CN105708569A - Manufacturing method and system of digital implantation guide plate - Google Patents

Manufacturing method and system of digital implantation guide plate Download PDF

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Publication number
CN105708569A
CN105708569A CN201610054295.XA CN201610054295A CN105708569A CN 105708569 A CN105708569 A CN 105708569A CN 201610054295 A CN201610054295 A CN 201610054295A CN 105708569 A CN105708569 A CN 105708569A
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China
Prior art keywords
guide plate
threedimensional model
mouth
bone
plantation
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CN201610054295.XA
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Chinese (zh)
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徐顺聪
张朝标
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SHENZHEN KTJ DENTAL LAB Inc
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SHENZHEN KTJ DENTAL LAB Inc
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Priority to CN201610054295.XA priority Critical patent/CN105708569A/en
Publication of CN105708569A publication Critical patent/CN105708569A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C8/00Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools
    • A61C8/0089Implanting tools or instruments
    • A61C8/009Implanting tools or instruments for selecting the right implanting element, e.g. templates

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  • Health & Medical Sciences (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Dentistry (AREA)
  • Epidemiology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Dental Prosthetics (AREA)

Abstract

The invention discloses a manufacturing method and system of a digital implantation guide plate. The method comprises the following steps: scanning the oral cavity of a patient, so as to acquire an intraoral three-dimensional model of the patient; in accordance with the intraoral three-dimensional model and positions where a plurality of implants are to be implanted, acquiring a three-dimensional model of a bone-cutting guide plate; trimming a bone plane of alveolar bone of the intraoral three-dimensional model in accordance with the three-dimensional model of the bone-cutting guide plate, so that the positions, corresponding to the alveolar bone of the intraoral three-dimensional model, of the plurality of the implants are located on the same bone plane; and in accordance with the trimmed intraoral three-dimensional model, acquiring a three-dimensional model of an implantation guide plate. By setting the three-dimensional model of the bone-cutting guide plate, the alveolar bone in the intraoral three-dimensional model can be trimmed, so that the various positions of the to-be-implanted implants are located on the same bone plane, and then the three-dimensional model of the implantation guide plate is obtained in accordance with the trimmed intraoral three-dimensional model. Doctors can trim the bone plane in accordance with the bone-cutting guide plate; and by precisely implanting the implants to the implantation guide plate, the implantation precision of the implants is enhanced.

Description

The manufacture method of a kind of digitized plantation guide plate and system
Technical field
The present invention relates to dental field, particularly relate to manufacture method and the system of a kind of digitized plantation guide plate.
Background technology
It is the full mouth edentulous jaw dummy at once born a heavy burden by only using four implantation bodys to support that All-on-4 speed leads Dental Implant technical purpose, implements to repair for edentulous patients.Even if also can realize stability when bone amount is minimum.By tooth implant after tilting two, it is possible to use longer implantation body when bone amount is minimum, thus increasing the contact surface of skeleton and implantation body, reduce the demand to vertical bone collection.The rear tooth implant tilted can be fixed in the labial teeth district jawbone that quality is higher, supports dummy better by reducing cantilever.
Existing All-on-4 Dental Implant technology, generally first bores the hole of four fixed race implant on patient's alveolar bone, replants into 4 implantation bodys, and Qian Liangke implantation body need to be substantially parallel, and Hou Liangke implantation body need to tilt 45 degree of implantation.And when Implant-supported Mandibular, implantation body needs to avoid mandible incisor, during upper jaw plantation, implantation body needs to avoid maxillary sinus, uses All-on-4 technology to carry out the patient repaired, and bone condition is all not good, and the available space of bone is minimum, and therefore, plantation required precision is high,;Owing to technical essential is too high, doctor, only by experience, has been difficult to this type of operation, and risk is high.
Therefore, prior art particularly implantation body implantation precision has yet to be improved and developed.
Summary of the invention
In view of above-mentioned the deficiencies in the prior art, it is an object of the invention to provide the manufacture method of a kind of digitized plantation guide plate and system, the implantation precision of implantation body can be improved.
Technical scheme is as follows:
The manufacture method of a kind of digitized plantation guide plate, comprises the steps:
A, patient oral cavity is scanned, obtains threedimensional model in the mouth of patient;
B, the position implanted according to threedimensional model in described mouth and Duo Ke implantation body needs, obtain the threedimensional model of deep guide plate;
C, repairing the bone plane of the alveolar bone of threedimensional model in mouth according to the threedimensional model of deep guide plate, in Shi Duoke implantation body correspondence mouth, the position of the alveolar bone of threedimensional model is in same bone plane;
D, according to finishing after mouth in threedimensional model, obtain plantation guide plate threedimensional model.
