口腔医学 ›› 2026, Vol. 46 ›› Issue (6): 476-480.
• 综述 • 上一篇
收稿日期:2025-04-15
出版日期:2026-06-28
发布日期:2026-06-17
通讯作者:
王青 E-mail:412237484@qq.com
GUO An1, LUO Yushang2, WANG Qing3(
)
Received:2025-04-15
Online:2026-06-28
Published:2026-06-17
摘要:
近年来,随着口腔医学的飞速发展,口腔种植已成为缺失牙的首选修复方式。红外光学定位动态导航种植技术是一种精准、安全、微创且具有可预测性的新型口腔种植诊疗方式,锥形束CT(cone beam CT,CBCT)在动态导航引导下种植手术中有不可或缺的作用,本文将从CBCT在动态导航种植技术的术前规划、术中运用、术后复查及使用时注意事项等方面进行综述。
中图分类号:
郭安, 罗雨商, 王青. CBCT成像技术在红外光学定位动态导航技术中的应用[J]. 口腔医学, 2026, 46(6): 476-480.
GUO An, LUO Yushang, WANG Qing. Application of CBCT in infrared optical positioning dynamic navigation technology[J]. Stomatology, 2026, 46(6): 476-480.
| [1] | 陈琦琦, 曹卫彬. 影像学技术在口腔种植中的应用[J]. 影像研究与医学应用, 2021, 5(10): 227-228. |
| [2] |
Kurt Bayrakdar S, Orhan K, Bayrakdar IS, et al. A deep learning approach for dental implant planning in cone-beam computed tomography images[J]. BMC Med Imaging, 2021, 21(1): 86.
doi: 10.1186/s12880-021-00618-z pmid: 34011314 |
| [3] | 李泽键, 赖仁发, 黄荣. CBCT在骨岛定位及指导牙种植体植入中的应用研究[J]. 重庆医学, 2013, 42(22): 2644-2646. |
| [4] |
Tao BX, Feng Y, Fan XQ, et al. Accuracy of dental implant surgery using dynamic navigation and robotic systems: An in vitro study[J]. J Dent, 2022, 123: 104170.
doi: 10.1016/j.jdent.2022.104170 |
| [5] |
Zhou WJ, Liu ZH, Song LS, et al. Clinical factors affecting the accuracy of guided implant surgery: A systematic review and meta-analysis[J]. J Evid Based Dent Pract, 2018, 18(1): 28-40.
doi: 10.1016/j.jebdp.2017.07.007 |
| [6] | Fokas G, Vaughn VM, Scarfe WC, et al. Accuracy of linear measurements on CBCT images related to presurgical implant treatment planning: A systematic review[J]. Clin Oral Implants Res, 2018, 29(Suppl 16): 393-415. |
| [7] | 罗晶, 张乐琪, 谭蕾, 等. 应用锥形束CT扫描在多生牙诊断中的价值分析[J]. 中国CT和MRI杂志, 2020, 18(9): 60-62. |
| [8] |
Schnutenhaus S, Gröller S, Luthardt RG, et al. Accuracy of the match between cone beam computed tomography and model scan data in template-guided implant planning: A prospective controlled clinical study[J]. Clin Implant Dent Relat Res, 2018, 20(4): 541-549.
doi: 10.1111/cid.2018.20.issue-4 |
| [9] |
Elgarba BM, Fontenele RC, Ali S, et al. Validation of a novel AI-based automated multimodal image registration of CBCT and intra-oral scan aiding presurgical implant planning[J]. Clin Oral Implants Res, 2024, 35(11): 1506-1517.
doi: 10.1111/clr.v35.11 |
| [10] |
Schwindling FS, Juerchott A, Boehm S, et al. Three-dimensional accuracy of partially guided implant surgery based on dental magnetic resonance imaging[J]. Clin Oral Implants Res, 2021, 32(10): 1218-1227.
