数字化种植导板在全口种植手术及修复中的应用进展

doi:10.13591/j.cnki.kqyx.2025.03.001

Abstract

Abstract:

Full-mouth implant restoration has become an important method for restoring missing teeth. Over the past few years, there has been a rapid advancement in the field of computer-aided implantology, marked by significant innovations in digital implant planning and guided surgery. These improvements provide a more precise, simple, minimally invasive, and fast approach to the treatment of edentulous jaw, realizing the concept of “starting with the goal in mind, restoration-oriented”. This article aims to summarize the application of implant guides in full-mouth implant surgery and restoration, and to discuss their advantages and disadvantages.

Key words: digital surgical guide for implant placement, edentulous, mortise and tenon joint

CLC Number:

R783.4

LIU Zihua, BU Lingtong, WU Mengxuan, XU Guangzhou. Digital implant guides in full-mouth implant surgery and restoration: A progress review[J]. Stomatology, 2025, 45(3): 161-167.

Figures/Tables 8

Fig.1

Fig.2

Fig.3

Fig.4

Fig.5

Fig.6

Fig.7

Fig.8

References 43

[1]	Tahmaseb A, Wu V, Wismeijer D, et al. The accuracy of static computer-aided implant surgery: A systematic review and meta-analysis[J]. Clin Oral Implants Res, 2018, 29: 416-435.
[2]	Joda T, Ferrari M, Gallucci GO, et al. Digital technology in fixed implant prosthodontics[J]. Periodontol 2000, 2017, 73(1): 178-192. doi: 10.1111/prd.12164 pmid: 28000274
[3]	Camargos GV, Rangel EF, Rangel KF, et al. Guided implant surgery workflow in edentulous patients: A precise and rapid technique[J]. J Prosthet Dent, 2022, 128(3): 239-244.
[4]	Velasco-Ortega E, Jiménez-Guerra A, Ortiz-Garcia I, et al. Implant treatment by guided surgery supporting overdentures in edentulous mandible patients[J]. Int J Environ Res Public Health, 2021, 18(22): 11836.
[5]	Laleman I, Bernard L, Vercruyssen M, et al. Guided implant surgery in the edentulous maxilla: A systematic review[J]. Int J Oral Maxillofac Implants, 2016, 31(Suppl): s103-s117.
[6]	Saini RS, Bavabeedu SS, Quadri SA, et al. Impact of 3D imaging techniques and virtual patients on the accuracy of planning and surgical placement of dental implants: A systematic review[J]. Digit Health, 2024, 10: 20552076241253550.
[7]	Sadan A, Raigrodski AJ, Salinas TJ. Prosthetic considerations in the fabrication of surgical stents for implant placement[J]. Pract Periodontics Aesthet Dent, 1997, 9(9): 1003-1011;quiz1012. pmid: 9573853
[8]	D’Haese J, Ackhurst J, Wismeijer D, et al. Current state of the art of computer-guided implant surgery[J]. Periodontol 2000, 2017, 73(1): 121-133. doi: 10.1111/prd.12175 pmid: 28000275
[9]	Raico Gallardo YN, da Silva-Olivio IRT, Mukai E, et al. Accuracy comparison of guided surgery for dental implants according to the tissue of support: A systematic review and meta-analysis[J]. Clin Oral Implants Res, 2017, 28(5): 602-612.
[10]	Granata S, Sforza NM, Giberti L, et al. Computer-guided implant surgery for immediate implanting and loading: The STIL technique[J]. J Prosthet Dent, 2021, 126(2): 155-163. doi: 10.1016/j.prosdent.2020.05.006 pmid: 32709403
[11]	Tahmaseb A, Wismeijer D, Coucke W, et al. Computer technology applications in surgical implant dentistry: A systematic review[J]. Int J Oral Maxillofac Implants, 2014, 29(Suppl): 25-42.
[12]	Naeini EN, Atashkadeh M, De Bruyn H, et al. Narrative review regarding the applicability, accuracy, and clinical outcome of flapless implant surgery with or without computer guidance[J]. Clin Implant Dent Relat Res, 2020, 22(4): 454-467.
[13]	Ozan O, Turkyilmaz I, Ersoy AE, et al. Clinical accuracy of 3 different types of computed tomography-derived stereolithographic surgical guides in implant placement[J]. J Oral Maxillofac Surg, 2009, 67(2): 394-401.
[14]	杨静文, 侯建霞, 刘建彰, 等. 序列手术导板辅助重度牙周炎患者全牙弓即刻种植即刻修复的临床应用[J]. 中华口腔医学杂志, 2021, 56(6): 576-580.
[15]	Mangano FG, Hauschild U, Admakin O. Full in-office guided surgery with open selective tooth-supported templates: A prospective clinical study on 20 patients[J]. Int J Environ Res Public Health, 2018, 15(11): 2361.
[16]	Mouhyi J, Salama MA, Mangano FG, et al. A novel guided surgery system with a sleeveless open frame structure: A retrospective clinical study on 38 partially edentulous patients with 1 year of follow-up[J]. BMC Oral Health, 2019, 19(1): 253.
[17]	Ozan O, Orhan K, Turkyilmaz I. Correlation between bone density and angular deviation of implants placed using CT-generated surgical guides[J]. J Craniofac Surg, 2011, 22(5): 1755-1761. doi: 10.1097/SCS.0b013e31822e6305 pmid: 21959426
[18]	李岩, 杨清然, 徐光宙. “榫卯” 连接式全程数字化组合导板在全口种植手术中的临床应用[J]. 中国口腔种植学杂志, 2021, 26(5): 306-312.
[19]	Costa AJM, Teixeira Neto AD, Burgoa S, et al. Fully digital workflow with magnetically connected guides for full-arch implant rehabilitation following guided alveolar ridge reduction[J]. J Prosthodont, 2020, 29(3): 272-276. doi: 10.1111/jopr.13150 pmid: 32020699
[20]	Cassetta M, Di Mambro A, Giansanti M, et al. The intrinsic error of a stereolithographic surgical template in implant guided surgery[J]. Int J Oral Maxillofac Surg, 2013, 42(2): 264-275.
