数字化技术在上颌骨缺损赝复体修复中的应用

doi:10.13701/j.cnki.kqyxyj.2024.05.002

口腔医学研究 ›› 2024, Vol. 40 ›› Issue (5): 385-388.DOI: 10.13701/j.cnki.kqyxyj.2024.05.002

数字化技术在上颌骨缺损赝复体修复中的应用

刘苗¹, 李风兰^1,2*

1.山西医科大学口腔医学院·口腔医院山西太原 030000;
2.山西医科大学第五临床医学院口腔修复科山西太原 030000

收稿日期:2023-08-28 出版日期:2024-05-28 发布日期:2024-05-22
通讯作者: * 李风兰,E-mail:uniquelfl@163.com
作者简介:刘苗(1996~ ),女,太原人,硕士在读,研究方向:口腔修复学。
基金资助:
山西省“四个一批”科技兴医创新计划项目(编号:2022XM41)

Application of Digital Technology in Prosthetic Rehabilitation of Maxillary Defects

LIU Miao¹, LI Fenglan^1,2*

1. Shanxi Medical University School and Hospital of Stomatology, Shanxi Medical University, Taiyuan 030000, China;
2. Department of Prosthodontics, the Fifth Clinical Medical College of Shanxi Medical University, Taiyuan 030000, China

Received:2023-08-28 Online:2024-05-28 Published:2024-05-22

摘要/Abstract

摘要： 上颌骨缺损是口腔颌面部中最常见的缺损,可能造成患者生理及心理障碍。传统颌骨缺损修复制作流程复杂、技术敏感性高。随着数字化技术在口腔领域的发展及应用,上颌骨缺损的修复治疗已展现出显著优势。本文简要介绍了上颌骨缺损赝复体修复的治疗过程,并从上颌骨缺损三维数据获取、数字化设计及数字化制造这3个方面对数字化技术在赝复体修复中的应用做一综述。

关键词: 上颌骨缺损, 赝复体, 数字化技术, 三维模型

Abstract: Maxillary defects are a serious health hazard in dentistry and may cause some physical and psychological disorders in patients. Traditional maxillary defects are complex and technically sensitive. With the development and application of digital technology in the field of dentistry, the rehabilitation of maxillary defects has shown significant advantages. This paper briefly introduces the treatment process of the prosthetic rehabilitation of maxillary defects and provides a review of the application of digital technology in prosthetic restorations from three aspects, i.e. three-dimensional data acquisition, digital design, and digital manufacturing.

Key words: maxillary defect, prosthesis, digital technique, three-dimensional model

刘苗, 李风兰. 数字化技术在上颌骨缺损赝复体修复中的应用[J]. 口腔医学研究, 2024, 40(5): 385-388.

LIU Miao, LI Fenglan. Application of Digital Technology in Prosthetic Rehabilitation of Maxillary Defects[J]. Journal of Oral Science Research, 2024, 40(5): 385-388.

