动态导航技术在口腔种植教学中的应用研究

doi:10.12337/zgkqzzxzz.2022.08.010

中国口腔种植学杂志 ›› 2022, Vol. 27 ›› Issue (4): 254-258.DOI: 10.12337/zgkqzzxzz.2022.08.010

动态导航技术在口腔种植教学中的应用研究

蒋瑞芳, 张艳芳, 李雪, 刘浏, 薛芃

解放军总医院第一医学中心口腔科 100853

收稿日期:2022-05-04 出版日期:2022-08-30 发布日期:2022-09-07
通讯作者: 薛芃,Email：690857502@qq.com,电话：010-66937964 作者简介：蒋瑞芳, 主治医师,研究方向：口腔种植学; 薛芃, 主治医师,研究方向：种植体周及牙周病、牙体牙髓疾病。
基金资助:
国家自然科学基金（81700968）

The application of dynamic navigation system in dental implant training

Jiang Ruifang, Zhang Yanfang, Li Xue, Liu Liu, Xue Peng

Department of stomatology, Chinese PLA General Hospital, Beijing 100853, China

Received:2022-05-04 Online:2022-08-30 Published:2022-09-07
Contact: Xue Peng, Email:690857502@qq.com, Tel: 0086-10-66937964
Supported by:
National Natural Science Foundation of China（81700968）

摘要/Abstract

摘要： 目的探索动态导航技术在口腔种植教学中的应用价值。方法选取20名口腔临床型硕士研究生,采用理论结合模型操作、传统教学结合动态导航新技术的方法进行教学。20名学生在完成口腔种植理论学习的基础上,先后在仿真颌骨模型上进行自由手及动态导航辅助种植。课程结束后,进行自由手和动态导航辅助种植的误差分析并向学生发放调查问卷,对比二者的优缺点,提出改进意见。结果动态导航组在种植体平台偏差、根尖偏差及角度偏差的数值均小于自由手操作组,且差异具有统计学意义（P<0.05）,说明学生在动态导航辅助下种植体植入更加精准。问卷调查结果显示动态导航有助于提高学生的动手操作能力,增加学习兴趣,学生的满意度较高。结论将动态导航技术应用于口腔种植教学过程中,获得了良好的教学效果,值得推广。

关键词: 动态导航技术, 颌骨模型, 口腔种植教学

Abstract: Objective To explore the application of dynamic navigation technique in dental implant training. Methods 20 postgraduate students were included in the training course which combined theoretical course with model simulation operation. The theoretical course of implant dentistry was delivered first and subsequently all students performed free-hand and dynamic navigation implant surgery on the simulation jaw models in sequence. At the end of the course, an error analysis between the two techniques was conducted and a questionnaire was registered by the students, focusing on the comparisons of advantages and disadvantages between dynamic navigation system and free hand surgery, and put forward suggestions for improvement. ResultThe values of implant platform deviation, apical deviation and angle deviation in the dynamic navigation group were lower than those in the free-hand operation group, and the difference was statistically significant (P<0.05), indicating that the students were more accurate in implant placement under the assistance of dynamic navigation.The results of the questionnaire survey show that dynamic navigation helps to improve the students' hands-on ability, increase their interest in learning, and the students' satisfaction is high. Conclusions The application of the dynamic navigation system in the implant training course has exhibited a satisfying teaching effect and is worthy of spreading.

Key words: Dynamic navigation system, Simulation jaw model, Dental implant training

蒋瑞芳,张艳芳,李雪,等. 动态导航技术在口腔种植教学中的应用研究[J]. 中国口腔种植学杂志, 2022, 27(4): 254-258. DOI: 10.12337/zgkqzzxzz.2022.08.010

Jiang Ruifang, Zhang Yanfang, Li Xue, Liu Liu, Xue Peng. The application of dynamic navigation system in dental implant training[J].Chinese Journal of Oral Implantology, 2022, 27(4): 254-258.DOI: 10.12337/zgkqzzxzz.2022.08.010.

