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经验对牙种植体植入的影响:徒手、静态引导和动态导航方法的体外比较。

Influence of experience on dental implant placement: an in vitro comparison of freehand, static guided and dynamic navigation approaches.

机构信息

OMFS IMPATH Research Group, Department of Imaging and Pathology, KU Leuven, Kapucijnenvoer 33, 3000, Leuven, Belgium.

Department of Oral and Maxillofacial Surgery, The First Affiliated Hospital of Harbin Medical University, Youzheng Street 23, NangangHarbin, 150001, China.

出版信息

Int J Implant Dent. 2022 Oct 10;8(1):42. doi: 10.1186/s40729-022-00441-3.


DOI:10.1186/s40729-022-00441-3
PMID:36210395
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9548458/
Abstract

PURPOSE: This study aimed to investigate the performance of novice versus experienced practitioners for placing dental implant using freehand, static guided and dynamic navigation approaches. METHODS: A total of 72 implants were placed in 36 simulation models. Three experienced and three novice practitioners were recruited for performing the osteotomy and implant insertion with freehand, surgical guide (pilot-drill guidance) and navigation (X-Guide, X-Nav technologies) approaches. Each practitioner inserted 4 implants per approach randomly with a 1-week gap to avoid memory bias (4 insertion sites × 3 approaches × 6 practitioners = 72 implants). The performance of practitioners was assessed by comparing actual implant deviation to the planned position, time required for implant placement and questionnaire-based self-confidence evaluation of practitioners on a scale of 1-30. RESULTS: The navigation approach significantly improved angular deviation compared with freehand (P < 0.001) and surgical guide (P < 0.001) irrespective of the experience. Surgical time with navigation was significantly longer compared to the freehand approach (P < 0.001), where experienced practitioners performed significantly faster compared to novice practitioners (P < 0.001). Overall, self-confidence was higher in favor of novice practitioners with both guided approaches. In addition, the confidence of novice practitioners (median score = 26) was comparable to that of experienced practitioners (median score = 27) for placing implants with the navigation approach. CONCLUSIONS: Dynamic navigation system could act as a viable tool for dental implant placement. Unlike freehand and static-guided approaches, novice practitioners showed comparable accuracy and self-confidence to that of experienced practitioners with the navigation approach.

摘要

目的:本研究旨在探讨新手和经验丰富的医生在徒手、静态引导和动态导航方法下放置牙种植体的表现。

方法:在 36 个模拟模型中放置了总共 72 个种植体。招募了 3 名经验丰富的医生和 3 名新手医生,分别使用徒手、手术导板(导向钻引导)和导航(X-Guide、X-Nav 技术)方法进行截骨和种植体植入。每位医生随机以 1 周的间隔使用 4 种方法植入 4 个种植体(4 个植入部位×3 种方法×6 名医生=72 个种植体),以避免记忆偏差。通过比较实际种植体偏差与计划位置、种植体放置所需时间以及医生基于 1-30 分的自我信心评估问卷来评估医生的表现。

结果:导航方法与徒手(P < 0.001)和手术导板(P < 0.001)方法相比,显著改善了角度偏差。导航方法的手术时间明显长于徒手方法(P < 0.001),而经验丰富的医生比新手医生的操作速度明显更快(P < 0.001)。总体而言,在使用引导方法时,新手医生的信心更高。此外,对于使用导航方法放置种植体,新手医生的信心(中位数评分为 26)与经验丰富医生的信心(中位数评分为 27)相当。

结论:动态导航系统可作为一种可行的牙种植体放置工具。与徒手和静态引导方法不同,新手医生在导航方法下表现出与经验丰富医生相当的准确性和信心。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e812/9548458/6652a15b5f23/40729_2022_441_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e812/9548458/fca6377f21b7/40729_2022_441_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e812/9548458/b08f3cfa615e/40729_2022_441_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e812/9548458/6652a15b5f23/40729_2022_441_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e812/9548458/fca6377f21b7/40729_2022_441_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e812/9548458/b08f3cfa615e/40729_2022_441_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e812/9548458/6652a15b5f23/40729_2022_441_Fig3_HTML.jpg

相似文献

[1]
Influence of experience on dental implant placement: an in vitro comparison of freehand, static guided and dynamic navigation approaches.

