数字化导板与动态导航在口腔种植应用中的研究进展
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摘要
数字化导板与动态导航在临床的应用为以修复为导向、微创、精准地种植提供了便利,两者可辅助医生在术前规划制定种植方案,帮助术者术中避开重要的解剖结构,引导医生在安全的区域内实现微创种植。2种辅助技术虽然都具有较高的精确度,但在使用过程中仍然会产生一定的误差。本文将综合分析比较数字化导板与动态导航的临床操作过程以及可能影响其精确性的因素。
With the help of surgical template and dynamic navigation system, prosthetic-driven implant dentistry has become reality. Furthermore, they can help realize minimal invasion and improve accuracy. These technologies might help doctors make preoperative implant planning, and achieve safe surgery by avoiding anatomic structures during operation.While both methods aim to achieve high accuracy, some errors in the clinical application are still detected. This article analyzes differences between the application of surgical template and dynamic navigation in clinics, and factors that may influence their accuracy.
With the help of surgical template and dynamic navigation system, prosthetic-driven implant dentistry has become reality. Furthermore, they can help realize minimal invasion and improve accuracy. These technologies might help doctors make preoperative implant planning, and achieve safe surgery by avoiding anatomic structures during operation.While both methods aim to achieve high accuracy, some errors in the clinical application are still detected. This article analyzes differences between the application of surgical template and dynamic navigation in clinics, and factors that may influence their accuracy.
引文
[1] Yazdani J, Ahmadian E, Sharifi S, et al. A short view on nanohydroxyapatite as coating of dental implants[J]. Biomed Pharmacother, 2018, 105:553-557.
[2] Preethanath RS,AlNahas NW, Bin Huraib SM, et al.Microbiome of dental implants and its clinical aspect[J]. Microb Pathog, 2017, 106:20-24.
[3] Harada T, Isomura ET, Uchihashi T, et al. Aspergillosis associated with migration of a dental implant into the maxillary sinus:a case report[J]. J Oral Maxillofac Surg Med Pathol, 2017, 29(5):448-451.
[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.
[5] D'Souza KM, Aras MA. Types of implant surgical guides in dentistry:a review[J]. J Oral Implantol,2012, 38(5):643-652.
[6] Herklotz I, Beuer F, Kunz A, et al. Navigation in implantology[J]. Int J Comput Dent, 2017, 20(1):9-19.
[7] de Mello JS,Faot F,Correa G, et al. Success rate and complications associated with dental implants in the incisive canal region:a systematic review[J]. Int J Oral Maxillofac Surg,2017, 46(12):1584-1591.
[8] Dreiseidler T, Neugebauer J, Ritter L, et al. Accuracy of a newly developed integrated system for dental implant planning[J]. Clin Oral Implants Res, 2009,20(11):1191-1199.
[9] Tardieu PB,Vrielinck L,Escolano E, et al. Computerassisted implant placement:scan template, simplant,surgiguide, and SAFE system[J]. Int J Periodontics Restorative Dent, 2007, 27(2):141-149.
[10] Widmann G, Stoffner R, Keiler M, et al. A laboratory training and evaluation technique for computer-aided oral implant surgery[J]. Int J Med Robot, 2009, 5(3):276-283.
[11] Siessegger M, Schneider BT, Mischkowski RA, et al.Use of an image-guided navigation system in dental implant surgery in anatomically complex operation sites[J]. J Craniomaxillofac Surg,2001,29(5):276-281.
[12] Block MS, Emery RW. Static or dynamic navigation for implant placement:choosing the method of guidance[J]. J Oral Maxillofac Surg, 2016, 74(2):269-277.
[13] Emery RW,Merritt SA,Lank K,et al. Accuracy of dynamic navigation for dental implant placementmodel-based evaluation[J]. J Oral Implantol, 2016,42(5):399-405.
