数字化全口义齿的临床应用和研究进展

doi:10.7518/hxkq.2021.01.001

华西口腔医学杂志 ›› 2021, Vol. 39 ›› Issue (1): 1-8.doi: 10.7518/hxkq.2021.01.001

• 专家论坛 • 下一篇

数字化全口义齿的临床应用和研究进展

周永胜¹^,²(), 孙玉春²^,³, 王勇²^,³

^1.北京大学口腔医学院·口腔医院修复科，北京 100081
^2.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
^3.北京大学口腔医学院·口腔医院口腔医学数字化研究中心，北京 100081

收稿日期:2020-09-01 修回日期:2020-11-19 出版日期:2021-02-01 发布日期:2021-03-02
通讯作者: 周永胜 E-mail:kqzhouysh@hsc.pku.edu.cn
作者简介:周永胜，教授，博士，E-mail：kqzhouysh@hsc.pku.edu.cn。北京大学口腔医（学）院党委书记、口腔修复科主任，教授、主任医师、博导；国家有突出贡献中青年专家、教育部新世纪优秀人才、首都科技领军人才、中华口腔医学科技创新人物，系“十三五”国家重点研发计划首席科学家。兼任国务院学位委员会第八届学科评议组召集人，中华口腔医学会常务理事，中华口腔医学会口腔颌面修复学专委会主任委员，口腔修复学专委会副主任委员，国际种植学会专家组成员（ITI Fellow），ITI国际学者研修中心主任，亚洲口腔修复学会理事。长期从事口腔修复专业医教研工作，在国际国内重要期刊发表论文170余篇。负责国家重点研发计划项目、国家自然科学基金（含重点项目）、国家临床重点专科建设项目；获5项省部级科技成果奖和教育成果奖。系国家级一流本科课程、研究生精品课程负责人。
基金资助:
国家重点研发计划(2018YFB1106900);首都科技领军人才培养工程(Z191100006119022);首都卫生发展科研专项(2018-2-4103);北大百度基金资助项目(2019BD021)

Clinical application and research progress of digital complete denture

Zhou Yongsheng¹^,²(), Sun Yuchun²^,³, Wang Yong²^,³

^1.Dept. of Prosthodontics, Peking University School and Hospital of Stomatology, Beijing 100081, China
^2.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
^3.Center of Digital Dentistry, Peking University School and Hospital of Stomatology, Beijing 100081, China

Received:2020-09-01 Revised:2020-11-19 Online:2021-02-01 Published:2021-03-02
Contact: Zhou Yongsheng E-mail:kqzhouysh@hsc.pku.edu.cn
Supported by:
National Key R&D Program of China(2018YFB1106900);The Project for Culturing Leading Talents in Scientific and Technological Innovation of Beijing Municipal Science & Technology Commission(Z191100006119022);The Capital Health Research and Development Special Project(2018-2-4103);PKU-Baidu Fund(2019BD021)

摘要/Abstract

摘要：

数字化技术利用高精度三维扫描、智能辅助设计软件和多轴数控切削或3D打印技术，可以制作出精度可靠、功能适宜的修复体。然而，由于全口义齿操作的复杂性，数字化技术在全口义齿修复领域的研发进度相对缓慢。本文将从数字化全口义齿的研究现状以及临床应用两个方面，阐述目前数字化全口义齿在口腔修复临床和技工室应用和研发的进展情况。

关键词: 全口义齿, 计算机辅助设计与计算机辅助制造, 数字化印模, 数字化颌位

Abstract:

Digital technologies use high-precision three-dimensional scanning, intelligence-aided design software, and multi-axis numerical control milling or 3D printing, which can produce restorations with reliable precision and suitable function. However, the development of digital technologies in the field of complete denture restoration has been slow due to the complexity of prosthesis. This review article introduces the current research status and clinical applications of digital complete dentures in prosthodontic clinics and dental laboratories to provide beneficial references to prosthodontists and dental technicians.

Key words: complete denture, computer-aided design/computer-aided manufacture, digital impression, digital mandibular position

中图分类号:

R 783.4

周永胜, 孙玉春, 王勇. 数字化全口义齿的临床应用和研究进展[J]. 华西口腔医学杂志, 2021, 39(1): 1-8.

Zhou Yongsheng, Sun Yuchun, Wang Yong. Clinical application and research progress of digital complete denture[J]. West China Journal of Stomatology, 2021, 39(1): 1-8.

