CN115363797A - Method for using full-mouth dentition data - Google Patents
Method for using full-mouth dentition data Download PDFInfo
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- 210000004513 dentition Anatomy 0.000 title claims abstract description 123
- 230000036346 tooth eruption Effects 0.000 title claims abstract description 123
- 238000000034 method Methods 0.000 title claims abstract description 35
- 210000002455 dental arch Anatomy 0.000 claims abstract description 198
- 239000007943 implant Substances 0.000 claims description 27
- 230000008859 change Effects 0.000 claims description 20
- 230000002159 abnormal effect Effects 0.000 claims description 16
- 238000012216 screening Methods 0.000 claims description 16
- 206010044048 Tooth missing Diseases 0.000 claims description 5
- 210000000214 mouth Anatomy 0.000 claims description 5
- 210000003128 head Anatomy 0.000 claims description 4
- 230000035515 penetration Effects 0.000 claims description 3
- 238000004519 manufacturing process Methods 0.000 abstract description 17
- 230000008569 process Effects 0.000 abstract description 5
- 230000009286 beneficial effect Effects 0.000 description 11
- 230000004048 modification Effects 0.000 description 4
- 238000012986 modification Methods 0.000 description 4
- 238000010586 diagram Methods 0.000 description 3
- 241000469816 Varus Species 0.000 description 1
- 210000003464 cuspid Anatomy 0.000 description 1
- 210000004283 incisor Anatomy 0.000 description 1
- 210000001847 jaw Anatomy 0.000 description 1
- 230000004807 localization Effects 0.000 description 1
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- 230000008439 repair process Effects 0.000 description 1
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- A—HUMAN NECESSITIES
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- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C13/00—Dental prostheses; Making same
- A61C13/0003—Making bridge-work, inlays, implants or the like
- A61C13/0004—Computer-assisted sizing or machining of dental prostheses
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- A—HUMAN NECESSITIES
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- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C19/00—Dental auxiliary appliances
- A61C19/04—Measuring instruments specially adapted for dentistry
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C19/00—Dental auxiliary appliances
- A61C19/04—Measuring instruments specially adapted for dentistry
- A61C19/05—Measuring instruments specially adapted for dentistry for determining occlusion
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- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
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Abstract
The invention provides a using method of full-oral dentition data, which comprises the following steps: preparing occlusion records of the current patient, and marking the occlusion records to obtain first aesthetic data; scanning the upper and lower jaw models and occlusion records by using a scanner to generate first 3D data; and matching the historical full-oral dentition data serving as a reference template with the first 3D data, adjusting a matching result based on the design requirement of the current patient to obtain a dentition design result of the current patient, and designing other conventional parts of the bridge according to design software and bridge design rules. The whole manufacturing process of the planting bridge frame, including the process of clinical operation, is optimized; meanwhile, the upper dentition occlusion data and the lower dentition occlusion data which are designed in the past in the design software are stored as reference templates. During design, the first 3D data is imported into design software, after a rudiment of the bridge is preliminarily formed, the model is slightly adjusted according to the appearance of a dental arch of a patient, and then the manufacturing can be completed.
Description
Technical Field
The invention relates to the technical field of denture repair, in particular to a using method of full-mouth dentition data.
Background
At present, a bridge frame manufacturing method in planting restoration is that after a model with occlusion records is scanned into 3D data, the 3D data is guided into design software, base stations are manufactured firstly, and then the base stations are connected through a rod clamp; and then manually adding an abutment on the rod clamp, and then finishing the manufacture of the integral bridge frame.
The manufacturing method has the disadvantages that firstly, a manufacturer is required to have higher technical level, and the bridge frame meeting the requirements can be designed only by integrating the repairing elements by considering the occlusion relation of the upper jaw and the lower jaw, the occlusal curve of the upper jaw and the lower jaw, the boundary line of the crown root and the crown root, the aesthetics of the anterior teeth and the like; secondly, the process of manually adding the abutment in the manufacturing process is a process from nothing to nothing, and the process is long in time consumption and low in efficiency.
Disclosure of Invention
The invention provides a using method of full-aperture dentition data, which reduces the manufacturing process of an integral bridge frame, shortens the manufacturing time of the integral bridge frame, reduces the manufacturing difficulty and improves the manufacturing efficiency of the bridge frame.
The invention provides a using method of full-oral dentition data, which comprises the following steps:
s1: preparing occlusion records of the current patient, and marking the occlusion records to obtain first aesthetic data;
s2: scanning the upper and lower jaw models and the occlusion record of the current patient by using a scanner to generate first 3D data;
s3: integrating the first 3D data and importing the first 3D data into design software;
s4: matching historical full-oral dentition data serving as a reference template with first 3D data to obtain a matching result, and adjusting the matching result based on the design requirement of the current patient to obtain a dentition design result of the current patient;
s5: performing back cutting on the dental crown based on design software and the dentition design result to generate a bridge abutment;
s6: generating a bridge gum-penetrating based on the design software and the bridge design rule;
s7: checking an implant screw empty opening on the bridge, and generating a complete bridge based on bridge base teeth and bridge gum penetration after confirming that the implant screw empty opening on the bridge is matched with a screw on the implant;
s8: based on the complete bridge, second 3D data for the bridge is generated.
Preferably, when the first aesthetic data is absent from the bite record, the second aesthetic data is obtained based on the current patient's historical control data and transferred to the bite record.
