Informationen aus Orthodontie & Kieferorthopädie 2010; 42(4): 261-266
DOI: 10.1055/s-0030-1262730
Übersicht

© Georg Thieme Verlag KG Stuttgart ˙ New York

Der virtuelle Patient: Darstellung des Kopfes in 3D

The Virtual Patient: Understanding the Head in 3DC. H. Kau1 , N. M. Souccar1 , M. E. Wong1
  • 1Department of Orthodontics, University of Alabama at Birmingham, School of Dentistry, USA
Further Information

Publication History

Publication Date:
13 January 2011 (online)

Zusammenfassung

Neue Technologien, wie DVT (Digitale Volumentomografie) und Oberflächenbildgebung haben die kieferorthopädische Diagnostik und Behandlungsplanung revolutioniert. Anhand von dreidimensionalen Bildern kann der Arzt Knochen, Zähne und Weichgewebe genauestens beurteilen. Inzwischen lassen sich mithilfe verschiedener Software-Verfahren Kopf und Gesicht des Patienten virtuell rekonstruieren. Diese Arbeit liefert eine kurze Zusammenfassung der Fortschritte bei diagnostischen kieferorthopädischen Datensätzen. In dieser Arbeit wurden das 3dMD-System und das Kodak 9500 verwendet und die erzeugten Bilder mithilfe 3dMDVultus-Software ausgewertet. Alle Datensätze wurden in der natürlichen Kopfhaltung aufgenommen. Sobald DVT und stereofotogrammetrisches Bild übereinander gelegt werden, lassen sich die Messpunkte der Weich- und Hartgewebe zuordnen. Außerdem erlaubt diese Technologie die Simulation von Operationen, die Evaluation der Behandlung und ein Langzeitmonitoring. Die leichte und rasche Datenerfassung, die relativ geringe Strahlenbelastung und die vielen Möglichkeiten, Auswertungen und Speicheroptionen machen die dreidimensionale Bildgebung zu einem wertvollen Werkzeug in der kieferorthopädischen und kieferchirurgischen Behandlung.

Abstract

New technologies such as CBCT (Cone-Beam-Computertomography) and surface imaging have revolutionized diagnosis and treatment planning in orthodontics. Three-dimensional images allow the practitioner to accurately capture the patient’s bone, teeth and soft tissue. Using different software techniques, it is now possible to virtually reconstruct the patient’s head and face. This paper will provide a rapid overview on the advances in orthodontic diagnostic records. The machines used in this paper are the 3dMD system and the Kodak 9500, and images are analyzed using the 3dMDvultus software. All records are acquired in Natural Head Position. Once the CBCT is layered with the stereophotogrammetric image, it becomes possible to identify landmarks on the soft and hard tissue. Moreover, surgical simulation, treatment evaluation and long term monitoring are possible with this technology. The ease and rapidity of data acquisition, the relative low radiation dose involved and multiple manipulation, analyses and storage options make three dimensional imaging a invaluable tool in orthodontic and craniofacial management. 

