CBCT与数字化导板技术在埋伏阻生牙诊疗中的应用进展

doi:10.19438/j.cjoms.2025.06.015

摘要/Abstract

摘要： 锥形束CT（cone beam CT,CBCT）与数字化导板技术广泛用于埋伏阻生磨牙治疗中,其主要优势体现在提高手术精准率与安全性方面。CBCT可通过高分辨率扫描和三维成像,对牙体的牙根、神经、血管、骨性结构进行精确计算与估算,作为术前制订治疗方案的可靠依据;而数字化导板技术通过CBCT影像及口腔扫描数据相结合,设计个性化导板,以导引手术路径,从而降低并发症发生率。本文介绍CBCT及数字化导板技术的原理及器械发展及其在埋伏阻生磨牙诊疗中的应用,并对其优势及劣势进行分析,探讨未来动态导航、AI辅助诊疗及设备国产化的发展前景。

关键词: 锥形束CT, 数字化导板技术, 埋伏阻生牙

Abstract: Cone beam CT (CBCT) and digital guide technology have been extensively used in impacted molar treatment, and the application has always a significant meaning for ensuring the surgical accuracy and safety. CBCT has high image resolution and 3D images and can make accurate measurement and evaluation of the tooth root, nerve, blood vessel and bone tissue structures, which is helpful to preoperative design. Digital guiding technology integrates CBCT image with intra-oral scan data to plan personalized guiding instruments for accurate guiding on the path of surgical procedure and minimizing surgical complications. In this article, we reviewed the principle and progress of CBCT and digital guiding technology and their clinical application. It covered the advantages and shortcomings of these technologies and focuses ahead on the future, such as dynamic navigation, AI-assisted treatment, and toward domestic equipment.

Key words: CBCT, Digital guide technology, Impacted teeth

中图分类号:

R782.1

路睿智, 路行炜, 萧文蕾, 黄兴太, 翟蔷岚, 刘超. CBCT与数字化导板技术在埋伏阻生牙诊疗中的应用进展[J]. 中国口腔颌面外科杂志, 2025, 23(6): 635-640.

Lu Ruizhi, Lu Xingwei, Xiao Wenlei, Huang Xingtai, Zhai Qianglan, Liu Chao. Clinical application of CBCT and digital guide technology in the treatment of impacted teeth[J]. China J Oral Maxillofac Surg, 2025, 23(6): 635-640.

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