-6
-1
not at all not at all
important important
somewha
very
t
important
important
.
.
2.3%
.94
47
.92
44
very
important
19.0%
1.00
1
.
1
1.0
not
important
4.8%
.47
45
.89
21
not at all
important
.0%
.70
46
1.05
32
not at all
important
not
importan
very
important
very
important
very
important
very
importan
100.0%
100.0%
100.0%
100.0%
5.7%
.7
4
.9
3
sem1/sb/09-04