Wu Bin-Zhang, Xue Fei, Ma Yu, Sun Feng
First Clinical Division, Peking University School and Hospital of Stomatology & National Center for Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices, Beijing, China.
Clin Oral Implants Res. 2023 Mar;34(3):221-232. doi: 10.1111/clr.14034. Epub 2023 Feb 8.
OBJECTIVES: To assess the relative accuracy of manual (U-shaped tube) and automatic (two-in-one) dynamic navigation registration techniques for implant surgery performed in posterior sites missing one tooth. MATERIALS AND METHODS: This study included 58 partially edentulous patients with 58 implants, including 31 and 27 in the manual and automatic groups. Deviations between the planned and actual implant placement were assessed. RESULTS: The angular deviation in the overall study cohort was 2.54 ± 1.21°, while the 3D deviations at the implant platform and apex were 0.90 ± 0.46 mm and 1.04 ± 0.47 mm, respectively. The respective angular deviations in the manual and automatic groups were 2.82 ± 1.17° and 2.21 ± 1.19° (p > .05), while platform deviations were 0.89 ± 0.48 mm and 0.91 ± 0.45 mm (p > .05), and apex deviations were 0.99 ± 0.48 mm and 1.11 ± 0.46 mm (p > .05). No significant differences in absolute buccolingual, mesiodistal, or apicocoronal deviations were detected between these groups at either level (p > .05) nor were did deviation distributions differ in the buccolingual, mesiodistal, or apicocoronal directions at the platform or apex levels (p > .05). CONCLUSIONS: Manual and automatic dynamic navigation registration techniques can achieve excellent accuracy when placing implants in posterior sites missing a single tooth. The two-in-one automatic registration technique can reduce the amount of time and intraoperative steps necessary to complete the registration process relative to the manual U-shaped tube registration technique. Further follow-up studies are necessary to expand on these results.
目的:评估手动(U形管)和自动(二合一)动态导航注册技术在单颗牙缺失的后牙区种植手术中的相对准确性。 材料与方法:本研究纳入58例部分牙列缺损患者,共植入58颗种植体,其中手动组31颗,自动组27颗。评估计划种植位置与实际种植位置之间的偏差。 结果:整个研究队列的角度偏差为2.54±1.21°,种植体平台和根尖的三维偏差分别为0.90±0.46mm和1.04±0.47mm。手动组和自动组各自的角度偏差分别为2.82±1.17°和2.21±1.19°(p>0.05),平台偏差分别为0.89±0.48mm和0.91±0.45mm(p>0.05),根尖偏差分别为0.99±0.48mm和1.11±0.46mm(p>0.05)。在任何一个水平上,两组之间在绝对颊舌向、近远中向或根尖冠向偏差方面均未检测到显著差异(p>0.05),在平台或根尖水平的颊舌向、近远中向或根尖冠向方向上,偏差分布也没有差异(p>0.05)。 结论:手动和自动动态导航注册技术在单颗牙缺失的后牙区植入种植体时均可达到优异的准确性。相对于手动U形管注册技术,二合一自动注册技术可减少完成注册过程所需的时间和术中步骤。需要进一步的随访研究来拓展这些结果。
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