目的:通过检查相关的临床和实验结果,确定机器人计算机辅助植入手术(CAIS)应用的现状和准确性。
方法:PubMed,Medline,和CochraneLibrary数据库在2000年1月至2023年11月之间发表的相关研究中进行了搜索,重点是机器人CAIS在牙种植手术中的应用。然后手动审查所有搜索结果以仅识别相关文章。本叙述性综述仅包括体外和临床研究,植入物放置精度被认为是主要结果。
结果:根据我们的纳入和排除标准,我们纳入了21项研究(有1085个植入部位);其中,8是临床研究,12个是体外研究,1包括体外研究和病例系列。平均植入物肩部的范围,顶端,和角度偏差分别为0.43-1.04mm,0.53-1.06mm,临床研究为0.77°-3.77°,0.23-1.04mm,0.24-2.13mm,在体外研究中为0.43°-3.78°,分别。
结论:机器人CAIS在牙种植手术中的准确性似乎在临床可接受的范围内。然而,需要进一步的相关临床试验来验证现有证据.
结论:机器人CAIS可以达到临床上可接受的植入物放置精度。这项创新技术可以提高牙科种植手术的精度和成功率,为外科医生和患者带来好处。
To determine the current status and accuracy of robotic computer-assisted implant surgery (CAIS) applications by examining the associated clinical and experimental outcomes.
PubMed, Medline, and Cochrane Library databases were searched for relevant studies published between January 2000 and November 2023, and focusing on robotic CAIS in dental implant surgery. All search results were then manually reviewed to identify only the pertinent articles. Only in vitro and clinical studies were included in this narrative review, with implant placement accuracy considered the main outcome.
Based on our inclusion and exclusion criteria, we included 21 studies (with 1085 implant sites); of them, 8 were clinical studies, 12 were in vitro studies, and 1 included both an in vitro study and a case series. The ranges of the mean implant shoulder, apical, and angular deviations were respectively 0.43-1.04 mm, 0.53-1.06 mm, and 0.77°-3.77° in the clinical studies and 0.23-1.04 mm, 0.24-2.13 mm, and 0.43°-3.78° in the in vitro studies, respectively.
The accuracy of robotic CAIS in dental implant procedures appears to be within the clinically acceptable ranges. However, further relevant clinical trials validating the existing evidence are needed.
Robotic CAIS can achieve clinically acceptable implant placement accuracy. This innovative technology may improve the precision and success rates of dental implant procedures, with benefit for surgeons and patients.