在完全引导系统的倾斜表面上放置导向牙植入物的错误
Jin-Yong Cho1, Soobeen Yun2, Ahjin Kim2
1Department of Oral and Maxillofacial Surgery, Gachon University college of Medicine and Gachon University Gil Medical Center, Incheon, Republic of Korea; Department of Oral and Maxillofacial Surgery, Gachon University Gil Medical Center, Incheon, Republic of Korea.
The British journal of oral & maxillofacial surgery
|June 29, 2025
概括
剩余的骨倾向显著影响牙植入物放置的准确性. 较小的角度增加了钻孔结合和x轴偏差,这给斜坡骨表面的引导手术带来了挑战.
科学领域:
- 牙科植入物学 牙科植入物学
- 生物医学工程 生物医学工程
- 手术准确度 - 手术准确度是指手术的精确度.
背景情况:
- 准确的牙植入物放置对于成功的结果至关重要.
- 倾斜的骨表面在导向植入物外科手术中存在独特的挑战.
- 了解骨角化对钻井精度的影响是必不可少的.
研究的目的:
- 评估剩余骨倾斜对牙植入物放置准确性的影响.
- 为了比较两种钻探协议在倾斜的骨表面上的有效性.
- 根据不同的骨角来量化三维的位置错误.
主要方法:
- 在体外研究使用3D打印模型与骨倾斜 (90°,15°,30°,45°,60°).
- 使用标准钻孔序列 (A组) 和尖钻孔序列 (B组) 进行植入物放置.
- 通过扫描叠加测量钻孔滑动,绑定和3D位置错误.
主要成果:
- 钻孔结合随着骨角的减少而显著增加,特别是在15°.
- 最大的x轴偏差发生在15°,表明倾斜表面的滑动.
- 两个钻井组之间的整体植入物放置精度是可比的,尽管有特定角度的偏差.
结论:
- 在倾斜的骨表面上导向植入物放置具有挑战性,在较小的角度下,准确性会下降.
- 骨倾斜,特别是缩小的角度,导致在植入物钻孔期间显著的x轴偏差.
- 虽然钻探协议可能会影响特定的错误轴,但在斜骨上,整体准确性仍然是一个问题.
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