计算机辅助种植外科技术的研究现状及展望
Research Progress and Prospects on Computer-Assisted Implant Surgery
DOI: 10.12677/acm.2025.152387, PDF,   
作者: 陈 娜, 黄元丁*：重庆医科大学附属口腔医院，重庆；口腔疾病与生物医学重庆市重点实验室，重庆；重庆市高校市级口腔生物医学工程重点实验室，重庆
关键词: 口腔种植学；计算机辅助种植(CAIs)；静态导板；动态导航；口腔种植机器人；Dental Implantology； Computer-Assisted Implant Surgery (CAIs)； Static Guide； Dynamic Navigation； Dental Implant Robot
摘要: 随着口腔种植技术的发展，种植体的精准植入逐渐成为口腔种植领域热议的话题。计算机辅助种植(computer-assisted implant surgery, CAIs)技术的出现，从静态导板技术到动态导航技术，再到最近几年兴起的口腔种植机器人，使得种植体的精准植入成为可能。本文就目前存在的三种计算机辅助种植技术在发展分类、操作流程、精度及其影响因素做一综述，并指出了各种技术存在的不足，以期为口腔临床数字化种植的选择提供参考。
Abstract: With the development of oral implant technology, the precise placement of implants is becoming a hot topic of discussion in the field of oral implantology. The emergence of computer-assisted implant surgery (CAIs), from static guides to dynamic navigation, and the rise of dental implant robots in recent years, has made it possible to accurately implant implants. This article reviews the principle classification, workflow, accuracy and its influencing factors of three computer-assisted implant surgery, and points out the shortcomings of each surgery in order to provide reference for the selection of dental clinical digital implant.
文章引用：陈娜, 黄元丁. 计算机辅助种植外科技术的研究现状及展望[J]. 临床医学进展, 2025, 15(2): 625-633. https://doi.org/10.12677/acm.2025.152387

参考文献

[1] Ramanauskaite, A. and Sader, R. (2022) Esthetic Complications in Implant Dentistry. Periodontology 2000, 88, 73-85. [Google Scholar] [CrossRef] [PubMed]
[2] Liaw, K., Delfini, R.H. and Abrahams, J.J. (2015) Dental Implant Complications. Seminars in Ultrasound, CT and MRI, 36, 427-433. [Google Scholar] [CrossRef] [PubMed]
[3] 陈佳怡, 贺文鹏, 赖仁发, 等. 数字化技术在口腔种植学中的研究现状[J]. 微量元素与健康研究, 2021, 38(5): 79-81.
[4] 陈洪刚, 剡亚妹, 高婧. 3D打印在口腔种植学中的应用研究进展[J]. 实用口腔医学杂志, 2021, 37(3): 419-422.
[5] 杨晓晨, 何东宁, 姜向瑞. 口腔种植导板研究现状[J]. 全科口腔医学电子杂志, 2018, 5(1): 9-11.
[6] 向梅, 张宇. 种植导板的设计制作及临床应用前景[J]. 中国组织工程研究, 2015, 19(3): 488-492.
[7] 刘子燕, 戴群, 肖芳. 数字化种植导板在口腔种植修复中的应用[J]. 口腔疾病防治, 2019, 27(5): 337-340.
[8] 张婷婷, 胡建. 数字化导板与动态导航在口腔种植应用中的研究进展[J]. 国际口腔医学杂志, 2019, 46(1): 99-104.
[9] 王庆福, 李笑班, 孙晓迪, 等. 数字化外科导板在复杂无牙颌种植修复中的个性化应用[J]. 中国实用口腔科杂志, 2022, 15(1): 7-13.
[10] Ferraris, F., Arcuri, L., et al. (2016) A Novel Workflow for Computer Guided Implant Surgery Matching Digital Dental Casts and CBCT Scan. ORAL & Implantology, 9, 33-48.
[11] Kühl, S., Payer, M., Zitzmann, N.U., et al. (2015) Technical Accuracy of Printed Surgical Templates for Guided Implant Surgery with the coDiagnostiX™ Software. Clinical Implant Dentistry and related Research, 17, e177-e182.
