PDF(Pubmed)
Abstract：
Orthodontics has considerably increased the use of technology combined with surgery as a tool to improve dental movements in terms of predictability, acceleration of movement, and fewer side effects. To achieve these goals miniscrews and corticotomy were introduced. The digital workflow permits an increase in the accuracy of surgical and orthodontic setups. The tool that transfers the information is the CAD/CAM (Computer-Aided Design/ Computer-Aided Manufacturing) template. The aim of this review is to illustrate the use of computer-guided surgery in orthodontics regarding miniscrews and piezocision. The search strategy was a combination of Medical Subject Headings (Mesh) and free text words for PubMed. A total of 27 articles were included in this review: 16 concerned miniscrews and 11 concerned corticotomy. The current need for faster treatments, the improved systems of anchorage, and the evolution of imaging technologies require operators to be knowledgeable of the digital workflow. CAD/CAM templates allow greater precision and predictability of miniscrew insertion even if in the hands of less experienced clinicians and permit a better orientation and depth of the cortical incision. In conclusion, digital planning makes surgery faster and easier and allows for the identification and correction of any potential problem before the procedure.
摘要：
正畸学大大增加了与手术结合的技术的使用，作为在可预测性方面改善牙齿运动的工具，运动加速，副作用少。为了实现这些目标，引入了小型手术和皮质切开术。数字工作流程允许增加手术和正畸设置的准确性。传输信息的工具是CAD/CAM（计算机辅助设计/计算机辅助制造）模板。这篇评论的目的是说明计算机引导的手术在口腔正畸学中的应用，包括微型手术和压电手术。搜索策略是医学主题词（网格）和PubMed的自由文本词的组合。本综述共纳入27篇文章：16篇涉及小范围，11篇涉及皮质切开术。目前需要更快的治疗，改进的锚固系统，成像技术的发展要求操作员了解数字工作流程。即使在经验较少的临床医生的手中，CAD/CAM模板也可以实现更高的微型工作人员插入精度和可预测性，并且可以更好地定位和深度皮质切口。总之,数字计划使手术更快，更容易，并允许识别和纠正任何潜在的问题之前的程序。
