中国口腔医学继续教育杂志 ›› 2024, Vol. 27 ›› Issue (1): 1-6.DOI: 10.12337/zgkqjxjyzz.2024.01.001

• 综述 •    下一篇

立体几何与测量学在口腔修复中的应用

于海洋*, 罗天, 孙纪奎, 赵雨薇, 李丹雪, 杨扬, 高姗姗   

  1. 口腔疾病防治全国重点实验室,国家口腔医学中心,国家口腔疾病临床医学研究中心,四川大学华西口腔医院修复II科
  • 出版日期:2024-01-31 发布日期:2024-05-08
  • 通讯作者: *于海洋,联系方式:18980685999,电子邮箱:YHYmechanics@163.com,通讯地址:四川省成都市武侯区人民南路三段14号,610041
  • 基金资助:
    四川省卫健委研究者发起的临床研究项目 不同引导方式对瓷贴面修复定深与控厚效果的队列研究(项目编号:230021)

The Application of Stereo Geometry and Surveying in Prosthodontics

Haiyang Yu*, Tian Luo, Jikui Sun, Yuwei Zhao, Danxue Li, Yang Yang, Shanshan Gao   

  1. State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases, Department II of Prosthodontics, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan Province, P.R. China
  • Online:2024-01-31 Published:2024-05-08
  • Contact: Haiyang Yu. Tel: 18980685999. Email: YHYmechanics@163.com. Address: No.14, Section 3, Renmin South Road, Wuhou District, Chengdu 610041, Sichuan Province, P.R. China.
  • Supported by:
    A clinical research project initiated by researchers from the Sichuan Provincial Health Commission: a cohort study on the effects of different guidance methods on depth setting and thickness control of porcelain veneer repairs(No.230021)

摘要: 数字化口腔修复学一直是国际口腔学界的前沿热点。从结果上看,口腔医学技术专业代表的口腔修复体制作端近十年来引入日益完善的计算机辅助设计、数控加工、制作等已相对成熟;但在口腔修复临床端,除数字化口扫、面扫、虚拟美学分析、设计及下颌运动轨迹描记等分析设计阶段运用了部分数字化手段外,大部分操作尤其是不可逆操作还是以经验类比模型为基础,数字化应用远未成熟。临床端缺少对目标修复空间的三维几何分析、精准转移及校验,是目前制约数字化口腔修复学整体进步的瓶颈,究其根源就是还没有真正做到遵循立体几何与测量学来形成数字化修复所需的精密逻辑基础。本文将探讨口腔修复中的立体几何量概念及其在修复边缘区域的典型表征、测量方案等,并总结当前弱人工智能阶段下数字化口腔修复学的学科特点与对未来的展望。

关键词: 数字化修复, 立体几何量, 目标修复空间, 数字引导式修复, 数字化口腔修复学

Abstract: The digital technology has been continuously integrated into the work of prosthodontics, medical teaching and research, and the gradually formed digital prosthodontics which has always been a frontier hotspot in international stomatology community. From the view of result, the production of oral prosthesis represented by the specialty of oral medicine technology has been relatively mature through the introduction of increasingly perfect computer-aided design and manufacturing in the past ten years; however, in the clinical part, in addition to the use of some digital means in the analysis and design stages such as digital mouth scan, face scan, virtual aesthetic analysis design and jaw trajectory tracing, most operations, especially irreversible operations, are still based on empirical analogy models, and their digitalization is far from mature in part. However, the general lack of three-dimensional geometry analysis, transfer and verification for the target restoration space in the clinic is the bottleneck that restricts the overall progress of oral digital restoration, and the root cause is that we have not really followed the three-dimensional geometry to form the precise logical foundation necessary for digital restoration. Therefore, this paper will focus on the concept of stereogeometric quantities in oral prosthodontics and its typical characterization in the edge region of restoration, and summarize the disciplinary characteristics and future prospects of digital prosthodontics under the current stage of weak artificial intelligence.

Key words: digital restoration, solid geometry, target repstorative space, digitally guided restoration, digital prosthodontics