Department of stomatology, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510080, People's Republic of China.
Department of stomatology, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510080, People's Republic of China.
J Stomatol Oral Maxillofac Surg. 2023 Feb;124(1S):101278. doi: 10.1016/j.jormas.2022.08.021. Epub 2022 Sep 2.
The purpose of this study is to investigate the clinical effect of Dynamic real-time navigation to assist immediate implant without flapping in the esthetic zone.
Eight patients who underwent immediate implantation in the aesthetic area were included. A total of 11 implants were implanted using dynamic real-time navigation system combined with non-flap technology. Clinical indicators including implant deviation, initial stability, alveolar bone absorption, implant success rate, pink esthetic score (PES), Papilla index score (PIS), and the thickness of labial side bone plate of the implant were recorded.
The deviation between the actual implant position and the preoperative design was (0.76±0.08) mm at the top, (1.11±0.18) mm at the root, (0.90±0.16) mm at the depth, and (1.48±0.91)°at the Angle. ISO values of all implants were greater than 59. PES was greater than 8. PIS index was 2 or 3. The average alveolar bone absorption was (0.34±0.09) mm and the thickness of bone plate on the lip of implant was greater than 1.6 mm. The success rate of implantation was 100%.
The use of dynamic real-time navigation assisted non-flap implantation in the aesthetic area can effectively reduce implant deviation and improve the aesthetic effect.
本研究旨在探讨动态实时导航辅助在美学区域无瓣即刻种植的临床效果。
纳入 8 例在美学区域行即刻种植的患者，共植入 11 颗种植体，采用动态实时导航系统联合无瓣技术。记录种植体偏差、初始稳定性、牙槽骨吸收、种植体成功率、粉色美学评分（PES）、龈乳头指数评分（PIS）和种植体唇侧骨板厚度等临床指标。
种植体实际位置与术前设计的偏差在上部为（0.76±0.08）mm，在根部为（1.11±0.18）mm，在深度为（0.90±0.16）mm，在角度为（1.48±0.91）°。所有种植体的 ISO 值均大于 59。PES 大于 8。PIS 指数为 2 或 3。平均牙槽骨吸收为（0.34±0.09）mm，种植体唇侧骨板厚度大于 1.6mm。种植体成功率为 100%。
在美学区域使用动态实时导航辅助无瓣即刻种植可以有效减少种植体偏差，提高美学效果。
