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使用定制的骨牙科支持的指南来准确地重新定位大.

Yuki Mori1, Kazuya Haraguchi2, Daigo Yoshiga3

  • 1Department of Oral and Maxillofacial Disease Control, Division of Oral Medicine, Kyushu Dental University, Kitakyushu, Japan.

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概括

定制的骨指南在上重定位方面提供了更高的准确性,相比于中级CAD/CAM片用于dentofacial变形,改善了手术结果.

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科学领域:

  • 口腔和牙面部外科手术
  • 矯正牙科 矯正牙科是一種矯正牙科.
  • 生物医学工程 生物医学工程

背景情况:

  • 牙面部形需要精确的手术纠正.
  • 精确的上部重新定位对于功能和美学结果至关重要.
  • 计算机辅助设计和计算机辅助制造 (CAD/CAM) 技术已经推进了外科手术规划.

研究的目的:

  • 为了比较使用定制的骨牙支导体与中间CAD/CAM支架的上部重新定位的准确性.
  • 评估手术指南在将3D模拟计划转移到实际手术结果中的有效性.

主要方法:

  • 回顾性队列研究,涉及患有牙和面部形的患者.
  • 在手术前和手术后3个月分析了计算机断层扫描.
  • 用模拟软件测量了3个地标的计划和实际的术后大位置之间的差异.
  • 两个组进行了比较:定制指南 (n=22) 和中间CAD/CAM支板 (n=22).

主要成果:

  • 在定制导向组 (A组) 中,在所有3个轴和3个地标上观察到计划和实际上位置之间的较小差异.
  • 与定制指南相比,中间CAD/CAM支线 (B组) 在所有3个轴上显示出明显更大的差异.
  • 定制指南在实现计划的外科结果方面表现出更高的准确性.

结论:

  • 定制的上骨-牙支指南比中间CAD/CAM具更有效,可以准确地重新定位上.
  • 这些指南提高了将3D手术模拟转移到临床实践中的精度.
  • 这些发现表明,在使用定制指南的情况下,整形手术的可预测性和结果得到了改善.