arXiv:2504.12868cs.CV2025-04被引 2

用多模态3D数据设计个性化咬合定位牙套,提升精准度与可重复性。

Computer-Aided Design of Personalized Occlusal Positioning Splints Using Multimodal 3D Data

  • 融合口内扫描、CBCT等多源3D数据,通过变换矩阵定义下颌治疗位。
  • 虚拟凸纹技术有效解决咬合面冲突,打印牙套几何误差小于0.2mm。
  • 适合正畸与颞下颌关节研究,为个性化矫治器设计提供可验证框架。

数字技术在定制医疗设备(如咬合牙套)设计中起关键作用,常用于颌系统疾病管理。本方法学概念验证研究提出一种计算机辅助设计与评估咬合定位牙套的方法,旨在展示该方法在临床前阶段的可行性与几何精度。通过整合口内扫描、锥形束CT(CBCT)、3D面部扫描及数字化石膏模型重建的虚拟患者模型,由经验操作者定义治疗状态下下颌位置,并利用变换矩阵生成三维牙套。提出一种新型虚拟凸纹技术,以再现治疗位咬合状态并解决表面冲突。详细描述了基于常规牙科工具与口内装置获取变换矩阵的流程,并通过轮廓与表面偏差分析评估设计与打印牙套的几何精度。该方法支持可重复的个性化牙套制造,为未来验证研究提供透明基础,适用于多模态影像配准与咬合差异量化研究。

原文摘要 · Abstract (English)

Digital technology plays a crucial role in designing customized medical devices, such as occlusal splints, commonly used in the management of disorders of the stomatognathic system. This methodological proof-of-concept study presents a computer-aided approach for designing and evaluating occlusal positioning splints. The primary aim is to demonstrate the feasibility and geometric accuracy of the proposed method at the preclinical stage. In this approach, a three-dimensional splint is generated using a transformation matrix to represent the therapeutic mandibular position. An experienced operator defines this position using a virtual patient model reconstructed from intraoral scans, CBCT, 3D facial scans, and a digitized plaster model. We introduce a novel method for generating splints that reproduces occlusal conditions in the therapeutic position and resolves surface conflicts through virtual embossing. The process for obtaining transformation matrices using dental tools and intraoral devices commonly employed in dental and laboratory workflows is described, and the geometric accuracy of both designed and printed splints is evaluated using profile and surface deviation analysis. The method supports reproducible, patient-specific splint fabrication and provides a transparent foundation for future validation studies, supporting multimodal image registration and quantification of occlusal discrepancies in research settings.

个性化牙套多模态3D咬合设计数字化正畸

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