口内数字化印模技术在口腔种植中的应用现状与研究进展
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摘要
近年来,数字化技术在口腔种植领域迅速发展,口内数字化印模技术作为数字化流程中的重要部分也受到越来越多的关注。与传统印模技术相比,口内数字化印模在临床操作效率、患者就诊体验、模型储存等方面表现出明显优势,同时也面临着数据拼接处理精度不足、软组织还原度低等问题。该文针对口腔种植修复中口内数字化印模技术的发展、特点及其应用现状与研究进展进行综述,以期进一步指导其临床应用。
Recently, digital technologies have been developing rapidly in the field of oral implantology. As an important part of digital workflow, intraoral digital impression technique has received more and more attention. Compared with conventional impression technique, intraoral digital impression technique shows significant advantages in efficiency, patient preference, model storage, etc. However, it is also faced with the problems like insufficient accuracy of registration and unsatisfactory reproduction of soft tissue. This article reviews the development, characteristics, current status and research progress of intraoral digital impression technique in oral implantology.
Recently, digital technologies have been developing rapidly in the field of oral implantology. As an important part of digital workflow, intraoral digital impression technique has received more and more attention. Compared with conventional impression technique, intraoral digital impression technique shows significant advantages in efficiency, patient preference, model storage, etc. However, it is also faced with the problems like insufficient accuracy of registration and unsatisfactory reproduction of soft tissue. This article reviews the development, characteristics, current status and research progress of intraoral digital impression technique in oral implantology.
引文
[1] Duret F,Blouin JL,Duret B.CAD-CAM in dentistry[J].J Am Dent Assoc,1988,117(6):715-720.
[2] Ting-Shu S,Jian S.Intraoral digital impression technique:A review[J].J Prosthodont,2015,24(4):313-321.
[3] Galhano GA,Pellizzer EP,Mazaro JV.Optical impression systems for CAD-CAM restorations[J].J Craniofac Surg,2012,23(6):e575-579.
[4] Joda T,Ferrari M,Gallucci GO,et al.Digital technology in fixed implant prosthodontics[J].Periodontology 2000,2017,73(1):178-192.
[5] Mangano F,Gandolfi A,Luongo G,et al.Intraoral scanners in dentistry:a review of the current literature[J].BMC Oral Health,2017,17(1):149.
[6] Wismeijer D,Joda T,Flugge T,et al.Group 5 ITI Consensus report:digital technologies[J].Clin Oral Implants Res,2018,29 (Suppl 16):436-442.
[7] Gherlone E,Cappare P,Vinci R,et al.Conventional versus digital impressions for “all-on-four” restorations[J].Int J Oral Maxillofac Implants,2016,31(2):324-330.
[8] Moura RV,Kojima AN,Saraceni CHC,et al.Evaluation of the Accuracy of Conventional and Digital Impression Techniques for Implant Restorations[J/OL].J Prosthodont,(2018-03-01)[2019-01-17].DOI:10.1111/jopr.12799.
[9] Amin S,Weber HP,Finkelman M,et al.Digital vs.conventional full-arch implant impressions:a comparative study[J].Clin Oral Implants Res,2017,28(11):1360-1367.
[10] Papaspyridakos P,Gallucci GO,Chen CJ,et al.Digital versus conventional implant impressions for edentulous patients:accuracy outcomes[J].Clin Oral Implants Res,2016,27(4):465-472.
[11] Iturrate M,Minguez R,Pradies G,et al.Obtaining reliable intraoral digital scans for an implant-supported complete-arch prosthesis:A dental technique[J/OL].J Prosthet Dent,(2018-08-07)[2019-01-17].DOI:10.1016/j.prosdent.2018.03.008.
[12] Muhlemann S,Kraus RD,Hammerle CHF,et al.Is the use of digital technologies for the fabrication of implant-supported reconstructions more efficient and/or more effective than conventional techniques:A systematic review[J].Clin Oral Implants Res,2018,29(Suppl 18):184-195.
