口腔医学研究

口腔医学研究 ›› 2017, Vol. 33 ›› Issue (7): 766-769.DOI: 10.13701/j.cnki.kqyxyj.2017.07.019

• 临床研究论著 • 上一篇    下一篇

基于3D打印技术的种植手机引导 导板的临床应用

周勇1, 陈婉璐1, 黄文秀1, 吴东1*, 肖妍君1, 林东1, 郭建斌1, 蒋剑晖1, 何炳蔚2, 陈江1   

  1. 1. 福建医科大学附属口腔医院种植科 福建 福州 350002;
    2. 福州大学 福建 福州 350002
  • 收稿日期:2017-01-22 出版日期:2017-07-20 发布日期:2017-07-27
  • 通讯作者: 吴东,E-mail: youngzhou15@qq.com
  • 作者简介:周勇(1986~ ),男,福建南平人,硕士,医师,主要从事口腔种植学基础和临床研究。
  • 基金资助:
    国家卫计委共建科研基金——第四轮福建省卫生教育联合攻关项目(编号:WKJ2016-2-01)

Clinical Application of Handpiece Surgical Guide Based on 3D Printing Technology.

ZHOU Yong1, CHEN Wan-lu1, HUANG Wen-xiu1, WU Dong1*, XIAO Yan-jun1, LIN Dong1, GUO Jian-bin1, JIANG Jian-hui1, HE Bing-wei2, CHEN Jiang1.   

  1. 1. Department of Oral Implantology, Affiliated Stomatological Hospital of Fujian Medical University, Fuzhou 350002, China;
    2. Fuzhou University, Fuzhou 350002, China.
  • Received:2017-01-22 Online:2017-07-20 Published:2017-07-27

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摘要： 目的:利用CBCT、3D打印技术等设计制作新型口腔种植导板和种植手机引导装置,应用于临床并对其进行精度评价。方法:利用Mimics、Simplant等软件设计制造种植外科导板,分为套筒引导(A组)和种植手机引导(B组)行种植手术。分析虚拟与实际植体的偏差,比较2组的精确度是否有统计学差异。结果:15例患者的92枚植体,A组44枚和B组48枚,测量虚拟与实际植体在颈部、顶部、深度、角度偏离值:(0.82±0.47) mm,(0.97±0.52) mm,(0.81±0.42) mm,(7.89±4.24)°。两独立样本t检验,双侧α=0.05,得到A组和B组差异无统计学意义,不认为两者的偏离值的总体均数不相等。结论:套筒引导和种植手机引导精确度基本无差别,两者的联合应用具有较高的精确性等优点。

关键词: 种植, 计算机辅助设计/制作, 种植手机引导, 3D打印, 精度评价

Abstract: Objective: To design a handpiece surgical guide and to evaluate its clinical effect and accuracy using CBCT technology and 3D printing. Methods: We designed and manufactured handpiece surgical guide with Mimics, Simplant and other softwares. The patients were carried surgery and divided into sleeve guide group (group A) and handpiece guide group (group B). we analyzed the deviation (entry, apical, vertical, and axis)between virtual and actual implants on preoperative and postoperative CBCT data. Results: Ninety-two implants were inserted into 15 patients, including 44 implants for group A and 48 implants for group B. The deviations of entry, apical, vertical, and axis were (0.82 ± 0.47) mm, (0.97 ± 0.47) mm, (0.81 ± 0.43) mm, and (7.89 ± 4.26)°, respectively. According to the analysis of variance, the statistical test found no significant difference in apical, vertical and axis between the two groups. Conclusion: There is no significant difference in accuracy between sleeve guide and handpiece guide. A combination of sleeve guide and handpiece guide is advocated.

Key words: Dental implant, Computer aided design and manufacture , Handpiece surgical guide , 3D printingAccuracy evaluation

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