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用于种植体植入的钻头导向系统。

Drill Bit Guiding System for Implant Placement.

作者信息

Deepanandan Loganathan, Karthikrajan Giridhar

机构信息

Department of Oral and Maxillofacial Surgery, Sri Ramakrishna Dental College and Hospital, Coimbatore, Tamil Nadu, India.

出版信息

Ann Maxillofac Surg. 2018 Jul-Dec;8(2):230-233. doi: 10.4103/ams.ams_163_18.

DOI:10.4103/ams.ams_163_18
PMID:30693237
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6327804/
Abstract

INTRODUCTION

The implant angulation plays a very important role in the outcome of prosthetic and functional outcome. The conventional surgical stents uses a ring system to drill the pilot drill, only the CAD printed stents provides a guide sleeves for the sequential drill for implant placement.

THE PURPOSE OF THIS STUDY

The purpose of the study was to fabricate a drill bit guide for the stent to transfer the angulation and implant placement planned using conventional method in prescribed drilling sequence.

MATERIAL AND METHODS

A surgical stent with a threaded guide ring system was fabricated with internal drill bit guiding system. The interchangeable sequential drilling allows the drill bit to be in predetermined position throughout the procedure.

RESULTS

The surgical stent with the drill bit guiding system provided less than 1% error with a mean deviation of 0.48%.

CONCLUSION

The drill bit guide fabricated has a complete limiting system and transfers the angulation and placement as desired with very minimal or no alteration, which enables the predetermined prosthetic outcome.

摘要

引言

种植体角度在修复和功能结果中起着非常重要的作用。传统手术导板使用环形系统来钻引导孔，只有计算机辅助设计（CAD）打印的导板为种植体植入的顺序钻孔提供导向套管。

本研究的目的

本研究的目的是为导板制作一个钻头导向器，以按照规定的钻孔顺序传递使用传统方法规划的角度和种植体植入位置。

材料与方法

制作了一个带有螺纹导向环系统的手术导板，并带有内部钻头导向系统。可互换的顺序钻孔使钻头在整个手术过程中处于预定位置。

结果

带有钻头导向系统的手术导板误差小于1%，平均偏差为0.48%。

结论

制作的钻头导向器具有完整的限位系统，能按要求传递角度和位置，改动极小或无改动，从而实现预定的修复效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d78/6327804/2ea985b1f369/AMS-8-230-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d78/6327804/2ebed191f138/AMS-8-230-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d78/6327804/dec395e8e2f3/AMS-8-230-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d78/6327804/dfd5578c9879/AMS-8-230-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d78/6327804/529003b87935/AMS-8-230-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d78/6327804/184a6a10fac6/AMS-8-230-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d78/6327804/5994746948d5/AMS-8-230-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d78/6327804/405ff04fee20/AMS-8-230-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d78/6327804/3aaa64eff803/AMS-8-230-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d78/6327804/a33b9a934612/AMS-8-230-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d78/6327804/2ea985b1f369/AMS-8-230-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d78/6327804/2ebed191f138/AMS-8-230-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d78/6327804/dec395e8e2f3/AMS-8-230-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d78/6327804/dfd5578c9879/AMS-8-230-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d78/6327804/529003b87935/AMS-8-230-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d78/6327804/184a6a10fac6/AMS-8-230-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d78/6327804/5994746948d5/AMS-8-230-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d78/6327804/405ff04fee20/AMS-8-230-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d78/6327804/3aaa64eff803/AMS-8-230-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d78/6327804/a33b9a934612/AMS-8-230-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d78/6327804/2ea985b1f369/AMS-8-230-g010.jpg

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本文引用的文献

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Surgical templates for dental implant positioning; current knowledge and clinical perspectives.用于牙种植体定位的手术模板：当前知识与临床观点。
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A novel surgical template design in staged dental implant rehabilitations.分期牙种植修复中的一种新型手术模板设计
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Types of implant surgical guides in dentistry: a review.牙科种植手术导板的类型：综述
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Radiographic and surgical guide fabrication for implant-retained mandibular overdenture.用于种植体支持下颌覆盖义齿的放射照相和手术导板制作。
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