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口腔修复体精准仿生修复技术的自主创新研发与转化

[Independent innovation research, development and transformation of precise bionic repair technology for oral prosthesis].

作者信息

Sun Y C, Guo Y Q, Chen H, Deng K H, Li W W

机构信息

Center of Digital Dentistry, Faculty of Prosthodontics, Peking University School and Hospital of Stomatology & National Center 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 & Research Center of Engineering and Technology for Computerized Dentistry Ministry of Health & NMPA Key Laboratory for Dental Materials, Beijing 100081, China.

出版信息

Beijing Da Xue Xue Bao Yi Xue Ban. 2022 Feb 18;54(1):7-12. doi: 10.19723/j.issn.1671-167X.2022.01.002.

Abstract

According to the fourth national oral health epidemiological survey report (2018), billions of teeth are lost or missing in China, inducing chewing dysfunction, which is necessary to build physiological function using restorations. Digital technology improves the efficiency and accuracy of oral restoration, with the application of three-dimensional scans, computer-aided design (CAD), computer-aided manufacturing (CAM), bionic material design and so on. However, the basic research and product development of digital technology in China lack international competitiveness, with related products basically relying on imports, including denture 3D design software, 3D oral printers, and digitally processed materials. To overcome these difficulties, from 2001, Yuchun Sun's team, from Peking University School and Hospital of Stomatology, developed a series of studies in artificial intelligence design and precision bionics manufacturing of complex oral prostheses. The research included artificial intelligence design technology for complex oral prostheses, 3D printing systems for oral medicine, biomimetic laminated zirconia materials and innovative application of digital prosthetics in clinical practice. The research from 2001 to 2007 was completed under the guidance of Prof. Peijun Lv and Prof. Yong Wang. Under the support of the National Natural Science Foundation of China, the National Science and Technology Support Program, National High-Tech R & D Program (863 Program) and Beijing Training Project for the Leading Talents in S & T, Yuchun Sun's team published over 200 papers in the relevant field, authorized 49 national invention patents and 1 U.S. invention patent and issued 2 national standards. It also developed 8 kinds of core technology products in digital oral prostheses and 3 kinds of clinical diagnosis and treatment programs, which significantly improved the design efficiency of complex oral prostheses, the fabrication accuracy of metal prostheses and the bionic performance of ceramic materials. Compared with similar international technologies, the program doubled the efficiency of bionic design and manufacturing accuracy and reduced the difficulty of diagnosis and cost of treatment and application by 50%, with the key indicators of those products reaching the international leading level. This program not only helped to realize precision, intelligence and efficiency during prostheses but also provided functional and aesthetic matches for patients after prostheses. The program was rewarded with the First Technical Innovation Prize of the Beijing Science and Technology Awards (2020), Gold Medal of Medical Research Group in the First Medical Science and Technology Innovation Competition of National Health Commission of the People's Republic of China (2020) and Best Creative Award in the First Translational Medical Innovation Competition of Capital (2017). This paper is a review of the current situation of artificial intelligence design and precision bionics manufacturing of complex oral prosthesis.

摘要

根据第四次全国口腔健康流行病学调查报告(2018年),中国有数十亿颗牙齿缺失,导致咀嚼功能障碍,因此需要使用修复体来重建生理功能。数字技术提高了口腔修复的效率和准确性,包括三维扫描、计算机辅助设计(CAD)、计算机辅助制造(CAM)、仿生材料设计等的应用。然而,中国数字技术的基础研究和产品开发缺乏国际竞争力,相关产品基本依赖进口,包括义齿3D设计软件、3D口腔打印机和数字化加工材料。为克服这些困难,自2001年起,北京大学口腔医学院孙玉春团队开展了一系列复杂口腔修复体的人工智能设计与精准仿生制造研究。研究内容包括复杂口腔修复体的人工智能设计技术、口腔医学3D打印系统、仿生层状氧化锆材料以及数字化修复体在临床实践中的创新应用。2001年至2007年的研究在吕培军教授和王勇教授的指导下完成。在中国国家自然科学基金、国家科技支撑计划、国家高技术研究发展计划(863计划)以及北京市科技领军人才培养工程的支持下,孙玉春团队在相关领域发表论文200余篇,授权国家发明专利49项、美国发明专利1项,发布国家标准2项。还研发了8种数字口腔修复体核心技术产品和3种临床诊疗方案,显著提高了复杂口腔修复体的设计效率、金属修复体的制作精度以及陶瓷材料的仿生性能。与国际同类技术相比,该方案使仿生设计和制造精度的效率提高了一倍,将诊断难度、治疗和应用成本降低了50%,这些产品的关键指标达到国际领先水平。该方案不仅有助于实现修复过程中的精准、智能和高效,还为修复后的患者提供了功能和美学匹配。该方案荣获2020年度北京科学技术奖一等奖、中华人民共和国国家卫生健康委员会首届医学科技创新大赛医学研究组金奖(2020年)以及首都首届转化医学创新大赛最佳创意奖(2017年)。本文是对复杂口腔修复体人工智能设计与精准仿生制造现状的综述。

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