CN113112898A - Method for establishing periodontal disease damage model information base by digital technology and teaching method thereof - Google Patents
Method for establishing periodontal disease damage model information base by digital technology and teaching method thereof Download PDFInfo
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- CN113112898A CN113112898A CN202110380816.1A CN202110380816A CN113112898A CN 113112898 A CN113112898 A CN 113112898A CN 202110380816 A CN202110380816 A CN 202110380816A CN 113112898 A CN113112898 A CN 113112898A
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- 208000028169 periodontal disease Diseases 0.000 title claims abstract description 94
- 230000006378 damage Effects 0.000 title claims abstract description 37
- 238000000034 method Methods 0.000 title claims abstract description 30
- 238000005516 engineering process Methods 0.000 title claims abstract description 15
- 210000000988 bone and bone Anatomy 0.000 claims abstract description 32
- 238000007639 printing Methods 0.000 claims abstract description 22
- 210000004195 gingiva Anatomy 0.000 claims abstract description 16
- 238000010146 3D printing Methods 0.000 claims abstract description 13
- 238000010521 absorption reaction Methods 0.000 claims abstract description 12
- 238000003384 imaging method Methods 0.000 claims abstract description 12
- 239000000463 material Substances 0.000 claims abstract description 5
- 210000000214 mouth Anatomy 0.000 claims abstract description 4
- 238000011282 treatment Methods 0.000 claims description 11
- 210000002379 periodontal ligament Anatomy 0.000 claims description 10
- 238000012216 screening Methods 0.000 claims description 10
- 210000001519 tissue Anatomy 0.000 claims description 9
- 239000011347 resin Substances 0.000 claims description 6
- 229920005989 resin Polymers 0.000 claims description 6
- 230000007547 defect Effects 0.000 claims description 5
- 230000003902 lesion Effects 0.000 claims description 5
- 239000003086 colorant Substances 0.000 claims description 4
- 238000007408 cone-beam computed tomography Methods 0.000 claims description 4
- 208000009693 Gingival Hyperplasia Diseases 0.000 claims description 3
- 210000001909 alveolar process Anatomy 0.000 claims description 3
- 230000006003 cornification Effects 0.000 claims description 3
- 239000012528 membrane Substances 0.000 claims description 3
- 230000008569 process Effects 0.000 claims description 2
- 230000010365 information processing Effects 0.000 abstract description 4
- 230000003239 periodontal effect Effects 0.000 description 12
- 208000006386 Bone Resorption Diseases 0.000 description 4
- 230000024279 bone resorption Effects 0.000 description 4
- 201000001245 periodontitis Diseases 0.000 description 4
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- 206010006326 Breath odour Diseases 0.000 description 1
- 206010018296 Gingivitis ulcerative Diseases 0.000 description 1
- 208000032139 Halitosis Diseases 0.000 description 1
- 206010061218 Inflammation Diseases 0.000 description 1
- 208000025157 Oral disease Diseases 0.000 description 1
- 230000001154 acute effect Effects 0.000 description 1
- 230000008901 benefit Effects 0.000 description 1
- 230000000740 bleeding effect Effects 0.000 description 1
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- G—PHYSICS
- G09—EDUCATION; CRYPTOGRAPHY; DISPLAY; ADVERTISING; SEALS
- G09B—EDUCATIONAL OR DEMONSTRATION APPLIANCES; APPLIANCES FOR TEACHING, OR COMMUNICATING WITH, THE BLIND, DEAF OR MUTE; MODELS; PLANETARIA; GLOBES; MAPS; DIAGRAMS
- G09B23/00—Models for scientific, medical, or mathematical purposes, e.g. full-sized devices for demonstration purposes
- G09B23/28—Models for scientific, medical, or mathematical purposes, e.g. full-sized devices for demonstration purposes for medicine
- G09B23/283—Models for scientific, medical, or mathematical purposes, e.g. full-sized devices for demonstration purposes for medicine for dentistry or oral hygiene
Abstract
The invention discloses a method for establishing a periodontal disease damage model information base by a digital technology and a teaching method thereof, which collects the imaging and intraoral scanning data of different types of periodontal disease damages according to the degree of absorption of gingiva and alveolar bones, further carries out digital information processing and classification according to tooth positions by using software, and establishes the periodontal disease damage digital information base. The teaching method comprises the following steps: (1) collecting clinical information; (2) the doctor screens the digital information close to the actual condition of the oral cavity of the patient from the digital information base of the periodontal disease damage, and prints the model by using 3D printing equipment. The teeth, the gingiva and the alveolar bone are made of printing materials with different hardness; (3) periodontal disease models that are highly matched to the patient's condition are printed using 3D. According to the invention, a periodontal disease damage digital information base is established, digital information matched with the periodontal disease damage is screened by combining clinical characteristics of a patient, and knowledge point explanation is carried out by using a 3D printed periodontal disease damage model, so that each student has a clear viewing angle.
