口腔疾病防治 ›› 2019, Vol. 27 ›› Issue (5): 337-340.DOI: 10.12016/j.issn.2096-1456.2019.05.013

• 综述 • 上一篇    

数字化种植导板在口腔种植修复中的应用

刘子燕,戴群(),肖芳   

  1. 南昌大学附属口腔医院综合科,江西省口腔生物医学重点实验室,江西 南昌(330006)
  • 收稿日期:2018-03-08 修回日期:2019-03-28 出版日期:2019-05-20 发布日期:2019-05-20
  • 作者简介:刘子燕,医师,在读硕士研究生,Email: 7655948540@qq.com
  • 基金资助:
    江西省科技计划项目(20161BBG70155)

Application of digital implant guide plate in oral implant restoration

LIU Ziyan,DAI Qun(),XIAO Fang   

  1. Department of General Affiliated Stomatological Hospital of Nanchang University, The Key Laboratory of Oral Biomedicine, Nanchang 330006, China
  • Received:2018-03-08 Revised:2019-03-28 Online:2019-05-20 Published:2019-05-20

摘要:

数字化种植导板使“以修复为导向”的种植修复方式成为现实,可将种植体设计在理想位点上,最大限度地利用现有牙槽骨,增加修复效果的可预期性。本文就数字化导板分类、数字化导板精确性的相关影响因素作一综述,以期为临床医生实际应用时提供参考依据。数字化导板根据固位方式可分为黏膜支持式、骨支持式、牙支持式、混合支持式。数字化种植导板的制作和使用涉及数据采集、种植导板设计与制作、外科引导手术等一系列过程,其精确性取决于从数据集采集到手术过程中所涉及的所有累积和交互误差。可以根据导板制作与种植体植入过程,从各个方面来减小误差,从而提高导板应用的精确性。

关键词: 口腔种植, 数字化种植导板, 精确性, 3D打印技术, 多层计算机断层扫描, 实时导航

Abstract:

Digital implant guides have enabled "repair-oriented" implant restoration to become a reality by allowing an implant to be designed for an ideal site, maximizing the use of existing alveolar bone, and increasing the predictability of the restorative effect. This paper reviews the classification of digital guides and the related factors affecting the accuracy of digital guides to provide a reference for clinical doctors in practical applications. Digital guides can be divided into the categories of mucosal support, bone support, dental support and mixed support according to the retention mode. The manufacture and use of digital implant guides involve a series of processes, such as data acquisition, design and manufacture of the implant guide, and guided surgery. The accuracy of digital implant guides depends on all accumulated and interactive errors involved in the process from data acquisition to surgery. According to the process of guide plate fabrication and implant placement, errors in all aspects can be reduced to improve the accuracy of guide plate application.

Key words: Oral implant, CAD/CAM surgical guide, Accuracy, 3D printing technology, Multislice computed tomography, Real time navigation

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