数字化设计全牙列种植固定修复中𬌗平面的确定

doi:10.12337/zgkqzzxzz.2024.02.003

中国口腔种植学杂志 ›› 2024, Vol. 29 ›› Issue (1): 9-15.DOI: 10.12337/zgkqzzxzz.2024.02.003

• 口腔种植的咬合重建重点栏目 • 上一篇下一篇

数字化设计全牙列种植固定修复中𬌗平面的确定

叶颖, 刘伟才

同济大学口腔医学院·附属口腔医院上海牙组织修复与再生工程技术研究中心 200072

收稿日期:2023-12-26 出版日期:2024-02-29 发布日期:2024-03-07
通讯作者: 刘伟才,Email: vogi@163.com,电话：021-66315021
作者简介:叶颖副教授、副主任医师。同济大学附属口腔医院口腔种植科。毕业于北京大学及瑞典Karolinska Institute,获口腔医学博士及医学理学博士。任中华口腔医学会口腔种植专业委员会委员、口腔生物医学专业委员会青年委员;任上海市口腔基础医学专业委员会常委、口腔种植专业委员会委员。主持国家自然科学基金1项、省部级课题多项。参编人民卫生出版社《口腔种植临床操作与技巧》,参译人民军医出版社《牙周与种植美学成形手术》,任《临床牙科种植学及相关研究》中文版编委。;刘伟才教授、主任医师、博士研究生导师。同济大学附属口腔医院数字化口腔诊疗中心主任及美容牙科主任、口腔技工工艺教研室主任。兼任中华口腔医学会口腔修复专业委员会常务委员、中华医学会口腔美学专业委员会常务委员、中国产业企业管理委员会数字化口腔分会副主委、中华医学会医学美容分会美容牙科学组副组长、上海口腔医学会理事、上海口腔修复专业委员会副主委,以及《中华口腔医学》《口腔医学》杂志编委,Journal of Dentistry审稿人等职。先后承担国家自然科学基金及上海市科委人才项目等12项,发表论文70余篇,授权发明专利4项,参编人民卫生出版社本科教材《𬌗学》、研究生教材《口腔固定修复学》《口腔生物力学》以及专科医师教材《口腔修复学》;主编参编著作10部。先后获得上海市青年科技启明星（2010）、同济大学优秀医务工作者（2014）称号。
基金资助:
上海市科学技术委员会科研计划项目（21Y11903800）; 上海申康医院发展中心临床三年行动计划—临床研究青年项目（SHDC2020CR4088）; 上海市卫生健康委员会卫生行业临床研究专项（202340062）

Determination of the occlusal plane in the computer-assisted design of implant-supported fixed complete-arch rehabilitation

Ye Ying, Liu Weicai

School & Hospital of Stomatology, Tongji University, Shanghai Engineering Research Center of Tooth Restoration and Regeneration, Shanghai 200072, China

Received:2023-12-26 Online:2024-02-29 Published:2024-03-07
Contact: Liu Weicai, Email: vogi@163.com, Tel: 0086-21-66315021
Supported by:
Science and Technology Commission of Shanghai Municipality（21Y11903800）；Shanghai Hospital Development Center（SHDC2020CR4088）；Shanghai Municipal Health Commission（202340062）

摘要/Abstract

摘要： 各类牙科数字化技术在种植固定修复中已经得到了充分应用。多种模态的数字化数据提供了较传统方法不可比拟的信息量及信息精确度,使得医师和技师能够更直观、更精准的进行方案设计。在全牙列数字化修复设计中,𬌗平面的确定是其中的重要一环,对于咬合功能协调具有重要影响,然而在义齿设计加工中尚缺少可供参考的设计原则及规范方法。本文以𬌗平面为出发点,讨论了全牙列种植固定修复中涉及的数字化技术及数据、虚拟颌位关系转移,以及𬌗平面定位的各类参考方法,以期为全牙列种植咬合重建的临床工作提供参考。

关键词: 全牙列种植修复, 𬌗平面, 虚拟咬合架, 虚拟患者, 数字化技术

Abstract: Various digital techniques have been extensively applied in implant dentistry. When addressing edentulous cases with implant-supported fixed complete-arch rehabilitation, the determination of the occlusal plane is a critical step, which is a prerequisite for achieving stable occlusal function. This review discusses the employed digital techniques and data fusion, the techniques of virtual mounting, and various methods applied in occlusal plane determination. We hope this work could provide valuable insights into the clinical work in implant-supported occlusal rehabilitation.