Description
Technical Field
The invention relates to the technical field of periodontal disease damage models, in particular to a method for establishing a periodontal disease damage model information base by using a digital technology and a teaching method thereof.
Background
The periodontal disease has various clinical manifestations, is a subject closely related to periodontal anatomy and imaging, and the deep understanding of periodontal anatomy is reported in the literature to be beneficial for students to rapidly enter into the periodontal practice state. The imaging examination is an important auxiliary means for diagnosing periodontal diseases, and the existing apical plate and curved fault plate are both plane images. At present, the most ideal imaging technology, CBCT, can present the focal position and anatomical structure of the periodontal hard tissue defect of a patient through the arbitrary rotation of a plurality of directions of a coronal plane, a sagittal plane and a transverse plane of an image, and provides powerful information for the diagnosis, prognosis and treatment plan formulation of periodontal diseases, particularly patients with severe periodontitis. However, because the periodontal tissue has more details and small space, and the periodontal tissue at the gingiva and the deep part thereof is highly abstract, students are difficult to construct the space for the periodontal disease damage of patients, the diagnosis of the periodontal disease is influenced, the treatment plan is not perfect, and even the practical problems of doctor-patient contradiction are stimulated. Therefore, a model for visually displaying periodontal diseases is urgently needed in clinical periodontal diseases, students and even patients are helped to understand periodontal diseases, abstract digital data are converted into touchable periodontal three-dimensional models, and clinical teaching is assisted.
Disclosure of Invention
The invention aims to provide a method for establishing a periodontal disease damage model information base by using a digital technology and a teaching method thereof, so as to solve the problems of high abstraction of periodontal tissues, difficulty in mastering knowledge points of periodontal diseases by students and difficulty in clinical teaching.
In order to achieve the purpose, the invention provides the following technical scheme: doctors collect the imaging and intraoral scanning data of different types of periodontal diseases according to the retraction degree of gingiva and the absorption degree of alveolar bone, and further use software to carry out digital information processing and classification according to the tooth positions so as to establish a digital information base of periodontal diseases.
Preferably, the periodontal disease digital information base can systematically reflect the digital information of the periodontal disease of a single tooth.
A teaching method for establishing a periodontal disease model information base by a digital technology comprises the following steps:
(1) clinical case collection: the doctor can judge the periodontal disease state of the patient by intraoral examination with or without combining with imaging data.
(2) Screening information and printing models: a doctor screens the digital information close to the actual condition of the oral cavity of a patient from a digital information base of the periodontal disease damage according to the tooth position, and prints a periodontal disease damage model through 3D printing equipment;
(3) teaching: the doctor can present various periodontal disease damage states through 3D printing periodontal disease damage models. The doctor utilizes the model to carry out the location teaching to structures such as alveolar ridge crest, enamel cementum border, root branching, alveolar bone wall, free gum, cornification gum, membrane gum unite, helps the three-dimensional audio-visual understanding periodontal disease progress of student, increases the understanding of student to periodontal disease relevant knowledge point, guides the student to carry out the diagnosis of periodontal disease and formulate perfect treatment.
Preferably, in the information processing in step (2), the software is medical three-dimensional image processing software, such as Mimics 19.0.