Preferably, the S1 further includes:
obtaining a first dental arch curve of the current patient and first dental arch data corresponding to the dental arch curve based on the first aesthetic data;
comparing the first dental arch data with the standard dental arch data, and judging whether the dental arch shape of the current patient is the standard dental arch shape;
and when the difference between the first dental arch data and the standard dental arch data is not in the preset range, judging that the first dental arch curve of the current patient is trimmed based on the standard dental arch data, and generating a second dental arch curve.
Preferably, when the difference between the first arch data and the standard arch data is not within the preset range, the first arch curve of the current patient is judged to be trimmed based on the standard arch data, and a second arch curve is obtained, and the method specifically comprises the following steps:
according to the comparison result of the first dental arch data and the standard dental arch data, determining the position of the dental arch invariance curve of the current patient, and calibrating head and tail positioning points of the dental arch invariance curve to serve as first adjusting points;
acquiring the number of first teeth on an arch variation curve based on the upper jaw model and the lower jaw model of the current patient;
when the number of the first teeth is larger than the preset number, the size of the first teeth and the tooth gap distance of the first teeth are obtained based on the upper jaw model and the lower jaw model of the current patient;
marking the edge position of each first tooth on the dental arch variation curve according to the size of the first tooth and the interdental space of the first tooth to obtain a plurality of position marking points;
acquiring the tooth type of a first tooth, classifying the first tooth according to the tooth type, and acquiring a plurality of tooth sets;
taking a first tooth in the same tooth set as a second tooth, acquiring a position mark point of the second tooth, and judging whether an adjacent tooth exists in the same tooth set;
if the adjacent teeth exist in the same tooth set, eliminating the adjacent position mark points of the adjacent second teeth, and reserving the rest position mark points as second adjusting points;
if no adjacent teeth exist in the same tooth set, taking the position mark points in the same tooth set as second adjusting points; (ii) a
Determining the central position of the constant teeth of the current patient based on the occlusion record of the current patient, and determining the arch symmetry line of the first arch curve according to the central position of the constant teeth;
judging whether the symmetrical dental arch of the dental arch abnormal change curve has dental arch abnormal change or not based on the dental symmetrical line, and if so, acquiring a standard radian corresponding to the dental arch abnormal change curve based on standard dental arch data;
adjusting the dental arch abnormal curve based on the first adjusting point and the second adjusting point according to the standard radian to generate a second dental arch curve;
if not, acquiring the arch radian of the symmetrical arch, and adjusting the heterovariate arch curve based on the first adjusting point and the second adjusting point according to the arch radian to generate a second arch curve.
Preferably, after generating the second arch curve, the bite record of the current patient is automatically updated based on the second arch curve.
Preferably, the step S4 specifically includes:
s401: acquiring designed historical full-oral dentition data and importing the data into design software;
s402: taking the historical full-oral dentition data as a reference template, classifying according to dental arch characteristics and tooth types, and establishing an individualized full-oral dentition database;
s403: screening in an individualized full-oral dentition database based on the first 3D data to obtain a final matching reference template;
s404: and adjusting the finally matched reference template according to the design requirement of the current patient to obtain the dentition design result of the current patient.
Preferably, S403: based on the first 3D data, screening in an individualized full-oral dentition database to obtain a final matching reference template, and the specific steps comprise:
s4031: acquiring missing tooth data of the current patient based on the first 3D data, and determining the missing tooth type of the current patient;
s4032: screening in an individualized full-mouth dentition database according to the type of the missing teeth to obtain a first reference template to be selected, and acquiring first dentition data corresponding to the first reference template to be selected;
simulating and calibrating a first position of a first dentition corresponding to a first reference template to be selected in the oral cavity on the standard upper and lower jaw model based on the first dentition data;
s4033: judging whether the first position is consistent with the dentition missing position of the current patient or not based on the tooth missing data of the current patient;
if not, judging that the first to-be-selected reference template is not the final matching reference model of the current patient;
if the first to-be-selected reference template is consistent with the second to-be-selected reference template, judging that the first to-be-selected reference template is the second to-be-selected reference template, and acquiring a third dental arch curve corresponding to the second reference template and a first symmetrical line corresponding to the third dental arch curve;
meanwhile, according to the first 3D data, a fourth dental arch curve of the current patient and a second symmetrical line corresponding to the fourth dental arch curve are obtained;
selecting a plurality of curve radian change positioning points on the dental arch curve as standard positioning points according to the dental arch curve change characteristics of the standard dental arch curve;
marking on the third dental arch curve according to the standard positioning point to obtain a first positioning point; marking the fourth dental arch curve to obtain a second positioning point;
overlapping the third dental arch curve and the fourth dental arch curve according to the first symmetry line and the second symmetry line, and respectively obtaining the position difference between the first positioning point and the corresponding second positioning point;
according to the position difference, obtaining dental arch similarity of the third dental arch curve and the fourth dental arch curve, screening out a second candidate reference model corresponding to the third dental arch curve with the dental arch similarity larger than a preset threshold value, and taking the second candidate reference model as a third candidate reference template;
acquiring first arrangement data of the complete dentition of the historical patient corresponding to the third candidate reference template, and comparing the first arrangement data with second arrangement data of the complete dentition of the current patient to obtain a dentition comparison result;
s4034: and obtaining an optimal candidate reference model according to the dentition comparison result, and taking the optimal candidate reference model as a final matching reference model.
