Int J Stomatol

Int J Stomatol ›› 2022, Vol. 49 ›› Issue (2): 182-189.doi: 10.7518/gjkq.2022031

• Reviews • Previous Articles     Next Articles

Principle and application progress of real-time mandibular motion recording system

Li Ruyi(),Luo Feng,Wan Qianbing()   

  1. State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Prostho-dontics, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
  • Received:2021-06-16 Revised:2021-11-23 Online:2022-03-01 Published:2022-03-15
  • Contact: Qianbing Wan E-mail:2216845404@qq.com;champion@scu.edu.cn
  • Supported by:
    Clinical Research Fund of Young Scientists for Ceramic Materials of Chinese Stomatological Association(CSA-P2019-01)

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Abstract:

The traditional method of jaw relationship transfer only considers the static occlusal relationship and has difficulty in simulating the real-time chewing movement of patients in vitro. The real-time mandibular motion recording system records and reconstructs personalized mandibular motion in real time using a mandibular motion recorder and a computer-aided design software. Compared with traditional mechanical articulator, it has convenient operation, high accuracy, and long-term data storage. Besides, under the influence of 5th generation wireless systems, the real-time mandibular motion recording system further demonstrates its unique value and promotes the construction of virtual patients and telemedicine development.

Key words: dynamic occlusion, virtual articulator, computer aided design and computer aided manufacturing, digital dentistry


TrendMD: 

Fig 1

Application process of occlusal data in denture digital design software"

Tab 1

Summary and comparison of different systems (including facebow and mechanical articulator)"

系统名称 类别 特征与特色
Girrbach面弓、全可调??架 经验面弓、机械??架 1）要求（同一系统中的）面弓与??架联合使用,操作步骤较多;
2）咬合关系信息记录较为受限,较难实现记录咬合运动中每一时刻的咬合关系;
3）可供直观的在实体上检查咬合关系/调磨修复体;但是不能直接将咬合关系数据转移至牙科CAD软件中（需要通过扫描才能将其转移至CAD软件中）
运动面弓（kinematic face bow）
（由 McCollum于1921年研制成功,后不断有学者对其描记方法进行改进）		 机械式运动面弓 1）设备组件复杂;
2）依靠描记针在夹板上画出髁突/切点/其他点的运动轨迹（每次只能画1个截面的运动轨迹）
SICAT系统 超声感应 1）可获取患者咬合运动过程中每一时间点的咬合关系;
2）可实现咬合运动数据与CT、口内扫描等数据叠加;但是对于下颌牙冠过短、覆??过大以及牙列缺失患者的咬合关系记录仍存在困难;
3）头戴上部面弓,可抵消患者头颅的动度;同时不受环境光的干扰
3 Shape口内扫描仪（TRIOS Patient Speci-fic Motion应用程序） 光电感应 1）通过口内扫描仪对牙列扫描完成后,直接扫描记录得到咬合关系;
2）受限于口内环境及扫描头的成像范围,导致对咬合信息记录的范围及准确度方面较难得到保证
下颌运动描记仪（mandibular kinesiograph,MKG）（由 Jankelson于1975年研制） 磁电式 该系统类似于超声感应式,能从矢状面、冠状面和水平面观测下颌中切牙切点运动轨迹,但容易受外界微磁场或电磁场环境干扰
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