国际口腔医学杂志 ›› 2025, Vol. 52 ›› Issue (1): 11-17.doi: 10.7518/gjkq.2025023
摘要:
传统可摘义齿制作过程复杂,义齿设计的准确性、制作的高效性和质量的稳定性受到口腔临床医生和技师的理论水平、临床经验以及操作技能等多因素影响。随着数字技术带来的从理论到实践的革新,数字化在可摘义齿的设计、制作、佩戴等多个环节展现出独特的优势,可获得固位稳定、效果好,患者满意度高的高质量修复体,并能减少复诊次数及单次就诊时间,是未来可摘义齿修复的趋势。本文通过查阅近年来数字技术在可摘义齿领域的文献,对数字技术应用的趋势特征以及在可摘义齿制作流程中的研究进展进行综述。
中图分类号:
1 | Branco AC, Silva R, Santos T, et al. Suitability of 3D printed pieces of nanocrystalline zirconia for dental applications[J]. Dent Mater, 2020, 36(3): 442-455. |
2 | Wöstmann B, Budtz-Jørgensen E, Jepson N, et al. Indications for removable partial dentures: a literature review[J]. Int J Prosthodont, 2005, 18(2): 139-145. |
3 | Miyazaki T, Hotta Y, Kunii J, et al. A review of dental CAD/CAM: current status and future perspectives from 20 years of experience[J]. Dent Mater J, 2009, 28(1): 44-56. |
4 | Su TS, Sun J. Comparison of repeatability between intraoral digital scanner and extraoral digital scanner: an in-vitro study[J]. J Prosthodont Res, 2015, 59(4): 236-242. |
5 | 苏庭舒, 孙健, 陈丽萍. 口内数字化印模扫描重复性的研究[J]. 口腔颌面修复学杂志, 2014, 15(5): 291-296. |
Su TS, Sun J, Chen LP. Study of scanning repea-tability of intraoral digital impressions[J]. Chin J Prosthodont, 2014, 15(5): 291-296. | |
6 | Flügge TV, Schlager S, Nelson K, et al. Precision of intraoral digital dental impressions with iTero and extraoral digitization with the iTero and a model scanner[J]. Am J Orthod Dentofacial Orthop, 2013, 144(3): 471-478. |
7 | Han J, Wang Y, Lü PJ. A preliminary report of designing removable partial denture frameworks using a specifically developed software package[J]. Int J Prosthodont, 2010, 23(4): 370-375. |
8 | Revilla-León M, Gómez-Polo M, Vyas S, et al. Artificial intelligence models for tooth-supported fixed and removable prosthodontics: a systematic review[J]. J Prosthet Dent, 2023, 129(2): 276-292. |
9 | Thurzo A, Urbanová W, Novák B, et al. Where is the artificial intelligence applied in dentistry? Systematic review and literature analysis[J]. Healthcare, 2022, 10(7): 1269. |
10 | Davenport JC, Hammond P, Hazlehurst P. Know-ledge-based systems, removable partial denture design and the development of RaPiD[J]. Dent Update, 1997, 24(6): 227-233. |
11 | Chen QX, Lin SJ, Wu J, et al. Automatic drawing of customized removable partial denture diagrams based on textual design for the clinical decision support system[J]. J Oral Sci, 2020, 62(2): 236-238. |
12 | Chen QX, Wu J, Li SS, et al. An ontology-driven, case-based clinical decision support model for remo-vable partial denture design[J]. Sci Rep, 2016, 6: 27855. |
13 | 钱飞, 吴玉禄, 刁晓鸥, 等. 数字化可摘局部义齿支架模型的建立与结构强度的有限元分析[J]. 实用口腔医学杂志, 2022, 38(1): 97-101. |
Qian F, Wu YL, Diao XO, et al. The structural strength analysis of the digital framework for removable partial denture using finite element method[J]. J Pract Stomatol, 2022, 38(1): 97-101. | |
14 | 吴琳. 可摘局部义齿支架计算机辅助设计与制作的初步研究[D]. 沈阳: 中国医科大学, 2006. |