[14] dos Santos PL, Queiroz TP, Margonar R, et al. Evaluation of bone heating, drill deformation, and drill roughness after implant osteotomy:guided surgery and classic drilling procedure[J]. Int J Oral Maxillofac Implants, 2014, 29(1):51-58.
[15] Block MS, Emery RW,Cullum DR, et al. Implant placement is more accurate using dynamic navi-gation[J]. J Oral Maxillofac Surg, 2017, 75(7):1377-1386.
[16] Ng FC, Ho KH, Wexler A. Computer-assisted navigational surgery enhances safety in dental implantology[J]. Ann Acad Med Singap, 2005, 34(5):383-388.
[17] Wagner A, Wanschitz F, Birkfellner W, et al. Computeraided placement of endosseous oral implants in patients after ablative tumour surgery:assessment of accuracy[J]. Clin Oral Implants Res,2003,14(3):340-348.
[18] van Assche N, Vercruyssen M, Coucke W, et al. Accuracy of computer-aided implant placement[J]. Clin Oral Implants Res, 2012, 23(Suppl 6):112-123.
[19] Block M, Emery R, Lank K,et al. Implant placement accuracy using dynamic navigation[J]. Int J Oral Maxillofac Implants, 2017, 32(1):92-99.
[20] Zhao XZ, Xu WH, Tang ZH, et al. Accuracy of computer-guided implant surgery by a CAD/CAM and laser scanning technique[J]. Chin J Dent Res, 2014,17(1):31-36.
[21] Takeuchi Y,Koizumi H,Furuchi M, et al. Use of digital impression systems with intraoral scanners for fabricating restorations and fixed dental prostheses[J]. J Oral Sci,2018, 60(1):1-7.
[22] Turbush SK, Turkyilmaz I. Accuracy of three different types of stereolithographic surgical guide in implant placement:An in vitro study[J]. J Prosthet Dent, 2012, 108(3):181-188.
[23] Ozan O, Turkyilmaz I,Ersoy AE, et al. Clinical accuracy of 3 different types of computed tomographyderived stereolithographic surgical guides in implant placement[J]. J Oral Maxillofac Surg,2009, 67(2):394-401.
[24] Horwitz J, Zuabi O, Machtei EE. Accuracy of a computerized tomography-guided template-assisted implant placement system:an in vitro study[J]. Clin Oral Implants Res, 2009, 20(10):1156-1162.
[25] D'haese J, de Bruyn H. Effect of smoking habits on accuracy of implant placement using mucosally supported stereolithographic surgical guides[J]. Clin Implant Dent Relat Res, 2013, 15(3):402-411.
[26] Cidade CP, Olate S, Pozzer L, et al. Stress analysisin maxillary all-on-four model[J]. Int J Odontostomatol,2015, 9(2):205-211.
[27] Moon SY, Lee KR, Kim SG, et al. Clinical problems of computer-guided implant surgery[J]. Maxillofac Plast Reconstr Surg,2016, 38(1):15.
[28] Lanis A, Padial-Molina M, Gamil R, et al. Computerguided implant surgery and immediate loading with a modifiable radiographic template in a patient with partial edentulism:a clinical report[J]. J Prosthet Dent, 2015, 114(3):328-334.
[29] Widmann G, Stoffner R, Schullian P, et al. Comparison of the accuracy of invasive and noninvasive registration methods for image-guided oral implant surgery[J]. Int J Oral Maxillofac Implants, 2010, 25(3):491-498.
[30] Maurer CR Jr, Fitzpatrick JM, Wang MY, et al.Registration of head volume images using implantable fiducial markers[J]. IEEE Trans Med Imaging,1997, 16(4):447-462.
[31] Widmann G, Bale RJ. Accuracy in computer-aided implant surgery:a review[J]. Int J Oral Maxillofac Implants, 2006, 21(2):305-313.
[32] Meyer U, Wiesmann HP, Runte C, et al. Evaluation of accuracy of insertion of dental implants and prosthetic treatment by computer-aided navigation in minipigs[J]. Br J Oral Maxillofac Surg, 2003, 41(2):102-108.
