基于口内扫描配准的下颌运动模拟的精确性检验与初步应用

doi:10.13701/j.cnki.kqyxyj.2021.11.013

口腔医学研究 ›› 2021, Vol. 37 ›› Issue (11): 1023-1028.DOI: 10.13701/j.cnki.kqyxyj.2021.11.013

基于口内扫描配准的下颌运动模拟的精确性检验与初步应用

陈俊鹏¹, 王晶¹, 吕列夫², 王洋¹, 毛驰¹, 陈克难¹, 袁若水¹, 许向亮¹, 王佃灿¹, 郭玉兴¹, 苏家增¹, 郭传瑸^1*

1.北京大学口腔医学院·口腔医院口腔颌面外科国家口腔疾病临床医学研究中心口腔数字化医疗技术和材料国家工程实验室口腔数字医学北京市重点实验室北京 100081;
2.北京微思普联科技发展有限公司北京 100086

收稿日期:2020-06-30 出版日期:2021-11-28 发布日期:2021-11-22
通讯作者: *郭传瑸,E-mail:guodazuo@sina.com
作者简介:陈俊鹏(1996~ ),男,浙江金华人,八年制研究生,研究方向:口腔颌面外科、口腔颌面部肿瘤。
基金资助:
国家重点研发计划政府间国际科技创新合作重点专项(编号:2017YFE0124500)国家重点研发计划(编号:2019YFB1706900)北京市科技计划(编号:Z201100005520055)

Accuracy Test and Preliminary Application of Mandibular Motion Simulation Based on Intraoral Scanning Registration

CHEN Junpeng¹, WANG Jing¹, LV Liefu², WANG Yang¹, MAO Chi¹, CHEN Kenan¹, YUAN Ruoshui¹, XU Xiangliang¹, WANG Diancan¹, GUO Yuxing¹, SU Jiazeng¹, GUO Chuanbin^1*

1. Department of Oral and Maxillofacial Surgery, Peking University School and Hospital 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, Beijing 100081, China;
2. Weisupulian Technology Development Co., Ltd, Beijing 100086, China

Received:2020-06-30 Online:2021-11-28 Published:2021-11-22

摘要/Abstract

摘要： 目的: 验证基于口内扫描配准的下颌运动模拟方法的精确性,并在颌骨重建术后患者中进行初步应用。方法: 使用电子面弓记录受试的下颌运动,拍摄CT,并通过口内扫描将运动轨迹和CT配准,进行下颌运动模拟。选用2个不同尺寸的头颅模型,在上下颌分别旋入标记钛钉,模拟大张口、前伸、侧方,记录运动并固定运动末位置,测量上下颌钛钉间的实际距离、CT影像距离、模拟运动后的距离,比较3个距离的差值。纳入12例下颌重建术后患者和5例正常志愿者,应用上述方法模拟下颌边缘运动,并分析比较髁突运动特点。结果: 使用基于口内扫描配准的方法模拟运动后的上下颌钛钉间距离与实测距离的差值为(0.61±0.05) mm,95%置信区间为(0.51,0.71) mm。患者患侧髁突向外侧方动度[(2.70±0.62) mm]大于正常志愿者[(1.23±0.26) mm,P<0.05],健侧髁突向内侧方动度[(2.91±0.63) mm]也大于正常志愿者[(1.59±0.28) mm,P<0.05]。结论: 模型试验证实了基于口内扫描配准的下颌运动模拟的误差较小,该方法可以用于测量和评价下颌骨重建术后髁突运动。

关键词: 虚拟现实, 下颌重建, 下颌髁突, 关节运动

Abstract: Objective: To verify the accuracy of mandibular motion simulation method based on intraoral scanning registration, and apply it in patients after preliminary mandibular reconstruction. Methods: Mandibular movement was recorded by jaw tracking system and the trajectory was registered with CT through oral scanning to simulate the mandibular movement. Titanium screws were screwed into the skull models’ upper and lower jaws respectively. The distances between the titanium screws in the actual condition, through CT image, and through simulation were measured and compared. 12 patients after mandibular reconstruction and 5 normal volunteers were included. Results: The overall error of motion simulation was (0.61±0.05) mm, and the 95% confidence interval was (0.51, 0.71) mm. The outward movement of condyle on the affected side of the patients (2.70±0.62) mm were greater than that of the normal group [(1.23±0.26) mm, P<0.05], and the inward movement of condyle on the healthy side [(2.91±0.63) mm] was also greater than that of the normal group [(1.59±0.28) mm, P<0.05]. Conclusion: The accuracy of the mandibular motion simulation method based on intraoral scanning was verified. It could be used to measure and evaluate the condylar movement after mandibular reconstruction.

