用模板变形与边缘分割,自动设计更贴合的牙冠。
MADCrowner: Margin Aware Dental Crown Design with Template Deformation and Refinement
- 基于口腔扫描提取解剖结构,变形模板生成牙冠
- 引入边缘分割网络,提升牙冠边界精度
- 临床可用性强,几何准确率显著优于现有方法
牙冠修复是牙齿缺损最常见的治疗方式,个性化牙冠设计至关重要。尽管计算机辅助设计(CAD)系统显著提升了设计效率,但临床流程仍需大量手动调整。近年来,学习方法被用于自动生成牙冠,但普遍存在空间分辨率不足、输出噪声大、表面重建过度等问题。为此,我们提出整体框架,包含CrownDeformR和CrownSegger。受临床手工流程启发,CrownDeformR通过多尺度口内扫描编码器提取解剖上下文,将初始模板形变为目标牙冠;同时引入新型边缘分割网络orderseg,精准提取目标牙齿的颈缘。该颈缘信息作为额外约束提升形变精度,并作为后处理边界条件,有效消除重建表面的过度延伸区域。我们构建了大规模口内扫描数据集并开展广泛实验,所提方法在几何精度与临床可行性上均显著优于现有方法。
原文摘要 · Abstract (English)
Dental crown restoration is one of the most common treatment modalities for tooth defect, where personalized dental crown design is critical. While computer-aided design (CAD) systems have notably enhanced the efficiency of dental crown design, extensive manual adjustments are still required in the clinic workflow. Recent studies have explored the application of learning-based methods for the automated generation of restorative dental crowns. Nevertheless, these approaches were challenged by inadequate spatial resolution, noisy outputs, and overextension of surface reconstruction. To address these limitations, we propose \totalframework, a margin-aware mesh generation framework comprising CrownDeformR and CrownSegger. Inspired by the clinic manual workflow of dental crown design, we designed CrownDeformR to deform an initial template to the target crown based on anatomical context, which is extracted by a multi-scale intraoral scan encoder. Additionally, we introduced \marginseg, a novel margin segmentation network, to extract the cervical margin of the target tooth. The performance of CrownDeformR improved with the cervical margin as an extra constraint. And it was also utilized as the boundary condition for the tailored postprocessing method, which removed the overextended area of the reconstructed surface. We constructed a large-scale intraoral scan dataset and performed extensive experiments. The proposed method significantly outperformed existing approaches in both geometric accuracy and clinical feasibility.
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