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通过比较下颌骨训练模型中的三维规划数据和实际种植体植入情况对计算机辅助和引导式牙种植学进行准确性分析:牙科学生与训练有素的种植学家的单中心比较

Accuracy Analysis of Computer-Assisted and Guided Dental Implantology by Comparing 3D Planning Data and Actual Implant Placement in a Mandibular Training Model: A Monocentric Comparison between Dental Students and Trained Implantologists.

作者信息

Ebeling Marcel, Sakkas Andreas, Schramm Alexander, Wilde Frank, Scheurer Mario, Winter Karsten, Pietzka Sebastian

机构信息

Department of Cranio-Maxillo-Facial-Surgery, German Armed Forces Hospital Ulm, 89081 Ulm, Germany.

Department of Cranio-Maxillo-Facial-Surgery, University Hospital Ulm, 89081 Ulm, Germany.

出版信息

J Pers Med. 2023 Jun 24;13(7):1037. doi: 10.3390/jpm13071037.

Abstract

The aim of this study was to investigate how precisely implantation can be realized by participants on a phantom head according to preliminary planning. Of particular interest here was the influence of participants' previous knowledge and surgical experience on the precision of the implant placement. The placed implants were scanned using an intraoral scanner, saved as STL files, and superimposed with the 3D-planned implant placement. Deviations from the planning were indicated in millimeters and degrees. We were able to show that on average, the deviations from computer-assisted 3D planning were less than 1 mm for implantologists, and the students also did not deviate more than 1.78 mm on average from 3D planning. This study shows that guided implantology provides predictable and reproducible results in dental implantology. Incorrect positioning, injuries to anatomical structures, and implant positions that cannot be prosthetically restored can thus be avoided.

摘要

本研究的目的是调查参与者根据初步规划在仿头模型上实现种植体植入的精确程度。这里特别感兴趣的是参与者的既往知识和手术经验对种植体植入精度的影响。使用口腔内扫描仪对植入的种植体进行扫描,保存为STL文件,并与三维规划的种植体植入位置进行叠加。与规划的偏差以毫米和度数表示。我们能够证明,平均而言,种植专科医生与计算机辅助三维规划的偏差小于1毫米,学生们与三维规划的平均偏差也不超过1.78毫米。这项研究表明,引导式种植学在牙种植学中能提供可预测和可重复的结果。因此,可以避免不正确的定位、对解剖结构的损伤以及无法进行修复的种植体位置。

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