应用数字化导板进行种植义齿修复的临床价值初探  

Preliminary study on the clinical value of computer-aided surgical template for implant placement

作　　者：唐增斌[1] 潘小波[3] 游嘉[2] 刘云峰[2] 刘光雪[3] 韦惠平[3] 黎永奇 TANG Zeng-bin;PAN Xiao-bo;YOU Jia(Department of Stomatology, the People′s Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021, China)

机构地区：[1]广西壮族自治区人民医院口腔颌面外科,南宁530021 [2]浙江工业大学,杭州310014 [3]广西壮族自治区人民医院口腔科,南宁530021

出　　处：《中国临床新医学》2020年第4期341-344,共4页CHINESE JOURNAL OF NEW CLINICAL MEDICINE

基　　金：广西卫健委科研课题(编号:Z2012264);广西医疗卫生适宜技术开发与推广应用项目(编号:S2017081)。

摘　　要：目的探讨应用数字化导板进行种植义齿修复的临床价值。方法牙列缺失需要进行种植义齿修复患者32例,其中男14例,女18例,平均年龄(50.53±13.17)岁,113颗缺失牙。术前均进行椎形束CT(CBCT)扫描,术中辅助数字化种植导板引导种植体窝洞预备和植入。记录手术耗时,术后即刻CBCT检查植入位置,观察有无并发症的发生并定期随访。结果32例患者应用数字化种植导板引导成功植入共113枚种植体,种植体植入位置良好,手术平均耗时(20.11±3.32)min,无手术并发症发生,110枚种植体成功修复义齿并经1、3、6个月随访正常。结论应用数字化导板进行种植义齿修复的临床效果良好。Objective To explore the clinical value of using computer-aided surgical template for implant placement.Methods Thirty-two patients[14 males and 18 females,with an average age of(50.53±13.17)years]with missing dentition(113 missing teeth in total)required implant denture repair.Cone-beam computed tomography(CBCT)scan was performed before surgery,and computer-aided surgical templates were used for cavity preparation and implantation.The operation time was recorded,and the implantation position was checked by CBCT scans immediately after the operation.The occurrence of complications was observed by regular follow-up.Results A total of 113 implants were successfully implanted with computer-aided surgical templates in the 32 patients.The implants were in good positions.The average time was(20.11±3.32)minutes during operation.There were no surgical complications.The dentures were successfully repaired on 110 implants and the patients were followed up for 1,3 and 6 months.Conclusion The clinical effect of applying computer-aided surgical template on dental restoration is good.

关 键 词：种植术 数字化导板 精确度 并发症 

分 类 号：R783[医药卫生—口腔医学]