使用计算机断层扫描数据和运动跟踪的虚拟牙合架
Virtual Dental Articulation Using Computed Tomography Data and Motion Tracking.
作者信息
Chou Ting-Han, Liao Shu-Wei, Huang Jun-Xuan, Huang Hsun-Yu, Vu-Dinh Hien, Yau Hong-Tzong
机构信息
Department of Stomatology, Ditmanson Medical Foundation Chia-Yi Christian Hospital, Chiayi 600, Taiwan.
Department of Mechanical Engineering, Advanced Institute of Manufacturing with High-Innovation, National Chung Cheng University, Chiayi 621, Taiwan.
出版信息
Bioengineering (Basel). 2023 Oct 25;10(11):1248. doi: 10.3390/bioengineering10111248.
Dental articulation holds crucial and fundamental importance in the design of dental restorations and analysis of prosthetic or orthodontic occlusions. However, common traditional and digital articulators are difficult and cumbersome in use to effectively translate the dental cast model to the articulator workspace when using traditional facebows. In this study, we have developed a personalized virtual dental articulator that directly utilizes computed tomography (CT) data to mathematically model the complex jaw movement, providing a more efficient and accurate way of analyzing and designing dental restorations. By utilizing CT data, Frankfurt's horizontal plane was established for the mathematical modeling of virtual articulation, eliminating tedious facebow transfers. After capturing the patients' CT images and tracking their jaw movements prior to dental treatment, the jaw-tracking information was incorporated into the articulation mathematical model. The validation and analysis of the personalized articulation approach were conducted by comparing the jaw movement between simulation data (virtual articulator) and real measurement data. As a result, the proposed virtual articulator achieves two important functions. Firstly, it replaces the traditional facebow transfer process by transferring the digital dental model to the virtual articulator through the anatomical relationship derived from the cranial CT data. Secondly, the jaw movement trajectory provided by optical tracking was incorporated into the mathematical articulation model to create a personalized virtual articulation with a small Fréchet distance of 1.7 mm. This virtual articulator provides a valuable tool that enables dentists to obtain diagnostic information about the temporomandibular joint (TMJ) and configure personalized settings of occlusal analysis for patients.
牙合架在牙体修复设计以及义齿或正畸咬合分析中具有至关重要的基础性作用。然而,在使用传统面弓时,普通的传统牙合架和数字牙合架在将石膏模型有效转换到牙合架工作空间的操作上既困难又繁琐。在本研究中,我们开发了一种个性化虚拟牙合架,它直接利用计算机断层扫描(CT)数据对复杂的颌骨运动进行数学建模,为牙体修复的分析和设计提供了一种更高效、准确的方法。通过利用CT数据,为虚拟牙合架的数学建模建立了法兰克福水平面,省去了繁琐的面弓转移步骤。在获取患者的CT图像并跟踪其在牙科治疗前的颌骨运动后,将颌骨跟踪信息纳入牙合架数学模型。通过比较模拟数据(虚拟牙合架)和实际测量数据之间的颌骨运动,对个性化牙合架方法进行了验证和分析。结果,所提出的虚拟牙合架实现了两个重要功能。首先,它通过根据头颅CT数据得出的解剖关系将数字牙模转移到虚拟牙合架,从而取代了传统的面弓转移过程。其次,将光学跟踪提供的颌骨运动轨迹纳入数学牙合架模型,创建了一个弗雷歇距离小至1.7毫米的个性化虚拟牙合架。这种虚拟牙合架提供了一种有价值的工具,使牙医能够获取有关颞下颌关节(TMJ)的诊断信息,并为患者配置个性化的咬合分析设置。