人工智能在可摘局部义齿修复中的应用与进展OA

With the rapid aging of the global population,the demand for prosthodontic rehabilitation of partial eden-tulism continues to increase.Among the available treatment options,removable partial dentures remain an essential clinical modality for restoring partially edentulous arches and masticatory function because of their broad indications,minimal invasiveness,and cost-effectiveness.However,unlike fixed prosthodontics,which have undergone substantial digitalization,removable partial denture therapy is characterized by dual tooth-tissue support,complex biomechanics,and highly variable anatomical morphology.As a result,the digital design and fabrication of removable partial dentures have long faced major bottlenecks,including limited standardization,steep learning curves,and heavy dependence on expert experience.In recent years,artificial intelligence(AI)has undergone a paradigm shift from early expert systems to machine learning and deep learning,creating new opportunities to address the complexity and precision demands of removable partial denture design.Based on a comprehensive literature review and our team's clinical experience,this article systematically elaborates on the specific applications and normative standards of AI throughout the entire remov-able partial denture fabrication workflow.In the data acquisition phase,we emphasize multimodal data fusion and digi-tal pressure impression strategies.In the intelligent diagnosis and planning phase,deep learning is utilized to achieve the automatic identification of edentulous areas and undercuts,while machine learning and expert systems assist in abutment selection and treatment plan generation.Regarding automated design logic,the article analyzes the process from the intelligent planning of the common path of insertion to parametric design based on biomechanical optimization.At the clinical operation level,a standardized human-machine collaborative workflow of"AI generation-clinician re-view-local fine-tuning"is proposed.In terms of ethics and accountability,the principles of algorithmic transparency and"the clinician as the ultimate responsible subject"are emphasized.Furthermore,integrating clinical practice,this article innovatively proposes a"capability grading system for AI-assisted removable partial denture design(comprising the auxiliary analysis level,the rule-based design level,and the intelligent adaptive level)".The aim is to offer practical recommendations for dental clinicians,dental technicians,and researchers,thereby facilitating the transition of remov-able partial denture prosthodontics toward greater precision,intelligence,and standardization.