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用于牙髓根尖手术的动态导航系统的学习曲线。

The learning curve of a dynamic navigation system used in endodontic apical surgery.

作者信息

Liu Si-Min, Peng Li, Zhao Yi-Jiao, Han Bing, Wang Xiao-Yan, Wang Zu-Hua

机构信息

Department of Cariology and Endodontology, Peking University School and Hospital of Stomatology & National Center for Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices, Beijing, PR China.

Fourth Clinical Division, Peking University School and Hospital of Stomatology & National Center for Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices, Beijing, PR China.

出版信息

J Dent Sci. 2024 Oct;19(4):2247-2255. doi: 10.1016/j.jds.2024.02.016. Epub 2024 Mar 1.

Abstract

BACKGROUND/PURPOSE: Quantitative research was conducted on the learning process of a dynamic navigation system. This study provides guidance for the promotion and application of dynamic navigation technology in the endodontic apical surgery field.

MATERIALS AND METHODS

Standardized models were designed and 3D printed to form the approach operation of endodontic apical surgery. 6 clinicians with no experience in dynamic navigation performed the operation. The distance deviation tolerance was set as 0.6 mm, and the angle deviation tolerance was set as 5°. Fifteen mm deep approach operation was completed using dynamic navigation. Each operator performed 10 consecutive exercises on the models. The positioning deviation and operation time of each operator for each practice were recorded. Based on this, the learning curve of the dynamic navigation of every operator was mapped. The learning difficulty of dynamic navigation was evaluated.

RESULTS

The learning curves of all operators reached a stable level after the 7th practice, which can ensure that the distance and angle deviations are maintained within the deviation tolerances (0.6 mm, 5°).

CONCLUSION

Operators with no experience in dynamic navigation technology need practice to master dynamic navigation operations. For this navigation system, operators with no operational experience can master dynamic navigation operations after 7 exercises.

摘要

背景/目的:对动态导航系统的学习过程进行定量研究。本研究为动态导航技术在牙髓根尖手术领域的推广应用提供指导。

材料与方法

设计标准化模型并3D打印,以形成牙髓根尖手术的进路操作。6名无动态导航经验的临床医生进行操作。将距离偏差容忍度设定为0.6毫米,角度偏差容忍度设定为5°。使用动态导航完成15毫米深的进路操作。每位操作者在模型上连续进行10次练习。记录每位操作者每次练习的定位偏差和操作时间。据此绘制每位操作者动态导航的学习曲线。评估动态导航的学习难度。

结果

所有操作者的学习曲线在第7次练习后达到稳定水平,可确保距离和角度偏差保持在偏差容忍度(0.6毫米,5°)范围内。

结论

无动态导航技术经验的操作者需要通过练习来掌握动态导航操作。对于该导航系统,无操作经验的操作者在7次练习后可掌握动态导航操作。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59f9/11437302/1b4de81c70fd/gr1.jpg

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