牙种植中动静态系统的精度分析

doi:10.13701/j.cnki.kqyxyj.2022.08.002

摘要/Abstract

摘要： 计算机辅助种植外科发展迅速,但在快速运用于口腔种植的同时也暴露出手术误差方面的问题,而针对误差的解决方案也在不断更新。引导性导板技术与无翻瓣技术结合,辅助微螺钉的应用,能够给予完全无牙颌患者更好的手术效果。动态导航在已具备较高精度的优势上,运用更完善的影像技术和更稳定的配准方案还将能进一步改善种植手术的疗效。本文对计算机辅助种植外科中动静态导航的误差进行分析,并综合最新文献总结针对误差的前沿成果,以展望数字化种植能够得到更多的改善与发展。

关键词: 外科手术, 计算机辅助, 牙种植, 锥束计算机体层摄影术, 配准, 精度

Abstract: Computer-aided implant surgery develops rapidly, but it also exposes the problem of surgical error when it is applied to dental implantation, and the solutions to the error are constantly updated. The combination of static navigation and flapless technique and application of the auxiliary micro-screw can provide better surgical results for patients with complete edentulous jaws. Dynamic navigation has the advantage of high precision, and using more perfect image technology and more stable registration scheme will further improve the efficacy of implantation surgery. In this paper, the errors of static and dynamic navigation in computer-aided implant surgery are analyzed, and the frontier achievements of the errors are summarized based on the latest literature, so as to predict the improvement and development of digital implant technology.

Key words: surgery, computer-assisted, dental implantation, cone-beam computed tomography, registration, accuracy

陈梓俊, 宋应亮. 牙种植中动静态系统的精度分析[J]. 口腔医学研究, 2022, 38(8): 710-714.

CHEN Zijun, SONG Yingliang. Analysis of Accuracy between Static and Dynamic System in Dental Implantation[J]. Journal of Oral Science Research, 2022, 38(8): 710-714.

