Department of Second Dental Center, Shanghai Ninth People's Hospital, College of Stomatology, National Center for Stomatology, National Clinical Research Center for Oral Diseases, Shanghai Key Laboratory of Stomatology, Research Unit of Oral and Maxillofacial Regenerative Medicine, Chinese Academy of Medical Sciences, Shanghai Jiao Tong University, Shanghai Jiao Tong University School of Medicine, 280 Mohe Road, Shanghai, China.
School of Mechanical Engineering, Shanghai Jiao Tong University, Dongchuan Road 800, Minhang District, Shanghai, 200240, China.
J Dent. 2022 Aug;123:104170. doi: 10.1016/j.jdent.2022.104170. Epub 2022 Jun 7.
OBJECTIVES: To compare the accuracy of dental implant placement using a dynamic navigation and a robotic system. METHODS: Eighty three-dimensional (3D) printed phantoms, including edentulous and partially edentulous jaws, were assigned to two groups: a dynamic navigation system (Beidou-SNS) group and a robotic system (Hybrid Robotic System for Dental Implant Surgery, HRS-DIS) group. The entry, exit and angle deviations of the implants in 3D world were measured after pre-operative plans and postoperative cone-beam computed tomography (CBCT) fusion. A linear mixed model with a random intercept was applied, and a p value <.05 was considered statistically significant. RESULTS: A total of 480 implants were placed in 80 phantoms. The comparison deviation of the dynamic navigation system and robotic system groups showed a mean (± SD) entry deviation of 0.96 ± 0.57 mm vs. 0.83 ± 0.55 mm (p=0.04), a mean exit deviation of 1.06 ± 0.59 mm vs. 0.91 ± 0.56 mm (p=0.04), and a mean angle deviation of 2.41± 1.42° vs. 1 ± 0.48° (p<0.00). CONCLUSIONS: The implant positioning accuracy of the robotic system was superior to that of the dynamic navigation system, suggesting that this prototype robotic system (HRS-DIS) could be a promising tool in dental implant surgery. CLINICAL SIGNIFICANCE: This in vitro study is of clinical interest because it preliminarily shows that a robotic system exhibits lower deviations of dental implants than a dynamic navigation system, in dental implant surgery, in both partially and completely edentulous jaws. Further clinical studies are needed to evaluate the current results.
目的:比较使用动态导航和机器人系统进行牙种植体放置的准确性。
方法:将 83 个三维(3D)打印的模型(包括无牙颌和部分无牙颌)分配到两组:动态导航系统(北斗-SNS)组和机器人系统(Hybrid Robotic System for Dental Implant Surgery,HRS-DIS)组。在术前计划和术后锥形束计算机断层扫描(CBCT)融合后,测量 3D 世界中植入物的入口、出口和角度偏差。采用具有随机截距的线性混合模型,p 值<.05 被认为具有统计学意义。
结果:在 80 个模型中总共放置了 480 个植入物。动态导航系统和机器人系统组的比较偏差显示,入口偏差的平均值(±标准差)分别为 0.96±0.57mm 与 0.83±0.55mm(p=0.04),出口偏差的平均值分别为 1.06±0.59mm 与 0.91±0.56mm(p=0.04),角度偏差的平均值分别为 2.41±1.42°与 1±0.48°(p<0.00)。
结论:机器人系统的植入物定位精度优于动态导航系统,表明该机器人系统原型(HRS-DIS)可能成为牙种植手术中的一种有前途的工具。
临床意义:这项体外研究具有临床意义,因为它初步表明,在部分和完全无牙颌中,机器人系统在牙种植手术中比动态导航系统具有更低的植入物偏差。需要进一步的临床研究来评估当前的结果。
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