北京大学学报(医学版) ›› 2020, Vol. 52 ›› Issue (2): 390-394. doi: 10.19723/j.issn.1671-167X.2020.02.032

• 综述 • 上一篇    下一篇

功能易适数字化全口义齿的自主创新研发

孙玉春1,(),王勇1,邓珂慧1,陈虎1,李伟伟1,赵一姣1,潘韶霞2,叶红强2,周永胜2,()   

  1. 1. 北京大学口腔医学院·口腔医院 口腔医学数字化研究中心,口腔修复教研室
    2. 北京大学口腔医学院·口腔医院 修复科 国家口腔疾病临床医学研究中心 口腔数字化医疗技术和材料国家工程实验室 口腔数字医学北京市重点实验室,北京 100081
  • 收稿日期:2019-10-10 出版日期:2020-04-18 发布日期:2020-04-18
  • 通讯作者: 孙玉春,周永胜 E-mail:kqsyc@bjmu.edu.cn;kqzhouysh@bjmu.edu.cn

Independent innovation research of functionally suitable denture digital system

Yu-chun SUN1,(),Yong WANG1,Ke-hui DENG1,Hu CHEN1,Wei-wei LI1,Yi-jiao ZHAO1,Shao-xia PAN2,Hong-qiang YE2,Yong-sheng ZHOU2,()   

  1. 1. Center of Digital Dentistry, Faculty of Prosthodontics
    2. Department of Prosthodontics, Peking University School and Hospital of Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Laboratory for Digital and Material Technology of Stomatology & Beijing Key Laboratory of Digital Stomatology, Beijing 100081, China
  • Received:2019-10-10 Online:2020-04-18 Published:2020-04-18
  • Contact: Yu-chun SUN,Yong-sheng ZHOU E-mail:kqsyc@bjmu.edu.cn;kqzhouysh@bjmu.edu.cn

关键词: 全口义齿, 计算机辅助设计与计算机辅助制造, 无牙颌印模, 颌关系记录

Abstract:

SUMMARY Fabrication of conventional complete dentures involves a complex restoration method, requiring significant time and typically involving primary impressions, definitive impressions, jaw relation records, clinic try-in, and complete denture placement, which has been used for nearly a century without change. A novel digital system named Functionally Suitable Denture (FSD) was researched and deve-loped so as to reduce clinical steps, operation difficulties and errors of complete denture restoration. It pioneered a unique diagnostic complete denture aided by computer aided design (CAD) & 3D printing, by which, the functional impression, jaw relation, and try-in (3 steps) were simplified to 1 step, thus the number of visits to the dentist was reduced by 2 times. Moreover, for the first time, it put forward a CAD software of template matching based on the expert design, which was an efficient and intelligent design scheme, and the excellent denture experts' experience and skills could be inherited and iterated. The system included the 3D scanner with appropriate accuracy and high efficiency, the CAD software, the special 3D printer and process software, and the innovative clinical operation process. The Patent Cooperation Treaty (PCT) patent international search report showed that all the 15 claims of the technology were of novelty, creativity and industrial utility. All the digital products were independently developed and made by Peking University School and Hospital of Stomatology, China. The design and manufacture process of denture prosthesis was fast, simple and accurate. At the same time, personalized functional and aesthetic matching of the patients after wearing prosthesis was realized. It effectively solved the global problems of "slow, difficult and inaccurate" of the traditional manual technology of complete denture, and brought good news to edentulous patients. Compared with the traditional complete denture treatment, FSD system has a wide range of applications for different types of edentulous patients, including those with severe resorption of the alveolar ridge or a high occlusal force. Furthermore, the low-cost of 3D printers, compared with expensive milling machines, may make the approach more accessible. This review describes that our research is related to the development of the FSD system, including multi-source data acquisition technology, three generations of complete denture design software, 3D printing systems of individual tray and complete denture pattern, the clinical and laboratory operation process of the FSD system.

Key words: Complete denture, Computer aided design & computer aided manufacturing;, Edentulous impression, Jaw relation record

中图分类号: 

  • R783.6

图1

功能易适数字全口义齿的临床及技工室操作流程"

