Ortodontide Dijital İş Akışı

Yazarlar

Irmak Partal

Özet

Diş hekimliği ve ortodonti alanında teknolojinin gelişmesiyle birlikte geleneksel yöntemler yerini dijital iş akışına bırakmaktadır. Dijital iş akışı; verilerin eldesi ve işlenişi, verilerin üretimi ve uygulaması ile verilerin takip sistemleri olmak üzere üç ana başlık altında toplanmaktadır. Teşhis ve tedavi takibinde geleneksel iki boyutlu radyografilerin yerini konik ışınlı bilgisayarlı tomografiler (KIBT), ağız içi tarayıcılar, 3D ve 4D fotoğraflar almıştır. KIBT ile gömülü diş, temporomandibular eklem rahatsızlıkları ve ortognatik cerrahi gibi durumlarda düşük radyasyonla yüksek kalitede 3D görüntüler elde edilirken, ağız içi tarayıcılar alçı model ihtiyacını ortadan kaldırarak hasta konforunu artırmakta ve klinikte basamakları azaltmaktadır. Elde edilen STL formatındaki veriler, CAD/CAM teknolojileri ve 3D yazıcılar aracılığıyla kişiye özel aparey, şeffaf plak, kişiye özel braket, indirekt braketleme transfer kaşıkları, robotik ark teli ve retainer bükümü üretiminde kullanılmaktadır. Ayrıca klinik yönetiminde bulut sistemleri, sefalometrik analiz ve hatırlatma gibi amaçlarla geliştirilen yüzlerce ortodonti aplikasyonu ve uzaktan konsültasyon sağlayan Tele-Ortodonti sistemleri klinik verimliliği ve hasta-hekim iletişimini güçlendirmektedir. Sonuç olarak dijitalleşme, tedavi basamaklarını minimalize ederek başarı oranını ve klinik kapasitesini artırmaktadır.

The transition to digital workflows in dentistry and orthodontics is replacing traditional methods with advancing technology. The digital workflow is categorized into three main stages: data acquisition and processing, data production and application, and data tracking systems. In diagnosis and treatment follow-up, traditional two-dimensional radiographs are being replaced by cone-beam computed tomography (CBCT), intraoral scanners, and 3D/4D photography. CBCT provides high-quality 3D images with low radiation for conditions such as impacted teeth, temporomandibular joint disorders, and orthognathic surgery, while intraoral scanners eliminate the need for plaster models, increasing patient comfort and reducing procedural steps. Data obtained in STL format are utilized via CAD/CAM technologies and 3D printers to manufacture customized appliances, clear aligners, personalized brackets, indirect bonding trays, robotic archwires, and retainer bending. Furthermore, cloud systems for clinic management, hundreds of orthodontic applications developed for cephalometric analysis and reminders, and Tele-Orthodontics enabling remote consultation enhance clinical efficiency and patient-practitioner communication. Consequently, digitalization minimizes treatment steps while increasing success rates and clinical capacity.

Referanslar

Dalbah L. Digital Orthodontics. In: Jain P, Gupta M (ed.) Digitization in Dentistry: Clinical Applications. Berlin: Springer; 2021. p. 189-221.

Taneva E, Kusnoto B, Evans CA. 3D Scanning, Imaging, and Printing in Orthodontics. In: Bourzgui F (ed.) Issues in Contemporary Orthodontics. London: IntechOpen; 2015. p. 147-188. doi: 10.5772/60010

Mozzo P, Procacci C, Tacconi A, et al. A new volumetric CT machine for dental imaging based on the cone-beam technique: preliminary results. European Radiology. 1998;8(9): 1558–1564.

Ghoneima A, Allam E, Kula K, et al. Three-dimensional imaging and software advances in orthodontics. In: Bourzgui F (ed.) Orthodontics-Basic Aspects and Clinical Considerations. London: IntechOpen; 2012. p. 177-194.