Literatur

  • 1 Sinha P, Balas B J, Ostrovsky Y et al. Face recognition by humans: 19 results all computer vision researchers should know about.  Proceedings of the IEEE. 2006;  94 1948-1962
  • 2 Incrapera A K, Kau C H, English J D et al. Soft tissue images from cephalograms compared with those from a 3D surface acquisition system.  Angle Orthod. 2010;  80 58-64
  • 3 Kau C H, Richmond S, Incrapera A et al. Three-dimensional surface acquisition systems for the study of facial morphology und their application to maxillofacial surgery.  Int J Med Robot. 2007;  3 97-110
  • 4 Heike C L, Upson K, Stuhaug E et al. 3D digital stereophotogrammetry: a practical guide to facial image acquisition.  Head & Face Medicine. 2010;  6 18
  • 5 Lane C, Harrell Jr W. Completing the 3-dimensional picture.  Am J Orthod Dentofacial Orthop. 2008;  133 612-620
  • 6 Ackerman J L, Proffit W R, Sarver D M et al. Pitch, roll, und yaw: describing the spatial orientation of dentofacial traits.  Am J Orthod Dentofacial Orthop. 2007;  131 305-310
  • 7 Lundstrom A, Lundstrom F, Lebret L M et al. Natural head position und natural head orientation: basic considerations in cephalometric analysis und research.  Eur J Orthod. 1995;  17 111-120
  • 8 Lundstrom A, Forsberg C-M, Westergren H et al. A comparison between estimated und registered natural head posture.  Eur J Orthod. 1991;  13 59-64
  • 9 Cooke M S, Wei S H. The reproducibility of natural head posture: a methodological study.  Am J Orthod Dentofacial Orthop. 1988;  93 280-288
  • 10 Chiu C S, Clark R K. Reproducibility of natural head position.  J Dent. 1991;  19 130-131
  • 11 Kau C H, Richmond S, Zhurov A I et al. Reliability of measuring facial morphology using a 3-dimensional laser scanning system.  Am J Orthod und Dentofacial Orthopedics. 2005;  128 424-430
  • 12 Kau C H, Richmond S, Palomo J M et al. Three-dimensional cone beam computerized tomography in orthodontics.  J Orthod. 2005;  32 282-293
  • 13 Mah J, Hatcher D. Current status und future needs in craniofacial imaging.  Orthod Craniofac Res. 2003;  6 Suppl 1 10-16 discussion 179–182
  • 14 Ludlow J B, Ivanovic M. Comparative dosimetry of dental CBCT devices und 64-slice CT for oral und maxillofacial radiology.  Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008;  106 930-938
  • 15 De Vos W, Casselman J, Swennen G R. Cone-beam computerized tomography (CBCT) imaging of the oral und maxillofacial region: a systematic review of the literature.  Int J Oral Maxillofac Surg. 2009;  38 609-625
  • 16 Sukovic P. Cone beam computed tomography in craniofacial imaging.  Orthod Craniofac Res. 2003;  6 Suppl 1 31-36 discussion 179–182
  • 17 Mah J K, Danforth R A, Bumann A et al. Radiation absorbed in maxillofacial imaging mit a new dental computed tomography device.  Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2003;  96 508-513
  • 18 Quimby M L, Vig K W, Rashid R G et al. The accuracy und reliability of measurements made on computer-based digital models.  Angle Orthod. 2004;  74 298-303
  • 19 Gateno J, Xia J J, Teichgraeber J F et al. Clinical feasibility of computer-aided surgical simulation (CASS) in the treatment of complex cranio-maxillofacial deformities.  J Oral Maxillofac Surg. 2007;  65 728-734
  • 20 Swennen G R, Mollemans W, De Clercq C et al. A cone-beam computed tomography triple scan procedure to obtain a three-dimensional augmented virtual skull model appropriate for orthognathic surgery planning.  J Craniofac Surg. 2009;  20 297-307
  • 21 Kau C H, Littlefield J, Rainy N et al. Evaluation of CBCT digital models und traditional models using the Little’s index.  Angle Orthod. 2010;  80 435-439
  • 22 Chenin D L, Chenin D A, Chenin S T et al. Dynamic cone-beam computed tomography in orthodontic treatment.  J Clin Orthod. 2009;  43 507-512
  • 23 Kau C H, Pan P, Gallerano R L et al. A novel 3D classification system for canine impactions – the KPG index.  Int J Med Robot. 2009;  5 291-296
  • 24 Nute S J, Moss J P. Three-dimensional facial growth studied by optical surface scanning.  J Orthod. 2000;  27 31-38
  • 25 Kau C H, Richmond S. Three-dimensional analysis of facial morphology surface changes in untreated children from 12 to 14 years of age.  Am J Orthod Dentofacial Orthop. 2008;  134 751-760
  • 26 Kau C H, Zhurov A, Richmond S et al. Facial templates: a new perspective in three dimensions.  Orthod Craniofac Res. 2006;  9 10-17
  • 27 McCance A M, Moss J P, Fright W R et al. Three-dimensional analysis techniques – Part 2: Laser scanning: a quantitative three-dimensional soft-tissue analysis using a color-coding system.  Cleft Palate Craniofac J. 1997;  34 46-51
  • 28 Hajeer M Y, Ayoub A F, Millett D T. Three-dimensional assessment of facial soft-tissue asymmetry before und after orthognathic surgery.  Br J Oral Maxillofac Surg. 2004;  42 396-404
  • 29 Alves P V, Zhao L, Patel P K et al. Three-dimensional facial surface analysis of patients mit skeletal malocclusion.  J Craniofac Surg. 2009;  20 290-296
  • 30 Kau C H, Richmond S, Zhurov A I et al. Reliability of measuring facial morphology using a 3-dimensional laser scanning system.  Am J Orthod und Dentofacial Orthopedics. 2005;  128 424-430
  • 31 Kau C H, Zhurov A I, Bibb R et al. The investigation of the changing facial appearance of identical twins employing a three-dimensional laser imaging system.  Orthod Craniofac Res. 2005;  8 85-90
  • 32 Farkas L G, Munro I R. Anthropometric Facial Proportions in Medicine. Springfield, IL: Charles C Thomas 1987
  • 33 Jacobson A. Radiographic Cephalometry: From Basics to Videoimaging. USA: Quintessence Publishing 1995
  • 34 Swennen G RJ, Schutyser F, Hausamen J E. Three-dimensional cephalometry: A color atlas und manual. Heidelberg, Germany: Springer 2006

Appendix

Ein zusätzliches Video zu diesem Beitrag finden Sie online: www.thieme-connect.de/ejournals unter „Informationen aus Orthodontie und Kieferorthopädie“

Prof. Dr. Chung How Kau

Chairman und King James IV Professor · Department of Orthodontics · University of Alabama at Birmingham · School of Dentistry

1919 7th Avenue South

USA-Birmingham, AL 35294

Phone: +1 / 2 05 / 9 34 27 82

Fax: +1 / 2 05 / 9 34 75 90

Email: ckau@uab.edu

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