Key words: Complete-arch implant rehabilitation, Occlusal plane, Virtual articulator, Virtual patient, Digital techniques

叶颖,等刘伟才. 数字化设计全牙列种植固定修复中𬌗平面的确定[J]. 中国口腔种植学杂志, 2024, 29(1): 9-15. DOI: 10.12337/zgkqzzxzz.2024.02.003

Ye Ying, Liu Weicai. Determination of the occlusal plane in the computer-assisted design of implant-supported fixed complete-arch rehabilitation[J].Chinese Journal of Oral Implantology, 2024, 29(1): 9-15.DOI: 10.12337/zgkqzzxzz.2024.02.003.

参考文献

[1] Bidra AS.Three-dimensional esthetic analysis in treatment planning for implant-supported fixed prosthesis in the edentulous maxilla: review of the esthetics literature[J]. J Esthet Restor Dent, 2011,23(4):219-236. DOI: 10.1111/j.1708-8240.2011.00428.x.
[2] 赵铱民. 口腔修复学(第8版) [M]. 北京:人民卫生出版社, 2020.
[3] Sinobad D, Postić SD.Roentgencraniometric indicators of the position of the occlusal plane in natural and artificial dentitions[J]. Eur J Prosthodont Restor Dent, 1996,4(4):169-174.
[4] Ogawa T, Koyano K, Suetsugu T.Correlation between inclination of occlusal plane and masticatory movement[J]. J Dent, 1998,26(2):105-112. DOI: 10.1016/s0300-5712(97)00001-8.
[5] Okane H, Yamashina T, Nagasawa T, et al.The effect of anteroposterior inclination of the occlusal plane on biting force[J]. J Prosthet Dent, 1979,42(5):497-501. DOI: 10.1016/0022-3913(79)90241-5.
[6] Petricevic N, Celebic A, Celic R, et al.Natural head position and inclination of craniofacial planes[J]. Int J Prosthodont, 2006,19(3):279-280.
[7] 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. DOI: 10.3760/cma.j.cn112144-20200615-00345.
[8] 张思慧, 刘向东, 何凯讯, 等. 以功能为导向的全程数字化种植咬合重建一例[J].中国口腔种植学杂志, 2021,26(2):102-108. DOI: 10.12337/zgkqzzxzz. 2021. 04.005.
[9] Harris BT, Montero D, Grant GT, et al.Creation of a 3-dimensional virtual dental patient for computer-guided surgery and CAD-CAM interim complete removable and fixed dental prostheses: a clinical report[J]. J Prosthet Dent, 2017,117(2):197-204. DOI: 10.1016/j.prosdent.2016.06.012.
[10] 杜雪, 瞿方, 刘伟才. 三维虚拟牙科患者的建立及其在美学修复中的应用[J].国际口腔医学杂志,2018,45(6):695-702. DOI: 10.7518/gjkq.2018.06.013.
[11] Li J, Chen Z, Dong B, et al.Registering maxillomandibular relation to create a virtual patient integrated with a virtual articulator for complex implant rehabilitation: a clinical report[J]. J Prosthodont, 2020,29(7):553-557. DOI: 10.1111/jopr.13204.
[12] Lepidi L, Galli M, Grammatica A, et al.Indirect digital workflow for virtual cross-mounting of fixed implant-supported prostheses to create a 3D virtual patient[J]. J Prosthodont, 2021,30(2):177-182. DOI: 10.1111/jopr.13247.
[13] Gómez-Polo M, Barmak AB, Ortega R, et al.Accuracy, scanning time, and patient satisfaction of stereophotogrammetry systems for acquiring 3D dental implant positions: a systematic review[J]. J Prosthodont, 2023,32(S2):208-224. DOI: 10.1111/jopr.13751.
[14] Wang J, Wu YL, Ma J, et al.A novel technique for implant-supported fixed complete rehabilitation based on a dynamic virtual patient[J]. J Dent, 2023,137:104649. DOI: 10.1016/j.jdent.2023.104649.
