数字化技术在牙槽骨严重骨量不足种植义齿修复中的应用

doi:10.13701/j.cnki.kqyxyj.2021.06.001

摘要/Abstract

摘要： 牙种植区牙槽骨缺损和严重萎缩是影响种植义齿长期稳定的重要因素,数字化导板和导航技术因其准确、微创、省时和最终效果好被越来越多的临床医生和患者所接受。数字化技术的开展,为严重萎缩牙槽骨区域实现精确骨增量,为复杂的解剖条件下各种种植体的精准微创植入和种植义齿的即刻负重带来了新的方法和途径。

关键词: 数字化, 牙槽骨, 骨量不足, 牙种植

Abstract: Bone defect and severe alveolar atrophy are the key factors affecting long term stability of implants, digital guide and dynamic navigation are accepted by more and more dentists and patients because of accuracy, minimal invasive, time saving and final good results. Digital technique brings new methods and approaches for accuracy of bone augmentation of severe atrophic alveola, for precise and minimal invasive implant placement of complicated anatomic conditions, and for immediate loading of dental implant supported prosthesis.

Key words: digital, alveola, bone deficiency, dental implant

王稚英. 数字化技术在牙槽骨严重骨量不足种植义齿修复中的应用[J]. 口腔医学研究, 2021, 37(6): 485-488.

WANG Zhiying. Application of Digital Technique in Dental Implant Restoration of Severe Alveolar Bone Deficiency[J]. Journal of Oral Science Research, 2021, 37(6): 485-488.

