数字化集成技术在多学科联合辅助正畸治疗中的应用前景

李炎杰; 陈明珠; 胡江天

doi:10.12259/j.issn.2095-610X.S20240801

数字化集成技术在多学科联合辅助正畸治疗中的应用前景

doi: 10.12259/j.issn.2095-610X.S20240801

昆明医科大学附属口腔医院正畸科/云南省口腔医学重点实验室，云南昆明　650106

基金项目: 国家自然科学基金资助项目（82360200）；云南省科技创新团队基金资助项目（202105AE160004）

详细信息

作者简介:
李炎杰（1994～），男，湖北荆州人，在读博士研究生，住院医师，主要从事口腔正畸临床诊疗工作

通讯作者:
胡江天，E-mail：hujiangtian@kmmu.edu.cn

中图分类号: R783.5
计量
- 文章访问数: 402
- HTML全文浏览量: 427
- PDF下载量: 32
- 被引次数: 0
出版历程
- 收稿日期: 2024-05-09
- 网络出版日期: 2024-07-02
- 刊出日期: 2024-08-05

Application Prospect of Digital Integration Technology in Multidisciplinary Collaborative Orthodontic Treatment

Dept. of Orthodontics，Affiliated Stomatological Hospital of Kunming Medical University/Yunnan Key Laboratory of Stomatology，Kunming Yunnan 650106，China

More Information

Corresponding author: 胡江天，女，55岁，满族，主任医师，博士研究生导师，昆明医科大学附属口腔医院/云南省口腔医院正畸科/正畸教研室主任。云南省口腔医学会口腔正畸专委会主任委员、国家级口腔正畸规培基地主任。荣获云南省科技进步一等奖（第一完成人）、荣获云南省有突出贡献专业技术人才奖（二等奖）、荣获云南省五一劳动奖章。云南省科技创新团队带头人，获云南省兴滇人才支持计划-名医专项云南省委联系口腔医学专家。长期从事口腔正畸临床、教学、科研工作，主持科研项目14项，其中国家自然科学基金3项、云南省科技厅重点项目1项。招收培养博士硕士研究生及留学生44名，进修医生规培生52名，参编中国青少年隐形矫治专家共识2部，以第一或通讯作者发表论文52篇，其中 SCI收录6篇。荣获昆明医科大学教学成果二等奖（第一完成人），多次荣获医科大优秀教师、红云园丁奖、伯乐奖、伍达观基金奖。擅长应用隐形、自锁直丝、标准方丝等先进矫治技术治疗儿童、青少年、成年人各类牙颌畸形。熟练掌握各类先进矫治技术，尤其对隐形矫治技术及联合多学科治疗复杂、疑难、严重口腔错合畸形具备丰富的临床经验。担任TWEED矫治技术中国中心教官，口腔正畸ANDREWS六要素中国区讲师。

摘要

摘要: 随着人工智能的迅速发展，数字化技术在口腔医学领域中得到了广泛的应用，尤其在口腔多学科联合诊疗中扮演着重要角色。数字化技术的引入为正畸治疗为主的口腔多学科联合治疗提供了新的思路和方法，医生可以更准确地评估患者的口腔状况，多学科联合诊疗共同制定个性化的治疗方案，并在治疗过程中进行实时监测和调整，从而提高了治疗的精确性和效率。同时，数字化技术的应用为患者带来了更加精细化、个性化的治疗体验，为临床实践提供了可靠的技术支持和指导。就数字化技术在正畸治疗为主的口腔多学科诊疗中的临床应用作一综述。
- 数字化技术 /
- 正畸辅助治疗 /
- 口腔多学科联合诊疗
Abstract: With the rapid development of artificial intelligence, digital technology has been widely used in the field of dentistry, especially playing a crucial role in the context of multidisciplinary diagnosis and treatment in dentistry. The introduction of digital technology has provided new insights and methods for interdisciplinary treatment with orthodontics as the main focus in dentistry. Doctors can more accurately assess patients' oral conditions, collaborate across multiple disciplines to develop personalized treatment plans, and conduct real-time monitoring and adjustments during treatment, thereby enhancing the precision and efficiency of treatment. Meanwhile, the application of digital technology brings patients a more refined and personalized treatment experience, providing reliable technical support and guidance for clinical practice. This paper provides a review of the clinical application of digital technology in multi-disciplinary diagnosis and treatment with orthodontics as the main focus in dentistry.
- Digital technology /
- Orthodontic Assisted Treatment /
- Oral multi-disciplinary treatment