参考文献

[1] Hounsfield GN. Computed medical imaging [J]. Science, 1980, 210(4465): 22-28.
[2] Brown RA. A stereotactic head frame for use with CT body scanners [J]. Invest Radiol, 1979, 14(4): 300-304.
[3] Rothman SL, Chaftez N, Rhodes ML, et al. CT in the preoperative assessment of the mandible and maxilla for endosseous implant surgery. Work in progress [J]. Radiology, 1988, 168(1): 171-175.
[4] Dyer PV, Patel N, Pell GM, et al. The ISG viewing wand: an application to atlanto-axial cervical surgery using the Le Fort I maxillary osteotomy[J]. Br J Oral Maxillofac Surg, 1995, 33(6): 370-374.
[5] D'haese J, Ackhurst J, Wismeijer D, et al. Current state of the art of computer-guided implant surgery [J]. Periodontol 2000, 2017, 73(1): 121-133.
[6] Sipos EP, Tebo SA, Zinreich SJ, et al. In vivo accuracy testing and clinical experience with the ISG Viewing Wand [J]. Neurosurgery, 1996, 39(1): 194-202.
[7] Pozzi A, Polizzi G, Moy PK. Guided surgery with tooth-supported templates for single missing teeth: A critical review [J]. Eur J Oral Implantol, 2016, 9 Suppl 1: S135-S153.
[8] Raico Gallardo YN, Da Silva-Olivio IRT, Mukai E, et al. Accuracy comparison of guided surgery for dental implants according to the tissue of support: a systematic review and meta-analysis [J]. Clin Oral Implants Res, 2017, 28(5): 602-612.
[9] Tahmaseb A, Wismeijer D, Coucke W, et al. Computer technology applications in surgical implant dentistry: a systematic review [J]. Int J Oral Maxillofac Implants, 2014, 29 Suppl: 25-42.
[10] 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.
[11] Arisan V, Karabuda CZ, Ozdemir T. Implant surgery using bone- and mucosa-supported stereolithographic guides in totally edentulous jaws: surgical and post-operative outcomes of computer-aided vs. standard techniques [J]. Clin Oral Implants Res, 2010, 21(9): 980-988.
[12] D'haese J, Van De Velde T, Komiyama A, et al. Accuracy and complications using computer-designed stereolithographic surgical guides for oral rehabilitation by means of dental implants: a review of the literature [J]. Clin Implant Dent Relat Res, 2012, 14(3): 321-335.
[13] Sicilia A, Botticelli D. Computer-guided implant therapy and soft- and hard-tissue aspects. The Third EAO Consensus Conference 2012 [J]. Clin Oral Implants Res, 2012, 23 Suppl 6: 157-161.
[14] Schneider D, Marquardt P, Zwahlen M, et al. A systematic review on the accuracy and the clinical outcome of computer-guided template-based implant dentistry [J]. Clin Oral Implants Res, 2009, 20 Suppl 4: 73-86.
[15] Tahmaseb A, Wu V, Wismeijer D, et al. The accuracy of static computer-aided implant surgery: A systematic review and meta-analysis [J]. Clin Oral Implants Res, 2018, 29 Suppl 16: 416-435.
[16] Tatakis DN, Chien HH, Parashis AO. Guided implant surgery risks and their prevention [J]. Periodontol 2000, 2019, 81(1): 194-208.
[17] Di Torresanto VM, Milinkovic I, Torsello F, et al. Computer-assisted flapless implant surgery in edentulous elderly patients: a 2-year follow up [J]. Quintessence Int, 2014, 45(5): 419-429.
[18] El Kholy K, Lazarin R, Janner SFM, et al. Influence of surgical guide support and implant site location on accuracy of static Computer-Assisted Implant Surgery [J]. Clin Oral Implants Res, 2019, 30(11): 1067-1075.
[19] 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.
[20] Mai HN, Choi SY, Lee ST, et al. Optimizing accuracy in computer-guided implant surgery with a superimposition-anchor microscrew system: A clinical report [J]. J Prosthet Dent, 2018, 120(5): 789 e1-789 e5.
[21] Wang ZY, Chao JR, Zheng JW, et al. The influence of crown coverage on the accuracy of static guided implant surgery in partially edentulous models: An in vitro study [J]. J Dent, 2021, 115: 103882.
[22] Schulz MC, Hofmann F, Range U, et al. Pilot-drill guided vs. full-guided implant insertion in artificial mandibles-a prospective laboratory study in fifth-year dental students [J]. Int J Implant Dent, 2019, 5(1): 23.
[23] Ketabi AR, Kastner E, Brenner M, et al. Implant insertion using an orientation template and a full-guiding template- A prospective model analysis in a cohort of dentists participating in an implantology curriculum [J]. Ann Anat, 2021, 236: 151716.
[24] Chen Y, Zhang X, Wang M, et al. Accuracy of full-guided and half-guided surgical templates in anterior immediate and delayedimplantation: A retrospective study [J]. Materials, 2020, 14(1):26.
[25] Liang Y, Yuan S, Huan J, et al. In vitro experimental study of the effect of adjusting the guide sleeve height and using a visual direction-indicating guide on implantation accuracy [J]. J Oral Maxillofac Surg, 2019, 77(11): 2259-2268.
[26] Chai JY, Liu JZ, Wang B, et al. Evaluation of the fabrication deviation of a kind of milling digital implant surgical guides [J]. Beijing Da Xue Xue Bao Yi Xue Ban, 2018, 50(5): 892-898.