参考文献

[1] D'haese J, Ackhurst J, Wismeijer D, et al. Current state of the art of computer-guided implant surgery[J]. Periodontol 2000, 2017,73(1):121-133. DOI: 10.1111/prd.12175.
[2] Joda T, Derksen W, Wittneben JG, et al. Static computer-aided implant surgery (s-cais) analysing patient-reported outcome measures (proms), economics and surgical complications: a systematic review[J]. Clin Oral Implants Res, 2018,29 Suppl 16:359-373. DOI: 10.1111/clr.13136.
[3] 葛严军, 刘晓强, 王勇. 动态导航系统在口腔种植中的临床应用及展望[J].中国实用口腔科杂志,2020,13(8):449-455. DOI: 10.19538/j.kq.2020.08.001.
[4] Sun TM, Lan TH, Pan CY, et al. Dental implant navigation system guide the surgery future[J]. Kaohsiung J Med Sci, 2018,34(1):56-64. DOI: 10.1016/j.kjms.2017.08.011.
[5] 刘菁晶, 雒琪玥, 王婧, 等. 数字化技术在口腔种植专业研究生临床前教学中的应用[J].口腔疾病防治, 2020,28(8):530-534. DOI: 10.12016/j.issn.2096-1456.2020.08.010.
[6] 林野. 当代牙种植体设计进步与临床意义[J].华西口腔医学杂志,2017,35(1):18-28. DOI: 10.7518/hxkq.2017.01.003.
[7] 郑园娜, 王铭杰, 胡琳驰, 等. 数字化种植引入口腔种植本科课程教学的改革成效评价[J].浙江中医药大学学报,2018,42(1):87-91,96. DOI: 10.16466/j.issn1005-5509.2018.01.021.
[8] 张晓明, 苗德田, 惠敏. 以案例为引导模式在口腔种植学教学中的应用[J].中国继续医学教育,2021,13(36): 40-43. DOI: 10.3969/j.issn.1674-9308.2021.36.011.
[9] 伍颖颖, 周丰, 向琳, 等. 数字化导板技术在口腔种植临床教学中的应用[J].医学教育研究与实践, 2021,29(3):469-472,481. DOI: 10.13555/j.cnki.c.m.e.2021.03.031.
[10] Egmir E, Erdem C, Kocyigit M, et al. Trends in educational research: a content analysis of the studies published in international journal of instruction[J].International Journal of Instruction,2017,10(3):277-294.DOI:10.12973/iji.2017.10318a.
[11] 赵世勇, 郭雪琪, 林炳鹏, 等. 数字化口腔医学技术在研究生教育中的应用教学研究[J].教育教学论坛,2021, (21):161-164.
[12] Zhan Y, Wang M, Cheng X, et al. Evaluation of a dynamic navigation system for training students in dental implant placement[J]. J Dent Educ, 2021,85(2):120-127. DOI: 10.1002/jdd.12399.
[13] Block MS, Emery RW, Lank K, et al. Implant placement accuracy using dynamic navigation[J]. Int J Oral Maxillofac Implants, 2017,32(1):92-99. DOI: 10.11607/jomi.5004.
[14] 满毅, 周楠, 杨醒眉. 动态实时导航在口腔种植领域中的临床应用及新进展[J].口腔疾病防治,2020,28(6):341-345. DOI: 10.12016/j.issn.2096-1456.2020.06.001.
[15] Jorba-García A, Figueiredo R, González-Barnadas A, et al. Accuracy and the role of experience in dynamic computer guided dental implant surgery: an in-vitro study[J]. Med Oral Patol Oral Cir Bucal, 2019,24(1):e76-e83. DOI: 10.4317/medoral.22785.
[16] Sun TM, Lee HE, Lan TH. The influence of dental experience on a dental implant navigation system[J]. BMC Oral Health, 2019,19(1):222. DOI: 10.1186/s12903-019-0914-2.
[17] Golob Deeb J, Bencharit S, Carrico CK, et al. Exploring training dental implant placement using computer-guided implant navigation system for predoctoral students: a pilot study[J]. Eur J Dent Educ, 2019,23(4):415-423. DOI: 10.1111/eje.12447.
[18] Al-Ekrish AA, Ekram M. A comparative study of the accuracy and reliability of multidetector computed tomography and cone beam computed tomography in the assessment of dental implant site dimensions[J]. Dentomaxillofac Radiol, 2011,40(2):67-75. DOI: 10.1259/dmfr/27546065.
[19] Aydemir CA, Arisan V. Accuracy of dental implant placement via dynamic navigation or the freehand method: a split-mouth randomized controlled clinical trial[J]. Clin Oral Implants Res, 2020,31(3):255-263. DOI: 10.1111/clr.13563.
[20] Chen CK, Yuh DY, Huang RY, et al. Accuracy of implant placement with a navigation system, a laboratory guide, and freehand drilling[J]. Int J Oral Maxillofac Implants, 2018,33(6):1213-1218. DOI: 10.11607/jomi.6585.
[21] Stefanelli LV, DeGroot BS, Lipton DI, et al. Accuracy of a dynamic dental implant navigation system in a private practice[J]. Int J Oral Maxillofac Implants, 2019,34(1):205-213. DOI: 10.11607/jomi.6966.

动态导航技术在口腔种植教学中的应用研究

The application of dynamic navigation system in dental implant training

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 0

编辑推荐

Metrics