臺灣博碩士論文加值系統

對於很多齒顎矯正醫師來說，使用電腦來輔助矯正，可說是非常不方便的事情，除了操作上需要重新學習外，有時利用電腦所需花的時間反而更長，而且使用的成效也與傳統的方式相差不多。因此本研究建立起一個電腦輔助齒顎矯正平台，能夠具備臨床矯正醫師所需用到的各項功能，也能夠擁有節省時間並增加操作的效率。除此之外，也針對電腦輔助治療計畫發展視覺化治療計畫的效果，希望能夠在矯正醫師完成治療計畫後，即時呈現視覺化的預測效果，協助醫師診斷以及治療。
本研究所開發的平台提供治療過程中所需使用的電腦輔助功能，並以介面設計的準則以及物件導向的方式設計平台，讓平台介面更好操作且具有擴充性以及替換性。而在視覺化治療計畫上則將其模型化，讓不同的治療計畫能達到視覺化的效果，並以Level Anchorage System (LAS)治療計畫為例建立起視覺化的效果，增加電腦輔助治療計畫在臨床上的實用性。藉著所開發的平台，能夠帶給齒顎矯正醫師更好的使用環境，擁有更快更好的治療過程。

Many computer aided software have been developed for use in orthodontics for years; however, the use of the computer itself is still an inconvenient task to many orthodontists. When planning the treatment, orthodontists sometimes need to spend more time in learning and operating the programs than in the traditional way. Therefore, the objective of this research is to develop a new computer aided platform in orthodontics that can save the user’s time and be easy-to-use. This research also aims to develop a generalized orthodontics model to visualize the treatment planning (also called visualized treatment objective, VTO) to increase practicality of the proposed computer aided platform. Orthodontists can see the visualized image immediately after finishing the treatment planning.
This platform provides necessary functions for various orthodontics treatment processes. To save the user’s time and make the platform expandable and exchangeable, this platform applies the principles of the user interface design and object-oriented design. Besides that, this research uses Level Anchorage System (LAS) as an example of the treatment planning to demonstrate the model of visualized treatment objective. This research provides a better environment for computer aided orthodontics and more effective treatment planning performance through the use of the computer visualization technique.

口試委員會審定書 I
誌謝 II
中文摘要 III
英文摘要 IV
第一章 導論 1
1.1 齒顎矯正簡介 1
1.1.1 矯正之目的 1
1.1.2 矯正治療流程 3
1.1.3 治療計劃簡介 4
1.1.4 視覺化治療計劃簡介 7
1.2 電腦輔助齒顎矯正 8
1.2.1 電腦輔助之益處 8
1.2.2 電腦輔助齒顎矯正的應用範圍 10
1.2.3 電腦輔助平台介面 11
1.3 研究目的 12
1.3.1 電腦輔助齒顎矯正現況 12
1.3.2 電腦輔助齒顎矯正平台開發 12
1.3.3 視覺化治療計畫 13
第二章 研究方法 14
2.1 電腦輔助齒顎矯正平台之開發 14
2.1.1 開發原理 14
2.1.2 平台功能 16
2.2 視覺化治療計畫 18
2.2.1 視覺化治療計畫原理 18
2.2.2 生長預測模型 21
2.2.3 矯正預測模型 26
2.2.4 矯正預測後輪廓改變計算 32
2.2.5 視覺化治療計畫方法 34
第三章 研究結果 40
3.1 功能與介面展示 40
3.2 實際病歷操作 47
3.3 視覺化治療計畫預測結果 50
3.3.1 結果呈現方式 50
3.3.2 不同生長時間預測結果 50
3.3.3 不同理想值矯正預測結果 51
3.3.4 不同牙弓空間計算結果 54
第四章 討論 56
4.1 平台優勢 56
4.2 視覺化治療計畫討論 57
4.2.1 輪廓改變方式的優缺點 57
4.2.2 生長預測的優缺點 58
4.2.3 軟組織平衡與矯正目標的影響 59
4.2.4 視覺化治療計畫的優勢 61
4.2.5 視覺化治療計畫的限制 62
第五章 結論與未來展望 63
5.1 結論 63
5.2 未來展望 64
5.2.1 平台擴充 64
5.2.2 治療計畫擴充 65
參考文獻 66

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