In the manufacture method of described digitized plantation guide plate, after described step D, further comprise the steps of:
E, the threedimensional model of the threedimensional model of described deep guide plate and plantation guide plate is imported in cutting apparatus or 3D printer, and produce deep guide plate by cutting apparatus or 3D printer and plant guide plate.
In the manufacture method of described digitized plantation guide plate, described step B specifically includes:
B1, threedimensional model in mouth is imported to 3D kind plant and lead in board design, obtain the threedimensional model of deep guide plate body according to threedimensional model in described mouth;
B2, on the threedimensional model of described deep guide plate body, at least two is set for installing the first fixed hole of retention pin;
B3, bone plane according to the place, multiple position needing Implant on the alveolar bone of threedimensional model in mouth, what be arranged to repair described bone plane on the threedimensional model of described deep guide plate body repaiies bone hole, thus obtains the threedimensional model of deep guide plate.
In the manufacture method of described digitized plantation guide plate, described step C specifically includes:
C1, according to the first fixed hole on the threedimensional model of described deep guide plate, the corresponding installing hole being arranged in threedimensional model install retention pin in mouth;
The bone plane of the alveolar bone of threedimensional model in C2, finishing mouth, in Shi Duoke implantation body correspondence mouth, the position of the alveolar bone of threedimensional model is in same bone plane.
In the manufacture method of described digitized plantation guide plate, described step D specifically includes:
D1, according to the bone plane of alveolar bone after threedimensional model finishing in mouth, obtain the threedimensional model of plantation guide plate;
D2, according to the installing hole of threedimensional model in mouth, the threedimensional model of plantation guide plate arranges at least two for installing the second fixed hole of retention pin.
A kind of manufacturing system of digitized plantation guide plate, including:
Scanning means, for patient oral cavity is scanned, obtains threedimensional model in the mouth of patient;
3D kind is planted and is led board design, is used for importing threedimensional model in described mouth, needs the position implanted according to threedimensional model in described mouth and Duo Ke implantation body, obtains the threedimensional model of deep guide plate;The bone plane of the alveolar bone of threedimensional model in threedimensional model finishing mouth according to deep guide plate, in Shi Duoke implantation body correspondence mouth, the position of the alveolar bone of threedimensional model is in same bone plane;According to threedimensional model in the mouth after finishing, obtain the threedimensional model of plantation guide plate.
In the manufacturing system of described digitized plantation guide plate, described manufacturing system also includes:
Cutting apparatus or 3D printer, for the threedimensional model of the threedimensional model according to described deep guide plate and plantation guide plate, make deep guide plate and plantation guide plate.
In the manufacturing system of described digitized plantation guide plate, described deep guide plate is provided with the first fixed hole for installing retention pin, is additionally provided with and repaiies bone hole for what repair described bone plane.
In the manufacturing system of described digitized plantation guide plate, described plantation guide plate is provided with the second fixed hole for installing retention pin;The position that described second fixed hole corresponds on alveolar bone is identical with the position that the first fixed hole corresponds on alveolar bone.
Beneficial effect: providing manufacture method and the system of a kind of digitized plantation guide plate in the present invention, described method includes: patient oral cavity is scanned, and obtains threedimensional model in the mouth of patient;Need the position implanted according to threedimensional model in mouth and Duo Ke implantation body, obtain the threedimensional model of deep guide plate;The bone plane of the alveolar bone of threedimensional model in threedimensional model finishing mouth according to deep guide plate, in Shi Duoke implantation body correspondence mouth, the position of the alveolar bone of threedimensional model is in same bone plane;According to threedimensional model in the mouth after finishing, obtain the threedimensional model of plantation guide plate.The position implanted is needed according to threedimensional model in mouth and Duo Ke implantation body, obtain the threedimensional model of deep guide plate, thus the alveolar bone in threedimensional model is repaired in boil on the nape opposite the mouth, make each position needing Implant in same bone plane, obtain the threedimensional model of plantation guide plate further according to threedimensional model in the mouth after finishing.Bone plane can be repaired according to deep guide plate by doctor, by planting guide plate Implant accurately, improve the implantation precision of implantation body.
Accompanying drawing explanation
Fig. 1 is the method flow diagram of the manufacture method of digitized of the present invention plantation guide plate.
Fig. 2 is in the digitized of the present invention plantation manufacture method of guide plate and system, the threedimensional model of deep guide plate or the structural representation of deep guide plate.
Fig. 3 is in manufacture method and the system that guide plate planted by digitized of the present invention, plants the threedimensional model of guide plate or the structural representation of plantation guide plate.
Fig. 4 is in manufacture method and the system that guide plate planted by digitized of the present invention, has the structural representation of the plantation guide plate in the first guide plate hole and the second guide plate hole.
Fig. 5 is the partial enlarged drawing at A place in Fig. 4.
Fig. 6 is the structured flowchart of the manufacturing system of digitized of the present invention plantation guide plate.
