基于口内扫描生成可临床修正的牙冠初稿,解决局部扫描分割难题。
From Full and Partial Intraoral Scans to Crown Proposal: A Classification-Guided Restoration Assistance Pipeline

- 按扫描类型分类后分步对齐,提升局部扫描分割精度
- 关键牙齿分割达0.9569 DSC,中心点误差低于0.28mm
- 结合检索与建模,3分钟内生成可直接使用的牙冠初稿
单颗牙修复是临床牙科中最常见的操作之一,目前CAD/CAM流程已能直接从口内扫描数据生成牙冠。由于拼接错误较少,局部扫描常优于全牙弓扫描,但多数在全牙弓数据上训练的分割网络在局部扫描上表现不佳,而端到端生成式方法常导致咬合细节丢失、表面过度平滑。本文提出一个端到端流程:输入原始口内扫描与目标牙位(FDI编号),输出供医生修正的个性化牙冠初稿。流程包含三阶段:(I) 数据预处理与姿态标准化;(II) 基于扫描类型分流的分割;(III) 通过上下文感知检索与Blender建模完成牙冠生成。针对局部扫描分割问题,采用“分类-对齐”策略:使用DGCNN分类器将扫描分为五类解剖类型,经粗到细的RANSAC+ICP配准标准化颌骨坐标系,再通过图割优化细化牙龈边界。在1,958个局部扫描上训练,该流程在17个语义类别上达到宏平均DSC 0.9249,召回率0.8919,精确率0.9615;微调后的全牙弓模型达DSC 0.9347。目标牙及其邻牙分割的DSC为0.9468–0.9569,中心点误差仅0.2666–0.2774 mm。这些中心点作为锚点,用于基于DGCNN嵌入与余弦相似度的检索模块,结合样条引导对齐及Blender Python API精细化调整。全流程可在2.5–3.5分钟内生成初步牙冠壳体,提供一种比端到端生成方法更实用的替代方案。
原文摘要 · Abstract (English)
Single-unit crown restoration is among the most common procedures in clinical dentistry, with CAD/CAM workflows now designing crowns directly from intraoral scans. Partial scans are often preferred over full-arch scans for single-unit cases due to fewer stitching errors, yet most segmentation networks trained on full arches fail on partial scans, while end-to-end generative crown methods often produce over-smoothed surfaces that lose occlusal detail. We propose an end-to-end pipeline that takes a raw intraoral scan and target FDI tooth number as input and outputs an initial, patient-specific crown proposal for clinician refinement. The pipeline has three phases: (I) data preparation and pose standardization; (II) segmentation routed by scan type; and (III) crown proposal generation via context-aware retrieval and Blender-based fitting. We address partial-scan segmentation through a classify-then-align strategy: a DGCNN classifier categorizes the scan into one of five anatomical types, then coarse-to-fine RANSAC+ICP registration standardizes the jaw coordinate frame, followed by graph-cut optimization to refine tooth-gingival boundaries. Trained on 1,958 partial scans, the pipeline achieves macro-average DSC 0.9249, Recall 0.8919, and Precision 0.9615 across 17 semantic classes; a fine-tuned full-arch model reaches DSC 0.9347. The prepared tooth and its mesial and distal neighbors achieve DSC 0.9468-0.9569 with sub-millimeter Centroid Errors (0.2666-0.2774 mm). These centroids anchor a retrieval module using DGCNN embeddings and cosine similarity over neighboring and opposing teeth, followed by spline-guided alignment and Blender Python API refinement. The pipeline produces a preliminary crown shell in 2.5-3.5 minutes, offering a practical alternative to end-to-end generative approaches.
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