机器人辅助拔除埋伏多生牙3例报告

doi:10.19438/j.cjoms.2026.03.018

中国口腔颌面外科杂志 ›› 2026, Vol. 24 ›› Issue (3): 320-324.doi: 10.19438/j.cjoms.2026.03.018

• 病例报告 • 上一篇

机器人辅助拔除埋伏多生牙3例报告

柴佳瑄^1*, 官群立^2*, 王航¹, 韩林孜¹, 杜德奖¹, 杨银辉¹, 王耀钟¹

1.青岛大学附属青岛市口腔医院口腔颌面外科,山东青岛 266001;
2.青岛大学附属医院口腔科,山东青岛 266000

收稿日期:2025-07-30 修回日期:2025-10-29 出版日期:2026-05-20 发布日期:2026-06-04
通讯作者: 王耀钟,E-mail: wangyaozhong1983@163.com
作者简介:柴佳瑄（2000—）,女,硕士研究生,住院医师,E-mail: 15234462167@163.com;官群立（1983—）,女,博士,主治医师,E-mail: guanqunli1983@163.com。^*并列第一作者
基金资助:
青岛市医疗卫生重点学科建设资助项目; 青岛市口腔疾病临床研究中心(22-3-7-lczx, 7nsh); 山东省重点医学与卫生学科-口腔医学(青岛大学附属青岛市口腔医院); 山东省卫生技术人员科技创新计划项目(SDYWZGKC-JG2022010); 青岛中医药科技项目(2022-zyym27); 山东省自然科学基金项目(ZR2022QH132, ZR2024 QH1484); 青岛自然科学基金项目(24-4-zrjj-120-jch, 25-1-1-243-zyyd-jch)

Robot assisted extraction of impacted supernumerary teeth: report of 3 cases and literature review

Chai Jiaxuan¹, Guan Qunli², Wang Hang¹, Han Linzi¹, Du Dejiang¹, Yang Yinhui¹, Wang Yaozhong¹

1. Department of Oral and Maxillofacial Surgery, Qingdao Stomatological Hospital Affiliated to Qingdao University. Qingdao 266001;
2. Department of Stomatology, Qingdao University Affiliated Hospital. Qingdao 264000, Shandong Province, China

Received:2025-07-30 Revised:2025-10-29 Online:2026-05-20 Published:2026-06-04

摘要/Abstract

摘要： 多生牙是指超出正常牙数目外的牙,好发于上颌前磨牙区,多埋伏于颌骨内。多生牙的治疗方案多为直接拔除,但定位一直是个难点。本文介绍3例机器人辅助下埋伏多生牙拔除病例,术中微创切口,精准定位,操作时间短,患者术后肿胀轻,无并发症发生,临床效果满意。

关键词: 多生牙, 数字化, 机器人, 人工智能

Abstract: Supernumerary teeth referred to teeth beyond the normal number of teeth in the dental arch, commonly found in the maxillary premolar area and often embedded in the jawbone. The treatment plan for supernumerary teeth was mostly direct extraction, but localization has always been a challenge. This study introduced three cases of robot assisted extraction of supernumerary teeth. The surgical process utilized a small incision and could be accurately located, achieving the effect of short operation time, mild swelling in postoperative patients, no complications, and satisfactory clinical outcomes.

Key words: Supernumerary teeth, Digital technology, Robot, Artificial intelligence

中图分类号:

R782.1

柴佳瑄, 官群立, 王航, 韩林孜, 杜德奖, 杨银辉, 王耀钟. 机器人辅助拔除埋伏多生牙3例报告[J]. 中国口腔颌面外科杂志, 2026, 24(3): 320-324.

Chai Jiaxuan, Guan Qunli, Wang Hang, Han Linzi, Du Dejiang, Yang Yinhui, Wang Yaozhong. Robot assisted extraction of impacted supernumerary teeth: report of 3 cases and literature review[J]. China J Oral Maxillofac Surg, 2026, 24(3): 320-324.