Tarraf NE, Darendeliler MA. Present and the future of digital orthodontics. Seminars in Orthodontics. 2018;24(4): 376-385.

Jacobs R, Quirynen M. Dental cone beam computed tomography:justification for use in planning oral implant placement. Periodontology 2000. 2014;66(1): 203–213.

Shujaat S, Bornstein MM, Price JB, et al. Integration of imaging modalities in digital dental workflows-possibilities, limitations, and potential future developments. Dentomaxillofacial Radiology. 2021;50(7): 20210268. https://doi.org/10.1259/dmfr.20210268

Gaêta-Araujo H, Alzoubi T, Vasconcelos KdeF, et al. Cone beam computed tomography in dentomaxillofacial radiology: a two-decade overview. Dentomaxillofacial Radiology. 2020;49: 20200145. https://doi.org/10.1259/dmfr.20200145

Jacobs R, Salmon B, Codari M, et al. Cone beam computed tomography in implant dentistry: recommendations for clinical use. BMC Oral Health. 2018;18(88). https://doi.org/10.1186/s12903-018-0523-5

Hung K, Montalvao C, Tanaka R, et al. The use and performance of artificial intelligence applications in dental and maxillofacial radiology: A systematic review. Dentomaxillofacial Radiology. 2019;48: 20190107. https://doi.org/10.1259/dmfr.20190107

Tuzoff DV, Tuzova LN, Bornstein MM, et al. Tooth detection and numbering in panoramic radiographs using convolutional neural networks. Dentomaxillofacial Radiology. 2019;48: 20180051. https://doi.org/10.1259/dmfr.20180051

Lahoud P, EzEldeen M, Beznik T, et al. Artificial intelligence for fast and accurate 3-dimensional tooth segmentation on cone-beam computed tomography. Journal of Endodontics. 2021;47: 827-835. https://doi.org/10.1016/j.joen.2020.12.020

Akyalcin S, Cozad BE, English JD, et al. Diagnostic accuracy of impression-free digital models. American Journal of Orthodontics and Dentofacial Orthopedics. 2013;144(6): 916-922. https://doi.org/10.1016/j.ajodo.2013.04.024

Kravitz ND, Groth C, Jones PE, et al. Intraoral digital scanners. Journal of Clinical Orthodontics. 2014;48(6): 337-347.

Lee RJ, Pham J, Choy M, et al. Monitoring of typodont root movement via crown superimposition of single cone-beam computed tomography and consecutive intraoral scans. American Journal of Orthodontics and Dentofacial Orthopedics. 2014;145: 399-409. https://doi.org/10.1016/j.ajodo.2013.12.011

Canova FF, Oliva G, Beretta M, et al. Digital (R)Evolution: Open-Source Softwares for Orthodontics. Applied Sciences. 2021;11(13): 6033. https://doi.org/ 10.3390/app11136033

Zhurov A, Richmond S, Kau CH, et al. Averaging Facial Images. In: Kau C, Richmond S (ed.) Three-Dimensional Imaging for Orthodontics and Maxillofacial Surgery. United Kingdom:Wiley Blackwell; 2010.

Hajeer MY, Millett DT, Ayoub AF, et al. Applications of 3D imaging in orthodontics:part I. Journal of Orthodontics. 2004;31(1): 62-70.

Rosati R, De Menezes M, Rossetti A, et al. Digital dental cast placement in 3-dimensional, full-face reconstruction: a technical evaluation. American Journal of Orthodontics and Dentofacial Orthopedics. 2010;138(1): 84-88.

Shujaat S, Khambay BS, Ju X, et al. The clinical application of three-dimensional motion capture (4D): a novel approach to quantify the dynamics of facial animations. International Journal of Oral and Maxillofacial Surgery. 2014;43(7): 907-916.

