数字化技术在口腔种植修复中的应用
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摘要
随着计算机技术的飞速发展及其在口腔医学领域的广泛应用,当代口腔种植诊疗模式发生了前所未有的改变。数字化技术已真正渗透到种植修复治疗中的每一个环节,实现了精准、高效、舒适的个性化口腔种植诊疗新模式。该文旨在详细介绍口腔种植学中数字化技术的临床应用现状,阐述分析其优势与局限,并对其未来的发展方向进行探讨与展望。
Major changes are taking place in the oral implant therapy as a result of the rapid development of new digital technologies.In fact a lot of dental implant treatments that were previously manual tasks can be finished digitally and potentially more precise andquicker now. The aim of this study is to introduce the clinical application of digital technologies in oral implantology. Both advantagesand limitations of current digital approaches to planning and implementing implant-supported restorations are listed and the future devel-opment is discussed in detail.
Major changes are taking place in the oral implant therapy as a result of the rapid development of new digital technologies.In fact a lot of dental implant treatments that were previously manual tasks can be finished digitally and potentially more precise andquicker now. The aim of this study is to introduce the clinical application of digital technologies in oral implantology. Both advantagesand limitations of current digital approaches to planning and implementing implant-supported restorations are listed and the future devel-opment is discussed in detail.
引文
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[20]王勇.口内数字印模技术[J].口腔医学,2015,35(8):705-709.
[21]王珍珍,逯宜,宋君,等.光栅投影技术及逆向工程在重建和测量牙颌数字化模型中的应用[J].华西口腔医学杂志,2015,33(1):71-74.
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[23]Luthardt RG,Loos R,and Quaas S.Accuracy of intraoral data ac-quisition in comparison to the conventional impression[J].Int JComput Dent,2005,8(4):283-294.
[24]Andriessen FS,Rijkens DR,van der Meer WJ,et al.Applicabilityand accuracy of an intraoral scanner for scanning multiple implantsin edentulous mandibles:a pilot study[J].J Prosthet Dent,2014,111(3):186-194.
[2]Al-Ekrish AA,Ekram M.A comparative study of the accuracy andreliability of multidetector computed tomography and cone beamcomputed tomography in the assessment of dental implant site di-mensions[J].Dentomaxillofac Radiol,2011,40(2):67-75.
[3]Yepes JF,Al-Sabbagh M.Use of cone-beam computed tomographyin early detection of implant failure[J].Dent Clin North Am,2015,59(1):41-56.
[4]Naitoh M,Saburi K,Gotoh K,et al.Metal artifacts from posteriormandibular implants as seen in CBCT[J].Implant Dent,2013,22(2):151-154.
[5]Marra R,Acocella A,Rispoli A,et al.Full-mouth rehabilitationwith immediate loading of implants inserted with computer-guidedflap-less surgery:a 3-year multicenter clinical evaluation with oralhealth impact profile[J].Implant Dent,2013,22(5):444-452.
[6]Meloni SM,Tallarico M,De Riu G,et al.Guided implant surgeryafter free-flap reconstruction:Four-year results from a prospectiveclinical trial[J].J Craniomaxillofac Surg,2015,43(8):1348-1355.
[7]Meloni SM,Tallarico M,Pisano M,et al.Immediate loading offixed complete denture prosthesis supported by 4-8 implants placedusing guided surgery:A 5-year prospective study on 66 patientswith 356 implants[J].Clin Implant Dent Relat Res,2017,19(1):195-206.
[8]Abboud M,Wahl G,Guirado JL,et al.Application and success oftwo stereolithographic surgical guide systems for implant placementwith immediate loading[J].Int J Oral Maxillofac Implants,2012,27(3):634-643.
[9]Nokar S,Moslehifard E,Bahman T,et al.Accuracy of implantplacement using a CAD/CAM surgical guide:anin vitrostudy[J].Int J Oral Maxillofac Implants,2011,26(3):520-526.
[10]Rosenfeld AL,Mandelaris GA,Tardieu PB.Prosthetically directedimplant placement using computer software to ensure precise place-ment and predictable prosthetic outcomes.Part 2:rapid-prototypemedical modeling and stereolithographic drilling guides requiringbone exposure[J].Int J Periodontics Restorative Dent,2006,26(4):347-353.
[11]Turbush SK,Turkyilmaz I.Accuracy of three different types of ste-reolithographic surgical guide in implant placement:anin vitro study[J].J Prosthet Dent,2012,108(3):181-188.
[12]Ozan O,Turkyilmaz I,Ersoy AE,et al.Clinical accuracy of 3 dif-ferent types of computed tomography-derived stereolithographic sur-gical guides in implant placement[J].J Oral Maxillofac Surg,2009,67(2):394-401.
[13]Tahmaseb A,Wismeijer D,Coucke W,et al.Computer tech-nology applications in surgical implant dentistry:a systematicreview[J].Int J Oral Maxillofac Implants,2014,29(Suppl):25-42.
[14]Ploder O,Waqner A,Enislidis G,et al.Computer-assisted intrao-perative visualization of dental implants.Augmented reality in med-icine[J].Radiologe,1995,35(9):569-572.
[15]Casap N,Wexler A,Tarazi E.Application of a surgical navigationsystem for implant surgery in a deficient alveolar ridge postexcisionof an odontogenic myxoma[J].J Oral Maxillofac Surg,2005,63(7):982-988.
[16]Wittwer G,Adeyemo WL,Schicho K,et al.Computer-guidedflapless transmucosal implant placement in the mandible:a newcombination of two innovative techniques[J].Oral Surg Oral MedOral Pathol Oral Radiol Endod,2006,101(6):718-723.
[17]Wittwer G,Adevemo WL,Schicho K,et al.Navigated flaplesstransmucosal implant placement in the mandible:a pilot study in20 patients[J].Int J Oral Maxillofac Implants,2007,22(5):801-807.
[18]Reich S,Vollborn T,Mehl A,et al.Intraoral optical impressionsystems—an overview[J].Int J Comput Dent,2013,16(2):143-162.
[19]Commer P,Borauel C,Maier K,et al.Construction and testing ofa computer-based intraoral laser scanner for determining tooth posi-tions[J].Med Eng Phys,2000,22(9):625-635.
[20]王勇.口内数字印模技术[J].口腔医学,2015,35(8):705-709.
[21]王珍珍,逯宜,宋君,等.光栅投影技术及逆向工程在重建和测量牙颌数字化模型中的应用[J].华西口腔医学杂志,2015,33(1):71-74.
[22]Mehl A,Ender A,Mormann W,et al.Accuracy testing of a newintraoral 3D camera[J].Int J Comput Dent,2009,12(1):11-28.
[23]Luthardt RG,Loos R,and Quaas S.Accuracy of intraoral data ac-quisition in comparison to the conventional impression[J].Int JComput Dent,2005,8(4):283-294.
[24]Andriessen FS,Rijkens DR,van der Meer WJ,et al.Applicabilityand accuracy of an intraoral scanner for scanning multiple implantsin edentulous mandibles:a pilot study[J].J Prosthet Dent,2014,111(3):186-194.