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使用静态手术导板、虚拟导板和手动植入方法比较牙种植体植入精度——研究

Comparison of Dental Implant Placement Accuracy Using a Static Surgical Guide, a Virtual Guide and a Manual Placement Method - Study.

作者信息

Lysenko Anna V, Yaremenko Andrey I, Ivanov Vladimir M, Lyubimov Aleksandr I, Leletkina Natalia A, Prokofeva Alina A

机构信息

Federal State Budgetary Educational Institution of Higher Education "Academician I.P. Pavlov First St. Petersburg State Medical University" of the Ministry of Healthcare of Russian Federation, Saint-Petersburg, Russia.

Peter the Great St. Petersburg Polytechnic University, Saint-Petersburg, Russia.

出版信息

Ann Maxillofac Surg. 2023 Jul-Dec;13(2):158-162. doi: 10.4103/ams.ams_100_23. Epub 2024 Jan 15.

DOI:10.4103/ams.ams_100_23
PMID:38405564
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10883219/
Abstract

INTRODUCTION: The use of a surgical guide during pre-operative planning significantly increases the efficiency and safety of dental implantation. However, the current widespread use of static navigation has led to a decrease in accuracy. Dynamic navigation, on the other hand, can be an alternative. This study compared the accuracy of dental implant placement on jaw models using static navigation, a virtual guide and the manual placement method. MATERIALS AND METHODS: Nine patients with favourable conditions were selected, and three-dimensional full-body jaw models were set up. Group I had 21 implants placed using static navigation, Group II had 21 implants placed using dynamic navigation and Group III had 21 implants placed using the 'free hand' method. Placement accuracy was calculated by the deviation between the planned implant position and the actual position obtained from post-operative cone-beam computed tomography and model scanning. RESULTS: The deviation from the planned implant position was 0.4° in Group I and 0.5° in Group II. The 'free hand' method yielded the worst result, with a statistically significant difference between Groups I and II. However, implantation using dynamic navigation showed a lower variance of deviation, with the majority of implants having a deviation ≤0.5 mm (86% compared to 67% in the static navigation group). DISCUSSION: The accuracy of implant positioning using a virtual guide with dynamic imaging was comparable to static navigation and surpassed the accuracy obtained using the 'free hand' technique. This study highlights the potential of dynamic navigation control in dental implantology and warrants further clinical research to improve this system.

摘要

引言：在术前规划过程中使用手术导板可显著提高牙种植的效率和安全性。然而，目前静态导航的广泛应用导致了准确性的下降。另一方面，动态导航可能是一种替代方案。本研究比较了使用静态导航、虚拟导板和手动植入方法在颌骨模型上植入牙种植体的准确性。 材料与方法：选择9例条件良好的患者，建立三维全身颌骨模型。第一组使用静态导航植入21枚种植体，第二组使用动态导航植入21枚种植体，第三组使用“徒手”方法植入21枚种植体。通过术后锥形束计算机断层扫描和模型扫描获得的计划种植体位置与实际位置之间的偏差来计算植入准确性。 结果：第一组与计划种植体位置的偏差为0.4°，第二组为0.5°。“徒手”方法的结果最差，第一组和第二组之间存在统计学显著差异。然而，使用动态导航植入时偏差的方差较低，大多数种植体的偏差≤0.5 mm（86%，而静态导航组为67%）。 讨论：使用具有动态成像的虚拟导板进行种植体定位的准确性与静态导航相当，且超过了使用“徒手”技术获得的准确性。本研究突出了动态导航控制在牙种植学中的潜力，值得进一步开展临床研究以改进该系统。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4062/10883219/7f53888498dd/AMS-13-158-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4062/10883219/cd19d525aa7a/AMS-13-158-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4062/10883219/ff4660733459/AMS-13-158-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4062/10883219/5f30a5bec339/AMS-13-158-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4062/10883219/55e2fb04f5a6/AMS-13-158-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4062/10883219/7f53888498dd/AMS-13-158-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4062/10883219/cd19d525aa7a/AMS-13-158-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4062/10883219/ff4660733459/AMS-13-158-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4062/10883219/5f30a5bec339/AMS-13-158-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4062/10883219/55e2fb04f5a6/AMS-13-158-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4062/10883219/7f53888498dd/AMS-13-158-g005.jpg

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[1]
Comparison of Dental Implant Placement Accuracy Using a Static Surgical Guide, a Virtual Guide and a Manual Placement Method - Study.

Ann Maxillofac Surg. 2023

[2]
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[3]
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[4]
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[5]
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[6]
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[7]
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Comput Biol Med. 2023-11

[8]
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[9]
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[10]
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引用本文的文献

[1]
Assessing the accuracy of artificial intelligence in mandibular canal segmentation compared to semi-automatic segmentation on cone-beam computed tomography images.

Pol J Radiol. 2025-4-10

[2]
Alveolar ridge augmentation in Oral and Maxillofacial Surgery: a study on current practices, patient management and innovations in Germany.

Int J Implant Dent. 2025-4-16

本文引用的文献

[1]
Artificial intelligence and augmented reality for guided implant surgery planning: A proof of concept.

J Dent. 2023-6

[2]
Dynamic Navigation in Implant Dentistry: A Systematic Review and Meta-analysis.

Int J Oral Maxillofac Implants. 2021

[3]
Accuracy of dynamic navigation compared to static surgical guide for dental implant placement.

Int J Implant Dent. 2020-11-24

[4]
Accuracy of static digital surgical guides for dental implants based on the guide system: A systematic review.

J Stomatol Oral Maxillofac Surg. 2021-12

[5]
A review of virtual planning software for guided implant surgery - data import and visualization, drill guide design and manufacturing.

BMC Oral Health. 2020-9-10

[6]
Advantages and limitations of implant surgery with CAD/CAM surgical guides: A literature review.

J Clin Exp Dent. 2020-4-1

[7]
Augmented and virtual reality in dental medicine: A systematic review.

Comput Biol Med. 2019-3-15

[8]
[Augmented reality and virtual reality in the operating theatre status quo und quo vadis].

Aktuelle Urol. 2018-12

[9]
The accuracy of static computer-aided implant surgery: A systematic review and meta-analysis.

Clin Oral Implants Res. 2018-10

[10]
Dynamic Navigation for Surgical Implant Placement: Overview of Technology, Key Concepts, and a Case Report.

Compend Contin Educ Dent. 2018-10

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