doi: 10.1111/clr.v32.10 |
| [11] |
Schwindling FS, Boehm S, Herpel C, et al. Geometric reproducibility of three-dimensional oral implant planning based on magnetic resonance imaging and cone-beam computed tomography[J]. J Clin Med, 2021, 10(23): 5546.
doi: 10.3390/jcm10235546 |
| [12] |
Luangchana P, Pornprasertsuk-Damrongsri S, Kiattavorncharoen S, et al. Accuracy of linear measurements using cone beam computed tomography and panoramic radiography in dental implant treatment planning[J]. Int J Oral Maxillofac Implants, 2015, 30(6): 1287-1294.
doi: 10.11607/jomi.4073 pmid: 26574854 |
| [13] |
Jacobs R, Salmon B, Codari M, et al. Cone beam computed tomography in implant dentistry: Recommendations for clinical use[J]. BMC Oral Health, 2018, 18(1): 88.
doi: 10.1186/s12903-018-0523-5 pmid: 29764458 |
| [14] |
Loubele M, Van Assche N, Carpentier K, et al. Comparative localized linear accuracy of small-field cone-beam CT and multislice CT for alveolar bone measurements[J]. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 2008, 105(4): 512-518.
doi: 10.1016/j.tripleo.2007.05.004 pmid: 17900939 |
| [15] |
Hamilton A, Singh A, Friedland B, et al. The impact of cone beam computer tomography field of view on the precision of digital intra-oral scan registration for static computer-assisted implant surgery: A CBCT analysis[J]. Clin Oral Implants Res, 2022, 33(12): 1273-1281.
doi: 10.1111/clr.v33.12 |
| [16] |
Flügge T, Derksen W, Te Poel J, et al. Registration of cone beam computed tomography data and intraoral surface scans: A prerequisite for guided implant surgery with CAD/CAM drilling guides[J]. Clin Oral Implants Res, 2017, 28(9): 1113-1118.
doi: 10.1111/clr.2017.28.issue-9 |
| [17] |
Kim M, Chung M, Shin YG, et al. Automatic registration of dental CT and 3D scanned model using deep split jaw and surface curvature[J]. Comput Methods Programs Biomed, 2023, 233: 107467.
doi: 10.1016/j.cmpb.2023.107467 |
| [18] |
Bornstein MM, Horner K, Jacobs R. Use of cone beam computed tomography in implant dentistry: Current concepts, indications and limitations for clinical practice and research[J]. Periodontol 2000, 2017, 73(1): 51-72.
doi: 10.1111/prd.12161 pmid: 28000270 |
| [19] |
Horsch L, Labis C, Trebing CT, et al. Predictability and image quality of low-dose cone-beam computed tomography in computer-guided implantology: An experimental study[J]. J Dent, 2021, 112: 103744.
doi: 10.1016/j.jdent.2021.103744 |
| [20] | 姚开情, 吕发金. CT低剂量高分辨成像可行性研究体模实验[J]. 中国医疗设备, 2021, 36(8): 78-81. |
| [21] |
Baan F, Bruggink R, Nijsink J, et al. Fusion of intra-oral scans in cone-beam computed tomography scans[J]. Clin Oral Investig, 2021, 25(1): 77-85.
doi: 10.1007/s00784-020-03336-y |
| [22] |
Elgarba BM, Fontenele RC, Tarce M, et al. Artificial intelligence serving pre-surgical digital implant planning: A scoping review[J]. J Dent, 2024, 143: 104862.
doi: 10.1016/j.jdent.2024.104862 |
| [23] |
González Rueda JR, Galparsoro Catalán A, de Paz Hermoso VM, et al. Accuracy of computer-aided static and dynamic navigation systems in the placement of zygomatic dental implants[J]. BMC Oral Health, 2023, 23(1): 150.
doi: 10.1186/s12903-023-02856-9 pmid: 36918837 |
| [24] |
Ma LF, Jiang WP, Zhang BY, et al. Augmented reality surgical navigation with accurate CBCT-patient registration for dental implant placement[J]. Med Biol Eng Comput, 2019, 57(1): 47-57.
