使用基于数字规划的萨默斯技术的手术模板植入牙种植体和上颌窦提升术:病例报告

Stefano Speroni, Floriana Bosco, Francesco Ferrini, Laura Pittari, A. Nota, Simona Tecco
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引用次数: 0

摘要

(1) 背景:计算机辅助手术是目前植入种植体的主要技术,可减少术中并发症,帮助临床医生避免损伤敏感的解剖结构,如上颌窦。(2) 方法:通过一个复杂病例的讨论,说明计算机辅助手术如何与徒手手术相结合,因为手术指南可以使徒手手术过程变得更简单、更可预测。(3) 结果:除 1.5 和 2.5 位点采用混合方法外,其他位点的手术均按照数字规划进行:首先在距离上颌窦底 1 毫米处进行铣削,然后按照 Summers 所描述的技术使用截骨器完成。放射线检查证实了种植体和上颌窦提升的正确定位。(4) 结论:在复杂病例中使用数字/模拟混合方法可提高结果的准确性,减少并发症和治疗时间。正确的数字计划手术指南有助于徒手方法,而不仅仅是数字方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Use of a Surgical Template for the Insertion of Dental Implants and Sinus Lift with the Summers Technique Based on Digital Planning: A Case Report
(1) Background: Computer-guided surgery is now established as the main technique for implant placement, reducing intraoperative complications and helping the clinician avoid damaging sensitive anatomical structures, such as, for example, the maxillary sinus. (2) Methods: A complex case is discussed to suggest how computer-aided surgery can merge with freehand surgery, as a surgical guide can make a freehand surgical procedure less complicated and more predictable. (3) Results: A surgical procedure was executed following digital planning, except for sites 1.5 and 2.5, where a mixed approach was adopted: they were initially prepared with a milling depth of 1 mm from the base of the maxillary sinus and were then finished using osteotomes, according to the technique described by Summers. Radiography confirmed the correct positioning of the implants and the sinus lift. (4) Conclusions: A mixed digital/analogical approach used in complex cases increases the accuracy of the results and reduces complications and treatment time. The presence of a correctly digitally planned surgical guide helps in the freehand approach and not only in the digital approach.
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