[33] Brief J, Edinger D, Hassfeld S, et al. Accuracy of image-guided implantology[J]. Clin Oral Implants Res,2005, 16(4):495-501.
[34] Widmann G, Stoffner R, Bale R. Errors and error management in image-guided craniomaxillofacial surgery[J]. Oral Surg Oral Med Oral Pathol Oral Radiol Endod,2009, 107(5):701-715.
[35]刘喆,孙国文.计算机导航技术在邻近颅底肿瘤病变手术中的应用[J].口腔医学研究,2018, 34(4):419-423.Liu Z, Sun GW. Application of computer-assisted navigation in oral and maxillofacial tumor adjacent to skull base[J]. J Oral Sci Res, 2018, 34(4):419-423.
[2] Preethanath RS,AlNahas NW, Bin Huraib SM, et al.Microbiome of dental implants and its clinical aspect[J]. Microb Pathog, 2017, 106:20-24.
[3] Harada T, Isomura ET, Uchihashi T, et al. Aspergillosis associated with migration of a dental implant into the maxillary sinus:a case report[J]. J Oral Maxillofac Surg Med Pathol, 2017, 29(5):448-451.
[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.
[5] D'Souza KM, Aras MA. Types of implant surgical guides in dentistry:a review[J]. J Oral Implantol,2012, 38(5):643-652.
[6] Herklotz I, Beuer F, Kunz A, et al. Navigation in implantology[J]. Int J Comput Dent, 2017, 20(1):9-19.
[7] de Mello JS,Faot F,Correa G, et al. Success rate and complications associated with dental implants in the incisive canal region:a systematic review[J]. Int J Oral Maxillofac Surg,2017, 46(12):1584-1591.
[8] Dreiseidler T, Neugebauer J, Ritter L, et al. Accuracy of a newly developed integrated system for dental implant planning[J]. Clin Oral Implants Res, 2009,20(11):1191-1199.
[9] Tardieu PB,Vrielinck L,Escolano E, et al. Computerassisted implant placement:scan template, simplant,surgiguide, and SAFE system[J]. Int J Periodontics Restorative Dent, 2007, 27(2):141-149.
[10] Widmann G, Stoffner R, Keiler M, et al. A laboratory training and evaluation technique for computer-aided oral implant surgery[J]. Int J Med Robot, 2009, 5(3):276-283.
[11] Siessegger M, Schneider BT, Mischkowski RA, et al.Use of an image-guided navigation system in dental implant surgery in anatomically complex operation sites[J]. J Craniomaxillofac Surg,2001,29(5):276-281.
[12] Block MS, Emery RW. Static or dynamic navigation for implant placement:choosing the method of guidance[J]. J Oral Maxillofac Surg, 2016, 74(2):269-277.
[13] Emery RW,Merritt SA,Lank K,et al. Accuracy of dynamic navigation for dental implant placementmodel-based evaluation[J]. J Oral Implantol, 2016,42(5):399-405.
[14] dos Santos PL, Queiroz TP, Margonar R, et al. Evaluation of bone heating, drill deformation, and drill roughness after implant osteotomy:guided surgery and classic drilling procedure[J]. Int J Oral Maxillofac Implants, 2014, 29(1):51-58.
[15] Block MS, Emery RW,Cullum DR, et al. Implant placement is more accurate using dynamic navi-gation[J]. J Oral Maxillofac Surg, 2017, 75(7):1377-1386.
[16] Ng FC, Ho KH, Wexler A. Computer-assisted navigational surgery enhances safety in dental implantology[J]. Ann Acad Med Singap, 2005, 34(5):383-388.
[17] Wagner A, Wanschitz F, Birkfellner W, et al. Computeraided placement of endosseous oral implants in patients after ablative tumour surgery:assessment of accuracy[J]. Clin Oral Implants Res,2003,14(3):340-348.
