3D打印偏颌测量仪的研制及在偏颌患者康复期的应用效果

doi:10.19438/j.cjoms.2024.03.009

中国口腔颌面外科杂志 ›› 2024, Vol. 22 ›› Issue (3): 255-260.doi: 10.19438/j.cjoms.2024.03.009

3D打印偏颌测量仪的研制及在偏颌患者康复期的应用效果

郁玺玺^1,*, 徐诸凤^1,*, 张媛媛², 吕明明³, 王进兵³, 王悦平¹

1.上海交通大学医学院附属第九人民医院护理部,上海 200011;
2.上海交通大学医学院,上海 200025;
3.上海交通大学医学院附属第九人民医院口腔颌面-头颈肿瘤科,上海 200011

收稿日期:2023-11-08 修回日期:2024-02-07 出版日期:2024-05-20 发布日期:2024-06-11
通讯作者: 王悦平,E-mail: 18121213995@163.com
作者简介:郁玺玺（1990-）,女,本科,护师,E-mail: yuxixi0601@126.com;徐诸凤（1992-）,女,在读硕士研究生,E-mail: 724047219@qq.com。^*并列第一作者
基金资助:
上海申康医院发展中心（SHDC2023CRS009）; 上海交通大学医学院附属第九人民医院护理院级基金（JYHL20213D01,JYHL2023MS10）

Development of a 3D printed jaw deviation measuring instrument and its application in the rehabilitation period of patients with jaw asymmetry

YU Xi-xi¹, XU Zhu-feng¹, ZHANG Yuan-yuan², LYU Ming-ming³, WANG Jin-bing³, WANG Yue-ping¹

1. Department of Nursing, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine. Shanghai 200011;
2. School of Medicine, Shanghai Jiao Tong University. Shanghai 200025;
3. Department of Oromaxillofacial Head and Neck Oncology, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine. Shanghai 200011, China

Received:2023-11-08 Revised:2024-02-07 Online:2024-05-20 Published:2024-06-11

摘要/Abstract

摘要： 目的：研制3D打印偏颌测量仪,初步探索其在偏颌患者康复期的应用效果。方法：选择2021年7月—2022年12月上海交通大学医学院附属第九人民医院收治的偏颌患者20例,通过数字随机表法分为试验组（n=10）和对照组（n=10）。试验组在围术期及康复期均使用3D偏颌测量仪,对照组在围术期及康复期均使用常规测量方法。比较2组在疼痛、语言清晰度、咀嚼功能、相关生活质量方面的差异。采用SPSS 24.0软件包对数据进行统计学分析。结果：术后1、3、6个月,试验组疼痛VAS评分显著低于对照组（P<0.001）,咬合力评分和语言清晰度显著高于对照组（P<0.001）;试验组术后1、3、6个月的正颌健康相关生活质量问卷（OQLQ）评分显著高于对照组（P<0.05）。结论：3D打印偏颌测量仪能个体化、可视化地帮助医护患三方准确测量患者的偏颌程度,解决了传统测量方法的烦琐性和主观性等问题;可改善患者的疼痛及语言清晰度,减少并发症发生,减轻临床工作量,增强患者对康复训练的信心和行为,美化患者外观,促进功能恢复,提高生活质量,值得在临床上推广使用。