[15] Feng Y, Sun X, Li J, et al.Is dynamic occlusal design necessary for anterior guidance recovery in the computer-aided design process? An in vitro study[J]. J Dent, 2024:104833. DOI: 10.1016/j.jdent.2024. 104833.
[16] Li Q, Bi M, Yang K, et al.The creation of a virtual dental patient with dynamic occlusion and its application in esthetic dentistry[J]. J Prosthet Dent, 2021,126(1):14-18. DOI: 10.1016/j.prosdent.2020.08.026.
[17] 孙欣荣, 冯玥, 刘伟才. 多模态数据融合的可视化技术在咬合重建中的应用[J].华西口腔医学杂志, 2022,40(4):468-475. DOI: 10.7518/hxkq.2022.04.015.
[18] 刘伟才. 多模态数据融合技术在口颌系统功能评估中的应用[J].口腔医学,2022,(1):14-19. DOI: 10.13591/j.cnki.kqyx.2022.01.003.
[19] Lepidi L, Galli M, Mastrangelo F, et al.Virtual articulators and virtual mounting procedures: where do we stand?[J]. J Prosthodont, 2021,30(1):24-35. DOI: 10.1111/jopr.13240.
[20] The glossary of prosthodonticterms 2023: tenth edition[J]. J Prosthet Dent, 2023,130(4 Suppl 1):e7-e126. DOI: 10.1016/j.prosdent.2023.03.002.
[21] Maveli TC, Suprono MS, Kattadiyil MT, et al.In vitro comparison of the maxillary occlusal plane orientation obtained with five facebow systems[J]. J Prosthet Dent, 2015,114(4):566-573. DOI: 10.1016/j.prosdent.2015.02.030.
[22] Li J, Chen Z, Decker AM, et al.Trueness and precision of economical smartphone-based virtual facebow records[J]. J Prosthodont, 2022,31(1):22-29. DOI: 10.1111/jopr.13366.
[23] Lin H, Pan Y, Wei X, et al.Comparison of the performance of various virtual articulator mounting procedures: a self-controlled clinical study[J]. Clin Oral Investig, 2023,27(7):4017-4028. DOI: 10.1007/s00784-023-05028-9.
[24] Solaberrieta E, Garmendia A, Minguez R, et al.Virtual facebow technique[J]. J Prosthet Dent, 2015,114(6):751-755. DOI: 10.1016/j.prosdent.2015.06.012.
[25] Lam WY, Hsung RT, Choi WW, et al.A 2-part facebow for CAD-CAM dentistry[J]. J Prosthet Dent, 2016,116(6):843-847. DOI: 10.1016/j.prosdent.2016.05.013.
[26] Lam W, Hsung R, Choi W, et al.A clinical technique for virtual articulator mounting with natural head position by using calibrated stereophotogrammetry[J]. J Prosthet Dent, 2018,119(6):902-908. DOI: 10.1016/j.prosdent.2017.07.026.
[27] Lepidi L, Chen Z, Ravida A,at al. A full-digital technique to mount a maxillary arch scan on a virtual articulator[J]. J Prosthodont.2019,28(3):335-338. DIO: 10.1111/jopr.13023.
[28] Pitchford JH.A reevaluation of the axis-orbital plane and the use of orbitale in a facebow transfer record[J]. J Prosthet Dent. 1991,66(3):349-355.DOI: 10.1016/ 0022-3913(91)90262-u.
[29] Abrahams R, Carey PD.The use of the ala-tragus line for occlusal plane determination in complete dentures[J]. J Dent, 1979,7(4):339-341. DOI: 10.1016/0300-5712(79)90147-7.
[30] van Niekerk FW, Miller VJ, Bibby RE. The ala-tragus line in complete denture prosthodontics[J]. J Prosthet Dent, 1985,53(1):67-69. DOI: 10.1016/0022-3913(85)90068-x.
[31] Sharab L, Jensen D, Hawk G, et al.A cephalometric analysis assessing the validity of camper's plane to establishing the occlusal plane in edentulous patients[J]. Dent J (Basel), 2023,11(3):81. DOI: 10.3390/dj11030081.
