构建3D打印牙齿模型及其形态仿真性研究
宋颖,唐雷,吴补领,李鉴轶,王文昊,徐楚,白宇哲,易思,徐迪威
中国临床解剖学杂志 ›› 2016, Vol. 34 ›› Issue (3) : 298-302.
构建3D打印牙齿模型及其形态仿真性研究
Generation of a 3D printed tooth model and evaluation of the anatomic fidelity
目的 应用3D打印技术构建出3D打印牙齿模型以替代离体牙,并通过形态仿真性研究来探讨3D打印牙齿模型在临床应用前景。 方法 选择合适的3D打印材料及设备并测试材料根管成型能力。用锥形束CT筛选出完整的单根管前牙、双根管前磨牙、双根管磨牙、三根管磨牙,再行显微CT扫描并数字化三维重建,获得3D打印牙齿模型。对模型二次扫描并重建,利用Geomagic Qualify 11与原牙齿三维模型进行三维比较,通过检测模型与原牙齿的差异来分析不同材料3D打印牙齿模型的精确度。 结果 成功构建出3D打印牙齿模型。在表面形态上,Wic300a模型组绝对偏差值为(0.008121±0.0480)mm,E-Dent模型组为(0.009554±0.0526)mm;髓腔形态上,Wic300a模型组绝对偏差值为(0.045181±0.1022)mm,E-Dent模型组为(0.056953±0.1995)mm。 结论 3D打印牙齿模型离体牙仿真度较高,3D打印牙齿模型可用于口内操作培训及术前模拟等。
Objective To generate a 3D printed tooth model with a specific focus on anatomic fidelity instead of extracted tooth for dental training and preoperative surgical rehearsal. Methods Appropriate materials and machines of 3D printing were selected in this research. We made a test to explore the shaping ability of root canal among three kinds of materials. Intact human incisor of one root canal, premolar of bi root canals, molars of two and three root canals were screened out by Cone Beam Computed Tomography. Then we reconstructed the 3D models and generated 3D printed tooth models after scanning of the teeth by Micro-CT. The reconstruction of printed models to the reconstruction of real tooth was compared, we made an evaluation of the anatomic fidelity of the models by Geomagic Qualify 11. Results The printed tooth models are successfully produced. In terms of surface morphology, the absolute deviations were (0.008121±0.0480) mm in Wic300a models and (0.009554±0.0526) mm in E-Dent models. While the absolute deviations were (0.04518±0.1022) mm in Wic300a models and (0.056953±0.1995) mm in E-Dent models in pulp cavity morphology. Conclusion The printed tooth models are highly realisticin the terms of morphology and this model serves as an excellent replica of human teeth for training and preoperative surgical rehearsal.
3D打印 / 三维重建 / 形态仿真性 / 术前模拟 / 技能培训
3D printing / 3D reconstruction / Anatomic fidelity / Preoperative surgical rehearsal / Dental training
[1] 贾骏, 段嫄嫄,金磊, 等. 口腔仿真模拟系统及其在临床前教学中的应用[J]. 中国教育技术装备, 2007, (2):29.
[2] 何帅,王光耀,王少海,等. 口腔医学生临床前离体牙及人工根管根管治疗教学研究[J]. 口腔医学研究, 2010, 26(2):284-286.
[3] 王彩梅,张卫平,李志疆. 3D打印在医疗器械领域的应用[J]. 生物骨科材料与临床研究, 2013, 10(6):26-28.
[4] Kfir A, Telishevsky-Strauss Y, Leitner A, et al. The diagnosis and conservative treatment of a complex type 3 dens invaginatus using cone beam computed tomography (CBCT) and 3D plastic models[J]. Int Endod J, 2013, 46(3):275-288.
[5] Milanezi De Almeida M, Bernardineli N, Ordinola-Zapata R, et al. Micro–computed tomography analysis of the root canal anatomy and prevalence of oval canals in mandibular incisors[J]. J Endod, 2013, 39(12):1529-1533.
[6] Peters MC, Delong R, Pintado MR, et al. Comparison of two measurement techniques for clinical wear[J]. J Dent, 1999, 27(7):479-485.
[7] Mannocci F, Peru M, Sherriff M, et al. The isthmuses of the mesial root of mandibular molars: a micro-computed tomographic study[J]. Int Endod J, 2005,38(8):558-563.
[8] Shah S, Sundaram G, Bartlett D, et al. The use of a 3D laser scanner using superimpositional software to assess the accuracy of impression techniques[J]. J Dent, 2004, 32(8):653-658.
[9] Schaefer O, Schmidt M, Goebel R, et al. Qualitative and quantitative three-dimensional accuracy of a single tooth captured by elastomeric impression materials: an in vitro study[J]. J Prosthet Dent, 2012, 108(3):165-172.
[10] D'Urso PS, Barker TM, Earwaker WJ, et al. Stereolithographic biomodelling in cranio-maxillofacial surgery: a prospective trial[J]. J Craniomaxillofac Surg,1999,27(1):30-37.
[11] Anssari Moin D, Derksen W, Verweij JP, et al. A novel approach for computer-assisted template-guided autotransplantation of teeth with custom 3D designed/printed surgical tooling. an ex vivo proof of concept[J]. J Oral Maxillofac Surg,2016, 74(5):895-902.
[12] Kasparova M, Grafova L, Dvorak P, et al. Possibility of reconstruction of dental plaster cast from 3D digital study models[J]. Biomed Eng Online, 2013,12:49.
[13] Wu M, R'Oris A, Barkis D, et al. Prevalence and extent of long oval canals in the apical third[J]. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 2000, 89(6):739-743.
国家自然科学基金重大项目 (61190120, 61190122,61190123)
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