数字化及数智化在无牙颌种植修复中的助力与破局

doi:10.7518/hxkq.2026.2025440

华西口腔医学杂志 ›› 2026, Vol. 44 ›› Issue (1): 72-81.doi: 10.7518/hxkq.2026.2025440

数字化及数智化在无牙颌种植修复中的助力与破局

撒悦¹^,²^,³(), 蔡映琦¹^,², 孙伊彤¹^,², 赵茗宇¹^,², 夏诗辞¹^,²

^1.口颌系统重建与再生全国重点实验室，口腔生物医学教育部重点实验室，口腔医学湖北省重点实验室，武汉大学口腔医学院，武汉 430079
^2.武汉大学口腔医院修复科，武汉 430079
^3.武汉大学口腔医院修复工艺科，武汉 430079

收稿日期:2025-11-07 出版日期:2026-02-01 发布日期:2026-02-02
通讯作者: 撒悦 E-mail:sayue@whu.edu.cn
作者简介:撒悦，武汉大学和荷兰Radboud University双博士，现为武汉大学口腔医院修复科副教授，副主任医师，硕士研究生导师，兼任修复工艺科（口腔医学技术制作中心）负责人及党支部书记，致力于推广“数智化”“数字化”医技结合。社会兼职为：国际种植学会ITI专家组成员，国际口腔重建基金会（中国区）委员，中华口腔医学会修复专业委员会委员，中国食品药品企业质量安全促进会特聘专家，全国卫生产业企业管理协会数字化口腔产业分会专家委员会常务委员，湖北省口腔美学专业委员会常务委员，湖北省口腔修复专业委员会委员，武汉市中青年医学骨干人才。主编《美学区单颗牙种植修复ABCD原则》《美学区即刻种植9个关键三角》《黏性骨块临床基础及应用》《前牙美学区间隙管理：科学与临床实践》《口腔数字化修复技术》，参编《口腔医学技术概论》《中国口腔数字化——从临床技术到病例精选》《口腔诊疗必备——数字化技术全流程详解》，主译《磨牙区即刻种植精要》《口腔种植修复：固定种植修复方案与技术》。主持多项国家省部级基金、武汉大学医学部“临床医学+X”青年拔尖项目、多中心研究课题和产学研横向课题，以第一或通讯作者发表SCI论文30余篇。荣获口腔医学青年教师授课技能大赛全国一等奖、武汉大学口腔医院青年教师授课技能大赛第一名、全国修复学会最佳论文奖、教育部博士研究生学术新人奖等多项荣誉称号。|撒悦，副教授，博士，E-mail：sayue@whu.edu.cn
基金资助:
中央高校基本科研业务费专项基金(2042025YXB022)

Assistance and breakthrough of digitalization and intelligent digitalization in implant restoration of edentulous jaws

Sa Yue¹^,²^,³(), Cai Yingqi¹^,², Sun Yitong¹^,², Zhao Mingyu¹^,², Xia Shici¹^,²

^1.State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School and Hospital of Stomatology, Wuhan University, Wuhan 430079, China
^2.Dept. of Prosthodontics, School and Hospital of Stomatology, Wuhan University, Wuhan 430079, China
^3.Dept. of Dental Technology, School and Hospital of Stomatology, Wuhan University, Wuhan 430079, China

Received:2025-11-07 Online:2026-02-01 Published:2026-02-02
Contact: Sa Yue E-mail:sayue@whu.edu.cn
Supported by:
Special Fund for Basic Scientific Research Business Expenses of Central Universities(2042025YXB022)

摘要/Abstract

摘要：

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。

关键词: 数字化, 数智化, 无牙颌, 种植, 导板, 动态导航, 种植机器人

Abstract:

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.

Key words: digitalization, intelligent digitalization, edentulous jaw, implant, guide, dynamic navigation, dental implant robot

中图分类号:

R783.4

撒悦, 蔡映琦, 孙伊彤, 赵茗宇, 夏诗辞. 数字化及数智化在无牙颌种植修复中的助力与破局[J]. 华西口腔医学杂志, 2026, 44(1): 72-81.

