数字化根管定位导板在牙髓病治疗中的应用  

Application of digital 3D printed guide in the treatment of endodontic diseases

作　　者：王丹丹 郭亚丽[1] WANG Dandan;GUO Yali(Department of Stomatology,Shaanxi Provincial People's Hospital,Xi'an710068,China)

机构地区：[1]陕西省人民医院口腔科,西安710068

出　　处：《实用口腔医学杂志》2024年第6期874-880,共7页Journal of Practical Stomatology

基　　金：陕西省重点研发计划(编号:S2024-YF-YBSF-1080)。

摘　　要：根管的精确定位对于多种牙髓病的治疗至关重要,包括疏通钙化根管、处理解剖异常根管、去除纤维桩等内容物以及进行根尖手术等。然而,传统的根管治疗方式存在耗时较长、医源性并发症风险较高以及对医生经验水平依赖性强等问题。随着科技的进步,数字化根管定位导板的应用也逐渐广泛,其基于CBCT、口内扫描和3D打印技术,为牙髓病治疗提供了一种精确、可预测性高的替代方案。文章将概述数字化根管定位导板的临床操作流程、适应症、优势与局限性以及最新技术进展,以期为临床工作提供指导。The accurate location of root canals is essential for the treatment of various endodontic diseases,including negotiation of calcified root canals,treatment of canal abnormality,removal of fiber posts and apical surgery.However,traditional root canal treatment has numerous drawbacks,such as being time-consuming,high risk of iatrogenic complications and strong dependence on the experience of operators.With the progress of technology,the application of digital RCT guides based on CBCT and intraoral scanning,3D printing technology is gradually used worldwide,providing an accurate and predictable alternative for the treatment of endodontic diseases.This article reviews the clinical procedures,applications,indications,advantages,limitations and the latest technical progress of this technology,in order to provide guidance for clinical work.

关 键 词：根管治疗 引导牙髓治疗 数字化导板 3D打印 

分 类 号：R781.3[医药卫生—口腔医学] TP391.73[医药卫生—临床医学]