Preferably, S404: adjusting the final matching reference template according to the design requirements of the current patient to obtain the dentition design result of the current patient, and the method specifically comprises the following steps:
s4041: determining the tooth size of the dentition to be designed of the current patient according to second arrangement data of the complete dentition of the current patient;
s4042: determining dentition curve data for the current patient based on the first 3D data;
s4043: and adjusting the finally matched reference template according to the tooth size and the dentition curve data to obtain the dentition design result of the current patient.
Preferably, S7: the method comprises the following steps of checking an empty opening of an implant screw on a bridge, and specifically comprises the following steps:
s701: acquiring first thread characteristics of a screw empty opening of an implant on a bridge, wherein the first thread characteristics comprise the size of the screw empty opening, thread lines and the thread rotating direction;
s702: acquiring a second thread characteristic of a screw on the implant from a database of design software;
s703: and comparing the first thread characteristic with the second thread characteristic, and judging whether an empty screw opening of the implant on the bridge frame is matched with a screw on the implant or not based on a screw matching rule.
Preferably, S8 further includes: and based on the complete bridge, generating second 3D data of the bridge, and then visually presenting the second 3D data.
Additional features and advantages of the invention will be set forth in the description which follows, and in part will be obvious from the description, or may be learned by the practice of the invention. The objectives and other advantages of the invention will be realized and attained by the structure particularly pointed out in the written description and claims hereof as well as the appended drawings.
The technical solution of the present invention is further described in detail by the accompanying drawings and embodiments.
Drawings
The accompanying drawings, which are included to provide a further understanding of the invention and are incorporated in and constitute a part of this specification, illustrate embodiments of the invention and together with the description serve to explain the principles of the invention and not to limit the invention. In the drawings:
FIG. 1 is a schematic diagram illustrating steps of a method for using full-oral dental data according to an embodiment of the present invention;
FIG. 2 is a schematic diagram of a method S4 for using full-mouth dentition data according to an embodiment of the present invention;
fig. 3 is a usage diagram of a method S7 for using full-mouth dentition data according to an embodiment of the present invention.
Detailed Description
The preferred embodiments of the present invention will be described in conjunction with the accompanying drawings, and it should be understood that they are presented herein only to illustrate and explain the present invention and not to limit the present invention.
Example 1:
the invention provides a method for using full-oral dentition data, as shown in figure 1, comprising the following steps:
s1: preparing occlusion records of the current patient, and marking the occlusion records to obtain first aesthetic data;
s2: scanning the upper and lower jaw models and the occlusion record of the current patient by using a scanner to generate first 3D data;
s3: integrating the first 3D data and importing the data into design software;
s4: matching historical full-oral dentition data serving as a reference template with first 3D data to obtain a matching result, and adjusting the matching result based on the design requirement of the current patient to obtain a dentition design result of the current patient;
s5: performing back cutting on the dental crown based on design software and the dentition design result to generate a bridge abutment;
s6: generating a bridge gum-penetrating based on the design software and the bridge design rule;
s7: checking an implant screw empty opening on the bridge, and generating a complete bridge based on bridge abutment teeth and bridge gum penetration after confirming that the implant screw empty opening on the bridge is matched with a screw on the implant;
s8: based on the complete bridge, second 3D data for the bridge is generated.
In this embodiment, the first aesthetic data is the physician directly marks the midline, the oral angle line, and the jaw plane on the patient's bite record.
In this embodiment, the first 3D data refers to 3D data obtained by a doctor using a scanning instrument to scan the upper and lower jaw models and the occlusion record of the current patient.
In this embodiment, the historical full-oral dentition data refers to full-oral dentition data (i.e., upper and lower dentition data) of a historical patient that has been designed.
In this embodiment, the second 3D data refers to 3D data of the complete bridge after all the designs are completed.
The beneficial effects of the above technical scheme are that: the whole manufacturing process of the planting bridge frame, including the process of clinical operation, is optimized; meanwhile, the upper dentition occlusion data and the lower dentition occlusion data which are designed in the past in the design software are stored as reference templates. During design, the stored occlusion data is imported into design software, and after a prototype of the bridge is preliminarily formed, the prototype is slightly adjusted according to the appearance of the dental arch of a patient, so that the manufacturing can be completed. The invention reduces the manufacturing process of the whole bridge, shortens the manufacturing time of the whole bridge, reduces the manufacturing difficulty and improves the manufacturing efficiency of the bridge.
Example 2:
on the basis of example 1, when the first aesthetic data is absent on the bite record, second aesthetic data is obtained based on the historical control data of the current patient, and the second aesthetic data is transferred to the bite record.
In the present embodiment, the second aesthetic data is aesthetic marking data performed based on historical comparison data (intra-oral photographs, old dentures, aesthetic wax teeth, etc.) of the current patient when the doctor performs manual aesthetic marking on the current patient's bite record.
The beneficial effects of the above technical scheme are that: according to the invention, when a doctor does not manually perform aesthetic marking on the occlusion record of the current patient, second aesthetic data is obtained according to the historical comparison data (oral cavity internal picture, old false tooth, aesthetic wax tooth and the like) of the current patient, and the second aesthetic data is transferred to the occlusion record, so that the aesthetic data is marked on the occlusion record, and a basis is provided for the modification of the dental arch curve.
Example 3:
on the basis of the embodiment 1, the S1 further includes:
obtaining a first dental arch curve of the current patient and first dental arch data corresponding to the dental arch curve based on the first aesthetic data;
comparing the first dental arch data with the standard dental arch data, and judging whether the dental arch shape of the current patient is the standard dental arch shape;
and when the difference between the first dental arch data and the standard dental arch data is not in the preset range, judging that the first dental arch curve of the current patient is trimmed based on the standard dental arch data, and generating a second dental arch curve.