Detailed description of the invention
The present invention provides manufacture method and the system of a kind of digitized plantation guide plate, and for making the purpose of the present invention, technical scheme and effect clearly, clearly, the present invention is described in more detail below.Should be appreciated that specific embodiment described herein is only in order to explain the present invention, is not intended to limit the present invention.
Refer to Fig. 1, the manufacture method of digitized provided by the invention plantation guide plate, comprise the steps:
S10, patient oral cavity is scanned, obtains threedimensional model in the mouth of patient.Concrete, including:
S110, the probe on mouth interscan instrument is stretched in patient's mouth, patient's mouth inner surface is carried out Uniform Scanning, and scanning result is generated three-dimensional digital image data in mouth.Concrete, when having plaster model or silicone rubber die, scan plaster model or silicone rubber die, to obtain three-dimensional digital image data in mouth.When not making plaster model or silicone rubber die, then directly the probe on mouth interscan instrument is stretched in patient's mouth, patient's mouth inner surface is carried out Uniform Scanning, and scanning result is generated three-dimensional digital image data in mouth.
S120, obtain patient skull CBCT data.Concrete, adopt CBCT equipment from outside, patients head to be projected, obtain skull CBCT data.
The skull CBCT data that in S130, the patient's mouth obtained by mouth interscan instrument, three-dimensional digital image data and CBCT equipment obtain together import 3D kind and plant to lead and carry out data overlap and combination in board design, set up threedimensional model in mouth, the thickness of mucosa can be measured by threedimensional model in described mouth.In described mouth, namely threedimensional model contains the skeletal structure of patient skull, also contains the structure of the mucosa of patient (soft tissue), planted the measurement leading board design by 3D kind and can obtain the information such as thickness of mucosa, it is simple to doctor analyzes the scope that post-operative mucosa needs to cut.
Described 3D kind is planted guide plate design department turnkey and is drawn together 3D kind and plant guide plate design software and install described 3D kind and plant the computer of guide plate design software, in the present embodiment, it is that GuideMia3D kind plants guide plate design software that described 3D kind plants guide plate design software, other can certainly be adopted to have the design software of similar functions, and the present invention is not construed as limiting.
S20, position, the degree of depth and the angle implanted according to threedimensional model in described mouth and Duo Ke implantation body needs, obtain the threedimensional model of deep guide plate.Concrete, planted by 3D kind and lead board design design and obtain the threedimensional model of deep guide plate.When Duo Ke implantation body implanted by needs, need to the corresponding position boring that need to install implantation body on alveolar bone, but due to Duo Ke implantation body need the phatnoma bone height of installed position not necessarily identical, surface is not necessarily smooth, can strong influence borehole accuracy.The bone plane of patient's alveolar bone, by designing the threedimensional model of deep guide plate, can be repaired by the present invention, improves to the precision of implantation body's boring.Described Duo Ke implantation body, in the present embodiment, is 4 implantation bodys, it is of course also possible to be other integer implantation bodys more than 1.
Concrete, seeing also Fig. 2, described step S20 includes:
S210, threedimensional model in mouth is imported to 3D kind plant and lead in board design, obtain the threedimensional model of deep guide plate body 10 according to threedimensional model in described mouth, concrete, obtain the threedimensional model of deep guide plate body 10 according to threedimensional model design in described mouth.Owing to doctor can inform that post-operative mucosa needs the scope cut, the i.e. size of wound, therefore, described step S210 specifically includes: the situations such as the scope cut according to mucosa needs and the position of implantation body's implantation, the degree of depth, angle, design obtains the threedimensional model of deep guide plate body 10.
S220, on the threedimensional model of described deep guide plate body 10, at least two is set for installing the first fixed hole 220 of retention pin.In the present embodiment, described deep guide plate body 10 is provided with three the first fixed holes 220.
S230, bone plane according to the place, multiple position needing Implant on the alveolar bone of threedimensional model in mouth, what be arranged to repair described bone plane on the threedimensional model of described deep guide plate body 10 repaiies bone hole 230, thus obtains the threedimensional model of deep guide plate.Described bone hole 230 of repairing is for exposing the bone plane needing finishing, it is simple to doctor repairs.
S30, planting in 3D kind and lead in board design, repair the bone plane of the alveolar bone of threedimensional model in mouth according to the threedimensional model of deep guide plate, in Shi Duoke implantation body correspondence mouth, the position of the alveolar bone of threedimensional model is in same bone plane.
Concrete, described step S30 includes:
S310, plant in 3D kind and lead in board design, according to the first fixed hole 220 on the threedimensional model of described deep guide plate, the corresponding installing hole being arranged in threedimensional model install retention pin in mouth.On the alveolar bone that described installing hole is arranged in mouth threedimensional model.