[1] 王兴 . 第四次全国口腔健康流行病学调查报告 [M]. 北京: 人民卫生出版社, 2018.
[2] Enkhtuvshin A, 范震, 王佐林. 中老年心血管疾病与牙缺失关联性的临床调查[J]. 口腔颌面外科杂志, 2016,26(2):101-104.
[3] 冯海兰 . 口腔修复学 [M]. 北京: 北京大学医学出版社, 2013: 253.
[4] Kattadiyil MT, Goodacre CJ, Baba NZ . CAD/CAM complete dentures: a review of two commercial fabrication systems[J]. J Calif Dent Assoc, 2013,41(6):407-416.
[5] Baba NZ, Alrumaih HS, Goodacre BJ , et al. Current techniques in CAD/CAM denture fabrication[J]. Gen Dent, 2016,64(6):23-28.
[6] Baba NZ . Materials and processes for CAD/CAM complete denture fabrication[J]. Curr Oral Hlth Rep, 2016,3(3):203-208.
[7] Schweiger J, Stumbaum J, Edelhoff D , et al. Systematics and concepts for the digital production of complete dentures: risks and opportunities[J]. Int J Comput Dent, 2018,21(1):41-56.
[8] 王子轩, 孙玉春, 周永胜 . 数字化全口义齿的研究和应用进展[J]. 口腔颌面修复学杂志, 2017,18(5):291-295.
[9] 孙玉春, 王勇, 周永胜 , 等 .功能易适数字化全口义齿的制作方法和设备: PCT/CN2016/079962[P]. 2016 -04-12.
[10] Deng K, Wang Y, Zhou Y , et al.Functionally suitable digital removable complete dentures: A dental technique[J].J Prosthet Dent, 2019, pii:S0022-3913(19) 30360-9. doi: 10.1016/j.prosdent.2019.05.024.
[11] 张鹏, 李伟伟, 王勇 , 等. 多源数据获取技术在全口义齿数字修复中的应用进展[J]. 中华口腔医学杂志, 2016,51(2):124-128.
[12] Patzelt SBM, Sebastian V, Susanne S , et al. Assessing the feasibility and accuracy of digitizing edentulous jaws[J]. J Am Dent Assoc, 2013,144(8):914-920.
[13] Yuan FS, Sun YC, Yong W , et al. Accuracy evaluation of a new three-dimensional reproduction method of edentulous dental casts, and wax occlusion rims with jaw relation[J]. Int J Oral Sci, 2013,5(3):155-161.
[14] Li W, Yuan F, Lv P , et al. Evaluation of the quantitative accuracy of 3D reconstruction of edentulous jaw models with jaw relation based on reference point system alignment[J]. PLoS One, 2015,10(2):e117320.
[15] Li W, Xie Q, Wang Y , et al. A pilot study of digital recording of edentulous jaw relations using a handheld scanner and specially designed headgear[J]. Sci Rep, 2018,8(1):8975.
[16] Zhao T, Yang H, Sui H , et al. Accuracy of a real-time, compu-terized, binocular, three-dimensional trajectory-tracking device for recording functional mandibular movements[J]. PLoS One, 2016,11(10):e163934.
[17] 李伟伟 . 无牙颌颌位关系数字确定与记录方法研究[D]. 北京: 北京大学, 2019.
[18] 刘建彰, 徐军 . 不同垂直距离下肌力闭合道终点位与正中关系位的关系[J]. 北京大学学报(医学版), 2010,42(1):62-65.
[19] Cheng C, Cheng X, Dai N , et al. Deformation of facial model for complete denture prosjournal using ARAP group method and elastic properties[J]. Med Biol Eng Comput, 2017,55(9):1635-1647.
[20] Yuan F, Cheng C, Dai N , et al. Prediction of aesthetic reconstruction effects in edentulous patients[J]. Sci Rep, 2017,7(1):18077.
[21] 孙玉春, 孙儒, 邓珂慧 , 等. 全口义齿数字化修复技术的研发和应用进展[J]. 中华口腔医学杂志, 2018,53(1):60-65.
[22] Sun Y, Lü P, Yong W . Study on CAD&RP for removable complete denture[J]. Comput Methods Programs Biomed, 2009,93(3):266-272.
[23] Dai N, Yu X, Fan Q , et al. Complete denture tooth arrangement technology driven by a reconfigurable rule[J]. PLoS One, 2018,13(6):e198252.
[24] Dai N, Yu X, Sun Y . Gingival morphology-controlled design of the complete denture baseplate[J]. Int J Numer Method Biomed Eng, 2018,34(2):e2911.
[25] 孙玉春, 王勇, 钟伟秋 , 等 . 基于数据挖掘的全口义齿制作方法和装置: PCT/CN2016/110957 [P]. 2016 -12-20.
[26] 孙玉春, 金恩龙, 赵甜 , 等. 无牙颌印模用个别托盘的研究及应用进展[J]. 中华口腔医学杂志, 2016,51(11):698-701.
[27] 陈虎, 赵甜, 王勇 , 等. 基于初印模三维扫描的无牙颌上颌个性化托盘计算机辅助设计及三维打印[J]. 北京大学学报(医学版), 2016,48(5):900-904.
[28] Chen H, Yang X, Chen L , et al. Application of FDM three-dimensional printing technology in the digital manufacture of custom edentulous mandible trays[J]. Sci Rep, 2016,6:19207.
[29] 魏菱, 陈虎, 周永胜 , 等. 数字化全口义齿个别托盘制作与临床应用时间评价[J]. 北京大学学报(医学版), 2017,49(1):86-91.
[30] Sun Y, Chen H, Li H , et al. Clinical evaluation of final impressions from three-dimensional printed custom trays[J]. Sci Rep, 2017,7(1):14958.
[31] Deng K, Chen H, Li R , et al. Clinical evaluation of tissue stops on 3D-printed custom trays[J]. Sci Rep, 2019,9(1):1807.
[32] Yuan F, Lv P, Wang P , et al. Custom fabrication of try-in wax complete denture[J]. Rapid Prototyping J, 2016,22(3):539-543.
[33] Chen H, Wang H, Lv P , et al. Quantitative evaluation of tissue surface adaption of CAD-designed and 3D printed wax pattern of maxillary complete denture[J]. Biomed Res Int, 2015,2015:453968.
[34] Deng K, Chen H, Zhao Y , et al. Evaluation of adaptation of the polylactic acid pattern of maxillary complete dentures fabricated by fused deposition modelling technology: A pilot study[J]. PLoS One, 2018,13(8):e201777.
[35] 邓珂慧, 王勇, 陈虎 , 等. 熔融沉积成形下颌全口义齿聚乳酸蜡型的打印精度与组织面适合性初探[J]. 中华口腔医学杂志, 2017,52(6):342-345.
[36] Bonnet G, Batisse C, Bessadet M , et al. A new digital denture procedure: a first practitioners appraisal[J]. BMC Oral Health, 2017,17(1):155.
[37] 王函, 吕培军, 王勇 , 等. 全口义齿牙列基托分体数字控制加工后装配粘接精度的定量评价[J]. 北京大学学报(医学版), 2016,48(5):884-888.
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