Key words: virtual reality, mandibular reconstruction, mandibular condyle, joint range of motion

陈俊鹏, 王晶, 吕列夫, 王洋, 毛驰, 陈克难, 袁若水, 许向亮, 王佃灿, 郭玉兴, 苏家增, 郭传瑸. 基于口内扫描配准的下颌运动模拟的精确性检验与初步应用[J]. 口腔医学研究, 2021, 37(11): 1023-1028.

CHEN Junpeng, WANG Jing, LV Liefu, WANG Yang, MAO Chi, CHEN Kenan, YUAN Ruoshui, XU Xiangliang, WANG Diancan, GUO Yuxing, SU Jiazeng, GUO Chuanbin. Accuracy Test and Preliminary Application of Mandibular Motion Simulation Based on Intraoral Scanning Registration[J]. Journal of Oral Science Research, 2021, 37(11): 1023-1028.

参考文献

[1] Linsen SS, Oikonomou A, Martini M, et al. Mandibular kinematics and maximum voluntary bite force following segmental resection of the mandible without or with reconstruction [J]. Clin Oral Investig, 2018, 22(4): 1707-1716.
[2] Atallah S, Bozec A, Ransy P, et al. Functional evaluation of mandibular reconstruction with bone free flap. A GETTEC study [J]. Eur Ann Otorhinolaryngol Head Neck Dis, 2021, 138(2): 82-88.
[3] 林潇,梁超,岳新新,等.数字化技术辅助无牙颌种植固定修复咬合重建的临床应用初探[J].中华口腔医学杂志,2020,55(11):891-896.
[4] Aslanidou K, Kau CH, Vlachos C, et al. The fabrication of a customized occlusal splint based on the merging of dynamic jaw tracking records, cone beam computed tomography, and CAD-CAM digital impression [J]. J Orthod Sci, 2017, 6(3): 104-109.
[5] 李宁,孙旭,陈志宇,等.不同方法测量前伸髁道斜度和侧方髁道斜度的对比研究[J].口腔医学研究,2021,37(6): 564-568.
[6] Akashi M, Sekitani T, Ohtsuki Y, et al. Axial four-dimensional computed tomographic images to analyze crosswise differences in protrusive condylar movement in patients who underwent mandibulectomy and free flap reconstruction [J]. J Craniomaxillofac Surg, 2017, 45(11): 1778-1783.
[7] 黄超,许向亮,孙玉春,等.下颌髁突功能面三维运动轨迹的初步推算和模拟[J].中华口腔医学杂志,2018,53(10):669-673.
[8] Kreeft AM, Krap M, Wismeijer D, et al. Oral function after maxillectomy and reconstruction with an obturator [J]. Int J Oral Maxillofac Surg, 2012, 41(11): 1387-1392.
[9] Tang Q, Li Y, Yu T, et al. Association between condylar position changes and functional outcomes after condylar reconstruction by free fibular flap [J]. Clin Oral Investig, 2021, 25(1): 95-103.
[10] Shiozaki M, Terao Y, Taniguchi K. Evaluation of temporomandibular joint Movement after mandibular reconstruction [J]. J Craniofac Surg, 2019, 30(1): 154-157.
[11] He S, Kau CH, Liao L, et al. The use of a dynamic real-time jaw tracking device and cone beam computed tomography simulation [J]. Ann Maxillofac Surg, 2016, 6(1): 113-119.
[12] Takahashi M, Hideshima M, Park I, et al. Study of mandibular movements in mandibulectomy patients--border movements and functional movements during mastication, deglutition and speech [J]. J Med Dent Sci, 1999, 46(2): 93-103.

基于口内扫描配准的下颌运动模拟的精确性检验与初步应用

Accuracy Test and Preliminary Application of Mandibular Motion Simulation Based on Intraoral Scanning Registration

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 0

编辑推荐

Metrics