导向间根微螺杆插入的安全性和准确性:系统性审查和元分析
Margalida Santmartí-Oliver1, Adrià Jorba-García2, Tania Moya-Martínez2
1Faculty of Dentistry, Complutense University of Madrid, 28040 Madrid, Spain.
Journal of clinical medicine
|January 8, 2025
概括
静态计算机辅助手术 (sCAS) 提高了在正牙科中的微螺杆安置安全性和准确性,与自由手和放射方法相比,显著减少了根损伤.
科学领域:
- 矯正牙科 矯正牙科是一種矯正牙科.
- 牙科植入物学 牙科植入物学
- 手术导航 手术导航
背景情况:
- 在正牙科中,控制牙运动依赖于理想的骨 anchorage.
- 迷你螺丝 (MSs) 提供骨架固定,但自由手放置可能会造成根损伤和精度问题.
- 包括静态 (sCAS) 和动态计算机辅助手术 (dCAS) 在内的指导技术旨在提高MS安置的准确性和安全性.
研究的目的:
- 使用各种指导技术,对MS安置的安全性和准确性进行系统审查和进行元分析.
- 为了比较导向的MS插入方法与自由手放置.
主要方法:
- 系统的文献搜索到2024年3月为指导的MS插入研究.
- 安全性 (根接触/损坏) 和准确性 (偏差) 的评估.
- 使用RoB 2,NOS和适应工具进行偏差风险和质量评估;对聚合数据进行随机效应元分析.
主要成果:
- 包括11项研究 (652个MS);没有分析dCAS研究.
- 静态计算机辅助手术 (sCAS) 显著减少了根损伤,而不是自由手放置 (OR = 0.11;95% CI:0.04-0.36;p < 0.001).
- sCAS还显示了角和线性偏差的减少,尽管定量准确性合成因异质性而受到限制.
结论:
- 静态计算机辅助手术 (sCAS) 与自由手和放射性指导方法相比,提高了小螺丝插入的安全性和准确性.
- sCAS为正牙 anchorage提供了显著的临床益处.
- 需要进一步的研究来完善sCAS协议并探索动态计算机辅助手术 (dCAS) 以提高准确性.
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