The bone plane of the alveolar bone of threedimensional model in S320, finishing mouth, in Shi Duoke implantation body correspondence mouth, the position of the alveolar bone of threedimensional model is in same bone plane.
See also Fig. 3, S40, according to finishing after mouth in threedimensional model, planted by 3D kind lead board design design plantation guide plate threedimensional model.
S410, according to the bone plane of alveolar bone after threedimensional model finishing in mouth, obtain the threedimensional model of plantation guide plate, concrete, plant in 3D kind and lead design in board design and obtain the threedimensional model of plantation guide plate.
S420, according to the installing hole of threedimensional model in mouth, the threedimensional model of plantation guide plate arranges at least two for installing the second fixed hole 320 of retention pin.The threedimensional model of described plantation guide plate includes plantation guide plate body 310, and described second fixed hole 320 is arranged on the lateral wall of plantation guide plate body 310, and described plantation guide plate body 310 is provided with multiple guide plate hole 330 for holing.The position that described second fixed hole 320 corresponds on alveolar bone is identical with the position that the first fixed hole 220 corresponds on alveolar bone, in other words, second fixed hole 320 and the corresponding same installing hole of the first fixed hole 220, so, deep guide plate and plantation guide plate adopt same installing hole to install retention pin, without repeating boring, decrease the wound of patient.
S430, mouth opening according to patient, arrange on described guide plate hole 330 and enter into the breach in guide plate hole 330 for operating theater instruments, in order to reduces mouth opening.
It follows that the manufacture method of digitized provided by the invention plantation guide plate, lead, by planting in 3D kind, the implantation process simulating implantation body in board design, improve precision during practical operation.And, design the threedimensional model of deep guide plate, alveolar bone is repaired by simulation, make each position needing Implant in same bone plane, according to finishing after mouth in threedimensional model design plantation guide plate threedimensional model, bone plane can be repaired by doctor according to deep guide plate, by planting guide plate Implant accurately.
S50, the threedimensional model of the threedimensional model of described deep guide plate and plantation guide plate is imported in cutting apparatus or 3D printer, and produce deep guide plate by cutting apparatus or 3D printer and plant guide plate.
Namely Fig. 2 and Fig. 3 represents the threedimensional model of deep guide plate and the threedimensional model of plantation guide plate, represents again the deep guide plate made according to described threedimensional model and plantation guide plate, because both shape and structures are identical, therefore adopts same figure to represent the material object of threedimensional model and its correspondence.
In sum, the present invention is planted by 3D kind and leads board design, designs the threedimensional model of deep guide plate and the threedimensional model of plantation guide plate, is made with cutting apparatus or 3D printer.By the deep guide plate made, doctor can pass through three the first fixed holes 220 and hole (installing hole) on the alveolar bone of patient, retention pin is arranged in the installing hole of alveolar bone through the first fixed hole 220 on deep guide plate, thus deep guide plate is fixed on patient's alveolar bone, and then can pass through to repair the bone hole 230 bone plane to alveolar bone and repair, to guarantee that 4 implantation bodys are in same bone plane, it is ensured that 4 implantation body's stress equalizations, thus improve the implantation precision of implantation body.Same, by the plantation guide plate made and preoperative safety analysis, ensure that implantation body implants stability, guide implantation body accurately to implant planting guide plate, it is ensured that labial teeth Liang Ke implantation body is substantially parallel, backteeth Liang Ke implantation body can be implanted to desired location by safety and precise, time is fast, high safety, and efficiency is high, Immediate prosthesis body is provided simultaneously, completes full mouth and at once bear a heavy burden.
Referring to Fig. 4 (for ease of understanding, the plantation guide plate shown in Fig. 4 is different from shown in Fig. 3), described plantation guide plate body 310 and alveolar bone or mucosal contact are with positioning operation position.Described guide plate hole 330 includes the first guide plate hole 331 and the second guide plate hole 332.Being additionally provided with on described plantation guide plate body 310 and enter into the breach 3310 in the first guide plate hole 331 for operating theater instruments 40, described breach 3310 connects with the side in described first guide plate hole 331.That is, a breach is corresponding with a first guide plate hole 331.The hole that operating theater instruments 40 is bored by described first guide plate hole 331 is used for installing implantation body's (not shown).
In other words, described breach 3310 is the passage extended to form toward the side planting guide plate body 310 in the side in the first guide plate hole 331.By arranging breach 3310 in the side in the first guide plate hole 331 so that operating theater instruments 40 can enter the first guide plate hole 331 from described breach 3310, it is not necessary to enter from the top in the first guide plate hole 331, effectively reduce the mouth opening of patient.