HTML全文

参考文献(58)

[1]	张方明. 口腔多学科协作诊疗体系的构建与实施[J]. 中华口腔医学杂志,2020,55(10):722-728. doi: 10.3760/cma.j.cn112144-20200420-00219
[2]	杨瑛,张方明. 口腔多学科协作诊疗模式(OMDT)的实施现状与思考[J]. 北京口腔医学,2022,30(1):1-5. doi: 10.3969/j.issn.1006-673X.2022.1.bjkqyx202201002
[3]	Naran S,Steinbacher D M,Taylor J A. Current concepts in orthognathic surgery[J]. Plast Reconstr Surg,2018,141(6):925e-936e. doi: 10.1097/PRS.0000000000004438
[4]	Jeong W S,Lee J Y,Choi J W. Large-scale study of long-term vertical skeletal stability in a surgery-first orthognathic approach without presurgical orthodontic treatment: Part II[J]. J Craniofac Surg,2018,29(4):953-958. doi: 10.1097/SCS.0000000000004433
[5]	Jeong W S,Lee J Y,Choi J W. Large-scale study of long-term anteroposterior stability in a surgery-first orthognathic approach without presurgical orthodontic treatment[J]. J Craniofac Surg,2017,28(8):2016-2020. doi: 10.1097/SCS.0000000000003853
[6]	Huang C S,Hsu S S,Chen Y R. Systematic review of the surgery-first approach in orthognathic surgery[J]. Biomed J,2014,37(4):184-190. doi: 10.4103/2319-4170.126863
[7]	Yao J,Zeng W,He T,et al. Automatic localization of cephalometric landmarks based on convolutional neural network[J]. Am J Orthod Dentofacial Orthop,2022,161(3):e250-e259. doi: 10.1016/j.ajodo.2021.09.012
[8]	Jeon S,Lee K C. Comparison of cephalometric measurements between conventional and automatic cephalometric analysis using convolutional neural network[J]. Prog Orthod,2021,22(1):14. doi: 10.1186/s40510-021-00358-4
[9]	Arık S,Ibragimov B,Xing L. Fully automated quantitative cephalometry using convolutional neural networks[J]. J Med Imaging (Bellingham),2017,4(1):014501. doi: 10.1117/1.JMI.4.1.014501
[10]	Wang C W,Huang C T,Lee J H,et al. A benchmark for comparison of dental radiography analysis algorithms[J]. Med Image Anal,2016,31:63-76. doi: 10.1016/j.media.2016.02.004
[11]	Schendel S A. Computer simulation in the daily practice of orthognathic surgery[J]. Int J Oral Maxillofac Surg,2015,44(12):1451-1456. doi: 10.1016/j.ijom.2015.05.022
[12]	Khechoyan D Y. Orthognathic surgery: General considerations[J]. Semin Plast Surg,2013,27(3):133-136. doi: 10.1055/s-0033-1357109
[13]	Noh H,Nabha W,Cho J H,et al. Registration accuracy in the integration of laser-scanned dental images into maxillofacial cone-beam computed tomography images[J]. Am J Orthod Dentofacial Orthop,2011,140(4):585-591. doi: 10.1016/j.ajodo.2011.04.018
[14]	Apostolakis D,Michelinakis G,Kamposiora P,et al. The current state of computer assisted orthognathic surgery: A narrative review[J]. J Dent,2022,119:104052. doi: 10.1016/j.jdent.2022.104052
