›› 2013, Vol. 33 ›› Issue (1): 21-23.

• 基础与临床研究 • 上一篇    下一篇

种植外科定位模板的制作及CT影像学分析

李振1,黄远亮2   

  1. 1. 南京市口腔医院
    2. 同济大学附属东方医院
  • 收稿日期:2012-03-01 修回日期:2012-04-10 出版日期:2013-01-29 发布日期:2013-02-05
  • 通讯作者: 黄远亮 E-mail:ylhuang0115@yahoo.com.cn

Fabrication of surgical stents for implants and the analysis of CT data

Zhen LI1,   

  • Received:2012-03-01 Revised:2012-04-10 Online:2013-01-29 Published:2013-02-05

摘要: 目的 通过种植外科定位模板的制作及计算机断层(Computed Tomography,CT)影像学的分析,便于牙种植体的精确植入及其美学修复。方法 选择20例牙列缺损患者,制取上下颌印模,灌注超硬石膏。在石膏模型上根据邻牙及咬合关系制作种植外科定位模板,患者佩戴模板进行CT扫描,利用自主开发的牙颌种植辅助诊断系统V5.4软件对CT数据进行影像学分析。结果 CT影像可以清晰地获得受植区颌骨的三维解剖结构,并能精确地测量受植区骨组织颊(唇)舌向宽度、牙槽嵴顶到下牙槽神经管上壁或上颌窦底的高度、受植区的软组织厚度;还可以测量前牙区理想的种植方向与牙槽嵴方向的差异。植入的种植体位置和方向佳,无术后并发症,且后期修复效果较好。结论 种植外科定位模板的CT影像分析可以准确了解种植区骨质,对选择种植体的长度和直径,及其评估后期的种植修复有很大帮助。

关键词: 牙种植, 外科定位模板, 计算机断层, dental implant, surgical stent, computed tomography

Abstract: Abstract: Objective By fabricating the surgical stents for implants and analyzing the computed tomography data, realize accurate placement of dental implants and aesthetic restoration. Methods Twenty patients with some teeth missing were chosen. Impressions were taken, and plaster casts were obtained. According to adjacent teeth and jaw relationship in the plaster models, the surgical stents for implants were fabricated. Patients with stents were CT scanned. All the data were analyzed by a teeth and jaw measurement software. Results CT data reconstruction could accurately obtain three dimensional anatomic structures of implantology site, and the software could accurately measure the width of bone tissue from bucal to lingual side, the height from the top of bone tissue to the mandibular canal or to the bottom of the maxillary sinus. Thickness of the soft tissue could also be accurately measured. Placement and direction of all implants were very good, and no complication happened. Conclusion The surgical stents for implants and CT imaging analysis can be effectively used to measure structure of the jaw and help doctors to select the lengths and diameters of dental implants.

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