Certainly, the hole bored by described second guide plate hole 332 can also be used for installing implantation body.Described second guide plate hole 332 and the first guide plate hole 331 are distinctive in that: the breach 3310 that described second guide plate hole 332 does not communicate therewith.Described first guide plate hole 331 is all corresponding with the position that implantation body implants with the second guide plate hole 332.Which that is, in position need to plant tooth just arranges guide plate hole (first guide plate hole 331 or the second guide plate hole 332) in which position of plantation guide plate body 310 correspondence, it is simple to the location of boring during surgical.Described implantation body is arranged in the hole bored by operating theater instruments 40, is the formation of an artificial tooth in implantation body after arranging corona.Therefore, implantation body is corresponding with the position of the tooth of patient's defect.
Described plantation guide plate, it is possible to only comprise the first guide plate hole 331, it is possible to simultaneously comprise the second guide plate hole 332, depending on patient's mouth opening.When patient's mouth opening is less, labial teeth (includes positive incisor, lateral incisor and conoides) position the second guide plate hole 332 is set may result in operating theater instruments 40 and cannot be introduced into, then plantation guide plate all arranges the first guide plate hole 331, namely the side in each guide plate hole all connects a breach 3310, it is simple to operation.If the mouth opening of patient's only labial teeth is little, then arranging the first guide plate hole 331 in the position of backteeth (tooth except labial teeth such as bicuspid, is ground one's teeth in sleep), the first guide plate hole 331 connects with breach 3310, and labial teeth position arranges the first guide plate hole 331 or the second guide plate hole 332.
Due to, the opening degree at patient's labial teeth place is relatively big, and the opening degree at backteeth place is less.Therefore, in the present embodiment, described first guide plate hole 331 is corresponding with the position that rear tooth implant is implanted.Described rear tooth implant refers to the implantation body corresponding with backteeth position, and in other words, described first guide plate hole 331 is arranged on the position corresponding with backteeth.
Further, described breach 3310 is arranged on described plantation guide plate body 310 near the side of oral cavity wall, and in other words, the direction of described breach 3310 is towards the oral cavity wall adjacent with the first guide plate hole 331 that described breach 3310 connects.During due to operation, patient is the state dehisced of lying on the back, doctor with fixture by patient's oral cavity expanding, owing to breach 3310 is arranged on described plantation guide plate body 310 near the side of oral cavity wall, make the space (being strutted by fixture) that operating theater instruments 40 can only be placed between oral cavity wall and plantation guide plate by doctor, and put in the first guide plate hole 331 (as shown in Fig. 3 solid arrow) along described breach 3310;Without operating theater instruments 40 is put into the first guide plate hole 331 above tongue, effectively avoid operating theater instruments 40 and drop to the risk in patient's throat, improve the safety of operation.
The top in each first guide plate hole 331 is both provided with the location plane 3311 for the keyhole degree of depth.Corresponding, described operating theater instruments 40 is provided with protruding 410.Described operating theater instruments 40 is car pin or drill point, is used for holing.The degree of depth (highly) in described first guide plate hole 331 is determined according to the distance arrived bottom described operating theater instruments 40 between protruding 410, drilling depth.Therefore, after plantation guide plate designs and produces, operating theater instruments 40 only need to be put into the first guide plate hole 331 internal drilling by doctor, get into protruding 410 with position plane 3311 contact time, illustrate that boring completes, greatly simplify the operation of operation, improve precision and the safety of operation.The setting of location plane 3311, effectively avoids boring drilled excessively deep, improves the precision of operation.
Seeing also Fig. 5, the height H of described breach 3310 is 4-5mm, it is preferred to 4.5mm.This sample car pin can enter from the lateral location of 4-5 millimeter below the first guide plate hole 331, effective reduction 4-5 millimeter of mouth opening, is conducive to the patient to mouth opening is too small to perform the operation.Preferably, the bottom of described breach 3310 is concordant with the gingiva of the first guide plate hole 331 correspondence position.So, both ensured the structural strength of plantation guide plate body 310 to greatest extent, reduced again mouth opening to greatest extent.
Further, the width of described breach 3310, more than the diameter of operating theater instruments 40, so can ensure that operating theater instruments 40 enters smoothly.In first guide plate hole 331.The width L of described breach 3310 is less than the radius in the first guide plate hole 331 at this breach place.
Further, the width L of described breach 3310 is 2-4.5mm, it is preferred to 3.5mm.The diameter in described first guide plate hole is 3-6mm, it is preferred to 4mm.
Described first guide plate hole 331 can directly be opened on described plantation guide plate body 310, also can be as shown in Figure 5, it is arranged on cylinder base station 50, namely, plantation guide plate body 310 arranges cylinder base station 50, offering a first guide plate hole 331 in cylinder base station 50, described first guide plate hole 331 is through hole.The cylinder base station 50 hollow by this and plantation guide plate body 310 cut away a part, are the formation of described breach 3310, and operating theater instruments 40 just can enter from breach 3310.