[15]	Chung M,Lee J,Song W,et al. Automatic registration between dental cone-beam CT and scanned surface via deep pose regression neural networks and clustered similarities[J]. IEEE Trans Med Imaging,2020,39(12):3900-3909. doi: 10.1109/TMI.2020.3007520
[16]	Elnagar M H,Aronovich S,Kusnoto B. Digital workflow for combined orthodontics and orthognathic surgery[J]. Oral Maxillofac Surg Clin North Am,2020,32(1):1-14. doi: 10.1016/j.coms.2019.08.004
[17]	Plooij J M,Maal T J,Haers P,et al. Digital three-dimensional image fusion processes for planning and evaluating orthodontics and orthognathic surgery. A systematic review[J]. Int J Oral Maxillofac Surg,2011,40(4):341-352. doi: 10.1016/j.ijom.2010.10.013
[18]	回文宇,吴锦阳,黄建华,等. 机器人辅助颏成形术行截骨操作的精度评价实验研究[J]. 上海交通大学学报(医学版),2022,42(9):1347-1352.
[19]	Han J J,Woo S Y,Yi W J,et al. Robot-assisted maxillary positioning in orthognathic surgery: A feasibility and accuracy evaluation[J]. J Clin Med,2021,10(12):2596-2596. doi: 10.3390/jcm10122596
[20]	Handa S,Shaefer J R,Keith D A. Oromandibular dystonia and temporomandibular disorders[J]. J Am Dent Assoc,2022,153(9):899-906. doi: 10.1016/j.adaj.2021.07.026
[21]	Yap A U,Chen C,Wong H C,et al. Temporomandibular disorders in prospective orthodontic patients[J]. Angle Orthod,2021,91(3):377-383. doi: 10.2319/010720-863.1
[22]	Lei J,Yap A U,Li Y,et al. Clinical protocol for managing acute disc displacement without reduction: A magnetic resonance imaging evaluation[J]. Int J Oral Maxillofac Surg,2020,49(3):361-368. doi: 10.1016/j.ijom.2019.07.005
[23]	Shalish M,Leibovich A,Zakuto A,et al. The association between orthodontic treatment and temporomandibular disorders diagnosis and disease characteristics[J]. J Oral Rehabil,2024,51(3):487-499. doi: 10.1111/joor.13630
[24]	Lai Y C,Yap A U,Türp J C. Prevalence of temporomandibular disorders in patients seeking orthodontic treatment: A systematic review[J]. J Oral Rehabil,2020,47(2):270-280. doi: 10.1111/joor.12899
[25]	Bourzgui F,Sebbar M,Nadour A,et al. Prevalence of temporomandibular dysfunction in orthodontic treatment[J]. Int Orthod,2010,8(4):386-398.
[26]	Park J H,Moon D N,Lee S M,et al. Orthodontic treatment of a patient with severe TMD[J]. J Clin Orthod,2020,54(9):537-550.
[27]	Luther F,Layton S,McDonald F. Orthodontics for treating temporomandibular joint (TMJ) disorders[J]. Cochrane Database Syst Rev,2010,(7):CD006541.
[28]	Ruf S,Bock N C. Long-term (≥15 years) effects of class II treatment: A longitudinal and cross-sectional study on signs and symptoms of temporomandibular disorders[J]. Eur J Orthod,2019,41(2):172-179. doi: 10.1093/ejo/cjy040
[29]	Feng J L,Ma R H,Du H,et al. Diagnostic accuracy of fused CBCT images in the evaluation of temporomandibular joint condylar bone resorption[J]. Clin Oral Investig,2023,27(3):1277-1288.
