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用于引导牙种植手术的计算机辅助设计与计算机辅助建模(CAD/CAM):基于10年实际经验的个人思考

Computer-Aided Design and Computer-Aided Modeling (CAD/CAM) for Guiding Dental Implant Surgery: Personal Reflection Based on 10 Years of Real-Life Experience.

作者信息

Scolozzi Paolo, Michelini Francesco, Crottaz Claude, Perez Alexandre

机构信息

Division of Oral and Maxillofacial Surgery, Department of Surgery, Faculty of Medicine, Hôpitaux Universitaire de Genève, 1211 Genève, Switzerland.

Unit of Oral Surgery and Implantology, Division of Oral and Maxillofacial Surgery, Department of Surgery, Faculty of Medicine, Hôpitaux Universitaire de Genève, 1211 Genève, Switzerland.

出版信息

J Pers Med. 2023 Jan 9;13(1):129. doi: 10.3390/jpm13010129.

Abstract

Traditional dental implant surgery has been challenged by the phenomenal progression in computer-assisted surgery (CAS) that we have been witnessing in recent years. Among the computer-aided technologies, computer-aided design and computer-aided manufacturing (CAD/CAM) techniques represent by far the most attractive and accepted alternatives over their dynamic counterpart, navigational assistance. Based on many years of experience, we have determined that CAD/CAM technology for guiding dental implant surgery is valuable for rehabilitation of the anterior maxillary region and the management of complete or severe partial edentulism. The technology also guarantees the 3D parallelism of implants. The purpose of the present report is to describe indications for use of CAD/CAM dental implant guided surgery. We analyzed the clinical and radiological data of thirteen consecutive edentulous patients treated using CAD/CAM techniques. All of the patients had stable cosmetic results with a high rate of patient satisfaction at the final follow-up examination. No intra- and/or postoperative complications were encountered during any of the steps of the procedure. The application of CAD/CAM techniques produced successful outcomes in the patients presented in this series.

摘要

近年来,我们目睹了计算机辅助手术(CAS)的惊人进展,传统牙种植手术受到了挑战。在计算机辅助技术中,计算机辅助设计和计算机辅助制造(CAD/CAM)技术是目前最具吸引力且被广泛接受的选择,远超其动态对应技术——导航辅助。基于多年经验,我们确定用于引导牙种植手术的CAD/CAM技术对上颌前部区域的修复以及全口或严重部分牙列缺失的治疗具有重要价值。该技术还能确保种植体的三维平行度。本报告旨在描述CAD/CAM牙种植引导手术的使用指征。我们分析了连续13例使用CAD/CAM技术治疗的无牙患者的临床和放射学数据。所有患者在最终随访检查时均获得了稳定的美容效果,患者满意度高。在手术的任何步骤中均未出现术中及/或术后并发症。本系列患者应用CAD/CAM技术均取得了成功。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8def/9863604/b5b37e7f87a4/jpm-13-00129-g001.jpg

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