[18] van Assche N, Vercruyssen M, Coucke W, et al. Accuracy of computer-aided implant placement[J]. Clin Oral Implants Res, 2012, 23(Suppl 6):112-123.
[19] Block M, Emery R, Lank K,et al. Implant placement accuracy using dynamic navigation[J]. Int J Oral Maxillofac Implants, 2017, 32(1):92-99.
[20] Zhao XZ, Xu WH, Tang ZH, et al. Accuracy of computer-guided implant surgery by a CAD/CAM and laser scanning technique[J]. Chin J Dent Res, 2014,17(1):31-36.
[21] Takeuchi Y,Koizumi H,Furuchi M, et al. Use of digital impression systems with intraoral scanners for fabricating restorations and fixed dental prostheses[J]. J Oral Sci,2018, 60(1):1-7.
[22] Turbush SK, Turkyilmaz I. Accuracy of three different types of stereolithographic surgical guide in implant placement:An in vitro study[J]. J Prosthet Dent, 2012, 108(3):181-188.
[23] Ozan O, Turkyilmaz I,Ersoy AE, et al. Clinical accuracy of 3 different types of computed tomographyderived stereolithographic surgical guides in implant placement[J]. J Oral Maxillofac Surg,2009, 67(2):394-401.
[24] Horwitz J, Zuabi O, Machtei EE. Accuracy of a computerized tomography-guided template-assisted implant placement system:an in vitro study[J]. Clin Oral Implants Res, 2009, 20(10):1156-1162.
[25] D'haese J, de Bruyn H. Effect of smoking habits on accuracy of implant placement using mucosally supported stereolithographic surgical guides[J]. Clin Implant Dent Relat Res, 2013, 15(3):402-411.
[26] Cidade CP, Olate S, Pozzer L, et al. Stress analysisin maxillary all-on-four model[J]. Int J Odontostomatol,2015, 9(2):205-211.
[27] Moon SY, Lee KR, Kim SG, et al. Clinical problems of computer-guided implant surgery[J]. Maxillofac Plast Reconstr Surg,2016, 38(1):15.
[28] Lanis A, Padial-Molina M, Gamil R, et al. Computerguided implant surgery and immediate loading with a modifiable radiographic template in a patient with partial edentulism:a clinical report[J]. J Prosthet Dent, 2015, 114(3):328-334.
[29] Widmann G, Stoffner R, Schullian P, et al. Comparison of the accuracy of invasive and noninvasive registration methods for image-guided oral implant surgery[J]. Int J Oral Maxillofac Implants, 2010, 25(3):491-498.
[30] Maurer CR Jr, Fitzpatrick JM, Wang MY, et al.Registration of head volume images using implantable fiducial markers[J]. IEEE Trans Med Imaging,1997, 16(4):447-462.
[31] Widmann G, Bale RJ. Accuracy in computer-aided implant surgery:a review[J]. Int J Oral Maxillofac Implants, 2006, 21(2):305-313.
[32] Meyer U, Wiesmann HP, Runte C, et al. Evaluation of accuracy of insertion of dental implants and prosthetic treatment by computer-aided navigation in minipigs[J]. Br J Oral Maxillofac Surg, 2003, 41(2):102-108.
[33] Brief J, Edinger D, Hassfeld S, et al. Accuracy of image-guided implantology[J]. Clin Oral Implants Res,2005, 16(4):495-501.
[34] Widmann G, Stoffner R, Bale R. Errors and error management in image-guided craniomaxillofacial surgery[J]. Oral Surg Oral Med Oral Pathol Oral Radiol Endod,2009, 107(5):701-715.
[35]刘喆,孙国文.计算机导航技术在邻近颅底肿瘤病变手术中的应用[J].口腔医学研究,2018, 34(4):419-423.Liu Z, Sun GW. Application of computer-assisted navigation in oral and maxillofacial tumor adjacent to skull base[J]. J Oral Sci Res, 2018, 34(4):419-423.