参考文献 53

1	Maeda Y, Minoura M, Tsutsumi S, et al. A CAD/CAM system for removable denture. Part Ⅰ: fabrication of complete dentures[J]. Int J Prosthodont, 1994, 7(1): 17-21.
2	Rossini G, Parrini S, Castroflorio T, et al. Diagnostic accuracy and measurement sensitivity of digital models for orthodontic purposes: a systematic review[J]. Am J Orthod Dentofacial Orthop, 2016, 149(2): 161-170.
3	Ender A, Attin T, Mehl A. In vivo precision of conventional and digital methods of obtaining complete-arch dental impressions[J]. J Prosthet Dent, 2016, 115(3): 313-320.
4	Michelinakis G, Apostolakis D, Tsagarakis A, et al. A comparison of accuracy of 3 intraoral scanners: a single-blinded in vitro study[J]. J Prosthet Dent, 2020, 124(5): 581-588.
5	Richert R, Goujat A, Venet L, et al. Intraoral scanner technologies: a review to make a successful impression[J]. J Healthc Eng, 2017, 2017: 8427595.
6	Patzelt SB, Vonau S, Stampf S, et al. Assessing the feasibility and accuracy of digitizing edentulous jaws[J]. J Am Dent Assoc, 2013, 144(8): 914-920.
7	Lee JH. Improved digital impressions of edentulous areas[J]. J Prosthet Dent, 2017, 117(3): 448-449.
8	Lo Russo L, Caradonna G, Troiano G, et al. Three-dimensional differences between intraoral scans and conventional impressions of edentulous jaws: a clinical study[J]. J Prosthet Dent, 2020, 123(2): 264-268.
9	Lo Russo L, Salamini A. Single-arch digital removable complete denture: a workflow that starts from the intraoral scan[J]. J Prosthet Dent, 2018, 120(1): 20-24.
10	Fang JH, An XY, Jeong SM, et al. Digital immediate denture: a clinical report[J]. J Prosthet Dent, 2018, 119(5): 698-701.
11	Unkovskiy A, Wahl E, Zander AT, et al. Intraoral scanning to fabricate complete dentures with functional Borders: a proof-of-concept case report[J]. BMC Oral Heal-th, 2019, 19(1): 46.
12	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.
	Wei L, Chen H, Zhou YS, et al. Evaluation of production and clinical working time of computer-aided design/computer-aided manufacturing (CAD/CAM) custom tra-ys for complete denture[J]. J Peking Univ Heal Sci, 2017, 49(1): 86-91.
13	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.
	Chen H, Zhao T, Wang Y, et al. Computer aided design and 3-dimensional printing for the production of custom trays of maxillary edentulous jaws based on 3-dimensional scan of primary impression[J]. J Peking Univ Heal Sci, 2016, 48(5): 900-904.
14	Chen H, Yang X, Chen LT, et al. Application of FDM three-dimensional printing technology in the digital ma-nufacture of custom edentulous mandible trays[J]. Sci Rep, 2016, 6: 19207.
15	Sun YC, Chen H, Li H, et al. Clinical evaluation of final impressions from three-dimensional printed custom trays[J]. Sci Rep, 2017, 7(1): 14958.
16	Kanazawa M, Iwaki M, Arakida T, et al. Digital impression and jaw relation record for the fabrication of CAD/CAM custom tray[J]. J Prosthodont Res, 2018, 62(4): 509-513.
17	Li WW, Xie QF, 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.
18	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.
	Li WW. Study on the method of digital determination and recording of edentulous jaw relationship[D]. Beijing: Peking University, 2019.
19	Schweiger J, Güth JF, Edelhoff D, et al. Virtual evaluation for CAD-CAM-fabricated complete dentures[J]. J Prosthet Dent, 2017, 117(1): 28-33.
20	Lo Russo L, Di Gioia C, Salamini A, et al. Integrating intraoral, perioral, and facial scans into the design of digital dentures[J]. J Prosthet Dent, 2020, 123(4): 584-588.
21	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.
22	Cheng C, Cheng XS, Dai N, et al. Prediction of facial deformation after complete denture prosthesis using BP neural network[J]. Comput Biol Med, 2015, 66: 103-112.
23	Yuan FS, Cheng C, Dai N, et al. Prediction of aesthetic reconstruction effects in edentulous patients[J]. Sci Rep, 2017, 7(1): 18077.
24	华先明, 程祥荣. 全口义齿计算机辅助设计系统的研制与应用[J]. 华西口腔医学杂志, 2001, 19(4): 235-236.
	Hua XM, Cheng XR. Development and applications of a computer aided complete denture design system[J]. West China J Stomatol, 2001, 19(4): 235-236.
25	程祥荣, 华先明, 华中平, 等. 计算机辅助全口义齿人工牙排列的研究[J]. 中华口腔医学杂志, 2000, 35(2): 147-149.
	Cheng XR, Hua XM, Hua ZP, et al. Development and applications of a computer aided complete denture design system[J]. Chin J Stomatol, 2000, 35(2): 147-149.
26	孙玉春, 吕培军, 王勇, 等. 计算机辅助设计与快速成形技术辅助制作全口义齿的探讨[J]. 中华口腔医学杂志, 2007, 42(6): 324-329.
