牙种植数字化导板及其精确性影响因素研究进展
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摘要
近年来,数字化技术在口腔种植领域乃至整个医学领域发挥着至关重要的作用。在种植手术中,数字化导板有助于术者更好地控制种植体植入的位置、提高精确度,但数字化导板辅助下植入的种植体位置仍与术前设计的理想位置存在一定的偏差。文章介绍了牙种植数字化导板的分类、设计制作及其优缺点,提出了评估数字化导板精确性的方法并分析了影响牙种植数字化导板精确性的相关因素,以期为种植医生在临床工作中提供参考。
In recent years,digital technology plays a crucial role in the field of oral implants and even the entire medicine field. During implant surgery,digital implant-guide plate improves accuracy of implant placement by better controlling the position of implant,but the position of the implant implanted with the aid of the digital implant-guide plate still deviates from the ideal position of the preoperative design. This article described the classification,design and manufacture of digital implant-guide plate. The advantages and disadvantages of this approach are also analyzed. It also raised the analysis method of the accuracy of implant-guide plate and the relevant factors affecting it. This review aims to provide references for implant doctors in clinical work.
In recent years,digital technology plays a crucial role in the field of oral implants and even the entire medicine field. During implant surgery,digital implant-guide plate improves accuracy of implant placement by better controlling the position of implant,but the position of the implant implanted with the aid of the digital implant-guide plate still deviates from the ideal position of the preoperative design. This article described the classification,design and manufacture of digital implant-guide plate. The advantages and disadvantages of this approach are also analyzed. It also raised the analysis method of the accuracy of implant-guide plate and the relevant factors affecting it. This review aims to provide references for implant doctors in clinical work.
引文
[1]Chang RJ,Chen HL,Huang LG,et al.Accuracy of implant placement with a computer-aided fabricated surgical template with guided parallel pins:A pilot study[J].J Chin Med Assoc,2018,81(11):970-976.
[2]Bencharit S,Staffen A,Yeung M,et al.In vivo,tooth-supported implant surgical guides fabricated with desktop stereolithographic printers:fully guided surgery is more accurate than partially guided surgery[J].J Oral Maxillofac Surg,2018,76(7):1431-1439.
[3]Lanis A,Llorens P,álvarez Del Canto O.Selecting the appropriate digital planning pathway for computer-guided implant surgery[J].Int J Comput Dent,2017,20(1):75-85.
[4]张健,王庆福,王艳颖,等.数字化导板在口腔种植中的应用[J].中国实用口腔科杂志,2014,7(3):129-133.
[5]于德栋,黄伟,张志勇,等.数字化技术在种植外科中的应用[J].中国实用口腔科杂志,2016,9(1):10-14.
[6]耿威.数字化口腔种植治疗现状与研究进展[J].中国实用口腔科杂志,2016,9(1):2-9.
[7]Cristache CM,Gurbanescu S.Accuracy evaluation of a stereolithographic surgical template for dental implant insertion using3D superimposition protocol[J].Int J Dent,2017,2017:4292081.
[8]Baruffaldi A,Poli PP,Baruffaldi A,et al.Computer-aided flapless implant surgery and immediate loading.A technical note[J].Oral Maxillofac Surg,2016,20(3):313-319.
[9]Papaspyridakos P,White GS,Lal K.Flapless CAD/CAM-guided surgery for staged transition from failing dentition to complete arch implant rehabilitation:a 3-year clinical report[J].J Prosthet Dent,2012,107(3):143-150.
[10]Bedi A,Michalakis KX,Mariani EJ Jr,et al.Immediately loaded maxillary and mandibular dental implants with fixed CAD/CAM prostheses using a flapless surgical approach:a clinical report[J].J Prosthodont,2011,20(4):319-325.
[11]Behneke A,Burwinkel M,Knierim K,et al.Accuracy assessment of cone beam computed tomography-derived laboratorybased surgical templates on partially edentulous patients[J].Clin Oral Implants Res,2012,23(2):137-143.
[12]Pettersson A,Komiyama A,Hultin M,et al.Accuracy of virtually planned and template guided implant surgery on edentate patients[J].Clin Implant Dent Relat Res,2012,14(4):527-537.
[13]Assche N,Vercruyssen M,Coucke W,et al.Accuracy of computer-aided implant placement[J].Clin Oral Implants Res,2012,23(s6):112-123.
[14]Schneider D,Marquardt P,Zwahlen M,et al.A systematic review on the accuracy and the clinical outcome of computerguided template-based implant dentistry[J].Clin Oral Implants Res,2009,20(s4):73-86.
[15]Odium O.A method of eliminating streak artifacts from metallic dental restorations in CTs of head and neck cancer patients[J].Spec Care Dentist,2001,21(2):72-74.
[16]Steinh?user-Andresen S,Detterbeck A,Funk C,et al.Pilot study on accuracy and dimensional stability of impression materials using industrial CT technology[J].J Orofac Orthop,2011,72(2):111-124.
[17]van Steenberghe D,Naert I,Andersson M,et al.A custom template and definitive prosthesis allowing immediate implant loading in the maxilla:a clinical report[J].Int J Oral Maxillofac Implants,2002,17(5):663-670.
