Int J Stomatol

Inter J Stomatol ›› 2019, Vol. 46 ›› Issue (1): 99-104.doi: 10.7518/gjkq.2019.01.018

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Research progress on the application of surgical template and dynamic navigation system in implant dentistry

Tingting Zhang,Jian Hu()   

  1. The State Key Laboratory Breeding Base of Basic Science of Stomatology (Hubei-MOST) & Key Laboratory of Oral Biomedicine Ministry of Education, School and Hospital of Stomatology, Wuhan University & Dept. of Prosthodontics, Hospital of Stomatology, Wuhan University, Wuhan 430079, China
  • Received:2018-05-23 Revised:2018-09-11 Online:2019-01-01 Published:2019-01-11
  • Contact: Jian Hu E-mail:00008460@whu.edu.cn

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Abstract:

With the help of surgical template and dynamic navigation system, prosthetic-driven implant dentistry has become reality. Furthermore, they can help realize minimal invasion and improve accuracy. These technologies might help doctors make preoperative implant planning, and achieve safe surgery by avoiding anatomic structures during operation. While both methods aim to achieve high accuracy, some errors in the clinical application are still detected. This article analyzes differences between the application of surgical template and dynamic navigation in clinics, and factors that may influence their accuracy.

Key words: surgical guide, dynamic navigation, implant, accuracy

CLC Number: 

  • R783.4

TrendMD: 

Fig 1

Clinical process of the two technologies"

Tab 1

Advantages and disadvantages of the two technologies"

类型 优势 不足
数字化导板 1）与导航相比,下颌无牙颌种植具有一定的优势; 1）导板方面：
2）可通过引导管辅助控制钻针方向。 ①导板制作完成后,术中方案无法改变;
②导板制作、试戴需要增加患者就诊次数,延长治疗周期;
③导板的完全就位及稳定性会受周围结构的影响;
④需要与工具盒搭配使用;
⑤影响局部种植位点降温及骨屑排出。
2）医生方面：导板干扰医生视野。
3）患者方面：
①导板使用受患者张口度的影响;
②种植位点间隙过窄影响导板的使用。
动态导航 1）CT拍摄、方案设计与实时引导种植可同天进行; 1）有一定技术敏感性;
2）由“盲视”转为“直视”; 2）术前需调整校准;
3）可实时动态引导医生种植; 3）手术器械可能影响医生“手感”;
4）可实时调整方案。 4）医生需注意自身及器械的位置;
5）下颌无牙颌术中实时定位受影响。

Fig 2

Main source of error of the two technologies"

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