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人工智能和增强现实技术在引导种植手术规划中的应用:概念验证。

Artificial intelligence and augmented reality for guided implant surgery planning: A proof of concept.

机构信息

Department of Pediatric, Preventive Dentistry and Orthodontics, Sechenov First State Medical University, Moscow, Russian Federation; Honorary Professor in Restorative Dental Sciences, Faculty of Dentistry, The University of Hong Kong, China.

Department of Pediatric, Preventive Dentistry and Orthodontics, Sechenov First State Medical University, Moscow, Russian Federation.

出版信息

J Dent. 2023 Jun;133:104485. doi: 10.1016/j.jdent.2023.104485. Epub 2023 Mar 23.

Abstract

PURPOSE

To present a novel protocol for authentic three-dimensional (3D) planning of dental implants, using artificial intelligence (AI) and augmented reality (AR).

METHODS

The novel protocol consists of (1) 3D data acquisition, with an intraoral scanner (IOS) and cone-beam computed tomography (CBCT); (2) application of AI for CBCT segmentation to obtain standard tessellation language (STL) models and automatic alignment with IOS models; (3) loading of selected STL models within the AR system and surgical planning with holograms; (4) surgical guide design with open-source computer-assisted-design (CAD) software; and (5) surgery on the patient.

RESULTS

This novel protocol is effective and time-efficient when used for planning simple cases of static guided implant surgery in the partially edentulous patient. The clinician can plan the implants in an authentic 3D environment, without using any radiological guided surgery software. The precision of implant placement looks clinically acceptable, with minor deviations.

CONCLUSIONS

AI and AR technologies can be successfully used in guided implant surgery for authentic 3D planning that may replace conventional software. However, further clinical studies are needed to validate this protocol.

STATEMENT OF CLINICAL RELEVANCE

The combined use of AI and AR may change the perspectives of modern guided implant surgery for authentic 3D planning that may replace conventional software.

摘要

目的

介绍一种使用人工智能(AI)和增强现实(AR)进行真实三维(3D)种植牙规划的新方案。

方法

该新方案包括:(1)3D 数据采集,使用口内扫描仪(IOS)和锥形束计算机断层扫描(CBCT);(2)应用 AI 对 CBCT 进行分割,以获得标准网格语言(STL)模型并与 IOS 模型自动对齐;(3)在 AR 系统中加载选定的 STL 模型并使用全息图进行手术规划;(4)使用开源计算机辅助设计(CAD)软件设计手术导板;(5)在患者身上进行手术。

结果

在部分无牙颌患者的静态引导种植手术中,该新方案对于规划简单病例是有效且省时的。临床医生可以在真实的 3D 环境中规划种植体,而无需使用任何放射学引导手术软件。种植体放置的精度看起来具有临床可接受性,仅有轻微偏差。

结论

AI 和 AR 技术可成功用于引导种植手术的真实 3D 规划,可能取代传统软件。然而,需要进一步的临床研究来验证该方案。

临床相关性声明

AI 和 AR 的联合使用可能会改变现代引导种植手术的视角,实现真实 3D 规划,可能取代传统软件。

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