Preferably, in the step (2) of printing the model, the periodontal disease model printed by the 3D device is used for case demonstration. The teeth, gums and alveolar bones are made of printing materials with different hardness. Wherein, different printing colors are selected according to the defect degree of the gingiva and the alveolar bone, and the more serious the tissue absorption is, the darker the color of the remained gingiva or alveolar bone is. In addition, the doctor can print a single tooth or a plurality of combined teeth with different degrees of periodontal disease according to the teaching requirement.
Preferably, in the step (2) printing model, the model of the 3D printing device is a resin 3D printer, and the model of the resin 3D printer is WEEDO TINA2 or Peopoly Moai SLA.
Preferably, in the teaching of step (3), the periodontal disease lesion comprises: alveolar bone resorption types (vertical and horizontal), alveolar bone resorption degree (within the root neck 1/3, root neck 1/3-root middle 1/2, root tip 1/3 and above), alveolar bone pockets (one-wall, two-wall, three-wall, IV-wall bone pockets), root-branch lesions (type I, type II, type III, type IV), gingival recession (Miller type I, type II, type III, type IV), gingival hyperplasia, and the like.
Preferably, in the step (2) of screening information, the image data may be obtained by a CT device such as CBCT, for example, model number of varech Pax-Uni3D or Smart 3D.
Compared with the prior art, the invention has the beneficial effects that: the periodontology is the basis of oral medicine, and the improvement of the clinical practice quality of the periodontology of students has great significance for culturing qualified stomatologists. According to the method, the periodontal disease damage digital information base is constructed through the imaging and intraoral scanning data, similar information of periodontal diseases is clinically screened, a 3D printing technology is used for obtaining a periodontal disease damage model, the periodontal disease model of a specific patient is visually displayed, knowledge point explanation is performed according to clinical practice of the patient, each student has a clear viewing angle, interactive questioning can be performed in real time, knowledge points are quickly digested, and the clinical teaching efficiency can be improved to a certain extent. Therefore, for teaching of colleges and universities, popularizing the periodontal disease damage information base in clinical teaching and obtaining the periodontal disease damage model through 3D printing are very important and practical, and the method has great significance for improving the clinical teaching quality of periodontics of students. The invention firstly proposes to construct the periodontal disease damage information base and obtain the periodontal disease damage model through 3D printing, and the periodontal disease damage model is used for clinical teaching of periodontology. In clinical teaching of periodontics of students, models of periodontal disease are used for clinical diagnosis and prognosis of periodontal disease, and for comparison of periodontal repair after treatment. Periodontal disease models can also be used for theoretical teaching and doctor-patient communication. The doctor selects the tooth position according to clinical examination, and then according to gum, bone absorption state, selects the matching information and prints the model from the periodontal disease impairment digital information base to with the student, the patient demonstrates clinical periodontal disease actual conditions, does benefit to teaching and doctor-patient communication.
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FIG. 1 is a schematic flow diagram of the present invention;
Detailed Description
The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.
A digital information base for creating the model of periodontal disease is disclosed, which features that the doctor can collect the imaging and intraoral scan data of different types of periodontal disease according to the retraction of gingiva and the absorption of alveolar bone, and then use the software to process and classify the digital information according to tooth position to create the digital information base of periodontal disease.
In this example, the system reflects a digitized library of information about a single tooth periodontal lesion.
In this embodiment, the software is medical three-dimensional image processing software.
In this embodiment, the present invention is characterized in that: the method comprises the following steps:
(1) clinical information acquisition: the doctor judges the periodontal disease damage state of the patient by combining intraoral examination with or without imaging data;
(2) screening information and printing models: a doctor screens the digital information close to the actual condition of the oral cavity of a patient from a digital information base of the periodontal disease damage according to the tooth position, and a 3D printing device is used for printing a model;
(3) teaching: the doctor guides students to diagnose the periodontal disease and make a complete treatment plan through the 3D printed periodontal disease model.
In the present embodiment, in the step (2) of screening information and printing a model, a periodontal disease model printed by a 3D printing apparatus is used for case-specific demonstration. The teeth, gums and alveolar bones are made of printing materials with different hardness. Wherein, different printing colors are selected according to the defect degree of the gingiva and the alveolar bone, and the more serious the tissue absorption is, the darker the color of the remained gingiva or alveolar bone is. In addition, the doctor can print a single tooth or a plurality of combined teeth with different degrees of periodontal disease according to the teaching requirement.
