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一种使用面部扫描和面弓采集进行虚拟牙合架安装的数字工作流程：概念验证

A Digital Workflow for Virtual Articulator Mounting Using Face Scan and Facebow Capture: A Proof-of-Concept.

作者信息

D'Albis Giuseppe, Forte Marta, Stef Laura, Feier Diana Ramona, García Victor Diaz-Flores, Corsalini Massimo, Capodiferro Saverio

机构信息

Department of Interdisciplinary Medicine, University of Bari Aldo Moro, 70121 Bari, Italy.

Faculty of Medicine, Lucian Blaga University Sibiu, 550169 Sibiu, Romania.

出版信息

Dent J (Basel). 2025 Aug 20;13(8):378. doi: 10.3390/dj13080378.

DOI:10.3390/dj13080378
PMID:40863082
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12384779/
Abstract

This article introduces a digital technique for virtual articulator mounting by employing the scan of a facebow worn by the patient as a virtual reference. The digital technique enables the transfer of the maxillary arch orientation relative to the cranial base into a CAD-CAM environment (Ceramill Mind; AmannGirrbach), without the need for ionizing radiation or identification of facial landmarks. By digitally aligning the intraoral scans of the dental arches (Trios 4; 3Shape) with a 3D facial scan and the scanned facebow in position (Artex; AmannGirrbach), clinicians can reproduce the cranium-to-maxilla spatial relationship accurately and intuitively. This radiation-free protocol provides virtual cross-mounting and allows for the use of a semi-adjustable articulator within common CAD-CAM software. Given that intraoral scanners, facial scanners, and design software with articulator simulation are becoming more available in modern clinical workflows, this method introduced here could be a viable radiation-free and easy-to-use alternative. However, larger cohorts and standardized testing protocols are needed to determine its clinical reproducibility and reliability.

摘要

本文介绍了一种数字技术，通过将患者佩戴的面弓扫描作为虚拟参考来进行虚拟牙合架安装。该数字技术能够将上颌牙弓相对于颅底的方位转移到计算机辅助设计与制造（CAD-CAM）环境（Ceramill Mind；阿曼吉尔巴赫公司）中，无需电离辐射或面部标志点的识别。通过将牙弓的口内扫描（Trios 4；3Shape公司）与三维面部扫描以及处于就位状态的扫描面弓（Artex；阿曼吉尔巴赫公司）进行数字对齐，临床医生能够准确且直观地重现从颅骨到上颌的空间关系。这种无辐射方案提供了虚拟交叉安装功能，并允许在常见的CAD-CAM软件中使用半可调牙合架。鉴于口内扫描仪、面部扫描仪以及具有牙合架模拟功能的设计软件在现代临床工作流程中越来越普及，此处介绍的这种方法可能是一种可行的无辐射且易于使用的替代方案。然而，需要更大规模的队列研究和标准化测试方案来确定其临床可重复性和可靠性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9ca/12384779/42fa77e9578c/dentistry-13-00378-g012.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9ca/12384779/aa09fabc20df/dentistry-13-00378-g001.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9ca/12384779/c6ddd3f15216/dentistry-13-00378-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9ca/12384779/0754b64dfd4c/dentistry-13-00378-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9ca/12384779/ff997f8e1404/dentistry-13-00378-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9ca/12384779/252227cb42f0/dentistry-13-00378-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9ca/12384779/b12c1ec9650e/dentistry-13-00378-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9ca/12384779/8f2d6cc97869/dentistry-13-00378-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9ca/12384779/785c208ed82f/dentistry-13-00378-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9ca/12384779/2378fa5bfabd/dentistry-13-00378-g011.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9ca/12384779/42fa77e9578c/dentistry-13-00378-g012.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9ca/12384779/aa09fabc20df/dentistry-13-00378-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9ca/12384779/ad70d87f38df/dentistry-13-00378-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9ca/12384779/b1866261362a/dentistry-13-00378-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9ca/12384779/c6ddd3f15216/dentistry-13-00378-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9ca/12384779/0754b64dfd4c/dentistry-13-00378-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9ca/12384779/ff997f8e1404/dentistry-13-00378-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9ca/12384779/252227cb42f0/dentistry-13-00378-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9ca/12384779/b12c1ec9650e/dentistry-13-00378-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9ca/12384779/8f2d6cc97869/dentistry-13-00378-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9ca/12384779/785c208ed82f/dentistry-13-00378-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9ca/12384779/2378fa5bfabd/dentistry-13-00378-g011.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9ca/12384779/42fa77e9578c/dentistry-13-00378-g012.jpg

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本文引用的文献

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Int Dent J. 2025 Jun;75(3):1691-1704. doi: 10.1016/j.identj.2025.03.005. Epub 2025 Mar 31.
2
Trueness and precision of facial scan and virtual patient representation workflow.面部扫描与虚拟患者呈现工作流程的准确性和精确性。
J Prosthodont. 2025 Aug;34(7):703-711. doi: 10.1111/jopr.14024. Epub 2025 Jan 21.
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The Role and Applications of Artificial Intelligence in Dental Implant Planning: A Systematic Review.
人工智能在牙种植规划中的作用与应用：一项系统评价
Bioengineering (Basel). 2024 Jul 31;11(8):778. doi: 10.3390/bioengineering11080778.
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3D virtual patient-Magnetically retained printed stackable system for implant guided placement: Case report.3D 虚拟患者-磁性固位可堆叠打印系统用于种植导板放置：病例报告。
J Esthet Restor Dent. 2024 Dec;36(12):1604-1613. doi: 10.1111/jerd.13265. Epub 2024 Jun 12.
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An overview of the different digital facebow methods for transferring the maxillary cast into the virtual articulator.将上颌模型转移至虚拟牙合架的不同数字式面弓方法概述。
J Esthet Restor Dent. 2024 Dec;36(12):1675-1686. doi: 10.1111/jerd.13264. Epub 2024 May 22.
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An overview of the digital occlusion technologies: Intraoral scanners, jaw tracking systems, and computerized occlusal analysis devices.数字化咬合技术概述：口内扫描仪、颌骨追踪系统和计算机咬合分析设备。
J Esthet Restor Dent. 2023 Jul;35(5):735-744. doi: 10.1111/jerd.13044. Epub 2023 Apr 6.
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Selecting a Virtual Articulator: An Analysis of the Factors Available with Mechanical Articulators and their Potential Need for Inclusion with Virtual Articulators.选择虚拟牙合架：对机械牙合架的现有因素及其与虚拟牙合架结合的潜在需求的分析。
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The Accuracy of Transferring Casts in Maximal Intercuspal Position to a Virtual Articulator.最大牙尖交错位石膏模型转移至虚拟𬌗架的准确性。
J Prosthodont. 2022 Apr;31(4):326-332. doi: 10.1111/jopr.13405. Epub 2021 Jul 17.
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Use of Facebow device in prosthodontics: A systematic review on randomized control trials.在口腔修复学中使用面弓设备：一项关于随机对照试验的系统评价。
J Indian Prosthodont Soc. 2021 Jan-Mar;21(1):11-18. doi: 10.4103/jips.jips_197_20.
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