3D打印导板在上前牙种植中的精度评价

doi:10.19438/j.cjoms.2020.02.007

中国口腔颌面外科杂志 ›› 2020, Vol. 18 ›› Issue (2): 127-131.doi: 10.19438/j.cjoms.2020.02.007

3D打印导板在上前牙种植中的精度评价

王文雪^1,2#, 姜帅^2#, 梅东梅¹, 李晓静¹, 姚晨阳^1,2, 王大山^1,*, 赵保东^1,2,*

1.青岛大学附属医院口腔种植科,山东青岛 266003;
2.青岛大学口腔医学院,山东青岛 266003

收稿日期:2019-07-03 修回日期:2019-09-26 出版日期:2020-03-20 发布日期:2020-04-30
通讯作者: 王大山,E-mail:wdsapple@163.com;赵保东,E-mail: zbd315@sina.com。^*共同通信作者
作者简介:王文雪（1990-）,女,在读硕士研究生,E-mail:1533819417@qq.com;姜帅（1992-）,男,学士,E-mail: 417933795@qq.com。^#并列第一作者

Accuracy evaluation of 3D printed guide plate in maxillary anterior teeth implant

WANG Wen-xue^1,2, JIANG Shuai², MEI Dong-mei¹, LI Xiao-jing¹, YAO Chen-yang^1,2, WANG Da-shan¹, ZHAO Bao-dong^1,2

1.Dental Implant Center, Affiliated Hospital of Qingdao University. Qingdao 266003;
2.School of Stomatology of Qingdao University. Qingdao 266003, Shandong Province, China

Received:2019-07-03 Revised:2019-09-26 Online:2020-03-20 Published:2020-04-30

摘要/Abstract

摘要： 目的:评价3D打印导板在上前牙种植的精确度,探讨其临床效果。方法:选取2017年6月—2018年6月在青岛大学附属医院口腔种植科行上前牙区种植手术的60例患者,采用随机数字表法随机分为G组（导板组）和R组（常规组）,每组30例,均在术前拍摄锥形束CT（CBCT）,应用“Dentiq Guide种植导板软件”进行设计。G组制作3D打印导板辅助种植手术,R组行常规种植手术。术后即刻拍摄CBCT,应用“Dentiq Guide种植导板软件”将术前、术后CT重叠,测量术前设计与种植体实际位置差异,采用SPSS 24.0软件包对所得数据进行统计分析。结果:G组共植入46颗种植体,测量偏差角度(2.34±1.03)°,顶部(0.63±0.38)mm,根尖部(0.71±0.38)mm,深度(0.41±0.40)mm;R组共植入43颗种植体,测量偏差角度(6.72±3.65)°,顶部(1.59±0.35)mm,根尖部(2.05±0.92)mm,深度(0.77±0.63)mm。2组在角度、顶部、根尖部、深度的差异均有统计学意义（P<0.05）。结论:应用3D打印导板辅助上前牙种植手术,可提高手术精确度,满足种植修复需要,践行以修复为导向的精确种植理念。

关键词: 3D打印导板, 精确度, 口腔种植, 上前牙区

Abstract: PURPOSE： To evaluate the accuracy of 3D printed guide plate in implantation of upper anterior teeth and to explore its clinical effect. METHODS: Sixty patients who underwent upper anterior dental implantation from June 2017 to June 2018 were randomly divided into two groups: group G(guide plate group）and group R(conventional group). Each group had 30 patients. Cone-beam CT (CBCT) was taken before operation, and guide plate software Dentiq Guide was used to design the guide plate. Group G used 3D printed guide plate to assist implantation, while group R underwent conventional implantation. CBCT was taken immediately after operation. Preoperative and postoperative CT were overlapped by Dentiq Guide implant guide software. The differences between preoperative design and actual implant position were measured and the data were analyzed statistically with SPSS 24.0 software package. RESULTS: Forty-six implants were implanted in group G. The measured deviation was: angle (2.34±1.03)°, tip (0.63±0.38) mm, apex (0.71±0.38) mm, and depth (0.41±0.40) mm. In group R, 43 implants were implanted with the following measured deviation: angle (6.72±3.65)°, tip (1.59±0.35) mm, apex (2.05±0.92) mm, and depth (0.77±0.63) mm. There were significant differences in angle, tip, apex and depth between two groups (P<0.05). CONCLUSIONS: Application of 3D printed guide plate in assisting implantation of upper anterior teeth can improve the accuracy of operation, meet the needs of implant restoration, and practise the concept of precise implantation guided by restoration.

