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即刻义齿植入前牙槽骨修整的数字驱动手术导板

Digitally-Driven Surgical Guide for Alveoloplasty Prior to Immediate Denture Placement.

作者信息

Badr Zaid, Jaworski Jonah, D'Acquisto Sofia, Hamdan Manal

机构信息

Technological Innovation Center, Department of General Dental Sciences, School of Dentistry, Marquette University, Milwaukee, WI 53233, USA.

Predoctoral Program, School of Dentistry, Marquette University, Milwaukee, WI 53233, USA.

出版信息

Dent J (Basel). 2025 Jul 22;13(8):333. doi: 10.3390/dj13080333.

DOI:10.3390/dj13080333
PMID:40863036
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12384900/
Abstract

This article presents a step-by-step digital technique for fabricating a 3D-printed surgical guide to assist in alveoloplasty for immediate denture placement. The workflow integrates intraoral scanning, virtual tooth extraction, digital soft tissue modeling, and additive manufacturing to produce a customized guide with an occlusal window and buccal slot, along with a verification stent. This method ensures precise ridge recontouring and verification, enhancing surgical predictability and prosthetic fit. Unlike traditional surgical guides based on conventional casts or manual fabrication, this fully digital approach offers a practical and replicable protocol that bridges digital planning and clinical execution. By improving surgical precision, reducing operative time, and ensuring optimal denture fit, this technique represents a significant advancement in guided pre-prosthetic surgery.

摘要

本文介绍了一种逐步的数字技术,用于制造3D打印手术导板,以协助即刻义齿植入的牙槽骨成形术。该工作流程整合了口腔内扫描、虚拟拔牙、数字软组织建模和增材制造,以生产带有咬合窗口和颊侧槽的定制导板以及验证支架。这种方法可确保精确的牙槽嵴重塑和验证,提高手术可预测性和义齿贴合度。与基于传统模型或手工制作的传统手术导板不同,这种全数字方法提供了一种实用且可重复的方案,弥合了数字规划与临床执行之间的差距。通过提高手术精度、减少手术时间并确保义齿的最佳贴合度,该技术代表了引导性修复前手术的重大进展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5337/12384900/2fc7fe7427e6/dentistry-13-00333-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5337/12384900/b6c9e13b38d9/dentistry-13-00333-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5337/12384900/e16498163ecb/dentistry-13-00333-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5337/12384900/8285e52b18c7/dentistry-13-00333-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5337/12384900/dd93b5265fe6/dentistry-13-00333-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5337/12384900/0b5bf35253ce/dentistry-13-00333-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5337/12384900/f89bc0ec73ea/dentistry-13-00333-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5337/12384900/b65b75d58737/dentistry-13-00333-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5337/12384900/2d2f51994467/dentistry-13-00333-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5337/12384900/2fc7fe7427e6/dentistry-13-00333-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5337/12384900/b6c9e13b38d9/dentistry-13-00333-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5337/12384900/e16498163ecb/dentistry-13-00333-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5337/12384900/8285e52b18c7/dentistry-13-00333-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5337/12384900/dd93b5265fe6/dentistry-13-00333-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5337/12384900/0b5bf35253ce/dentistry-13-00333-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5337/12384900/f89bc0ec73ea/dentistry-13-00333-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5337/12384900/b65b75d58737/dentistry-13-00333-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5337/12384900/2d2f51994467/dentistry-13-00333-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5337/12384900/2fc7fe7427e6/dentistry-13-00333-g009.jpg

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本文引用的文献

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Advancements in Diagnostic Methods and Imaging Technologies in Dentistry: A Literature Review of Emerging Approaches.牙科诊断方法与成像技术的进展:新兴方法的文献综述
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Digital impression (intraoral scanners) and factors affecting its accuracy - an insight into knowledge and awareness amongst graduates, and clinical practitioners.
数字化印模(口内扫描仪)及其准确性影响因素——毕业生和临床医生的认知与意识。
BMC Oral Health. 2024 Oct 30;24(1):1323. doi: 10.1186/s12903-024-05075-y.
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Cost-effective Solution for Maxillofacial Reconstruction Surgery with Virtual Surgical Planning and 3D Printed Cutting Guides Reduces Operative Time.采用虚拟手术规划和3D打印切割导板的颌面重建手术经济高效解决方案可缩短手术时间。
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