[Assistance and breakthrough of digitalization and intelligent digitalization in implant restoration of edentulous jaws].

内容摘要

Digital and intelligent digital technologies can help optimize the clinical workflow of edentulous jaw implant restoration, significantly improving precision, predictability, and efficiency throughout all stages of treatment. In the preoperative phase, by acquiring the patient's digital information model and integrating data with the assistance of an artificial intelligence-driven planning system, personalized design of implant positions and prosthesis morphologies can be achieved, thereby realizing accurate functional and aesthetic matching. During the surgical procedure, the adoption of static implant guides, dynamic navigation systems, or implant robotic systems can effectively enhance surgical precision and minimize patient trauma to the greatest extent. In the immediate and final restoration phases, digital impression technology based on intraoral and extraoral scanning systems enables accurate acquisition of information regarding implants, as well as hard and soft tissues related to edentulous jaw implantation. Among these technologies, the application of AI-assisted algorithms and modified intraoral scan bodies can further improve patient comfort and chairside work efficiency. When encountering metal restoration artifact interference, the use of artifact correction algorithms or methods to increase identifiable marker points can both enhance the fitting precision of virtual data, reduce the impact of metal artifacts on data matching, and provide more reliable data support for digital preoperative planning. For complex edentulous cases, such as pterygoid implant placement, implant robotic systems based on digital three-dimensional modeling enable high-precision implantation with intraoperative dynamic calibration, thereby improving prosthetic predictability. Although challenges remain in data interoperability and standardization of clinical protocols, the integration of unified data standards, comprehensive intelligent platforms, and standardized workflows may facilitate the standardized and intelligent application of digital technologies in edentulous implant rehabilitation. It is foreseeable that in the future, digital and intelligent digital technologies will continue to drive the development of the edentulous jaw implant restoration field, providing patients with more high-quality, efficient, and safe implant restoration solutions. 数字化及数智化技术可助力优化无牙颌种植修复的临床工作流程，在治疗全阶段显著提升精度、可预测性与效率。术前阶段，通过获取患者数字化信息模型，并结合人工智能驱动的规划系统开展数据整合，能够个性化设计种植体位置与修复体形态，进而实现精准的功能与美学匹配;手术过程中，采用静态种植导板、动态导航系统或种植机器人系统，可有效提高手术精度，最大限度降低患者创伤;在即刻修复与最终修复阶段，依托口内、口外扫描系统的数字化印模技术，能精准获取无牙颌种植相关的种植体及软硬组织信息。其中，人工智能辅助算法与改良口内扫描杆的应用，可进一步提升患者舒适度，提高椅旁工作效率。当遇到金属修复体伪影干扰时，采用伪影校正算法或增加可识别标记点的方法，均能提升虚拟数据拟合精度，减少金属伪影对数据匹配的影响，为数字化术前规划提供更可靠的数据支撑。针对翼板区倾斜种植等复杂无牙颌病例，基于数字化三维建模的口腔种植机器人系统可实现种植体的高精度植入及术中动态校准，从而提高修复的可预测性。目前，数字化流程仍面临数据互作及操作规范不统一等问题，但通过统一数据标准、整合全流程数智化平台并规范临床操作流程，可为无牙颌种植修复的标准化与智能化应用提供技术基础。可以预见，未来数字化及数智化技术将持续推动无牙颌种植修复领域的发展，为患者提供更优质、高效、安全的种植修复方案。.