数字化种植导板在美学区即刻种植中的精度研究

doi:10.12337/zgkqzzxzz.2023.10.014

中国口腔种植学杂志 ›› 2023, Vol. 28 ›› Issue (5): 377-382.DOI: 10.12337/zgkqzzxzz.2023.10.014

数字化种植导板在美学区即刻种植中的精度研究

蒋忠伟^1,3, 周红丽², 杨贝宁³

¹惠州致美口腔医院, 516001 广东;
²惠州卫生职业技术学院口腔医学院,516025 广东;
³武汉大学口腔医院修复科湖北省口腔基础医学重点实验室省部共建国家重点实验室培育基地口腔生物医学教育部重点实验室（武汉大学）430079

收稿日期:2023-04-20 出版日期:2023-10-30 发布日期:2023-11-07
通讯作者: 杨贝宁,Email：yangbeining@whu.edu.cn,电话：027-87686221
作者简介:蒋忠伟,硕士研究生,研究方向：数字化种植;杨贝宁,口腔修复学博士,主治医师,研究方向：牙周组织再生和骨再生
基金资助:
国家自然科学基金青年科学基金项目（82201025）,中央高校基本科研业务费专项资金（204202222kf1166)

Accuracy study of digital implant surgical guides for immediate implant placement in the esthetic zone

Jiang Zhongwei^1,3, Zhou Hongli², Yang Beining³

¹Hospital of Stomatology Huizhou Zhimei, Huizhou 516001, Guangdong, China;
²Huizhou Health Sciences Polytechnic, Huizhou 516025, Guangdong, China;
³Department of Prosthodontics, School of Stomatology Wuhan University, The State Key Laboratory Breeding Base of Basic Science of Stomatology (Hubei- MOST) and Key Laboratory of Oral Biomedicine Ministry of Education, Wuhan 430079, China

Received:2023-04-20 Online:2023-10-30 Published:2023-11-07
Contact: Yang Beining, Email: yangbeining@whu.edu.cn, Tel: 0086-27-87686221
Supported by:
Young Scientists Fund of the National Natural Science Foundation of China(82201025); The Fundamental Research Funds for the Central Universities (204202222kf1166)

摘要/Abstract

摘要： 即刻种植是一项较为成熟、效果良好的手术方案,与延期种植相比,具有相似的种植成功率,且缩短治疗时间,即刻修复满足患者美学需求的同时,可最大限度保留软硬组织,维持美学效果。但是,受拔牙窝形态、手术因素的干扰,美学区即刻种植具有极高的技术敏感性。传统的自由手操作很难抵抗致密腭侧骨板的阻力,导致种植体实际位置偏向唇侧,从而出现美学或生物学并发症。随着计算机辅助技术的发展和成熟,数字化种植导板已广泛应用于种植手术,与自由手种植相比,可以显著提高精度。但是有关数字化种植导板在即刻种植中的精确性和影响因素研究报道较少,本文就数字化导板应用于美学区即刻种植的精确性及其影响因素进行综述。

关键词: 即刻种植, 数字化种植导板, 自由手, 三维偏差, 影响因素

Abstract: Immediate implant placement is proven as a predictable surgical option with similar success rates, but shorter treatment time compared with delayed implant placement. It even allows for immediate restoration to meet the patient’s aesthetic needs with maximum preservation of hard and soft tissues. However, immediate implant placement in the aesthetic zone is technically challenging due to the morphology of the extraction socket and various surgical factors. Conventional freehand manipulation struggles against the resistance of the dense palatal bone plate, potentially leading to aesthetic or biological complications when the implant deviates buccally. With the development and maturation of computer-assisted technology, digital implant guides have been widely used in implant surgery, which can significantly improve accuracy compared with freehand techniques. However, there is a paucity of studies that have reported the accuracy and influencing factors of immediate implant placement using these digital guides. This article reviews the accuracy and influencing factors of digital surgical guides for immediate implant placement in the aesthetic zone.

Key words: Immediate implant placement, Digital implant guide, Freehand, Three-dimensional deviation, Influencing factor

蒋忠伟,等周红丽,等杨贝宁. 数字化种植导板在美学区即刻种植中的精度研究[J]. 中国口腔种植学杂志, 2023, 28(5): 377-382. DOI: 10.12337/zgkqzzxzz.2023.10.014

Jiang Zhongwei, Zhou Hongli, Yang Beining. Accuracy study of digital implant surgical guides for immediate implant placement in the esthetic zone[J].Chinese Journal of Oral Implantology, 2023, 28(5): 377-382.DOI: 10.12337/zgkqzzxzz.2023.10.014.

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数字化种植导板在美学区即刻种植中的精度研究

Accuracy study of digital implant surgical guides for immediate implant placement in the esthetic zone

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