Li Mucong, Lv Huixin, Zhang Yidi, Liu Xiuyu, Jia Kewen, You Jiaqian, Chen Siyu, Zhou Yanmin
Hospital of Stomatology, Jilin University, Changchun, 130021, China.
BMC Oral Health. 2025 Aug 20;25(1):1343. doi: 10.1186/s12903-025-06705-9.
Inadequate bone height and the proximity of the inferior alveolar nerve following vertical resorption of the mandibular alveolar ridge pose great challenges for dental implant surgery. Pemphigoid is a chronic autoimmune disease affecting both the skin and mucous membranes. The presence of autoantibodies and the ongoing inflammatory response significantly impair the skin's ability to heal in pemphigoid patients, thus necessitating a minimally invasive surgical approach. Therefore, finding accurate and minimally invasive implant solutions to address insufficient bone height in the mandibular posterior region for pemphigoid patients is highly important.
A 35-year-old female patient with pemphigoid presented with multiple missing posterior mandibular teeth requested dental implants. CBCT examination revealed substantial vertical resorption of the mandible in the right posterior region. Taking into account the patient's overall health condition, potential surgical trauma, and treatment duration, an autonomous dental implant robot was utilized to perform trans-inferior alveolar nerve implantation.
Autonomous robotic system-assisted trans-inferior alveolar nerve implantation not only maximized the use of the patient's existing bone volume and shortened the treatment period but also ensured the precision of implant placement. At the same time, the flap range of the implant surgery was greatly reduced, thereby decreasing the risk of postoperative soft tissue complications for patients with pemphigoid.
下颌牙槽嵴垂直吸收后骨高度不足以及下牙槽神经位置靠近，给牙种植手术带来巨大挑战。类天疱疮是一种影响皮肤和黏膜的慢性自身免疫性疾病。自身抗体的存在和持续的炎症反应显著损害类天疱疮患者皮肤的愈合能力，因此需要采用微创外科手术方法。所以，为类天疱疮患者找到准确且微创的种植解决方案以解决下颌后部区域骨高度不足的问题非常重要。
一名35岁患有类天疱疮的女性患者，因下颌后牙多处缺失前来要求进行牙种植。CBCT检查显示右侧下颌后部区域下颌骨有大量垂直吸收。考虑到患者的整体健康状况、潜在手术创伤和治疗时长，使用自主式牙种植机器人进行经下牙槽神经种植。
自主机器人系统辅助经下牙槽神经种植不仅最大限度地利用了患者现有的骨量，缩短了治疗周期，还确保了种植体植入的精确性。同时，种植手术的皮瓣范围大大减小，从而降低了类天疱疮患者术后软组织并发症的风险。
