Journal of Prevention and Treatment for Stomatological Diseases ›› 2021, Vol. 29 ›› Issue (3): 178-183.DOI: 10.12016/j.issn.2096-1456.2021.03.006

• Clinical Study • Previous Articles     Next Articles

Research on the accuracy of dynamic real-time navigation and digital guide navigation implanting techniques

ZHAO Yaqin1,2(),LIU Aipeng1(),CEN Feng3,YANG Kaiwen1,LI Yanfang1,DENG Wenzheng1()   

  1. 1. Department of Stomatology, Wuzhou Red Cross Hospital, Wuzhou 543002, China
    2. School of Stomatology, Youjiang Medical University for Nationalities, Baise 533000, China
    3. Department of Medical Imaging, Wuzhou Red Cross Hospital, Wuzhou 543002, China
  • Received:2020-06-19 Revised:2020-08-26 Online:2021-03-20 Published:2021-01-12
  • Contact: Wenzheng DENG
  • Supported by:
    ‘139’ Plan Training Project for Guangxi Medical High-level Backbone Talents(G201903057)

动态实时导航与数字化导板导航牙种植精确度的比较

赵娅琴1,2(),刘艾芃1(),岑峰3,杨凯文1,李艳芳1,邓文正1()   

  1. 1.梧州市红十字会医院口腔科,广西 梧州(543002)
    2.右江民族医学院口腔医学院,广西 百色(533000)
    3.梧州市红十字会医院医学影像科,广西 梧州(543002)
  • 通讯作者: 邓文正
  • 作者简介:赵娅琴,住院医师,硕士研究生在读,Email:dentist-zhao@qq.com|刘艾芃,主治医师,硕士,Emai:331408727@qq.com
  • 基金资助:
    广西医学高层次骨干人才培养“139”计划培养项目资助(G201903057)

Abstract:

Objective To compare the accuracies of implants with dynamic real-time navigation versus digital guide navigation to provide a reference for clinical precision dental implants. Methods Forty-six cases (seventy teeth) with missing teeth admitted to the Department of Stomatology, Wuzhou Red Cross Hospital from April 2018 to December 2019 were randomly divided into two groups (thirty-five teeth in each group) for dynamic real-time navigation and digital guide navigation implantation techniques. To compare the entry point, apex point, depth and angle deviation of the preoperative and postoperative position of implants in the two groups. SPSS 21.0 software was used for statistical analysis. Results Dental implants were successfully placed in both groups. The deviations of apex point, depth and angle in the dynamic real-time navigation group were all smaller than those in the digital guide navigation group, and the differences were statistically significant (P < 0.05). There was no statistically significant deviation in the entry point between the two groups (P > 0.05). Conclusion In this study, both techniques had good clinical effects. The accuracy of dynamic real-time navigation was higher than that of digital guidance.

Key words: tooth loss, dental implant, dynamic navigation, real-time navigation, digital guide, accuracy, error analysis, 3D printing

摘要:

目的 比较采用动态实时导航与数字化导板导航牙种植术植入种植体的精确度,为临床实施精准牙种植提供参考。方法 选择2018年4月到2019年12月梧州市红十字会医院口腔科收治的46例(70颗牙)牙缺失患者,随机分两组(每组35颗牙)分别行动态实时导航和数字化导板导航牙种植术,比较两组种植体术前设计位置和术后实际种植位置的颈部、尖部、深度和角度偏差。运用SPSS 21.0软件对数据进行统计学分析。结果 两组患者种植手术均顺利进行并完成种植体的成功植入。动态实时导航组种植体尖部、深度和角度的偏差均小于数字化导板导航组的偏差,差异具有统计学意义(P < 0.05),动态实时导航组和数字化导板导航组在颈部中心点的偏差无统计学意义(P > 0.05)。结论 动态实时导航与数字化导板导航种植手术均有较好的临床效果,前者的精度高于后者。

关键词: 牙缺失, 牙种植手术, 动态导航, 实时导航, 数字化导板, 精确度, 误差分析, 3D打印

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