分析自主式机器人种植术采用微创不翻瓣技术的临床应用价值

doi:10.12337/zgkqzzxzz.2023.06.006

中国口腔种植学杂志 ›› 2023, Vol. 28 ›› Issue (3): 159-164.DOI: 10.12337/zgkqzzxzz.2023.06.006

• 口腔种植机器人重点栏目 • 上一篇下一篇

分析自主式机器人种植术采用微创不翻瓣技术的临床应用价值

贺瑾, 任凌飞, 张芩梦, 姜治伟, 杨国利

浙江大学医学院附属口腔医院 310000

收稿日期:2023-04-30 出版日期:2023-06-30 发布日期:2023-07-04
通讯作者: 杨国利,Email：guo_li1214@zju.edu.cn,电话：0571-87217430
作者简介:贺瑾, 硕士研究生，研究方向：数字化口腔种植精度研究; 杨国利, 教授、主任医师、博士生导师，研究方向：数字化口腔种植

Analysis of the clinical application value of minimally invasive non-flap technique based on autonomous robot implant surgery

He Jin, Ren Lingfei, Zhang Qinmeng, Jiang Zhiwei, Yang Guoli

Department of Implantology, The Affiliated Hospital of Stomatology, School of Stomatology, School of Medicine, Zhejiang University, Hangzhou 310000, Zhejiang, China

Received:2023-04-30 Online:2023-06-30 Published:2023-07-04
Contact: Guoli Yang, Email: guo_li1214@zju.edu.cn, Tel: 0086-571-87217430

摘要/Abstract

摘要： 目的探讨自主式机器人与传统自由手种植对精度及术后疼痛反应的影响。方法本研究回顾了2022年8月至2023年4月于浙江大学医学院附属口腔医院行自主式机器人（不翻瓣）及自由手（翻瓣）种植的牙列缺损患者,通过术前及术后口腔锥形束CT对比种植精度,采用数字分级法（numerical rating scale,NRS）评分评估患者术后第1周的疼痛反应。结果机器人组种植体植入点总误差为（0.57 ± 0.12）mm,末端点总误差为（0.59 ± 0.99）mm,角度误差为1.13° ± 0.46°,均低于自由手组（P < 0.05）。NRS评分显示在术后第1天、术后第3天、术后第5天及术后第7天机器人组患者疼痛反应较自由手组明显降低。结论自主式机器人的引入可以实现不翻瓣种植,使得口腔种植手术更加精准,降低了患者术后疼痛反应,值得推广应用。

关键词: 自主式机器人, 微创不翻瓣技术, 口腔种植术, 精度

Abstract: Objective To compare the accuracy and postoperative pain response of autonomous robotic and traditional free-hand implantations. Methods This study reviewed patients with dentition defects who underwent autonomous robotic (non-flap technique) and free-hand (flap technique) implantations at the Affiliated Hospital of Stomatology of the Zhejiang University School of Medicine from August 2022 to April 2023. Preoperative and postoperative cone beam computer tomography (CBCT) was used to compare the accuracy. The NRS score was applied to evaluate the pain response of patients in the first week after surgery. Results The linear and angular deviations in the robot group were significantly lower than those of the free-hand group [platform: (0.57±0.12)mm vs. (1.43±0.54)mm, apex: (0.59 ± 0.99)mm vs. (2.17±0.78)mm, angle: 1.13°±0.46 ° vs. 7.36°±4.02° (P < 0.05). ] NRS scores showed that patients in the robot group had a significantly lower pain response compared to the free-hand group on the 1st, 2nd, and 7th postoperative days. Conclusion The non-flap autonomous robotic implantation makes oral implant surgery more accurate and minimally invasive, and reduces the postoperative pain response, providing a promising alternative in the future clinical implant surgery.

Key words: Autonomous robot, Minimally invasive non-flap technique, Oral implant surgery, Accuracy

贺瑾,任凌飞,张芩梦,等. 分析自主式机器人种植术采用微创不翻瓣技术的临床应用价值[J]. 中国口腔种植学杂志, 2023, 28(3): 159-164. DOI: 10.12337/zgkqzzxzz.2023.06.006

He Jin, Ren Lingfei, Zhang Qinmeng, Jiang Zhiwei, Yang Guoli. Analysis of the clinical application value of minimally invasive non-flap technique based on autonomous robot implant surgery[J].Chinese Journal of Oral Implantology, 2023, 28(3): 159-164.DOI: 10.12337/zgkqzzxzz.2023.06.006.

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分析自主式机器人种植术采用微创不翻瓣技术的临床应用价值

Analysis of the clinical application value of minimally invasive non-flap technique based on autonomous robot implant surgery

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