[12] 徐良伟. 口腔种植导板定位误差及其对种植精度的影响研究[D]: [博士学位论文]. 杭州: 浙江工业大学, 2016.
[13] Smitkarn, P., Subbalekha, K., Mattheos, N. and Pimkhaokham, A. (2019) The Accuracy of Single-Tooth Implants Placed Using Fully Digital-Guided Surgery and Freehand Implant Surgery. Journal of Clinical Periodontology, 46, 949-957. [Google Scholar] [CrossRef] [PubMed]
[14] Tahmaseb, A., Wu, V., Wismeijer, D., Coucke, W. and Evans, C. (2018) The Accuracy of Static Computer-Aided Implant Surgery: A Systematic Review and Meta-Analysis. Clinical Oral Implants Research, 29, 416-435. [Google Scholar] [CrossRef] [PubMed]
[15] Cassetta, M. and Bellardini, M. (2017) How Much Does Experience in Guided Implant Surgery Play a Role in Accuracy? A Randomized Controlled Pilot Study. International Journal of Oral and Maxillofacial Surgery, 46, 922-930. [Google Scholar] [CrossRef] [PubMed]
[16] Carosi, P., Lorenzi, C., Lio, F., Cardelli, P., Pinto, A., Laureti, A., et al. (2022) Accuracy of Computer-Assisted Flapless Implant Placement by Means of Mucosa-Supported Templates in Complete-Arch Restorations: A Systematic Review. Materials, 15, Article 1462. [Google Scholar] [CrossRef] [PubMed]
[17] Tatakis, D.N., Chien, H. and Parashis, A.O. (2019) Guided Implant Surgery Risks and Their Prevention. Periodontology 2000, 81, 194-208. [Google Scholar] [CrossRef] [PubMed]
[18] Moon, S., Lee, K., Kim, S. and Son, M. (2016) Clinical Problems of Computer-Guided Implant Surgery. Maxillofacial Plastic and Reconstructive Surgery, 38, Article No. 15. [Google Scholar] [CrossRef] [PubMed]
[19] D’haese, J., Ackhurst, J., Wismeijer, D., de Bruyn, H. and Tahmaseb, A. (2016) Current State of the Art of Computer-Guided Implant Surgery. Periodontology 2000, 73, 121-133. [Google Scholar] [CrossRef] [PubMed]
[20] Panchal, N., Mahmood, L., Retana, A. and Emery, R. (2019) Dynamic Navigation for Dental Implant Surgery. Oral and Maxillofacial Surgery Clinics of North America, 31, 539-547. [Google Scholar] [CrossRef] [PubMed]
[21] Wu, Y. and Wang, F. (2021) Guided and Navigation Techniques for Zygomatic Implants. Atlas of the Oral and Maxillofacial Surgery Clinics, 29, 253-269. [Google Scholar] [CrossRef] [PubMed]
[22] Gasparini, G., Boniello, R., Laforì, A., De Angelis, P., Del Deo, V., Moro, A., et al. (2017) Navigation System Approach in Zygomatic Implant Technique. Journal of Craniofacial Surgery, 28, 250-251. [Google Scholar] [CrossRef] [PubMed]
[23] 蓝耕良, 陶宝鑫, 黄伟, 等. 动态导航引导颧种植体植入的临床工作流程[J]. 中国口腔种植学杂志, 2022, 27(1): 9-15.
[24] Bothur, S., Jonsson, G. and Sandahl, L. (2003) Modified Technique Using Multiple Zygomatic Implants in Reconstruction of the Atrophic Maxilla: A Technical Note. The International Journal of Oral & Maxillofacial Implants, 18, 902-904.
