Interpretation of the group standard: Clinical Protocol for Bone Harvesting and Grafting under Digital Guidance in Oral Implantology

doi:10.7518/hxkq.2025.2025318

Abstract

Abstract:

In recent years, digital bone harvesting and grafting technology in dental implantology has emerged as a cutting-edge advancement in the field of oral medicine, gaining widespread application in the treatment of complex bone defect cases. By integrating digital imaging, virtual design, and precise surgical guidance, this technology has significantly enhanced the success rate of dental implants and improved patient outcomes. However, the rapid development of this technology has also highlighted the lack of standardized clinical protocols, necessitating the establishment of unified guidelines through expert consensus. This article provides a detailed overview of the development process of the group standard Clinical Protocol for Bone Harvesting and Grafting under Digital Guidance in Oral Implantology and offers an in-depth interpretation of its key components, aiming to serve as a valuable reference for clinical practice and academic research.

Key words: oral implantology, digital technology, bone augmentation, group standard, interpretation

CLC Number:

R783.4

Wang Jing, Man Yi. Interpretation of the group standard: Clinical Protocol for Bone Harvesting and Grafting under Digital Guidance in Oral Implantology[J]. West China Journal of Stomatology, 2025, 43(6): 755-762.

Figures/Tables 6

Tab 1

Core terms and their definitions

核心术语	定义
口内扫描	用口内扫描仪扫描和捕获口腔内部结构表面并转换成数字文件格式的过程
虚拟患者	口腔修复诊疗中的虚拟患者是指通过数字化扫描技术，获取包含牙列、颌骨、面容、颞下颌关节的信息，并进行数据配准整合、三维重建所构建的虚拟形象
数字化种植导板	根据患者颌骨解剖信息和修复体信息，利用计算机辅助设计与制作技术完成的引导种植窝轴向和/或深度预备及种植体植入的外科导板
块状自体骨移植	从供区获取块状骨并移植到受植床进行骨增量的外科程序
片状自体骨移植	从供区获取骨块，通过工具将其修整为菲薄的骨片。制备的骨片可通过骨钉固定在受植床，以获得稳定的支撑空间，然后将获取的自体骨屑/植骨材料填入间隙进行骨增量的外科程序
数字化钛网	在种植手术前，对患者的数字化影像信息进行三维重建和可视化处理后，设计骨增量范围，制成精准重建牙槽骨轮廓的钛网，避免术中手工弯制、修剪等步骤，缩短手术时间，在骨增量程序中保持植骨空间稳定，同时支撑屏障膜
数据拟合	也称数据配准，将两个或两个以上坐标系中的三维数据点集转换到统一坐标系中的数学计算过程。数据拟合是计算机辅助设计中不可或缺的技术环节，决定了数字化口腔种植治疗的精度和安全性
血浆基质骨	使用液态血浆基质采血管采集患者静脉血，将采血管置于血浆基质制备平台，选择液态血浆基质制备程序，采用注射器吸取液态血浆基质层即可获得液态血浆基质。应用血浆基质制备套装，将固态血浆基质膜剪成碎片，和一定比例的骨代用品混合后，将液态血浆基质滴入，即可获得血浆基质骨

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