参考文献

[1] 彭博, 曾素娟, 葛林虎. 多生牙的研究进展[J]. 口腔医学研究, 2018, 34(2): 209-212.
Peng B, Zeng SJ, Ge LH.Research progress on supernumerary teeth[J]. Journal of Oral Science Research, 2018, 34(2): 209-212.
[2] Chen YW, Hanak BW, Yang TC, et al.Computer-assisted surgery in medical and dental applications[J]. Expert Rev Med Devices, 2021, 18(7): 669-696.
[3] 庞瑜, 刘显, 王了. 数字化导板在埋伏多生牙拔除中的应用[J]. 国际口腔医学杂志, 2022, 49(3): 448-452.
Pang Y, Liu X, Wang L.Application of digital guide plate in extraction of impacted supernumerary teeth[J]. International Journal of Stomatology, 2022, 49(3): 448-452.
[4] Sun M, Lin L, Chen X, et al.Robot-assisted mandibular angle osteotomy using electromagnetic navigation[J]. Ann Transl Med, 2021, 9(7): 567.
[5] Yang S, Chen J, Li A, et al.Accuracy of autonomous robotic surgery for single-tooth implant placement: a case series[J]. J Dent, 2023, 132: 104451.
[6] 赵君, 刘娜, 沈末伦, 等. 115例埋伏多生牙临床分析[J]. 上海口腔医学, 2019, 28(4): 426-429.
Zhao J, Liu N, Shen ML, et al.Clinical analysis of impacted supernumerary teeth in 115 patients[J]. Shanghai Journal of Stomatology, 2019, 28(4): 426-429.
[7] 孔杰, 彭兆伟, 束煌, 等.基于CBCT的儿童上颌正中多生牙的新分类方法及临床应用[J].中国口腔颌面外科杂志, 2023, 21(6):579-585.
Kong J, Peng ZW, Shu H, et al.A new CBCT-based classification method for maxillary mesiodens in children and its clinical applications[J]. China Journal of Oral and Maxillofacial Surgery, 2023, 21(6):579-585.
[8] 林良缘,汤根兄, 姚敏, 等. 日间手术微创拔除儿童埋伏多生牙的临床应用[J]. 临床口腔医学杂志,37(7): 427-429.
Lin LY, Tang GX, Yao M, et al.Application of minimally invasive extraction of embedded supernumerary teeth of children in day surgery[J]. Journal of Clinical Stomatology, 2021, 37(7): 427-429.
[9] 邹静, 赵海燕, 梁婷. 锥形束CT联合超声骨刀微创法在拔除上颌埋伏多生牙中的临床应用效果[J]. 临床医学工程, 2024, 31(5): 513-514.
Zou J, Zhao HY, Liang T.Clinical application effect of cone beam CT combined with ultrasonic bone knife minimally invasive method in the extraction of maxillary embedded supernumerary teeth[J]. Clinical Medicine & Engineering, 2024, 31(5): 513-514.
[10] 薛洋, 胡开进. 中国牙及牙槽外科的现状与未来[J].中国实用口腔科杂志, 2019, 12(10): 600-603.
Xue Y, Hu KJ.Current status and future of tooth and alveolar surgery in China[J]. Chinese Journal of Practical Stomatology, 2019, 12(10): 600-603.
[11] Liu J, Wang X, Shan P, et al.A randomized controlled trial: evaluation of efficiency and safety of a novel surgical guide in the extraction of deeply impacted supernumerary teeth in the anterior maxilla[J]. Ann Transl Med, 2022, 10(6): 292.
[12] Motaleb L, Zakai D, Stocker J.Fourteen-year study of the management of the odontogenic keratocyst. are adjunctive therapies all they are cut out to be?[J]. Br J Oral Maxillofac Surg, 2022, 60(2): 105-112.
[13] Suenaga H, Sakakibara A, Taniguchi A, et al.Computer-assisted preoperative simulation and augmented reality for extraction of impacted supernumerary teeth: a clinical case report of two cases[J]. J Oral Maxillofac Surg, 2023, 81(2): 201-205.
[14] Bohner L, Hanisch M.New treatment concepts in implantology-the role of digital innovations for an individualizeddental implant rehabilitation[J].J Clin Med, 2022,11(19): 5667.
[15] Suenaga H, Sakakibara A, Taniguchi A, et al.Computerassisted preoperative simulation and auamented reality for extraction of impacted supernumerary teeth: a clinical case report of two cases[J]. J Oral Maxilofac Surg, 2023, 81(2): 201-205.
[16] 吕坤, 杨荣涛, 周海华, 等. 导航下拔除上颌埋伏多生牙的临床分析[J]. 中华口腔医学杂志, 2018, 53(2):103-106.
Lyu K, Yang RT, Zhou HH, et al.Clinical retrospective study of navigation guided impacted maxillary supernumerary tooth extraction[J]. Chinese Journal of Stomatology, 2018, 53(2): 103-106.
[17] Bolding SL, Reebye UN.Accuracy of haptic robotic guidance of dental implant surgery for completely edentulous arches[J]. Prosthet Dent, 2022, 128(4): 639-647.
[18] Xu F, Elayah SA, Ren J, et al.Precision extraction of lingual mandibular supernumerary teeth using dynamic navigation and high-speed handpieces: a case report[J]. Am J Case Rep, 2024, 25: e945262.
[19] 吕欣蔚, 李龙江. 计算机辅助导航技术在口腔颌面外科的应用进展[J].口腔颌面修复学杂志, 2019, 20(5): 309-312, 318.
Lyu XW, Li LJ.Advances in the application of computer-assisted navigation technology in oral and maxillofacial surgery[J]. Chinese Journal of Oral and Maxillofacial Rehabilitation, 2019, 20(5):309-312, 318.

