收稿日期: 2024-02-26
网络出版日期: 2024-09-30
基金资助
安徽省教育厅2021年高校优秀拔尖人才培育资助项目(gxbjZD2021058)
The impact of implant robots on oral function and aesthetic effects of immediate implant patients in the aesthetic area of anterior teeth
Received date: 2024-02-26
Online published: 2024-09-30
目的 探讨种植机器人对前牙美学区即刻种植患者口腔功能与美学效果的影响。 方法 选择2021年1月至2023年1月蚌埠医科大学附属第一医院收诊的单颗前牙缺损患者68例,随机分为观察组34例和对照组34例。观察组在口腔种植机器人辅助下行前牙即刻种植,对照组行常规前牙即刻种植。比较两组的种植体误差、术后咬合功能及美学效果恢复情况,记录并发症发生情况。 结果 终修复后,随访1年,所有患者种植成功,种植成功率100%(68/68)。观察组术后根尖点误差、种植体角度误差小于对照组(P < 0.05)。两组语言清晰度、咬合压力、疼痛程度比较,差异无统计学意义(P > 0.05)。观察组种植牙咬合压力与对侧同名牙的咬合压力比值高于对照组(P < 0.05)。观察组术后的红色美学指数及白色美学指数高于对照组(P < 0.05)。两组并发症发生率比较,差异无统计学意义(P > 0.05)。观察组患者的满意度高于对照组(P < 0.05)。 结论 口腔种植机器人实施前牙美学区即刻种植术,术中定位精度更高,术后咬合功能恢复效果及美学效果良好。
刘芳 , 罗田雨 , 刘书婷 , 廖圣恺 , 张凯 , 徐涛 . 种植机器人对前牙美学区即刻种植患者口腔功能与美学效果影响[J]. 实用医学杂志, 2024 , 40(18) : 2584 -2589 . DOI: 10.3969/j.issn.1006-5725.2024.18.013
Objective The aim of this study was to explore the impact of implant robots on the oral function and aesthetic effects of immediate implant patients in the aesthetic area of anterior teeth. Methods A total of 68 patients with single anterior tooth defects admitted to the hospital from January 2021 to January 2023 were enrolled and divided into a study group of 34 cases and a control group of 34 cases randomly. In the study group, anterior tooth immediate implantation was performed with the assistance of an oral implantation robot, while the control group underwent conventional immediate anterior tooth implantation. The implantation accuracy, postoperative bite function, aesthetic restoration, and occurrence of complications were compared between the two groups, and complications were all recorded. Results After final restoration, all patients were followed up for 2 years, and the implant success rate was 100% (68/68 cases). The study group exhibited significantly lower postoperative apical point error and implant angle error compared to the control group (P < 0.05). There was no significant difference in speech clarity, bite pressure, and pain intensity between the two groups (P > 0.05). The ratio of implant bite pressure to that of the contralateral homonymous tooth was higher in the study group than in the control group (P < 0.05). The postoperative pink esthetic score (PES) and white esthetic score (WES) in the study group were higher than those in the control group (P < 0.05). There was no statistically significant difference in the incidence of complications between the two groups (P > 0.05). Patient satisfaction in the study group was higher than that in the control group (P < 0.05). Conclusion The use of oral implantation robots for immediate implantation in the aesthetic zone of anterior teeth resulted in higher intraoperative positioning accuracy and yielded favorable outcomes in postoperative restoration of bite function and aesthetics.
| 1 | OGAWA T, SITALAKSMI R M, MIYASHITA M, et al. Effectiveness of the socket shield technique in dental implant: A systematic review[J]. J Prosthodont Res, 2022,66(1):12-18. doi:10.2186/jpr.jpr_d_20_00054 |
| 2 | SEYSSENS L, DE LAT L, COSYN J. Immediate implant placement with or without connective tissue graft: A systematic review and meta-analysis[J]. J Clin Periodontol,2021,48(2):284-301. doi:10.1111/jcpe.13397 |
| 3 | SHI J Y, LIU B L, WU X Y, et al. Improved positional accuracy of dental implant placement using a haptic and machine-vision-controlled collaborative surgery robot: A pilot randomized controlled trial[J]. J Clin Periodontol,2024,51(1):24-32. doi:10.1111/jcpe.13893 |
| 4 | FENG Y, FAN J, TAO B, et al. An image-guided hybrid robot system for dental implant surgery[J]. Int J Comput Assist Radiol Surg,2022,17(1):15-26. doi:10.1007/s11548-021-02484-0 |
| 5 | WANG Y, WANG W, CAI Y, et al. Preoperative Planning Framework for Robot-Assisted Dental Implant Surgery: Finite-Parameter Surrogate Model and Optimization of Instrument Placement[J]. Bioengineering (Basel),2023,10(8):952. |
