Dental Morphology in Restorative Dentistry: A Pilot Study on Morphological Consistency and Variability in Human Upper First Molars

<b>Background:</b> Geometric morphometric analysis, a methodology traditionally used in evolutionary studies, offers unprecedented precision in quantifying the morphological traits of human organs and tissues by identifying specific anatomical landmarks. Despite its potential, this appro...

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Main Authors: Gregorio Oxilia, Mauro Tomasella, Alberto Cecere
Format: Article
Language:English
Published: MDPI AG 2025-03-01
Series:Dentistry Journal
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Online Access:https://www.mdpi.com/2304-6767/13/3/122
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author Gregorio Oxilia
Mauro Tomasella
Alberto Cecere
author_facet Gregorio Oxilia
Mauro Tomasella
Alberto Cecere
author_sort Gregorio Oxilia
collection DOAJ
description <b>Background:</b> Geometric morphometric analysis, a methodology traditionally used in evolutionary studies, offers unprecedented precision in quantifying the morphological traits of human organs and tissues by identifying specific anatomical landmarks. Despite its potential, this approach has not yet been applied in medical or dental research. <b>Materials and Methods:</b> This pilot study analyzed 76 permanent upper first molars (M1) from Italian individuals (38 males and 38 females), selected for their completeness, minimal wear (stage 1), and absence of pathological conditions or non-metric traits. Each individual contributed two contralateral molars: the left molar (Group A) and the right molar (Group B). The molars were scanned using a Sinergia Scan Advanced Plus optical scanner with 5 μm accuracy. The scans were processed with the Dental Scan 7.0 software to generate high-resolution STL files, followed by refinement in Meshlab to preserve the morphological integrity of the 3D models. The geometric morphometric analysis was performed using the Viewbox software, thereby enabling the placement of anatomical landmarks and semilandmarks to quantify and compare molar morphology with exceptional precision. <b>Results:</b> The analysis confirmed that contralateral molars exhibit high morphological similarity, with significantly smaller variability compared to molars from different individuals. Among the specific traits analyzed, the distolingual cusp (hypocone) showed the greatest variation, followed by the mesiolingual cusp (protocone). No significant differences were observed between males and females in the degree of similarity between contralateral molars. <b>Conclusions:</b> This pilot study highlights the potential of geometric morphometric approaches to enhance our understanding of the dental variation between sexes and across human populations, thereby improving clinical applications and advancing toward personalized medicine.
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spelling doaj-art-7b930373d6aa44e28da00bcd81d71ab12025-08-20T02:42:40ZengMDPI AGDentistry Journal2304-67672025-03-0113312210.3390/dj13030122Dental Morphology in Restorative Dentistry: A Pilot Study on Morphological Consistency and Variability in Human Upper First MolarsGregorio Oxilia0Mauro Tomasella1Alberto Cecere2Department of Medicine and Surgery, “LUM” Giuseppe Degennaro Casamassima, Casamassima, 70010 Bari, ItalyDental Laboratory (Dentalprotesi Srl), Via S. Caterina da Siena 9, Conegliano, 31015 Treviso, ItalyDental Laboratory, Via G. Pascoli 2/c, Tivoli Terme, 00011 Rome, Italy<b>Background:</b> Geometric morphometric analysis, a methodology traditionally used in evolutionary studies, offers unprecedented precision in quantifying the morphological traits of human organs and tissues by identifying specific anatomical landmarks. Despite its potential, this approach has not yet been applied in medical or dental research. <b>Materials and Methods:</b> This pilot study analyzed 76 permanent upper first molars (M1) from Italian individuals (38 males and 38 females), selected for their completeness, minimal wear (stage 1), and absence of pathological conditions or non-metric traits. Each individual contributed two contralateral molars: the left molar (Group A) and the right molar (Group B). The molars were scanned using a Sinergia Scan Advanced Plus optical scanner with 5 μm accuracy. The scans were processed with the Dental Scan 7.0 software to generate high-resolution STL files, followed by refinement in Meshlab to preserve the morphological integrity of the 3D models. The geometric morphometric analysis was performed using the Viewbox software, thereby enabling the placement of anatomical landmarks and semilandmarks to quantify and compare molar morphology with exceptional precision. <b>Results:</b> The analysis confirmed that contralateral molars exhibit high morphological similarity, with significantly smaller variability compared to molars from different individuals. Among the specific traits analyzed, the distolingual cusp (hypocone) showed the greatest variation, followed by the mesiolingual cusp (protocone). No significant differences were observed between males and females in the degree of similarity between contralateral molars. <b>Conclusions:</b> This pilot study highlights the potential of geometric morphometric approaches to enhance our understanding of the dental variation between sexes and across human populations, thereby improving clinical applications and advancing toward personalized medicine.https://www.mdpi.com/2304-6767/13/3/122contralateral teethdental variationdigital technologiescrown morphologyupper first molars (M1)dental morphology
spellingShingle Gregorio Oxilia
Mauro Tomasella
Alberto Cecere
Dental Morphology in Restorative Dentistry: A Pilot Study on Morphological Consistency and Variability in Human Upper First Molars
Dentistry Journal
contralateral teeth
dental variation
digital technologies
crown morphology
upper first molars (M1)
dental morphology
title Dental Morphology in Restorative Dentistry: A Pilot Study on Morphological Consistency and Variability in Human Upper First Molars
title_full Dental Morphology in Restorative Dentistry: A Pilot Study on Morphological Consistency and Variability in Human Upper First Molars
title_fullStr Dental Morphology in Restorative Dentistry: A Pilot Study on Morphological Consistency and Variability in Human Upper First Molars
title_full_unstemmed Dental Morphology in Restorative Dentistry: A Pilot Study on Morphological Consistency and Variability in Human Upper First Molars
title_short Dental Morphology in Restorative Dentistry: A Pilot Study on Morphological Consistency and Variability in Human Upper First Molars
title_sort dental morphology in restorative dentistry a pilot study on morphological consistency and variability in human upper first molars
topic contralateral teeth
dental variation
digital technologies
crown morphology
upper first molars (M1)
dental morphology
url https://www.mdpi.com/2304-6767/13/3/122
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AT maurotomasella dentalmorphologyinrestorativedentistryapilotstudyonmorphologicalconsistencyandvariabilityinhumanupperfirstmolars
AT albertocecere dentalmorphologyinrestorativedentistryapilotstudyonmorphologicalconsistencyandvariabilityinhumanupperfirstmolars