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基于动态导航和机器人系统的牙种植手术精度:一项体外研究。

Accuracy of dental implant surgery using dynamic navigation and robotic systems: An in vitro study.

机构信息

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.

出版信息

J Dent. 2022 Aug;123:104170. doi: 10.1016/j.jdent.2022.104170. Epub 2022 Jun 7.


DOI:10.1016/j.jdent.2022.104170
PMID:35679989
Abstract

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.

摘要

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。

相似文献

[1]
Accuracy of dental implant surgery using dynamic navigation and robotic systems: An in vitro study.

J Dent. 2022-8

[2]
Comparison the accuracy of a novel implant robot surgery and dynamic navigation system in dental implant surgery: an in vitro pilot study.

BMC Oral Health. 2023-3-28

[3]
Accuracy of the Yakebot dental implant robotic system versus fully guided static computer-assisted implant surgery template in edentulous jaw implantation: A preliminary clinical study.

Clin Implant Dent Relat Res. 2024-4

[4]
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[5]
Accuracy of dynamic computer-assisted implant surgery in fully edentulous patients: An in vitro study.

J Dent. 2024-10

[6]
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Clin Oral Implants Res. 2023-11

[7]
Accuracy of dental implant placement with a robotic system in partially edentulous patients: A prospective, single-arm clinical trial.

Clin Oral Implants Res. 2023-7

[8]
Accuracy of a Dynamic Dental Implant Navigation System in a Private Practice.

Int J Oral Maxillofac Implants. 2019

[9]
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J Dent. 2024-6

[10]
Accuracy of autonomous robotic surgery for dental implant placement in fully edentulous patients: A retrospective case series study.

Clin Oral Implants Res. 2023-12

引用本文的文献

[1]
Accuracy of robot-assisted dental implant surgery and its clinical influencing factors: a retrospective case series of 100 patients.

BMC Oral Health. 2025-8-23

[2]
Effect of Bone Microstructure Derived From CBCT on the Accuracy of Robot-Assisted Implant Surgery: A Retrospective Study.

Clin Oral Implants Res. 2025-6

[3]
Accuracy of the over-preparation technique in implant surgery in the maxillary anterior region: an in vitro study.

BMC Oral Health. 2025-1-27

[4]
Computer-aided robotics for applications in fracture reduction surgery: Advances, challenges, and opportunities.

iScience. 2024-12-3

[5]
Dynamic Navigation in Dental Implantology.

Discoveries (Craiova). 2023-12-31

[6]
Dental implant placement accuracy with robotic surgery compared to free-hand, static and dynamic computer assisted techniques: Systematic review and meta-analysis.

J Oral Biol Craniofac Res. 2025

[7]
Accuracy of robot-assisted implant surgery versus freehand placement: a retrospective clinical study.

Int J Implant Dent. 2025-1-3

[8]
Accuracy and operation procedure of robotic computer-aided implant surgery.

Sci Rep. 2025-1-2

[9]
Comparison of the accuracy of dynamic navigation and the free hand approaches in the placement of pterygoid implants in the completely edentulous maxilla: An in vitro study.

J Dent Sci. 2024-10

[10]
Influence of dental implant clinical experience on the accuracy of robot-assisted immediate implant placement: an in vitro study.

Clin Oral Investig. 2024-9-5

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