机器人辅助拔除埋伏多生牙3例报告

Robot assisted extraction of impacted supernumerary teeth: report of 3 cases and literature review

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

编辑推荐

Metrics

本文评价

[1]	任群, 张克剑, 李想, 刘文静, 张泰, 刘晓琳. 替牙期正中多生牙临床特征与继发影响的相关性分析[J]. 中国口腔颌面外科杂志, 2026, 24(2): 122-127.
[2]	别苗苗, 刘晶, 代庆刚. 数字化及传统头影测量技术结合在正畸正颌实践教学中的应用效果评价[J]. 中国口腔颌面外科杂志, 2026, 24(2): 161-165.
[3]	林权泉, 席庆. 机器人手术在口咽癌中的应用进展[J]. 中国口腔颌面外科杂志, 2025, 23(6): 627-634.
[4]	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.
[5]	顾安琪, 张晨, 陶宝鑫, 吴轶群, 周文洁. 人工智能在口腔遗传病诊疗中的应用进展[J]. 中国口腔颌面外科杂志, 2025, 23(4): 406-415.
[6]	乔馨玮, 李茂, 申泽良, 张琳涵, 郑志建, 汤亚玲. 人工智能在成釉细胞瘤病理诊断中的初步应用[J]. 中国口腔颌面外科杂志, 2025, 23(2): 122-128.
[7]	孙晴, 向熙婷, 马超, 吴立萌, 孙羲昆, 张韬. 国产机器人系统在口腔颌面外科手术中的初步应用[J]. 中国口腔颌面外科杂志, 2025, 23(1): 13-19.
[8]	杨一帆, 张一博, 刘雪, 许立明, 孜尔达·阿依丁, 凌彬. 新型数字化腓骨转移固定导板在下颌骨缺损重建术中的应用[J]. 中国口腔颌面外科杂志, 2025, 23(1): 40-47.
[9]	徐欣馨, 李晓. 人工智能辅助描点法在正颌头影测量教学中的应用效果评价[J]. 中国口腔颌面外科杂志, 2025, 23(1): 72-76.
[10]	米热阿力木·米阿迪力, 李小曼, 高益鸣. 机器人辅助口腔种植的精度及其影响因素研究进展[J]. 中国口腔颌面外科杂志, 2024, 22(6): 611-614.
[11]	黄心怡, 李文皓, 雷云丹, 黄景揚, 于洪波. 基于单目视觉跟踪定位系统的手术机器人研究进展[J]. 中国口腔颌面外科杂志, 2024, 22(5): 487-492.
[12]	赵安玉琢, 石兴莲, 刘欢, 姜健红, 李哲臻, 刘梅. 人工智能在口腔癌早期诊断中的应用研究进展[J]. 中国口腔颌面外科杂志, 2024, 22(5): 493-498.
[13]	李晨曦, 方昌, 龚忠诚, 邵博. 累及颞下颌关节整体结构的软骨黏液样纤维瘤：手术切除及关节重建1例报告[J]. 中国口腔颌面外科杂志, 2024, 22(4): 409-412.
[14]	付亦蛟, 陶乐然, 于洪波. 数字化技术辅助颅颌面三维正中矢状面确立的研究进展[J]. 中国口腔颌面外科杂志, 2024, 22(3): 287-293.
[15]	孔杰, 彭兆伟, 束煌, 王骥, 邝亦元, 钟天航, 丁桂聪. 基于CBCT的儿童上颌正中多生牙的新分类方法及临床应用[J]. 中国口腔颌面外科杂志, 2023, 21(6): 579-585.