Described plantation guide plate adopts transparent material to make, concrete, for PMMA(polymethyl methacrylate) plantation guide plate that material is made, transparent plantation guide plate is conducive to doctor to carry out holing and performing the operation.It is of course also possible to adopt PEEK(polyether-ether-ketone) the plantation guide plate made of material.The present invention is not construed as limiting.
If described plantation guide plate body the 310, first guide plate hole 331 and the second guide plate hole 332(have) by the printing integrated molding of 3D.
In other embodiments, described plantation guide plate, breach 3310 direction of first guide plate hole 331 connection corresponding with Anterior Implant body is outside oral cavity.In other words, when described first guide plate hole 331 is arranged on the position of labial teeth, breach 3310 direction communicated therewith is outside oral cavity, i.e. towards lip direction, it is simple to operating theater instruments 40 enters.
Manufacture method based on the digitized plantation guide plate that above-described embodiment provides, the present invention also provides for the manufacturing system of a kind of digitized plantation guide plate, as shown in Figure 6, the manufacturing system of described digitized plantation guide plate includes scanning means 10,3D kind is planted and led board design 20 and cutting apparatus or 3D printer 30.
Described scanning means 10, for patient oral cavity is scanned, obtains threedimensional model in the mouth of patient.Concrete, described scanning means 10 includes mouthful interscan instrument and CBCT equipment.
Described mouth interscan instrument, is used for obtaining three-dimensional digital image in patient's mouth.The present invention then adopts authentic color mouth interscan technology, it is preferably Denmark's 3ShapeTrios scanner, use small probe to stretch in patient oral cavity and carry out Uniform Scanning along the corona bridge work surface of patient, truth in mouth can be scanned quickly and accurately, clearly can differentiate the color of gingiva and tooth accurately, provide convenient and reliable effective approach for inquiring in real time of the state of an illness between doctors and patients.
Described CBCT equipment, for obtaining the skull CBCT data of patient, in order to obtain hard and soft tissue three-dimensional oral cavity image in patient's mouth.Above-mentioned mouth interscan instrument is only the mode adopting the mode of digitized delivery to instead of traditional silicon rubber delivery, and when digitized manufacturing system plants the three-dimensional module of guide plate, not only need three-dimensional digital image in patient's mouth, also need to hard and soft tissue three-dimensional oral cavity image in patient's mouth simultaneously, because three-dimensional digital image is only capable of reflection outlet inside and outside shape profile, three-dimensional oral cavity image then can clearly be projected out the positional information of internally positioned alveolar bone and neurocele.
Described 3D kind is planted and is led board design 20, the skull CBCT data of the patient obtained for three-dimensional digital image data in patient's mouth of being obtained by mouth interscan instrument and CBCT equipment carry out data overlap and combination, to set up threedimensional model in mouth, the thickness of mucosa can be measured by threedimensional model in described mouth;Import threedimensional model in described mouth, need position, the degree of depth and the angle implanted according to threedimensional model in described mouth and Duo Ke implantation body, obtain the threedimensional model of (being specially design to obtain) deep guide plate;The bone plane of the alveolar bone of threedimensional model in threedimensional model finishing mouth according to deep guide plate, in Shi Duoke implantation body correspondence mouth, the position of the alveolar bone of threedimensional model is in same bone plane;According to threedimensional model in the mouth after finishing, obtain the threedimensional model of (being specially design to obtain) plantation guide plate.Described 3D kind is planted guide plate design department turnkey and is drawn together 3D kind and plant guide plate design software, in the present embodiment, plants guide plate design software for GuideMia3D kind, naturally it is also possible to adopting other to have the design software of similar functions, the present invention is not construed as limiting.In described mouth, namely threedimensional model contains the skeletal structure of patient skull, also contains the structure of the mucosa of patient (soft tissue), planted the measurement leading board design by 3D kind and can obtain the information such as thickness of mucosa, it is simple to doctor analyzes the scope that post-operative mucosa needs to cut.
Seeing also Fig. 2, described 3D kind is planted and is led board design 20 for importing threedimensional model in described mouth, needs the position implanted according to threedimensional model in described mouth and Duo Ke implantation body, obtains the threedimensional model of deep guide plate.It is specially, described 3D kind is planted and is led board design 20 and threedimensional model in mouth imports to 3D kind plant and lead in board design, the situations such as the scope cut according to mucosa needs and the position of implantation body's implantation, the degree of depth, angle, obtain the threedimensional model of (being specially design to obtain) deep guide plate body 10;On the threedimensional model of described deep guide plate body 10, at least two is set for installing the first fixed hole 220 of retention pin;Bone plane according to the place, multiple position needing Implant on the alveolar bone of threedimensional model in mouth, what be arranged to repair described bone plane on the threedimensional model of described deep guide plate body 10 repaiies bone hole 230, thus obtains the threedimensional model of deep guide plate.