参考文献

[1] Stefanelli LV, deGroot BS, Lipton DI, et al. Accuracy of a dynamic dental implant navigation system in a private practice[J]. Int J Oral Maxillofac Implants, 2019, 34(1):205-213.
[2] Chen CK, Yuh DY, Huang RY, et al. Accuracy of implant placement with a navigation system, a laboratory guide, and freehand drilling [J]. Int J Oral Maxillofac Implants, 2018, 33(6):1213-1218.
[3] Mediavilla GA, Riad DE, Zubizarreta-Macho A, et al. Accuracy of computer-aided dynamic navigation compared to computer-aided static navigation for dental implant placement: An in vitro study [J]. J Clin Med, 2019 , 8(12): 2123.
[4] Stefanelli LV, Graziani U, Pranno N, et al. Accuracy of dynamic navigation surgery in the placement of pterygoid implants [J]. Int J Periodontics Restorative Dent, 2020, 40(6):825-834.
[5] Gallucci GO, Benic GI, Eckert SE, et al. Consensus statements and clinical recommendations for implant loading protocols [J]. Int J Oral Maxillofac Implants, 2014, 29 Suppl:287-290.
[6] Maló P, de Araú joNobre M, Lopes A, et al. The All-on-4 concept for full-arch rehabilitation of the edentulous maxillae: A longitudinal study with 5-13 years of follow-up [J]. Clin Implant Dent Relat Res, 2019, 21(4): 538-549.
[7] Maló P, de Araú joNobre M, Lopes A, et al. The All-on-4 treatment concept for the rehabilitation of the completely edentulous mandible: A longitudinal study with 10 to 18 years of follow-up [J]. Clin Implant Dent Relat Res, 2019, 21(4): 565-577.
[8] Gherlone E, Capparé P, Vinci R, et al. Conventional versus digital impressions for “All-on-Four” restorations [J]. Int J Oral Maxillofac Implants, 2016,31(2):324-330.
[9] Harris BT, Montero D, Grant GT, et al. Creation of a 3-dimentional virtual dental patient for computer-guided surgery and CAD-CAM interim complete removable and fixed dental prostheses: a clinical report [J]. J Prosthet Dent, 2017,117(2):192-204.
[10] Papaspyridakos P, Rajput N, Kudara Y, et al. Digital workflow for fixed implant rehabilitation of an extremely atrophy edentulous mandible in three appointments [J]. J Esthet Restor Dent, 2017, 29(3):178-188.
[11] Lopes A, de Araújo Nobre M, Santos D. The workflow of a new dynamic naviation system for the insertion of dental implants in the rehabilitation of edentulous jaws: report of two cases [J]. J Clin Med, 2020, 9(2):421.
[12] Zhang T, Zhang T, Cai X. The application of a newly designed L-shape titanium mesh for GBR with simultaneous implant placement in the esthetic zone: a retrospective case series study [J]. Clin Implant Dent Relat Res, 2019, 21(5):862-872.
[13] Li S, Zhang T, Zhou M, et al. A novel digital and visualized guided bone regeneration procedure and digital precise bone augmentation: a case series [J]. Clin Implant Dent Relat Res, 2021, 23(1):19-30.
[14] Chiapasco M, Casentini P. Horizontal bone-augmentation procedures in implant dentistry: prosthetically guided regeneration [J]. Periodontol 2000, 2018, 77(1):213-240.
[15] Meereis W, de Souza F, Albino B, et al. Digital smile design for computer-assisted esthetic rehabilitation: two-year follow-up [J]. Oper Dent, 2016, 41(1):E13-E22.
[16] Hartmann A, Seiler M. Minimizing risk of customized titanium mesh exposures-a retrospective analysis[J]. BMC Oral Health, 2020, 20(1):36.
[17] Tallarico M, Park CJ, Lumbau AI, et al. Customized 3D-printed titanium mesh developed to regenerate a complex bone defect in the aesthetic zone: A case report approached with a fully digital workflow [J]. Materials (Basel), 2020, 13(17):3874.
[18] Li L, Wang C, Li X, et al. Resaerch on the dimensional accuracy of customized bone augmentation combined with 3D-printing. individualized titanium mesh: a retrospective case series study [J]. Clin Implant Dent Relat Res, 2021, 23(1):5-18.
[19] Starch-Jensen T, Jensen JD. Maxillary sinus floor augmentation: a review of selected treatment modalities [J]. J Oral Maxillofac Res, 2017, 8(3):e3.
[20] Cho SW, Yang BE, Cheon KJ, et al. A simple and safe approach for maxillary sinus augmentation with the advanced surgical guide [J]. Int J Environ Res Public Health, 2020, 17(11):3785.
[21] Cristoforetti A, Stavola LD, Fincato A, et al. Assessing the accuracy of computer-planned osteotomy guided by stereolithographic template: a methodological framework applied to the mandibular bone harvesting [J]. Comput Biol Med, 2019, 114:103435.
[22] Sakkas A, Ioannis K, Winter K, et al. Clinical results of autologous bone augmentation harvesting frome the mandibular ramus prior to implant placement. A analysis of 104 cases [J]. GMS Interdiscip Plast Reconstr Surg DGPW, 2016, 5:Doc21.
[23] Stavola LD, Fincato A, Bressan E, et al. Results of computer-guided bone block harvesting from the mandible: a case report [J]. Int J Periodont Restor Dent, 2017,37(1):e111-e119.
[24] Jacotti M, Barausse C, Felice P. Posterior atrophic mandible reconstruction with onlay allograft created with CAD-CAM procedure: a case report [J]. Implant Dent, 2014, 23(1):22-28.
[25] Blume O, Hoffmann L, Donkiewicz P, et al. Treatment of severely resorbed maxilla due to peri-implantitis by guided bone regeneration using a customized allogenic bone block: a case report [J]. Materials (Basel), 2017, 10(10):1213.
[26] Nave PD, Queralt AV. Zygomatic Implants for the rehabilitation of atrophic maxillae: A retrospective study on survival rate and biologic complications of 206 implants with a minimum follow-up of 1 year [J]. Int J Oral Maxillofac Implants, 2020, 35(6):1177-1186.
[27] Schramm A, Gellrich NC, Schimming R, et al. Computer-assisted insertion of zygomatic implants (Brånmark system) after extensive tumor surgery [J]. Mund Kiefer Gesichtchir, 2000, 4(5):292-295.
[28] Schiroli G, Angiero F, Silvestrini-Biavati A, et al. Zygomatic implant placement with flapless computer-guided surgery: a proposed clinical protocol [J]. J Oral Maxillofac Surg, 2011, 69(12):2979-2989.
[29] Agliardi EL, Romeo D, Panigatti S, et al. Immediate full-arch rehabilitation of the severily atrophied maxilla supported by zygomatic implants: A prospective clinical study with minimum follow-up of 6 years [J]. Int J Oral Maxillofac Surg, 2017, 46(12):1592-1599.
[30] 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.
[31] Fan SQ, Hong KF, Bornstein M, et al. The effect of fiducial marker configurations on the accuracy of surgical navigation in zygomatic implant placement: an in vitro study [J]. Int J Oral Maxillofac Implants, 2019, 34(1):85-90.
[32] Wang F, Bornstein MM, Hung KF, et al. Application of real-time surgical navigation for zygomatic implant insertion in patients with severely atrophic maxilla [J]. J Oral Maxillofac Surg, 2018, 76(1):80-87.
[33] Signorini L, Faustini F, Samarani R, et al. Immediate fixed rehabilitation supported by pterygoid implants for participants with severe maxillary atrophy: 1-Year postloading results from a prospective cohort study [J]. J Prosthet Dent, 2020:S0022-3913(20)30259-6.
[34] Mangano FG, Hauschild U, Admakin O. Full in-office guided surgery with open selective tooth-supported templates: a prospective clinical study on 20 patients [J]. Int J Environ Res Public Health, 2018, 15(11):2361-2370.
[35] Stefanelli LV, Graziani U, Pranno N, et al. Accuracy of dynamic navigation surgery in the placement of pterygoid implants [J]. Int J Periodont Restor Relat Dent, 2020,40(6):825-834.
[36] Schepers RH, Raghoebar GM, Vissink A, et al. Fully 3-dimentional digitally planned reconstruction of a mandible with a free vascularized fibula and immediate placement of an implant-supported prosthetic construction [J]. Head Neck, 2013, 35(4):E109-E114.