数字化技术在牙磨损诊治中的应用研究进展  

Research progress on the application of digital technology in the diagnosis and treatment of tooth wear

作　　者：何以 汪鼎傑 肖玉鸿 HE Yi;WANG Dingjie;XIAO Yuhong(Department of Oral Surgery,920th Hospital of Joint Logistics Support Force of People's Liberation Army of China,Kunming 650032,China;Kunming Medical University,Kunming 650500,China)

机构地区：[1]中国人民解放军联勤保障部队第九二〇医院口腔外科,云南昆明650032 [2]昆明医科大学,云南昆明650500

出　　处：《口腔疾病防治》2024年第12期971-976,共6页Journal of Prevention and Treatment for Stomatological Diseases

基　　金：国家自然科学基金项目(81970972)。

摘　　要：牙磨损是一种普遍且复杂的口腔问题,其发病率在全球范围内逐渐增加,不仅影响患者的口腔功能和美观,还可能导致牙齿敏感、颞下颌关节疾病等相关并发症。随着数字化技术的不断进步,其在牙磨损的诊治中展现出显著潜力。近年来,研究者们从数字化支持设备、深度学习前沿应用、技术诊断、设计和预测,以及当前局限性等方面广泛研究了数字化技术在牙磨损研究中的应用,深入探讨了在牙磨损早期检测中口腔三维扫描技术可助力精准化临床与科研实践的微米级分辨优势;能实现图像识别和自动化分析,以降低人为误差,提高诊断效率的深度学习技术;通过更精确地计算牙齿体积、表面积和磨损深度,指导临床决策的定量分析技术;以及增进对牙磨损生物力学和化学机制的理解、预测牙磨损进展的仿真模拟技术等。此外,也指出了当前该领域存在的高质量大数据获取困难、数据管理与隐私保护,以及技术门槛高、循证医学证据不足等问题。尽管如此,数字化技术在未来口腔医疗实践中定将发挥越来越重要的作用,且将日臻完善。Tooth wear is a common and complex oral problem,with a gradually increasing global incidence.Tooth wear not only affects the oral function and esthetics of patients but may also lead to tooth sensitivity,temporomandibular joint diseases,and other related complications.The continuous progress of digital technology has shown significant poten⁃tial for the diagnosis and treatment of tooth wear.In recent years,researchers have extensively studied the application of digital technology in tooth wear research from the perspectives of digital support devices,cutting⁃edge deep learning ap⁃plications,technology diagnosis,design and prediction,and current limitations.Such studies have provided a deep explo⁃ration of the micrometer⁃level resolution advantages of three⁃dimensional oral scanning technology in the early detection of tooth wear,which can assist in precise clinical and scientific research practices.Deep learning technology can also achieve image recognition and automated analysis to reduce human error and improve diagnostic efficiency,while quanti⁃tative analysis techniques guide clinical decision⁃making by more accurately calculating the tooth volume,surface area,and wear depth.Finally,simulation techniques can be employed to enhance understanding of the biomechanical and chemical mechanisms of tooth wear and predict its progression.These studies have also highlighted the current difficul⁃ties in data management,privacy protection,and obtaining high⁃quality big data,as well as technical barriers and insuffi⁃cient evidence⁃based medical evidence in this field.Nevertheless,digital technology will undoubtedly improve and play an increasingly important role in future dental practice.

关 键 词：数字化技术 牙磨损 数字化口内扫描技术 深度学习 三维重建 有限元 精准医学 大数据 

分 类 号：R78[医药卫生—口腔医学]