Department of Prosthodontics, Peking University School and Hospital of Stomatology & National Center of Stomatology & National Clinical Research Center for Oral Disease & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices & Beijing Key Laboratory of Digital Stomatology, Key Laboratory of Digital Stomatology & Research Center of Engineering and Technology for Computerized Dentistry Ministry of Health & NMPA Key Laboratory for Dental Materials, Beijing, People's Republic of China.
Department of Oral Maxillofacial Surgery, Peking University School and Hospital of Stomatology, 22 Zhongguancun Avenue South, Haidian District, Beijing, 100081, People's Republic of China.
BMC Oral Health. 2022 Feb 11;22(1):34. doi: 10.1186/s12903-022-02070-z.
An interdisciplinary treatment simulation and smile design before a complex esthetic rehabilitation is important for clinicians' decision-making and patient motivation. Meanwhile, intervention and interaction are necessary for dental specialists in these complex rehabilitations. However, it is difficult to visualize an interdisciplinary treatment plan by using the conventional method, especially when orthognathic surgery is involved, thus hindering communication between dental specialists. This research aims to establish a 3D digital workflow of interdisciplinary treatment simulation to solve this problem.
An interdisciplinary 3D digital workflow of simulated treatment plan for complex esthetic rehabilitation was established. Eleven patients were enrolled and illustrated with their treatment plans using 3D treatment simulation, as well as 2D digital smile design (DSD) plus wax-up. Visual analogue scales (VAS) were used to rate the intuitiveness, understanding, and satisfaction or help between the two methods by patients and dental specialists.
According to the ratings from the patients, 3D treatment simulation showed obvious advantages in the aspects of intuitiveness (9.7 ± 0.5 vs 6.4 ± 1.4) and treatment understanding (9.1 ± 0.8 vs 6.6 ± 1.5), and the satisfaction rates were also higher (9.0 ± 0.6 vs 7.1 ± 1.8). Dental specialists regarded the 3D digital plans as more intuitive (8.9 ± 0.8 vs 5.9 ± 1.0) and useful to understand the plans from the other specialists (8.9 ± 0.7 vs 6.1 ± 1.0) and helpful to their own treatment plans (8.7 ± 0.9 vs 5.9 ± 1.4).
The interdisciplinary 3D digital treatment simulation helps both patients and dental specialists to improve treatment understanding, and facilitates dental specialists for decision-making before complex esthetic rehabilitation.
This study was registered in the National Clinical Trials Registry under the identification number MR-11-20-002862. This is an observational study in which we did not assign the intervention.
在进行复杂的美学修复之前，进行跨学科的治疗模拟和微笑设计对于临床医生的决策和患者的积极性很重要。同时，这些复杂的修复需要牙科专家进行干预和互动。然而，使用传统方法很难直观地呈现跨学科治疗计划，尤其是涉及正颌手术时，这会阻碍牙科专家之间的沟通。本研究旨在建立一种 3D 数字化的跨学科治疗模拟工作流程来解决这个问题。
建立了一种用于复杂美学修复的跨学科 3D 数字化治疗模拟工作流程。纳入 11 名患者，通过 3D 治疗模拟以及 2D 数字微笑设计（DSD）加蜡型来展示他们的治疗计划。患者和牙科专家使用视觉模拟量表（VAS）对两种方法的直观性、理解程度以及满意度或帮助程度进行评分。
根据患者的评分，3D 治疗模拟在直观性（9.7±0.5 分比 6.4±1.4 分）和治疗理解方面具有明显优势，满意度也更高（9.0±0.6 分比 7.1±1.8 分）。牙科专家认为 3D 数字计划更直观（8.9±0.8 分比 5.9±1.0 分），有助于理解其他专家的计划（8.9±0.7 分比 6.1±1.0 分），并有助于他们自己的治疗计划（8.7±0.9 分比 5.9±1.4 分）。
跨学科 3D 数字治疗模拟有助于患者和牙科专家提高对治疗的理解，并有助于牙科专家在进行复杂美学修复前做出决策。
本研究在国家临床试验注册中心注册，识别号为 MR-11-20-002862。这是一项观察性研究，我们没有分配干预措施。