In this embodiment, the first arch curve is an arch curve obtained according to the occlusion record of the current patient and the upper and lower jaw models; the first arch curve data refers to the curvature and symmetry of the entire curve of the first arch curve at various positions.
In this embodiment, the standard arch data refers to the arch data corresponding to the perfect arch curve suitable for the current patient, which is determined according to the occlusion record of the current patient and the upper and lower jaw models.
In the present embodiment, the second arch curve is the first arch curve trimmed according to the standard arch data.
The beneficial effects of the above technical scheme are that: the present invention detects the current patient's arch curve, and when the current patient's arch curve (first arch curve) is not the standard arch curve, the current patient's arch curve is trimmed to have a perfect arch contour (second arch curve).
Example 4:
on the basis of embodiment 3, when the difference between the first arch data and the standard arch data is not within the preset range, it is determined that the first arch curve of the current patient is trimmed based on the standard arch data to obtain a second arch curve, and the specific steps include:
according to the comparison result of the first dental arch data and the standard dental arch data, determining the position of the dental arch invariance curve of the current patient, and calibrating head and tail positioning points of the dental arch invariance curve to serve as first adjusting points;
acquiring the number of first teeth on an arch variation curve based on the upper jaw model and the lower jaw model of the current patient;
when the number of the first teeth is larger than the preset number, the size of the first teeth and the tooth gap distance of the first teeth are obtained based on the upper jaw model and the lower jaw model of the current patient;
marking the edge position of each first tooth on the dental arch variation curve according to the size of the first teeth and the space between the teeth of the first teeth to obtain a plurality of position marking points;
acquiring the tooth type of a first tooth, classifying the first tooth according to the tooth type, and acquiring a plurality of tooth sets;
taking a first tooth in the same tooth set as a second tooth, acquiring a position mark point of the second tooth, and judging whether adjacent teeth exist in the same tooth set;
if the adjacent teeth exist in the same tooth set, eliminating the adjacent position mark points of the adjacent second teeth, and reserving the rest position mark points as second adjusting points;
if no adjacent teeth exist in the same tooth set, taking the position mark points in the same tooth set as second adjusting points; (ii) a
Determining the permanent tooth center position of the current patient based on the occlusion record of the current patient, and determining the dental arch symmetry line of the first dental arch curve according to the permanent tooth center position;
judging whether the symmetrical dental arch of the dental arch abnormal change curve has dental arch abnormal change or not based on the dental symmetrical line, and if so, acquiring a standard radian corresponding to the dental arch abnormal change curve based on standard dental arch data;
adjusting the dental arch abnormal curve based on the first adjusting point and the second adjusting point according to the standard radian to generate a second dental arch curve;
if not, acquiring the arch radian of the symmetrical arch, and adjusting the heterovariate arch curve based on the first adjusting point and the second adjusting point according to the arch radian to generate a second arch curve.
In this embodiment, the dental arch varus curve refers to a non-standard curve segment on the first dental arch curve.
In this embodiment, the first adjustment point refers to two points at both ends of the dental arch invariance curve, and the positions of the dental arch invariance curve on the entire first dental arch curve can be removed according to the two points.
In this embodiment, the first tooth refers to a tooth at a position on the upper and lower jaw model where the dental arch variation curve corresponds.
In this embodiment, the edge positions refer to positions on both sides of each tooth, and the distance between two edge positions of the same tooth is determined by the width of the tooth.
In this embodiment, the position mark points refer to the edge position positioning points of all the first teeth on the dental arch invariance curve.
In this embodiment, the set of teeth is a set into which first teeth of the same tooth type (e.g., incisors, cuspids, molars) are divided.
In this embodiment, the second tooth refers to the first tooth in the set of teeth.
In this embodiment, the adjacent position mark points refer to adjacent position mark points between two adjacent teeth.
In this embodiment, the second adjustment point refers to all remaining position mark points from which adjacent position mark points are deleted.
In this embodiment, the permanent tooth center position refers to a symmetrical center position of all the teeth of the upper jaw or the lower jaw.
In this embodiment, the arch symmetry line refers to a symmetry line of the arch curve, and the symmetry line passes through the central position of the permanent tooth.
In this embodiment, the symmetric dental arch refers to a symmetric dental arch with varied positions of the dental arch.
In this embodiment, the standard curvature refers to a standard curvature corresponding to an arch-varying curve determined according to standard arch data.
In this embodiment, the arch curvature refers to the curvature of a symmetrical arch determined by the symmetrical positions of the varied arch curves.
The beneficial effects of the above technical scheme are as follows: according to the comparison result of the first dental arch data and the standard dental arch data, the position of the dental arch invariance curve of the current patient is determined, meanwhile, head and tail positioning points of the dental arch invariance curve are calibrated to serve as first adjusting points, and a plurality of second adjusting points are determined on the dental arch invariance curve (between the two first adjusting points) according to the type and the number of first teeth on the dental arch variation curve, so that the dental arch curve can be trimmed more accurately.
