自主式牙种植机器人系统在部分牙缺失中的准确性：一项初步临床研究。
Accuracy of an autonomous dental implant robotic system in partial edentulism: A pilot clinical study.
机构信息
First Clinical Division, Peking University School and Hospital for Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Laboratory for Digital and Material Technology for Stomatology & Beijing Key Laboratory for Digital Stomatology, Beijing, PR China.
Division of Conservative Dentistry and Periodontology, Center of Clinical Research, Dental School, Medical University of Vienna, Vienna, Austria.
出版信息
Clin Oral Investig. 2024 Jun 19;28(7):385. doi: 10.1007/s00784-024-05780-6.
OBJECTIVES
Robots are increasingly being used for surgical procedures in various specialties. However, information about the accuracy of robot-assisted dental implant surgery is lacking. This pilot clinical study aimed to investigate the accuracy of an autonomous dental implant robotic (ADIR) system in partially edentulous cases.
MATERIAL AND METHODS
The ADIR system was used to place a total of 20 implants in 13 participants. Implant deviation from the planned positions was assessed to determine accuracy. The entry, apex, and angular deviations were described as means ± standard deviation. A two-sample t test was used to compare implant deviation between the flap and flapless groups and between maxillary and mandibular implants (α = .05).
RESULTS
The entry, apex, and angular deviations were 0.65 ± 0.32 mm, 0.66 ± 0.34 mm, and 1.52 ± 1.01°, respectively, with no statistically significant difference between the flap and flapless approaches (P > .05). No adverse events were encountered in any of the participants.
CONCLUSIONS
DIR accuracy in this clinical series was comparable to that reported for static and dynamic computer-assisted implant surgery. Robotic computer-assisted implant surgery may be useful for dental implant placement, potentially improving the quality and safety of the procedure.
CLINICAL RELEVANCE
The findings of this study showed that the ADIR system could be useful for dental implant surgery.
目的
机器人在多个医学专科领域的手术中应用越来越广泛。然而，关于机器人辅助牙科种植手术准确性的信息还比较缺乏。本初步临床研究旨在调查自主牙科种植机器人（ADIR）系统在部分缺牙病例中的准确性。
材料与方法
共 13 名患者使用 ADIR 系统植入了 20 颗种植体。评估种植体相对于计划位置的偏差，以确定准确性。入口、根尖和角度偏差分别用平均值 ± 标准差表示。采用两样本 t 检验比较有瓣和无瓣组以及上颌和下颌种植体之间的种植体偏差（α = .05）。
结果
入口、根尖和角度偏差分别为 0.65 ± 0.32 mm、0.66 ± 0.34 mm 和 1.52 ± 1.01°，无瓣组和有瓣组之间无统计学差异（P > .05）。所有患者均未发生不良事件。
结论
本临床研究中，DIR 的准确性与静态和动态计算机辅助种植手术报道的结果相当。机器人计算机辅助种植手术可能有助于牙科种植体的植入，有望提高手术的质量和安全性。
临床相关性
本研究结果表明，ADIR 系统可能对牙科种植手术有用。
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