| 6 | LINN T Y, SALAMANCA E, AUNG L M, et al. Accuracy of implant site preparation in robotic navigated dental implant surgery[J]. Clin Implant Dent Relat Res,2023,25(5):881-891. doi:10.1111/cid.13224 |
| 7 | 张颉,高明英. 口腔多学科联合修复在前牙缺损种植修复中的应用及对口腔功能与美学效果的影响[J]. 中国美容医学,2023,32(2):141-144. |
| 8 | DAVOUDI A, SALIMIAN K, TABESH M, et al. Relation of CAD/CAM zirconia dental implant abutments with periodontal health and final aesthetic aspects, a systematic review[J]. J Clin Exp Dent,2023,15(1):e64-e70. |
| 9 | SANCHEZ-PEREZ A, NICOLAS-SILVENTE A I, SANCHEZ-MATAS C, et al. Primary stability and PES/WES evaluation for immediate implants in the aesthetic zone: A pilot clinical double-blind randomized study[J]. Sci Rep,2021,11(1):20024. doi:10.1038/s41598-021-99218-8 |
| 10 | DE AVILA E D, VAN OIRSCHOT B A, VAN DEN BEUCKEN J. Biomaterial-based possibilities for managing peri-implantitis[J]. J Periodontal Res,2020,55(2):165-173. doi:10.1111/jre.12707 |
| 11 | HAN H S, KIM P J, KIM K T, et al. Dental implant proximity to adjacent teeth: a retrospective study[J]. Clin Implant Dent Relat Res,2022,24(6):733-739. doi:10.1111/cid.13132 |
| 12 | VAN OIRSCHOT B, ZHANG Y, ALGHAMDI H S, et al. Surface engineering for dental implantology: favoring tissue responses along the implant[J]. Tissue Eng Part A,2022,28(11-12):555-572. doi:10.1089/ten.tea.2021.0230 |
| 13 | GOMEZ-MEDA R, ESQUIVEL J, BLATZ M B. The esthetic biological contour concept for implant restoration emergence profile design[J]. J Esthet Restor Dent,2021,33(1):173-184. doi:10.1111/jerd.12714 |
| 14 | PUISYS A, AUZBIKAVICIUTE V, VINDASIUTE-NARBUTE E, et al. Immediate implant placement vs. early implant treatment in the esthetic area. A 1-year randomized clinical trial[J]. Clin Oral Implants Res,2022,33(6):634-655. doi:10.1111/clr.13924 |
| 15 | 刘天涛,梁婷婷,伍彩娟,等. 上颌前牙长轴在牙槽骨的位置对即刻种植效果的前瞻性研究[J]. 实用医学杂志, 2019,35(21):3338-3342. |
| 16 | FISH L. Utilizing Robotic Technology to Place Dental Implants[J]. J Oral Maxillofac Surg,2023,81(7):802-803. doi:10.1016/j.joms.2023.04.009 |
| 17 | LIU C, LIU Y, XIE R, et al. The evolution of robotics: research and application progress of dental implant robotic systems[J]. Int J Oral Sci,2024,16(1):28. doi:10.1038/s41368-024-00296-x |
| 18 | FLORINE B L. Robotics in Oral Surgery: My Foray Into the World of Dental Implant Robotics[J]. J Oral Maxillofac Surg,2023,81(7):799-801. doi:10.1016/j.joms.2023.03.018 |
| 19 | KLASS D, PRICE A, DIBATTISTA M, et al. Optical accuracy assessment of robotically assisted dental implant surgery for partially edentulous patients: a single arm clinical trial[J]. Int J Oral Maxillofac Implants,2024,39(4):625-631 |
| 20 | JAIN S, SAYED M E, IBRAHEEM W I, et al. Accuracy Comparison between Robot-Assisted Dental Implant Placement and Static/Dynamic Computer-Assisted Implant Surgery: A Systematic Review and Meta-Analysis of In Vitro Studies[J]. Medicina (Kaunas),2023,60(1):11. doi:10.3390/medicina60010011 |
| 21 | CHEN W, AL-TAEZI K A, CHU C H, et al. Accuracy of dental implant placement with a robotic system in partially edentulous patients: A prospective, single-arm clinical trial[J]. Clin Oral Implants Res,2023,34(7):707-718. doi:10.1111/clr.14083 |
| 22 | QIAO S C, WU X Y, SHI J Y, et al. Accuracy and safety of a haptic operated and machine vision controlled collaborative robot for dental implant placement: A translational study[J]. Clin Oral Implants Res,2023,34(8):839-849. doi:10.1111/clr.14112 |
| 23 | KAN T S, CHENG K J, LIU Y F, et al. Evaluation of a custom-designed human-robot collaboration control system for dental implant robot[J]. Int J Med Robot,2022,18(1):e2346. doi:10.1002/rcs.2346 |
| 24 | RAWAL S. Guided innovations: Robot-assisted dental implant surgery[J]. J Prosthet Dent,2022,127(5):673-674. doi:10.1016/j.prosdent.2022.03.029 |
| 25 | CHEN J, BAI X, DING Y, et al. Comparison the accuracy of a novel implant robot surgery and dynamic navigation system in dental implant surgery: an in vitro pilot study[J]. BMC Oral Health,2023,23(1):179. doi:10.1186/s12903-023-02873-8 |
/
| 〈 |
|
〉 |