In this embodiment, in the step (2) of screening information and printing the model, the model of the printing device is a resin 3D printer, and the model of the resin 3D printer is WEEDO TINA2 or Peopoly Moai SLA.
Obtaining a plurality of first layer fiducial points of the digitized periodontal ligament model using the digitized tooth model; wherein the digitized tooth model includes a root portion surrounded by a digitized periodontal ligament model; respectively extending each first-layer datum point outwards to obtain a plurality of second-layer datum points; wherein the direction from the root portion to the alveolar bone around the root portion is outward; generating a digitized periodontal ligament model outside the digitized tooth model using the plurality of first layer fiducial points and the plurality of second layer fiducial points.
The invention can automatically generate the geometric model of the periodontal ligament, improves the efficiency of generating the periodontal ligament model, and the generated digital periodontal ligament model is the smallest tetrahedral three-dimensional model, and the digital periodontal ligament model is closely connected without gaps inside and is closer to the actual oral situation of a patient.
In this embodiment, in the teaching of step (3), the alveolar bone resorption types (vertical and horizontal), the alveolar bone resorption degree (within the root neck 1/3, in the root neck 1/3-1/2 in the root, at or above the root tip 1/3), the alveolar bone pockets (one-wall, two-wall, three-wall, iv-wall bone pockets), the root-branch lesions (I, ii, iii, iv), the gingival recession (Miller I, ii, iii, iv), the gingival hyperplasia, and other periodontal disease damage states can be presented. The doctor utilizes and prints the model to carry out the location teaching to alveolar ridge crest, glaze cementum border, root branching, alveolar bone wall, free gum, cornification gum, membrane gum joint structure.
In this embodiment, in the screening information in step (1), the image data may be obtained by a CT device such as CBCT, for example, model number of varech Pax-Uni3D or Smart 3D.
The prevalence of periodontal disease increases with age, and the resulting tissue destruction is irreversible, and it is difficult to completely restore normal even after treatment, so that the prevention of periodontal disease is important. Patients with periodontitis tend to have poor oral hygiene, which is also responsible for the occurrence of most oral diseases. In addition to the common chronic periodontitis, there are many types of periodontal diseases, such as simple gingivitis, acute necrotizing gingivitis, pregnancy gingivitis, juvenile periodontitis, rapidly progressive periodontitis, and pre-pubertal periodontitis. The common symptoms of periodontal disease are several: 1. bleeding of gums during brushing and flossing; 2. often have an unpleasant odor (halitosis); 3. swollen and soft gums; 4. the teeth are loose.
Regardless of the periodontal disease, if not actively prevented or treated, inflammation progresses in a chronic progressive manner, unconsciously destroying periodontal health, and a detailed treatment plan is made for sequential treatment. Periodontal disease is controllable through careful diagnostic design and systemic treatment.
The working principle is as follows: the invention establishes a periodontal disease damage model information base by a digital technology, collects the imaging and intraoral scanning data of different types of periodontal disease damages according to the absorption degree of gingiva and alveolar bones, further carries out digital information processing and classification according to the tooth positions by using software, and establishes the periodontal disease damage digital information base. After receiving a doctor, the doctor firstly carries out clinical examination, then screens digital information close to the actual oral condition of the patient from the periodontal disease damage digital information base, and prints a model by using 3D printing equipment. The teeth, gums and alveolar bones are made of printing materials with different hardness. Wherein, different printing colors are selected according to the defect degree of the gingiva and the alveolar bone, and the more serious the tissue absorption is, the darker the color of the remained gingiva or alveolar bone is. Through digital 3D printing technique, obtain the periodontal disease damage model that 3D printed, combine the clinical reality of patient to carry out knowledge point explanation, make each student all have clear sight angle of visiting and can carry out interactive questioning in real time, the knowledge point of digesting fast deepening the student to the understanding of clinical patient's periodontal disease, and can carry out interactive teaching in real time, can improve clinical teaching efficiency to a certain extent. In addition, the change of periodontal disease damage before and after periodontal treatment of a patient can be dynamically observed, and teaching and doctor-patient communication are facilitated.