Int J Implant Dent. 2022-10-10

[2]
Performance of novice versus experienced surgeons for dental implant placement with freehand, static guided and dynamic navigation approaches.

Sci Rep. 2023-2-14

[3]
Accuracy and Self-Confidence Level of Freehand Drilling and Dynamic Navigation System of Dental Implants: An In Vitro Study.

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[4]
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[5]
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J Dent Educ. 2021-2

[6]
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[7]
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[8]
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[9]
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Eur J Dent Educ. 2024-5

[10]
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引用本文的文献

[1]
Clinical accuracy assessment of a dynamic navigation system and surgical guide using an oral appliance-secured patient tracker targeting anterior teeth.

Int J Implant Dent. 2025-5-20

[2]
From Tradition to Technology: Robotic Artificial Intelligence in Dental Implantology.

Cureus. 2024-11-9

[3]
Accuracy of robotic-assisted surgery for immediate implant placement in posterior teeth: a retrospective case series.

BMC Oral Health. 2024-10-22

[4]
Accuracy of an autonomous dental implant robotic system in partial edentulism: A pilot clinical study.

Clin Oral Investig. 2024-6-19

[5]
Verification of the accuracy of dynamic navigation for conventional and mouthpiece methods: in vivo study.

BMC Oral Health. 2024-5-22

[6]
Accuracy and efficiency of dynamic navigated root-end resection in endodontic surgery: a pilot in vitro study.

BMC Oral Health. 2024-5-19

[7]
Accuracy and Self-Confidence Level of Freehand Drilling and Dynamic Navigation System of Dental Implants: An In Vitro Study.

Cureus. 2023-11-29

[8]
Reliability of a chairside CAD-CAM surgical guide for dental implant surgery on the anterior maxilla: An study.

J Adv Prosthodont. 2023-10

[9]
Feedback on dental implants with dynamic navigation versus freehand.

Bioinformation. 2023-3-31

[10]
Comparative Verification of the Accuracy of Implant Models Made of PLA, Resin, and Silicone.

Materials (Basel). 2023-4-23

本文引用的文献

[1]
Quality and haptic feedback of three-dimensionally printed models for simulating dental implant surgery.

J Prosthet Dent. 2024-4

[2]
Additively Manufactured Surgical Implant Guides: A Review.

J Prosthodont. 2022-3

[3]
Dynamic Navigation in Implant Dentistry: A Systematic Review and Meta-analysis.

Int J Oral Maxillofac Implants. 2021

[4]
Indications for 3-D diagnostics and navigation in dental implantology with the focus on radiation exposure: a systematic review.

Int J Implant Dent. 2021-5-27

[5]
Comparison of implant placement accuracy in two different preoperative digital workflows: navigated vs. pilot-drill-guided surgery.

Int J Implant Dent. 2021-4-30

[6]
Does the macro design of an implant affect the accuracy of template-guided implantation? A prospective clinical study.

Int J Implant Dent. 2021-4-26

[7]
Accuracy of dynamic navigation compared to static surgical guide for dental implant placement.

Int J Implant Dent. 2020-11-24

[8]
Evaluation of a dynamic navigation system for training students in dental implant placement.

J Dent Educ. 2021-2

[9]
Comparing Accuracy of Implant Installation with a Navigation System (NS), a Laboratory Guide (LG), NS with LG, and Freehand Drilling.

Int J Environ Res Public Health. 2020-3-22

[10]
Accuracy of dental implant placement via dynamic navigation or the freehand method: A split-mouth randomized controlled clinical trial.

Clin Oral Implants Res. 2019-12-29

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