动态导航引导颧种植体植入的临床工作流程

doi:10.12337/zgkqzzxzz.2022.02.003

中国口腔种植学杂志 ›› 2022, Vol. 27 ›› Issue (1): 9-15.DOI: 10.12337/zgkqzzxzz.2022.02.003

动态导航引导颧种植体植入的临床工作流程

蓝耕良¹, 陶宝鑫¹, 黄伟¹, 王凤², 李顺顺³, 吴轶群¹

¹上海交通大学医学院附属第九人民医院口腔第二门诊部上海交通大学口腔医学院国家口腔医学中心国家口腔疾病临床医学研究中心上海市口腔医学重点实验室 200001;
²上海交通大学医学院附属第九人民医院口腔种植科上海交通大学口腔医学院国家口腔医学中心国家口腔疾病临床医学研究中心上海市口腔医学重点实验室 200001;
³上海交通大学医学院·口腔医学院 200001;

收稿日期:2021-12-03 发布日期:2022-03-09
通讯作者: 吴轶群,Email：yiqunwu@hotmail.com,电话：021-56152705
作者简介:吴轶群　医学博士，主任医师，博士生导师，上海交通大学医学院附属第九人民医院口腔第二门诊部主任。现任中华口腔医学会口腔种植专业委员会副主任委员，国际口腔种植协会专家组成员。担任“十三五”国家重点研发项目课题负责人，主持国家自然科学基金、上海交通大学医工（理）交叉基金重点项目、国际口腔种植协会（ITI）资助项目等多项国家级、国际级课题项目，研究成果曾获国家科技进步二等奖（2019）、中华口腔医学科技三等奖（2018）、华夏医学奖三等奖（2016），上海市科技进步一等奖（2010）等。高新科技成果转化1项（2019），获得国家专利证书12项。发表论文40余篇，参编著作10部，主译著作1部。担任《中国口腔种植学杂志》副主编，《口腔疾病防治》《上海口腔医学》《口腔材料器械杂志》编委。

Surgical workflow of dynamic navigation system guided zygomatic implant surgery

Lan Gengliang¹, Tao Baoxin¹, Huang Wei¹, Wang Feng², Li Shunshun³, Wu Yiqun¹

¹Department of Second Dental Center, Shanghai Ninth People’s Hospital;Shanghai Jiao Tong University School of Medicine,College of Stomatology, Shanghai Jiao Tong University & National Center for Stomatology & National Clinical Research Center for Oral Diseases & Shanghai Key Laboratory of Stomatology, Shanghai 200001, China;
²Department of Oral Implantology, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine; College of Stomatology, Shanghai Jiao Tong University & National Center for Stomatology & National Clinical Research Center for Oral Diseases & Shanghai Key Laboratory of Stomatology, Shanghai 200001, China;
³College of Stomatology, Shanghai Jiao Tong University, Shanghai 200001, China.

Received:2021-12-03 Published:2022-03-09
Contact: Wu Yiqun, Email: yiqunwu@hotmail.com, Tel: 0086-21-56152705

摘要/Abstract

摘要： 由于颧骨骨量有限、周围解剖结构较复杂,颧种植体植入手术具有高度的技术敏感性。在临床上,动态导航系统的应用使医生能够在实时监控下完成扩孔和种植体植入,最大可能地降低手术风险,实现术前规划方案。但导航手术仍存在误差,如配准标记物类型、分布与数目会影响配准精度,继而对导航精度产生影响。导航手术精度的降低会引起严重的颧种植手术外科并发症。同时,术者对颧种植导航流程的熟悉程度和对导航手术的熟练程度也可能会对最终精度产生影响。本文总结了临床颧种植导航手术的具体流程,并对影响颧种植导航精度的相关因素做一总结。

关键词: 口腔种植, 颧种植体, 动态导航系统, 手术流程, 精准医学

Abstract: Due to the surrounding complex anatomical structures and the limited volume of zygoma bone, zygomatic implant placement is a highly technique-sensitive surgery. Clinically, applying a dynamic navigation system enables doctors to complete the implant placement under real-time monitoring, minimizing surgical risks and realizing preoperative planning. However, the dynamic navigation system still has an inevitable error caused by the type, distribution, and the number of registration markers, which will affect the registration accuracy, affecting the dynamic navigation accuracy at the surgery. The reduced precision of dynamic navigation surgery can cause serious surgical complications of zygomatic implant surgery. Furthermore, the operator’s familiarity with the dynamic navigation surgical process and proficiency in the zygomatic implant surgery may impact the final accuracy. This article summarizes the standard procedures and relevant factors that affect the accuracy of zygomatic implant surgery with a dynamic navigation system.

Key words: Dental implant, Zygomatic implant, Dynamic navigation system, Surgical process, Precision medical treatment

蓝耕良,陶宝鑫,黄伟,等. 动态导航引导颧种植体植入的临床工作流程[J]. 中国口腔种植学杂志, 2022, 27(1): 9-15. DOI: 10.12337/zgkqzzxzz.2022.02.003

Lan Gengliang, Tao Baoxin, Huang Wei, Wang Feng, Li Shunshun, Wu Yiqun. Surgical workflow of dynamic navigation system guided zygomatic implant surgery[J].Chinese Journal of Oral Implantology, 2022, 27(1): 9-15.DOI: 10.12337/zgkqzzxzz.2022.02.003.

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动态导航引导颧种植体植入的临床工作流程

Surgical workflow of dynamic navigation system guided zygomatic implant surgery

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