手术导板联合动态导航植入方法对下颌后牙区植入精度的影响  

Effect of surgical guide plate combined with dynamic navigation implantation method on the implantation accuracy of mandibular posterior teeth area

作　　者：李倩 LI Qian(Department of Stomatology,The Xinhua Hospital of Xinxiang,Xinxiang,Henan,453000,China)

机构地区：[1]河南省新乡市新华医院口腔科,河南新乡453000

出　　处：《新疆医学》2024年第4期427-430,共4页Xinjiang Medical Journal

摘　　要：目的探究手术导板联合动态导航植入方法在下颌后牙区植入精度的临床应用价值。方法选取2020年2月-2022年2月于本院实施下颌后牙区种植修复的60例患者,根据随机数表法分为对照组(30例,41颗患牙)、观察组(30例,40颗患牙),对照组接受手术导板植入方法,观察组接受手术导板联合动态导航植入方法;获得12个月随访,观察手术及随访情况;测量植入后位置偏离情况。结果本研究60例患者均完成随访,术中未出现不良事件、不良反应;经口腔检查,修复体外观恢复良好,稳定性良好,咬合正常,未发现种植体周围炎、松动等不良事件,未见明显牙槽骨吸收。术后经常规检查,修复体稳定性、外观及咬合均正常,无牙槽骨吸收、种植体松动等不良事件。观察组下颌后牙区种植体植入后冠部偏差、根部偏差、角度偏差、水平偏差、深度误差、平行度均小于对照组,差异有统计学意义(P<0.05)。结论手术导板联合动态导航植入方法能够提高下颌后牙区种植体植入的精准度,获得最佳准确性。Objective To explore the clinical application value of surgical guide plate combined with dynamic navigation implantation method in the implantation accuracy of mandibular posterior dental region.Methods A total of 60 patients who underwent mandibular posterior dental implant restoration in our hospital from February 2020 to February 2022 were selected and divided into control group(30 cases,41 affected teeth)and observation group(30 cases,40 affected teeth)according to random number table method.The control group received surgical guide implantation,and the observation group received surgical guide combined with dynamic navigation implantation.12 months follow-up was obtained to observe the operation and follow-up.Position deviation after implantation was measured.Results In this study,all 60 patients were followed up,and no adverse events or adverse reactions occurred during the operation.After oral examination,the appearance of the prosthesis recovered well,the stability was good,the occlusion was normal,and no adverse events such as peri-implant inflammation and loosening were found,and no obvious alveolar bone resorption was found.The stability,appearance and occlusion of the prosthesis were all normal after routine examination,with no adverse events such as alveolar bone resorption and implant loosening.The crown deviation,root deviation,angle deviation,horizontal deviation,depth error and parallelism after implantation in the observation group were smaller than those of the control group,and the difference was statistically significant(P<0.05).Conclusion The surgical guide plate and dynamic navigation implantation method can improve the accuracy of implant implantation in the mandibular posterior dental area and obtain the best accuracy.

关 键 词：下颌后牙区种植术 手术导板 动态导航植入 植入精度 

分 类 号：R782[医药卫生—口腔医学]