中国组织工程研究 ›› 2015, Vol. 19 ›› Issue (3): 488-492.doi: 10.3969/j.issn.2095-4344.2015.03.029

• 生物材料综述 biomaterial review • 上一篇    

种植导板的设计制作及临床应用前景

向 梅,张 宇   

  1. 南方医科大学口腔医学院,南方医科大学南方医院口腔种植科,广东省广州市 510515
  • 出版日期:2015-01-15 发布日期:2015-01-15
  • 通讯作者: 张宇,副主任医师,硕士生导师,南方医科大学南方医院口腔种植科,广东省广州市 510515
  • 作者简介:向梅,女,1989年生,湖北省钟祥市人,汉族,南方医科大学在读硕士,主要从事口腔种植修复研究。
  • 基金资助:

    广东省科技计划项目(2010B010800023)

Design, fabrication and clinical application of surgical implant guides

Xiang Mei, Zhang Yu   

  1. Department of Dental Implantation, Nanfang Hospital of Southern Medical University, Stomatological School of Southern Medical University, Guangzhou 510515, Guangdong Province, China
  • Online:2015-01-15 Published:2015-01-15
  • Contact: Zhang Yu, Associate chief physician, Master’s supervisor, Department of Dental Implantation, Nanfang Hospital of Southern Medical University, Stomatological School of Southern Medical University, Guangzhou 510515, Guangdong Province, China
  • About author:Xiang Mei, Studying for master’s degree, Department of Dental Implantation, Nanfang Hospital of Southern Medical University, Stomatological School of Southern Medical University, Guangzhou 510515, Guangdong Province, China
  • Supported by:

    the Science and Technology Plan of Guangdong Province, No. 2010B010800023

摘要:

背景:种植体的准确植入是术后获得美观、良好功能修复体的关键,也是种植体得到良好骨结合的重要保证。
目的:对种植导板的分类、设计制作、精确度和临床应用进行总结和介绍,并着重对计算机辅助设计与计算机辅助制造技术(CAD/CAM)制作的种植导板做一阐述。
方法:应用计算机检索2000至2014年中国知网和PubMed数据库中,关于种植导板制作和临床应用具有代表性的文献,在主题词中以“种植导板,精确性,快速成型,CAD/CAM”或“surgical implant guide,accuracy,rapid prototype”为检索词进行检索。
结果与结论:种植导板由导管与定位板组成,其中导管的位置和角度记录了术前设计种植体的位置、角度与深度信息,通过导管将这些信息转移到手术中,以便使种植体植入到准确位置;定位板起着定位作用,它与骨、牙齿或牙槽嵴表面相贴合。种植导板的应用能提高种植修复后的效果,尤其是CAD/CAM种植导板的应用,不仅提高了种植修复后的美学效果,改善了修复体的应力分布,还降低了手术风险,简化了手术过程,但其制作价格较昂贵且还存在一些不足,需要进一步研究以降低其成本,提高临床应用效果。


中国组织工程研究杂志出版内容重点:生物材料;骨生物材料; 口腔生物材料; 纳米材料; 缓释材料; 材料相容性;组织工程


全文链接:

关键词: 生物材料, 口腔生物材料, 种植体, 种植导板, 精确性, CAD/CAM, 快速成型

Abstract:

BACKGROUND: Precise placement of dental implants is necessary to identify a predictable restoration outcome and to ensure a good osseointegration.
OBJECTIVE: To summarize and introduce the classification, fabrication and clinic application of surgical implant guides, especially focusing on computer-aided design/computer-aided manufacture (CAD/CAM) implant guides.
METHODS: A computer-based search was performed in the CNKI database and PubMed database for articles addressing the fabrication and clinical applications of surgical implant guides published from 2000 to 2014. The key words were “surgical implant guide, accuracy, rapid prototype, CAD/CAM” in English and Chinese, respectively.
RESULTS AND CONCLUSION: The surgical implant guide consists of drill guide and positioning plate. The position, angle and depth of pre-operative planning implant are recorded by the drill guide that can transfer the pre-operative information intraoperatively in order to improve the precise placement of implant. The positioning plate plays a positioning action, which fits the surface of bone, tooth and alveolar crest. Surgical implant guide can improve the outcome of restoration, in particular, CAD/CAM implant guide cannot only enhance the outcome and stress distribution of restoration, but also reduce the operation risk and simplify the operation process. However, the implant guide is expensive and has some deficiencies, which need in-depth research to lower the cost as well as to improve the clinical effects.


中国组织工程研究杂志出版内容重点:生物材料;骨生物材料; 口腔生物材料; 纳米材料; 缓释材料; 材料相容性;组织工程


全文链接:

Key words: Dental Implants, Computer-Aided Design, Tooth Preparation, Prosthodontic

中图分类号: