自由手、动态导航和机器人辅助种植的精度比较OA
Accuracy comparison of freehand,dynamic navigation,and robot-assisted implant placement
目的 通过比较自由手种植、动态导航辅助种植和机器人辅助种植的精度,探讨不同手术方式在种植手术中的精度差异.方法 回顾性分析2022 年1 月至2023 年12 月在浙江省人民医院接受种植手术的患者,分为自由手组、动态导航组和机器人组,通过对比术前CBCT设计的种植体位置与术后实际种植体位置来评估种植精度.结果 本研究共纳入87例患者(96颗种植体),其中自由手组30 例(31 颗)、动态导航组28 例(36 颗)、机器人组29 例(29 颗).结果 显示机器人组起点总偏差为(0.91±0.46)mm,终点总偏差为(1.05±0.61)mm,角度偏差为3.07°±1.69°,均显著低于自由手组[起点总偏差(1.42±0.86)mm、终点总偏差(2.00±1.18)mm、角度偏差7.78°±3.58°]和动态导航组[起点总偏差(1.32±0.57)mm、终点总偏差(1.64±0.77)mm、角度偏差 4.59°±2.65°].结论 与自由手和动态导航相比,机器人辅助种植在精度上具有明显优势.
Objective To investigate the differences in precision among various techniques in implant surgery by comparing the accuracy of freehand,dynamic navigation-assisted,and robot-assisted implant placement.Methods Patients who underwent implant surgery at Zhejiang Provincial People's Hospital between January 2022 and December 2023 were retrospectively analyzed and divided into freehand,dynamic navigation,and robotic groups.Implant accuracy was assessed by comparing preoperative CBCT-designed implant positions with actual postoperative CBCT implant positions.Results A total of 87 cases(96 implants)were included in this study,including 30 cases(31 implants)in the freehand group,28 cases(36 implants)in the dynamic navigation group,and 29 cases(29 implants)in the robot group.In the robot group,the total deviation at the starting point(0.91±0.46)mm,endpoint(1.05±0.61)mm,and angular deviation(3.07°±1.69°)were significantly lower than those in the freehand group[(1.42±0.86)mm,(2.00±1.18)mm,and 7.78°±3.58°]and the dynamic navigation group[(1.32±0.57)mm,(1.64±0.77)mm,and 4.59°±2.65°].Conclusion Robot-assisted implantation demonstrates significant advantages in terms of precision when compared to dynamic navigation and freehand implantation.
刘海燕;郑雨晨;丁榆德;杨帆;王林红
杭州师范大学 311121浙江省人民医院(杭州医学院附属人民医院)310014浙江省人民医院(杭州医学院附属人民医院)310014浙江省人民医院(杭州医学院附属人民医院)310014浙江省人民医院(杭州医学院附属人民医院)310014
口腔种植自由手动态导航机器人精度
ImplantFreehandDynamic navigationRoboticsAccuracy
《中国口腔种植学杂志》 2025 (4)
341-348,8
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