Int J Oral Maxillofac Implants. 2020 Sep/Oct;35(5):e86-e90. doi: 10.11607/jomi.8231.
Guided dental implant surgery can optimize implant placement positioning, increase predictability, and decrease surgical invasiveness through flapless techniques. Static surgical guides have been used to accomplish this task, though limitations of patient opening and lack of coolant contact with the surgical site have been clinically significant weaknesses. Technologic advances have allowed robotically guided implant placement using haptic guidance. The absence of a static stereolithographic guide over the surgical area allows for optimal access and adequate cooling during osteotomies. The aim of this case series was to present the workflows of both static and robotic guidance in the same patient and measure deviations from the presurgical planning software to determine the practicability and accuracy of robotic guidance. Based on this case series, it can be concluded that using robotically assisted implant surgery can yield deviation results that are comparable to static CAD/CAM stereolithographic surgical guides. Robotic surgery can be performed predictably with minimal deviation in both simple and complex clinical situations. Further testing and analysis are needed to confirm this case study's results in a larger cohort of patients.
引导式牙科种植手术可以通过无瓣技术优化种植体的放置位置，提高预测性，并减少手术的侵袭性。静态手术导板已被用于完成这一任务，但是由于患者开口的限制和缺乏与手术部位的冷却剂接触，这已经成为临床上的显著缺陷。技术进步已经允许使用触觉引导的机器人引导种植体放置。在手术区域上方没有静态立体光刻导板，可以在进行骨切开术时提供最佳的进入和足够的冷却。本病例系列的目的是在同一患者中展示静态和机器人引导的工作流程，并测量从术前规划软件的偏差，以确定机器人引导的实用性和准确性。基于本病例系列，可以得出结论，使用机器人辅助种植手术可以产生与静态 CAD/CAM 立体光刻手术导板相当的偏差结果。机器人手术可以在简单和复杂的临床情况下进行可预测的操作，偏差很小。需要进一步的测试和分析来确认本病例研究在更大的患者队列中的结果。
