正畸中的数字模型:是否每个治疗过程都需要数字模型?范围审查

Oral Pub Date : 2024-06-03 DOI:10.3390/oral4020020
Ioanna Pouliezou, Anastasia Panagiota Gravia, Michail Vasoglou
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引用次数: 0

摘要

正畸学中的数字模型和三维技术已成为日常临床实践中不可或缺的一部分。然而,目前对于哪些情况确实需要数字模型还没有达成共识。因此,本次范围界定综述旨在确定和评估哪些正畸手术需要数字模型。本综述的报告基于 PRISMA 指南。我们于 2024 年 2 月 17 日使用五个电子数据库进行了文献检索。共有 87 项研究符合纳入标准,并由三位审稿人进行了定性分析。确定了正畸治疗的以下方面,并就数字模型的应用进行了讨论:正畸中的诊断、治疗程序、保持和结果评估。根据所评估的研究,尽管在辐射暴露的合理性和三维数据整合方法的准确性方面存在一些限制,但有证据表明,数字模型能带来更准确的正畸诊断和治疗计划。在犬齿撞击、矫治器治疗、微型种植体植入(当角度定义和定位至关重要时)以及唇腭裂的初级治疗中,通过整合我们所能获得的部分三维数据(面部扫描、口内扫描、CBCT)而生成的部分数字模型是有益的。在正颌外科手术病例中,应使用结合了所有三维信息的全数字模型,因为在这种情况下,预测和准确表现是非常重要的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Digital Model in Orthodontics: Is It Really Necessary for Every Treatment Procedure? A Scoping Review
Digital models and three-dimensional technology in orthodontics have become an integral part of everyday clinical practice. Nevertheless, there is currently no consensus regarding in which cases a digital model is really necessary. Therefore, this scoping review aims to identify and assess which orthodontic procedures require a digital model. This review’s reporting was based on PRISMA guidelines. A literature search was undertaken using five electronic databases on 17 February 2024. A total of 87 studies met the inclusion criteria and were qualitatively analyzed by three reviewers. The following aspects of orthodontic treatment were identified and discussed with regard to digital model application: diagnosis, treatment procedures, retention, and outcome evaluation in orthodontics. Based on the studies assessed, despite some limitations regarding radiation exposure justification and the accuracy of the integration methods of 3D data, there is evidence that digital models lead to more accurate orthodontic diagnosis and treatment planning. In cases of impacted canines, aligner treatment, mini-implants insertion (when angle definition and orientation are essential), and primary care for cleft lip and palate, a partial digital model produced by an integration of some of the 3D data (face scan, intraoral scan, CBCT) that we can acquire is beneficial. A full digital model that combines all the 3D information should be used in orthognathic surgery cases, in which prediction and accurate performance are highly advocated.
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