[30]	Vogl T J,Lauer H C,Lehnert T,et al. The value of MRI in patients with temporomandibular joint dysfunction: Correlation of MRI and clinical findings[J]. European Journal of Radiology,2016,85(4):714-719. doi: 10.1016/j.ejrad.2016.02.001
[31]	Xiong X,Ye Z,Tang H,et al. MRI of temporomandibular joint disorders: Recent advances and future directions [J]. J Magn Reson Imaging : JMRI,2020,54(4): 1039-1052.
[32]	黄东宗,章巧,翟孝庭,等. 伴偏侧咀嚼单侧关节盘前移位患者的翼外肌MRI特点分析[J]. 口腔颌面修复学杂志 [J]. 2021,22(2): 104-108,113.
[33]	Zhang L,Shen L,Zhang L,et al. Dynamic 3D images fusion of the temporomandibular joints: A novel technique[J]. J Dent,2022,126:104286. doi: 10.1016/j.jdent.2022.104286
[34]	Kapila S D,Nervina J M. CBCT in orthodontics: Assessment of treatment outcomes and indications for its use[J]. Dentomaxillofac Radiol,2015,44(1):20140282. doi: 10.1259/dmfr.20140282
[35]	刘洪臣. 颞下颌紊乱病[J]. 口腔颌面修复学杂志,2021,22(2):114.
[36]	张清彬,朱明静,李传洁,等. 浅谈颞下颌关节紊乱病的咬合板治疗[J]. 中华口腔医学研究杂志(电子版),2020,14(3):138-143. doi: 10.3877/cma.j.issn.1674-1366.2020.03.002
[37]	Ries J M,Grünler C,Wichmann M,et al. Three-dimensional analysis of the accuracy of conventional and completely digital interocclusal registration methods[J]. J Prosthet Dent,2022,128(5):994-1000. doi: 10.1016/j.prosdent.2021.03.005
[38]	黄东宗,田壮,胡敏,等. 3D打印咬合板治疗不可复性颞下颌关节盘前移位的临床评价[J]. 口腔颌面修复学杂志,2020,21(4):222-226.
[39]	王紫霄,夏舒迟,邓涵峰,等. 数字化构建正畸-种植联合治疗目标和流程的一例病例报告[J]. 中国口腔种植学杂志,2023,28(4):265-269. doi: 10.12337/zgkqzzxzz.2023.08.010
[40]	Alfallaj H. Pre-prosthetic orthodontics[J]. Saudi Dent J,2020,32(1):7-14. doi: 10.1016/j.sdentj.2019.08.004
[41]	Yan L B,Zhou Y C,Wang Y,et al. Orthodontic treatment combined with 3D printing guide plate implant restoration for edentulism and its influence on mastication and phonic function[J]. World J Clin Cases,2022,10(16):5297-5305. doi: 10.12998/wjcc.v10.i16.5297
[42]	Shen Y,Jiang X,Yu J. The combined orthodontic and restorative treatment for patients with malocclusion and dentition defects: A randomized controlled trial[J]. Medicine (Baltimore),2023,102(35):e35025.
[43]	柳玉树,李峥,赵一姣,等. 数字化正畸修复联合治疗设计在前牙美学重建中的应用[J]. 北京大学学报(医学版),2018,50(1):78-84. doi: 10.3969/j.issn.1671-167X.2018.01.014
[44]	Śmielak B,Andruch I. Multistage implantology-orthodontic-prosthetic treatment: A case report[J]. J Am Dent Assoc,2018,149(9): 787-793. e783.
[45]	GBD 2016 Disease and Injury Incidence and Prevalence Collaborators. Global,regional,and national incidence,prevalence,and years lived with disability for 328 diseases and injuries for 195 countries,1990-2016: A systematic analysis for the global burden of disease study 2016[J]. Lancet,2017,390(10100): 1211-1259.
