口腔手术机器人辅助显微根尖手术精度的初步研究
A preliminary research on the accuracy of oral Surgery Robot-assisted endodontic microsurgery
苏航 1赵文博 1李昕茹 1宿玉成 2周立波1
作者信息
- 1. 佳木斯大学附属口腔医院 黑龙江省口腔生物医学材料及临床应用重点实验室,黑龙江佳木斯 154000
- 2. 中国医学科学院北京协和医学院北京协和医院口腔种植中心,北京 100032
- 折叠
摘要
目的:评价口腔手术机器人辅助显微根尖手术的准确性,同时验证口内扫描在术后准确性测量中应用的可行性.方法:使用口腔手术机器人在猪下颌骨上模拟显微根尖手术的骨开窗、根尖切除操作,术前进行锥形束CT(CBCT)扫描、手术路径规划,术后使用两种测量方法对手术路径三维偏差进行精度分析.结果:使用两种方法测量根尖手术术后的三维偏差.CBCT测量起点偏差0.64±0.04 mm;终点偏差0.72±0.05 mm;角度偏差1.07±0.14°,口内扫描测量起点偏差0.65±0.04 mm;终点偏差0.72±0.03 mm;角度偏差1.00±0.11°,两种测量方法的起点偏差、终点偏差、角度偏差之间差异无统计学意义(P＞0.05).结论:口腔手术机器人能有效实现根尖手术的可视化、微创化,实现精准根尖切除.口内扫描可用于测量机器人辅助显微根尖手术的准确性,并且不涉及患者额外的辐射暴露..
Abstract
AIM:To assess the precision of robot-assisted Endodontic microsurgery in oral surgery,and to val-idate the practicality of intraoral scanning in postoperative accuracy measurement.METHODS:An oral surgical robot was utilized to simulate osteotomy and apicoectomy operations on the porcine mandible.Prior to surgery,CBCT scanning and surgical path planning were conducted,and the accuracy of the three-dimensional deviation of the surgical path was analyzed using two measurement methods after the surgery.RESULTS:Two methods were employed to measure the 3D deviation following Endodontic microsurgery.The CBCT measurement showed an entry point deviation of 0.64±0.04 mm and an end point deviation of 0.72±0.05 mm,with an angular deviation of 1.07±0.14°.On the other hand,the intraoral scan measurement indicated an entry point deviation of 0.65±0.04 mm and an end point deviation of 0.72±0.03 mm,with an an-gular deviation of 1.00±0.11°.There was no significant difference in the entry point deviation,end point deviation,and an-gular deviation between the two measurement methods(P＞0.05).CONCLUSION:The oral surgery robot has demon-strated effective visualization,minimization,and precision in performing Endodontic microsurgery.Intraoral scanning can be utilized to assess the accuracy of robot-assisted Endodontic microsurgery without subjecting the patient to additional ra-diation exposure.
关键词
显微根尖手术/根尖切除术/机器人辅助手术/精度/口内扫描仪Key words
endodontic microsurgery/root-end resection/robot assisted surgery/accuracy/intraoral scanner引用本文复制引用
基金项目
黑龙江省自然科学基金项目(LH2021H108)
黑龙江省高等教育教学改革项目(SJGZ20220124)
出版年
2024
NETL
NSTL
万方数据