[25] Stiévenart, M. and Malevez, C. (2010) Rehabilitation of Totally Atrophied Maxilla by Means of Four Zygomatic Implants and Fixed Prosthesis: A 6-40-Month Follow-Up. International Journal of Oral and Maxillofacial Surgery, 39, 358-363. [Google Scholar] [CrossRef] [PubMed]
[26] Aparicio, C., Manresa, C., Francisco, K., Claros, P., Alández, J., González-Martín, O., et al. (2014) Zygomatic Implants: Indications, Techniques and Outcomes, and the Zygomatic Success Code. Periodontology 2000, 66, 41-58. [Google Scholar] [CrossRef] [PubMed]
[27] 葛严军, 刘晓强, 王勇. 动态导航系统在口腔种植中的临床应用及展望[J]. 中国实用口腔科杂志, 2020, 13(8): 449-55.
[28] 陈琳, 魏凌飞, 陈泉林, 等. 计算机辅助动态导航技术在口腔种植手术中的应用[J]. 实用口腔医学杂志, 2020, 36(3): 477-481.
[29] 满毅, 周楠, 杨醒眉. 动态实时导航在口腔种植领域中的临床应用及新进展[J]. 口腔疾病防治, 2020, 28(6): 341-348.
[30] Kivovics, M., Takács, A., Pénzes, D., Németh, O. and Mijiritsky, E. (2022) Accuracy of Dental Implant Placement Using Augmented Reality-Based Navigation, Static Computer Assisted Implant Surgery, and the Free-Hand Method: An in Vitro Study. Journal of Dentistry, 119, Article 104070. [Google Scholar] [CrossRef] [PubMed]
[31] Yimarj, P., Subbalekha, K., Dhanesuan, K., Siriwatana, K., Mattheos, N. and Pimkhaokham, A. (2020) Comparison of the Accuracy of Implant Position for Two-Implants Supported Fixed Dental Prosthesis Using Static and Dynamic Computer-Assisted Implant Surgery: A Randomized Controlled Clinical Trial. Clinical Implant Dentistry and Related Research, 22, 672-678. [Google Scholar] [CrossRef] [PubMed]
[32] Jorba-García, A., González-Barnadas, A., Camps-Font, O., Figueiredo, R. and Valmaseda-Castellón, E. (2021) Accuracy Assessment of Dynamic Computer-Aided Implant Placement: A Systematic Review and Meta-Analysis. Clinical Oral Investigations, 25, 2479-2494. [Google Scholar] [CrossRef] [PubMed]
[33] Sun, T., Lee, H. and Lan, T. (2019) The Influence of Dental Experience on a Dental Implant Navigation System. BMC Oral Health, 19, Article No. 222. [Google Scholar] [CrossRef] [PubMed]
[34] Jorba-Garcia, A., Figueiredo, R., Gonzalez-Barnadas, A., Camps-Font, O. and Valmaseda-Castellon, E. (2018) Accuracy and the Role of Experience in Dynamic Computer Guided Dental Implant Surgery: An In-Vitro Study. Medicina Oral Patología Oral y Cirugia Bucal, 24, e76-e83. [Google Scholar] [CrossRef] [PubMed]
[35] Xu, Z., Zhou, L., Zheng, M., Lin, Y., Huang, W., Chen, J., et al. (2023) The Effect of Implant Surgery Experience on the Learning Curve of a Dynamic Navigation System: An in Vitro Study. BMC Oral Health, 23, Article No. 89. [Google Scholar] [CrossRef] [PubMed]
[36] Gargallo-Albiol, J., Barootchi, S., Salomó-Coll, O. and Wang, H. (2019) Advantages and Disadvantages of Implant Navigation Surgery. A Systematic Review. Annals of Anatomy—Anatomischer Anzeiger, 225, 1-10. [Google Scholar] [CrossRef] [PubMed]
[37] Liu, L., Watanabe, M. and Ichikawa, T. (2023) Robotics in Dentistry: A Narrative Review. Dentistry Journal, 11, Article 62. [Google Scholar] [CrossRef] [PubMed]
[38] Wu, Y., Wang, F., Fan, S. and Chow, J.K. (2019) Robotics in Dental Implantology. Oral and Maxillofacial Surgery Clinics of North America, 31, 513-518. [Google Scholar] [CrossRef] [PubMed]
[39] Rawal, S. (2022) Guided Innovations: Robot-Assisted Dental Implant Surgery. The Journal of Prosthetic Dentistry, 127, 673-674. [Google Scholar] [CrossRef] [PubMed]
[40] 柯怡芳, 张耀鹏, 王勇, 等. 机器人在口腔修复领域的研发及应用现状[J]. 中华口腔医学杂志, 2021, 56(9): 939-944.
