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中华口腔医学研究杂志(电子版) ›› 2025, Vol. 19 ›› Issue (05) : 333 -339. doi: 10.3877/cma.j.issn.1674-1366.2025.05.007

病例分析

基于虚拟患者的数字化前牙美学修复1例
吴雅琴1,2, 胥春1,()   
  1. 1上海交通大学医学院附属第九人民医院口腔修复科,上海交通大学口腔医学院,国家口腔医学中心,国家口腔疾病临床医学研究中心,上海市口腔医学重点实验室,上海市口腔医学研究所,上海 200011
    2中国医学科学院口腔颌面再生医学创新单元,上海 200011
  • 收稿日期:2025-06-28 出版日期:2025-10-01
  • 通信作者: 胥春

The harmonious coordination of aesthetics and occlusal function in anterior aesthetic restoration: A case report

Yaqin Wu1,2, Chun Xu1,()   

  1. 1Department of Prosthodontics, Shanghai Ninth People′s Hospital, Shanghai Jiao Tong University School of Medicine; College of Stomatology, Shanghai Jiao Tong University; National Center for Stomatology; National Clinical Research Center for Oral Diseases; Shanghai Key Laboratory of Stomatology; Shanghai Research Institute of Stomatology, Shanghai 200011, China
    2Research Unit of Oral and Maxillofacial Regenerative Medicine, Chinese Academy of Medical Sciences, Shanghai 200011, China
  • Received:2025-06-28 Published:2025-10-01
  • Corresponding author: Chun Xu
  • Supported by:
    Class A Project of Shanghai's Top Priority Research Center(2022ZZ01017); CAMS Innovation Fund for Medical Sciences(2019-I2M-5-037)
引用本文:

吴雅琴, 胥春. 基于虚拟患者的数字化前牙美学修复1例[J/OL]. 中华口腔医学研究杂志(电子版), 2025, 19(05): 333-339.

Yaqin Wu, Chun Xu. The harmonious coordination of aesthetics and occlusal function in anterior aesthetic restoration: A case report[J/OL]. Chinese Journal of Stomatological Research(Electronic Edition), 2025, 19(05): 333-339.

本文报道了1例全数字化流程的前牙美学修复病例,通过整合数字化口内扫描、面部扫描数据及下颌运动轨迹信息,利用数字化设计软件构建四维虚拟患者。利用四维虚拟患者模型进行口内及面部的美学预告和虚拟调,显著缩短了临床调,确保了修复体的机械性能和美观效果,实现了功能与美学的协调统一。

This article reports a case of anterior aesthetic restoration using a fully digital workflow. By integrating digital intraoral scans, facial scanning data, and mandibular movement trajectory information, a four-dimensional virtual dental patient was developed using advanced digital design software. The four-dimensional virtual dental patient model facilitated both intraoral and facial aesthetic simulations, as well as virtual occlusal adjustments, significantly reducing the need for occlusal modifications in the clinical setting. This approach ensured the mechanical performance and aesthetic outcome of the restoration, achieving a harmonious balance between function and aesthetics.

图1 基于虚拟患者的全数字化前牙美学修复病例初诊口腔检查图像资料 A:左侧口唇像;B:正面口唇像;C:右侧口唇像;D:上前牙正面像;E:前牙覆覆盖右侧观;F:上牙列咬合面像;G:前牙覆覆盖左侧观。
图2 基于虚拟患者的全数字化前牙美学修复病例11根管治疗前后根尖片 A:术前;B:术后。
图3 基于虚拟患者的全数字化前牙美学修复临床治疗全数字化流程
图4 基于虚拟患者的全数字化前牙美学修复患者试戴mock-up A:上前牙正面像;B:牙尖交错位正面像;C:"f"音口唇像;D:"s"音口唇像;E:前牙覆覆盖右侧观;F:前牙覆覆盖左侧观。
图5 基于虚拟患者的全数字化前牙美学修复患者试戴临时修复体 A:上前牙正面像;B:口唇像;C:右侧方运动像;D:前伸运动像;E:左侧方运动像。
图6 基于虚拟患者的全数字化前牙美学修复患者完成正式修复 A:上前牙右侧面像;B:上前牙正面像;C:上前牙左侧面像;D:右侧方运动像;E:前伸运动像;F:左侧方运动像;G:上颌夜磨牙软垫;H:试戴上颌夜磨牙软垫。
图7 基于虚拟患者的全数字化前牙美学修复患者6个月后复查图像资料 A:牙尖交错位正面像;B:口唇像;C:左侧方面部像;D:左45°面部像;E:正面面部像;F:右45°面部像;G:右侧方面部像。
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