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论文摘要

种植修复里的数字追问——从经验类比到数字引导

The question about the numerical value and quantitative data transfer of implant prosthodontics—orom experience guidance to digital guidance

作者:于海洋

Author:Yu Haiyang

收稿日期:2020-10-22          年卷(期)页码:2021,39(4):386-386-397

期刊名称:华西口腔医学杂志

Journal Name:West China Journal of Stomatology

关键字:数字化种植修复,实测引导技术,导板,目标修复体空间,

Key words:digital implant restoration,measuring guidance technology,guide,target restoration space,

基金项目:四川省科技计划(2020YFS0040)

中文摘要

正确的种植位点设计和精准的临床实施是种植修复的基本临床技术。长期以来种植手术大多以徒手植入为主,位点的选择多依赖于术者长期经验的累积,这种经验类比逻辑引导下的种植位点选择,往往随着术者经验水平高低和偶然误差大小而发生偏差,极易产生不正确种植位点及其相关的并发症。与此不同,基于修复导向下的种植理念出现了采用数字引导和实测核查的数字化临床方案,其标志着精准的且可实测核查的引导式种植修复形成。而从数据测量的四要素构成要件看,数字化种植修复依赖的数值要求来源存疑、测量要素不全、数据真伪难辨。为了深刻理解数字化修复、引导式种植以及种植实测技术的演化,本文将对种植修复中的数值要求展开追问,并进行了初步论证,提出了针对正确位点和修复空间数值要求的全新可靠的实测和核查方法,以及依赖数字的新临床方案;并进一步探讨以经验类比为逻辑基础的当前主流种植修复技术基础无法有效支撑全程数字化种植修复的原委,为最终实现全程数字化种植修复提供新的逻辑认知基础。

英文摘要

The correct implant site design and placement are the basic clinical techniques that must be known for implant restoration. For a long time, most implants have been placed by free hands, and the choice of site is mostly dependent on the accumulation of long-term experience of the surgeon. The selection of implant site guided by this experience analogy logic is often based on the surgeon's level of experience,which often makes it very easy to produce complications related to the implant restoration of the incorrect site. In contrast, a clinical program using digital guidance and real-time measurable verification has emerged based on the restoration-oriented implantation concept, which marks the formation of an accurate, measurable and verifiable whole-process digital implant prototype. Furthermore, from the perspective of surveying, the numerical requirements that digital implant restoration relies on are actually incomplete to the four elements of measurement, which leading to the doubts about its authenticity. This article will question the numbers in implant restoration, and conduct a preliminary demonstration, and propose a new reliable actual measurement and verification method of the correct location and the numerical requirements of the restoration space and a new clinical program that relies on numbers from the perspective of the evolution of digital restoration, guided implantology and actual measurement technology. And this article further discusses the current mainstream implant restoration technology based on experience analogy which cannot effectively support the whole process of digital implant restoration and provides a new logical cognitive basis for the final realization of the entire process of digital implant restoration.

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