数字化口腔种植导航的精确性评价
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摘要
数字化技术已成为时下口腔种植修复技术快速发展的大方向。随着数字化口腔种植修复技术的不断进化,种植手术导板已经广泛为临床应用,然而亦存在导板影响冷却、术者视野受限、无法术中调整的缺点,其精度也有待进一步提升。数字化口腔种植导航具有能够辅助术前诊断与设计,精确追踪并控制术中植入操作、提高手术安全性,节约手术时间成本,可以直视下操作,不改变种植医生的习惯,精准度高,不影响冷却等多种优势,在一定程度上使口腔种植手术的准确性及便利性有所提升。本文就数字化种植导航的分类及构成、使用流程及常用系统、精确性及影响因素进行综述,以期为临床医师开展数字化种植导航引导下的手术过程提供参考。
引文
[1] 杨云东,韩晓鹏,刘利苹,等.15例慢性局限性牙周炎患者牙种植修复的临床效果评价[J].中国口腔种植学杂志,2011,(1):83-84.
[2] 陈晓军,林艳萍,吴轶群,等.计算机辅助口腔种植手术实时导航系统的研究与实现[J].生物医学工程学杂志,2008,25(2):429-435.
[3] Ramasamy M,Giri,Raja R,et al.Implant surgical guides:From the past to the present[J].J Pharm Bioallied Sci,2013,5(Suppl 1):S98-S102.
[4] Block MS,Emery RW.Static or Dynamic Navigation for Implant Placement-Choosing the Methods of Guidance[J].J Oral Maxillofac Surg,2016,74(2):269-277.
[5] 贾胜男,罗佳,林野.计算机辅助导航技术在口腔种植手术中的应用[J].中华口腔医学杂志,2014,49(6):379-382.
[6] 蔡敏秋,叶美花,俞诚波.计算机导航技术在牙种植术中的应用进展[J].中国乡村医药,2016,23(16):87-88.
[7] Ploder O,Wagner A,Enislidis G,et al.[Computer-assisted intraoperative visualization of dental implants.Augmented reality in medicine][J].Radiologe,1995,35(9):569-572.
[8] Wittwer G,Adeyemo WL,Schicho K,et al.Computer-guided flapless transmucosal implant placement in the mandible:a new combination of two innovative techniques[J].Oral Surg Oral Med Oral Pathol Oral Radiol Endod,2006,101(6):718-723.
[9] Ewers R,Schicho K,Truppe M,et al.Computer-aided navigation in dental implantology:7 years of clinical experience[J].J Oral Maxillofac Surg,2004,62(3):329-334.
[10] 于德栋,沈国芳.虚拟现实技术在手术培训中的应用及展望[J].中华口腔医学研究杂志(电子版),2011,5(5):57-59.
[11] Ruppin J,Popovic A,Strauss M,et al.Evaluation of the accuracy of three different computer-aided surgery systems in dental implantology:optical tracking vs.stereolithographic splint systems[J].Clin Oral Implants Res,2010,19(7):709-716.
[12] Vercruyssen M,Fortin T,Widmann G,et al.Different techniques of static/dynamic guided implant surgery:modalities and indications[J].Periodontol 2000,2014,66(1):214-227.
[13] 王跃平,樊圣祈,吴轶群.动态导航系统在口腔种植领域的发展和应用[J].口腔疾病防治,2017,25(10):613-619.
[14] 于德栋,黄伟,张志勇,等.数字化技术在种植外科中的应用[J].中国实用口腔科杂志,2016,9(1):10-14.
[15] 满毅.数字化技术在口腔种植修复中的应用[J].口腔医学,2017,37(7):577-582.
[16] Jung RE,Schneider D,Ganeles J,et al.Computer technology applications in surgical implant dentistry:a systematic review[J].Int J Oral Maxillofac Implants,2009,Suppl 24:92-109.
[17] 梁英蓬,唐平,陈松龄,等.虚拟牙种植导航系统研究与开发[J].计算机测量与控制,2014,22(1):254-256.
[18] Wanschitz F,Birkfellner W,Figl M,et al.Computer-enhanced stereoscopic vision in a head-mounted display for oral implant surgery[J].Clin Oral Implan Res,2010,13(6):610-616.
