机器人计算机辅助种植手术对即刻种植体植入的准确性:回顾性病例系列研究。

Ping Li, Chunhui Zhao, Jiahao Chen, Shulan Xu, Shuo Yang, An Li
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引用次数: 0

摘要

研究目的本研究探讨了机器人计算机辅助种植手术(r-CAIS)在即刻种植体植入方面的准确性:根据预先确定的纳入标准,选择了 20 个病例的 20 个种植部位。种植床的准备和种植体的植入均按照标准化的牙科种植机器人手术方案进行。术后进行锥形束计算机断层扫描,以评估实际种植体位置与计划种植体位置之间可能存在的差异:r-CAIS技术用于即刻种植体植入的平均冠状偏差为0.71±0.27毫米(95% CI:0.58-0.83毫米),平均根尖偏差为0.69±0.26毫米(95% CI:0.56-0.81毫米),角度偏差为1.27±0.47°(95% CI:1.05-1.49°)。在冠状水平(90%)和根尖水平(95%)均观察到大量颊侧偏差,颊侧偏差趋势一致:r-CAIS技术被证明是前牙区即刻种植的理想方法,临床效果令人满意。然而,对于拔牙窝或骨缺损等特殊种植部位,需要对 r-CAIS 技术的手术方案进行优化。
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Accuracy of robotic computer-assisted implant surgery for immediate implant placement: A retrospective case series study.

Objectives: This study investigated the accuracy of robotic computer-assisted implant surgery (r-CAIS) for immediate implant placement.

Methods: Twenty cases with 20 implant sites were selected based on predefined inclusion criteria. The preparation of the implant bed and implant placement followed the standardized dental implant robotic surgery protocol. Postoperative cone-beam computed tomography scans were conducted to assess possible discrepancies between actual and planned implant positions.

Results: The r-CAIS technology for immediate implant placement exhibited a mean global coronal deviation of 0.71 ± 0.27 mm (95% CI: 0.58-0.83 mm), a mean global apical deviation of 0.69 ± 0.26 mm (95% CI: 0.56-0.81 mm), and an angular deviation of 1.27 ± 0.47° (95% CI: 1.05-1.49°). A substantial number of deviations were observed buccally at both coronal (90%) and apical (95%) levels, with a consistent tendency for buccal deviation.

Conclusions: The r-CAIS technology proved a promising approach for immediate implantation in the anterior region, with satisfactory clinical outcomes. However, an optimized surgical protocol for r-CAIS technology is required for particular implant sites like extraction sockets or bone defects.

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