Wu L. Preliminary study on computer-aided design and manufacture of removable partial denture bra-cket[D]. Shenyang: China Medical University, 2006. | |
15 | 刘一帆, 王伟娜, 于海, 等. 选择性激光熔覆(SLM)钛合金可摘局部义齿支架的适合性研究[J]. 实用口腔医学杂志, 2017, 33(3): 302-305. |
Liu YF, Wang WN, Yu H, et al. Study on the fit of titanium alloy removable partial denture framework fabricated by selective laser melting[J]. J Pract Stomatol, 2017, 33(3): 302-305. | |
16 | Sun YC, Lü PJ, Wang Y. Study on CAD&RP for removable complete denture[J]. Comput Methods Programs Biomed, 2009, 93(3): 266-272. |
17 | Stawarczyk B, Dinse L, Eichberger M, et al. Flexu-ral strength, fracture toughness, three-body wear, and Martens parameters of pressable lithium-X-silicate ceramics[J]. Dent Mater, 2020, 36(3): 420-430. |
18 | Schweiger J, Güth JF, Edelhoff D, et al. Virtual eva-luation for CAD-CAM-fabricated complete dentures[J]. J Prosthet Dent, 2017, 117(1): 28-33. |
19 | Sun YC, Yuan FS, Li H, et al. Evaluation of the accuracy of a common regional registration method for three-dimensional reconstruction of edentulous jaw relation by a 7-axis three-dimensional measuring system[J]. Biomed Mater Eng, 2014, 24(1): 1275-1287. |
20 | Steinmassl PA, Klaunzer F, Steinmassl O, et al. Evaluation of currently available CAD/CAM denture systems[J]. Int J Prosthodont, 2017, 30(2): 116-122. |
21 | Barazanchi A, Li KC, Al-Amleh B, et al. Additive technology: update on current materials and applications in dentistry[J]. J Prosthodont, 2017, 26(2): 156-163. |
22 | 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. |
23 | Harb IE, Abdel-Khalek EA, Hegazy SA. CAD/CAM constructed poly(etheretherketone) (PEEK) framework of Kennedy Class Ⅰ removable partial denture: a clinical report[J]. J Prosthodont, 2019, 28(2): e595-e598. |
24 | Wu Q, Zhang N, Dong B, et al. Esthetic rehabilitation for a Kennedy Class Ⅳ patient using detacha-ble 3D printing diagnostic denture and removable partial denture with polyetheretherketone framework[J]. Heliyon, 2022, 8(10): e10834. |
25 | Vaddamanu SK, Alhamoudi FH, Chaturvedi S, et al. Retentive forces and deformation of fitting surface in RPD clasp made of polyether-ether-ketone (PEEK)[J]. Polymers, 2023, 15(4): 956. |
26 | Tribst JPM, Dal Piva AMO, Borges ALS, et al. Effect of different materials and undercut on the remo-val force and stress distribution in circumferential clasps during direct retainer action in removable partial dentures[J]. Dent Mater, 2020, 36(2): 179-186. |
27 | Carneiro Pereira AL, Bezerra de Medeiros AK, de Sousa Santos K, et al. Accuracy of CAD-CAM systems for removable partial denture framework fabrication: a systematic review[J]. J Prosthet Dent, 2021, 125(2): 241-248. |
28 | Williams RJ, Bibb R, Eggbeer D, et al. Use of CAD/CAM technology to fabricate a removable partial denture framework[J]. J Prosthet Dent, 2006, 96(2): 96-99. |
