A systematic review of the accuracy of digital surgical guides for dental implantation.
A systematic review of the accuracy of digital surgical guides for dental implantation.
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DOI：
10.1186/s40729-023-00507-w
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发表时间：
2023-10-25
影响因子：
2.7
通讯作者：
中科院分区：
文献类型：
--
作者：
本综述旨在揭示种植体导向器在支撑类型、制造方法和设计(包括固定螺钉和套筒)方面对手术精度的影响。计算机检索Web of Science和PubMed中有关牙种植手术导轨准确性的文献。纳入了最近5年(2018-2022年)发表的体内或体外偏差数据的研究，并用纽卡斯尔-渥太华量表就临床研究的偏倚风险和可靠性程度进行了评估。与精度相关的偏差数据被总结为森林样地和正态分布。收录了41篇可信度较高的文章。数据显示，种植体手术精度可以达到平均距离偏差 <； 2 mm(大多数 <； 1 mm)和角度偏差 <； 8°(大多数 <； 5°)。双侧牙支撑导向器的体外精度最高，体内精度与单侧牙支撑导向器相似；粘膜支撑式导向器的体内精度最低，而其体外数据显示由于活体粘膜组织的机械复杂性，其可信度较低。尽管需要进一步的数据支持，但在活体情况下，铣削显示出比3D打印更高的导向精度。种植体导向器的固定螺丝和套筒的设计影响手术的准确性，在不久的将来仍可能是研究的重点。然而，缺乏对植入准确性的通用评价标准仍然是该领域的一个主要问题。在这篇综述中揭示了种植体导向器对手术精度的影响，这可能会对牙种植学的未来发展有所帮助。网上版载有补充材料，可在10.1186/s40729-023-023-w查阅。
This review aimed to reveal the influence of implant guides on surgical accuracy with regard to supporting types, manufacturing methods and design (including fixation screws and sleeves). A literature search related to accuracy of surgical guides for dental implantation was performed in Web of Science and PubMed. Studies with in vivo or in vitro deviation data published in recent 5 years (2018–2022) were included and assessed by Newcastle–Ottawa Scale with regard to risk of bias and reliability degree of clinical studies. Accuracy-related deviation data were summarized as forest plots and normal distributions. Forty-one articles were included with high degree of credibility. Data showed that implant surgery accuracy can be achieved with mean distance deviation < 2 mm (most < 1 mm) and angular deviation < 8° (most < 5°). Bilateral tooth-supported guides exhibited highest in vitro accuracy and similar in vivo accuracy to unilateral tooth-supported guides; mucosa-supported guides exhibit lowest in vivo accuracy, while its in vitro data showed low credibility due to mechanical complexity of living mucosa tissue. Milling exhibited higher in vivo accuracy of guides than 3d-printing, though further data support was needed. Design of fixation screws and sleeves of implant guides affected the surgical accuracy and might remain a research focus in near future. However, lack of universal evaluation standards for implantation accuracy remained a major problem in this field. The influence of implant guides on surgical accuracy revealed in this review might shed light on future development of dental implantology. The online version contains supplementary material available at 10.1186/s40729-023-00507-w.
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影响因子：
2.7
作者：
通讯作者：
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影响因子：
3.6
作者：
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通讯作者：
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影响因子：
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作者：
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通讯作者：
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DOI：
10.1111/j.1708-8208.2009.00255.x
发表时间：
2012-01-01
影响因子：
3.6
作者：
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通讯作者：
De Bruyn, Hugo
DOI：
10.3390/ma14164631
发表时间：
2021-08-17
期刊：
Materials (Basel, Switzerland)
影响因子：
--
作者：
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通讯作者：
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