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| The Use of Digital Technology with Model-Made Implant Guides in the Restoration of Oral Implants in Patients with Missing Teeth |
| ZHENG Yuanzhang, BI Wei, CAI Ruolin, et al |
| Zhongshan Hospital Affiliated to Fudan University, Fujian Xiamen 361015, China |
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Abstract Objective: To explore the application effect of digital technology combined with model-made implant guide in dental implant restoration for patients with missing dentition. Methods: A total of 80 patients with missing teeth in our hospital from August 2020 to August 2021 were selected and divided into a control group (n=40) and a study group (n=40) using the random number table method. The control group was treated with traditional implant restoration, and the study group was treated with digital technology with model-made implant guide implant restoration. The treatment results, implant position deviation, pre- and post-operative masticatory efficiency, quality of life (OHIP-14 score), oral implant satisfaction and complication rate were compared between the two groups. Results: The excellent treatment rate of the study group (97. 50%) was higher than that of the control group (80. 00%) (P<0. 05); the top deviation, root deviation, angle deviation, and depth deviation of the study group implants were smaller than those of the control group (P<0. 05); the masticatory efficiency of the study group at 3 months and 6 months after surgery was higher than that of the control group, and the OHIP-14 score was lower than that of the control group (P<0. 05); the restoration effect of the study group self-assessment, complication satisfaction, and quality of life satisfaction scores were higher in the study group than in the control group (P<0. 05); the difference was not statistically significant (P>0. 05) when comparing the complication rate in the study group (7. 50%) with that in the control group (20. 00%). Conclusion: The application of digital technology and model to make implant guides in dental implant restoration for patients with missing dentition can significantly reduce implant deviation and achieve better restoration treatment effect and satisfaction, which is worthy of popularization and application.
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[1] Helal O,Gostemeyer G,Krois J,et al.Predictors for tooth loss in periodontitis patients: Systematic review and meta-analysis[J].Clin Periodontol,2019,46(7):699-712.
[2] 孙胜杰.口腔种植修复治疗牙列缺失的效果及对患者咀嚼功能的影响[J].中国药物与临床,2021,21(3):425-427.
[3] 邹桂克,何宝杰,谢艳婷."All-on-4"种植即刻修复技术在牙列缺失治疗中的应用[J].新乡医学院学报,2021,38(6):546-549.
[4] 王颖卉,程翊泠,潘宇,等.数字化技术结合模型设计及制作种植导板的临床应用[J].中华口腔医学杂志,2020,55(12):987-989.
[5] 张志愿,俞光岩.口腔科学[M].第8版.北京:人民卫生出版社,2013.182-189.
[6] 杨华,魏玉雪.口腔种植修复与常规修复治疗牙列缺失的疗效评价[J].系统医学,2020,5(21):156-158.
[7] Hussein MO,Alruthea MS.Marginal bone level changes and oral health impact profile (14) score of smokers treated by mandibular mini implant overdentures: a 5-year follow-up study[J].Eur Dent,2020,14(4):590-597.
[8] 杨涵,颜青龙,袁希,等.基于面部三维重建模型设计个性化外壳在面部下颏填充整形术中的应用[J].中国美容整形外科杂志,2020,31(3):175-178.
[9] Howe MS,Keys W,Richards D.Long-term (10-year) dental implant survival: a systematic review and sensitivity meta-analysis[J].Dent,2019,84(1):9-21.
[10] Orentlicher G,Horowitz A,Kobren L.Computer-guided dental implant treatment of complete arch restoration of edentulous and terminal dentition patients[J].Oral Maxillofac Surg Clin North Am,2019,31(3):399-426.
[11] 李立立.口腔种植修复与常规修复术对牙列缺失患者的临床治疗效果对比[J].中国实用医药,2022,17(1):9-12.
[12] 焦铁军,李博龙,傅娜.数字化先锋钻导板和全程导板在全口种植手术中的精度分析[J].口腔医学研究,2022,38(2):120-124.
[13] Alevizakos V,Mitov G,Stoetzer M,et al.A retrospective study of the accuracy of template-guided versus freehand implant placement: a nonradiologic method[J].Oral Surg Oral Med Oral Pathol Oral Radiol,2019,128(3):220-226.
[14] 武玉鹏,梅东梅,张琦,等.国产数字化动态导航和数字化静态导板在口腔种植手术中的精准度及手术时长分析[J].中国口腔颌面外科杂志,2021,19(2):151-155. |
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2022, Vol. 28 
