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

doi:10.3969/j.issn.1006-5725.2024.18.013

Abstract

Abstract:

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.

Key words: anterior teeth, immediate planting, dental implant robot, oral function, aesthetic effect

CLC Number:

R782.12

Fang LIU,Tianyu LUO,Shuting LIU,Shengkai LIAO,Kai ZHANG,Tao. XU. The impact of implant robots on oral function and aesthetic effects of immediate implant patients in the aesthetic area of anterior teeth[J]. The Journal of Practical Medicine, 2024, 40(18): 2584-2589.

Figures/Tables 7

Tab.1

Tab.2

Tab.3

Tab.4

Tab.5

Tab.6

Fig.1

References 25

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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 doi: 10.1186/s12903-023-02873-8

组别	患牙数（颗）	年龄（岁）	性别（例）		拔牙原因（例）
组别	患牙数（颗）	年龄（岁）	女	男	牙周病	龋齿	外伤
对照组	34	36.59 ± 5.27	13	21	18	7	9
观察组	34	37.41 ± 5.64	17	17	20	6	6
t/χ²值		0.619	0.954		0.722
P值		0.538	0.329		0.697

组别	患牙数	根尖点误差/mm	种植体角度误差/°
观察组	34	0.59 ± 0.14	2.31 ± 0.46
对照组	34	0.81 ± 0.20	3.96 ± 1.03
t值		5.255	8.529
P值		0.001	0.001

组别	患牙数	语言清晰度/%	咬合压力/N	与对侧同名牙的咬合压力比值/%	疼痛程度/分
观察组	34	90.21 ± 2.75	20.91 ± 3.54	0.93 ± 0.17	2.46 ± 0.31
对照组	34	88.95 ± 3.41	19.83 ± 2.97	0.80 ± 0.15	2.49 ± 0.32
t值		1.677	1.363	3.343	0.392
P值		0.098	0.178	0.001	0.696

组别	患牙数	PES评分	WES评分
观察组	34	12.69 ± 1.03	9.47 ± 0.85
对照组	34	12.01 ± 0.97	8.83 ± 0.91
t值		2.802	2.997
P值		0.007	0.004

组别	患牙数	牙龈炎症	感染	牙周不适	一过性疼痛	合计
观察组	34	1	0	2	3	6（17.65）
对照组	34	4	2	3	3	12（35.29）
χ ² 值						2.720
P值						0.099

The impact of implant robots on oral function and aesthetic effects of immediate implant patients in the aesthetic area of anterior teeth

RichHTML

PDF (PC)

Knowledge

Abstract

Cite this article

share this article

Figures/Tables 7

References 25

Related Articles 0

Recommended Articles

Metrics

Comments

组别	患牙数	满意	基本满意	不满意
观察组	34	34（100.00）	0（0.00）	0（0.00）
对照组	34	28（82.35）	6（17.65）	0（0.00）