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计算机辅助手术在医学和牙科中的应用。

Computer-assisted surgery in medical and dental applications.

机构信息

Department of Restorative Dentistry, University of Washington School of Dentistry Seattle,98195, WA, USA.

Department of Neurosurgery, Loma Linda University Health Loma Linda, 92354, CA, USA.

出版信息

Expert Rev Med Devices. 2021 Jul;18(7):669-696. doi: 10.1080/17434440.2021.1886075. Epub 2021 Jul 6.

DOI:10.1080/17434440.2021.1886075
PMID:33539198
Abstract

INTRODUCTION

Computer-assisted surgery (CAS) is a broad surgical methodology that utilizes computer technology to both plan and execute surgical intervention. CAS is widespread in both medicine and dentistry as it allows for minimally invasive and precise surgical procedures. Key innovations in volumetric imaging, virtual surgical planning software, instrument tracking, and robotics have assisted in facilitating the transfer of surgical plans to precise execution of surgical procedures. CAS has long been used in certain medical specialties including neurosurgery, cardiology, orthopedic surgery, otolaryngology, and interventional radiology, and has since expanded to oral and maxillofacial application, particularly for computer-assisted implant surgery.

AREAS COVERED

This review provides an updated overview of the most current research for CAS in medicine and dentistry, with a focus on neurosurgery and dental implant surgery. The MEDLINE electronic database was searched and relevant original and review articles from 2005 to 2020 were included.

EXPERT OPINION

Recent literature suggests that CAS performs favorably in both neurosurgical and dental implant applications. Computer-guided surgical navigation is well entrenched as standard of care in neurosurgery. Whereas static computer-assisted implant surgery has become established in dentistry, dynamic computer-assisted navigation is newly poised to trend upward in dental implant surgery.

摘要

简介

计算机辅助手术(CAS)是一种广泛的手术方法,利用计算机技术来规划和执行手术干预。CAS 在医学和牙科领域都得到了广泛应用,因为它允许进行微创和精确的手术。容积成像、虚拟手术规划软件、器械跟踪和机器人技术的关键创新,有助于将手术计划准确地转化为手术操作。CAS 长期以来一直用于某些医学专业,包括神经外科、心脏病学、骨科、耳鼻喉科和介入放射学,并且已经扩展到口腔颌面应用,特别是计算机辅助种植手术。

涵盖领域

本文综述了目前关于医学和牙科领域中 CAS 的最新研究,重点是神经外科和牙科种植手术。检索了 MEDLINE 电子数据库,并纳入了 2005 年至 2020 年的相关原始和综述文章。

专家意见

最近的文献表明,CAS 在神经外科和牙科种植应用中表现良好。计算机引导手术导航在神经外科中已被确立为标准护理。虽然静态计算机辅助种植手术在牙科中已经确立,但是动态计算机辅助导航在牙科种植手术中也有上升的趋势。

相似文献

1
Computer-assisted surgery in medical and dental applications.计算机辅助手术在医学和牙科中的应用。
Expert Rev Med Devices. 2021 Jul;18(7):669-696. doi: 10.1080/17434440.2021.1886075. Epub 2021 Jul 6.
2
Computer-Assisted Surgery: Applications in Dentistry and Oral and Maxillofacial Surgery.计算机辅助手术:在牙科及口腔颌面外科中的应用
Dent Clin North Am. 2018 Jul;62(3):403-420. doi: 10.1016/j.cden.2018.03.009.
3
Transfer precision of three-dimensional implant planning with CT assisted offline navigation.CT辅助离线导航下三维种植体规划的转移精度
Int J Comput Dent. 2008;11(3-4):213-25.
4
Robotics in Dental Implantology.牙种植学中的机器人技术
Oral Maxillofac Surg Clin North Am. 2019 Aug;31(3):513-518. doi: 10.1016/j.coms.2019.03.013. Epub 2019 May 15.
5
Use of an image-guided navigation system in dental implant surgery in anatomically complex operation sites.在解剖结构复杂的手术部位进行牙种植手术时使用图像引导导航系统。
J Craniomaxillofac Surg. 2001 Oct;29(5):276-81. doi: 10.1054/jcms.2001.0242.
6
Computer-guided implant surgery: analysis of dynamic navigation systems and digital accuracy.计算机引导种植手术:动态导航系统与数字化精度分析。
J Biol Regul Homeost Agents. 2020 May-Jun;34(3 Suppl. 1):9-17. DENTAL SUPPLEMENT.
7
Current state of the art of computer-guided implant surgery.计算机引导种植手术的最新进展。
Periodontol 2000. 2017 Feb;73(1):121-133. doi: 10.1111/prd.12175.
8
Surgical navigation in oral implantology.口腔种植学中的手术导航
Implant Dent. 2006 Mar;15(1):41-7. doi: 10.1097/01.id.0000202637.61180.2b.
9
Three-dimensional navigation in implant dentistry.种植牙科中的三维导航
Eur J Esthet Dent. 2007 Spring;2(1):80-98.
10
Dynamic Navigation for Dental Implant Surgery.牙种植手术的动态导航
Oral Maxillofac Surg Clin North Am. 2019 Nov;31(4):539-547. doi: 10.1016/j.coms.2019.08.001.

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Full-Arch Guided Restoration and Bone Regeneration: A Complete Digital Workflow Case Report.全牙弓引导式修复与骨再生:一份完整的数字化工作流程病例报告。
Healthcare (Basel). 2023 May 2;11(9):1301. doi: 10.3390/healthcare11091301.
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Comparison of accuracy between free-hand and surgical guide implant placement among experienced and non-experienced dental implant practitioners: an study.经验丰富和缺乏经验的牙种植从业者徒手与使用手术导板进行种植体植入的准确性比较:一项研究。
J Periodontal Implant Sci. 2023 Oct;53(5):388-401. doi: 10.5051/jpis.2204700235. Epub 2023 Apr 24.
7
Intraoral Scanning as an Alternative to Evaluate the Accuracy of Dental Implant Placements in Partially Edentate Situations: A Prospective Clinical Case Series.口腔内扫描作为评估部分牙列缺失情况下牙种植体植入准确性的替代方法:一项前瞻性临床病例系列研究
J Clin Med. 2022 Oct 5;11(19):5876. doi: 10.3390/jcm11195876.