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导航植入物手术在不同类型的牙科病的准确性:一个系统的审查和元分析
Pozzi Alessandro1, Claudia Lorenzi2, Lorenzo Arcuri3
1Department of Clinical Science and Translational Medicine, University of Rome Tor Vergata, Rome, Italy; Department of Restorative Sciences Augusta University, Augusta, Georgia, USA; Department of Restorative Dentistry and Biomaterials Sciences, Harvard School of Dental Medicine, Boston, Massachusetts, USA.
Journal of dentistry
|February 13, 2026
概括
动态计算机辅助植入体手术 (d-CAIS) 在所有类型的牙科植入物中显示出可靠的准确性. 虽然单一牙的位置更精确,但差异在临床上并不显著,这证实了d-CAIS对不同病例的适用性.
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
- 计算机辅助手术 计算机辅助手术
背景情况:
- 动态计算机辅助植入体手术 (d-CAIS) 是一个不断发展的技术,用于精确的牙植入体放置.
- 评估它在不同类型 (单一,部分,完整) 的牙周病的准确性对于临床应用至关重要.
研究的目的:
- 为了评估d-CAIS在牙植入物放置中的准确性.
- 为了比较单个,部分和完整的牙术之间的外科准确性.
- 根据牙症类型来确定精度差异的临床意义.
主要方法:
- 在主要数据库 (MEDLINE,PubMed,Embase,Cochrane Library) 进行了系统的文献搜索,截至2025年4月.
- 对来自24项研究的数据 (687名患者,1147个植入物) 进行了随机效应元分析,以评估线性和角度偏差.
- 评估了偏见的风险,并对单个,部分和完整的牙周病群体进行了比较.
主要成果:
- 总体平均精度在平台上为1.03mm,在顶部为1.18mm,角偏差为2.90°.
- 与部分 (1.08 毫米平台, 1.23 毫米顶部) 和完整的牙周病 (1.15 毫米平台, 1.41 毫米顶部) 相比,单牙间隙的准确性更高 (0.90 毫米平台, 1.02 毫米顶部).
- 两组之间没有发现角偏差的统计学上显著差异 (p=0.2611).
结论:
- d-CAIS在牙植入物安置方面显示出可靠且可比的准确性,不论是牙瘤类型.
- 虽然单牙植入物放置显示出略高的线性精度,但这些差异在临床上并不显著.
- d-CAIS是一种可行的,准确的手术方式,用于各种需要植入牙的患者.
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