29 | Chia VAP, See Toh YL, Quek HC, et al. Comparative clinical evaluation of removable partial denture frameworks fabricated traditionally or with selective laser melting: a randomized controlled trial[J]. J Prosthet Dent, 2024, 131(1): 42-49. |
30 | Rues S, Tasaka A, Fleckenstein I, et al. Fit and retention of cobalt-chromium removable partial denture frameworks fabricated with selective laser melting[J]. J Funct Biomater, 2023, 14(8): 416. |
31 | Akiyama Y, Kanazawa M, Iwaki M, et al. Fabrication of milled removable partial dentures using a custom plate with prefabricated artificial teeth[J]. J Prosthodont Res, 2023, 67(4): 647-651. |
32 | Wu JC, Wang ZY, Zhang N, et al. A digital workflow for complete arch rehabilitation with zirconia crowns on restored posterior teeth and a polyetheretherketone framework denture[J]. J Prosthet Dent, 2023: S0022-S3913(23)00118-X. |
33 | 王莉莉, 刘洪臣. 三维数字化技术在全口义齿修复中的应用进展[J]. 中华老年口腔医学杂志, 2019, 17(1): 59-62. |
Wang LL, Liu HC. Application progress of three-dimensional digital technology in prosthodontics of complete denture[J]. Chin J Geriatr Dent, 2019, 17(1): 59-62. | |
34 | Grischke J, Johannsmeier L, Eich L, et al. Dentro-nics: towards robotics and artificial intelligence in dentistry[J]. Dent Mater, 2020, 36(6): 765-778. |
35 | 吕培军, 李国珍, 王勇, 等. 人工智能专家系统在口腔修复中的应用[J]. 中华口腔医学杂志, 1996, 31(6): 367-369. |
Lü PJ, Li GZ, Wang Y, et al. The application of the expert system in prosthedontics[J]. Chin J Stomatol, 1996, 31(6): 367-369. | |
36 | 吕培军, 王勇, 李国珍, 等. 机器人辅助全口义齿排牙系统的初步研究[J]. 中华口腔医学杂志, 2001, 36(2): 139-142. |
Lü PJ, Wang Y, Li GZ, et al. Development of a system for robot aided teeth alignment of complete denture[J]. Chin J Stomatol, 2001, 36(2): 139-142. | |
37 | 张永德, 彭景春, 姜金刚. 多操作机排牙机器人的高精度运动控制[J]. 机器人, 2008, 30(6): 542-547. |
Zhang YD, Peng JC, Jiang JG. High precision motion control for multi-manipulator tooth arrangement robot[J]. Robot, 2008, 30(6): 542-547. | |
38 | Zhang YD, Jiang JG, Liang T, et al. Kinematics modeling and experimentation of the multi-manipulator tooth-arrangement robot for full denture manufacturing[J]. J Med Syst, 2011, 35(6): 1421-1429. |
39 | 张伟亮. SCARA型排牙机器人结构设计与仿真分析[D]. 哈尔滨: 哈尔滨理工大学, 2013. |
Zhang WL. Structural design and simulation analysis of SCARA tooth arrangement robot[D]. Harbin: Harbin University of Science and Technology, 2013. | |
40 | Feng Y, Ma S, Zhong S, et al. A method to improve positioning of denture teeth on denture bases for CAD-CAM complete dentures: a dental technique[J]. J Prosthet Dent, 2024, 132(1): 46-50. |
41 | Anadioti E, Musharbash L, Blatz MB, et al. 3D printed complete removable dental prostheses: a narrative review[J]. BMC Oral Health, 2020, 20(1): 343. |
42 | Peroz S, Peroz I, Beuer F, et al. Digital versus conventional complete dentures: a randomized, controlled, double-blinded crossover trial[J]. J Prosthet Dent, 2024, 132(1): 132-138. |
[1] | 葛艳萍,陈西文,朱智敏. 影响可摘局部义齿修复满意度的相关因素[J]. 国际口腔医学杂志, 2015, 42(2): 194-198. |
[2] | 刘梅. 游离端义齿的生物力学研究[J]. 国际口腔医学杂志, 2004, 31(S1): -. |
|