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回顾性分析使用三维模型预测颧骨种植体长度的术前规划的可预测性。

Retrospective analysis of the predictability of using three-dimensional models for preoperative planning of the length of zygomatic implants.

机构信息

Residency Training Program in Oral and Maxillofacial Surgery, School of Dentistry of Ribeirão Preto of the University of São Paulo, Avenida Do Café, s/n, Monte Alegre, Ribeirão Preto, São Paulo, 14040-904, Brazil.

Department of Oral Diagnosis, Maxillofacial Surgery Division, Piracicaba Dental School of the University of Campinas, Av. Limeira, 901, Bairro Areião, Piracicaba, São Paulo, 13414-903, Brazil.

出版信息

Oral Maxillofac Surg. 2023 Mar;27(1):53-58. doi: 10.1007/s10006-022-01047-0. Epub 2022 Feb 15.

DOI:10.1007/s10006-022-01047-0
PMID:35166998
Abstract

PURPOSE

This present study aimed to retrospectively evaluate the predictability of using three-dimensional models (TDMs) to plan the preoperative lengths of zygomatic implants (ZIs).

METHODS

The records of all patients that received such implants between March 2007 and March 2019 were evaluated. The ZI lengths predicted on the TDMs were compared to the lengths of the implants the patients received.

RESULTS

In total, the records of 74 patients were evaluated, of which 37 records met the criteria of inclusion, and were included in the study. Twenty-seven (73%) of the patients were female and 10 (27%) were male, ranging from 34 to 80 years of age, with the average age being 55.7 years. Seventeen (43.2%) of these patients were classified as ASA I and 21 (56.8%) as ASA II. A total of 142 ZIs were planned and installed in the time frame mentioned. Without distinguishing the region of the maxilla, the implants used were, on average, 1.1 mm larger in length than those initially planned.

CONCLUSION

Overall, the data indicates moderate agreement between the planned and surgical lengths of the ZIs and indicates that using TDMs is a predictable and reliable preoperative planning technique of the length of posterior ZIs.

摘要

目的

本研究旨在回顾性评估使用三维模型(TDMs)来规划颧骨种植体(ZIs)术前长度的可预测性。

方法

评估了 2007 年 3 月至 2019 年 3 月期间所有接受此类植入物的患者的记录。将 TDMs 上预测的 ZI 长度与患者接受的植入物长度进行比较。

结果

共评估了 74 名患者的记录,其中 37 名符合纳入标准,纳入研究。27 名(73%)患者为女性,10 名(27%)为男性,年龄从 34 岁至 80 岁,平均年龄为 55.7 岁。这些患者中有 17 名(43.2%)被归类为 ASA I,21 名(56.8%)为 ASA II。在提到的时间框架内计划并安装了 142 个 ZIs。不区分上颌骨区域,使用的植入物平均比最初计划的长度长 1.1 毫米。

结论

总体而言,数据表明 ZI 的计划和手术长度之间存在中度一致性,并表明使用 TDMs 是一种可预测且可靠的后 ZI 长度术前规划技术。

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本文引用的文献

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A 3D-Printed Guide to Assist in Sinus Slot Preparation for the Optimization of Zygomatic Implant Axis Trajectory.3D 打印导板辅助颧骨种植优化的上颌窦底提升术
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Computer-Guided Approach for Placement of Zygomatic Implants: Novel Protocol and Surgical Guide.
计算机引导下颧骨种植体植入方法:新方案与手术导板
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Application of Real-Time Surgical Navigation for Zygomatic Implant Insertion in Patients With Severely Atrophic Maxilla.实时手术导航在严重萎缩上颌骨患者颧种植体植入中的应用
J Oral Maxillofac Surg. 2018 Jan;76(1):80-87. doi: 10.1016/j.joms.2017.08.021. Epub 2017 Aug 24.
6
Retrospective Analysis of 129 Consecutive Zygomatic Implants Used to Rehabilitate Severely Resorbed Maxillae in a Two-Stage Protocol.129枚连续颧骨种植体分两阶段用于修复严重吸收上颌骨的回顾性分析
Int J Oral Maxillofac Implants. 2017 Mar/Apr;32(2):377–384. doi: 10.11607/jomi.5136. Epub 2016 Sep 15.
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Survival and Complications of Zygomatic Implants: An Updated Systematic Review.颧骨种植体的生存率与并发症:一项更新的系统评价
J Oral Maxillofac Surg. 2016 Oct;74(10):1949-64. doi: 10.1016/j.joms.2016.06.166. Epub 2016 Jun 18.
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A novel device for template-guided surgery of the zygomatic implants.一种用于颧骨种植体模板引导手术的新型装置。
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Measurement of the zygomatic bone and pilot hole technique for safer insertion of zygomaticus implants.颧弓骨的测量和导孔技术有助于更安全地植入颧突种植体。
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Surgical planning, three-dimensional model surgery and preshaped implants in treatment of bilateral craniomaxillofacial post-traumatic deformities.手术规划、三维模型手术及预成型植入物治疗双侧颅颌面创伤后畸形
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