口腔种植机器人在临床前及临床研究应用精度的Meta分析  

Meta-analysis of the accuracy of dental implant robots in preclinical and clinical studies

作　　者：王一茗 李昕茹 滕微微 马骏驰 周立波[1] Wang Yiming;Li Xinru;Teng Weiwei;Ma Junchi;Zhou Libo(Affiliated Stomatological Hospital,Jiamusi University,Heilongjiang Key Lab of Oral Biomedicine Materials and Clinical Application&Jiamusi University Dental Engineering Experimental Center,Jiamusi 154000,Heilongjiang,China)

机构地区：[1]佳木斯大学附属口腔医院、黑龙江省口腔生物医学材料及临床应用重点实验室、佳木斯大学口腔医学工程实验中心,154000

出　　处：《中国口腔种植学杂志》2024年第4期362-370,共9页Chinese Journal of Oral Implantology

基　　金：黑龙江省自然科学基金项目(LH2021H108);黑龙江省普通高等学校青年创新人才培养计划项目(UNPYSCT-2020057);佳木斯大学青年创新人才培养支持计划项目(JMSUQP2020020);黑龙江省高等教育教学改革项目(SJGZ20220124)。

摘　　要：目的探讨采用口腔种植机器人系统辅助种植牙手术精度的临床前及临床研究。方法计算机检索PubMed、Cochrane Library、Web of Science、Embase、知网、维普、万方数据库中口腔种植机器人辅助下种植的研究,包括临床前研究(模型实验和动物实验)和临床研究,检索时限为建库至2023年8月,设定纳入指标。主要结局指标为测量设计与植入种植体位置在三维方向上的偏差,包括种植体植入点、根尖点及角度的误差。采用Stata 14.0和RevMan软件对数据进行Meta分析。亚组分析用于比较不同的研究设计及研究对象、是否植入种植体、缺失牙情况、特殊解剖结构的误差。结果最终从20篇文献中纳入了23项研究(其中临床前研究18项,临床研究5项),共计840个植入位点。结果显示:口腔种植机器人系统辅助种植牙手术在临床前研究中种植体的植入点、根尖点、角度误差分别为0.60 mm(95%CI:0.51~0.70,I^(2)=0.0%)、0.73 mm(95%CI:0.62~0.84,I^(2)=24.9%)、1.25°(95%CI:1.02~1.48,I^(2)=47.9%);在临床研究中种植体的植入点、根尖点、角度误差分别为0.62 mm(95%CI:0.39~0.86,I^(2)=0%)、0.63 mm(95%CI:0.39~0.87,I^(2)=0%)、1.23°(95%CI:0.71~1.76,I^(2)=15.9%)。结论口腔种植机器人系统辅助种植牙手术精度在临床前及临床研究中的植入点误差、根尖点误差及角度误差均无统计学差异,为后续的实验及临床应用提供了参考。Objective To systematically evaluate the accuracy of dental implant surgery assisted by a dental implant robot system in both preclinical and clinical studies.Methods Studies of dental implant robots were searched on online platforms like PubMed,Cochrane Library,Web of Science,Embase,CNKI,CQVIP,and Wanfang data from the establishment of the database to August 2023.The studies included preclinical(model and animal experiments)and clinical research.The main outcome measures were threedimensional deviations between the targeted position and the implanted position,including the coronal deviation,apical deviation,and angular deviation of implants.Stata 14.0 and RevMan software were used for meta-analysis of the data.Subgroup analysis was used to compare errors in four aspects:different study designs and subjects,preparation of implant cavities versus insertion of implants,dentition condition,and specific anatomical structures.Results Finally,23 studies(18 preclinical studies and 5 clinical studies)from 20 papers were included,comprising a total of 840 implant sites.The results of the meta-analysis showed that in the preclinical study of dental implant robot-assisted implantation,the coronal deviation,apical deviation,and angular deviation were 0.60 mm(95%CI:0.51~0.70,I^(2)=0.0%),0.73 mm(95%CI:0.62~0.84,I^(2)=24.9%),and 1.25°(95%CI:1.02~1.48,I^(2)=47.9%),respectively.In clinical studies,the coronal deviation,apical deviation,and angular deviation were 0.62 mm(95%CI:0.39~0.86,I^(2)=0.0%),0.63 mm(95%CI:0.39~0.87,I^(2)=0%)and 1.23°(95%CI:0.71~1.76,I^(2)=15.9%),respectively.Conclusion There was no statistical difference in the coronal deviation,apical deviation,and angular deviation of dental implant surgery assisted by the dental implant robot system in preclinical and clinical studies,providing a reference for subsequent experiments and clinical applications.

关 键 词：口腔种植机器人 数字化 计算机辅助手术 精度 

分 类 号：R783.6[医药卫生—口腔医学]