Dai Ning, Zhong Yicheng, Liu Hao, Yuan Fusong, Sun Yuchun
College of Mechanical & Electrical Engineering, Nanjing University of Aeronautics & Astronautics, 210016 Nanjing, PR China.
Center of Digital Dentistry, Faculty of Prosthodontics, Peking University School and Hospital of Stomatology & National Engineering Laboratory for Digital and Material Technology of Stomatology & Research Center of Engineering and Technology for Digital Dentistry of Ministry of Health, 100081 Beijing, PR China.
Comput Biol Med. 2016 Apr 1;71:190-7. doi: 10.1016/j.compbiomed.2016.02.008. Epub 2016 Feb 22.
A dental defect is one of the most common oral diseases, and it often requires a full crown restoration. In this clinical operation, the dentist must manually prepare the affected tooth for the full crown so that it has a convergence angle between 4° and 10°, no undercuts, and uniform and even shoulder widths and depths using a high speed diamond bur in the patient׳s mouth within one hour, which is a difficult task that requires visual-manual operation. The quality of the tooth preparation has an important effect on the success rate of the subsequent prosthodontic treatment. This study involved research into digital modeling technology for full dental crown tooth preparation. First, the margin line of the tooth preparation was designed using a semi-automatic interactive process. Second, the inserting direction was automatically computed. Then, the characteristic parameters and the constraints on the tooth preparation were defined for the model. Next, the shoulder and axial surface of the tooth preparation were formed using parametric modeling. Finally, the implicit surface of a radial basis function was used to construct the tooth preparation׳s occlusal surface. The experimental results verified that the method of digital modeling for full crown preparation proposed in this study can quickly and accurately implement personalized designs of various parameters, such as the shoulder width and the convergence angle; it provides a digital design tool for full crown preparation.
牙体缺损是最常见的口腔疾病之一,通常需要进行全冠修复。在这种临床操作中,牙医必须在患者口腔内使用高速金刚石车针,在一小时内手动为患牙预备全冠,使其具有4°至10°的聚合角、无倒凹,且肩台宽度和深度均匀一致,这是一项需要视觉手动操作的艰巨任务。牙体预备的质量对后续修复治疗的成功率有重要影响。本研究涉及全冠牙体预备的数字建模技术。首先,采用半自动交互过程设计牙体预备的边缘线。其次,自动计算插入方向。然后,为模型定义牙体预备的特征参数和约束条件。接下来,使用参数化建模形成牙体预备的肩台和轴面。最后,使用径向基函数的隐式曲面构建牙体预备的咬合面。实验结果验证了本研究提出的全冠预备数字建模方法能够快速、准确地实现诸如肩台宽度和聚合角等各种参数的个性化设计;它为全冠预备提供了一种数字设计工具。