以曲面断层片和牙列模型为基础的个体三维数字化牙列重建技术探索.docVIP

  以曲面断层片和牙列模型为基础的个体三 维数字化牙列重建技术探索# 陈桦1，许天民2** 5 10 15 20 25 30 35 40 （1. 北京大学口腔医院第二门诊部，北京 100101； 2. 北京大学口腔医学院正畸科，北京 100081） 摘要：了解牙齿的三维几何信息对于口腔正畸的诊断和治疗具有重要意义。计算机体层摄影 （CT）技术可以提供较为全面的牙齿三维信息，但由于放射剂量问题，其能否作为正畸常 规检查手段尚存争议；此外对于一些较早的回顾性资料，由于无法获取其 CT 数据，因而只 能通过常规影像资料和牙列模型来了解牙齿冠根的形态信息。本研究尝试一种利用曲断片 和临床模型以重建牙列三维信息的方法，即编制计算机程序模拟曲断片投照过程、还原拍 摄时的牙列空间位置，并根据患者牙冠的真实形态信息，以标准模板牙作为辅助、推测出 牙根的大致方向，再结合曲断片影像的逆向处理、对牙根形态进行个体化变形，最终建立 一套带有完整冠根的个体化三维牙列模型。通过这一方法，可辅助正畸医师更准确的判读 牙齿冠根的三维几何信息。 关键词：口腔医学；曲面断层片；牙列三维重建 中图分类号：R783.5 Personalized 3D Diditized Tooth Model from Panoramic Radiograph and Cast Chen Hua1, Xu Tianmin2 (1. The 2nd Center of Stomatology Hospital, Peking University, Beijing 100101; 2. Peking University School of Stomatology, Beijing 100081) Abstract: Three-dimensional geometric information of teeth is usually needed in pre- and post-operative diagnoses of orthodontic dentistry. The computerized tomography can provide comprehensive 3D teeth geometries. However, there is still a discussion on CT as a routine in orthodontic dentistry due to radiation dose. Moreover, the CT is helpless when a dentist needs to extract 3D structures from old archive files with only radiographs and casts, where patient’s teeth changed ever since. In this paper, we propose a reconstruction framework for patient-specific teeth based on an integration of 2D radiographs and digitized casts. The reconstruction is under a template-fitting framework. The shape and orientation of teeth-templates are tuned in accordance with patient’s radiographs. Specially, the tooth-root morphology is controlled by 2D contours on radiographs. With ray-tracing and a contour-plane assumption, 2D root contours on radiographs are projected back to 3D space, and guide tooth-root deformations. Moreover, the template’s crown is deformed nonrigidly to fit digitized casts, which bear patient’s crown details. The system allows 3D tooth reconstruction with patient-specific geometric details from just casts and 2D radiographs. Keywords: