切换至 "中华医学电子期刊资源库"
高级检索
中华口腔医学研究杂志(电子版)

中华口腔医学研究杂志(电子版) ›› 2019, Vol. 13 ›› Issue (06) : 376 -380. doi: 10.3877/cma.j.issn.1674-1366.2019.06.010

所属专题： 口腔医学； 文献；

综述

种植外科导板临床应用及改良的研究进展
陈婷1,†()   
  1. 1. 成都登特牙科技术开发有限公司　610200
  • 收稿日期:2019-08-19 出版日期:2019-12-01
  • 通信作者: 陈婷

Research progress on the clinical application and improvement of surgical template for dental implant

Ting Chen1,†()   

  1. 1. Chengdu DT Dental Technology Development Co., Ltd, Chengdu 610200, China
  • Received:2019-08-19 Published:2019-12-01
  • Corresponding author: Ting Chen
  • About author:
    Corresponding author: Chen Ting, Email:
全文 ( ) 下载PDF ( ) 导出引用
引用本文：

陈婷. 种植外科导板临床应用及改良的研究进展[J]. 中华口腔医学研究杂志(电子版), 2019, 13(06): 376-380.

Ting Chen. Research progress on the clinical application and improvement of surgical template for dental implant[J]. Chinese Journal of Stomatological Research(Electronic Edition), 2019, 13(06): 376-380.

计算机技术广泛应用于口腔种植领域，数字化技术辅助下的种植修复治疗不仅能提高种植体植入的准确度，而且能实现微创、修复导向的治疗目标，保证最终修复体的美学、功能效果。本文将对数字化导板在前牙区、后牙区和无牙颌种植修复中的临床应用情况，以及种植导板改良的研究进展进行分析总结。

关键词: 口腔，无牙, 前牙, 后牙, 外科导板, 金属导板

In the past few years, computer technology has been applied to dental implant field. With the aid of digital technology, the accuracy of implant placement can be improved in a micro-invasive and prosthetic-driving approach, leading to the aesthetic and functional outcome of final prosthesis. The clinical application and research progress of surgical template in both the anterior and posterior zones as well as edentulous cases were reviewed in this article.

