不同导航方法中植入精度的比较:系统性审查和网络元分析
The International journal of oral & maxillofacial implants
|November 1, 2023
概括
这项研究发现,指导牙植入物放置方法,包括动态导航 (DN) 和完全指导静态导航 (FG),比自由手 (FH) 技术更准确. DN在顶点和角度准确度方面表现出色,而FG则提供卓越的冠状控制.
科学领域:
- 口腔和牙面部外科手术
- 生物医学工程 生物医学工程
- 牙科植入物学 牙科植入物学
背景情况:
- 牙植入物对于牙损失的恢复至关重要,放置的准确性直接影响了成功.
- 存在各种植入物放置方式,包括自由手 (FH),部分引导 (PG),完全引导静态导航 (FG) 和动态导航 (DN).
研究的目的:
- 使用网络元分析,比较不同牙植入物放置方式的准确性:动态导航 (DN),全引导静态导航 (FG),部分引导静态导航 (PG) 和自由手 (FH).
- 为了确定哪种模式在冠状,顶点和角度偏差方面提供了更高的准确性.
主要方法:
- 根据PRISMA指南进行了系统的文献搜索.
- 进行了17项随机对照试验 (RCT) 的网络元分析,并补充了26篇文章的定性分析.
- 通过测量冠状,顶部和角差异的偏差来评估植入物的准确性.
主要成果:
- 与自由手 (FH) 相比,完全引导的静态导航 (FG) 和动态导航 (DN) 在冠状偏差方面表现出更高的准确性.
- 与FH相比,FG,DN和PG对顶峰和角偏差的准确性得到了改善.
- 累积排名曲线下的表面 (SUCRA) 表示FG是冠状偏差最准确的,而DN是顶点和角偏差.
结论:
- 动态导航 (DN),全引导静态导航 (FG) 和部分引导静态导航 (PG) 提供比自由手 (FH) 植入物放置更高的精度.
- DN为顶峰和角偏差提供了最高的精度,而FG在冠状偏差控制方面表现出色.
- 在DN和FG之间没有发现显著的精度差异,尽管建议进一步验证.
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