数字化导板辅助在前牙种植修复中的应用效果评价

doi:10.19439/j.sjos.2025.06.008

上海口腔医学 ›› 2025, Vol. 34 ›› Issue (6): 606-610.doi: 10.19439/j.sjos.2025.06.008

数字化导板辅助在前牙种植修复中的应用效果评价

叶秋萍¹, 罗善峰², 朱挺², 金琦琪¹

1.绍兴市口腔医院口腔修复科, 2.口腔颌面外科, 浙江绍兴 312000

收稿日期:2025-05-16 修回日期:2025-06-10 发布日期:2025-12-30
通讯作者: 叶秋萍,E-mail：yeqiuping@163.com
作者简介:叶秋萍（1982-）,女,本科,副主任医师
基金资助:
浙江省科学技术厅2023年尖兵领雁攻关项目（2023C04022）

Evaluation of the effect of digital guide plate assistance in anterior tooth implant restoration

Ye Qiuping¹, Luo Shanfeng², Zhu Ting², Jin Qiqi¹

1. Department of Prosthodontics, 2. Department of Oral and Maxillofacial Surgery, Shaoxing Stomatological Hospital. Shaoxing 312000, Zhejiang Province, China

Received:2025-05-16 Revised:2025-06-10 Published:2025-12-30

摘要/Abstract

摘要： 目的:评价数字化导板辅助在前牙种植修复中的应用效果。方法:选择2022年1月—2024年1月收治的98例行前牙种植修复的患者,采用随机数字表法分为对照组和试验组,每组各49例。对照组采用常规种植修复,试验组采用数字化导板辅助植入种植体,比较两组种植体实际位置与设计位置偏差。术后3、6个月,使用改良美国公共卫生服务（United States Public Health Service,USPHS）量表对修复效果进行评价。术后6个月,采用牙周袋探诊深度（probing depth,PD）、牙龈指数（gingival index,GI）、龈沟出血指数（sulcus bleeding index,SBI）和牙菌斑指数（plaque index PLI）评估患者牙周健康状况,评价红色美学评分（pink esthetic score,PES）、咬合与咀嚼功能。结果:试验组种植体实际位置与设计位置偏差显著少于对照组;术后3、6个月,试验组USPHS评分及PD、GI、SBI、PLI显著低于对照组,PES、咬合与咀嚼功能显著高于对照组（P<0.05）。结论:数字化导板辅助可降低前牙种植体位置偏差,改善美学效果和咀嚼功能,减少牙周炎症,为前牙区精准种植修复提供了可靠的临床治疗方案。

关键词: 数字化导板, 前牙种植修复, 美学效果, 种植效果

Abstract: PURPOSE: To evaluate the effect of digital guide plate assistance in anterior tooth implant restoration. METHODS: A total of 98 patients who underwent anterior tooth implant restoration from January 2022 to January 2024 were selected and divided into the control group and experimental group by the random number table method, with 49 cases in each group. The control group received conventional implant restoration, while the experimental group was assisted by digital guide plates. The deviation between the actual and designed positions of the implants was compared between the two groups. At the 3rd and 6th months postoperatively, the restorative outcomes were evaluated using the modified United States Public Health Service(USPHS) criteria. At the 6th month postoperatively, the patients' periodontal health status was assessed by measuring probing depth (PD), gingival index (GI), sulcus bleeding index (SBI) and plaque index(PLI). Additionally, the pink esthetic score(PES), as well as occlusal and masticatory functions were evaluated. RESULTS: The deviation between the actual position of the implant in the experimental group and the designed position was significantly less than that in the control group. At the 3rd and 6th months postoperatively, the USPHS score, PD, GI, SBI and PLI in the experimental group were significantly lower than those in the control group, while PES, occlusal and masticatory functions were significantly higher than those in the control group(P<0.05). CONCLUSIONS: Digital guide plate assistance can reduce the positional deviation of anterior tooth implants, improve aesthetics and masticatory function, and reduce periodontal inflammation, providing a reliable clinical treatment plan for precise implant restoration in the anterior tooth.

Key words: Digital guide, Anterior tooth implant restoration, Aesthetic outcomes, Implant outcomes

中图分类号:

R783.4

叶秋萍, 罗善峰, 朱挺, 金琦琪. 数字化导板辅助在前牙种植修复中的应用效果评价[J]. 上海口腔医学, 2025, 34(6): 606-610.

Ye Qiuping, Luo Shanfeng, Zhu Ting, Jin Qiqi. Evaluation of the effect of digital guide plate assistance in anterior tooth implant restoration[J]. Shanghai Journal of Stomatology, 2025, 34(6): 606-610.