doi: 10.1007/s11517-018-1861-9 pmid: 29967935 |
| [25] |
Stünkel R, Zeller AN, Bohne T, et al. Accuracy of intraoral real-time navigation versus static, CAD/CAM-manufactured pilot drilling guides in dental implant surgery: An in vitro study[J]. Int J Implant Dent, 2022, 8(1): 41.
doi: 10.1186/s40729-022-00430-6 pmid: 36198996 |
| [26] | Herklotza I, Beuerb F, Kunzc A, et al. Navigation in implantology[J]. Inter J Com Dent, 2017, 20(1):9-19. |
| [27] | 陈泉林, 陈琳, 王彬晨, 等. 红外光学定位动态导航技术在口腔种植领域应用的研究进展[J]. 实用口腔医学杂志, 2022, 38(5): 570-577. |
| [28] | 覃梓健, 孙思敏, 郑悦, 等. 动态导航引导下上颌无牙颌翼突种植的精准度分析[J]. 临床口腔医学杂志, 2024, 40(11): 667-671. |
| [29] |
Park JH, Hwang CJ, Choi YJ, et al. Registration of digital dental models and cone-beam computed tomography images using 3-dimensional planning software: Comparison of the accuracy according to scanning methods and software[J]. Am J Orthod Dentofacial Orthop, 2020, 157(6): 843-851.
doi: 10.1016/j.ajodo.2019.12.013 |
| [30] |
Putra RH, Yoda N, Astuti ER, et al. The accuracy of implant placement with computer-guided surgery in partially edentulous patients and possible influencing factors: A systematic review and meta-analysis[J]. J Prosthodont Res, 2022, 66(1): 29-39.
doi: 10.2186/jpr.JPR_D_20_00184 |
| [31] |
苏天月, 赵金荣, 滕微微, 等. 自由手、种植外科导板、口腔种植机器人种植精度对比的体外研究[J]. 中国口腔种植学杂志, 2023, 28(4): 244-249.
doi: 10.12337/zgkqzzxzz.2023.08.007 |
| [32] | Ritter L, Elger MC, Rothamel D, et al. Accuracy of peri-implant bone evaluation using cone beam CT, digital intra-oral radiographs and histology[J]. Dentomaxillofac Radiol, 2014, 43(6): 20130088. |
| [33] |
Domic D, Bertl K, Ahmad S, et al. Accuracy of cone-beam computed tomography is limited at implant sites with a thin buccal bone: A laboratory study[J]. J Periodontol, 2021, 92(4): 592-601.
doi: 10.1002/jper.v92.4 |
| [34] |
Yi C, Li S, Wen AN, et al. Digital versus radiographic accuracy evaluation of guided implant surgery: An in vitro study[J]. BMC Oral Health, 2022, 22(1): 540.
doi: 10.1186/s12903-022-02585-5 |
| [35] |
Elgarba BM, Van Aelst S, Swaity A, et al. Deep learning-based segmentation of dental implants on cone-beam computed tomography images: A validation study[J]. J Dent, 2023, 137: 104639.
doi: 10.1016/j.jdent.2023.104639 |
| [36] | 吴煜, 邹士琦, 王霄, 等. 口腔种植机器人在口腔种植手术中的初步应用[J]. 中国微创外科杂志, 2021, 21(9): 787-791. |
| [37] | 靳能皓, 乔波, 朱亮, 等. 口内扫描配准种植机器人在种植牙手术中的应用[J]. 华西口腔医学杂志, 2024, 42(6): 804-809. |
| [38] | 陈思, 周子谦, 柳慧芬, 等. 动态导航技术对口腔种植精准度影响的Meta分析[J]. 中国实用口腔科杂志, 2022, 15(5): 579-584, 589. |
| [39] | 中国老年学和老年医学学会, 张志宏. 口腔种植动态导航技术临床应用规范[J]. 中华口腔医学杂志, 2025, 60(2): 105-108. |
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