使用动态导航系统作为数字牙科的组成部分。

Journal of dental research Pub Date : 2024-02-01 Epub Date: 2023-12-15 DOI:10.1177/00220345231212811
W L Tang, X Y Chao, Z Ye, M W Liu, H Jiang
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引用次数: 0

摘要

动态导航系统(DNS)的开发促进了现代数字医学的发展。在口腔医学领域,这项尖端技术得到了广泛认可。基于三维可视化、虚拟设计和精确运动追踪的原理,DNS 主要由计算机、追踪系统、专用追踪器械和导航软件组成。DNS 采用的工作流程是,首先进行术前数据采集和成像数据重建,然后进行手术器械校准和空间配准,最后进行实时引导手术。目前,该系统已广泛应用于牙科手术,包括牙科种植、口腔和颌面外科手术(如拔牙、颌面部骨折、肿瘤和异物治疗、正颌手术和颞下颌关节强直手术)、骨内麻醉和牙髓治疗(包括根管治疗和牙髓手术)。这些应用得益于 DNS 在直接可视化、治疗精确性、效率、安全性和程序适应性方面的改进。然而,采用 DNS 需要大量的前期费用、所需的全面培训、额外的准备时间以及更多的辐射暴露。尽管存在挑战,但 DNS 的不断进步有望扩大其用途,并大大加强数字化牙科。
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The Use of Dynamic Navigation Systems as a Component of Digital Dentistry.

The development of dynamic navigation system (DNS) has facilitated the development of modern digital medicine. In the field of dentistry, the cutting-edge technology is garnering widespread recognition. Based on the principles of 3-dimensional visualization, virtual design, and precise motion tracking, DNS is mainly composed of a computer, a tracking system, specialized tracer instruments, and navigation software. DNS employs a workflow that begins with preoperative data acquisition and imaging data reconstruction, followed by surgical instrument calibration and spatial registration, culminating in real-time guided operations. Currently, the system has been applied in a broad spectrum of dental procedures, encompassing dental implants, oral and maxillofacial surgery (such as tooth extraction, the treatment of maxillofacial fractures, tumors, and foreign bodies, orthognathic surgery, and temporomandibular joint ankylosis surgery), intraosseous anesthesia, and endodontic treatment (including root canal therapy and endodontic surgery). These applications benefit from its enhancements in direct visualization, treatment precision, efficiency, safety, and procedural adaptability. However, the adoption of DNS is not without substantial upfront costs, required comprehensive training, additional preparatory time, and increased radiation exposure. Despite challenges, the ongoing advancements in DNS are poised to broaden its utility and substantially strengthen digital dentistry.

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