[46]	Kadkhodazadeh M,Amid R,Moscowchi A,et al. Periodontal phenotype modification in orthodontic patients[J]. J Esthet Restor Dent,2023,36(4):548-554.
[47]	Paolone M G,Kaitsas R. Orthodontic-periodontal interactions: Orthodontic extrusion in interdisciplinary regenerative treatments[J]. Int Orthod,2018,16(2):217-245.
[48]	Cao T,Xu L,Shi J,et al. Combined orthodontic-periodontal treatment in periodontal patients with anteriorly displaced incisors[J]. Am J Orthod Dentofacial Orthop,2015,148(5):805-813. doi: 10.1016/j.ajodo.2015.05.026
[49]	Creagh J,Bohner L,Sesma N,et al. Digital approaches to facially guided orthodontic and periodontal rehabilitation in the anterior esthetic zone: A case report[J]. J Esthet Restor Dent,2022,34(1):226-234. doi: 10.1111/jerd.12860
[50]	Maspero C,Gaffuri F,Castro I O,et al. Correlation between dental vestibular-palatal inclination and alveolar bone remodeling after orthodontic treatment: A CBCT analysis[J]. Materials (Basel),2019,12(24):4225. doi: 10.3390/ma12244225
[51]	Keser E,Naini F B. Accelerated orthodontic tooth movement: Surgical techniques and the regional acceleratory phenomenon[J]. Maxillofac Plast Reconstr Surg,2022,44(1):1. doi: 10.1186/s40902-021-00331-5
[52]	Vannala V,Katta A,Reddy M S,et al. Periodontal accelerated osteogenic orthodontics technique for rapid orthodontic tooth movement: A systematic review[J]. J Pharm Bioallied Sci,2019,11(Suppl 2):97-106.
[53]	Murphy K G,Wilcko M T,Wilcko W M,et al. Periodontal accelerated osteogenic orthodontics: A description of the surgical technique[J]. J Oral Maxillofac Surg,2009,67(10):2160-2166. doi: 10.1016/j.joms.2009.04.124
[54]	Parihar A S,Narang S,Singh N,et al. Periodontally accelerated osteogenic orthodontics: A perio-ortho ambidextrous perspective[J]. J Family Med Prim Care,2020,9(3):1752-1756. doi: 10.4103/jfmpc.jfmpc_1055_19
[55]	Hou H Y,Li C H,Chen M C,et al. A novel 3D-printed computer-assisted piezocision guide for surgically facilitated orthodontics[J]. Am J Orthod Dentofacial Orthop,2019,155(4):584-591. doi: 10.1016/j.ajodo.2018.11.010
[56]	Milano F,Dibart S,Montesani L,et al. Computer-guided surgery using the piezocision technique[J]. Int J Periodontics Restorative Dent,2014,34(4):523-529. doi: 10.11607/prd.1741
[57]	Wang X,Xia L,Li J,et al. Accuracy of dental arch form in customized fixed labial orthodontic appliances[J]. Am J Orthod Dentofacial Orthop,2022,162(2):173-181. doi: 10.1016/j.ajodo.2021.02.026
[58]	Brown M W,Koroluk L,Ko C C,et al. Effectiveness and efficiency of a CAD/CAM orthodontic bracket system[J]. Am J Orthod Dentofacial Orthop,2015,148(6):1067-1074. doi: 10.1016/j.ajodo.2015.07.029

