LAUSR

Introduction The current methodologies to quantify the palatal expansion are based on a preliminary rigid superimposition of 3D digital models representing the status of a given patient at different times. A new method based on affine alignment is proposed and compared to the gold standard, leading to the automatic analysis of 3-dimensional structural changes and to a simple numeric quantification of overall expansion vector and a better alignment of the digital models. Materials and methods 40 digital models (timing span delta 25.8 ± 12.5 months) from young patients (mean age 10.7 ± 2.6) treated with two different palatal expansion techniques (20 subjects with RME—Rapid Maxillary Expander, and 20 subjects with NiTiSE, NiTi self-expander) were superimposed with the new affine alignment technique implemented as an extension package of the open-source MeshLab, from a golden standard starting point of rigid alignment. The results were then compared. Results The new measurement function indicates a mean expansion expressed in a single numeric value of 9.3%, 10.3% for the RME group and 8.4% for the NiTiSE group respectively. The comparison with the golden standard showed a decrease to the average error from 0.91 mm to 0.58 mm. Conclusions Affine alignment improves the current perspective of structural change quantification in the specific group of growing patients treated with palatal expanders giving the clinician useful information on the 3-dimensional morphological changes.