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无瓣牙种植手术中触觉机器人导航的应用:一例报告。

Flapless dental implant surgery enabled by haptic robotic guidance: A case report.

机构信息

Implants Pro Center San Francisco, San Francisco, California, USA.

出版信息

Clin Implant Dent Relat Res. 2024 Apr;26(2):251-257. doi: 10.1111/cid.13279. Epub 2023 Oct 5.

Abstract

This case report presents the use of haptic robotic technology in one patient with six implants placed in the maxilla and five implants in the lower mandible with the goal of individual single implant supported crowns to be placed over each implant after 6 months. All implants were placed using a flapless technique, with one immediate implant placement after extraction. All implants were placed with a high degree of accuracy relative to the pre-operative plan as determined by post-op CBCT analysis with an average angular deviation of 2.58° and positional deviations at the coronal and apical aspects of the implant around 1 mm (0.93 and 1.06 mm, respectively). Total surgical time of less than 2 h. Haptic robotics physically guides the location, orientation, and depth of the tools during both drilling and implantation and thus allows for accurate placement as well as the intra-operative flexibility to change the plan as necessary while providing excellent visualization and irrigation. This robotic technology provides a treatment that focuses on accuracy and safety providing the best chance at excellent surgical outcomes for the patient.

摘要

本病例报告介绍了触觉机器人技术在一名患者中的应用,该患者上颌植入六枚种植体,下颌植入五枚种植体,目的是在 6 个月后在每个种植体上放置个体单种植体支持的牙冠。所有种植体均采用无瓣技术植入,其中一枚在拔牙后立即植入。所有种植体的植入位置均具有很高的准确性,与术前计划相比,术后 CBCT 分析的平均角度偏差为 2.58°,种植体冠方和根尖方向的位置偏差约为 1mm(分别为 0.93mm 和 1.06mm)。总手术时间不到 2 小时。触觉机器人在钻孔和植入过程中物理引导工具的位置、方向和深度,从而实现准确放置,并具有在必要时灵活改变计划的能力,同时提供出色的可视化和冲洗。这种机器人技术提供了一种注重准确性和安全性的治疗方法,为患者提供了获得出色手术效果的最佳机会。

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