Determining the central position of the constant teeth of the current patient based on the occlusion record of the current patient, and determining the arch symmetry line of the first arch curve according to the central position of the constant teeth; judging whether the symmetrical dental arch of the dental arch abnormal change curve has dental arch abnormal change or not based on the dental symmetry line, if so, acquiring a standard radian corresponding to the dental arch abnormal change curve based on standard dental arch data; adjusting the dental arch abnormal curve based on the first adjusting point and the second adjusting point according to the standard radian to generate a second dental arch curve; if not, the arch radian of the symmetrical arch is acquired, and the heterovariate arch curve is adjusted based on the first adjusting point and the second adjusting point according to the arch radian to generate a second arch curve, so that the perfect arch shape is better solved for the maintained arch shape.
Example 5:
on the basis of example 4, after the second arch curve is generated, the bite record of the current patient is automatically updated based on the second arch curve.
The beneficial effects of the above technical scheme are as follows: according to the invention, after the second dental arch curve is generated, the occlusion record of the current patient is automatically updated based on the second dental arch curve, so that data omission after trimming is avoided.
Example 6:
on the basis of the embodiment 1, S4, as shown in fig. 2, includes the specific steps of:
s401: obtaining designed historical full-oral dentition data and importing the data into design software;
s402: taking the historical full-oral dentition data as a reference template, classifying according to dental arch characteristics and tooth types, and establishing an individualized full-oral dentition database;
s403: screening in an individualized full-oral dentition database based on the first 3D data to obtain a final matching reference template;
s404: and adjusting the finally matched reference template according to the design requirement of the current patient to obtain the dentition design result of the current patient.
In this embodiment, the arch characteristics include arch size and arch contour characteristics.
In this embodiment, the final matching reference template refers to a reference template suitable for the current patient screened from the personalized full-oral dentition database,
the beneficial effects of the above technical scheme are that: the invention exports the upper and lower dentition data designed by actual cases, classifies according to the size of dental arch, the appearance characteristics of dental arch, tooth type and the like, and uses as an individualized full-oral dentition database, thereby greatly improving the working efficiency; the upper and lower dentition occlusion data designed in the past in the design software are used as reference templates, the difficulty is reduced for a manufacturer, and only the fine adjustment of the occlusion, the tooth type and the relationship between the teeth and the gum is needed.
Example 7:
on the basis of example 6, S403: based on the first 3D data, screening in an individualized full-oral dentition database to obtain a final matching reference template, and the specific steps comprise:
s4031: acquiring missing tooth data of the current patient based on the first 3D data, and determining the missing tooth type of the current patient;
s4032: screening in an individualized full-oral dentition database according to the missing tooth type to obtain a first reference template to be selected and obtain first dentition data corresponding to the first reference template to be selected;
simulating and calibrating a first position of a first dentition corresponding to a first reference template to be selected in the oral cavity on the standard upper and lower jaw model based on the first dentition data;
s4033: judging whether the first position is consistent with the dentition missing position of the current patient or not based on the tooth missing data of the current patient;
if not, judging that the first to-be-selected reference template is not the final matching reference model of the current patient;
if the first to-be-selected reference template is consistent with the second to-be-selected reference template, judging that the first to-be-selected reference template is the second to-be-selected reference template, and acquiring a third dental arch curve corresponding to the second reference template and a first symmetrical line corresponding to the third dental arch curve;
meanwhile, according to the first 3D data, a fourth dental arch curve of the current patient and a second symmetrical line corresponding to the fourth dental arch curve are obtained;
selecting a plurality of curve radian change positioning points on the dental arch curve as standard positioning points according to the dental arch curve change characteristics of the standard dental arch curve;
marking on the third dental arch curve according to the standard positioning point to obtain a first positioning point; marking the fourth dental arch curve to obtain a second positioning point;
overlapping the third dental arch curve and the fourth dental arch curve according to the first symmetry line and the second symmetry line, and respectively obtaining the position difference between the first positioning point and the corresponding second positioning point;
according to the position difference, obtaining dental arch similarity of the third dental arch curve and the fourth dental arch curve, and screening out a second candidate reference model corresponding to the third dental arch curve with the dental arch similarity larger than a preset threshold value to serve as a third candidate reference template;
acquiring first arrangement data of the complete dentition of the historical patient corresponding to the third candidate reference template, and comparing the first arrangement data with second arrangement data of the complete dentition of the current patient to obtain a dentition comparison result;
s4034: and obtaining an optimal candidate reference model according to the dentition comparison result, and taking the optimal candidate reference model as a final matching reference model.
In this embodiment, the missing teeth data includes the type, number, and location of teeth currently missing from the patient.
In this embodiment, the missing tooth type refers to the kind of tooth that the patient currently lacks, for example, the first molar.
In this embodiment, the first candidate reference template is a reference template designed for the same tooth type selected from the personalized full-mouth dentition database according to the tooth type of the missing tooth of the current patient.
In this embodiment, the first dentition data refers to dentition data of the first reference template to be selected, and includes an applicable position of the bridge designed by the first reference template to be selected, tooth size of the bridge, and the like.
In this embodiment, the standard upper and lower jaw model refers to an upper and lower jaw model with fixed design parameters stored in an individualized full-mouth dentition database.
In this embodiment, the first position refers to an application-suitable position of the first reference template to be selected shown on the standard maxillomandibular model.
In this embodiment, the missing dentition position refers to a position of a tooth that is currently missing from the patient.
In this embodiment, the second candidate reference template refers to a first candidate reference template whose first position is consistent with the missing dentition position of the current patient.
In this embodiment, the third dental arch curve is a dental arch curve corresponding to the second candidate reference template; the fourth arch curve is an arch curve corresponding to the arch curve data of the current patient in the first 3D data.
