Augmented Reality-Assisted Surgical Exposure of an Impacted Tooth: A Pilot Study

Three-dimensional radiological evaluation through cone beam computer tomography is essential in diagnosing and establishing proper surgical management in impacted teeth. Through Augmented Reality (AR), clinicians have the opportunity to use three-dimensional computer-generated radiologic information to visualise the patient and simultaneously the superimposition of his internal structures. Here, we describe a digital workflow to assist the oral surgeon in pre-orthodontic exposure of a vestibular impacted canine using AR. The AR hardware consists of a camera and a traditional stand-up monitor. The registration and tracking are video-based and marker-free, with an automatic pose estimation obtained through VisLab 20.10.1AR software algorithm's object recognition and tracking approach. A 3D model is created by combining the anterior teeth taken from the intraoral scan with the same teeth plus the included tooth taken from the CBCT segmentation. The 3D file is uploaded into the AR software. Model tracking is straightforward to set up without prior registration of targets or surroundings. The AR information is used successfully to define the surgical access to perform flap and osteotomy. The accuracy of model tracking matching was calculated constantly by the software. During the tracking, the process recorded an inlier ratio of 0.39:0.48. Further studies and clinical trials will evaluate the value of this novel technology in the management of impacted teeth.