国际口腔医学杂志

国际口腔医学杂志 ›› 2020, Vol. 47 ›› Issue (2): 196-201.doi: 10.7518/gjkq.2020046

• 综述 • 上一篇    下一篇

牙种植动态导航配准方式对配准精度的影响

田田,张志宏(),刘红红   

  1. 安徽医科大学附属省立医院口腔医学中心 合肥 230001
  • 收稿日期:2019-05-23 修回日期:2019-07-29 出版日期:2020-03-01 发布日期:2020-03-12
  • 通讯作者: 张志宏
  • 作者简介:田田,硕士,Email： tiantian_666tian@163.com
  • 基金资助:
    2018年度“科大新医学”联合基金项目(WK9110000006)

Effects of different registration methods on the accuracy of navigation registration in dental implants

Tian Tian,Zhang Zhihong(),Liu Honghong   

  1. Stomatological Center of Provincial Hospital Affiliated to Anhui Medical University, Hefei 230001, China
  • Received:2019-05-23 Revised:2019-07-29 Online:2020-03-01 Published:2020-03-12
  • Contact: Zhihong Zhang
  • Supported by:
    This study was supported by “New Medicine of University of Science and Technology” Joint Foundation of 2018(WK9110000006)

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摘要：

牙种植动态导航系统（DNS）是一种利用精确的红外定位技术,通过对三维数字影像的可视化操作,最终实现三维影像和实际解剖位置的精确融合,实时追踪手术器械的牙种植手术辅助系统,适用于牙种植手术的术前规划和精确的术中引导。影响DNS精确性的关键因素是实际术区解剖结构与其虚拟三维数字影像的精确配准,而不同配准方式的适应证、配准特点和配准精度等各不相同。本文对临床所应用的配准方式,包括骨标记物配准、咬合夹板配准、U型管配准、面部框架式配准、解剖标志点配准及无标记点配准进行介绍,并对影响配准误差的因素进行总结,以便临床医生更好地了解不同配准方式的特点,减少配准误差,达到精准种植的效果。

关键词: 动态导航系统, 配准方式, 精度

Abstract:

The dynamic navigation system (DNS) is an auxiliary system for dental implant surgery that utilizes precise infrared positioning technology through the visualized operation of 3D digital images. The system is aimed at realizing the precise fusion of 3D images and actual anatomical positions and achieving the real-time tracking of surgical instruments. The DNS is suitable for preoperative planning and precise intraoperative guidance for dental implant surgery. The key factor that affects the accuracy of the DNS is the accurate registration of the actual anatomical structure of the operation area and its virtual 3D digital image. The indications, registration characteristics, and registration accuracies with different registration methods vary. The present work introduces the registration methods used in clinical practice, including bone marker registration, occlusal splint registration, U-tube registration, facial frame registration, anatomical mark registration, and unmarked registration. The factors affecting registration errors are also summarized to enable clinicians to effectively understand the characteristics and indications of different registration methods, reduce registration errors, and achieve accurate implantation.

Key words: dynamic navigation system, registration methods, accuracy

中图分类号: 

  • R783
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