Key words: Mouth, edentulous, Anterior tooth, Posterior tooth, Surgical template, Metal template
表1 导板引导和自由手操作下种植体植入精度的比较（ ± s）
研究 种植体数（枚） 颈部(mm) 头部(mm) 深度(mm) 角度（°）
金航颖等[1] 37 0.64 ± 0.40 0.72 ± 0.39 0.42 ± 0.40 2.35 ± 1.05
32 1.57 ± 0.34 2.04 ± 0.93 0.76 ± 0.64 6.71 ± 3.63
范亚伟等[2] 14 0.85 ± 0.19 0.91 ± 0.20 NR NR
14 1.08 ± 0.22 1.71 ± 0.31 NR NR
Chen等[4] 12 0.85 ± 0.38 0.93 ± 0.34 0.50 ± 0.26 3.11 ± 1.55
12 1.43 ± 0.49 2.20 ± 0.79 0.60 ± 0.26 6.78 ± 3.31
[1]
金杭颖，吴英浩，徐继文，等.国产数字化导板辅助上前牙种植手术的精准度研究[J].实用口腔医学杂志，2018，34(5): 644-647. DOI: 10.3969/j.issn.1001-3733.2018.05.015.
[2]
范亚伟，孙福星，张鹏飞.数字化技术在口腔上前牙区种植修复中的临床研究[J].山西医科大学学报，2018，49(7): 870-873. DOI: 10.13753/j.issn.1007-6611.2018.07.027.
[3]
Noharet R, Pettersson A, Bourgeois D. Accuracy of implant placement in the posterior maxilla as related to 2 types of surgical guides：A pilot study in the human cadaver[J]. J Prosthet Dent，2014，112(3): 526-532. DOI: 10.1016/j.prosdent.2013.12.013.
[4]
Chen Z, Li J, Sinjab K，et al. Accuracy of flapless immediate implant placement in anterior maxilla using computer-assisted versus freehand surgery：A cadaver study[J]. Clin Oral Implants Res，2018，29(12): 1186-1194. DOI: 10.1111/clr.13382.
[5]
Arısan V, Bölükbaşı N, Öksüz L. Computer-assisted flapless implant placement reduces the incidence of surgery-related bacteremia[J]. Clin Oral Investig，2013，17(9): 1985-1993. DOI: 10.1007/s00784-012-0886-y.
[6]
Mazzocco F, Jimenez D, Barallat L，et al. Bone volume changes after immediate implant placement with or without flap elevation[J]. Clin Oral Implants Res，2017，28(4): 495-501. DOI: 10.1111/clr.12826.
[7]
Garcia-Hammaker S, George FM. Use of a surgical template for minimally invasive second-stage surgery：A dental technique[J]. J Prosthet Dent，2019，121(1): 37-40. DOI: 10.1016/j.prosdent.2018.04.013.
[8]
Balshi SF, Wolfinger GJ, Balshi TJ. Surgical planning and prosthesis construction using computer technology and medical imaging for immediate loading of implants in the pterygomaxillary region[J]. Int J Periodontics Restorative Dent，2006，26(3): 239-247. DOI: 10.1038/sj.onc.1209971.
[9]
Turkyilmaz I. Restoring Edentulous Mandible with an Implant-Retained Overdenture in a Day by Means of Flapless Surgery and Stereolithographic Surgical Guide：a Case Report[J]. J Oral Maxillofac Res，2019，10(1): e5. DOI: 10.5037/jomr.2019.10105.
[10]
Fürhauser R, Mailath-Pokorny G, Haas R，et al. Esthetics of flapless single-tooth implants in the anterior maxilla using guided surgery：association of three-dimensional accuracy and pink esthetic score[J]. Clin Implant Dent Relat Res，2015，17 Suppl 2: e427-e433. DOI: 10.1111/cid.12264.
[11]
陈琳，陈泉林，王彬晨，等.数字化引导上前牙美学区多颗牙种植手术——附1例病例报道[J].中国口腔种植学杂志，2019，24(1): 33-36，40. DOI: 10.3969/j.issn.1007-3957.2019.01.009.
[12]
张健.数字化口腔种植外科技术[M].沈阳：辽宁科学技术出版社，2016：86-533.
[13]
蒋析，林野，胡秀莲，等.下颌后牙游离缺失伴重度垂直骨量不足的计算机辅助种植修复[J].北京大学学报（医学版），2014，46(2): 294-298. DOI: 10.3969/j.issn.1671-167X.2014.02.023.
[14]
Fortin T, Isidori M, Bouchet H. Placement of posterior maxillary implants in partially edentulous patients with severe bone deficiency using CAD/CAM guidance to avoid sinus grafting：a clinical report of procedure[J]. Int J Oral Maxillofac Implants，2009，24(1): 96-102.
[15]
D′haese J, Van De Velde T, Elaut L，et al. A prospective study on the accuracy of mucosally supported stereolithographic surgical guides in fully edentulous maxillae[J]. Clin Implant Dent Relat Res，2012，14(2): 293-303. DOI: 10.1111/j.1708-8208.2009.00255.x.
[16]
刘克礼，王立军，李培，等. CAD/CAM导板技术在上颌牙列缺失患者种植中的应用[J].口腔颌面修复学杂志，2015，16(6): 330-334. DOI: 10.3969/j.issn.1009-3761.2015.06.003.
[17]
