Dipalma Gianna, Inchingolo Angelo Michele, Trilli Irma, Di Noia Angela, De Vecchio Gaetano, Palermo Andrea, Inchingolo Francesco, Inchingolo Alessio Danilo
Department of Interdisciplinary Medicine, University of Bari "Aldo Moro", Bari, 70121, Italy.
Department of Experimental Medicine, University of Salento, Lecce, 73100, Italy.
BMC Oral Health. 2025 Jul 2;25(1):999. doi: 10.1186/s12903-025-06328-0.
For the best clinical results, accuracy is essential in orthodontics and oral surgery. Surgical guides, also known as templates, are now indispensable instruments for improving precision in operations like orthodontic treatments and dental implant installation. Cone-beam computed tomography (CBCT), intraoral scanning, and 3D printing are just a few of the cutting-edge imaging and manufacturing technologies used in these guides to produce patient-specific devices that complement predetermined treatment plans. Their application improves treatment predictability and lowers errors while minimizing hazards like harm to anatomical structures or improper placement.
The technique was directed by the PRISMA protocol, which involved searching PubMed, Scopus, and Web of Science for research articles published from 2014 to 2024. English-language human studies evaluating the accuracy of surgical guides were given priority in the inclusion criteria.
Results underscore the transformative role of surgical guides in reducing complications, enhancing interdisciplinary collaboration, and optimizing outcomes. However, challenges remain, including dependence on imaging quality, guide stability, and cost.
Notwithstanding its drawbacks, surgical guides are a major development in dentistry that helps close the gap between clinical execution and virtual planning while opening the door to safer, more predictable, and patient-centered care.
为了获得最佳临床效果,正畸和口腔外科手术中的准确性至关重要。手术导板,也称为模板,现已成为提高正畸治疗和牙种植体植入等手术精度不可或缺的工具。锥形束计算机断层扫描(CBCT)、口内扫描和3D打印只是这些导板中使用的一些前沿成像和制造技术,用于生产与预定治疗计划相匹配的个性化器械。它们的应用提高了治疗的可预测性,减少了误差,同时将对解剖结构的损伤或放置不当等风险降至最低。
该技术遵循PRISMA协议,即在PubMed、Scopus和Web of Science上搜索2014年至2024年发表的研究文章。纳入标准优先考虑评估手术导板准确性的英文人体研究。
结果强调了手术导板在减少并发症、加强多学科协作和优化治疗效果方面的变革性作用。然而,挑战依然存在,包括对成像质量的依赖、导板稳定性和成本。
尽管存在缺点,但手术导板是牙科领域的一项重大进展,有助于缩小临床实施与虚拟规划之间的差距,同时为更安全、更可预测和以患者为中心的护理打开大门。