[19] Wagner A,Wanschitz F,Birkfellner W,et al.Computer-aided placement of endosseous oral implants in patients after ablative tumour surgery:assessment of accuracy[J].Clin Oral Implan Res,2010,14(3):340-348.
[20] Randelzhofer P,de la Barrera JM,Spielberg M,et al.Three-dimensional navigation in oral implantology:a preliminary investigation[J].Int J Periodont Rest,2001,21(6):617-626.
[21] Wanschitz F,Watzinger F,Schopper C,et al.Evaluation of accuracy of computer-aided intraoperative positioning of endosseous oral implants in the edentulous mandible[J].Clin Oral Implants Res,2002,13(1):59-64.
[22] Widmann G,Zangerl A,Keiler M,et al.Flapless implant surgery in the edentulous jaw based on three fixed intraoral reference points and image-guided surgical templates:accuracy in human cadavers[J].Clin Oral Implants Res,2010,21(8):835-841.
[23] Chiu WK,Luk WK,Cheung LK.Three-dimensional accuracy of implant placement in a computer-assisted navigation system[J].Int J Oral Maxillofac Implants,2007,98(3):238.
[24] Kramer FJ,Baethge C,Swennen G,et al.Navigated vs.conventional implant insertion for maxillary single tooth replacement[J].Clin Oral Implants Res,2010,16(1):60-68.
[25] Brief J,Edinger D,Hassfeld S,et al.Accuracy of image-guided implantology[J].Clin Oral Implants Res,2010,16(4):495-501.
[26] Casap N,Wexler A,Persky N,et al.Navigation surgery for dental implants:assessment of accuracy of the image guided implantology system[J].J Oral Maxillofac Surg,2004,62(62):116-119.
[27] 王卓,黄远亮,顾力栩,等.牙种植外科导航系统精确度的测试研究[J].口腔颌面外科杂志,2006,16(2):114-117.
[28] Van Assche N,Vercruyssen M,Coucke W,et al.Accuracy of computer‐aided implant placement[J].Clin Oral Implants Res,2012,23(Suppl 6):S112-S123.
[29] 莫晖,莫业跃,庄秀妹,等.基于3D打印技术新型金属镂空式种植外科导板的临床应用[J].中华口腔医学研究杂志(电子版),2014,8(2):128-133.
[30] Arora KS,Khan N,Abboudi H,et al.Learning curves for cardiothoracic and vascular surgical procedures--a systematic review[J].Postgrad Med,2014,127(2):202.
[2] 陈晓军,林艳萍,吴轶群,等.计算机辅助口腔种植手术实时导航系统的研究与实现[J].生物医学工程学杂志,2008,25(2):429-435.
[3] Ramasamy M,Giri,Raja R,et al.Implant surgical guides:From the past to the present[J].J Pharm Bioallied Sci,2013,5(Suppl 1):S98-S102.
[4] Block MS,Emery RW.Static or Dynamic Navigation for Implant Placement-Choosing the Methods of Guidance[J].J Oral Maxillofac Surg,2016,74(2):269-277.
[5] 贾胜男,罗佳,林野.计算机辅助导航技术在口腔种植手术中的应用[J].中华口腔医学杂志,2014,49(6):379-382.
[6] 蔡敏秋,叶美花,俞诚波.计算机导航技术在牙种植术中的应用进展[J].中国乡村医药,2016,23(16):87-88.
[7] Ploder O,Wagner A,Enislidis G,et al.[Computer-assisted intraoperative visualization of dental implants.Augmented reality in medicine][J].Radiologe,1995,35(9):569-572.
[8] Wittwer G,Adeyemo WL,Schicho K,et al.Computer-guided flapless transmucosal implant placement in the mandible:a new combination of two innovative techniques[J].Oral Surg Oral Med Oral Pathol Oral Radiol Endod,2006,101(6):718-723.
[9] Ewers R,Schicho K,Truppe M,et al.Computer-aided navigation in dental implantology:7 years of clinical experience[J].J Oral Maxillofac Surg,2004,62(3):329-334.
