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[髁突三维轨迹的初步研究]

[A preliminary study on the three-dimensional trajectory of condyle].

作者信息

Huang C, Xu X L, Sun Y C, Guo C B

机构信息

Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology & 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.

Center of Digital Dentistry, Faculty of Prosthodontics, Peking University School and Hospital of Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Laboratory for Digital and Material Technology of Stomatology & Research Center of Engineering and Technology for Digital Dentistry of Ministry of Health & Beijing Key Laboratory of Digital Stomatology, Beijing 100081, China.

出版信息

Zhonghua Kou Qiang Yi Xue Za Zhi. 2018 Oct 9;53(10):669-673. doi: 10.3760/cma.j.issn.1002-0098.2018.10.005.

Abstract

To calculate the three-dimensional trajectory and motion morphology of condyle by combining the trajectory of the mandible movement and the three-dimensional model of the mandible. Cone beam CT (CBCT) scanning was performed on the volunteer. The mandible three-dimensional model was built with image data transferred to the graphical user interface of the computer workstation. The novel virtual articulator PN300 recorded the three-dimensional trajectory of mandible. All these data were transferred to software system of computer workstation calculating the three-dimensional trajectory of condyle. The motion morphology of condyle was simulated by merging function surface at each point. When the mandible moved in an opening process, the recorded data was calculated and it was shown that: the condylar functional surface moved moved forward and downward inward in advance, and in the process of continuously increasing the opening degree, the function faced the front upper inner side. The straight-line distance between the position and the final position was 8.34 mm. During the forward movement of the mandible, the coracoid process slided forward downward and inward with a sliding distance of 8.64 mm. During lateral movement, the range of the working side condyle function surface motion was small, only slight rotation, the maximum range of motion was 1.97 mm; in the process of row side movement, the non-working condyle function surface had a larger movement range than the working side, the movement direction was the front lower inner side, and the movement distance was 7.65 mm. The novel virtual articulator PN300 and digital technology can achieve the accurate measurement of three-dimensional trajectory of the condyle, and furthermore simulate the motion morphology of the condyle.

摘要

通过结合下颌运动轨迹和下颌三维模型来计算髁突的三维轨迹和运动形态。对志愿者进行锥形束CT(CBCT)扫描。利用传输到计算机工作站图形用户界面的图像数据构建下颌三维模型。新型虚拟牙合架PN300记录下颌的三维轨迹。所有这些数据都传输到计算机工作站的软件系统中,以计算髁突的三维轨迹。通过合并各点的功能面来模拟髁突的运动形态。当下颌在开口过程中运动时,对记录的数据进行计算,结果显示:髁突功能面预先向前、向下、向内移动,在开口度不断增加的过程中,功能面朝向额上内侧。起始位置与最终位置之间的直线距离为8.34mm。在髁突向前运动过程中,喙突向前、向下、向内滑动,滑动距离为8.64mm。在侧方运动时,工作侧髁突功能面的运动范围较小,仅有轻微旋转,最大运动范围为1.97mm;在非工作侧运动过程中,非工作侧髁突功能面的运动范围比工作侧大,运动方向为额下内侧,运动距离为7.65mm。新型虚拟牙合架PN300和数字技术能够实现髁突三维轨迹的精确测量,进而模拟髁突的运动形态。

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