[13] Lee SJ,Gallucci GO.Digital vs.conventional implant impressions:efficiency outcomes[J].Clin Oral Implants Res,2013,24(1):111-115.
[14] Schepke U,Meijer HJ,Kerdijk W,et al.Digital versus analog complete-arch impressions for single-unit premolar implant crowns:Operating time and patient preference[J].J Prosthet Dent,2015,114(3):403-406.e1.
[15] Gallardo YR,Bohner L,Tortamano P,et al.Patient outcomes and procedure working time for digital versus conventional impressions:A systematic review[J].J Prosthet Dent,2018,119(2):214-219.
[16] Alikhasi M,Alsharbaty MHM,Moharrami M.Digital implant impression technique accuracy:A systematic review[J].Implant Dent,2017,26(6):929-935.
[17] 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.
[18] 王勇.口内数字印模技术[J].口腔医学,2015,35(9):705-709.
[19] Gimenez B,Ozcan M,Martinez-Rus F,et al.Accuracy of a digital impression system based on active triangulation technology with blue light for implants:Effect of clinically relevant parameters[J].Implant Dent,2015,24(5):498-504.
[20] Flugge TV,Att W,Metzger MC,et al.Precision of dental implant digitization using intraoral scanners[J].Int J Prosthodont,2016,29(3):277-283.
[21] Andriessen FS,Rijkens DR,van der Meer WJ,et al.Applicabil-ity and accuracy of an intraoral scanner for scanning multiple implants in edentulous mandibles:a pilot study[J].J Prosthet Dent,2014,111(3):186-194.
[22] Monaco C,Scheda L,Baldissara P,et al.Implant Digital Impression in Esthetic Area[J/OL].J Prosthodont,(2018-10-25)[2019-01-17].DOI:10.1111/jopr.12991.
[23] Vandeweghe S,Vervack V,Dierens M,et al.Accuracy of digital impressions of multiple dental implants:an in vitro study[J].Clin Oral Implants Res,2017,28(6):648-653.
[24] van der Meer WJ,Andriessen FS,Wismeijer D,et al.Application of intra-oral dental scanners in the digital workflow of implantology[J].PLoS One,2012,7(8):e43312.
[25] Ender A,Mehl A.Accuracy of complete-arch dental impressions:a new method of measuring trueness and precision[J].J Prosthet Dent,2013,109(2):121-128.
[26] Imburgia M,Logozzo S,Hauschild U,et al.Accuracy of four intraoral scanners in oral implantology:a comparative in vitro study[J].BMC Oral Health,2017,17(1):92.
[27] Flugge T,van der Meer WJ,Gonzalez BG,et al.The accuracy of different dental impression techniques for implant-supported dental prostheses:A systematic review and meta-analysis[J].Clin Oral Implants Res,2018,29 (Suppl 16):374-392.
[28] Lee SJ,Betensky RA,Gianneschi GE,et al.Accuracy of digital versus conventional implant impressions[J].Clin Oral Implants Res,2015,26(6):715-719.
[29] Marghalani A,Weber HP,Finkelman M,et al.Digital versus conventional implant impressions for partially edentulous arches:An evaluation of accuracy[J].J Prosthet Dent,2018,119(4):574-579.
[30] Karl M,Graef F,Schubinski P,et al.Effect of intraoral scanning on the passivity of fit of implant-supported fixed dental prostheses[J].Quintessence Int,2012,43(7):555-562.
[31] Muhlemann S,Greter EA,Park JM,et al.Precision of digital implant models compared to conventional implant models for posterior single implant crowns:A within-subject comparison[J].Clin Oral Implants Res,2018,29(9):931-936.
[32] Fukazawa S,Odaira C,Kondo H.Investigation of accuracy and reproducibility of abutment position by intraoral scanners[J].J Prosthodont Res,2017,61(4):450-459.