参考文献

[1] 赵铱民.颌面赝复学(上卷)[M].西安:世界图书出版西安公司,2004.40-41.
[2] Dos Santos DM, de Caxias FP, Bitencourt SB, et al. Oral rehabilitation of patients after maxillectomy. A systematic review [J]. Br J Oral Maxillofac Surg, 2018, 56(4): 256-266.
[3] Corsalini M, Barile G, Catapano S, et al. Obturator prosthesis rehabilitation after maxillectomy: Functional and aesthetical analysis in 25 patients [J]. Int J Environ Res Public Health, 2021,18(23):12524.
[4] Vincent A, Burkes J, Williams F, et al. Free flap reconstruction of the maxilla [J]. Semin Plast Surg, 2019, 33(1): 30-37.
[5] Ahmed ZU, Flynn J, Riedel ER, et al. Definitive maxillary obturator prosthesis: Timelines for fabrication and follow-up [J]. Spec Care Dentist, 2020, 40(3): 315-319.
[6] Brucoli M, Boffano P, Pezzana A, et al. The use of optical scanner for the fabrication of maxillary obturator prostheses [J]. Oral Maxillofac Surg, 2020, 24(2): 157-161.
[7] Kim MS, Lee JY, Shin SW. Fabricating an obturator using rapid prototyping to design the framework: A case report [J]. Int J Prosthodont, 2014, 27(5): 439-441.
[8] Zhang M, Hattori M, Elbashti ME, et al. Feasibility of intraoral scanning for data acquisition of maxillectomy defects [J]. Int J Prosthodont, 2020, 33(4): 452-456.
[9] Jamayet NB, Farook TH, Al-Oulabi A, et al. Digital workflow and virtual validation of a 3D-printed definitive hollow obturator for a large palatal defect [J]. J Prosthet Dent, 2023, 129(5): 798-804.
[10] Elbashti ME, Aswehlee A, Rahman MA, et al. Triangular mesh reduction of digitized maxillectomy defects for prosthetic rehabilitation: A 3D deviation study [J]. J Dent, 2022, 122: 104090.
[11] 杜宝霞,王晓容,尹国相,等. 3D打印预制复体即刻修复上颌骨前部缺损[J].口腔医学研究,2018,34(1): 56-59.
[12] Hu Y, Liu J, Wu W, et al. Immediate reconstruction of defects after a partial maxillectomy with a digitally planned, prefabricated, 3-dimensionally printed, esthetic obturator prosthesis [J]. J Prosthet Dent, 2023:S0022-3913(23)00064-1.
[13] Zhao R, Dong Y, Liu N, et al. A digital workflow for fabricating an interim obturator after partial maxillary resection [J]. J Prosthet Dent, 2022:S0022-3913(22)00696-5.
[14] Elbashti ME, Hattori M, Patzelt SBM, et al. Feasibility and accuracy of digitizing edentulous maxillectomy defects: A comparative study [J]. Int J Prosthodont, 2017, 30(2): 147-149.
[15] Ye H, Ma Q, Hou Y, et al. Generation and evaluation of 3D digital casts of maxillary defects based on multisource data registration: A pilot clinical study [J]. J Prosthet Dent, 2017, 118(6): 790-795.
[16] Koyama S, Sato N, Mito T, et al. Hermeticity of a hollow obturator model using CAD and rapid prototyping technologies [J]. J Prosthet Dent, 2020, 124(1): 123-127.
[17] 白石柱,张生睿,钟声,等. 3D打印及其在口腔医学医学中的应用(一)——3D打印技术的工作原理[J].实用口腔医学杂志,2022,38(1):136-140.
[18] Prawatvatchara W, Limpuangthip N, Techapiroonthong S, et al. Three-piece digital complete denture obturator with a heptagonal key assembly for a patient with a total maxillectomy: A dental technique [J]. J Prosthet Dent, 2023:S0022-3913(23)00413-4.
[19] Karasan D, Legaz J, Boitelle P, et al. Accuracy of additively manufactured and milled interim 3-unit fixed dental prostheses [J]. J Prosthodont, 2022, 31(S1): 58-69.
[20] Koyama S, Kato H, Harata T, et al. A workflow for fabricating a hollow obturator by using 3D digital technologies [J]. J Prosthet Dent, 2020, 123(4): 648-652.
[21] Alfaraj A, Su FY, Lin WS. CAD-CAM hollow obturator prosthesis: A technical report [J]. J Prosthodont, 2022, 31(7): 635-638.
[22] Alfaraj A, Yang CC, Levon JA, et al. The trueness of obturator prosthesis base manufactured by conventional and 3D printing techniques [J]. J Prosthodont, 2022, 31(3): 221-227.
[23] Oh KC, Yun BS, Kim JH. Accuracy of metal 3D printed frameworks for removable partial dentures evaluated by digital superimposition [J]. Dent Mater, 2022, 38(2): 309-317.
[24] Najeeb S, Zafar MS, Khurshid Z, et al. Applications of polyetheretherketone (PEEK) in oral implantology and prosthodontics [J]. J Prosthodont Res, 2016, 60(1): 12-19.
[25] Ye H, Wang Z, Sun Y, et al. Fully digital workflow for the design and manufacture of prostheses for maxillectomy defects [J]. J Prosthet Dent, 2021, 126(2): 257-261.
[26] Ding L, Chen X, Zhang J, et al. Digital fabrication of a maxillary obturator prosthesis by using a 3-dimensionally-printed polyetheretherketone framework [J]. J Prosthet Dent, 2023, 129(1): 230-233.
[27] Zoidis P, Papathanasiou I, Polyzois G. The use of a modified poly-ether-ether-ketone (PEEK) as an alternative framework material for removable dental prostheses. A clinical report [J]. J Prosthodont, 2016, 25(7): 580-584.
[28] Zhang Y, Li K, Yu H, et al. Digital fabrication of removable partial dentures made of titanium alloy and zirconium silicate micro-ceramic using a combination of additive and subtractive manufacturing technologies [J]. Rapid Prototyping J, 2021, 27(1): 93-98.
[29] 徐文颖.数字化技术在赝复体修复治疗中的应用[D].南昌大学.2019.
[30] Wang Y, Yang X, Gan R, et al. Digital planning workflow for partial maxillectomy using an osteotomy template and immediate rehabilitation of maxillary Brown Ⅱ defects with prosthesis [J]. J Oral Rehabil, 2019, 46(12): 1133-1141.

数字化技术在上颌骨缺损赝复体修复中的应用

Application of Digital Technology in Prosthetic Rehabilitation of Maxillary Defects

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 7

编辑推荐

Metrics

[1]	陈小冬, 曲哲. 数字化技术在全口固定式种植义齿修复中的应用[J]. 口腔医学研究, 2023, 39(8): 663-670.
[2]	钟合理, 闫明, 郝跃涛, 王家伟. 数字化技术辅助全口义齿修复1例[J]. 口腔医学研究, 2023, 39(11): 1025-1028.
[3]	柳忠豪. 计算机辅助规划设计助力精准种植与长期稳定[J]. 口腔医学研究, 2021, 37(9): 775-779.
[4]	艾合买提·木合塔尔, 杨宏业, 赵亚宁, 黄翠. 湖北省口腔医生对数字化技术认知及应用情况调查[J]. 口腔医学研究, 2021, 37(12): 1084-1088.
[5]	张丽媛, 金武龙, 包雪梅. 60例蒙古族青少年上颌前牙区牙厚度与骨骼面型的相关性分析[J]. 口腔医学研究, 2021, 37(1): 53-57.
[6]	梁倩, 孙千月, 罗有成, 杨子楠, 吴哲. 牙列重度磨耗的全程数字化咬合重建1例[J]. 口腔医学研究, 2019, 35(12): 1191-1192.
[7]	杜宝霞, 王晓容, 尹国相, 杨刚, 张伟. 3D打印预制赝复体即刻修复上颌骨前部缺损[J]. 口腔医学研究, 2018, 34(1): 56-59.