关键词: 3D打印, 偏颌测量仪, 偏颌, 康复, 疼痛, 语音清晰度, 咀嚼功能

Abstract: PURPOSE: To develop a 3D printed jaw deviation measuring instrument and preliminarily explore its application in the rehabilitation period of patients with jaw deviation. METHODS: Twenty patients with jaw deviation admitted to Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine from July 2021 to December 2022 were selected and randomly divided into experimental group (n=10) and control group (n=10) using a digital randomization table. The experimental group used a 3D printed jaw deviation measuring instrument during the perioperative and rehabilitation periods, while the control group used conventional measurement methods during the perioperative and rehabilitation periods. Differences in pain, speech articulation, chewing function, and related quality of life were compared between the two groups. SPSS 24.0 software package was used for data analysis. RESULTS: At 1, 3 and 6 months after operation, pain VAS score of the experimental group was significantly lower than that of the control group(P<0.001), bite force score and speech articulation score were significantly higher than that of the control group(P<0.001). The scores of Orthognathic Quality of Life Questionnaire(OQLQ) at 1, 3 and 6 months after operation in the experimental group were significantly higher than those in the control group(P<0.05). CONCLUSIONS: The 3D printed jaw deviation measuring instrument can help patients and doctors to accurately measure the degree of patients' mandibular deviation in a personalized and visual way, which can solve the cumbersome and subjective problems of traditional measurement methods. It can improve patients' pain and speech clarity, reduce the occurrence of complications, reduce clinical workload, enhance patients' confidence and behavior in rehabilitation training, beautify the appearance of patients, promote functional recovery, and improve their quality of life. It is worth promoting and using in clinical practice.

Key words: 3D Printing, Asymmetric jaw measuring instrument, Asymmetric jaw, Rehabilitation, Pain, Speech clarity, Chewing function

中图分类号:

R782.2

郁玺玺, 徐诸凤, 张媛媛, 吕明明, 王进兵, 王悦平. 3D打印偏颌测量仪的研制及在偏颌患者康复期的应用效果[J]. 中国口腔颌面外科杂志, 2024, 22(3): 255-260.

YU Xi-xi, XU Zhu-feng, ZHANG Yuan-yuan, LYU Ming-ming, WANG Jin-bing, WANG Yue-ping. Development of a 3D printed jaw deviation measuring instrument and its application in the rehabilitation period of patients with jaw asymmetry[J]. China J Oral Maxillofac Surg, 2024, 22(3): 255-260.

