›› 2015, Vol. 35 ›› Issue (11): 961-963.

• 临床研究 • 上一篇    下一篇

计算机种植导板在斜向种植手术的应用

张侃   

  1. 绍兴市口腔医院
  • 收稿日期:2014-07-29 修回日期:2014-12-02 出版日期:2015-11-28 发布日期:2015-11-28
  • 通讯作者: 张侃 E-mail:674013064@qq.com

The application of computer-assisted implant guide in inclined implant surgery

  • Received:2014-07-29 Revised:2014-12-02 Online:2015-11-28 Published:2015-11-28

摘要: [摘要] 目的 了解计算机种植导板在斜向种植手术的应用情况。方法 2011年2月—2014年1月之间,通过常规上下颌骨CT扫描,经计算机辅助制作软件建模,对13例上颌骨骨量不足种植病例,进行一定角度下斜向植入种植体而不需要进行上颌窦提升手术。共植入21颗种植体,均利用快速成型技术加工出个体化种植模板,并应用于该种植手术中。结果 在计算机种植导板的帮助下进行了斜向植牙,种植体植入术前设计位置实现了种植体的精确植入,能够在修复时与对颌牙形成良好的咬合关系,与术前设计方案基本一致。结论 该文利用计算机种植导板在进行上颌骨斜向植牙而非提升手术,可以很好的完成骨量不足区域的种植手术的定位及导向功能,是一种相对安全的选择性方案。

关键词: 牙列缺损, 上颌骨局部缺损, 计算机种植导板, 种植手术

Abstract: Objective To explore the application of computer-assisted implant guide in inclined implant surgery. Methods From February 2011 to January 2014, after conventional CT scanning of maxillary and mandible, the software modeling was made with the assistance of computer, and 13 cases with inadequate bone mass in maxillary were selected to undergo an inclined implant surgery. Individualized implant models were made by rapid prototyping for 21 implants in total and were applied in the surgery. Results Inclined implant surgeries were operated by using computer-assisted implant guide. The accurate implantation was accomplished thanks to preoperative designs for the location of implants so that favorable occlusion was formed, which was consistent with the preoperative designing scheme. Conclusion Instead of sinus elevation, inclined implant surgery using computer-assistant implant guide is a relatively safe choice for the location and guiding of surgeries in the area where bone mass is inadequate.

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