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)

RichHTML

157

PDF (PC)

1063

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"

1 文陈妮, 李果, 任家银, 等. 锥形束CT诊断上颌前牙区多生牙价值研究[J]. 华西口腔医学杂志, 2012, 30(4): 399-401.
Wen CN, Li G, Ren JY, et al. Evaluation of cone-beam CT in diagnosis of supernumerary teeth in the anterior maxilla[J]. West China J Stomatol, 2012, 30(4): 399-401.
2 Wesemann C, Muallah J, Mah J, et al. Accuracy and efficiency of full-arch digitalization and 3D prin-ting: a comparison between desktop model scanners, an intraoral scanner, a CBCT model scan, and stereolithographic 3D printing[J]. Quintessence Int, 2017, 48(1): 41-50.
3 Abduo J, Elseyoufi M. Accuracy of intraoral scanners: a systematic review of influencing factors[J]. Eur J Prosthodont Restor Dent, 2018, 26(3): 101-121.
4 An XY, Yang HW, Choi BH. Digital workflow for computer-guided implant surgery in edentulous patients with an intraoral scanner and old complete denture[J]. J Prosthodont, 2019, 28(6): 715-718.
5 Granata S, Sforza NM, Giberti L, et al. Computer-guided implant surgery for immediate implanting and loading: the STIL technique[J]. J Prosthet Dent. 2021, 126(2): 155-163.
6 邹晨, 邹道星, 艾毅龙. 口内三维扫描结合CBCT建立数字化模型的研究[J].口腔医学研究, 2019, 35(9): 902-905.
Zou C, Zou DX, Ai YL. Study on three dimensional digitized dental model based on intraoral scanners and cone-beam computed tomography[J]. J Oral Sci Res, 2019, 35(9): 902-905.
7 Chen XJ, Xu L, Wang W, et al. Computer-aided design and manufacturing of surgical templates and their clinical applications: a review[J]. Expert Rev Med Devices, 2016, 13(9): 853-864.
8 Raico Gallardo YN, da Silva-Olivio IRT, Mukai E, et al. Accuracy comparison of guided surgery for dental implants according to the tissue of support: a systematic review and meta-analysis[J]. Clin Oral Implants Res, 2017, 28(5): 602-612.
9 Turbush SK, Turkyilmaz I. Accuracy of three diffe-rent types of stereolithographic surgical guide in implant placement: an in vitro study[J]. J Prosthet Dent, 2012, 108(3): 181-188.
10 Hu YK, Xie QY, Yang C, et al. Computer-designed surgical guide template compared with free-hand o-peration for mesiodens extraction in premaxilla using “trapdoor” method[J]. Medicine, 2017, 96(26): e73-10.
11 Mai HN, Lee DH. Effects of supporting conditions and anchor microscrew on the stabilization of the implant guide template during the drilling process: an in vitro study[J]. J Prosthet Dent, 2020, 124(6): 727.e1-727.e8.
12 Hamza H. Computer-assisted technique for surgical tooth extraction[J]. Int J Dent, 2016, 2016: 7484159.
13 成晓栋, 朱房勇. 数字化导板引导下精准拔除上颌埋伏多生牙初探[J]. 现代口腔医学杂志, 2020, 34(6): 380-381.
Cheng XD, Zhu FY. Preliminary study on accurate extraction of maxillary embedded supernumerary teeth under the guidance of digital guide plate[J]. J Mod Stomatol, 2020, 34(6): 380-381.
14 Giacomino CM, Ray JJ, Wealleans JA. Targeted en-dodontic microsurgery: a novel approach to anato-mically challenging scenarios using 3-dimensional-printed guides and trephine burs-a report of 3 cases[J]. J Endod, 2018, 44(4): 671-677.
15 Strbac GD, Schnappauf A, Giannis K, et al. Guided modern endodontic surgery: a novel approach for guided osteotomy and root resection[J]. J Endod, 2017, 43(3): 496-501.
16 Hyung NO, Hyeonjong L, Sun KM, et al. Simplified technique for easy extraction of impacted supernumerary teeth using guided surgery[J]. Quintessence Int, 1985, 2017, 48(7): 563-567.
17 刘培才, 王志兴. 手术定位导板在埋伏多生牙拔除中的应用[J]. 华西口腔医学杂志, 2019, 37(1): 58-61.