计量

文章访问数: 402
HTML全文浏览量: 427
PDF下载量: 32
被引次数: 0

姓名
邮箱
手机号码
标题
留言内容
验证码

留言板

数字化集成技术在多学科联合辅助正畸治疗中的应用前景

doi: 10.12259/j.issn.2095-610X.S20240801

作者简介:
李炎杰（1994～），男，湖北荆州人，在读博士研究生，住院医师，主要从事口腔正畸临床诊疗工作

通讯作者:
胡江天，E-mail：hujiangtian@kmmu.edu.cn

计量

Application Prospect of Digital Integration Technology in Multidisciplinary Collaborative Orthodontic Treatment

计量

目录

[1]	和丽梅, 冯雪敏, 李琳珺, 陈莹, 杨泽星. 多囊卵巢综合征不孕人群接受辅助生殖技术治疗后性激素水平的变化, 昆明医科大学学报. doi: 10.12259/j.issn.2095-610X.S20240106
[2]	杨莉莉, 周婷, 任晓斌, 吴剑花, 彭艺, 税艳青. 牙周正畸联合治疗慢性牙周炎的前瞻性临床研究, 昆明医科大学学报. doi: 10.12259/j.issn.2095-610X.S20240308
[3]	余雄武, 周芸丽, 丁志勇, 王朝红, 谢泽翌, 陆宏娜, 金华. 脑损伤患儿的多学科协作诊疗模式效果评估, 昆明医科大学学报. doi: 10.12259/j.issn.2095-610X.S20240126
[4]	张洁, 付海艳, 李红娟, 万焱, 徐斌, 尚靖茹. 安宁疗护多学科团队建设对终末期患者的效果评价, 昆明医科大学学报. doi: 10.12259/j.issn.2095-610X.S20230924
[5]	肖倩, 周锟, 王蕾, 高俊, 陈俊润, 任娅岚. 上下颌轻中度拥挤下iTero Element 1口扫数字化模型的准确性, 昆明医科大学学报. doi: 10.12259/j.issn.2095-610X.S20231025
[6]	周静, 陈丽琼, 冯雯娟, 吴长云, 孙素, 李昌全, 王荃. 口腔数字化定位体系结合CBL教学方法在正畸托槽定位粘接教学中的应用, 昆明医科大学学报. doi: 10.12259/j.issn.2095-610X.S20230127
[7]	季娟娟, 刘亚丽, 周治, 许艳华, 朱亚玲, 王睿. 数字化技术对上颌唇向低位尖牙矫治的干预, 昆明医科大学学报. doi: 10.12259/j.issn.2095-610X.S20230923
[8]	李霞, 王晋. 数字乳腺断层摄影（DBT）与全数字化乳腺摄影（FFDM）对乳腺病变诊断效能的对比, 昆明医科大学学报. doi: 10.12259/j.issn.2095-610X.S20220914
[9]	杨紫嫣, 李星星, 林云红. 无牙颌患者数字化方法制作全口义齿的临床疗效, 昆明医科大学学报. doi: 10.12259/j.issn.2095-610X.S20210322
[10]	李俊满, 钱捷, 殷毅, 彭艺, 税艳青, 杨春, 胡瑜, 杨禾丰. 利用数字化技术分析口腔医学生牙体预备聚合度情况, 昆明医科大学学报.
[11]	谭锦章, 和红兵, 任晓斌, 王礼钰. 云南白药联合辅酶Q10辅助治疗慢性牙周炎临床疗效, 昆明医科大学学报.
[12]	王璧. 骨瘤对正畸治疗的影响, 昆明医科大学学报.
[13]	李世鹏. 应用神经内镜技术辅助诊断和治疗脑室感染, 昆明医科大学学报.
[14]	龚瑜. 68例盐酸米诺环素辅助治疗牙周- 牙髓联合病变的临床疗效分析, 昆明医科大学学报.
[15]	刘丽丽. 多学科联合救治植入性凶险型前置胎盘策略探讨, 昆明医科大学学报.
[16]	戴海龙. 超声新技术指导下心脏再同步化治疗心功能及相关因子水平观察, 昆明医科大学学报.
[17]	杨洁. I125植入联合替吉奥辅助化疗治疗头颈癌的临床应用, 昆明医科大学学报.
[18]	贺斌. 数字化钼靶检查诊断乳腺浸润性导管癌, 昆明医科大学学报.
[19]	. 辅助生殖技术治疗后孕早期自然流产的绒毛细胞染色体分析, 昆明医科大学学报.
[20]	王岭枫. 外科与正畸联合治疗骨埋伏上颌前牙19例临床分析, 昆明医科大学学报.

留言板

数字化集成技术在多学科联合辅助正畸治疗中的应用前景

doi: 10.12259/j.issn.2095-610X.S20240801

作者简介: 李炎杰（1994～ ），男，湖北荆州人，在读博士研究生，住院医师，主要从事口腔正畸临床诊疗工作

通讯作者: 胡江天，E-mail：hujiangtian@kmmu.edu.cn

计量

出版历程

Application Prospect of Digital Integration Technology in Multidisciplinary Collaborative Orthodontic Treatment

计量

出版历程

目录

作者简介:
李炎杰（1994～），男，湖北荆州人，在读博士研究生，住院医师，主要从事口腔正畸临床诊疗工作

通讯作者:
胡江天，E-mail：hujiangtian@kmmu.edu.cn