	Sun YC, Lü PJ, Wang Y, et al. Research and development of computer aided design and rapid prototyping technology for complete denture[J]. Chin J Stomatol, 2007, 42(6): 324-329.
27	Sun YC, Lü PJ, Wang Y. Study on CAD & RP for removable complete denture[J]. Computer Method Program Biomed, 2009, 93(3): 266-272.
28	范骐磊. 全口义齿数字化设计的研究及实现[D]. 南京: 南京航空航天大学, 2016.
	Fan QL. Research on digital design of complete denture[J]. Nanjing: Nanjing University of Aeronautics and Astronautics, 2016.
29	Dai N, Yu XL, Fan QL, et al. Complete denture tooth arrangement technology driven by a reconfigurable rule[J]. PLoS One, 2018, 13(6): e0198252.
30	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.
31	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.
32	Han WL, Li YF, Zhang Y, et al. Design and fabrication of complete dentures using CAD/CAM technology[J]. Medicine (Baltimore), 2017, 96(1): e5435.
33	Einarsdottir ER, Geminiani A, Chochlidakis K, et al. Dimensional stability of double-processed complete denture bases fabricated with compression molding, injection molding, and CAD-CAM subtraction milling[J]. J Prosthet Dent, 2020, 124(1): 116-121.
34	Wimmer T, Eichberger M, Lümkemann N, et al. Accuracy of digitally fabricated trial dentures[J]. J Prosthet Dent, 2018, 119(6): 942-947.
35	Kanazawa M, Inokoshi M, Minakuchi S, et al. Trial of a CAD/CAM system for fabricating complete dentures[J]. Dent Mater J, 2011, 30(1): 93-96.
36	Yamamoto S, Kanazawa M, Hirayama D, et al. In vitro evaluation of basal shapes and offset values of artificial teeth for CAD/CAM complete dentures[J]. Comput Biol Med, 2016, 68: 84-89.
37	Yoon HI, Hwang HJ, Ohkubo C, et al. Evaluation of the trueness and tissue surface adaptation of CAD-CAM mandibular denture bases manufactured using digital light processing[J]. J Prosthet Dent, 2018, 120(6): 919-926.
38	Hwang HJ, Lee SJ, Park EJ, et al. Assessment of the trueness and tissue surface adaptation of CAD-CAM maxillary denture bases manufactured using digital light processing[J]. J Prosthet Dent, 2019, 121(1): 110-117.
39	Prpić V, Schauperl Z, Ćatić A, et al. Comparison of mechanical properties of 3D-printed, CAD/CAM, and conventional denture base materials[J]. J Prosthodont, 2020, 29(6): 524-528.
40	Kalberer N, Mehl A, Schimmel M, et al. CAD-CAM milled versus rapidly prototyped (3D-printed) complete dentures: an in vitro evaluation of trueness[J]. J Prosthet Dent, 2019, 121(4): 637-643.
41	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.
42	Infante L, Yilmaz B, McGlumphy E, et al. Fabricating complete dentures with CAD/CAM technology[J]. J Pro-sthet Dent, 2014, 111(5): 351-355.
43	Baba NZ. Materials and processes for CAD/CAM complete denture fabrication[J]. Curr Oral Health Rep, 2016, 3(3): 203-208.
44	Baba NZ, AlRumaih HS, Goodacre BJ, et al. Current techniques in CAD/CAM denture fabrication[J]. Gen Dent, 2016, 64(6): 23-28.
45	Schwindling FS, Stober T. A comparison of two digital techniques for the fabrication of complete removable dental prostheses: a pilot clinical study[J]. J Prosthet Dent, 2016, 116(5): 756-763.
46	Deng KH, Chen H, Li R, et al. Clinical evaluation of tissue stops on 3D-printed custom trays[J]. Sci Rep, 2019, 9(1): 1807.
47	Steinmassl PA, Klaunzer F, Steinmassl O, et al. Evaluation of currently available CAD/CAM denture systems[J]. Int J Prosthodont, 2017, 30(2): 116-122.
48	Lo Russo L, Salamini A. Removable complete digital dentures: a workflow that integrates open technologies[J]. J Prosthet Dent, 2018, 119(5): 727-732.
49	Clark WA, Duqum I, Kowalski BJ. The digitally replicated denture technique: a case report[J]. J Esthet Restor Dent, 2019, 31(1): 20-25.
50	Qu F, Du X, Liu WC. 3D-printed custom trays with a Gothic arch for centric relation recording and definitive impression making for complete dentures: a dental technique[J]. J Prosthet Dent, 2019, 121(1): 32-36.
51	Baba NZ, Goodacre CJ, Kattadiyil MT. CAD/CAM removable prosthodontics[M]//Clinical applications of di-gital dental technology. Chichester, UK: John Wiley & Sons Inc, 2015: 107-138.
52	Srinivasan M, Schimmel M, Naharro M, et al. CAD/CAM milled removable complete dentures: time and cost estimation study[J]. J Dent, 2019, 80: 75-79.
53	Yilmaz B, Azak AN, Alp G, et al. Use of CAD-CAM technology for the fabrication of complete dentures: an alternative technique[J]. J Prosthet Dent, 2017, 118(2): 140-143.

