国际口腔医学杂志

国际口腔医学杂志 ›› 2022, Vol. 49 ›› Issue (4): 448-452.doi: 10.7518/gjkq.2022073

• 综述 • 上一篇    下一篇

数字化导板在埋伏多生牙拔除中的应用

庞瑜1(),刘显2,王了2()   

  1. 1.口腔疾病研究国家重点实验室;国家口腔疾病临床医学研究中心;四川大学华西口腔医学院 成都 610041
    2.口腔疾病研究国家重点实验室;国家口腔疾病临床医学研究中心;四川大学华西口腔医院口腔颌面外科 成都 610041
  • 收稿日期:2022-01-05 修回日期:2022-03-14 出版日期:2022-07-01 发布日期:2022-06-28
  • 通讯作者: 王了
  • 作者简介:庞瑜，学士，Email：pang_yu2021@163.com
  • 基金资助:
    四川省科技计划项目(2021YJ0045)

Application of digital template in the extraction of embedded supernumerary tooth

Pang Yu1(),Liu Xian2,Wang Liao2()   

  1. 1.State Key Laboratory of Oral Diseases＆National Clinical Research Center for Oral Disease＆West China School of Stomatology, Sichuan University, Chengdu 610041, China
    2.State Key Laboratory of Oral Diseases＆National Clinical Research Center for Oral Disease ＆ Dept. of Oral and Maxillofacial Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
  • Received:2022-01-05 Revised:2022-03-14 Online:2022-07-01 Published:2022-06-28
  • Contact: Liao Wang
  • Supported by:
    Sichucun Province Science and Technology Planning Project(2021YJ0045)

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摘要：

多生牙是常见需要拔除的额外牙。对于埋伏多生牙而言，如何在术中快速、精确定位，实现高效、安全、微创拔除一直是临床需要攻克的难题。影像学、数字化技术和材料学的发展为精准微创拔除该类牙齿提供了可能。基于患者的锥形束计算机断层扫描影像和计算机三维模型，利用数字化手段设计和制作的导板作为“桥梁”直接将手术设计方案应用到真实手术中，可极大地缩短手术时间，减小手术创伤，降低手术风险。本文结合现有导板辅助拔除埋伏多生牙的文献，就数字化导板的原理、应用现状作一综述，并对未来的发展进行展望。

关键词: 数字化导板, 拔牙, 埋伏多生牙, 定位

Abstract:

Supernumerary teeth are extra teeth that need to be extracted. Achieving an efficient, safe and minimally invasive extraction with rapid and precise intraoperative location determination has been a clinical challenge in extracting embedded supernumerary teeth. Advances in imaging, digital technology and materials science could realise the accurate and minimally invasive extraction of such teeth. Based on the patient’s cone beam computed tomography image and computerised 3D modelling, the digital template acts as a ‘bridge’ that helps in the application of a surgical design to the real surgery directly, which could greatly shorten the surgery time, reduce the trauma and decrease the risk. The aim of this review was to summarise the functional realization of the template-guided extraction of embedded supernumerary teeth and the current application of digital guides and explore its future development trend.

Key words: digital template, tooth extraction, embedded supernumerary tooth, location

中图分类号: 

  • R 782.11

图 1

埋伏阻生牙数字化导板的临床流程"

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