临床口腔医学杂志2026，Vol.42Issue(6)：346-350,5.DOI:10.3969/j.issn.1003-1634.2026.06.007
数字化导板引导翻瓣与不翻瓣种植精准性的比较研究
A comparative study on the accuracy of flap implantation and flapless implantation in digital guide-assisted dental implant placement
高文鼎 1周荣华 1王沁 2林廷云 2蔡锋 1王九龙 1王林虎1
作者信息
- 1. 华中科技大学同济医学院附属武汉中心医院口腔科 湖北 武汉 430014||分子诊断湖北省重点实验室,华中科技大学同济医学院附属武汉中心医院 湖北 武汉 430014
- 2. 武汉通策口腔医院种植科 湖北 武汉 430022
- 折叠
摘要
Abstract
Objective:To investigate the effect of 3D digital implant surgical guides on the accuracy of dental im-plantation in gingival flap and flapless surgeries.Methods:A retrospective analysis was conducted on 160 patients(160 im-plants),with 80 implants each in the flap group and flapless group.CBCT was used to obtain jawbone data,and 3D printing technology was employed to fabricate implant guides.The study compared and analyzed the following parameters between the two groups:surgical time,duration of postoperative swelling and pain,antibiotic usage duration,implant deviation values,im-plant success rate,adverse event incidence and patient satisfaction.Results:The flapless group had significantly shorter oper-ation time,postoperative swelling and pain time,and antibiotic use time than the flap group(P<0.01).However,the flap group demonstrated superior implant precision,with smaller deviations in neck,apical,and depth measurements compared to the flapless group(P<0.01).Notably,the angular deviation in the flap group was markedly lower than that in the flapless group(P<0.001).The implant success rates of both groups exceeded 97％,with no significant difference,but the flapless group had a lower incidence of adverse events and higher patient satisfaction(P<0.05).Conclusion:The combination of 3D digital implant surgical guides and flapless technique can significantly shorten the operation time and alleviate postoperative reactions,but the flap technique has a greater advantage in implant accuracy.关键词
导板/数字化/牙种植/精准性Key words
Surgical guide/Digitalization/Dental implant/Accuracy分类
医药卫生引用本文复制引用
高文鼎,周荣华,王沁,林廷云,蔡锋,王九龙,王林虎..数字化导板引导翻瓣与不翻瓣种植精准性的比较研究[J].临床口腔医学杂志,2026,42(6):346-350,5.