[10] 于德栋,沈国芳.虚拟现实技术在手术培训中的应用及展望[J].中华口腔医学研究杂志(电子版),2011,5(5):57-59.
[11] Ruppin J,Popovic A,Strauss M,et al.Evaluation of the accuracy of three different computer-aided surgery systems in dental implantology:optical tracking vs.stereolithographic splint systems[J].Clin Oral Implants Res,2010,19(7):709-716.
[12] Vercruyssen M,Fortin T,Widmann G,et al.Different techniques of static/dynamic guided implant surgery:modalities and indications[J].Periodontol 2000,2014,66(1):214-227.
[13] 王跃平,樊圣祈,吴轶群.动态导航系统在口腔种植领域的发展和应用[J].口腔疾病防治,2017,25(10):613-619.
[14] 于德栋,黄伟,张志勇,等.数字化技术在种植外科中的应用[J].中国实用口腔科杂志,2016,9(1):10-14.
[15] 满毅.数字化技术在口腔种植修复中的应用[J].口腔医学,2017,37(7):577-582.
[16] Jung RE,Schneider D,Ganeles J,et al.Computer technology applications in surgical implant dentistry:a systematic review[J].Int J Oral Maxillofac Implants,2009,Suppl 24:92-109.
[17] 梁英蓬,唐平,陈松龄,等.虚拟牙种植导航系统研究与开发[J].计算机测量与控制,2014,22(1):254-256.
[18] Wanschitz F,Birkfellner W,Figl M,et al.Computer-enhanced stereoscopic vision in a head-mounted display for oral implant surgery[J].Clin Oral Implan Res,2010,13(6):610-616.
[19] Wagner A,Wanschitz F,Birkfellner W,et al.Computer-aided placement of endosseous oral implants in patients after ablative tumour surgery:assessment of accuracy[J].Clin Oral Implan Res,2010,14(3):340-348.
[20] Randelzhofer P,de la Barrera JM,Spielberg M,et al.Three-dimensional navigation in oral implantology:a preliminary investigation[J].Int J Periodont Rest,2001,21(6):617-626.
[21] Wanschitz F,Watzinger F,Schopper C,et al.Evaluation of accuracy of computer-aided intraoperative positioning of endosseous oral implants in the edentulous mandible[J].Clin Oral Implants Res,2002,13(1):59-64.
[22] Widmann G,Zangerl A,Keiler M,et al.Flapless implant surgery in the edentulous jaw based on three fixed intraoral reference points and image-guided surgical templates:accuracy in human cadavers[J].Clin Oral Implants Res,2010,21(8):835-841.
[23] Chiu WK,Luk WK,Cheung LK.Three-dimensional accuracy of implant placement in a computer-assisted navigation system[J].Int J Oral Maxillofac Implants,2007,98(3):238.
[24] Kramer FJ,Baethge C,Swennen G,et al.Navigated vs.conventional implant insertion for maxillary single tooth replacement[J].Clin Oral Implants Res,2010,16(1):60-68.
[25] Brief J,Edinger D,Hassfeld S,et al.Accuracy of image-guided implantology[J].Clin Oral Implants Res,2010,16(4):495-501.
[26] Casap N,Wexler A,Persky N,et al.Navigation surgery for dental implants:assessment of accuracy of the image guided implantology system[J].J Oral Maxillofac Surg,2004,62(62):116-119.
[27] 王卓,黄远亮,顾力栩,等.牙种植外科导航系统精确度的测试研究[J].口腔颌面外科杂志,2006,16(2):114-117.
[28] Van Assche N,Vercruyssen M,Coucke W,et al.Accuracy of computer‐aided implant placement[J].Clin Oral Implants Res,2012,23(Suppl 6):S112-S123.
[29] 莫晖,莫业跃,庄秀妹,等.基于3D打印技术新型金属镂空式种植外科导板的临床应用[J].中华口腔医学研究杂志(电子版),2014,8(2):128-133.
[30] Arora KS,Khan N,Abboudi H,et al.Learning curves for cardiothoracic and vascular surgical procedures--a systematic review[J].Postgrad Med,2014,127(2):202.