[1]	沈颉飞. 口腔修复诊疗中构建虚拟患者的机遇与挑战[J]. 华西口腔医学杂志, 2024, 42(1): 1-11.
[2]	李哲敏, 马雯洁, 杨淑然, 杨秋松, 王佳宁, 姚张顺, 林云红, 李星星. 核饰瓷厚度和树脂水门汀对玻璃陶瓷贴面乳光性能的影响[J]. 华西口腔医学杂志, 2022, 40(4): 403-408.
[3]	陈玲, 陈成, 李志勇, 张绮. 口内扫描数字化印模对固定修复临床应用效果的Meta分析[J]. 华西口腔医学杂志, 2021, 39(3): 306-312.
[4]	杨丽媛, 刘冠邑, 赵凌, 高旭. 3种方法确定水平颌位关系的全口义齿准确性比较[J]. 华西口腔医学杂志, 2020, 38(4): 404-409.
[5]	周文翘, 刘蝶, 陈陶, 彭燕, 章婷婷, 胡常红. 过渡性治疗义齿在疑难全口义齿修复前的临床应用初探[J]. 华西口腔医学杂志, 2018, 36(3): 277-281.
[6]	刘星纲, 陈小贤. 椅旁数字化模型上测量牙尖斜面夹角的可靠性研究[J]. 华西口腔医学杂志, 2018, 36(1): 56-59.
[7]	刘翠玲杨丽媛郑政高旭. 3种方法确定水平颌位关系的全口义齿咀嚼肌肌电活动及咀嚼效率分析[J]. 华西口腔医学杂志, 2016, 34(5): 493-497.
[8]	汪厚希;丁仲鹃;林云红;周屹立;谢静. 种植磁附着体在全口义齿修复中的临床应用[J]. 华西口腔医学杂志, 2005, 23(06): 515-517.
[9]	张宁宁,赵军. 治疗性全口义齿矫正不良颌位的研究[J]. 华西口腔医学杂志, 2003, 21(05): 369-371.
[10]	华先明,程祥荣. 全口义齿计算机辅助设计系统的研制与应用[J]. 华西口腔医学杂志, 2001, 19(04): 235-236.
[11]	赵铱民,刘宝林,马轩祥,张铁,赵军,邵龙泉. 种植体-杆卡式附着体固位的覆盖全口义齿[J]. , 1999, 17(04): 0-.
[12]	苏剑生,郑光榕. 即刻全口义齿修复者颌弓-牙弓协调性变化的研究[J]. , 1998, 16(03): 0-.
[13]	董研,骆小平,王雅北,袁井圻. 人工牙排列位置对下颌全口义齿固位及支持组织的影响[J]. , 1997, 15(04): 0-.
[14]	肖茂春,邓军. 全口义齿对牙嵴粘膜微循环血流速度和血流量的影响[J]. , 1997, 15(03): 0-.
[15]	巢永烈,魏红. 全下颌改良杆卡式种植覆盖义齿受冲击载荷的三维各向异性有限元分析[J]. , 1997, 15(03): 0-.

数字化全口义齿的临床应用和研究进展

Clinical application and research progress of digital complete denture

RichHTML

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

参考文献 53

相关文章 15

编辑推荐

Metrics

本文评价