关键词: 牙冠, 牙根, 三维图像融合, 锥形束CT, 牙颌模型

Abstract: Objective：To explore a three-dimensional (3D) data fusion and integration method of optical scanning tooth crowns and cone beam CT (CBCT) reconstructing tooth roots for their natural transition in the 3D profile. Methods: One mild dental crowding case was chosen from orthodontics clinics with full denture. The CBCT data were acquired to reconstruct the dental model with tooth roots by Mimics 17.0 medical imaging software, and the optical impression was taken to obtain the dentition model with high precision physiological contour of crowns by Smart Optics dental scanner. The two models were doing 3D registration based on their common part of the crowns’ shape in Geomagic Studio 2012 reverse engineering software. The model coordinate system was established by defining the occlusal plane. crown-gingiva boundary was extracted from optical scanning model manually, then crown-root boundary was generated by offsetting and projecting crown-gingiva boundary to the root model. After trimming the crown and root models, the 3D fusion model with physiological contour crown and nature root was formed by curvature continuity filling algorithm finally. In the study, 10 patients with dentition mild crowded from the oral clinics were followed up with this method to obtain 3D crown and root fusion models, and 10 high qualification doctors were invited to do subjective evaluation of these fusion models. Results: This study based on commercial software platform, preliminarily realized the 3D data fusion and integration method of optical scanning tooth crowns and CBCT tooth roots with a curvature continuous shape transition. The 10 patients’ 3D crown and root fusion models were constructed successfully by the method, and the average score of the doctors’ subjective evaluation for these 10 models was 8.6 points (0-10 points). which meant that all the fusion models could basically meet the need of the oral clinics, and also showed the method in our study was feasible and efficient in orthodontics study and clinics. Conclusion: The method of this study for 3D crown and root data fusion could obtain an integrate tooth or dental model more close to the nature shape. CBCT model calibration may probably improve the precision of the fusion model. The adaptation of this method for severe dentition crowding and micromaxillary deformity needs further research.

Key words: Tooth crown, Tooth root, Three-dimensional image fusion, Cone beam CT, Dental model