[21]	Ahlholm P, Sipilä K, Vallittu P, et al. Digital versus conventional impressions in fixed prosthodontics: A review[J]. J Prosthodont, 2018, 27(1): 35-41. doi: 10.1111/jopr.12527 pmid: 27483210
[22]	Park C, Raigrodski AJ, Rosen J, et al. Accuracy of implant placement using precision surgical guides with varying occlusogingival heights: An in vitro study[J]. J Prosthet Dent, 2009, 101(6): 372-381.
[23]	Valente F, Schiroli G, Sbrenna A. Accuracy of computer-aided oral implant surgery: A clinical and radiographic study[J]. Int J Oral Maxillofac Implants, 2009, 24(2): 234-242.
[24]	Geng W, LiuCY, Su YC, et al. Accuracy of different types of computer-aided design/computer-aided manufacturing surgical guides for dental implant placement[J]. Int J Clin Exp Med, 2015, 8(6): 8442-8449. pmid: 26309497
[25]	Turbush SK, Turkyilmaz I. Accuracy of three different types of stereolithographic surgical guide in implant placement: An in vitro study[J]. J Prosthet Dent, 2012, 108(3): 181-188.
[26]	Behneke A, Burwinkel M, Behneke N. Factors influencing transfer accuracy of cone beam CT-derived template-based implant placement[J]. Clin Oral Implants Res, 2012, 23(4): 416-423.
[27]	Juodzbalys G, Wang HL, Sabalys G. Injury of theinferior alveolar nerve during implant placement: A literature review[J]. J Oral Maxillofac Res, 2011, 2(1): e1.
[28]	Marlière DAA, Demètrio MS, Picinini LS, et al. Accuracy of computer-guided surgery for dental implant placement in fully edentulous patients: A systematic review[J]. Eur J Dent, 2018, 12(1): 153-160. doi: 10.4103/ejd.ejd_249_17 pmid: 29657542
[29]	Seo C, Juodzbalys G. Accuracy ofguided surgery via stereolithographic mucosa-supported surgical guide in implant surgery for edentulous patient: A systematic review[J]. J Oral Maxillofac Res, 2018, 9(1): e1.
[30]	D’Haese J, Van De Velde T, Komiyama A, et al. Accuracy and complications using computer-designed stereolithographic surgical guides for oral rehabilitation by means of dental implants: A review of the literature[J]. Clin Implant Dent Relat Res, 2012, 14(3): 321-335.
[31]	Tealdo T, Menini M, Bevilacqua M, et al. Immediate versus delayed loading of dental implants in edentulous patients’ maxillae: A 6-year prospective study[J]. Int J Prosthodont, 2014, 27(3): 207-214.
[32]	Salvi GE, Gallini G, Lang NP. Early loading (2 or 6 weeks) of sandblasted and acid-etched (SLA) ITI implants in the posterior mandible. A 1-year randomized controlled clinical trial[J]. Clin Oral Implants Res, 2004, 15(2): 142-149.
[33]	Song DD, Zheng H, Huang Y, et al. Effect of the different implant protocols on peri-implant bone: A 6-month prospective study in beagle dogs[J]. Int J Artif Organs, 2017, 40(12): 701-708. doi: 10.5301/ijao.5000637 pmid: 28862720
[34]	Komiyama A, Hultin M, Näsström K, et al. Soft tissue conditions and marginal bone changes around immediately loaded implants inserted in edentate jaws following computer guided treatment planning and flapless surgery: A ≥1-year clinical follow-up study[J]. Clin Implant Dent Relat Res, 2012, 14(2): 157-169.
[35]	Bergkvist G, Nilner K, Sahlholm S, et al. Immediate loading of implants in the edentulous maxilla: Use of an interim fixed prosthesis followed by a permanent fixed prosthesis: A 32-month prospective radiological and clinical study[J]. Clin Implant Dent Relat Res, 2009, 11(1): 1-10.
[36]	Bidra AS. Three-dimensional esthetic analysis in treatment plann-ing for implant-supported fixed prosthesis in the edentulous maxilla: Review of the esthetics literature[J]. J Esthet Restor Dent, 2011, 23(4): 219-236.
[37]	Johnston DJ, Hunt O, Johnston CD, et al. The influence of lower face vertical proportion on facial attractiveness[J]. Eur J Orthod, 2005, 27(4): 349-354.
[38]	Mommaerts MY, Moerenhout BAMML. Ideal proportions in full face front view, contemporary versus Antique[J]. J Craniomaxillofac Surg, 2011, 39(2): 107-110. doi: 10.1016/j.jcms.2010.04.012 pmid: 20542444
[39]	Sukhia RH, Sukhia HR, Fida M, et al. Nasolabial angle: A perception of treatment needs[J]. Int J Orthod Milwaukee, 2012, 23(2): 41-44. pmid: 22873023
[40]	Tartaglia GM, Dolci C, Sidequersky FV, et al. Soft tissue facial morphometry before and after total oral rehabilitation with implant-supported prostheses[J]. J Craniofac Surg, 2012, 23(6): 1610-1614. doi: 10.1097/SCS.0b013e31825af109 pmid: 23147286
[41]	Flanagan D. An overview of complete artificial fixed dentition supported by endosseous implants[J]. Artif Organs, 2005, 29(1): 73-81. pmid: 15644087
[42]	Ochi M, Kanazawa M, Sato D, et al. Factors affecting accuracy of implant placement with mucosa-supported stereolithographic surgical guides in edentulous mandibles[J]. Comput Biol Med, 2013, 43(11): 1653-1660. doi: 10.1016/j.compbiomed.2013.07.029 pmid: 24209910
[43]	Jo HC, Williamson RA. Integration of conventional and digital surgical guide fabrication techniques for the partially edentulous patient: Reducing the number of surgical procedures for a complete arch implant-supported prosthesis[J]. J Prosthodont, 2023, 32(7): 653-658.

