计算机辅助设计+自制牙支持式导板在下颌后牙区应用-application of computer-aided design and self-made dental support guide plate in mandibular posterior teeth area.docx

Computer Aided Design + homemade tooth support guides in the area of the posterior mandibleAbstractobjective:The teeth lost area of dental support guides was producted,the deviation of the preoperative computer-aided design and postoperative implant in the buccolingual, mesiodistal was detected ,the evaluation of computer-aided design +homemade teeth supported planting guide value of the application and popularization of the area in the posterior mandible was made.Method:The patients need surgery planting were selected from Shanxi Medical Stomatological Hospital in 2012, patients of the lower jaw teeth single missing were selected with 10 cases, age 20-40 years, the sex ratio was 1:1, implant type of the ITI implants.The model of the teeth lost region was made, then put the guiding bar in the vertical to the horizontal plane into model and the first guide was maked. Acquisition of CT data using simplant software for data analysis, the angle of deviation in the preferred implantation direction between the guide bar was measured. Finally, using a grinding instrument to determine the direction of the final implantation and final surgical guides. Implants by means of guides ,then measure preoperative and postoperative angle and depth deviation .Results:Buccolingual direction(p 0.05), the difference was statistically significant,the mean of -3.92 ± 5.49.Mesiodistal direction (p 0.05), the difference was notstatistically significant.the mean was -1.203 ± 4.754 degrees.Planting depth (p 0.05), the difference was not statistical significant,the mean was 0.01 ± 0.42mm. Conclusion:By comparing the measured data, the portion of implants in the buccolingualdirection had a deviation, the deviation were about10degree, angulation abutment can adjust the dental prosthetic restoration to a correct occlusion relationship. Planting depth and mesiodistal had small deviations around the implant .The system can help clinicians to implant under highly inadequate conditions, whi