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一种用于无牙颌修复中植入牙种植体的新型动态导航系统的工作流程:两例报告

The Workflow of a New Dynamic Navigation System for the Insertion of Dental Implants in the Rehabilitation of Edentulous Jaws: Report of Two Cases.

作者信息

Lopes Armando, de Araújo Nobre Miguel, Santos Diogo

机构信息

Implantology Department, Maló Clinic, 1600-042 Lisbon, Portugal.

Research and Development Department, Maló Clinic, 1600-042 Lisbon, Portugal.

出版信息

J Clin Med. 2020 Feb 4;9(2):421. doi: 10.3390/jcm9020421.

DOI:10.3390/jcm9020421
PMID:32033089
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7073768/
Abstract

BACKGROUND

This case series describes the surgical workflow during maxillary full-arch rehabilitations in two patients through the All-on-4 concept (standard and hybrid) assisted by DTX Studio Implant Software planning and X-Guide Navigation.

RESULTS

The X-Guide Navigation enabled the drills and implants to be positioned and oriented precisely, allowing the implants to be positioned favorably under the surgical and prosthetic points of view through the avoidance of damage to the maxillary sinus and nasal cavity. Dynamic navigation-assisted surgery provided advantages, including the possibility to modify the implants' system, length, or location perioperatively. However, it must be underlined that to achieve proficiency with this technology it is necessary to consider a necessary learning curve.

CONCLUSION

The insertion of dental implants assisted by dynamic navigation for maxillary full-arch rehabilitations was considered a safe and predictable procedure. Nevertheless, it can be improved (such as with a simpler fiducial markers protocol), aiming to simplify the procedure.

摘要

背景

本病例系列描述了通过DTX Studio种植软件规划和X引导导航辅助的All-on-4概念(标准型和混合型),对两名患者进行上颌全牙弓修复时的手术流程。

结果

X引导导航能够精确地定位和定向钻头及种植体,通过避免对上颌窦和鼻腔的损伤,使种植体在手术和修复角度都能获得良好的位置。动态导航辅助手术具有诸多优势,包括在围手术期可修改种植体系统、长度或位置。然而,必须强调的是,要熟练掌握这项技术需要考虑必要的学习曲线。

结论

动态导航辅助下进行上颌全牙弓修复的牙种植体植入被认为是一种安全且可预测的手术。尽管如此,它仍可改进(例如采用更简单的基准标记方案),旨在简化手术过程。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5517/7073768/13891f2c53e2/jcm-09-00421-g015.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5517/7073768/114e395eb4d9/jcm-09-00421-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5517/7073768/7eb27f511eb1/jcm-09-00421-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5517/7073768/d03af7700f44/jcm-09-00421-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5517/7073768/f28fab11f362/jcm-09-00421-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5517/7073768/134d644650af/jcm-09-00421-g011.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5517/7073768/079c2ddacac1/jcm-09-00421-g012.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5517/7073768/0941e2a81745/jcm-09-00421-g014.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5517/7073768/13891f2c53e2/jcm-09-00421-g015.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5517/7073768/477db41c0851/jcm-09-00421-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5517/7073768/eb470337783f/jcm-09-00421-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5517/7073768/75c229c417cb/jcm-09-00421-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5517/7073768/2050f8afdbe5/jcm-09-00421-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5517/7073768/86fbebeee801/jcm-09-00421-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5517/7073768/114e395eb4d9/jcm-09-00421-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5517/7073768/7eb27f511eb1/jcm-09-00421-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5517/7073768/d03af7700f44/jcm-09-00421-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5517/7073768/f28fab11f362/jcm-09-00421-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5517/7073768/134d644650af/jcm-09-00421-g011.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5517/7073768/079c2ddacac1/jcm-09-00421-g012.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5517/7073768/068c6bc54aa3/jcm-09-00421-g013.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5517/7073768/0941e2a81745/jcm-09-00421-g014.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5517/7073768/13891f2c53e2/jcm-09-00421-g015.jpg

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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.全口种植体即刻负重治疗下颌无牙颌患者的十年至十八年随访研究
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