Cassetta M. Immediate loading of implants inserted in edentulous arches using multiple mucosa-supported stereolithographic surgical templates：a 10-year prospective cohort study[J]. Int J Oral Maxillofac Surg，2016，45(4): 526-534. DOI: 10.1016/j.ijom.2015.12.001.
[18]
Verhamme LM, Meijer GJ, Bergé SJ，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. DOI: 10.1111/cid.12230.
[19]
Spielau T, Hauschild U, Katsoulis J. Computer-assisted，template-guided immediate implant placement and loading in the mandible：a case report[J]. BMC Oral Health，2019，19(1): 55. DOI: 10.1186/s12903-019-0746-0.
[20]
Verhamme LM, Meijer GJ, Bergé SJ，et al. The use of first stage bone augmentation screws to stabilize the surgical template in the second stage[J]. Int J Oral Maxillofac Surg，2015，44(6): 781-784. DOI: 1016/j.ijom.2015.01.010.
[21]
Lee DH. Strategic Use of Microscrews for Enhancing the Accuracy of Computer-Guided Implant Surgery in Fully Edentulous Arches：A Case History Report[J]. Int J Prosthodont，2018，31(3): 262-263. DOI: 10.11607/ijp.5676.
[22]
莫晖，莫业跃，庄秀妹，等.基于3D打印技术新型金属镂空式种植外科导板的临床应用[J/CD].中华口腔医学研究杂志（电子版），2014，8(2): 128-133. DOI: 10.3877/cma.j.issn.1674-1366.2014.02.009.
[23]
韩祥永，于向华，陈小平，等.基于CAD/CAM技术的改良式金属牙种植导板的应用研究[J].口腔材料器械杂志，2017，26(4): 198-202. DOI: 10.11752/j.kqcl.2017.04.06.
[24]
Lin WS, Yang CC, Polido WD，et al. CAD-CAM cobalt-chromium surgical template for static computer-aided implant surgery：A dental technique[J]. J Prosthet Dent，2019，pii: S0022-3913(19)30295-1. DOI: 10.1016/j.prosdent.2019.04.014.
[25]
Van Assche N, Quirynen M. Tolerance within a surgical guide[J]. Clin Oral Implants Res，2010，21(4): 455-458. DOI: 10.1111/j.1600-0501.2009.01836.x.
[26]
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. DOI: 10.1111/j.1600-0501.2012.02436.x.
[27]
El Kholy K, Janner SFM, Schimmel M，et al. The influence of guided sleeve height，drilling distance，and drilling key length on the accuracy of static Computer-Assisted Implant Surgery[J]. Clin Implant Dent Relat Res，2019，21(1): 101-107. DOI: 10.1111/cid.12705.
[28]
Lee DH, An SY, Hong MH，et al. Accuracy of a direct drill-guiding system with minimal tolerance of surgical instruments used for implant surgery：a prospective clinical study[J]. J Adv Prosthodont，2016，8(3): 207-213. DOI: 10.4047/jap.2016.8.3.207.
[29]
Cristache CM, Gurbanescu S. Accuracy evaluation of a stereolithographic surgical template for dental implant insertion using 3D superimposition protocol[J]. Int J Dent，2017，2017: 4292081. DOI: 10.1155/2017/4292081.
[30]
Bover-Ramos F, Viña-Almunia J, Cervera-Ballester J，et al. Accuracy of Implant Placement with Computer-Guided Surgery：A Systematic Review and Meta-Analysis Comparing Cadaver，Clinical，and In Vitro Studies[J]. Int J Oral Maxillofac Implants，2018，33(1): 101-115. DOI: 10.11607/jomi.5556.
[31]
Vercruyssen M, Laleman I, Jacobs R，et al. Computer-supported implant planning and guided surgery：a narrative review[J]. Clin Oral Implants Res，2015，26 Suppl 11: 69-76. DOI: 10.1111/clr.12638.
[1] 李雪铃, 杨凌, 吴淑仪, 吴湘楠, 洪筠, 李宝如, 赵克. 数字化口腔虚拟教学评估系统用于前牙全瓷冠牙体预备评分的初步评价[J]. 中华口腔医学研究杂志(电子版), 2020, 14(03): 187-190.
[2] 呙誉东, 周炼, 张东强. 帐篷螺丝技术在单颗上前牙水平向骨增量的临床应用[J]. 中华口腔医学研究杂志(电子版), 2020, 14(01): 41-46.
[3] 李璟, 刘娟, 梁菁, 谭凤清, 徐婷, 曾雄群. 牙周牙髓联合病变的综合治疗效果观察[J]. 中华口腔医学研究杂志(电子版), 2019, 13(06): 349-354.
[4] 傅海君, 凌均棨. 不同人群前牙美学观点比较研究[J]. 中华口腔医学研究杂志(电子版), 2016, 10(04): 262-266.
[5] 吴纪楠, 陈俊兰, 林少珍, 胡文, 李建平. Zimmer种植体在上前牙即刻种植与修复中的临床应用[J]. 中华口腔医学研究杂志(电子版), 2015, 09(05): 400-404.
[6] 李雪铃, 杨凌, 朱文军, 林雪峰. 铸瓷髓腔固位冠修复个别上前牙错位的疗效观察[J]. 中华口腔医学研究杂志(电子版), 2015, 09(03): 205-210.
[7] 谷芳, 谷荣. 正畸牵引对牙根发育完全和未完全的埋伏前牙牙根及牙周组织的影响[J]. 中华临床医师杂志(电子版), 2022, 16(11): 1136-1141.
阅读次数
全文


摘要

版权所有 中华医学会 中华医学电子音像出版社有限责任公司  京ICP备14006079号-1  网络出版服务许可证：(署)网出证(京)字第075号