Liu PC, Wang ZX. Application of surgical locating guides on impacted supernumerary teeth extraction[J]. West China J Stomatol, 2019, 37(1): 58-61.
18 郑相淮, 林曦, 柴金友, 等. 数字化定位导板在埋伏多生牙拔除中的应用[J]. 南方医科大学学报, 2020, 40(6): 907-910.
Zheng XH, Lin X, Chai JY, et al. Application of digi-tal positioning guide plate in extraction of impacted supernumerary teeth[J]. J South Med Univ, 2020, 40(6): 907-910.
19 Jo C, Bae D, Choi B, et al. Removal of supernume-rary teeth utilizing a computer-aided design/compu-ter-aided manufacturing surgical guide[J]. J Oral Maxillofac Surg, 2017, 75(5): 924.e1-924.e9.
20 王雨薇, 刘寅冬, 朱宇弛, 等. 计算机辅助技术在口腔颌面外科门诊实习教学中的应用[J]. 实验科学与技术, 2019, 17(1): 127-131.
Wang YW, Liu YD, Zhu YC, et al. The application of computer aided technology in outpatient clinical practice in department of oral and maxillofacial surgery[J]. Exp Sci Technol, 2019, 17(1): 127-131.
21 王文超, 刘宗霖, 张耀升, 等. 数字化技术在微创牙槽外科的临床应用[J]. 组织工程与重建外科杂志, 2018, 14(1): 5-6, 16.
Wang WC, Liu ZL, Zhang YS, et al. Clinical application of digital technology in minimally invasive alveolar surgery[J]. J Tissue Eng Reconstr Surg, 2018, 14(1): 5-6, 16.
22 Ahn SY, Kim NH, Kim S, et al. Computer-aided design/computer-aided manufacturing-guided endodon-tic surgery: guided osteotomy and apex localization in a mandibular molar with a thick buccal bone plate[J]. J Endod, 2018, 44(4): 665-670.
23 马文, 李燕妮, 王立冬, 等. 数字化导板在多生牙拔除术中的应用[J]. 口腔医学研究, 2019, 35(11): 1030-1034.
Ma W, Li YN, Wang LD, et al. Application of digital guide plate in treatment of supernumerary teeth [J]. J Oral Sci Res, 2019, 35(11): 1030-1034.
24 Wang J, Cui NH, Guo YJ, et al. Navigation-guided extraction of impacted supernumerary teeth: a case report[J]. J Oral Maxillofac Surg, 2017, 75(6): 1136.e1-1136.e5.
[1] 王仁义,赵呈智,潘剑. 拔牙围手术期预防性使用抗生素对术后并发症影响的研究进展[J]. 国际口腔医学杂志, 2023, 50(5): 558-565.
[2] 汤芝伟,高莺. 靶向牙髓显微外科技术的应用与进展[J]. 国际口腔医学杂志, 2022, 49(6): 678-683.
[3] 蔡娉娉,卓盈颖,林捷,郑志强. 计算机辅助技术在纤维桩拆除中的应用[J]. 国际口腔医学杂志, 2022, 49(6): 731-736.
[4] 尹茂运,张祎,胡敏. 正畸拔牙矫治对上气道影响的研究进展[J]. 国际口腔医学杂志, 2022, 49(5): 607-613.
[5] 胡文杰. 牙槽嵴保存术的临床实施问题探讨[J]. 国际口腔医学杂志, 2021, 48(3): 249-259.
[6] 王奔,许喆桢,韦曦. 数字化微创技术在牙髓根尖周病学中的应用与进展[J]. 国际口腔医学杂志, 2021, 48(1): 110-118.
[7] 陈斌,徐蓉蓉,张家鼎,闫福华. 重度牙周炎患牙的保存治疗[J]. 国际口腔医学杂志, 2020, 47(2): 125-130.
[8] 潘韦霖,曹钰彬,刘畅,刘济远,李春洁,潘剑,华成舸. 不同翻瓣设计对下颌第三磨牙拔除术后疼痛的影响：系统评价与Meta分析[J]. 国际口腔医学杂志, 2019, 46(2): 142-148.
[9] 李天成,夏恺,邹淑娟,刘钧. 正畸治疗中拔牙对上气道影响的系统评价[J]. 国际口腔医学杂志, 2019, 46(2): 156-165.
[10] 张婷婷,胡建. 数字化导板与动态导航在口腔种植应用中的研究进展[J]. 国际口腔医学杂志, 2019, 46(1): 99-104.
[11] 刘晓华, 王恩博. 儿童埋伏多生牙拔除术锥形束计算机断层扫描影像学定位的应用进展[J]. 国际口腔医学杂志, 2018, 45(3): 295-300.
[12] 吕晶, 凌均棨. 根管定位数字化导板的研究进展[J]. 国际口腔医学杂志, 2018, 45(2): 233-238.
[13] 荆璇, 武秀萍, 王军. 舌侧矫治技术的临床研究进展[J]. 国际口腔医学杂志, 2018, 45(1): 100-105.
[14] 马全诠, 蔡潇潇. 美学区即刻种植即刻修复的研究现状[J]. 国际口腔医学杂志, 2017, 44(6): 731-736.
[15] 郑玮, 李宇. 露龈笑多学科综合治疗新进展[J]. 国际口腔医学杂志, 2017, 44(5): 509-513.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
[1] 张新春. 桩冠修复与无髓牙的保护[J]. 国际口腔医学杂志, 1999, 26(06): .
[2] 王昆润. 长期单侧鼻呼吸对头颅发育有不利影响[J]. 国际口腔医学杂志, 1999, 26(05): .
[3] 彭国光. 颈淋巴清扫术中颈交感神经干的解剖变异[J]. 国际口腔医学杂志, 1999, 26(05): .
[4] 杨凯. 淋巴化疗的药物运载系统及其应用现状[J]. 国际口腔医学杂志, 1999, 26(05): .
[5] 康非吾. 种植义齿下部结构生物力学研究进展[J]. 国际口腔医学杂志, 1999, 26(05): .
[6] 柴枫. 可摘局部义齿用Co-Cr合金的激光焊接[J]. 国际口腔医学杂志, 1999, 26(04): .
[7] 孟姝,吴亚菲,杨禾. 伴放线放线杆菌产生的细胞致死膨胀毒素及其与牙周病的关系[J]. 国际口腔医学杂志, 2005, 32(06): 458 -460 .
[8] 费晓露,丁一,徐屹. 牙周可疑致病菌对口腔黏膜上皮的粘附和侵入[J]. 国际口腔医学杂志, 2005, 32(06): 452 -454 .
[9] 赵兴福,黄晓晶. 变形链球菌蛋白组学研究进展[J]. 国际口腔医学杂志, 2008, 35(S1): .
[10] 庞莉苹,姚江武. 抛光和上釉对陶瓷表面粗糙度、挠曲强度及磨损性能的影响[J]. 国际口腔医学杂志, 2008, 35(S1): .