Wang Fushi, Cai Xinjie, Sun Wei, Chen Chen, Meng Liuyan
State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School & Hospital of Stomatology, Wuhan University, 237 Luoyu Road, Wuhan, Hubei, 430079, China.
Department of Cariology and Endodontics, Hospital of Stomatology, Wuhan University, Wuhan, China.
Clin Oral Investig. 2024 Dec 13;29(1):13. doi: 10.1007/s00784-024-06098-z.
Dynamic navigation (DN) technology has ushered in a paradigm shift in dentistry, revolutionizing the precision of diverse procedures in oral and craniofacial surgery. This comprehensive review aims to review the manifold applications of DN, including implantology, endodontics, oral and dental surgeries, and other dental disciplines.
A thorough search of the online databases PubMed and Google Scholar was conducted up to March 2024. Publications associated with DN in the field of oral and maxillofacial surgery were sourced.
Narrative literature review.
DN harnesses cone beam computerized tomography imaging, virtual design software, and motion tracking technology to construct a virtual model of the patient's oral cavity, affording real-time instrument tracking during procedures. Notably, in implantology, DN facilitates implant placement, enhances safety measures, and augments procedural efficiency. The application of DN in sinus lift procedures contributes to improved surgical outcomes and reduced complications. Within endodontics, DN guides root canal treatment (RCT), retreatment of failed RCT, and endodontic microsurgery, ensuring conservative access cavities and precise canal location. Beyond these, the versatility of DN extends to encompass maxillomandibular and orthognathic surgeries, tooth extraction, removal of foreign bodies, and facial reconstruction. However, it is crucial to acknowledge potential disadvantages and error-prone scenarios as DN technologies advance.
DN technology empowers dentists with high accuracy, heightened safety protocols, and increased procedural efficiency, culminating in enhanced patient outcomes across various dental procedures. As DN technology further expands, its pivotal role will advance in the future of oral and maxillofacial surgery.
动态导航(DN)技术引领了牙科领域的范式转变,彻底改变了口腔颌面外科各种手术的精准度。本综述旨在回顾DN的多种应用,包括种植学、牙髓病学、口腔及牙科手术以及其他牙科领域。
截至2024年3月,对在线数据库PubMed和谷歌学术进行了全面检索。获取了口腔颌面外科领域与DN相关的出版物。
叙述性文献综述。
DN利用锥形束计算机断层扫描成像、虚拟设计软件和运动跟踪技术构建患者口腔的虚拟模型,在手术过程中实现实时器械跟踪。值得注意的是,在种植学中,DN有助于种植体植入,增强安全措施并提高手术效率。DN在鼻窦提升手术中的应用有助于改善手术效果并减少并发症。在牙髓病学中,DN指导根管治疗(RCT)、失败RCT的再治疗以及牙髓显微手术,确保保守的入路腔和精确的根管定位。除此之外,DN的多功能性还扩展到包括上颌下颌和正颌手术、拔牙、异物取出和面部重建。然而,随着DN技术的发展,认识到潜在的缺点和容易出错的情况至关重要。
DN技术使牙医能够实现高精度、更高的安全规程和更高的手术效率,最终在各种牙科手术中提高患者治疗效果。随着DN技术的进一步扩展,其关键作用将在口腔颌面外科的未来发展中得到提升。