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在完全没有牙的患者中,使用骨支持的可堆叠的外科手术指南完全引导植入物放置的准确性 - - 一项回顾性研究
Roko Bjelica1, Igor Smojver1,2, Luka Stojić3
1Department of Oral Surgery, School of Dental Medicine, University of Zagreb, 10000 Zagreb, Croatia.
Journal of clinical medicine
|January 28, 2026
概括
这项研究发现,一个由骨支的可堆叠的手术指南协议在没有牙的患者中提供了高度准确的牙植入物安置. 这种计算机辅助的方法确保了全面门康复的可预测结果.
科学领域:
- 口腔和牙面部外科手术
- 牙科植入物学 牙科植入物学
- 计算机辅助植入学 计算机辅助植入学
背景情况:
- 精确的牙植入物定位对于假肢康复至关重要,特别是在缺乏解剖学标志的牙患者中.
- 计算机辅助规划和手术指南越来越多地用于提高植入物放置的准确性.
研究的目的:
- 用计算机辅助计划评估植入物放置在无牙的部和下部的准确性.
- 评估一个骨支持的可堆叠的外科手术指南协议,用于全弓康复.
主要方法:
- 在15名完全没有牙的患者中,对60个植入物的回顾性分析.
- 使用双扫描协议进行计划,并使用骨支可堆叠指南进行骨切除术和植入物插入.
- 叠加的术后CBCT扫描与术前计划来测量偏差.
主要成果:
- 平均角度偏差为1.25° ± 0.80°.
- 平均3D线性偏差为0.96 ± 0.57毫米 (部) 和1.07 ± 0.56毫米 (顶部).
- 平均深度偏差为0.37 ± 0.58毫米,均在安全值范围内 (p < 0.05).
结论:
- 支持骨的可堆叠的手术指南协议在没有牙的下巴中显示出高精度的全弓康复.
- 这种方法通过消除粘膜性并提供刚性固定,确保可预测的植入物放置.
- 它为螺杆支条支的假肢提供了可靠的替代动态导航.
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