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CAD/CAM导板在牙种植备孔中的精度分析
引用本文:王金生,徐良伟,蒋晨波,许办,邵利民,张菲菲.CAD/CAM导板在牙种植备孔中的精度分析[J].口腔医学研究,2016,32(11):1196.
作者姓名:王金生  徐良伟  蒋晨波  许办  邵利民  张菲菲
作者单位:1. 兰溪市人民医院口腔科 浙江 金华 321199;2. 浙江工业大学 浙江 杭州 310000;3. 兰溪邵小伟中医院口腔科 浙江 金华 321102;4. 浙江大学医学院附属第二医院口腔科 浙江 杭州 310009
基金项目:兰溪市科技计划项目(编号:2014C04)
摘    要:目的:通过CBCT扫描以及计算机辅助设计、制造技术(CAD/CAM)制作口腔种植导板,然后评价该类导板在手术备孔中的精度。方法:利用口腔锥形束CT(ConeBeamCT,CBCT)扫描6位患者的上下颌骨,获得颌骨数据后,利用医学种植软件和快速成型技术制作CAD/CAM导板。依靠导板植入24颗种植体,术后再次拍摄CBCT,配准术前、术后数据,测量种植体在预期位置上的偏离值。结果:种植体植入后颈部偏离值为(1.03±0.55) mm,顶端偏离值(1.19±0.56) mm,角度偏离值 (3.12±2.64)°。结论:CAD/CAM种植导板能够有效地将设计方案转移到手术过程中,降低手术风险,获得较高精度,有较高的临床应用价值。

关 键 词:CAD/CAM  种植导板  精度  CBCT  
收稿时间:2016-04-25

Accuracy of CAD/CAM Template for Implant Site Preparation
WANG Jin-sheng,XU Liang-wei,JIANG Chen-bo,XU Ban,SHAO Li-min,ZHANG Fei-fei.Accuracy of CAD/CAM Template for Implant Site Preparation[J].Journal of Oral Science Research,2016,32(11):1196.
Authors:WANG Jin-sheng  XU Liang-wei  JIANG Chen-bo  XU Ban  SHAO Li-min  ZHANG Fei-fei
Institution:1. Department of Stomatology, Lanxi Peoples'Hospital, Jinhua 321199, China;2. Zhejiang University of Technology, Hangzhou 310000, China;3. Shao Xiaowei Traditional Chinese Medicine Hospital of Lanxi City, Jinhua 321102, China;4. Department of Stomatology, The Second Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou 310009, China
Abstract:Objective: To evaluate the accuracy of the CAD/CAM implant template based on CBCT data for dental implants preparation. Methods: Jaws from 6 patients were scanned using cone beam computed tomography (CBCT). The CT data was used to fabricated CAD/CAM implant templates. Twenty-four implants were inserted in edentulous patients using CAD/CAM implant templates. All patients had CBCT scanning again after operation. Preoperative and postoperative computed tomographic images were compared, and the deviations between actual and planned implants were measured. Results: With the help of CAD/CAM implant templates, the neck deviation of the implant was 1.03±0.55mm, apical deviation was 1.19±0.56mm, and axis deviation was 3.12±2.64°. Conclusion: The CAD/CAM implant template can accurately transfer the preoperative design, reduce the risk of operation, and is worth for clinical use.
Keywords:CAD/CAM  Implant template  Accuracy  CBCT  
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