Sa Yue, Cai Yingqi, Sun Yitong, Zhao Mingyu, Xia Shici. Assistance and breakthrough of digitalization and intelligent digitalization in implant restoration of edentulous jaws[J]. West China Journal of Stomatology, 2026, 44(1): 72-81.

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参考文献 47

[1]	Papaspyridakos P, Chen CJ, Gallucci GO, et al. Accuracy of implant impressions for partially and completely edentulous patients: a systematic review[J]. Int J Oral Maxillofac Implants, 2014, 29(4): 836-845.
[2]	Gao YT, Zhao MY, Xia SC, et al. Knowledge structure and research hotspots on digital scanning for implant-supported complete-arch prosthesis: a bibliometric analysis[J]. Heliyon, 2024, 10(17): e36782.
[3]	Yuan Y, Liu Q, Yang S, et al. Four-dimensional superimposition techniques to compose dental dynamic virtual patients: a systematic review[J]. J Funct Biomater, 2023, 14(1): 33.
[4]	Lepidi L, Kim BC, Giberti L, et al. The 4D virtual patient: a proof of concept in digital dentistry[J]. J Prosthet Dent, 2025, 134(5): 1442-1445.
[5]	Wang J, Wu YL, Ma J, et al. A novel technique for implant-supported fixed complete rehabilitation based on a dynamic virtual patient[J]. J Dent, 2023, 137: 104649.
[6]	Li JY, Joda T, Revilla-León M, et al. Recommendations for successful virtual patient-assisted esthetic implant rehabilitation: a guide for optimal function and clinical efficiency[J]. J Esthet Restor Dent, 2024, 36(1): 186-196.
[7]	Pirc M, Wenk S, Peter D, et al. Four-dimensional (4D) virtual simulation for predicting soft tissue support and vertical dimension of occlusion in full-arch implant the-rapy—A proof of concept[J]. J Dent, 2025, 163: 106142.
[8]	Elgarba BM, Fontenele RC, Du XJ, et al. Artificial intelligence versus human intelligence in presurgical implant planning: a preclinical validation[J]. Clin Oral Implant Res, 2025, 36(7): 835-845.
[9]	Shalash M, Zohnee A. The application of artificial intelligence in full arch computer assisted implant surgery—A clinical study[J]. Digit Dent J, 2025, 1(1): 100005.
[10]	Mangano FG, Yang KR, Lerner H, et al. Artificial intelligence and mixed reality for dental implant planning: a technical note[J]. Clin Implant Dent Rel Res, 2024, 26(5): 942-953.
[11]	Zhao WB, Teng WW, Su YC, et al. Accuracy of dental implant surgery with freehand, static computer-aided, dynamic computer-aided, and robotic computer-aided implant systems: an in vitro study[J]. J Prosthet Dent, 2025, 134(6): 2416-2423.
[12]	Tuce RA, Neagu M, Pupazan V, et al. The 3D printing and evaluation of surgical guides with an incorporated irrigation channel for dental implant placement[J]. Bioengineering, 2023, 10(10): 1168.
[13]	Lan R, Marteau C, Mense C, et al. Current knowledge about stackable guides: a scoping review[J]. Int J Implant Dent, 2024, 10(1): 28.
[14]	Bai XY, Wu T, Zhu YX, et al. Cone-wedge anchored surgical templates for stackable metal guide: a novel technique[J]. Int J Implant Dent, 2024, 10: 27.
[15]	Alhazmi AA, Alharbi MT, Lahiq A, et al. Application of metallic guides and reverse scanning for full-mouth rehabilitation using implant-supported prostheses: a case report[J]. J Prosthodont, 2025, 34(8): 777-783.
[16]	di Giacomo GP, Cury PR, da Silva AM, et al. Surgical guides for flapless dental implant placement and immediate definitive prosthesis installation by using selective Laser melting and sintering for 3D metal and polymer printing: a clinical report[J]. J Prosthet Dent, 2024, 131(2): 177-179.
