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Four-Dimensional Superimposition Techniques to Compose Dental Dynamic Virtual Patients: A Systematic Review
Ying Yuan1, Qian Liu2, Shuo Yang2
1Department of Orthodontics, Stomatological Hospital, Southern Medical University, Guangzhou 510280, China.
Journal of Functional Biomaterials
|January 20, 2023
Summary
Creating four-dimensional virtual dental patients involves integrating dynamic data like jaw motion. While feasible, further research is needed to improve accuracy and develop comprehensive systems for these advanced simulation models.
Area of Science:
- Biomedical Engineering
- Dental Informatics
- Medical Simulation
Background:
- Four-dimensional virtual patients integrate multiple dynamic data types for advanced simulation.
- Virtual patient models are increasingly utilized in various medical fields, including dentistry.
- Understanding current techniques is crucial for advancing virtual patient technology in dental applications.
Purpose of the Study:
- To review and analyze techniques for creating four-dimensional virtual dental patients.
- To assess the methods, data integration, and applications of existing virtual dental patient models.
- To identify limitations and suggest future research directions in the field.
Main Methods:
- Systematic literature search of PubMed, Web of Science, and Cochrane Library up to November 2022.
- Inclusion criteria: studies involving superimposition of two or more digital data types with at least one dynamic technique.
- Methodological quality assessment using the Joanna Briggs Institute Critical Appraisal Checklist.
Main Results:
- Seventeen case reports and 10 non-randomized controlled experimental studies were reviewed.
- Dynamic data included real-time jaw motion, simulated jaw position, and dynamic facial information.
- Thirteen studies demonstrated acceptable accuracy for dynamic techniques, while 14 focused on feasibility; few studies had a low risk of bias.
Conclusions:
- Superimposing stomatognathic data from various devices is feasible for dynamic virtual patient creation.
- Current research has limitations regarding the accuracy and comprehensiveness of four-dimensional virtual dental patient systems.
- Further studies are recommended to enhance accuracy analysis and develop integrated systems.