[27] Herschdorfer L, Negreiros WM, Gallucci GO, et al. Comparison of the accuracy of implants placed with CAD-CAM surgical templates manufactured with various 3D printers: An in vitro study [J]. J Prosthet Dent, 2021, 125(6): 905-910.
[28] Abduo J, Lau D. Effect of manufacturing technique on the accuracy of surgical guides for static computer-aided implant surgery [J]. Int J Oral Maxillofac Implants, 2020, 35(5): 931-938.
[29] Henprasert P, Dawson DV, El-Kerdani T, et al. Comparison of the accuracy of implant position using surgical guides fabricated by additive and subtractive techniques [J]. J Prosthodont, 2020, 29(6): 534-541.
[30] Chai J, Liu X, Schweyen R, et al. Accuracy of implant surgical guides fabricated using computer numerical control milling for edentulous jaws: a pilot clinical trial [J]. BMC Oral Health, 2020, 20(1): 288.
[31] Dalal N, Ammoun R, Abdulmajeed AA, et al. Intaglio surface dimension and guide tube deviations of implant surgical guides influenced by printing layer thickness and angulation setting [J]. J Prosthodont, 2020, 29(2): 161-165.
[32] Oh KC, Park JM, Shim JS, et al. Assessment of metal sleeve-free 3D-printed implant surgical guides [J]. Dent Mater, 2019, 35(3): 468-476.
[33] Hammerle CH, Cordaro L, Van 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 conference 2015 [J]. Clin Oral Implants Res, 2015, 26 Suppl 11: 97-101.
[34] Wismeijer D, Joda T, Flugge T, et al. Group 5 ITI consensus report: digital technologies [J]. Clin Oral Implants Res, 2018, 29 Suppl 16: 436-442.
[35] Tahmaseb A, Wu V, Wismeijer D, et al. The accuracy of static computer-aided implant surgery: A systematic review and meta-analysis [J]. Clin Oral Implants Res, 2018, 29 Suppl 16(S16): 416-435.
[36] Kivovics M, Penzes D, Nemeth O, et al. The influence of surgical experience and bone density on the accuracy of static computer-assisted implant surgery in edentulous jaws using a mucosa-supported surgical template with a half-guided implant placement protocol-A randomized clinical study [J]. Materials (Basel), 2020, 13(24):5759.
[37] Wei SM, Zhu Y, Wei JX, et al. Accuracy of dynamic navigation in implant surgery: A systematic review and meta-analysis [J]. Clin Oral Implants Res, 2021, 32(4): 383-393.
[38] Jorba-Garcia A, Gonzalez-Barnadas A, Camps-Font O, et al. Accuracy assessment of dynamic computer-aided implant placement: a systematic review and meta-analysis [J]. Clin Oral Investig, 2021, 25(5): 2479-2494.
[39] Schnutenhaus S, Edelmann C, Knipper A, et al. Accuracy of dynamic computer-assisted implant placement: A systematic review and meta-analysis of clinical and in vitro studies [J]. J Clin Med, 2021, 10(4):704.
[40] 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.
[41] Aydemir CA, Arisan V. Accuracy of dental implant placement via dynamic navigation or the freehand method: A split-mouth randomized controlled clinical trial [J]. Clin Oral Implants Res, 2020, 31(3): 255-263.
[42] Pomares-Puig C, Sánchez-Garcés MA, Jorba-García A. Dynamic and static computer-guided surgery using the double-factor technique for completely edentulous patients: A dental technique [J]. J Prosthet Dent, 2021:S0022-3913(21)00105-0.
[43] Zhou M, Zhou H, Li SY, et al. Comparison of the accuracy of dental implant placement using static and dynamic computer-assisted systems: an in vitro study [J]. J Stomatol Oral Maxillofac Surg, 2021, 122(4): 343-348.
[44] Fan S, Hung K, Bornstein M, et al. The effect of the configurations of fiducial markers on accuracy of surgical navigation in zygomatic implant placement: An in vitro study [J]. Int J Oral Maxillofac Implants, 2019, 34(1): 85-90.
[45] Du Y, Wangrao K, Liu L, et al. Quantification of image artifacts from navigation markers in dynamic guided implant surgery and the effect on registration performance in different clinical scenarios [J]. Int J Oral Maxillofac Implants, 2019, 34(3): 726-736.
[46] Stefanelli LV, Mandelaris GA, Degroot BS, et al. Accuracy of a novel trace-registration method for dynamic navigation surgery [J]. Int J Periodontics Restorative Dent, 2020, 40(3): 427-435.
[47] Zhou W, Fan S, Wang F, et al. A novel extraoral registration method for a dynamic navigation system guiding zygomatic implant placement in patients with maxillectomy defects [J]. Int J Oral Maxillofac Surg, 2021, 50(1): 116-120.
[48] Izzetti R, Vitali S, Gabriele M, et al. Feasibility of a combination of intraoral UHFUS and CBCT in the study of peri-implantitis [J]. Oral Surg Oral Med Oral Pathol Oral Radiol, 2019, 127(3): e89-e94.
[49] Hilgenfeld T, Prager M, Heil A, et al. PETRA, MSVAT-SPACE and SEMAC sequences for metal artefact reduction in dental MR imaging [J]. Eur Radiol, 2017, 27(12): 5104-5112.