[17]	Yao YF, Yang RL, Lam W, et al. A modified workflow for dynamic navigation implant surgery in fully edentulous patients utilizing a customized patient tracking mo-dule[J]. J Stomatol Oral Maxillofac Surg, 2025, 126(4): 102292.
[18]	Wang NR. Comparison of dynamic navigation and static navigation systems in implant surgery: accuracy and application analysis[J]. BIO Web Conf, 2025, 174: 03006.
[19]	Pozzi A, Carosi P, Laureti A, et al. Accuracy of navigation guided implant surgery for immediate loading complete arch restorations: prospective clinical trial[J]. Clin Implant Dent Rel Res, 2024, 26(5): 954-971.
[20]	Liu C, Liu YC, Xie R, et al. The evolution of robotics: research and application progress of dental implant robotic systems[J]. Int J Oral Sci, 2024, 16: 28.
[21]	Bahrami R, Pourhajibagher M, Nikparto N, et al. Robot-assisted dental implant surgery procedure: a literature review[J]. J Dent Sci, 2024, 19(3): 1359-1368.
[22]	Wang WX, Xu H, Mei DM, et al. Accuracy of the Ya-kebot dental implant robotic system versus fully guided static computer-assisted implant surgery template in edentulous jaw implantation: a preliminary clinical stu-dy[J]. Clin Implant Dent Rel Res, 2024, 26(2): 309-316.
[23]	Shu QY, Chen DP, Wang X, et al. Accuracy of flapless surgery using an autonomous robotic system in full-arch immediate implant restoration: a case series[J]. J Dent, 2024, 145: 105017.
[24]	Xie R, Liu YC, Wei HB, et al. Clinical evaluation of autonomous robotic-assisted full-arch implant surgery: a 1-year prospective clinical study[J]. Clin Oral Implant Res, 2024, 35(4): 443-453.
[25]	Rong R, Lin TY, Sa Y. Using an existing digital surgical guide and used burs as aids for a complete-arch implant impression[J]. J Prosthet Dent, 2022, 127(4): 664-666.
[26]	Gómez-Polo M, Cimolai A, Ortega R, et al. Accuracy, scanning time, and number of photograms of various scanning patterns for the extraoral digitalization of complete dentures by using an intraoral scanner[J]. J Prosthet Dent, 2024, 131(3): 521-528.
[27]	Revilla-León M, Gómez-Polo M, Drone M, et al. Accuracy of complete arch implant scans recorded by using intraoral and extraoral photogrammetry systems[J]. J Prosthet Dent, 2025, 134(6): 2508-2514.
[28]	Revilla-León M, Cascos R, Barmak AB, et al. Clinical accuracy of complete arch implant scans recorded by using a noncalibrated splinting technique, intraoral photogrammetry, and extraoral photogrammetry with snap-on markers[J]. J Prosthet Dent, 2025. DOI:10.1016/j.prosdent.2025.09.012 .
[29]	Srivastava G, Padhiary SK, Mohanty N, et al. Accuracy of intraoral scanner for recording completely edentulous Arches: a systematic review[J]. Dent J, 2023, 11(10): 241.
[30]	Sampaio-Fernandes MA, Pinto R, Almeida PR, et al. Accuracy of extraoral digital impressions with multi-unit implants[J]. Appl Sci, 2023, 13(15): 8769.
[31]	Abuduwaili K, Huang RX, Song JY, et al. Comparison of photogrammetric imaging, intraoral scanning and conventional impression accuracy of full-arch dental implant rehabilitation: an in vitro study[J]. BMC Oral Heal, 2025, 25: 753.
[32]	Anitua E, Lazcano A, Anitua B, et al. Influence of scan body geometry on the trueness of intraoral scanning[J]. BDJ Open, 2025, 11: 83.
[33]	Zhang TT, Yang B, Ge RH, et al. Effect of a novel ‘scan body’ on the in vitro scanning accuracy of full-arch implant impressions[J]. Int Dent J, 2024, 74(4): 847-854.
[34]	Wu HK, Wang J, Chen GH, et al. Effect of novel prefabricated auxiliary devices attaching to scan bodies on the accuracy of intraoral scanning of complete-arch with multiple implants: an in-vitro study[J]. J Dent, 2023, 138: 104702.
