Accuracy assessment of Smart stereolithography models generated by Dental Monitoring®: A pilot study

Objective: This pilot study aims to evaluate the clinical accuracy of Smart stereolithography (STL) files generated by the Dental Monitoring® (DM) system by comparing them with gold standard intraoral scans (IOSs). Methods: Seven aligner patients using the DM application were included. For each patient, Smart STL files generated from remote scans were superimposed onto IOSs using the best-fit algorithm in OnyxCeph software. Differences regarding inclination, angulation, rotation, buccal/lingual, mesial/distal, and intrusion/extrusion were quantified and statistically compared. Results: Statistically significant differences were observed in inclination, mesial/distal, and buccal/lingual movements, particularly in the posterior segments. However, all deviations remained within clinically acceptable thresholds for single aligner tooth movement. Conclusions: Despite minor deviations, Smart STL files generated by DM demonstrated sufficient accuracy for use in aligner planning and refinement. These findings highlight the potential of DM-generated Smart STL files for subsequent aligner treatment.