Widmann Gerlig, Stoffner Rudolf, Keiler Martin, Zangerl Antoinette, Widmann Roland, Puelacher Wolfgang, Bale Reto
Department of Radiology, Innsbruck Medical University, Austria.
Int J Med Robot. 2009 Sep;5(3):276-83. doi: 10.1002/rcs.258.
Navigated oral implant surgery requires knowledge and skills in computed tomography (CT) imaging, three-dimensional (3D) planning, and use of surgical navigation systems. To improve teaching and training, a laboratory training and evaluation technique has been developed.
The technique uses a surgical navigation system, a dental dummy and anonymous data of previously treated patients, including duplicated dental stone casts, individualized registration mouthpieces and CT scans. Training consists of definition of the prosthetic goal, 3D planning and navigated model surgery. For evaluation, a post-surgical CT of the drilled dental stone casts is fused with the original planning CT.
Each step of navigated implant surgery can be simulated and trained. Post-surgical evaluation includes Euclidean distance, normal distance, angular deviations and damage to critical anatomical structures, such as nerves and sinuses.
The presented technique allows for successful laboratory training and evaluation of computer-aided oral implant surgery.
导航口腔种植手术需要掌握计算机断层扫描(CT)成像、三维(3D)规划以及手术导航系统的使用等知识和技能。为了改进教学与培训,已开发出一种实验室培训和评估技术。
该技术使用手术导航系统、牙科模型以及先前治疗患者的匿名数据,包括复制的石膏牙模、个性化定位口器和CT扫描。培训内容包括修复目标的确定、3D规划和导航模型手术。为进行评估,将钻孔石膏牙模的术后CT与原始规划CT进行融合。
导航种植手术的每个步骤都可以进行模拟和训练。术后评估包括欧几里得距离、法线距离、角度偏差以及对关键解剖结构(如神经和鼻窦)的损伤。
所介绍的技术能够成功地在实验室中对计算机辅助口腔种植手术进行培训和评估。