De La Garza-Ramos Myriam Angélica, Ipiña-Lozano Héctor Hugo, Cano-Verdugo Guillermo, Nakagoshi-Cepeda María Argelia Akemi, Liu Yinli
School of Dentistry, Universidad Autónoma de Nuevo León (UANL), Monterrey, MEX.
Department of Orthodontics, Academic Center for Dentistry (ACTA), Amsterdam, NLD.
Cureus. 2024 Apr 18;16(4):e58555. doi: 10.7759/cureus.58555. eCollection 2024 Apr.
Robotics has various applications in dentistry, particularly in orthodontics, although the potential use of these technologies is not yet clear. This review aims to summarize the application of robotics in orthodontics and clarify its function and scope in clinical practice. Original articles addressing the application of robotics in any area of orthodontic practice were included, and review articles were excluded. PubMed, Google Scholar, Scopus, and DOAJ were searched from June to August 2023. The risk of bias was established using the risk of bias in non-randomized studies (ROBINS) and certainty assessment tools following the grading of recommendations, assessment, development, and evaluation (GRADE) guidelines. A narrative synthesis of the data was generated and presented according to its application in surgical and non-surgical orthodontics. The search retrieved 2,106 articles, of which 16 articles were selected for final data synthesis of research conducted between 2011 and 2023 in Asia, Europe, and North America. The application of robotics in surgical orthodontics helps guide orthognathic surgeries by reducing the margin of error, but it does not replace the work of a clinician. In non-surgical orthodontics, robotics assists in performing customized bending of orthodontic wires and simulating orthodontic movements, but its application is expensive. The articles collected for this synthesis exhibited a low risk of bias and high certainty, and the results indicated that the advantages of the application of robotics in orthodontics outweigh the disadvantages. This project was self-financed, and a previous protocol was registered at the PROSPERO site (registration number: CRD42023463531).
机器人技术在牙科领域有多种应用，尤其是在正畸学方面，尽管这些技术的潜在用途尚不清楚。本综述旨在总结机器人技术在正畸学中的应用，并阐明其在临床实践中的功能和范围。纳入了涉及机器人技术在正畸实践任何领域应用的原创文章，排除了综述文章。于2023年6月至8月在PubMed、谷歌学术、Scopus和DOAJ数据库进行了检索。使用非随机研究中的偏倚风险（ROBINS）和遵循推荐分级、评估、制定和评价（GRADE）指南的确定性评估工具来确定偏倚风险。根据其在外科正畸和非外科正畸中的应用对数据进行了叙述性综合分析。检索到2106篇文章，其中16篇文章被选用于对2011年至2023年在亚洲、欧洲和北美开展的研究进行最终数据综合分析。机器人技术在外科正畸中的应用有助于通过减少误差范围来指导正颌手术，但它并不能取代临床医生的工作。在非外科正畸中，机器人技术有助于进行正畸钢丝的定制弯曲和模拟正畸移动，但其应用成本高昂。本次综合分析收集的文章显示出低偏倚风险和高确定性，结果表明机器人技术在正畸学中的应用优点大于缺点。本项目自筹资金，之前的方案已在PROSPERO网站注册（注册号：CRD42023463531）。
