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[功能适配性义齿数字化系统的自主创新研究]

[Independent innovation research of functionally suitable denture digital system].

作者信息

Sun Y C, Wang Y, Deng K H, Chen H, Li W W, Zhao Y J, Pan S X, Ye H Q, Zhou Y S

机构信息

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 & Beijing Key Laboratory of Digital Stomatology, Beijing 100081, China.

Department 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 & Beijing Key Laboratory of Digital Stomatology, Beijing 100081, China.

出版信息

Beijing Da Xue Xue Bao Yi Xue Ban. 2020 Apr 18;52(2):390-394. doi: 10.19723/j.issn.1671-167X.2020.02.032.

Abstract

Fabrication of conventional complete dentures involves a complex restoration method, requiring significant time and typically involving primary impressions, definitive impressions, jaw relation records, clinic try-in, and complete denture placement, which has been used for nearly a century without change. A novel digital system named Functionally Suitable Denture (FSD) was researched and developed so as to reduce clinical steps, operation difficulties and errors of complete denture restoration. It pioneered a unique diagnostic complete denture aided by computer aided design (CAD) & 3D printing, by which, the functional impression, jaw relation, and try-in (3 steps) were simplified to 1 step, thus the number of visits to the dentist was reduced by 2 times. Moreover, for the first time, it put forward a CAD software of template matching based on the expert design, which was an efficient and intelligent design scheme, and the excellent denture experts' experience and skills could be inherited and iterated. The system included the 3D scanner with appropriate accuracy and high efficiency, the CAD software, the special 3D printer and process software, and the innovative clinical operation process. The Patent Cooperation Treaty (PCT) patent international search report showed that all the 15 claims of the technology were of novelty, creativity and industrial utility. All the digital products were independently developed and made by Peking University School and Hospital of Stomatology, China. The design and manufacture process of denture prosthesis was fast, simple and accurate. At the same time, personalized functional and aesthetic matching of the patients after wearing prosthesis was realized. It effectively solved the global problems of "slow, difficult and inaccurate" of the traditional manual technology of complete denture, and brought good news to edentulous patients. Compared with the traditional complete denture treatment, FSD system has a wide range of applications for different types of edentulous patients, including those with severe resorption of the alveolar ridge or a high occlusal force. Furthermore, the low-cost of 3D printers, compared with expensive milling machines, may make the approach more accessible. This review describes that our research is related to the development of the FSD system, including multi-source data acquisition technology, three generations of complete denture design software, 3D printing systems of individual tray and complete denture pattern, the clinical and laboratory operation process of the FSD system.

摘要

传统全口义齿的制作涉及复杂的修复方法,需要大量时间,通常包括初印模、终印模、颌位关系记录、临床试戴和全口义齿就位,这种方法已沿用近一个世纪未变。为了减少全口义齿修复的临床步骤、操作难度和误差,研究并开发了一种名为功能性适配义齿(FSD)的新型数字系统。它开创了一种独特的诊断性全口义齿,借助计算机辅助设计(CAD)和3D打印技术,将功能印模、颌位关系和试戴(三个步骤)简化为一个步骤,从而使患者看牙医的次数减少了两倍。此外,它首次提出了基于专家设计的模板匹配CAD软件,这是一种高效且智能的设计方案,优秀义齿专家的经验和技能得以传承和迭代。该系统包括精度合适且高效的3D扫描仪、CAD软件、专用3D打印机及工艺软件,以及创新的临床操作流程。专利合作条约(PCT)专利国际检索报告显示,该技术的15项权利要求均具有新颖性、创造性和工业实用性。所有数字产品均由中国北京大学口腔医学院独立研发制造。义齿修复体的设计和制作过程快速、简单且准确。同时,实现了患者佩戴义齿后的个性化功能和美学匹配。它有效解决了传统全口义齿手工技术“慢、难、不准”的全球性问题,为无牙颌患者带来了福音。与传统全口义齿治疗相比,FSD系统适用于不同类型的无牙颌患者,包括牙槽嵴严重吸收或咬合力量大的患者。此外,与昂贵的铣床相比,3D打印机成本较低,可能使该方法更容易获得。这篇综述描述了我们关于FSD系统的研究,包括多源数据采集技术、三代全口义齿设计软件、个性化托盘和全口义齿模型的3D打印系统、FSD系统的临床和实验室操作流程。

相似文献

1
[Independent innovation research of functionally suitable denture digital system].[功能适配性义齿数字化系统的自主创新研究]
Beijing Da Xue Xue Bao Yi Xue Ban. 2020 Apr 18;52(2):390-394. doi: 10.19723/j.issn.1671-167X.2020.02.032.
2
[Research and development of digital design and fabrication of complete denture].全口义齿数字化设计与制造的研究与开发
Zhonghua Kou Qiang Yi Xue Za Zhi. 2018 Jan 9;53(1):60-65. doi: 10.3760/cma.j.issn.1002-0098.2018.01.013.

本文引用的文献

4
[Research and development of digital design and fabrication of complete denture].全口义齿数字化设计与制造的研究与开发
Zhonghua Kou Qiang Yi Xue Za Zhi. 2018 Jan 9;53(1):60-65. doi: 10.3760/cma.j.issn.1002-0098.2018.01.013.
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Complete denture tooth arrangement technology driven by a reconfigurable rule.可重构规则驱动的全口义齿牙排列技术。
PLoS One. 2018 Jun 18;13(6):e0198252. doi: 10.1371/journal.pone.0198252. eCollection 2018.

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