[32] Kumar S, Garg S, Gupta S.A determination of occlusal plane comparing different levels of the tragus to form ala-tragal line or Camper's line: a photographic study[J]. J Adv Prosthodont, 2013,5(1):9-15. DOI: 10.4047/jap.2013.5.1.9.
[33] Priest G, Wilson MG.An evaluation of benchmarks for esthetic orientation of the occlusal plane[J]. J Prosthodont, 2017,26(3):216-223. DOI: 10.1111/jopr.12524.
[34] Cooperman HN.HIP plane of occlusion in oral diagnosis[J]. Dent Surv, 1975,51(11):60-62.
[35] Rich H.Evaluation and registration of the H.I.P. plane of occlusion[J]. Aust Dent J, 1982, 27(3): 162-168.DOI: 10.1111/j.1834-7819.1982.tb04081.x
[36] Karkazis HC, Polyzois GL.Cephalometrically predicted occlusal plane: implications in removable prosthodontics[J]. J Prosthet Dent, 1991,65(2):258-264. DOI: 10.1016/0022-3913(91)90172-s.
[37] Fu PS, Hung CC, Hong JM,et al.Three-dimensional analysis of the occlusal plane related to the hamular-incisive-papilla occlusal plane in young adults[J]. J Oral Rehabil. 2007,34(2):136-140. DOI: 10.1111/j.1365-2842.2006.01682.x.
[38] Pittschieler E, Foltin A, Falkensammer F, et al.Comparison of skeletal and dental reference planes with the hamulus-incisive-papilla plane: a pilot study on 3D reconstructed tomographies of the skull[J]. Int J Prosthodont. 2016,29(3):274-276. DOI: 10.11607/ijp.4560.
[39] Dawson PE.Functional occlusion: from TMJ to smile design[M]. London:Mosby, 2006.
[40] Lynch CD, McConnell RJ. Prosthodontic management of the curve of Spee: use of the Broadrick flag[J]. J Prosthet Dent, 2002,87(6):593-597. DOI: 10.1067/mpr.2002.125178.
[41] 陈莎, 罗有成, 黄超仪, 等. 咬合平面分析仪辅助全口重度磨耗咬合重建1例[J].中华口腔医学杂志,2022, 57(7):749-752. DOI: 10.3760/cma.j.cn112144-20220107-00006.
[42] Ogawa T, Koyano K, Umemoto G.Inclination of the occlusal plane and occlusal guidance as contributing factors in mastication[J]. J Dent, 1998,26(8):641-647. DOI: 10.1016/s0300-5712(97)00066-3.
[43] Ogawa T, Koyano K, Suetsugu T.The relationship between inclination of the occlusal plane and jaw closing path[J]. J Prosthet Dent, 1996,76(6):576-580. DOI: 10.1016/s0022-3913(96)90432-1.
[44] Ikeda K, Yamashita S.A study for determining the inclination of the occlusal plane from the mandibular functional trajectory[J]. Int J Dent, 2022,2022:6713881. DOI: 10.1155/2022/6713881.

数字化设计全牙列种植固定修复中𬌗平面的确定

Determination of the occlusal plane in the computer-assisted design of implant-supported fixed complete-arch rehabilitation

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 5

编辑推荐

Metrics

[1]	严宇巍, 林潇, 马蕊, 梁超, 耿威. 数字化技术辅助牙列缺损患者的种植修复与咬合重建——基本修复程序[J]. 中国口腔种植学杂志, 2024, 29(1): 30-35.
[2]	陈金妍, 张筠, 吴轶群, 王凤. 虚拟患者构建在口腔种植中应用的现状[J]. 中国口腔种植学杂志, 2023, 28(6): 473-477.
[3]	满毅, 刘菁晶. 一种用于重建严重吸收牙槽嵴的技术介绍与改良思路：栅栏技术[J]. 中国口腔种植学杂志, 2021, 26(6): 349-353.
[4]	章雯, 顾新华. 侧壁开窗上颌窦底提升的骨窗设计研究进展[J]. 中国口腔种植学杂志, 2021, 26(5): 334-338.
[5]	熊佳璧, 孙为, 施斌. 口腔种植治疗中的数字化数据采集技术[J]. 中国口腔种植学杂志, 2021, 26(2): 114-119.