Reproducibility of Dental Bite Mark Overlay Analysis Using Digital 3D Models in Adult Participants
Reproducibility and Repeatability of Digital Overlay Techniques in Bite Mark Morphological Analysis: An Observational Study Using 3D Dental Models
Nantes University Hospital
30 participants
Apr 1, 2026
OBSERVATIONAL
Conditions
Summary
This study aims to evaluate the reproducibility and repeatability of a standardized digital overlay protocol used in forensic odontology for bite mark analysis. Bite mark analysis methods have been increasingly questioned due to concerns about their scientific reliability. This study focuses on the methodological evaluation of an overlay generation protocol independently of biological trace interpretation. Thirty adult participants requiring routine dental care involving intraoral scanning will be included. A digital impression of the maxillary dentition will be obtained using a standard intraoral scanner, which is a non-invasive and routine clinical procedure. Digital dental models will be anonymized and processed using dedicated software to generate overlays. Four operators with different levels of expertise will independently perform the overlay procedure at two separate time points. The study will assess intra-operator repeatability and inter-operator reproducibility using quantitative 2D and 3D metrics. The objective is to determine the variability of the protocol and to contribute to the standardization and reliability of overlay-based analyses in forensic dentistry.
Eligibility
Inclusion Criteria4
- Age ≥18 years
- Patients requiring dental care including intraoral optical scan
- Able to understand the study and provide informed consent
- Sufficient dentition allowing usable maxillary scan
Exclusion Criteria6
- Age <18 years
- Individuals under legal protection (guardianship or curatorship)
- Oral conditions preventing intraoral scanning
- Refusal to participate
- Completely edentulous patients
- Partially edentulous patients (>8 missing maxillary teeth)
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Interventions
Standardized overlay protocol applied to digital dental models (STL/PLY files). Each model is analysed twice by each of four operators at two separate time points (T1 and T2) to assess intra- and inter-operator reproducibility.
Locations(1)
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NCT07552051