数字化印模多学科诊疗的临床效能与经验代偿

高文玲; 蔡善明; 宋静; 陈国新

doi:10.14188/j.1671-8852.2026.0608

您当前的位置：

首页 >

文章列表页 >

数字化印模多学科诊疗的临床效能与经验代偿

更新时间：2026-11-03

- 数字化印模多学科诊疗的临床效能与经验代偿
- Clinical efficacy and experience‑dependent compensatory effect of digital impressions in multidisciplinary treatments
- 武汉大学学报（医学版） 2026年页码：1-6
- 作者机构：
  
  1.武汉大学口腔医院湖北武汉 430079
  2.枝江市口腔医院正畸科湖北枝江 443200
- 作者简介：
  
  高文玲，女，1983—，哲学博士(PhD)，主治医师，主要从事口腔修复、种植及数字化诊疗与多学科临床研究，E‑mail:66166936@qq.com。
  陈国新，E‑mail:chenguoxin919@whu.edu.cn。
- 基金信息：
  
  武汉大学口腔医院新业务新技术立项项目
- DOI：10.14188/j.1671-8852.2026.0608
  中图分类号： R783
- 收稿：2026-04-15，
  
  网络首发：2026-11-03，
- 稿件说明：
移动端阅览
高文玲, 蔡善明, 宋静, 等. 数字化印模多学科诊疗的临床效能与经验代偿[J/OL]. 武汉大学学报（医学版）, 2026,1-6.

GAO Wenling, CAI Shanming, SONG Jing, et al. Clinical efficacy and experience‑dependent compensatory effect of digital impressions in multidisciplinary treatments[J/OL]. Medical Journal of Wuhan University, 2026, 1-6.
高文玲, 蔡善明, 宋静, 等. 数字化印模多学科诊疗的临床效能与经验代偿[J/OL]. 武汉大学学报（医学版）, 2026,1-6. DOI： 10.14188/j.1671-8852.2026.0608.

GAO Wenling, CAI Shanming, SONG Jing, et al. Clinical efficacy and experience‑dependent compensatory effect of digital impressions in multidisciplinary treatments[J/OL]. Medical Journal of Wuhan University, 2026, 1-6. DOI： 10.14188/j.1671-8852.2026.0608.

摘要

目的

探讨数字化印模技术在多学科联合诊疗中的三维精度，及其对操作者经验差异的临床代偿效应。

方法

构建包含三维均方根误差（

RMSE

)、师生操作耗时差（技能鸿沟，Δ

)及多维主观评价体系，对比医师与初学者在普通正畸/伴牙周病场景及单/双植体种植修复场景下的印模效能。

结果

数字化3D打印模型总体

RMSE

（0.076 9±0.019 5) mm优于传统石膏模型（0.108 8±0.026 4) mm。正畸与伴牙周病组中，师生操作的Δ

分别显著降低55.39%、46.41%；同时种植场景下双植体组操作耗时离散度显著降低。多维主观评价显示，数字组的患者接受度、操作便捷性优于传统组（

0.01），医护人员偏好数字化流程并支持分级授权。

结论

数字化印模三维重建精度更高，其经验代偿效应具有显著的场景特异性。在正畸与牙周病治疗中可提升临床操作稳定性，在复杂种植修复中经验代偿作用较弱。本研究为该技术临床推广、完善多学科诊疗分工与分级授权管理提供实践依据。

Abstract

Objective

To assess the three‑dimensional accuracy and experience‑dependent compensatory effect of digital impressions in multidisciplinary dental treatments.

Methods

An evaluation system including accuracy (Root Mean Square Erro

RMSE

)

expert‑novice operation time difference (skill gap

)

and multidimensional subjective evaluation was established to compare impression efficacy in conventional orthodontic

periodontal

and single and double implant scenarios.

Results

The overall

RMSE

of digital 3D‑printed models (0.076 9±0.019 5) mm was significantly lower than that of conventional plaster models (0.108 8±0.026 4) mm. In the orthodontic and periodontal groups

the skill gap Δ

was significantly reduced by 55.39% and 46.41%

respectively (

0.01). In the double implant group

the variability of operation time decreased significantly. Multidimensional subjective evaluation showed better patient acceptance and convenience in the digital group (

0.01)

with clinicians preferring tiered digital workflows.

Conclusion

Digital impressions present higher 3D reconstruction accuracy and scenario‑specific experience compensation. They enhance clinical operational stability in orthodontic and periodontal treatments

but have a weaker compensatory effect in complex implant cases. These results provide a practical reference for clinical promotion

multidisciplinary division of labor

and task delegation management.

关键词

Keywords

references

黄翠 , 刘峰 , 满毅 , 等 . 口内数字印模技术 [J ] . 实用口腔医学杂志 , 2023 , 39 ( 6 ): 689 ‑ 695 .

HUANG C , LIU F , MAN Y , et al . Intraoral digital impression technique [J ] . J Pract Stomatology , 2023 , 39 ( 6 ): 689 ‑ 695 .

中华口腔医学会 . 口腔正畸数字化检查和测量分析专家共识:T/ CHSA 078-2024 [S ] . 北京 : 中华口腔医学会 , 2024 .

Chinese Stomatological Association . Expert consensus on orthodontic digital examination and measurement analysis: T/ CHSA 078-2024 [S ] . Beijing : Chinese Stomatological Association , 2024 .

REVILLA‑LEÓN M , GÓMEZ‑POLO M , KOIS J C . A guide for selecting the intraoral scan extension when fabricating tooth‑ and implant‑supported fixed dental prostheses [J ] . J Esthet Restor Dent , 2024 , 36 ( 1 ): 85 ‑ 93 .

