目的:本文的目的是展示混合现实(MR)全息成像技术在晚期牙周炎患者龈下刮治和牙根平整(SRP)中的潜在应用。
方法:本病例系列分析了10例晚期牙周炎患者261颗牙齿的1566个部位。术前数字化获取患者的CBCT扫描和口腔内扫描,并对齐以创建三维牙周可视化模型。通过渲染,交互式全息图像可以使用MR显示。外科医生首先使用MR图像与患者沟通,然后在他们的指导下促进SRP。探测袋深度(PPD),临床附着丧失(CAL),斑块指数(PI),在基线和术后8周记录探查出血(BOP)参数。还收集了患者报告的自我效能感结果指标问卷。
结果:PPD,CAL,PI,在MR全息图辅助SRP后8周,BOP显着降低(p<0.001)。对于PPD≥4mm的部位,PPD和CAL下降了2.33±1.23mm和0.69±1.07mm,分别。PI从1.94±0.61显著下降至0.82±0.58(p<0.001),BOP部位从84.11%显著下降至40.25%。在接收到用于状态通信的MR全息图之后,大多数患者对SRP治疗的有效性及其带来的益处有更好的认识。80%的受试者表示愿意在将来接受MR辅助的牙周治疗。
结论:这些结果为MR全息图辅助数字SRP提供了初步支持。有了这项技术,牙龈和牙槽骨的图像可以实时显示,准确和三维。这提高了SRP的有效性,减少并发症,并增强患者对治疗的信心。
结论:基于MR全息成像的数字SRP是临床上可行且有希望的辅助牙周治疗选择。它可能有助于改善重度牙周炎患者的非手术治疗效果。
OBJECTIVE: To demonstrate the potential application of mixed reality (MR) holographic imaging technology in subgingival scaling and root planing (SRP) for patient with advanced periodontitis.
METHODS: This case series comprised the analysis of 1566 sites from 261 teeth of 10 patients with advanced periodontitis. Digital CBCT scans and intraoral scans of the patients were digitally acquired preoperatively and aligned to create a three-dimensional periodontal visualization model. Through rendering, interactive holographic images were displayed using MR. The surgeon first used MR images to communicate with the patients, and then facilitated SRP under their guidance. Probing pocket depth (PPD), clinical attachment loss (CAL), Plaque index (PI), and bleeding on probing (BOP) parameters were recorded at baseline and at 8-week postoperatively. Patient-reported outcome indicator questionnaires on self-efficacy were also collected.
RESULTS: PPD, CAL, PI, and BOP significantly decreased at 8-week following MR hologram-assisted SRP (p<0.001). For sites with PPD≥4 mm, PPD and CAL declined by 2.33±1.23 mm and 0.69±1.07 mm, respectively. PI significantly decreased from 1.94±0.61 to 0.82±0.58 (p < 0.001) and BOP sites decreased significantly from 84.11% to 40.25%. After receiving MR holograms for condition communication, most patients had a better perception of the effectiveness of SRP treatment and the benefits it brings. 80% of the subjects expressed their willingness to undergo MR-assisted periodontal treatment in the future.
CONCLUSIONS: These results provide preliminary support for MR hologram-assisted digital SRP. With this technology, images of the gingiva and alveolar bone can be displayed in real time, accurately and three-dimensionally. This improves SRP effectiveness, diminishes complications, and enhances patients\' confidence in the treatment.
CONCLUSIONS: MR holographic imaging-based digital SRP is a clinically feasible and promising adjunctive periodontal treatment option. It may contribute to improved non-surgical treatment efficacy in patients with severe periodontitis.