[正颌外科数字化咬合设计的研究进展]
[Research progress of digital occlusion setup in orthognathic surgery].
作者信息
Li Lei, Niu Feng
机构信息
The 1st Department of Craniomaxillofacial Plastic Surgery, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100144, P. R. China.
出版信息
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2023 Feb 15;37(2):247-251. doi: 10.7507/1002-1892.202210086.
OBJECTIVE
To review the research progress of digital occlusion setup in orthognathic surgery.
METHODS
The literature related to digital occlusion setup in orthognathic surgery in recent years was consulted, and the imaging basis, methods, clinical applications as well as existing problems were reviewed.
RESULTS
Digital occlusion setup in orthognathic surgery includes manual, semi-automatics, and fully automatic methods. The manual method mainly relies on visual cues for operation, which is difficult to ensure the best occlusion set up, though relatively flexible. The semi-automatic method utilizes the computer software for partial occlusion set up and adjustment, but the occlusion result is still largely depended by manual operation. The fully automatic method completely depends on the operation of computer software, and targeted algorithms for different occlusion reconstruction situations are needed.
CONCLUSION
The preliminary research results have confirmed the accuracy and reliability of digital occlusion setup in orthognathic surgery, but there are still some limitations. Further research is needed in terms of postoperative outcomes, doctor and patient acceptance, planning time and cost-effectiveness.
目的
回顾正颌外科数字化咬合设计的研究进展。
方法
查阅近年来正颌外科数字化咬合设计的相关文献，对其成像基础、方法、临床应用及存在的问题进行综述。
结果
正颌外科数字化咬合设计包括手动、半自动和全自动方法。手动方法主要依靠视觉线索进行操作，虽相对灵活，但难以确保获得最佳的咬合设计。半自动方法利用计算机软件进行部分咬合设计和调整，但其咬合结果仍在很大程度上依赖手动操作。全自动方法完全依赖计算机软件操作，针对不同的咬合重建情况需要有针对性的算法。
结论
初步研究结果已证实正颌外科数字化咬合设计的准确性和可靠性，但仍存在一些局限性。在术后效果、医生和患者接受度、设计时间和成本效益方面仍需进一步研究。
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