参考文献

[1] 孙成, 于金华. 3D打印技术在口腔临床的应用[J].口腔生物医学, 2014, 5(1): 49-52.
Sun C, Yu JH.Clinical application of 3D printing technology in oral cavity[J].Oral Biomedicine, 2014, 5(1): 49-52.
[2] 王培召, 李小永, 谭红略, 等. 3D打印术前模拟手术固定辅助治疗胫骨平台陈旧骨折[J]. 临床骨科杂志, 2021, 24(2): 270-274.
Wang P, Li XY, Tan HL, et al.3D printing preoperative simulated surgical fixation assistance for treatment of old tibial plateau fractures[J]. Journal of Clinical Orthopaedics, 2021, 24(2): 270-274.
[3] Reddy NVV, Potturi A, Rajan R, et al.Facial asymmetry-demystifying the entity[J]. J Maxillofac Oral Surg, 2023, 22(4): 749-761.
[4] 张凯莉,谭晓明,刘东旭. 成人骨性Ⅲ类水平型偏颌患者牙颌三维对称性分析[J]. 口腔医学,2021,41(5): 435-439.
Zhang KL, Tan XM, Liu DX.Three-dimensional analysis of craniofacial symmetries in skeletal Class Ⅲ adults with translation-dominant type facial asymmetries[J]. Stomatology, 2021, 41(5): 435-439.
[5] 王明一, 王慧珊, 杨劼, 等. 咬合引导的颌骨重建精确度分析及功能评价[J].中国口腔颌面外科杂志,2018,16(2):162-166.
Wang MY, Wang HS, Yang J, et al.Accuracy and function rehabilitation of occlusion guided jaw reconstruction in 60 patients[J]. China Journal of Oral and Maxillofacial Surgery, 2018, 16(2): 162-166.
[6] Bruguiere F, Sciote JJ, Roland-Billecart T, et al.Pre-operative parafunctional or dysfunctional oral habits are associated with the temporomandibular disorders after orthognathic surgery: an observational cohort study[J]. J Oral Rehabil, 2019, 46(4): 321-329.
[7] Piao Y, Kim SJ, Yu HS, et al.Five-year investigation of a large orthodontic patient population at a dental hospital in South Korea[J]. Korean J Orthod, 2016,46(3): 137-145.
[8] Kawasaki T, Ohba S, Fujimura Y,et al.Bimaxillary osteotomy for jaw deformity with facioscapulohumeral muscular dystrophy[J]. J Craniofac Surg, 2016, 27(3): 776-778.
[9] Therkildsen NM, Sonnesen L.Bite force, occlusal contact and pain in orthodontic patients during fixed-appliance treatment[J]. Dent J (Basel), 2022, 10(2): 14-24.
[10] Cunningham SJ, Garratt AM, Hunt NP.Development of a condition -specific quality of life measure for patients with dentofacial deformity: I. reliability of the instrument[J]. Community Dent Oral Epidemiol, 2000, 28(3): 195-201.
[11] Tian Y, Chen C, Xu X, et al.A review of 3d printing in dentistry: technologies, affecting factors, and applications[J]. Scanning, 2021: 9950131.
[12] 姚登明, 陈明, 柴广睿, 等. 眼眶骨折修复术的临床应用研究进展[J]. 眼科新进展, 2018, 38(3): 290-294.
Yao DM, Chen M, Chai GR, et al.Progress in the clinical application of orbital fracture repair[J]. Advances in Ophthalmology, 2018, 38(3): 290-294.
[13] 李桂芬,易丽娜.预塑形钛网植入对眼眶骨折手术治疗预后的影响[J]. 国际眼科杂志, 2017, 17(3): 516-518.
Li GF, Yi LN.Effect of pre-shaped titanium mesh implantation on the prognosis of patients with orbital fractures[J]. International Eye Science,2017,17(3): 516-518.
[14] Ahmad S, Hasan N, Fauziya, et al. Review on 3D printing in dentistry: conventional to personalized dental care[J]. J Biomater Sci Polym Ed, 2022, 33(17): 2292-2323.
[15] Andjela L, Abdurahmanovich VM, Vladimirovna SN, et al.A review on vat photopolymerization 3D-printing processes for dental application[J]. Dent Mater, 2022, 38(11): e284-e296.
[16] Qin WL, Cong M, Liu D, et al.Design, 3D printing, and evaluation of full-contactdental models for denture tests[J]. Int J Comput Dent, 2022, 25(2): 141-150.
[17] Park CH.3D printing technology for periodontal complex neogenesis Inregenerative medicine[J].J Periodontal Implant Sci, 2022, 52(4): 259-260
[18] 程自力, 林宵辉, 莫晖, 等. 基于3D打印镂空式种植手术导板的临床应用[J].深圳中西医结合杂志,2018, 28(16): 1-3.
Cheng ZL, Lin XH, Mo Hui, et al.Clinical application of 3D printed hollow implant guide[J]. Shenzhen Journal of Integrated Chinese and Western Medicine, 2018, 28(16): 1-3.
[19] Yang Y, Yang Z, Lin WS, et al.Digital duplication and 3D printing for implant overdenture fabrication[J]. J Prosthodont, 2021, 30(S2): 139-142.
[20] Liu Y, Di P, Zhao Y, et al.Accuracy of multi-implant impressions using 3D-printing custom trays and splinting versus conventional techniques for complete arches[J]. Int J Oral Maxillofac Implants, 2019, 34(4): 1007-1014.
[21] Ribeiro-Neto CA, Ferreira G, Monnazzi GCB, et al.Dentofacial deformities and the quality of life of patients carrying these conditions: a comparative study[J]. Oral Surg Oral Med Oral Pathol Oral Radiol, 2018, 126(6): 457-462.
[22] Miguel JA, Palomares NB, Feu D.Life-quality of orthognathic surgery patients: the search for an integral diagnosis[J]. Dental Press J Orthod, 2014,19(1): 123-137.

