比较全程引导与半程引导机器人技术对无牙颌种植精度的影响

doi:10.12337/zgkqzzxzz.2023.08.004

中国口腔种植学杂志 ›› 2023, Vol. 28 ›› Issue (4): 229-232.DOI: 10.12337/zgkqzzxzz.2023.08.004

• 无牙颌种植治疗重点栏目 • 上一篇下一篇

比较全程引导与半程引导机器人技术对无牙颌种植精度的影响

张思慧, 陈威夷, 蔡琴, 林宇轩, 陈江

福建医科大学附属口腔医院,福州 350002

收稿日期:2023-07-20 出版日期:2023-08-30 发布日期:2023-09-05
通讯作者: 陈江,Email：jiangchen@fjmu.edu.cn,电话：0591-83265772
作者简介:张思慧,副主任医师、口腔医学博士,研究方向：数字化种植咬合重建、牙列缺损及牙列缺失的种植即刻修复及美学修复;陈江,主任医师、教授、博士生导师,研究方向：各类牙缺失的种植治疗、各类骨缺损的骨增量种植治疗、牙列缺失的数字化种植咬合重建

Comparing the impact of full-guidance versus partial-guidance robotic technology on the accuracy of implant placement in edentulism

Zhang Sihui, Chen Weiyi, Cai Qin, Lin Yuxuan, Chen Jiang

School and Hospital of Stomatology, Fujian Medical University, Fuzhou 350002, China

Received:2023-07-20 Online:2023-08-30 Published:2023-09-05
Contact: Chen Jiang, Email:jiangchen@fjmu.edu.cn,Tel: 0086-591-83265772

摘要/Abstract

摘要： 目的本研究旨在评估机器人技术在无牙颌种植手术中的精度,并探索全程引导与半程引导机器人技术对种植精度的影响。方法选取2022年4月至2023年4月在福建医科大学附属口腔医院种植科接受机器人种植手术的牙列缺失患者5例,共38颗种植体。在种植机器人辅助下完成种植手术,利用术后拍摄的CBCT数据与术前种植体规划进行对比,测量种植体的颈部偏差、根部偏差和角度偏差。所有数据应用SPSS 26.0软件进行统计学分析,各组间测量值对比采用独立样本t检验,检验水准α=0.05,P<0.05认为差异有统计学意义。结果 38颗种植体的平均颈部偏差为（1.20±0.76）mm、平均根部偏差为（1.25±0.76）mm、平均角度偏差为2.94°±2.33°。半程组与全程组种植精度相比,半程组颈部偏差为（1.51±0.86）mm、根部偏差为（1.63±0.78）mm、角度偏差为3.13°±2.71°;全程组颈部偏差为（0.81±0.39）mm、根部偏差为（0.79±0.41）mm、角度偏差为2.71°±1.82°,全程组的颈部偏差和根部偏差较半程组低,差异有统计学意义,两组间角度偏差无显著差异。结论机器人技术在无牙颌种植手术中的精度基本能满足临床要求,全程使用机器人系统完成手术可以获得更高的种植精度。

关键词: 口腔种植, 机器人, 无牙颌, 精度

Abstract: Objective The purpose of this study is to evaluate the accuracy of robotic technology in complete edentulous implant surgery, and to explore the influence of full-guidance versus partial-guidance on robotic implant accuracy. Methods From April 2022 to April 2023, there were 38 implants in 5 complete edentulous patients who underwent robotic implant surgery in the Fujian Medical University School and Hospital of Stomatology. The implant surgeries were completed with the assistance of the dental implant robot. The postoperative CBCT data were compared with the preoperative implant planning, and the deviations of implant neck, deviations of implant apex, and angular deviations of the implants were measured. All data were statistically analyzed by SPSS 26.0 software, and the measured values among the groups were compared by using independent sample t-test, with a significance level of α=0.05, and the difference was considered to be statistically significant at P< 0.05. Results The average deviation of implant neck of 38 implants was (1.20±0.76) mm, the average deviation of implant apex was (1.25±0.76) mm, and the average angular deviation was 2.94°±2.33°. Compared with the implant accuracy of the partial group and the full group, the deviation of implant neck of the partial group was (1.51±0.86) mm, the deviation of implant apex was (1.63±0.78) mm, and the angular deviation was 3.13°±2.71°, while the deviation of implant neck of the full group was (0.81±0.39) mm, the deviation of implant apex was (0.79±0.41) mm, and the angular deviation was 2.71°±1.82°. The full group displayed lower deviations at both the implant neck and apex compared to the partial group, and these differences were statistically significant. However, there was no significant difference in angular deviation between the groups. Conclusion Robotic technology demonstrates satisfactory accuracy for implant surgery in completely edentulous patients. Procedures entirely performed using robotic systems exhibit superior implant accuracy.