[33] Gimenez B,Ozcan M,Martinez-Rus F,et al.Accuracy of a digital impression system based on parallel confocal laser technology for implants with consideration of operator experience and implant angulation and depth[J].Int J Oral Maxillofac Implants,2014,29(4):853-862.
[34] Gimenez B,Ozcan M,Martinez-Rus F,et al.Accuracy of a digital impression system based on active wavefront sampling technology for implants considering operator experience,implant angulation,and depth[J].Clin Implant Dent Relat Res,2015,17(Suppl 1):e54-64.
[35] Gimenez B,Pradies G,Martinez-Rus F,et al.Accuracy of two digital implant impression systems based on confocal microscopy with variations in customized software and clinical parameters[J].Int J Oral Maxillofac Implants,2015,30(1):56-64.
[2] Ting-Shu S,Jian S.Intraoral digital impression technique:A review[J].J Prosthodont,2015,24(4):313-321.
[3] Galhano GA,Pellizzer EP,Mazaro JV.Optical impression systems for CAD-CAM restorations[J].J Craniofac Surg,2012,23(6):e575-579.
[4] Joda T,Ferrari M,Gallucci GO,et al.Digital technology in fixed implant prosthodontics[J].Periodontology 2000,2017,73(1):178-192.
[5] Mangano F,Gandolfi A,Luongo G,et al.Intraoral scanners in dentistry:a review of the current literature[J].BMC Oral Health,2017,17(1):149.
[6] Wismeijer D,Joda T,Flugge T,et al.Group 5 ITI Consensus report:digital technologies[J].Clin Oral Implants Res,2018,29 (Suppl 16):436-442.
[7] Gherlone E,Cappare P,Vinci R,et al.Conventional versus digital impressions for “all-on-four” restorations[J].Int J Oral Maxillofac Implants,2016,31(2):324-330.
[8] Moura RV,Kojima AN,Saraceni CHC,et al.Evaluation of the Accuracy of Conventional and Digital Impression Techniques for Implant Restorations[J/OL].J Prosthodont,(2018-03-01)[2019-01-17].DOI:10.1111/jopr.12799.
[9] Amin S,Weber HP,Finkelman M,et al.Digital vs.conventional full-arch implant impressions:a comparative study[J].Clin Oral Implants Res,2017,28(11):1360-1367.
[10] Papaspyridakos P,Gallucci GO,Chen CJ,et al.Digital versus conventional implant impressions for edentulous patients:accuracy outcomes[J].Clin Oral Implants Res,2016,27(4):465-472.
[11] Iturrate M,Minguez R,Pradies G,et al.Obtaining reliable intraoral digital scans for an implant-supported complete-arch prosthesis:A dental technique[J/OL].J Prosthet Dent,(2018-08-07)[2019-01-17].DOI:10.1016/j.prosdent.2018.03.008.
[12] Muhlemann S,Kraus RD,Hammerle CHF,et al.Is the use of digital technologies for the fabrication of implant-supported reconstructions more efficient and/or more effective than conventional techniques:A systematic review[J].Clin Oral Implants Res,2018,29(Suppl 18):184-195.
[13] Lee SJ,Gallucci GO.Digital vs.conventional implant impressions:efficiency outcomes[J].Clin Oral Implants Res,2013,24(1):111-115.
[14] Schepke U,Meijer HJ,Kerdijk W,et al.Digital versus analog complete-arch impressions for single-unit premolar implant crowns:Operating time and patient preference[J].J Prosthet Dent,2015,114(3):403-406.e1.
[15] Gallardo YR,Bohner L,Tortamano P,et al.Patient outcomes and procedure working time for digital versus conventional impressions:A systematic review[J].J Prosthet Dent,2018,119(2):214-219.
[16] Alikhasi M,Alsharbaty MHM,Moharrami M.Digital implant impression technique accuracy:A systematic review[J].Implant Dent,2017,26(6):929-935.
