中国口腔种植学杂志 ›› 2020, Vol. 25 ›› Issue (4): 155-157.DOI: 10.12337/zgkqzzxzz.2020.12.002

• 临床研究 • 上一篇    下一篇

3D 打印导板技术在牙列缺损患者中种植术及术后的精确性分析

李二红, 薛彬, 秦育苗   

  1. 454000 河南省焦作煤业集团有限公司中央医院口腔科(李二红,秦育苗); 焦作市中医院(薛彬)。
  • 出版日期:2020-12-10 发布日期:2021-09-01

Accuracy analysis of 3D printing guide plate technique in implant operation and postoperative of patients with dentition defect

LI Erhong, XUE Bin, QIN Yumiao   

  1. Department of Stomatology Jiaozuo Coal Group Limited Central Hospital,Jiaozuo 454000, Henan Province, China
  • Online:2020-12-10 Published:2021-09-01

摘要: 目的: 探讨3D打印导板技术在牙列缺损患者中种植术中的应用效果及对术后精确性的影响。方法: 选取2018年6月~2019年5月我院收治的98例(98颗)患者,按随机数字表法分为常规组(n=49例,49颗)与3D组(n=49例,49颗)。常规组采取传统种植导板辅助下植入种植体,3D组采取3D打印导板技术辅助下植入种植体。比较两组术后种植精确性、满意度。随访12个月后比较两组牙周袋探诊深度、种植成功率及骨吸收情况。结果: 3D组术后种植体尖部与颈部在颊舌向、近远中向及垂直向偏离值显著小于常规组(P<0.05)。3D组术后种植体颊舌向、近远中向角度偏离值显著低于常规组(P<0.05),而满意度则显著高于常规组(P<0.05)。3D组患者牙周袋探诊深度及骨吸收与常规组比较差异无统计学意义(P>0.05)。两组患者术后3个月和术后6个月种植成功率比较差异无统计学意义(P>0.05),术后随访9个月及12个月后3D组种植成功率显著高于常规组(P<0.05)。结论: 3D打印导板技术有助于减少牙列缺损患者修复角度及位置的误差,确保牙列缺损种植体精确度。

关键词: 3D打印导板技术, 牙列缺损, 种植术, 术后精确性, 满意度

Abstract: Objective: To investigate the application effect of 3D printing guide plate technology in the implantation of patients with dentition defect and its influence on postoperative accuracy. Methods: A total of 98 patients(98 teeth) in our hospital from June 2018 to May 2019 were randomly divided into conventional group(n=49 cases, 49 pieces) and 3D group(n=49 cases, 49 pieces). The patients of conventional group were implanted with the aid of traditional implant guide plate, and the patients of 3D group were implanted with 3D printing guide technology. The accuracy and satisfaction of the two groups were compared. After 12 months of follow-up, the probing depth, implant success rate and bone resorption were compared between the two groups. Results: The deviation values of buccolingual, mesial, distal and vertical directions of implant tip and neck in 3D group were significantly less than those in conventional group(P<0.05). The buccolingual, proximal and distal deviation values of implant in 3D group were significantly lower than those in conventional group(P<0.05), while the satisfaction of 3D group was significantly higher than that of conventional group(P<0.05). There was no significant difference in probing depth and bone resorption between 3D group and conventional group(P>0.05). There were no significant difference in the success rate of implantation between the two groups at 3 months and 6 months after operation(P>0.05), but the implantation success rate after 9 months and 12 months of follow-up in 3D group were significantly higher than that in conventional group(P<0.05). Conclusion: 3D printing guide plate technology helps to reduce the error of restoration angle and position of patients with dentition defect, and ensure the accuracy of dental implant.

Key words: 3D printing guide plate technology, dentition defect, implant, postoperative accuracy, satisfaction

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