Although the present invention has been described in detail with reference to the foregoing embodiments, it will be apparent to those skilled in the art that various changes in the embodiments and/or modifications of the invention can be made, and equivalents and modifications of some features of the invention can be made without departing from the spirit and scope of the invention.
Claims (9)
1. A digital information base for creating the model of periodontal disease is characterized by that the doctor collects the imaging and intraoral scan data of different types of periodontal disease according to the retraction of gingiva and the absorption of alveolar bone, and further uses software to process and classify the digital information according to tooth position, so creating the digital information base of periodontal disease.
2. The method of claim 1, wherein the periodontal disease model information base is a digital information base system-response to periodontal disease of a single tooth.
3. The method for creating periodontal disease model information base by digital technology according to claim 2, wherein said software is medical three-dimensional image processing software.
4. A teaching method for creating periodontal disease model information base by using the digitization technique according to claims 1-3, wherein the teaching method comprises the following steps: the method comprises the following steps:
(1) clinical information acquisition: the doctor judges the periodontal disease damage state of the patient by combining intraoral examination with or without imaging data;
(2) screening information and printing models: a doctor screens the digital information close to the actual condition of the oral cavity of a patient from a digital information base of the periodontal disease damage according to the tooth position, and a 3D printing device is used for printing a model;
(3) teaching: the doctor guides students to diagnose the periodontal disease and make a complete treatment plan through the 3D printed periodontal disease model.
5. The teaching method for creating periodontal disease model information base by using digital technology as claimed in claim 4, wherein: in the step (2), screening information and printing a model, the periodontal disease model printed by the 3D printing equipment is used for displaying specific cases; the teeth, the gingiva and the alveolar bone are made of printing materials with different hardness; wherein, different printing colors are selected according to the defect degree of the gingiva and the alveolar bone, and the more serious the tissue absorption is, the darker the color of the remained gingiva or alveolar bone is; the doctor can print a single tooth or a plurality of combined teeth with different degrees of periodontal disease according to the clinical requirement.
6. The teaching method for creating periodontal disease model information base by using digital technology as claimed in claim 5, wherein: in the step (2) of screening information and printing the model, the printing device is a resin 3D printer, and the model of the resin 3D printer is WEEDO TINA2 or Peopoly Moai SLA.
7. The teaching method for creating periodontal disease model information base by using digital technology as claimed in claim 6, wherein: in the teaching of step (3), alveolar bone absorption types (vertical type and horizontal type), alveolar bone absorption degrees (within root neck 1/3, root neck 1/3-root middle 1/2, root tip 1/3 and above), alveolar bone bags (one wall, two walls, three walls and IV wall bone bags), root bifurcation lesions (I, II, III and IV), gingival retraction (Miller I, II, III and IV) and gingival hyperplasia and periodontal disease damage states can be presented; the doctor utilizes and prints the model to carry out the location teaching to alveolar ridge crest, glaze cementum border, root branching, alveolar bone wall, free gum, cornification gum, membrane gum joint structure.
8. The teaching method for creating periodontal disease model information base by using digital technology as claimed in claim 7, wherein: in the screening information in step (1), the image data acquisition method may be performed by a CT device such as CBCT.
9. The teaching method for creating periodontal disease model information base by using digital technology as claimed in claim 8, wherein: obtaining a plurality of first layer fiducial points of the digitized periodontal ligament model using the digitized tooth model; wherein the digitized tooth model includes a root portion surrounded by a digitized periodontal ligament model; respectively extending each first-layer datum point outwards to obtain a plurality of second-layer datum points; wherein the direction from the root portion to the alveolar bone around the root portion is outward; generating a digitized periodontal ligament model outside the digitized tooth model using the plurality of first layer fiducial points and the plurality of second layer fiducial points.
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JP2007213002A (en) * | 2006-01-13 | 2007-08-23 | Shinshikai | Model for periodontal pocket training |
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Application publication date: 20210713 |