口腔医学研究 ›› 2019, Vol. 35 ›› Issue (11): 1030-1034.DOI: 10.13701/j.cnki.kqyxyj.2019.11.006

• 口腔颌面外科学研究 • 上一篇    下一篇

数字化导板在多生牙拔除术中的应用

马文1, 李燕妮2, 王立冬1, 梁燕1, 黎明1*   

  1. 1. 昆明医科大学附属口腔医院口腔颌面外科 云南 昆明 650101;
    2. 天津市滨海新区中医医院口腔科 天津 300451
  • 收稿日期:2019-03-06 出版日期:2019-11-28 发布日期:2019-11-21
  • 通讯作者: 黎明,E-mail: 1020513890@qq.com
  • 作者简介:马文(1988~ )男,回族,云南昆明人,主要从事颌面外科的临床及研究工作。
  • 基金资助:
    云南省应用基础研究(昆医联合专项)[项目编号:2017FE467(-193)]

Application of Digital Guide Plate in Treatment of Supernumerary Teeth

MA Wen1, LI Yanni2, WANG Lidong1, LIANG Yan1, LI Ming1*   

  1. 1. Department of Oral and Maxillofacial Surgery, Affiliated Stomatology Hospital of Kunming Medical University, Kunming 650101, China;
    2. Binhai New Area Hospital of TCM. Tianjin 300451, China
  • Received:2019-03-06 Online:2019-11-28 Published:2019-11-21

摘要: 目的: 探讨使用数字化技术设计和制作个性化定制导板治疗多生牙患者的临床意义。方法: 基于患者CT数据,联合运用软件Mimics 19.0 (Materialise, Belgium)及Geomagic studio 2014 (Geomagic Inc, America)设计及制作个性化导板,并用3D打印机输出导板,用于手术中定位拔牙。结果: 所有患者均顺利完成手术,术中有效减少了额外骨组织的损伤,无邻牙牙根及邻近神经血管的损伤,术后患者感觉良好。结论: 数字化技术制作的导板可以将术前设计的入路、方向、深度等精确地转移到患者口内,提供精确定位,微创拔除完全埋伏多生牙,最大限度减少周围骨组织的损伤,符合牙槽外科精准、微创的理念,具有广阔的应用前景。

关键词: 数字化导板, 多生牙, 3D打印

Abstract: Objective: To investigate the clinical significance of individual plate in the treatment of supernumerary teeth using digital technology. Methods: According to patient's CT data, personalized plate was designed and printed which used software Mimics 19.0 (Materialise, Belgium) combined with Geomagic studio 2014 (Geomagic Inc., America), then surgery was performed with locating of plate. Results: All patients were completed surgery successfully, which reduced the injury of extra bone tissue effectively during the operation. There were no injuries of adjacent teeth root, nerves and vessels. The patients felt good postoperative. Conclusion: The digital guide technology could preoperatively design the location, orientation, and depth accurately, which provided precise positioning in patients’ mouth. In this way it could minimize the damage of impacted supernumerary teeth extraction and surrounding bone tissue in accordance with the alveolar surgery concept of precision and minimally invasive surgery.

Key words: digital guide, supernumerary teeth, 3D printing