锥形束CT联合静态导板技术在基层医院口腔种植修复中的临床应用OA
Clinical application of cone beam computed tomography combined with static guide plate technology in dental implant restoration in primary hospitals
目的:评估锥形束 CT(cone beam computed tomography,CBCT)联合静态导板技术在基层医院口腔种植修复中的临床应用效果.方法:回顾性分析 2022 年 1 月~2024 年 6 月本院口腔科应用 CBCT 联合静态导板技术完成的种植修复病例 22 例(38 颗种植体)作为导板组,同期采用传统自由手完成种植修复的 22 例(36 颗种植体)作为对照组,对比分析种植体植入精度(颈部偏差、尖端偏差、角度偏差)及术后并发症.结果:导板组种植体颈部偏差(0.68±0.21)mm、尖端偏差(0.92±0.28)mm、角度偏差(2.14±0.73)°,均显著优于对照组[(1.43±0.37)mm、(1.87±0.42)mm、(4.76±1.24)°](P<0.05);导板组术后并发症发生率与对照组无统计学差异.结论:CBCT 联合静态导板技术可显著提高基层医院口腔种植修复的精准性与安全性,在提高种植精度方面具有优势,并可能有助于降低解剖风险,具有较高的临床推广价值.
Objective:To evaluate the clinical efficacy of cone beam computed tomography(CBCT)combined with static surgical guide technology in dental implant restoration at primary-level hospitals.Methods:A retrospective analysis was conducted on 22 patients(38 implants)treated with CBCT and static surgical guide technology(guide group)and 22 patients(36 implants)treated with conventional freehand implant surgery(control group)from January 2022 to June 2024.Implant placement accuracy(coronal deviation,apical deviation,angular deviation)and postoperative complications were compared.Results:The guide group demonstrated significantly superior implant placement accuracy with coronal deviation(0.68±0.21)mm,apical deviation(0.92±0.28)mm,and angular deviation(2.14±0.73)° compared to the control group[(1.43±0.37)mm,(1.87±0.42)mm,and(4.76±1.24)°]respectively(all P<0.05).The complication rate was similar between the guide group and the control group.Conclusion:CBCT combined with static surgical guide technology significantly improves the precision and safety of dental implant restoration in primary hospitals,it has an advantage in improving the accuracy of planting and may also help reduce the risk of dissection,warranting broader clinical application.
张锐;陈文学;徐黎;陈敬天
湖北科技学院口腔与眼视光医学院 湖北 咸宁 437100||阳新县人民医院口腔科 湖北 阳新 435200阳新县人民医院口腔科 湖北 阳新 435200湖北科技学院口腔与眼视光医学院 湖北 咸宁 437100阳新县人民医院口腔科 湖北 阳新 435200
医药卫生
锥形束CT静态种植导板口腔种植种植精度基层医院
Cone beam computed tomographyStatic surgical guideDental implantImplant accuracyPrimary hospital
《临床口腔医学杂志》 2026 (9)
537-540,4
湖北科技学院校内科研发展基金项目校内培育科研项目(2024-25X05)湖北科技学院口腔与眼视光医学院专项科研基金(2020WG16)湖北省大学生创新创业训练项目(S202110927032)湖北省教育厅科学技术研究指导性项目(B2025158)
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