数字化导板引导下全口种植即刻负重可行性与精准度的研究.pdfVIP

口 腔 医 学 2022年 4 月 第42卷 第4 期 • 345 • 数字化导板引导下全口种植即刻负重可行性与精准度的研究 柳麟翔、唐丽琴2 ,于美娜、袁 月 1 ，董 岩 1 [ 摘 要 ] 目 的 探 究数字化导板引导下全口种植即刻负荷的可行性，根据影像学数据评价导板引导的种植精准度 ，探讨可能 影响植体位置精度的相关因素 。方 法 按 照准人排除标准，收集2017年至2019年使用数字化导板引导下的全口种植即刻负 重固定修复患者16例(98枚植体），跟踪随访患者评价长期的临床修复效果。利用 CBCT数据测量30颗植体实际位置与设 计位置在三维空间上的偏差，评估植人精准度。运用统计学方法分析精准度相关因素 。结 果 种植体1 年留存率98.98% (97/98),红色美学评分(PE )(9.53±1.68)分,白色美学评分(WE )(_7.05±1.10)分,患者满意度为（9.15±0.84)分。种植体预 部偏差量为（1.40±1.07) mm ,根部偏差量为（1.54±1.13) mm ,深度偏差量为（1.10±K09) mm ,角度偏差量为4.41。±2.68。。不 同品牌植体的偏差值存在显著差异，种植时机、手术导板支持方式、放射导板制作方式、牙位未对植人精准度造成显著影响= 结 论 数 字化全口种植固定修复是一种临床效果好、可重复性高的牙列缺失治疗方案，值得应用和推广_ [ 关键词] 牙种植;数字化种植;全口种植;牙列缺失 [ 中图分类号] FT783.4 [ 文献标识码] A [ 文章编号] 1003-9872(2022)04-0345-04 [ doi] 10.13591/ki.kqyx.2022.04.012 Feasibility and accuracy of static computer-assisted full-arch implant surgery with immediate loading LIU Linxiang， TANG Liqin, YU Meina， YUAN Yue， DONG Yan. ( Department of Implantology, Wuxi Stomatology Hospital, Wuxi. 2J4000, China) Abstract ：Objective To explore the feasibility of static digital guided surgery with immediate loading in edentulous patients, to e- valuate the accuracy of guided implant surgery based on cone-beam computed tomography ( CBCT) data, and to discuss factors that may affect accuracy. Methods Sixteen cases where 98 implants were placed into partially and totally edentulous patients from 2017 to 2019 were collected. All surgeries were assisted by digital surgical guide and immediately loaded. Patients were followed up to record survival rate and long-term function of implants. The three-dimensional deviations of 30 actual implants from their designed position were measured based on CBCT data, which aim