In this embodiment, the arch curve variation characteristics refer to the variation characteristics of different curvature radians along with the position of the arch, and the variation range of the curves at different positions is different.
In this embodiment, the standard positioning points refer to positions on the standard dental arch curve where the variation range of the dental arch changes, and the number of the standard positioning points is greater than or equal to 2.
In this embodiment, the first positioning point is a positioning point marked at the same position of the third dental arch curve according to the position of the standard positioning point; the second positioning point is a positioning point marked at the same position of the fourth dental arch curve according to the position of the standard positioning point.
In this embodiment, the first symmetry line is a symmetry line of a third dental arch curve; the second line of symmetry is the line of symmetry of the fourth arch curve.
In this embodiment, the position is different from a distance between the first positioning point and the corresponding second positioning point.
In this embodiment, the third candidate reference template refers to a second candidate reference model whose arch similarity to the arch curve of the current patient is greater than a preset threshold.
In this embodiment, the first alignment data refers to the tooth gap size and the tooth size on the third candidate reference template; the second ordering data refers to the tooth space size and the tooth size shown in the upper and lower jaw models of the current patient.
In this embodiment, the dentition comparison result refers to a comparison result between the first arrangement data and the second arrangement data
In this embodiment, the optimal candidate reference model refers to a third candidate reference template corresponding to the first arrangement data closest to the second arrangement data after the first arrangement data is compared with the second arrangement data.
The beneficial effects of the above technical scheme are as follows: the method comprises the steps of obtaining tooth missing data of a current patient based on first 3D data, and determining the type of missing teeth of the current patient; screening in an individualized full-oral dentition database according to the missing tooth type to obtain a first reference template to be selected and obtain first dentition data corresponding to the first reference template to be selected; simulating and calibrating a first position of a first dentition corresponding to a first reference template to be selected in the oral cavity on the standard upper and lower jaw model based on the first dentition data; judging whether the first position is consistent with the dentition missing position of the current patient or not based on the tooth missing data of the current patient; if not, judging that the first to-be-selected reference template is not the final matching reference model of the current patient;
if the first template to be selected is consistent with the second template to be selected, the first template to be selected is judged to be a second template to be selected, and a third dental arch curve corresponding to the second reference template and a first symmetrical line corresponding to the third dental arch curve are obtained; meanwhile, according to the first 3D data, a fourth dental arch curve of the current patient and a second symmetrical line corresponding to the fourth dental arch curve are obtained; selecting a plurality of curve radian change positioning points on the dental arch curve as standard positioning points according to the dental arch curve change characteristics of the standard dental arch curve; marking on the third dental arch curve according to the standard positioning point to obtain a first positioning point; marking the fourth dental arch curve to obtain a second positioning point; overlapping the third dental arch curve and the fourth dental arch curve according to the first symmetry line and the second symmetry line, and respectively obtaining the position difference between the first positioning point and the corresponding second positioning point; according to the position difference, obtaining dental arch similarity of the third dental arch curve and the fourth dental arch curve, screening out a second candidate reference model corresponding to the third dental arch curve with the dental arch similarity larger than a preset threshold value, and taking the second candidate reference model as a third candidate reference template; acquiring first arrangement data of the complete dentition of the historical patient corresponding to the third candidate reference template, and comparing the first arrangement data with second arrangement data of the complete dentition of the current patient to obtain a dentition comparison result;
according to the method, the upper dentition data and the lower dentition data which are designed in the design software in the past are used as the reference templates, and screening is performed according to the actual dentition data (the first 3D data) of the current patient to obtain the final matching reference model, so that the manufacturing difficulty of the dental bridge is reduced, and the design efficiency of the bridge is improved.
Example 8:
on the basis of embodiment 7, S404: adjusting the final matching reference template according to the design requirements of the current patient to obtain the dentition design result of the current patient, and the method specifically comprises the following steps:
s4041: determining the tooth size of the current patient to-be-designed dentition according to the second arrangement data of the current patient complete dentition;
s4042: determining dentition curve data for the current patient based on the first 3D data;
s4043: and adjusting the finally matched reference template according to the tooth size and the dentition curve data to obtain the dentition design result of the current patient.
In this embodiment, the dentition curve data refers to the currently drawn dental arch data including the arc curvature and the arc length.
The beneficial effects of the above technical scheme are that: according to the second arrangement data of the complete dentition of the current patient, the tooth size of the dentition to be designed of the current patient is determined; determining dentition curve data for the current patient based on the first 3D data; and adjusting the final matching reference template according to the tooth size and the dentition curve data to obtain the dentition design result of the current patient, so that the manufactured tooth bridge is suitable for the current patient, and the use satisfaction of the patient is improved.
Example 9:
on the basis of example 1, S7: checking the screw empty opening of the implant on the bridge, as shown in fig. 3, the method comprises the following specific steps:
s701: acquiring first thread characteristics of a screw empty opening of an implant on a bridge, wherein the first thread characteristics comprise the size of the screw empty opening, thread grains and the thread rotation direction;
s702: acquiring a second thread characteristic of a screw on the implant from a database of design software;
s703: and comparing the first thread characteristic with the second thread characteristic, and judging whether an empty screw opening of the implant on the bridge frame is matched with a screw on the implant or not based on a screw matching rule.
In this embodiment, the second thread sign means that the thread characteristics on the implant include a screw size, a thread texture, and a thread rotation direction.
In this embodiment, the screw matching rule means that the screw threads of the screw are matched with each other in the same manner except that the screw threads of the screw threads are opposite in rotation direction.
