国产数字化动态导航和数字化静态导板在口腔种植手术中的精准度及手术时长分析

doi:10.19438/j.cjoms.2021.02.010

中国口腔颌面外科杂志 ›› 2021, Vol. 19 ›› Issue (2): 151-155.doi: 10.19438/j.cjoms.2021.02.010

国产数字化动态导航和数字化静态导板在口腔种植手术中的精准度及手术时长分析

武玉鹏^1,2,*, 梅东梅^1,*, 张琦², 王文雪³, 赵保东¹

1.青岛大学附属医院口腔种植中心,山东青岛 266100;
2.青岛大学口腔医学院,
3.青岛市口腔数字医学与3D打印工程实验室,山东青岛 266003

收稿日期:2020-05-06 修回日期:2020-07-03 出版日期:2021-03-20 发布日期:2021-05-11
通讯作者: 赵保东,E-mail: zbd315@sina.com
作者简介:武玉鹏（1994-）,男,学士,E-mail: 2160219178@qq.com;梅东梅（1988-）,女,硕士,E-mail: 159542901242@163.com。^*并列第一作者

Analysis of accuracy and operation time of domestic digital dynamic navigation and static guide in oral implant surgery

WU Yu-peng^1,2, MEI Dong-mei¹, ZHANG Qi², WANG Wen-xue³, ZHAO Bao-dong¹

1. Dental Implant Center, Affiliated Hospital of Qingdao University. Qingdao 266100;
2. College of Stomatology,
3. Qingdao Dental Digital Medicine & 3D Printing Engineering Laboratory, Qingdao University. Qingdao 266003, Shandong Province, China

Received:2020-05-06 Revised:2020-07-03 Online:2021-03-20 Published:2021-05-11

摘要/Abstract

摘要： 目的评价国产数字化动态导航和数字化静态导板在口腔种植手术中的精准度及手术时长。方法选择2018年9月—2019年12月于青岛大学附属医院口腔种植科行种植手术的40例牙列缺损患者,随机分为 2 组,第1组应用数字化动态导航辅助种植手术（n=21）,第2组应用数字化静态导板辅助种植手术（n=19）。记录2组单牙缺失的手术时长,并分别测量2组在顶部、根尖和角度上的线性偏差。采用SPSS 25.0软件包对数据进行统计学分析。结果第1组平均手术时长23.2 min,第2组14.5 min;第1组术前设计与实际位点平均测量偏差分别为顶部（0.74±0.3）mm,根尖部（0.78±0.31）mm,角度（2.45±1.26)°第2组平均测量偏差分别为顶部（0.79±0.39）mm,根尖部（0.78±0.35）mm,角度(2.44±1.07)°,2组在顶部、根尖部、角度的测量偏差无统计学差异（P>0.05）。结论国产数字化动态导航与数字化静态导板辅助口腔种植手术的精准度无显著差异。在单牙缺失病例中,静态导板较动态导航可缩短手术时长。动态导航较静态导板的手术适应证更广,临床上需要根据具体病例加以选择。

关键词: 口腔种植, 动态导航, 静态导板, 精准度, 手术时长

Abstract: PURPOSE: To evaluate the accuracy and operation time of domestic digital dynamic navigation and digital static guide in oral implant surgery. METHODS: Patients who were subjected to implant surgery at Department of Implantology, Affiliated Hospital of Qingdao University from September, 2018 to December, 2019 were selected. The patients were randomly divided into digital dynamic navigation group (n=21) and static guide group (n=19). The operation time of 2 groups was recorded, the linear deviation of the entry, apex point and angle in 2 groups were measured as well. The data was statistically analyzed using SPSS 25.0 software package. RESULTS: The average operation time of group 1 was 23.2 min, and that of group 2 was 14.5 min. The mean (SD) discrepancies of group 1 were (0.74±0.3) mm for entry point and (0.78±0.31) mm at the apex, the mean angle discrepancy was (2.45±1.26)° from actual vs planned implant positions. The mean (SD) discrepancies of group 2 were (0.79±0.39) mm for entry point and (0.78±0.35) mm at the apex, the mean angle discrepancy was (2.44±1.07)° from actual vs planned implant positions. There was no significant difference between the 2 groups in the measurement of the entry, apex point and angle of implants(P>0.05). CONCLUSIONS: There is no significant difference between the domestic dynamic navigation system and the static guide in the accuracy of assisting oral implant surgery. The operation time of the former in single tooth loss cases is longer than that of the latter. The indications of dynamic navigation are wider than that of static navigation, and need to be chosen according to specific conditions.

Key words: Oral implant, Dynamic navigation, Static guide, Accuracy, Operation time

中图分类号:

R782.1

武玉鹏, 梅东梅, 张琦, 王文雪, 赵保东. 国产数字化动态导航和数字化静态导板在口腔种植手术中的精准度及手术时长分析[J]. 中国口腔颌面外科杂志, 2021, 19(2): 151-155.

WU Yu-peng, MEI Dong-mei, ZHANG Qi, WANG Wen-xue, ZHAO Bao-dong. Analysis of accuracy and operation time of domestic digital dynamic navigation and static guide in oral implant surgery[J]. China J Oral Maxillofac Surg, 2021, 19(2): 151-155.

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国产数字化动态导航和数字化静态导板在口腔种植手术中的精准度及手术时长分析

Analysis of accuracy and operation time of domestic digital dynamic navigation and static guide in oral implant surgery

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