Described 3D kind is planted and is led board design 20 for the bone plane of the alveolar bone of threedimensional model in the threedimensional model finishing mouth according to deep guide plate, and in Shi Duoke implantation body correspondence mouth, the position of the alveolar bone of threedimensional model is in same bone plane.Specifically, described 3D kind is planted and led board design 20 and plant in 3D kind and lead in board design, according to the first fixed hole 220 on the threedimensional model of described deep guide plate, the corresponding installing hole being arranged in threedimensional model install retention pin in mouth;The bone plane of the alveolar bone of threedimensional model in finishing mouth, in Shi Duoke implantation body correspondence mouth, the position of the alveolar bone of threedimensional model is in same bone plane.
Seeing also Fig. 3, described 3D kind is planted and is led board design 20 for according to threedimensional model in the mouth after finishing, obtaining the threedimensional model of (design obtains) plantation guide plate.Particularly as follows: described 3D kind plants the bone plane leading board design 20 according to the alveolar bone after threedimensional model finishing in mouth, plant to lead in 3D kind and board design designs the threedimensional model obtaining plantation guide plate;According to the installing hole of threedimensional model in mouth, the threedimensional model of plantation guide plate arranges at least two for installing the second fixed hole 320 of retention pin.The threedimensional model of described plantation guide plate includes plantation guide plate body 310, and described second fixed hole 320 is arranged on the lateral wall of plantation guide plate body 310, and described plantation guide plate body 310 is provided with multiple guide plate hole 330 for holing.The position that described second fixed hole 320 corresponds on alveolar bone is identical with the position that the first fixed hole 220 corresponds on alveolar bone, in other words, second fixed hole 320 and the corresponding same installing hole of the first fixed hole 220, so, deep guide plate and plantation guide plate adopt same installing hole to install retention pin, without repeating boring, decrease the wound of patient.
Described 3D kind is planted and is led board design 20 and be additionally operable to the mouth opening according to patient, arranges and enter into the breach in guide plate hole 330 for operating theater instruments on described guide plate hole 330, in order to reduce mouth opening.
It follows that the manufacturing system of digitized provided by the invention plantation guide plate, lead, by planting in 3D kind, the implantation process simulating implantation body in board design, improve precision during practical operation.And, design the threedimensional model of deep guide plate, alveolar bone is repaired by simulation, make each position needing Implant in same bone plane, according to finishing after mouth in threedimensional model design plantation guide plate threedimensional model, bone plane can be repaired by doctor according to deep guide plate, by planting guide plate Implant accurately.
Described cutting apparatus or 3D printer, for the threedimensional model of the threedimensional model according to described deep guide plate and plantation guide plate, make deep guide plate and plantation guide plate.In the present embodiment, 3D printer is adopted to make deep guide plate and plantation guide plate.The deep guide plate made by 3D printer and plantation guide plate, be integrated, not only attractive in appearance but also sound construction, and without corner angle, process time is short.
As in figure 2 it is shown, described deep guide plate is provided with the first fixed hole 220 for installing retention pin, it is additionally provided with and repaiies bone hole 230 for what repair described bone plane.In the present embodiment, described deep guide plate body 10 is provided with three the first fixed holes 220.Described bone hole 230 of repairing is for exposing the bone plane needing finishing, it is simple to doctor repairs.
As it is shown on figure 3, described plantation guide plate is provided with the second fixed hole 320 for installing retention pin;The position that described second fixed hole 320 corresponds on alveolar bone is identical with the position that the first fixed hole 220 corresponds on alveolar bone, in other words, second fixed hole 320 and the corresponding same installing hole of the first fixed hole 220, so, deep guide plate and plantation guide plate adopt same installing hole to install retention pin, without repeating boring, decrease the wound of patient.Described plantation guide plate includes plantation guide plate body 310, and described second fixed hole 320 is arranged on the lateral wall of plantation guide plate body 310, and described plantation guide plate body 310 is provided with multiple guide plate hole 330 for holing.
As shown in Figure 4, in the present embodiment, described guide plate hole 330 includes the first guide plate hole 331 and the second guide plate hole 332, owing to the structure of described plantation guide plate and the feature of less patient's opening degree elaborate in the above-described embodiments, does not repeat them here.
In sum, the present invention is planted by 3D kind and leads board design, designs the threedimensional model of deep guide plate and the threedimensional model of plantation guide plate, is made with 3D printer.By the deep guide plate made, doctor can pass through three the first fixed holes 220 and hole (installing hole) on the alveolar bone of patient, retention pin is arranged in the installing hole of alveolar bone through the first fixed hole 220 on deep guide plate, thus deep guide plate is fixed on patient's alveolar bone, and then can pass through to repair the bone hole 230 bone plane to alveolar bone and repair, to guarantee that 4 implantation bodys are in same bone plane, it is ensured that 4 implantation body's stress equalizations, thus improve the implantation precision of implantation body.Same, by the plantation guide plate made and preoperative safety analysis, ensure that implantation body implants stability, guide implantation body accurately to implant planting guide plate, it is ensured that labial teeth Liang Ke implantation body is substantially parallel, backteeth Liang Ke implantation body can be implanted to desired location by safety and precise, time is fast, high safety, and efficiency is high, Immediate prosthesis body is provided simultaneously, completes full mouth and at once bear a heavy burden.