Key words: 3D printed guide plate, Accuracy, Oral implant, Upper anterior region

中图分类号:

R782.1

王文雪, 姜帅, 梅东梅, 李晓静, 姚晨阳, 王大山, 赵保东. 3D打印导板在上前牙种植中的精度评价[J]. 中国口腔颌面外科杂志, 2020, 18(2): 127-131.

WANG Wen-xue, JIANG Shuai, MEI Dong-mei, LI Xiao-jing, YAO Chen-yang, WANG Da-shan, ZHAO Bao-dong. Accuracy evaluation of 3D printed guide plate in maxillary anterior teeth implant[J]. China J Oral Maxillofac Surg, 2020, 18(2): 127-131.

参考文献

[1] Bahat O, Fontanesi RV, Preston J.Reconstruction of the hard and soft tissues for optimal placement of osseointegrated implants[J]. Int J Periodontics Restorative Dent, 1993, 13(3): 255-275.
[2] 任凌飞, 杨国利. 美学区种植修复后出现唇侧丰满度不佳的解决策略[J]. 口腔医学, 2019, 39(4): 346-349.
[3] Hultin M, Svensson KG, Trulsson M.Clinical advantages of computer-guided implant placement: a systematic review[J]. Clin Oral Implants Res, 2012, 23(Suppl 6): 124-135.
[4] 李晋蒙, 欧国敏. 计算机辅助设计种植导板精确性及其影响因素[J]. 华西口腔医学杂志, 2017, 35(1): 93-98.
[5] Yellowlees P.Cybermedicine: how computing empowers doctors and patients for better health care[J]. Telemed J, 1999, 5(2): 221.
[6] Dreiseidler T, Neugebauer J, Ritter L, et al.Accuracy of a newly developed integrated system for dental implant planning[J]. Clin Oral Implants Res, 2009, 20(11): 1191-1199.
[7] Tahmaseb A, Wu V, Wismeijer D, et al.The accuracy of static computer-aided implant surgery: A systematic review and meta-analysis[J]. Clin Oral Implants Res, 2018, 29(Suppl 16): 416-435.
[8] Ackerman S, Aguilera FC, Buie JM, et al.Accuracy of 3-dimensional-printed endodontic surgical guide: a human cadaver study[J]. J Endod, 2019, 45(5): 615-618.
[9] Sarment DP, Sukovic P, Clinthorne N.Accuracy of implant placement with a stereolithographic surgical guide[J]. Int J Oral Maxillofac Implants, 2003, 18(4): 571-577.
[10] 张健, 王庆福, 王艳颖, 等. 口腔种植与精密修复数字化导板在口腔种植中的应用[J]. 中国实用口腔科杂志, 2014, 7(3): 129-133.
[11] 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.
[12] 张碧楚, 李杏, 戴丽霞. 上颌前牙美学区唇侧骨的锥形束CT分析[J]. 临床口腔医学杂志, 2019, 35(4): 216-219.
[13] Huynh-Ba G, Pjetursson BE, Sanz M, et al.Analysis of the socket bone wall dimensions in the upper maxilla in relation to immediate implant placement[J]. Clin Oral Implants Res, 2010, 21(1): 37-42.
[14] Pettersson A, Komiyama A, Hultin M, et al.Accuracy of virtually planned and template guided implant surgery on edentate patients[J]. Clin Implant Dent Relat Res, 2012, 14(4): 527-537.
[15] Ozan O, Turkyilmaz I, Ersoy AE, et al.Clinical accuracy of 3 different types of computed tomography-derived stereolithographic surgical guides in implant placement[J]. J Oral Maxillofac Surg, 2009, 67(2): 394-401.
[16] Orentlicher G, Goldsmith D, Abboud M.Computer-guided planning and placement of dental implants[J]. Atlas Oral Maxillofac Surg Clin North Am, 2012, 20(1): 53-79.
[17] Viegas VN, Dutra V, Pagnoncelli RM, et al.Transference of virtual planning and planning over biomedical prototypes for dental implant placement using guided surgery[J]. Clin Oral Implants Res, 2010, 21(3): 290-295.

3D打印导板在上前牙种植中的精度评价

Accuracy evaluation of 3D printed guide plate in maxillary anterior teeth implant

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