Key words: Dental implant, Robot, Edentulism, Accuracy

张思慧,陈威夷,蔡琴,等. 比较全程引导与半程引导机器人技术对无牙颌种植精度的影响[J]. 中国口腔种植学杂志, 2023, 28(4): 229-232. DOI: 10.12337/zgkqzzxzz.2023.08.004

Zhang Sihui, Chen Weiyi, Cai Qin, Lin Yuxuan, Chen Jiang. Comparing the impact of full-guidance versus partial-guidance robotic technology on the accuracy of implant placement in edentulism[J].Chinese Journal of Oral Implantology, 2023, 28(4): 229-232.DOI: 10.12337/zgkqzzxzz.2023.08.004.

参考文献

[1] 高洁, 马康傑, 姜雅萍, 等. 全程导板辅助无牙颌种植的精度研究[J].精准医学杂志,2021,36(2):119-122. DOI: 10.13362/j.jpmed.202102006.
[2] 张雪洋, 黄雁红, 陈沛, 等. 无牙颌种植义齿的咬合设计[J].华西口腔医学杂志,2018,36(1):1-3. DOI: 10.7518/hxkq.2018.01.001.
[3] Jorba-García A, González-Barnadas A, Camps-Font O, et al.Accuracy assessment of dynamic computer-aided implant placement: a systematic review and meta-analysis[J]. Clin Oral Investig, 2021,25(5):2479-2494. DOI: 10.1007/s00784-021-03833-8
[4] Gaêta-Araujo H, Oliveira-Santos N, Mancini A, et al.Retrospective assessment of dental implant-related perforations of relevant anatomical structures and inadequate spacing between implants/teeth using cone-beam computed tomography[J]. Clin Oral Investig, 2020,24(9):3281-3288. DOI: 10.1007/s00784-020-03205-8.
[5] 陶宝鑫, 蓝耕良, 黄伟, 等. 动态导航技术辅助无牙颌种植精度分析[J].上海交通大学学报(医学版),2022,42(9): 1353-1360. DOI: 10.3969/j.issn.1674-8115.2022.09.024.
[6] 陈江. 机器人在口腔种植领域的应用[J].中国口腔种植学杂志, 2022, 27(5): 274-279. DOI: 10.12337/zgkqzzxzz. 2022.10.003.
[7] Jaemsuwan S, Arunjaroensuk S, Kaboosaya B, et al.Comparison of the accuracy of implant position among freehand implant placement, static and dynamic computer-assisted implant surgery in fully edentulous patients: a non-randomized prospective study[J]. Int J Oral Maxillofac Surg, 2023,52(2):264-271. DOI: 10.1016/j.ijom.2022.05.009.
[8] Bolding SL, Reebye UN.Accuracy of haptic robotic guidance of dental implant surgery for completely edentulous arches[J]. J Prosthet Dent, 2022,128(4):639-647. DOI: 10.1016/j.prosdent.2020.12.048.
[9] Gargallo-Albiol J, Barootchi S, Marqués-Guasch J, et al.Fully guided versus half-guided and freehand implant placement: systematic review and meta-analysis[J]. Int J Oral Maxillofac Implants, 2020,35(6):1159-1169. DOI: 10.11607/jomi.7942.
[10] Demetoglu U, Bilge S, Aslan S, et al. Comparison of the accuracy of pilot-drill- guided and fully guided implant surgery with dynamic navigation. In vitro model study[J]. J Oral Implantol, 2021 Dec 26.DOI: 10.1563/aaid-joi-D-20-00383.
[11] Younes F, Cosyn J, De Bruyckere T, et al.A randomized controlled study on the accuracy of free-handed, pilot-drill guided and fully guided implant surgery in partially edentulous patients[J]. J Clin Periodontol.2018,45(6):721-732.DOI: 10.1111/jcpe.12897.
[12] Vercruyssen M, Coucke W, Naert I, et al.Depth and lateral deviations in guided implant surgery: an RCT comparing guided surgery with mental navigation or the use of a pilot-drill template[J]. Clin Oral Implants Res, 2015,26(11):1315-1320. DOI: 10.1111/clr.12460.

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比较全程引导与半程引导机器人技术对无牙颌种植精度的影响

Comparing the impact of full-guidance versus partial-guidance robotic technology on the accuracy of implant placement in edentulism

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