ALFARAJ A , ALQUDAIHI F , KHURSHID Z , et al . Comparative analyses of accuracy between digital and conventional impressions for complete‑arch implant‑supported fixed dental prostheses: A systematic review and meta‑analysis [J ] . J Prosthodont , 2026 , 35 ( 3 ): 252 ‑ 274 .

叶年嵩 , 房兵 . 数字化正畸发展现状 [J ] . 实用口腔医学杂志 , 2022 , 38 ( 6 ): 707 ‑ 712 .

YE N S , FANG B . The state of art of digital orthodontics [J ] . J Pract Stomatology , 2022 , 38 ( 6 ): 707 ‑ 712 .

CHRISTOPOULOU I , KAKLAMANOS E G , MAKRYGIANNAKIS M A , et al . Intraoral scanners in orthodontics: A critical review [J ] . Int J Environ Res Public Health , 2022 , 19 ( 3 ): 1407 .

LIN W C , LEE C C , LEE S Y , et al . Influence of operator experience on the complete‑arch accuracy and time‑based efficiency of three intraoral scanners [J ] . J Dent Sci , 2025 , 20 ( 1 ): 620 ‑ 625 .

LIMONES A , MORTON D , SALLORENZO A , et al . Impact of operator experience on intraoral digital scanning: A systematic review, meta‑analysis, and meta‑regression. Report of the Committee on Research in Fixed Prosthodontics of the American Academy of Fixed Prosthodontics [J ] . J Prosthet Dent , 2026 , 135 ( 2 ): 297.e1 ‑ 297.e13 .

RUTKŪNAS V , AUŠKALNIS L , PLETKUS J . Intraoral scanners in implant prosthodontics. A narrative review [J ] . J Dent , 2024 , 148 : 105152 .

SICILIA E , LAGRECA G , PAPASPYRIDAKOS P , et al . Effect of supramucosal height of a scan body and implant angulation on the accuracy of intraoral scanning: An in vitro study [J ] . J Prosthet Dent , 2024 , 131 ( 6 ): 1126 ‑ 1134 .

LYU M Y , DI P , LIN Y , et al . Accuracy of impressions for multiple implants: A comparative study of digital and conventional techniques [J ] . J Prosthet Dent , 2022 , 128 ( 5 ): 1017 ‑ 1023 .

BANDIAKY O N , LE BARS P , GAUDIN A , et al . Comparative assessment of complete‑coverage, fixed tooth‑supported prostheses fabricated from digital scans or conventional impressions: A systematic review and meta‑analysis [J ] . J Prosthet Dent , 2022 , 127 ( 1 ): 71 ‑ 79 .

PARK J S , ALSHEHRI Y F A , KRUGER E , et al . Accuracy of digital versus conventional implant impressions in partially dentate patients: A systematic review and meta‑analysis [J ] . J Dent , 2025 , 160 : 105918 .

WANG Y , LONG H , ZHAO Z H , et al . Expert consensus on the clinical strategies for orthodontic treatment with clear aligners [J ] . Int J Oral Sci , 2025 , 17 : 19 .

RESENDE C C D , BARBOSA T A Q , MOURA G F , et al . Influence of operator experience, scanner type, and scan size on 3D scans [J ] . J Prosthet Dent , 2021 , 125 ( 2 ): 294 ‑ 299 .

TAWFIK M H A , EL TORKY I R , EL SHEIKH M M . Effect of saliva on accuracy of digital dental implant transfer using two different materials of intraoral scan bodies with different exposed lengths [J ] . BMC Oral Heal , 2024 , 24 ( 1 ): 1428 .

李敬谦 , 朱子璐 , 焦剑 , 等 . 隐形矫治重度牙周炎患者前牙区病理性移位患牙的临床疗效 [J ] . 北京大学学报(医学版) , 2025 , 57 ( 1 ): 51 ‑ 56 .

LI J Q , ZHU Z L , JIAO J , et al . Clinical efficacy of clear aligner treatment for pathologically migrated teeth in the anterior region of patients with severe periodontitis [J ] . J Peking Univ Heal Sci , 2025 , 57 ( 1 ): 51 ‑ 56 .

赖文莉 . 隐形矫治技术在多学科复杂病例中的应用 [J ] . 华西口腔医学杂志 , 2026 , 44 ( 1 ): 9 ‑ 16 .

LAI W L . Discussion on the application of clear aligner treatment in multidisciplinary complex cases [J ] . West China J Stomatology , 2026 , 44 ( 1 ): 9 ‑ 16 .

REVELL G , SIMON B , MENNITO A , et al . Evaluation of complete‑arch implant scanning with 5 different intraoral scanners in terms of trueness and operator experience [J ] . J Prosthet Dent , 2022 , 128 ( 4 ): 632 ‑ 638 .

RÓTH I , HERMANN P , VITAI V , et al . Comparison of the learning curve of intraoral scanning with two different intraoral scanners based on scanning time [J ] . BMC Oral Health , 2023 , 23 ( 1 ): 267 .

浏览量

下载量

CSCD

文章被引用时，请邮件提醒。

提交

工具集

关联资源

射频治疗应用于头皮抗衰改善面部老化

胸外科成人患者声带麻痹原因分析

胃癌化疗期营养管理的临床研究进展

高通量测序临床报告中遗传变异正交实验验证的规范化建议

肠道真菌群与消化系统肿瘤关系的研究进展