Zainab Assy

83 Determination of intra-oral surface areas Removal of metallic restoration materials and preparation of the cadavers for CBCT After conducting anthropometric measurements, atraumatic extraction of teeth restored with metallic materials was performed to prevent scattering in the CBTC scan. The remaining teeth were all-natural teeth with an average of 8.7 teeth in total (SD: 6.2) and a mean number of 5.4 teeth (SD: 3.3) in the lower jaw and 3.3 teeth (SD: 3.8) in the upper jaw. Following extraction, the wet cotton rolls were removed and replaced by six styrofoam bars of approximately 5 × 1 × 1 cm, as styrofoam is undetectable by CBCT and does not absorb fluid, in contrast to the cotton rolls. The styrofoam bars were placed in the oral cavity to separate the cheeks and tongue from the oral mucosa and oral gingiva at the following locations: one between the cheek and the lower teeth on the left and right sides, one at both sides between the cheek and the upper teeth and another one was placed between the tongue and teeth at both sides. In some cases where the tongue contacted the palate, additional styrofoam bars were placed between the tongue and the palate. To separate the lips from the frontal teeth, a lip retractor (Henry Schein Dental, Melville, NY, USA) was used [5, 18, 28]. The lip contractor facilitated the insertion of styrofoam bars into the oral cavity but did not influence tissue stretching as the cadavers were preserved in a fixative, which had solidified the tissues. 4

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