[17] 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.
[18] 王勇.口内数字印模技术[J].口腔医学,2015,35(9):705-709.
[19] Gimenez B,Ozcan M,Martinez-Rus F,et al.Accuracy of a digital impression system based on active triangulation technology with blue light for implants:Effect of clinically relevant parameters[J].Implant Dent,2015,24(5):498-504.
[20] Flugge TV,Att W,Metzger MC,et al.Precision of dental implant digitization using intraoral scanners[J].Int J Prosthodont,2016,29(3):277-283.
[21] Andriessen FS,Rijkens DR,van der Meer WJ,et al.Applicabil-ity and accuracy of an intraoral scanner for scanning multiple implants in edentulous mandibles:a pilot study[J].J Prosthet Dent,2014,111(3):186-194.
[22] Monaco C,Scheda L,Baldissara P,et al.Implant Digital Impression in Esthetic Area[J/OL].J Prosthodont,(2018-10-25)[2019-01-17].DOI:10.1111/jopr.12991.
[23] Vandeweghe S,Vervack V,Dierens M,et al.Accuracy of digital impressions of multiple dental implants:an in vitro study[J].Clin Oral Implants Res,2017,28(6):648-653.
[24] van der Meer WJ,Andriessen FS,Wismeijer D,et al.Application of intra-oral dental scanners in the digital workflow of implantology[J].PLoS One,2012,7(8):e43312.
[25] Ender A,Mehl A.Accuracy of complete-arch dental impressions:a new method of measuring trueness and precision[J].J Prosthet Dent,2013,109(2):121-128.
[26] Imburgia M,Logozzo S,Hauschild U,et al.Accuracy of four intraoral scanners in oral implantology:a comparative in vitro study[J].BMC Oral Health,2017,17(1):92.
[27] Flugge T,van der Meer WJ,Gonzalez BG,et al.The accuracy of different dental impression techniques for implant-supported dental prostheses:A systematic review and meta-analysis[J].Clin Oral Implants Res,2018,29 (Suppl 16):374-392.
[28] Lee SJ,Betensky RA,Gianneschi GE,et al.Accuracy of digital versus conventional implant impressions[J].Clin Oral Implants Res,2015,26(6):715-719.
[29] Marghalani A,Weber HP,Finkelman M,et al.Digital versus conventional implant impressions for partially edentulous arches:An evaluation of accuracy[J].J Prosthet Dent,2018,119(4):574-579.
[30] Karl M,Graef F,Schubinski P,et al.Effect of intraoral scanning on the passivity of fit of implant-supported fixed dental prostheses[J].Quintessence Int,2012,43(7):555-562.
[31] Muhlemann S,Greter EA,Park JM,et al.Precision of digital implant models compared to conventional implant models for posterior single implant crowns:A within-subject comparison[J].Clin Oral Implants Res,2018,29(9):931-936.
[32] Fukazawa S,Odaira C,Kondo H.Investigation of accuracy and reproducibility of abutment position by intraoral scanners[J].J Prosthodont Res,2017,61(4):450-459.
[33] Gimenez B,Ozcan M,Martinez-Rus F,et al.Accuracy of a digital impression system based on parallel confocal laser technology for implants with consideration of operator experience and implant angulation and depth[J].Int J Oral Maxillofac Implants,2014,29(4):853-862.
[34] Gimenez B,Ozcan M,Martinez-Rus F,et al.Accuracy of a digital impression system based on active wavefront sampling technology for implants considering operator experience,implant angulation,and depth[J].Clin Implant Dent Relat Res,2015,17(Suppl 1):e54-64.
[35] Gimenez B,Pradies G,Martinez-Rus F,et al.Accuracy of two digital implant impression systems based on confocal microscopy with variations in customized software and clinical parameters[J].Int J Oral Maxillofac Implants,2015,30(1):56-64.