The beneficial effects of the above technical scheme are that: the invention detects the screw empty opening of the implant on the bridge, ensures that the designed tooth bridge is matched with the implant, and ensures the practicability of the bridge design.
Example 10:
on the basis of embodiment 1, S8 further includes: and based on the complete bridge, generating second 3D data of the bridge, and then visually presenting the second 3D data.
The beneficial effects of the above technical scheme are that: according to the method, the second 3D data of the bridge frame are generated based on the complete bridge frame, and then the second 3D data are visually displayed, so that the design result is more visually displayed for a doctor.
Example 11:
on the basis of embodiment 7, in S4033, according to the position difference, the dental arch similarity between the third dental arch curve and the fourth dental arch curve is obtained, which includes the specific steps of:
s01: taking an overlapping symmetry line of the overlapping dental arches as an ordinate axis, drawing a straight line perpendicular to the ordinate axis through the overlapping centers of the overlapping dental arch symmetry lines as an abscissa axis, and establishing a position coordinate system;
s02: based on the position coordinate system, obtaining a first position coordinate of the ith first positioning point and a second position coordinate of a second positioning point (namely the ith second positioning point) corresponding to the ith first positioning point, and calculating the position distance between the ith first positioning point and the second positioning point corresponding to the ith first positioning point according to the following formula:
wherein L is i Representing the position distance between the ith first positioning point and the corresponding second positioning point; x i,1 The abscissa representing the ith first locus; y is i,1 Represents the ordinate of the ith first locus; (X) i,1 ,Y i,1 ) A first position coordinate representing an ith first localization point; x i,2 The abscissa represents the ith second positioning point; y is i,2 The ordinate of the ith second positioning point is represented; (X) i,2 ,Y i,2 ) A second position coordinate representing an ith second positioning point;
s03: calculating the dental arch similarity of the third dental arch curve and the fourth dental arch curve according to the position difference between the first positioning point and the corresponding second positioning point and the following companies:
wherein Sim represents the arch similarity of the third arch curve and the fourth arch curve; l is 0 Representing the maximum allowable error value of the position errors of the first positioning point and the second positioning point; max (| L) i -L 0 |) represents the maximum value of the position difference between the first positioning point and the corresponding second positioning point; alpha represents a regulating factor and takes the value of (0, 1).
The beneficial effects of the above technical scheme are that: according to the position difference, the dental arch similarity of the third dental arch curve and the fourth dental arch curve is obtained, so that a basis is provided for screening of the reference model, the screened reference model is closer to the current condition of the patient, and a basis is provided for reducing model adjustment.
It will be apparent to those skilled in the art that various changes and modifications may be made in the present invention without departing from the spirit and scope of the invention. Thus, if such modifications and variations of the present invention fall within the scope of the claims of the present invention and their equivalents, the present invention is also intended to include such modifications and variations.
Claims (10)
1. A method of using full-mouth dental data, comprising:
s1: preparing occlusion records of the current patient, and marking the occlusion records to obtain first aesthetic data;
s2: scanning the upper and lower jaw models and occlusion records of the current patient by using a scanner to generate first 3D data;
s3: integrating the first 3D data and importing the first 3D data into design software;
s4: matching historical full-oral dentition data serving as a reference template with first 3D data to obtain a matching result, and adjusting the matching result based on the design requirement of the current patient to obtain a dentition design result of the current patient;
s5: performing back cutting on the dental crown based on design software and the dentition design result to generate a bridge abutment;
s6: generating a bridge gum-penetrating based on the design software and the bridge design rule;
s7: checking an implant screw empty opening on the bridge, and generating a complete bridge based on bridge abutment teeth and bridge gum penetration after confirming that the implant screw empty opening on the bridge is matched with a screw on the implant;
s8: based on the complete bridge, second 3D data for the bridge is generated.
2. The method of using full-mouth dentition data as claimed in claim 1, wherein: when the first aesthetic data is absent on the bite record, second aesthetic data is obtained based on historical control data of the current patient and transferred to the bite record.
3. The method for using full-oral dentition data according to claim 1, wherein S1 further comprises:
obtaining a first dental arch curve of the current patient and first dental arch data corresponding to the dental arch curve based on the first aesthetic data;
comparing the first dental arch data with standard dental arch data, and judging whether the dental arch shape of the current patient is the standard dental arch shape;
and when the difference between the first dental arch data and the standard dental arch data is not in the preset range, judging that the first dental arch curve of the current patient is trimmed based on the standard dental arch data, and generating a second dental arch curve.