3D打印偏颌测量仪的研制及在偏颌患者康复期的应用效果

Development of a 3D printed jaw deviation measuring instrument and its application in the rehabilitation period of patients with jaw asymmetry

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

编辑推荐

Metrics

本文评价

[1]	陶文昊, 田刚, 韩煦, 祝迎春, 徐晓刚. 钛合金支架及其表面处理技术研究进展[J]. 中国口腔颌面外科杂志, 2024, 22(5): 505-509.
[2]	袁露函, 楚晨, 袁荣涛. 高活性骨替代材料在颌面部骨组织工程中的应用进展[J]. 中国口腔颌面外科杂志, 2024, 22(4): 394-399.
[3]	高鹏飞, 林洁. 区域神经阻滞技术用于口腔癌缺损皮瓣修复手术的研究进展[J]. 中国口腔颌面外科杂志, 2024, 22(4): 400-403.
[4]	李永清, 张赟, 惠铄壹, 惠小勇, 许广杰, 杨霞, 肖伯承, 侯锐. 3种不同材料三维模型牙临床应用特点比较[J]. 中国口腔颌面外科杂志, 2024, 22(3): 239-244.
[5]	冯婉晴, 李静洁, 刘锦星, 劳蔚. 儿童阻塞性睡眠呼吸暂停综合征手术苏醒期疼痛危险因素分析[J]. 中国口腔颌面外科杂志, 2023, 21(2): 175-179.
[6]	陈静, 朱敏. 稳定型咬合板联合关节灌洗术治疗颞下颌关节紊乱病的疗效评价[J]. 中国口腔颌面外科杂志, 2022, 20(6): 565-570.
[7]	樊文慧, 劳峥, 石慧烽, 毕帆, 涂文勇, 胡海生. 3D打印可分离式口腔支架在口腔癌放疗中的摆位准确性研究[J]. 中国口腔颌面外科杂志, 2022, 20(5): 466-470.
[8]	魏东亮, 李智, 鞠侯雨, 吴云腾, 郭伟, 任国欣. EGFR靶向药物对口腔癌疼痛缓解作用的机制探讨[J]. 中国口腔颌面外科杂志, 2022, 20(3): 219-224.
[9]	朱青青, 孙强, 王冬玲, 周弘. 红茴香注射液用于缓解种植术后不良反应的效果评价[J]. 中国口腔颌面外科杂志, 2022, 20(3): 230-234.
[10]	罗彬, 周美云, 田绣云, 陈鑫如, 韩瑞, 徐锦程. 数字化及3D打印联合内镜辅助技术治疗12例颧骨颧弓骨折效果评价[J]. 中国口腔颌面外科杂志, 2022, 20(2): 188-192.
[11]	张秀秀, 孙健, 李亚莉, 刘延山, 陈立强, 许尧祥, 徐泽先, 孟坤, 孙鸣, 周东阳, 徐典, 高小涵, 程立地. 数字化载葡萄糖酸氯己定PLA/nHA复合支架的制备及性能分析[J]. 中国口腔颌面外科杂志, 2022, 20(1): 15-21.
[12]	史伟红, 刘严, 阿曼妮萨罕·加帕尔, 阿依达娜·乌拉尔别克, 贺琦, 凌彬. 3D打印定位导板在辅助制备股前外侧穿支皮瓣中的临床应用[J]. 中国口腔颌面外科杂志, 2022, 20(1): 52-57.
[13]	杨勇, 丁明超, 杨涛, 刘义闻, 陆金标, 田磊. 基于3D打印水凝胶技术的显微外科仿真训练教具的研制与应用效果评价[J]. 中国口腔颌面外科杂志, 2021, 19(6): 557-561.
[14]	王慧, 孙晋虎. 三叉神经脊束核小胶质细胞在大鼠口面部癌性疼痛调节过程中的作用评价[J]. 中国口腔颌面外科杂志, 2021, 19(5): 405-410.
[15]	杜福江, 何水明, 朱鹏娜. 个体化3D打印头颅模型辅助三维预成型钛网在6例复杂上颌骨骨折治疗中的应用[J]. 中国口腔颌面外科杂志, 2021, 19(4): 368-371.