title: Differences in molar relationships and occlusal contact areas evaluated from the buccal and lingual aspects using 3-dimensional digital models.
abstract: OBJECTIVE
  The aims of this study were to use a 3-dimensional (3D) system to compare molar relationship assessments performed from the buccal and lingual aspects, and to measure differences in occlusal contact areas between Class II and Class I molar relationships.
  
  
  METHODS
  Study casts (232 pairs from 232 subjects, yielding a total of 380 sides) were evaluated from both the buccal and lingual aspects, so that molar relationships could be classified according to the scheme devised by Liu and Melsen. Occlusal contact areas were quantified using 3D digital models, which were generated through surface scanning of the study casts.
  
  
  RESULTS
  A cusp-to-central fossa relationship was observed from the lingual aspect in the majority of cases classified from the buccal aspect as Class I (89.6%) or mild Class II (86.7%). However, severe Class II cases had lingual cusp-to-mesial triangular fossa or marginal ridge relationships. Mean occlusal contact areas were similar in the Class I and mild Class II groups, while the severe Class II group had significantly lower values than either of the other 2 groups (p < 0.05).
  
  
  CONCLUSIONS
  Buccal and lingual assessments of molar relationships were not always consistent. Occlusal contact areas were lowest for the Class II-severe group, which seems to have the worst molar relationships - especially as seen from the lingual aspect.
authors.affiliation: Department of Clinical Orthodontics, Graduate School of Clinical Dentistry, Ewha Womans University, Seoul, Korea.
authors.forename: Sook-Yoon
authors.initials: SY
authors.lastname: Jang
authors.forename: Minji
authors.initials: M
authors.lastname: Kim
authors.forename: Youn-Sic
authors.initials: YS
authors.lastname: Chun
keywords: Class II; Classification; Dental cast analysis; Digital models