国际口腔医学杂志

国际口腔医学杂志 ›› 2026, Vol. 53 ›› Issue (4): 592-600.doi: 10.7518/gjkq.2026615

• 综述 • 上一篇    

无套筒静态导航技术在牙髓根尖周病中的应用进展

宋凯威1(),格根塔娜1,2()   

  1. 1.内蒙古医科大学口腔医学院 呼和浩特 010059
    2.内蒙古医科大学附属医院口腔科 呼和浩特 010050
  • 收稿日期:2025-02-12 修回日期:2026-02-26 出版日期:2026-07-01 发布日期:2026-06-25
  • 通讯作者: 格根塔娜
  • 作者简介:宋凯威，硕士，Email：15635480608@163.com

Research progress on the application of sleeveless static navigation technology in endodontic disease

Kaiwei Song1(),gentana Ge1,2()   

  1. 1.School of Stomatology, Inner Mongolia Medical University, Hohhot 010059, China
    2.Dept. of Stomatology, The Affi-liated Hospital of Inner Mongolia Medical University, Hohhot 010050, China
  • Received:2025-02-12 Revised:2026-02-26 Online:2026-07-01 Published:2026-06-25
  • Contact: gentana Ge

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摘要：

无套筒静态导航技术借助3D打印一体化导板，以特制导轨替代传统套筒引导器械，显著提升了根管治疗的精准度和安全性，在处理钙化根管、根尖周炎及纤维桩去除等复杂病例中表现出色，尤其在颌间距离有限的环境中具有显著优势。无套筒静态导航技术通过优化导板设计，提高了冷却效率，降低了手术成本，减少了对牙体组织的损伤，但在材料耐磨性、操作人员对专业软件的使用能力等方面仍存在局限性。本文综述了无套筒静态导航技术的制作流程、临床应用及其优势和不足，并探讨了其在牙髓根尖周病中的应用前景，为临床实践提供参考。

关键词: 无套筒静态导航技术, 牙髓根尖周病, 根管治疗, 引导牙髓病学, 数字化引导治疗

Abstract:

As an innovative endodontic treatment method, the sleeveless static navigation technology has achieved remarkable progress in clinical applications in recent years. This technology uses a 3D-printed integrated surgical guide plate, replacing the traditional sleeve with a specially designed guide rail to precisely guide surgical instruments, thereby enhancing the accuracy and safety of root canal treatment. Research shows that the sleeveless navigation technology excels in handling complex cases such as pulp canal obliteration, periapical periodontitis, and fiber post removal, especially in settings with limited intermaxillary distance. By optimizing the guide plate design, this method improves cooling efficiency, reduces surgical costs, and minimizes damage to dental tissues. However, the sleeveless guide plate is constrained by its material wear resistance and the operating personnel’s ability to use specialized software. This paper reviews the manufacturing process, clinical applications, advantages, and disadvantages of sleeveless static navigation technology and explores its potential applications in endodontics to serve as a reference for clinical practice.

Key words: sleeveless static navigation technology, endodontic disease, root canal treatment, guided endodontics, digital guided therapy

中图分类号: 

  • R781.05

图 1

无套筒静态导航手术导板制作流程"

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