数字化手术导板在口腔即刻种植中的临床应用

doi:10.13701/j.cnki.kqyxyj.2017.09.024

口腔医学研究 ›› 2017, Vol. 33 ›› Issue (9): 1007-1011.DOI: 10.13701/j.cnki.kqyxyj.2017.09.024

数字化手术导板在口腔即刻种植中的临床应用

包凡¹，刘娟²，郭慧¹，刘颖婷^1*

1. 云南省第一人民医院/昆明理工大学附属医院口腔医学中心云南昆明 650032；
2. 昆明医科大学第二附属医院心血管内科云南昆明 650101

收稿日期:2017-03-23 出版日期:2017-09-20 发布日期:2017-09-27
通讯作者: 刘颖婷,E-mail:liuyingting999@163.com
作者简介:包凡(1978~ ),男,云南人,硕士,主治医师,主要从事口腔科临床治疗工作。

Application of Digital Surgical Guide in Immediate Implantation

BAO Fan¹, LIU Juan², GUO Hui¹, LIU Ying-ting¹

1. Stomatologic Center,The First People Hospital of Yunnan Province/Kunming University of Science and Technology Affiliated Hospital, Kunming 650032, China;
2. Cardiovascular Internal Medicine Department, Second Affiliated Hospital of Kunming Medical University, Kunming 650101, China.

Received:2017-03-23 Online:2017-09-20 Published:2017-09-27

摘要/Abstract

摘要： 目的:研究和评估数字化种植导板在口腔即刻种植中的应用效果。方法:选择2015年1月~2016年12月于云南省一院口腔中心就诊的患者22例,这些患者口腔内有1个或者数个牙根无法保留需行种植修复,在种植数字化导板引导下不翻瓣于拔除牙根同期植入植体,收集患者影像学资料并对比分析种植体实际植入位置和预设位置之间的偏差,进行系统性研究。分别测量术后即刻和术后半年永久性修复时的边缘骨水平,永久修复完成后第2天以及1年以后随访时软组织指数并进行统计学分析。结果:共39颗种植体纳入本研究,28例患者均无种植体脱落现象,植入种植体的角度偏差为(3.25±1.6)°,位置偏差(0.54±0.38) mm,深度偏差(0.51±0.38) mm;术后半年种植体颊侧垂直向骨吸收(1.3±0.6) mm,舌侧垂直向骨吸收为(0.3±0.2) mm,改良出血指数(mBI)为(0.91±0.45),探诊深度(PD)为(2.05±0.3) mm;随访时39颗种植体的mBI为(1.18 ± 0.72),PD为(2.10±0.2) mm。随访时mBI较术后半年时有所降低,且差异有统计学意义(P<0.05)。结论:在即刻种植中应用数字化导板,可以固定种植钻针,引导种植体按照预设位置精确植入,保证种植修复的效果。在组织稳定性和美学效果的稳定性方面还需要长期的临床观察。

关键词: 数字化导板, 即刻种植, 角度偏差, 位置偏差

Abstract: Objective: To evaluate the application effect of digital surgical guide in immediate implantation. Methods: Twenty-two patients were included in this study from January 2015 to January 2017. Thirty-two implants were placed precisely with the assist of surgical guide plates. Imagining materials was collected to measure the deviation between the virtual and actual implant position. The crest bone level,M-T bone width, and the soft tissue index at the immediate postoperative or after one year were measured and analyzed. Results: The implant angel deviation was (3.25±1.6) degree, the position deviation was (0.54±0.38)mm, and the length deviation was (0.51±0.38)mm. The difference showed statistical significance. After six months, the vertical bone resorption was (1.3±0.6)mm and M-T bone resorption at alveolar crest was (0.8±0.3)mm. The index of soft tissue mBI was (0.91±0.45), and the PD was (2.05±0.3)mm. After one year follow-up,the mBI was (1.18±0.72), and the PD was (2.10±0.2)mm. The difference of mBi showed statistical significance. Conclusion: The application of surgical guide plates is beneficial to immediate implantation.

Key words: Digital surgical guide Immediate, implantation, Angular deviation, Position deviation

中图分类号:

R783.4

包凡，刘娟，郭慧，刘颖婷. 数字化手术导板在口腔即刻种植中的临床应用[J]. 口腔医学研究, 2017, 33(9): 1007-1011.

BAO Fan, LIU Juan, GUO Hui, LIU Ying-ting. Application of Digital Surgical Guide in Immediate Implantation[J]. Journal of Oral Science Research, 2017, 33(9): 1007-1011.

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数字化手术导板在口腔即刻种植中的临床应用

Application of Digital Surgical Guide in Immediate Implantation

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