[18]H?mmerle CH,Cordaro L,Assche N,et al.Digital technologies to support planning,treatment,and fabrication processes and outcome assessments in implant dentistry.Summary and consensus statements.The 4th EAO consensus conference2015[J].Clin Oral Implants Res,2015,26(S11):97-101.
[19]Brief J,Edinger D,Hassfeld S,et al.Accuracy of image-guided implantology[J].Clin Oral Implants Res,2005,16(4):495-501.
[20]Cassetta M,Giansanti M,Di Mambro A,et al.Accuracy of two stereolithographic surgical templates:a retrospective study[J].Clin Implant Dent Relat Res,2013,15(3):448-459.
[21]Sun Y,Luebbers HT,Agbaje JO,et al.Accuracy of dental implant placement using CBCT-derived mucosa-supported stereolithographic template[J].Clin Implant Dent Relat Res,2015,17(5):862-870.
[22]Vasak C,Watzak G,Gahleitner A,et al.Computed tomographybased evaluation of template(NobelGuide?)-guided implant positions:a prospective radiological study[J].Clin Oral Implants Res,2011,22(10):1157-1163.
[23]Pettersson A,Kero T,S?derberg R,et al.Accuracy of virtually planned and CAD/CAM-guided implant surgery on plastic models[J].J Prosthet Dent,2014,112(6):1472-1478.
[24]Cushen SE,Turkyilmaz I.Impact of operator experience on the accuracy of implant placement with stereolithographic surgical templates:an in vitro study[J].J Prosthet Dent,2013,109(4):248-254.
[25]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.
[26]Verhamme LM,Meijer GJ,Boumans T,et al.A clinically relevant accuracy study of computer-planned implant placement in the edentulous maxilla using mucosa-supported surgical templates[J].Clin Implant Dent Relat Res,2015,17(2):343-352.
[27]Ozan O,Turkyilmaz I,Ersoy AE,et al.Clinical accuracy of 3different types of computed tomography-derived stereolithographic surgical guides in implant placement[J].J Oral Maxillofac Surg,2009,67(2):394-401.
[28]Verhamme LM,Meijer GJ,BergéSJ,et al.An accuracy study of computer-planned implant placement in the augmented maxilla using mucosa-supported surgical templates[J].Clin Implant Dent Relat Res,2015,17(6):1154-1163.
[29]Yong LT,Moy PK.Complications of computer-aided-design/computer-aided-machining-guide(NobelGuide)surgical implant placement:an evaluation of early clinical results[J].Clin Implant Dent Relat Res,2008,10(3):123-127.
[30]Christoph V,Strbac GD,Huber CD,et al.Evaluation of three different validation procedures regarding the accuracy of template-guided implant placement:an in vitro study[J].Clin Implant Dent Relat Res,2015,17(1):142-149.
[31]Lee DH,An SY,Hong MH,et al.Accuracy of a direct drillguiding system with minimal tolerance of surgical instruments used for implant surgery:a prospective clinical study[J].J Adv Prosthodont,2016,8(3):207-213.
[32]Koop R,Vercruyssen M,Vermeulen K,et al.Tolerance within the sleeve inserts of different surgical guides for guided implant surgery[J].Clin Oral Implants Res,2013,24(6):630-634.
[33]Beretta M,Poli PP,Maiorana C.Accuracy of computer-aided template-guided oral implant placement:a prospective clinical study[J].J Periodontal Implant Sci,2014,44(4):184-193.
[34]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.
[2]Bencharit S,Staffen A,Yeung M,et al.In vivo,tooth-supported implant surgical guides fabricated with desktop stereolithographic printers:fully guided surgery is more accurate than partially guided surgery[J].J Oral Maxillofac Surg,2018,76(7):1431-1439.
[3]Lanis A,Llorens P,álvarez Del Canto O.Selecting the appropriate digital planning pathway for computer-guided implant surgery[J].Int J Comput Dent,2017,20(1):75-85.
[4]张健,王庆福,王艳颖,等.数字化导板在口腔种植中的应用[J].中国实用口腔科杂志,2014,7(3):129-133.
[5]于德栋,黄伟,张志勇,等.数字化技术在种植外科中的应用[J].中国实用口腔科杂志,2016,9(1):10-14.
[6]耿威.数字化口腔种植治疗现状与研究进展[J].中国实用口腔科杂志,2016,9(1):2-9.
[7]Cristache CM,Gurbanescu S.Accuracy evaluation of a stereolithographic surgical template for dental implant insertion using3D superimposition protocol[J].Int J Dent,2017,2017:4292081.
[8]Baruffaldi A,Poli PP,Baruffaldi A,et al.Computer-aided flapless implant surgery and immediate loading.A technical note[J].Oral Maxillofac Surg,2016,20(3):313-319.
[9]Papaspyridakos P,White GS,Lal K.Flapless CAD/CAM-guided surgery for staged transition from failing dentition to complete arch implant rehabilitation:a 3-year clinical report[J].J Prosthet Dent,2012,107(3):143-150.