It should be appreciated that the application of the present invention is not limited to above-mentioned citing, for those of ordinary skills, it is possible to improved according to the above description or convert, all these improve and convert the protection domain that all should belong to claims of the present invention.

Claims (9)

1. the manufacture method of a digitized plantation guide plate, it is characterised in that comprise the steps:
A, patient oral cavity is scanned, obtains threedimensional model in the mouth of patient;
B, the position implanted according to threedimensional model in described mouth and Duo Ke implantation body needs, obtain the threedimensional model of deep guide plate;
C, repairing the bone plane of the alveolar bone of threedimensional model in mouth according to the threedimensional model of deep guide plate, in Shi Duoke implantation body correspondence mouth, the position of the alveolar bone of threedimensional model is in same bone plane;
D, according to finishing after mouth in threedimensional model, obtain plantation guide plate threedimensional model.
2. the manufacture method of guide plate planted by digitized according to claim 1, it is characterised in that after described step D, further comprise the steps of:
E, the threedimensional model of the threedimensional model of described deep guide plate and plantation guide plate is imported in cutting apparatus or 3D printer, and produce deep guide plate by cutting apparatus or 3D printer and plant guide plate.
3. the manufacture method of guide plate planted by digitized according to claim 1, it is characterised in that described step B specifically includes:
B1, threedimensional model in mouth is imported to 3D kind plant and lead in board design, obtain the threedimensional model of deep guide plate body according to threedimensional model in described mouth;
B2, on the threedimensional model of described deep guide plate body, at least two is set for installing the first fixed hole of retention pin;
B3, bone plane according to the place, multiple position needing Implant on the alveolar bone of threedimensional model in mouth, what be arranged to repair described bone plane on the threedimensional model of described deep guide plate body repaiies bone hole, thus obtains the threedimensional model of deep guide plate.
4. the manufacture method of guide plate planted by digitized according to claim 3, it is characterised in that described step C specifically includes:
C1, according to the first fixed hole on the threedimensional model of described deep guide plate, the corresponding installing hole being arranged in threedimensional model install retention pin in mouth;
The bone plane of the alveolar bone of threedimensional model in C2, finishing mouth, in Shi Duoke implantation body correspondence mouth, the position of the alveolar bone of threedimensional model is in same bone plane.
5. the manufacture method of guide plate planted by digitized according to claim 4, it is characterised in that described step D specifically includes:
D1, according to the bone plane of alveolar bone after threedimensional model finishing in mouth, obtain the threedimensional model of plantation guide plate;
D2, according to the installing hole of threedimensional model in mouth, the threedimensional model of plantation guide plate arranges at least two for installing the second fixed hole of retention pin.
6. the manufacturing system of a digitized plantation guide plate, it is characterised in that including:
Scanning means, for patient oral cavity is scanned, obtains threedimensional model in the mouth of patient;
3D kind is planted and is led board design, is used for importing threedimensional model in described mouth, needs the position implanted according to threedimensional model in described mouth and Duo Ke implantation body, obtains the threedimensional model of deep guide plate;The bone plane of the alveolar bone of threedimensional model in threedimensional model finishing mouth according to deep guide plate, in Shi Duoke implantation body correspondence mouth, the position of the alveolar bone of threedimensional model is in same bone plane;According to threedimensional model in the mouth after finishing, obtain the threedimensional model of plantation guide plate.
7. the manufacturing system of guide plate planted by digitized according to claim 6, it is characterised in that described manufacturing system also includes:
Cutting apparatus or 3D printer, for the threedimensional model of the threedimensional model according to described deep guide plate and plantation guide plate, make deep guide plate and plantation guide plate.
8. the manufacturing system of digitized plantation guide plate according to claim 7, it is characterised in that be provided with the first fixed hole for installing retention pin on described deep guide plate, be additionally provided with and repair bone hole for what repair described bone plane.
9. the manufacturing system of guide plate planted by digitized according to claim 8, it is characterised in that be provided with the second fixed hole for installing retention pin on described plantation guide plate;The position that described second fixed hole corresponds on alveolar bone is identical with the position that the first fixed hole corresponds on alveolar bone.
CN201610054295.XA 2016-01-27 2016-01-27 Manufacturing method and system of digital implantation guide plate Pending CN105708569A (en)

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