Digital implant guides in full-mouth implant surgery and restoration: A progress review

RichHTML

PDF (PC)

Knowledge

Abstract

Cite this article

share this article

Figures/Tables 8

References 43

Related Articles 15

Recommended Articles

Metrics

Comments

[1]	LI Xiangrong, QIU Jianping, GUO Aijun. Aesthetic effect of adsorptive denture restoration on completely edentulous patients and the impact on masticatory function and language function [J]. Stomatology, 2025, 45(2): 112-117.
[2]	WANG Han, HU Jian, LI Lin. Accuracy of additive and subtractive hybrid fabrication of complete-arch implant titanium frameworks [J]. Stomatology, 2024, 44(12): 917-922.
[3]	JIANG Nan, GU Weiping. Finite element analysis of the influence of occlusal contact on maxillary All-on-4 immediate loading under different framework materials [J]. Stomatology, 2024, 44(12): 904-911.
[4]	CAO Wuling, LI Jian. Influencing factors in the phonetic function recovery of edentulous patients with complete dentures [J]. Stomatology, 2023, 43(8): 742-746.
[5]	PANG Lijiao,CHEN Wenjia,XIAO Pei,HUANG Qin,YANG Haiping,HE Fuming. Clinical outcome evaluation of All-on-4 fixed implant immediate rehabilitation:1-6 years retrospective study [J]. Stomatology, 2023, 43(5): 439-445.
[6]	LIU Linxiang, TANG Liqin, YU Meina, YUAN Yue, DONG Yan. Feasibility and accuracy of static computer-assisted full-arch implant surgery with immediate loading [J]. Stomatology, 2022, 42(4): 345-348.
[7]	YANG Ting, TANG Wanrong. Research progress of digital impression in edentulous jaws [J]. Stomatology, 2022, 42(3): 284-288.
[8]	FU Xinliang, WANG Hao, GAN Xueqi. Application of ICam4D photogrammetry in implant-supported fixed full-arch prosthesis: A case report and literature review [J]. Stomatology, 2022, 42(1): 72-78.
[9]	. A preliminary study of the effects of tongue muscle functional training on edentulous patients with tongue retraction [J]. , 2021, 41(7): 623-626.
[10]	. Clinical application progress of computer-aided design and computer-aided manufacturing of milled framework in implant fixed restorations for edentulous patients [J]. , 2019, 39(5): 455-458.
[11]	. Pryosequencing analysis of oral bacteria flora compositions from eleven edentulous patients [J]. , 2018, 38(5): 389-393.
[12]	. The development and clinical application of All-on-four technology [J]. , 2018, 38(11): 1039-1042.
[13]	. Preliminary study of variation of oral microflora after full-mouth tooth extraction [J]. , 2017, 37(11): 1021-1024.
[14]	. The clinical study of a self-developed CAD-CAM implant guide template system applied in implant restorations for edentulous jaws [J]. , 2016, 36(5): 421-424.
[15]	. Application of a metal framework with individual crowns in the implant-supported fixed rehabilitation for upper and lower edentulous jaws with severe alveolar ridge atrophy [J]. , 2016, 36(10): 930-933.