参考文献

[1] Ong DV, Goh P, Dance G.Anterior tooth autotransplantation: a case series[J]. Aust Dent J, 2023, 68(3): 202-215.
[2] 叶淑华, 朱佳栋,邓宁宁. 3D口腔扫描结合数字化导板在下颌后牙牙列缺损种植中的应用效果评价[J].上海口腔医学, 2025, 34(3):286-290.
[3] 米热阿力木·米阿迪力, 李小曼, 高益鸣.机器人辅助口腔种植的精度及其影响因素研究进展[J].中国口腔颌面外科杂志,2024, 22(6):611-614.
[4] Shi Y, Wang J, Ma C, et al.A systematic review of the accuracy of digital surgical guides for dental implantation[J]. Int J Implant Dent, 2023, 9(1): 38-61.
[5] Amin SA, Hann S, Elsheikh AK, et al.A complete digital approach for facially generated full arch diagnostic wax up, guided surgery, and implant-supported interim prosthesis by integrating 3D facial scanning, intraoral scan and CBCT[J]. J Prosthodont, 2023, 32(1): 90-93.
[6] 刘志良, 李国荣, 张悦, 等.富血小板血浆联合珊瑚骨粉用于前牙美学区骨量不足种植修复的效果观察[J].中国口腔颌面外科杂志, 2025, 23(1):67-71.
[7] Pesce P, Bagnasco F, Pancini N, et al.Trueness of intraoral scanners in implant-supported rehabilitations: an in vitro analysis on the effect of operators' experience and implant number[J]. J Clin Med, 2021, 10(24): 5917.
[8] Naishlos S, Zenziper E, Zelikman H, et al.Esthetic assessment succeeding anterior atrophic maxilla augmentation with cancellous bone-block allograft and late restoration loading[J]. J Clin Med, 2021, 10(20): 4635.
[9] Wang Z, Liu J, Wang X, et al.Effect of CAD/CAM guide plate combined with socket-shield technique in immediate implantation of anterior teeth aesthetic area and its influence on aesthetics[J]. Front Surg, 2022, 8:833288.
[10] Todaro C, Cerri M, Rodriguez Y Baena R, et al. Lower jaw full-arch restoration: a completely digital approach to immediate load[J]. Healthcare (Basel), 2024, 12(3): 332.
[11] 罗晓军, 刘婷, 张璐, 等. 数字化导板辅助植入种植体对老年前牙种植修复患者满意度及修复美学效果的影响[J]. 老年医学与保健, 2024, 30(4): 1160-1164.
[12] Freeman BC, Alqallaf H, Yang CC, et al. An in vitro assessment of the accuracy of guided tilted and axial implant placement in the edentulous mandible[J]. J Prosthodont, 2025 Feb 21.
[Online ahead of print].
[13] Tang T, Huang Z, Liao L, et al.Factors that influence direction deviation in freehand implant placement[J]. J Prosthodont, 2019, 28(5): 511-518.
[14] Sindhusha BV, Rajasekar A.A short review on guided implant surgery and its efficiency[J]. Bioinformation, 2022, 18(9):764-767.
[15] Almadi D, Benington P, Ju X, et al.Reproducibility and reliability of digital occlusal planning for orthognathic surgery[J]. Int J Oral Maxillofac Surg, 2023, 52(10): 1074-1080.
[16] Yi YJ, Park IW, Ku JK, et al.Long term clinical result of implant induced injury on the adjacent tooth[J]. Sci Rep, 2021, 11(1): 7913-7921.
[17] Nulty A.A literature review on prosthetically designed guided implant placement and the factors influencing dental implant success[J]. Br Dent J, 2024, 236(3): 169-180.
[18] Dioguardi M, Spirito F, Quarta C, et al.Guided dental implant surgery: systematic review[J]. J Clin Med, 2023, 12(4):1490.
[19] Nomura Y, Morozumi T, Saito A, et al.Prospective longitudinal changes in the periodontal inflamed surface area following active periodontal treatment for chronic periodontitis[J]. J Clin Med, 2021, 10(6): 1165.
[20] Fu Y, Yin C, Li S, et al.A full digital workflow to prefabricate an implant-supported interim restoration: case report and a novel technique[J]. Int J Implant Dent, 2022, 8(1): 55.
[21] Wu Z, Tu Y, Wang S, et al.Digitally designed occlusion of an implant-supported crown considering physiological tooth displacement under occlusal loading[J]. J Prosthet Dent, 2025, 134(2):327-331.

数字化导板辅助在前牙种植修复中的应用效果评价

Evaluation of the effect of digital guide plate assistance in anterior tooth implant restoration

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