4. The method of claim 3, wherein the method further comprises: when the difference between the first dental arch data and the standard dental arch data is not within a preset range, judging that the first dental arch curve of the current patient is trimmed based on the standard dental arch data to obtain a second dental arch curve, and specifically comprising the following steps of:
according to the comparison result of the first dental arch data and the standard dental arch data, determining the position of the dental arch invariance curve of the current patient, and calibrating head and tail positioning points of the dental arch invariance curve to serve as first adjusting points;
acquiring the number of first teeth on an arch variation curve based on the upper and lower jaw models of the current patient;
when the number of the first teeth is larger than the preset number, acquiring the size of the first teeth and the gap between the teeth of the first teeth based on the upper jaw model and the lower jaw model of the current patient;
marking the edge position of each first tooth on the dental arch variation curve according to the size of the first tooth and the interdental space of the first tooth to obtain a plurality of position marking points;
acquiring the tooth type of a first tooth, classifying the first tooth according to the tooth type, and acquiring a plurality of tooth sets;
taking a first tooth in the same tooth set as a second tooth, acquiring a position mark point of the second tooth, and judging whether adjacent teeth exist in the same tooth set;
if the adjacent teeth exist in the same tooth set, eliminating the adjacent position mark points of the adjacent second teeth, and reserving the rest position mark points as second adjusting points;
if no adjacent teeth exist in the same tooth set, taking the position mark points in the same tooth set as second adjusting points; (ii) a
Determining the permanent tooth center position of the current patient based on the occlusion record of the current patient, and determining the dental arch symmetry line of the first dental arch curve according to the permanent tooth center position;
judging whether the symmetrical dental arch of the dental arch abnormal change curve has dental arch abnormal change or not based on the dental symmetry line, if so, acquiring a standard radian corresponding to the dental arch abnormal change curve based on standard dental arch data;
adjusting the dental arch abnormal curve based on the first adjusting point and the second adjusting point according to the standard radian to generate a second dental arch curve;
if not, acquiring the arch radian of the symmetrical arch, and adjusting the heterovariate arch curve based on the first adjusting point and the second adjusting point according to the arch radian to generate a second arch curve.
5. The method of using full-oral-dentition data according to claim 4, wherein: after generating the second arch curve, automatically updating the current patient's bite record based on the second arch curve.
6. The method for using the full-oral-dentition data as claimed in claim 1, wherein the step S4 comprises:
s401: acquiring designed historical full-oral dentition data and importing the data into design software;
s402: taking the historical full-oral dentition data as a reference template, classifying according to dental arch characteristics and tooth types, and establishing an individualized full-oral dentition database;
s403: screening in an individualized full-oral dentition database based on the first 3D data to obtain a final matching reference template;
s404: and adjusting the finally matched reference template according to the design requirement of the current patient to obtain the dentition design result of the current patient.
7. The method for using the full-oral-dentition data according to claim 6, wherein, in step S403: based on the first 3D data, screening in an individualized full-oral dentition database to obtain a final matching reference template, and the specific steps comprise:
s4031: acquiring missing tooth data of the current patient based on the first 3D data, and determining the missing tooth type of the current patient;
s4032: screening in an individualized full-oral dentition database according to the missing tooth type to obtain a first reference template to be selected and obtain first dentition data corresponding to the first reference template to be selected;
simulating and calibrating a first position of a first dentition corresponding to a first reference template to be selected in the oral cavity on the standard upper and lower jaw model based on the first dentition data;
s4033: judging whether the first position is consistent with the dentition missing position of the current patient or not based on the tooth missing data of the current patient;
if not, judging that the first to-be-selected reference template is not the final matching reference model of the current patient;
if the first template to be selected is consistent with the second template to be selected, the first template to be selected is judged to be a second template to be selected, and a third dental arch curve corresponding to the second reference template and a first symmetrical line corresponding to the third dental arch curve are obtained;
meanwhile, according to the first 3D data, a fourth dental arch curve of the current patient and a second symmetrical line corresponding to the fourth dental arch curve are obtained;
selecting a plurality of curve radian change positioning points on the dental arch curve as standard positioning points according to the dental arch curve change characteristics of the standard dental arch curve;
marking on the third dental arch curve according to the standard positioning point to obtain a first positioning point; marking the fourth dental arch curve to obtain a second positioning point;
overlapping the third dental arch curve and the fourth dental arch curve according to the first symmetry line and the second symmetry line, and respectively obtaining the position difference between the first positioning point and the corresponding second positioning point;
according to the position difference, obtaining dental arch similarity of the third dental arch curve and the fourth dental arch curve, and screening out a second candidate reference model corresponding to the third dental arch curve with the dental arch similarity larger than a preset threshold value to serve as a third candidate reference template;
acquiring first arrangement data of the complete dentition of the historical patient corresponding to the third candidate reference template, and comparing the first arrangement data with second arrangement data of the complete dentition of the current patient to obtain a dentition comparison result;
s4034: and obtaining an optimal candidate reference model according to the dentition comparison result, and taking the optimal candidate reference model as a final matching reference model.
8. The method for using the full-mouth dentition data as claimed in claim 7, wherein, in step S404: adjusting the final matching reference template according to the design requirements of the current patient to obtain the dentition design result of the current patient, and the specific steps comprise:
s4041: determining the tooth size of the dentition to be designed of the current patient according to second arrangement data of the complete dentition of the current patient;
s4042: determining dentition curve data for the current patient based on the first 3D data;
s4043: and adjusting the finally matched reference template according to the tooth size and the dentition curve data to obtain the dentition design result of the current patient.
9. The method for using the full-mouth dentition data according to claim 1, wherein S7: the method comprises the following steps of checking an empty opening of an implant screw on a bridge, and specifically comprises the following steps:
s701: acquiring first thread characteristics of a screw empty opening of an implant on a bridge, wherein the first thread characteristics comprise the size of the screw empty opening, thread lines and the thread rotating direction;
s702: acquiring a second thread characteristic of a screw on the implant from a database of design software;
s703: and comparing the first thread characteristic with the second thread characteristic, and judging whether an empty screw opening of the implant on the bridge frame is matched with a screw on the implant or not based on a screw matching rule.
10. The method for using full-oral dentition data according to claim 1, wherein S8 further comprises: and based on the complete bridge, generating second 3D data of the bridge, and then visually presenting the second 3D data.
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