Jung K, Jung S, Hwang I, et al. Registration of Dental Tomographic Volume Data and Scan Surface Data Using Dynamic Segmentation. Applied Sciences. 2018;8(10): 1762. https://doi.org/10.3390/app8101762

Naudi KB, Benramadan R, Brocklebank L, et al. The virtual human face: superimposing the simultaneously captured 3D photorealistic skin surface of the face on the untextured skin image of the CBCT scan. International Journal of Oral and Maxillofacial Surgery. 2013;42: 393–400. https:// doi. org/ 10. 1016/ j. ijom. 2012.10. 032

Rasteau S, Sigaux N, Louvrier A, et al. Three-dimensional acquisition technologies for facial soft tissues - Applications and prospects in orthognathic surgery. Journal of Stomatology oral and Maxillofacial Surgery. 2020;121: 721–728. doi: https://doi.org/10.1016/j.jormas.2020.05. 013

Stansbury JW, Idacavage MJ. 3D printing with polymers: Challenges among expanding options and opportunities. Dental Materials. 2016;32(1): 54-64. doi:10.1016/j.dental.2015.09.018

Berman B. 3-D printing: The new industrial revolution. Business Horizons. 2012;55.2: 155-162.

Groth C, Kravitz ND, Jones PE, et al. Three-dimensional printingtechnology. Journal of Clinical Orthodontics. 2014;48(8): 475-485.

Graf S. Clinical guidelines for direct printed metal orthodontic appliances. Seminars in Orthodontics. 2018;24(4): 461–469. https://doi.org/10.1053/j.sodo.2018.10.010

Groth C, Kravitz ND, Shirck JM. Incorporating three-dimensional printing in orthodontics. Journal of Clinical Orthodontics. 2018;52(1): 28–33.

Christensen LR. Digital workflows in orthodontics. Journal of Clinical Orthodontics. 2018;52(1): 34–44.

Nathasha MM, Chakravarthi NCS, Srinivasan D, et al. Orthodontics in the era of digital innovation – a review. Journal of Evolution of Medical and Dental Sciences. 2021;10(28): 2114-2121 doi: 10.14260/jemds/2021/432.

Leone. Leone 3D designer software. (14.02.2022 tarihinde https://www.leone.it/english/3dsoftware/index_n3.php adresinden ulaşılmıştır).

Melkos AB. Advances in digital technology and orthodontics: a reference to the Invisalign method. Medical Science Monitor: International Medical Journal of Experimental and Clinical Research. 2005;11(5): PI39-42.

Gracco A, Tracey S. The insignia system of customized orthodontics. Journal of Clinical Orthodontics. 2011;45(8):442–451.

Nguyen T, Jackson T. 3D technologies for precision in orthodontics. Seminars in Orthodontics.2018;24(4): 386–392.

Wiechmann D, Rummel V, Thalheim A, et al. Customized brackets and archwires for lingual orthodontic treatment. American Journal of Orthodontics and Dentofacial Orthopedics. 2003;124(5): 593–599.

El-Timamy AM, El-Sharaby FA, Eid FH, et al. Three dimensional imaging for indirect-direct bonding. American Journal of Orthodontics and Dentofacial Orthopedics. 2016;149(6): 928-931.

Kumar P. Future advances in robotic dentistry. Journal of Dental Health, Oral Disorders & Therapy. 2017;7(3): 278-280. https://doi.org/10.15406/jdhodt.2017.07.00241

Wolf M, Schumacher P, Jäger F, et al. Novel lingual retainer created using CAD/CAM technology: evaluation of its positioning accuracy. Journal of Orofacial Orthopedics. 2015;76(2): 164–174.

Phatak SM, Daokar SS. Orthodontic apps: A stairway to the future. International Journal of Orthodontic Rehabilitation. 2019;10: 75-81.

Hansa I, Semaan SJ, Vaid NR, et al. Remote monitoring and “tele-orthodontics”:concept, scope and applications. Seminars in Orthodontics. 2018;24(4): 470–481. https://doi.org/10.1053/j.sodo.2018.10.011

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28 Mart 2022

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