[10]Bedi A,Michalakis KX,Mariani EJ Jr,et al.Immediately loaded maxillary and mandibular dental implants with fixed CAD/CAM prostheses using a flapless surgical approach:a clinical report[J].J Prosthodont,2011,20(4):319-325.
[11]Behneke A,Burwinkel M,Knierim K,et al.Accuracy assessment of cone beam computed tomography-derived laboratorybased surgical templates on partially edentulous patients[J].Clin Oral Implants Res,2012,23(2):137-143.
[12]Pettersson A,Komiyama A,Hultin M,et al.Accuracy of virtually planned and template guided implant surgery on edentate patients[J].Clin Implant Dent Relat Res,2012,14(4):527-537.
[13]Assche N,Vercruyssen M,Coucke W,et al.Accuracy of computer-aided implant placement[J].Clin Oral Implants Res,2012,23(s6):112-123.
[14]Schneider D,Marquardt P,Zwahlen M,et al.A systematic review on the accuracy and the clinical outcome of computerguided template-based implant dentistry[J].Clin Oral Implants Res,2009,20(s4):73-86.
[15]Odium O.A method of eliminating streak artifacts from metallic dental restorations in CTs of head and neck cancer patients[J].Spec Care Dentist,2001,21(2):72-74.
[16]Steinh?user-Andresen S,Detterbeck A,Funk C,et al.Pilot study on accuracy and dimensional stability of impression materials using industrial CT technology[J].J Orofac Orthop,2011,72(2):111-124.
[17]van Steenberghe D,Naert I,Andersson M,et al.A custom template and definitive prosthesis allowing immediate implant loading in the maxilla:a clinical report[J].Int J Oral Maxillofac Implants,2002,17(5):663-670.
[18]H?mmerle CH,Cordaro L,Assche N,et al.Digital technologies to support planning,treatment,and fabrication processes and outcome assessments in implant dentistry.Summary and consensus statements.The 4th EAO consensus conference2015[J].Clin Oral Implants Res,2015,26(S11):97-101.
[19]Brief J,Edinger D,Hassfeld S,et al.Accuracy of image-guided implantology[J].Clin Oral Implants Res,2005,16(4):495-501.
[20]Cassetta M,Giansanti M,Di Mambro A,et al.Accuracy of two stereolithographic surgical templates:a retrospective study[J].Clin Implant Dent Relat Res,2013,15(3):448-459.
[21]Sun Y,Luebbers HT,Agbaje JO,et al.Accuracy of dental implant placement using CBCT-derived mucosa-supported stereolithographic template[J].Clin Implant Dent Relat Res,2015,17(5):862-870.
[22]Vasak C,Watzak G,Gahleitner A,et al.Computed tomographybased evaluation of template(NobelGuide?)-guided implant positions:a prospective radiological study[J].Clin Oral Implants Res,2011,22(10):1157-1163.
[23]Pettersson A,Kero T,S?derberg R,et al.Accuracy of virtually planned and CAD/CAM-guided implant surgery on plastic models[J].J Prosthet Dent,2014,112(6):1472-1478.
[24]Cushen SE,Turkyilmaz I.Impact of operator experience on the accuracy of implant placement with stereolithographic surgical templates:an in vitro study[J].J Prosthet Dent,2013,109(4):248-254.
[25]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.
[26]Verhamme LM,Meijer GJ,Boumans T,et al.A clinically relevant accuracy study of computer-planned implant placement in the edentulous maxilla using mucosa-supported surgical templates[J].Clin Implant Dent Relat Res,2015,17(2):343-352.
[27]Ozan O,Turkyilmaz I,Ersoy AE,et al.Clinical accuracy of 3different types of computed tomography-derived stereolithographic surgical guides in implant placement[J].J Oral Maxillofac Surg,2009,67(2):394-401.
[28]Verhamme LM,Meijer GJ,BergéSJ,et al.An accuracy study of computer-planned implant placement in the augmented maxilla using mucosa-supported surgical templates[J].Clin Implant Dent Relat Res,2015,17(6):1154-1163.
[29]Yong LT,Moy PK.Complications of computer-aided-design/computer-aided-machining-guide(NobelGuide)surgical implant placement:an evaluation of early clinical results[J].Clin Implant Dent Relat Res,2008,10(3):123-127.
[30]Christoph V,Strbac GD,Huber CD,et al.Evaluation of three different validation procedures regarding the accuracy of template-guided implant placement:an in vitro study[J].Clin Implant Dent Relat Res,2015,17(1):142-149.
[31]Lee DH,An SY,Hong MH,et al.Accuracy of a direct drillguiding system with minimal tolerance of surgical instruments used for implant surgery:a prospective clinical study[J].J Adv Prosthodont,2016,8(3):207-213.
[32]Koop R,Vercruyssen M,Vermeulen K,et al.Tolerance within the sleeve inserts of different surgical guides for guided implant surgery[J].Clin Oral Implants Res,2013,24(6):630-634.
[33]Beretta M,Poli PP,Maiorana C.Accuracy of computer-aided template-guided oral implant placement:a prospective clinical study[J].J Periodontal Implant Sci,2014,44(4):184-193.
[34]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.
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