Multidisciplinary combination therapy of precision autotransplantation in complex impacted teeth based on CAD/CAM digital navigation.

IF 2.2 3区医学 Q2 Dentistry

Journal of Stomatology Oral and Maxillofacial Surgery Pub Date : 2025-02-15 DOI:10.1016/j.jormas.2024.102144

Zun Yang, Ya Wang, Leilei Zheng, Jinlin Song

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Abstract

This study aimed to evaluate the efficiency and accuracy of autotransplantation of complex impacted teeth by CAD/CAM digital navigation technology. An 11-year-old girl with complex impacted second premolars bilaterally in the maxilla was selected. CAD/CAM digital dynamic navigation was utilized to ensure the precision and success of the procedure. A comprehensive accuracy analysis was conducted to compare the preoperative digital simulation design with the postoperative positions of the transplanted teeth. The transplanted teeth functioned well after 1 year of follow-up. Postoperative CBCT clinical data, combined with Mimics 21.0 and 3-Matic 13.0 software, revealed that the depth and buccolingual deviations of the bilateral autotransplantation were within 2.0 millimeters, with a mesiodistal deviation of approximately 1.0 millimeter. This case demonstrates the high efficiency, precision, and stabilization provided by digital navigation technology, highlighting its potential as a viable option for the treatment of complex impacted teeth.

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基于CAD/CAM数字导航的复杂埋伏牙精密自体移植多学科联合治疗。

本研究旨在评价CAD/CAM数字导航技术在复杂阻生牙自体移植中的效率和准确性。我们选择了一名11岁的女孩，在上颌骨两侧有复杂的第二前磨牙阻生。采用CAD/CAM数字动态导航，保证了加工的精度和成功率。对术前数字模拟设计与术后移植牙位置进行综合精度分析。术后随访1年，移植牙功能良好。术后CBCT临床资料结合Mimics 21.0和3-Matic 13.0软件显示，双侧自体移植深度和颊舌偏差在2.0 mm以内，中远端偏差约1.0 mm。本病例展示了数字导航技术的高效率、精度和稳定性，突出了其作为治疗复杂阻生牙的可行选择的潜力。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Stomatology Oral and Maxillofacial Surgery Dentistry-Oral Surgery

CiteScore

2.20

自引率

9.10%

发文量

305

期刊介绍： J Stomatol Oral Maxillofac Surg publishes research papers and techniques - (guest) editorials, original articles, reviews, technical notes, case reports, images, letters to the editor, guidelines - dedicated to enhancing surgical expertise in all fields relevant to oral and maxillofacial surgery: from plastic and reconstructive surgery of the face, oral surgery and medicine, … to dentofacial and maxillofacial orthopedics. Original articles include clinical or laboratory investigations and clinical or equipment reports. Reviews include narrative reviews, systematic reviews and meta-analyses. All manuscripts submitted to the journal are subjected to peer review by international experts, and must: Be written in excellent English, clear and easy to understand, precise and concise; Bring new, interesting, valid information - and improve clinical care or guide future research; Be solely the work of the author(s) stated; Not have been previously published elsewhere and not be under consideration by another journal; Be in accordance with the journal''s Guide for Authors'' instructions: manuscripts that fail to comply with these rules may be returned to the authors without being reviewed. Under no circumstances does the journal guarantee publication before the editorial board makes its final decision. The journal is indexed in the main international databases and is accessible worldwide through the ScienceDirect and ClinicalKey Platforms.