[35]	Ma HY, Cao J, Tang ZH, et al. Case report: accuracy analysis of a new scanning body for intraoral digital impressions in full-arch edentulous patients[J]. Front Oral Health, 2025, 6: 1528943.
[36]	Li YX, Fang H, Yan YW, et al. Accuracy of intraoral scanning using modified scan bodies for complete arch implant-supported fixed prostheses[J]. J Prosthet Dent, 2024, 132(5): 994.e1-994.e8.
[37]	Gianfreda F, Raffone C, Martelli M, et al. Conventional scan body vs. scan bodies with auxiliary geometric devices: an in vitro study for edentulous full-arch implant impressions[J]. Front Oral Heal, 2025, 6: 1574149.
[38]	Eldabe AK, Adel-Khattab D, Botros KH. Trueness of tooth modified scan bodies as a novel technique for edentulous full arch implant supported dental prosthesis: an in vivo prospective comparative study[J]. BMC Oral Heal, 2025, 25: 29.
[39]	Revilla-León M, Cascos R, Barmak AB, et al. Influence of an artificial intelligence-based application on the accuracy of complete arch implant scans recorded by using an intraoral scanner[J]. J Prosthet Dent, 2025, 134(6): 2471-2481.
	Feng X, Liu M, Song WE, et al. Efficacy of digital templates in edentulous implant placement: a retrospective study[J]. BMC Oral Heal, 2024, 24: 1503.
[40]	Martins J, Rangel J, de Araújo Nobre M, et al. A new full digital workflow for fixed prosthetic rehabilitation of full-arch edentulism using the all-on-4 concept[J]. Medicina, 2024, 60(5): 720.
[41]	Rustichini F, Romolini R, Salmi MC, et al. Implant-supported full-arch fixed dental prostheses manufactured through a direct digital workflow using a calibrated splinting framework: a retrospective clinical study[J]. J Dent, 2025, 154: 105605.
[42]	Auduc C, Douillard T, Nicolas E, et al. Fully digital workflow in full-arch implant rehabilitation: a descriptive methodological review[J]. Prosthesis, 2025, 7(4): 85.
[43]	Fu Y, Yin CL, Li SQ, et al. A full digital workflow to prefabricate an implant-supported interim restoration: case report and a novel technique[J]. Int J Implant Dent, 2022, 8: 55.
[44]	Lyu TL, Wu Z, Ma GG, et al. PDS-MAR: a fine-grained projection-domain segmentation-based metal artifact reduction method for intraoperative CBCT images with guidewires[J]. Phys Med Biol, 2023, 68(21): 215007.
[45]	Jiang C, Lyu TL, Ma GG, et al. CBCT projection domain metal segmentation for metal artifact reduction using hessian-inspired dual-encoding network with guidance from segment anything model[J]. Med Phys, 2025, 52(6): 3900-3913.
[46]	Rong R, Lv H, Sa Y. Single scanning of CBCT and in-traoral scanning for guided implantation in terminal dentitions with multi-unit metal restorations: technical note[J]. J Stomatol Oral Maxillofac Surg, 2024, 125(6): 101784.
[47]	Lv H, Wu H, Hu L, et al. Pterygoid implant-based maxillary full-arch rehabilitation using an autonomous robot system: a case report[J]. J Prosthodont, 2025, 34(3): 232-239.

数字化及数智化在无牙颌种植修复中的助力与破局

Assistance and breakthrough of digitalization and intelligent digitalization in implant restoration of edentulous jaws

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项目	静态种植导板	动态导航技术	口腔种植机器人
核心操作流程	获取CBCT及口扫数据后进行手术规划，经CAD/CAM设计制作导板，术中验证导板贴合度，自由手操作下由金属套筒引导钻针路径	红外光学系统将CBCT影像与术区配准，实时追踪钻针路径，灵活修改手术方案，自由手进行手术	在动态导航的基础上增设机械臂，患者全程需佩戴口外标记物，由机械臂执行手术操作
术中灵活性	低	高	高
操作门槛	低	高	高
整体成本	低	高	高
患者舒适度	低	高	中
适用病例	骨条件良好的简单病例	解剖结构复杂、多植体、无牙颌等复杂病例	解剖结构复杂、多植体、无牙颌等复杂病例

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