[41] 陈江. 机器人在口腔种植领域的应用[J]. 中国口腔种植学杂志, 2022, 27(5): 274-279.
[42] Bolding, S.L. and Reebye, U.N. (2022) Accuracy of Haptic Robotic Guidance of Dental Implant Surgery for Completely Edentulous Arches. The Journal of Prosthetic Dentistry, 128, 639-647. [Google Scholar] [CrossRef] [PubMed]
[43] Talib, H.S., Wilkins, G.N. and Turkyilmaz, I. (2022) Flapless Dental Implant Placement Using a Recently Developed Haptic Robotic System. British Journal of Oral and Maxillofacial Surgery, 60, 1273-1275. [Google Scholar] [CrossRef] [PubMed]
[44] Yang, S., Chen, J., Li, A., Li, P. and Xu, S. (2022) Autonomous Robotic Surgery for Immediately Loaded Implant-Supported Maxillary Full-Arch Prosthesis: A Case Report. Journal of Clinical Medicine, 11, Article 6594. [Google Scholar] [CrossRef] [PubMed]
[45] Yang, S., Chen, J., Li, A., Deng, K., Li, P. and Xu, S. (2023) Accuracy of Autonomous Robotic Surgery for Single-Tooth Implant Placement: A Case Series. Journal of Dentistry, 132, Article 104451. [Google Scholar] [CrossRef] [PubMed]
[46] Bai, S.Z., Ren, N., Feng, Z.H., et al. (2021) Animal Experiment on the Accuracy of the Autonomous Dental Implant Robotic System. Chinese Journal of Stomatology, 56, 170-174.
[47] 谢瑞. 口腔种植机器人系统精度的相关研究[D]: [硕士学位论文]. 西安: 第四军医大学, 2016.
[48] Tao, B., Feng, Y., Fan, X., Zhuang, M., Chen, X., Wang, F., et al. (2022) Accuracy of Dental Implant Surgery Using Dynamic Navigation and Robotic Systems: An in Vitro Study. Journal of Dentistry, 123, Article 104170. [Google Scholar] [CrossRef] [PubMed]
[49] Jacobs, R., Salmon, B., Codari, M., Hassan, B. and Bornstein, M.M. (2018) Cone Beam Computed Tomography in Implant Dentistry: Recommendations for Clinical Use. BMC Oral Health, 18, Article No. 88. [Google Scholar] [CrossRef] [PubMed]
[50] García-Gil, I., Cortés-Bretón-Brinkmann, J., Jiménez-García, J., Peláez-Rico, J. and Suárez-García, M. (2020) Precision and Practical Usefulness of Intraoral Scanners in Implant Dentistry: A Systematic Literature Review. Journal of Clinical and Experimental Dentistry, 12, e784-e793. [Google Scholar] [CrossRef] [PubMed]
[51] Zhang, N., Qi, T. and Zhao, Y. (2021) Real-Time Learning and Recognition of Assembly Activities Based on Virtual Reality Demonstration. Sensors, 21, Article 6201. [Google Scholar] [CrossRef] [PubMed]
[52] He, T., Guo, C. and Jiang, L. (2022) Puncture Site Decision Method for Venipuncture Robot Based on Near-Infrared Vision and Multi-Objective Optimization. Science China Technological Sciences, 66, 13-23. [Google Scholar] [CrossRef] [PubMed]
[53] 吴煜, 邹士琦, 王霄. 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.

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