Send to

Choose Destination
J Periodontal Implant Sci. 2018 Apr 30;48(2):124-134. doi: 10.5051/jpis.2018.48.2.124. eCollection 2018 Apr.

Methods for quantitative measurement of tooth wear using the area and volume of virtual model cusps.

Author information

Department of Oral Anatomy, Dental Research Institute, Seoul National University School of Dentistry, Seoul, Korea.
Department of Periodontology, Seoul National University School of Dentistry, Seoul, Korea.



Clinicians must examine tooth wear to make a proper diagnosis. However, qualitative methods of measuring tooth wear have many disadvantages. Therefore, this study aimed to develop and evaluate quantitative parameters using the cusp area and volume of virtual dental models.


The subjects of this study were the same virtual models that were used in our former study. The same age group classification and new tooth wear index (NTWI) scoring system were also reused. A virtual occlusal plane was generated with the highest cusp points and lowered vertically from 0.2 to 0.8 mm to create offset planes. The area and volume of each cusp was then measured and added together. In addition to the former analysis, the differential features of each cusp were analyzed.


The scores of the new parameters differentiated the age and NTWI groups better than those analyzed in the former study. The Spearman ρ coefficients between the total area and the area of each cusp also showed higher scores at the levels of 0.6 mm (0.6A) and 0.8A. The mesiolingual cusp (MLC) showed a statistically significant difference (P<0.01) from the other cusps in the paired t-test. Additionally, the MLC exhibited the highest percentage of change at 0.6A in some age and NTWI groups. Regarding the age groups, the MLC showed the highest score in groups 1 and 2. For the NTWI groups, the MLC was not significantly different in groups 3 and 4. These results support the proposal that the lingual cusp exhibits rapid wear because it serves as a functional cusp.


Although this study has limitations due to its cross-sectional nature, it suggests better quantitative parameters and analytical tools for the characteristics of cusp wear.


Dental occlusion; Indexes; Statistical models; Tooth wear

Conflict of interest statement

Conflict of Interest: No potential conflict of interest relevant to this article was reported.

Supplemental Content

Full text links

Icon for Korean Academy of Periodontology Icon for PubMed Central
Loading ...
Support Center