CN105769362A - Guide unit for 3D printing for dental implant and integral reconstruction of lower jawbone - Google Patents

Guide unit for 3D printing for dental implant and integral reconstruction of lower jawbone Download PDF

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Publication number
CN105769362A
CN105769362A CN201610270251.0A CN201610270251A CN105769362A CN 105769362 A CN105769362 A CN 105769362A CN 201610270251 A CN201610270251 A CN 201610270251A CN 105769362 A CN105769362 A CN 105769362A
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China
Prior art keywords
bone
bone graft
guide
plate
lower jaw
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Granted
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CN201610270251.0A
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Chinese (zh)
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CN105769362B (en
Inventor
李劲松
张汉卿
范松
王友元
林钊宇
李群星
陈伟雄
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Sun Yat Sen Memorial Hospital Sun Yat Sen University
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Sun Yat Sen Memorial Hospital Sun Yat Sen University
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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
    • BPERFORMING OPERATIONS; TRANSPORTING
    • B33ADDITIVE MANUFACTURING TECHNOLOGY
    • B33YADDITIVE MANUFACTURING, i.e. MANUFACTURING OF THREE-DIMENSIONAL [3-D] OBJECTS BY ADDITIVE DEPOSITION, ADDITIVE AGGLOMERATION OR ADDITIVE LAYERING, e.g. BY 3-D PRINTING, STEREOLITHOGRAPHY OR SELECTIVE LASER SINTERING
    • B33Y30/00Apparatus for additive manufacturing; Details thereof or accessories therefor
    • BPERFORMING OPERATIONS; TRANSPORTING
    • B33ADDITIVE MANUFACTURING TECHNOLOGY
    • B33YADDITIVE MANUFACTURING, i.e. MANUFACTURING OF THREE-DIMENSIONAL [3-D] OBJECTS BY ADDITIVE DEPOSITION, ADDITIVE AGGLOMERATION OR ADDITIVE LAYERING, e.g. BY 3-D PRINTING, STEREOLITHOGRAPHY OR SELECTIVE LASER SINTERING
    • B33Y40/00Auxiliary operations or equipment, e.g. for material handling

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  • Health & Medical Sciences (AREA)
  • Chemical & Material Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Manufacturing & Machinery (AREA)
  • Materials Engineering (AREA)
  • Epidemiology (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Dentistry (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Dental Prosthetics (AREA)
  • Prostheses (AREA)

Abstract

The invention provides a guide unit for 3D printing for dental implant and integral reconstruction of the lower jawbone. The guide unit comprises a bone graft guide plate, a base with dental implant guide holes, a first lower jawbone fixing plate and a second lower jawbone fixing plate. A guide track of the bone graft guide plate and an extending track of the bone graft are consistent in matching. The bone graft guide plate is provided with a plurality of bone graft fixing holes used for connection of the bone graft. The base with dental implant guide holes is arranged on the upper side of the bone graft guide plate, openings of the dental implant guide holes are opposite to the bone graft. The first lower jawbone fixing plate and the second lower jawbone fixing plate are respectively connected to two ends of the bone graft guide plate, are provided with internal side surfaces fitting the surfaces of the corresponding lower jawbone, and are provided with a plurality of lower jawbone fixing holes used for connection of the lower jawbone. With application of the guide unit, lower jawbone reconstruction operation is guided by the bone graft guide plate, while part of operations for dental implanting, such as preparation of implant holes and implanting of implants, are assisted by the bone graft guide plate, and accordingly operation accuracy and success rate are both increased greatly.

Description

Guide for the 3D printing that Dental implantion and mandibular bone integration are rebuild
Technical field
The present invention relates to medical instruments field, particularly for the guide of the 3D printing that Dental implantion and mandibular bone integration are rebuild.
Background technology
Tumor invading, inflammation, wound and radiotherapy are the main causes causing jawbone to destroy, operative treatment usually needs excision bulk jawbone, necessarily cause patient facial region's external defects and the forfeiture of occlusion masticatory function, this is accomplished by superior reconstruction technology, intercepting the nonweight-bearing one section of fibula of autologous shank, fashioning into the shape similarity metric jawbone of jawbone is most currently used means.
But, colleague is primarily focused in the form of reconstruction of jaw more both at home and abroad at present, and namely the outward appearance recovery aspect of patient, but ignores the recovery of the occlusion masticatory function of patient, and the occlusion bad Quality of Life to patient of masticatory function is bigger in fact.A large amount of reconstruction of jaw cases that we complete in early days, have recovered patient's outward appearance, the difficulty but the most of patients later stage has a denture made smoothly, have impact on the recovery of occlusion masticatory function.The fibula transplanted carries out the reparation of removable denture, often maintenance is poor, masticatory efficiency is low, and Dental Implant maintenance is good, it is the most ideal style recovering meshing functions, is conducive to having a denture made, particularly being conducive to the reconstruction of jaw scheme of Dental Implant is pursuing a goal of Oral and Maxillofacial Surgery and Prosthodontics doctor, but often because the deficient accuracy of reconstruction of jaw position and deficient reasonability, or implantation body's implant angle or the degree of depth not good enough, cause that Most patients loses Dental Implant chance.So being badly in need of a kind of guide having and guiding Dental implantion and mandible reconstruction function, it can be ensured that while fibula is precisely transplanted, implantation hole preparation and implantation body is guided to implant.
Summary of the invention
The technical problem to be solved is in that, a kind of 3D rebuild for Dental implantion and mandibular bone integration guide printed is provided, while the operation of bone graft guided plate reconstruction of jaw under the guidance can be made, auxiliary Dental implantion part operation, as implantation hole preparation, implantation body implant, it is greatly improved operation precision and success rate.
nullIn order to solve above-mentioned technical problem,Present invention provide for the 3D of Dental implantion and the mandibular bone integration reconstruction guide printed,Described guide includes bone graft guided plate、Dental implantion bullport seat、First lower jaw bone fixation plate and the second lower jaw bone fixation plate,The guide tracks of described bone graft guided plate extends track with bone graft and coordinates consistent,Described bone graft guided plate offers some bone graft fixing holes for connecting bone graft,Described Dental implantion bullport seat is arranged at the upside of described bone graft guided plate and its aperture is relative with bone graft,Described first lower jaw bone fixation plate and the second lower jaw bone fixation plate are connected to the two ends of described bone graft guided plate and are provided with and the medial surface of corresponding mandibular bone surface of bone laminating,Described first lower jaw bone fixation plate and the second lower jaw bone fixation plate are equipped with some mandibular bone fixing holes for connecting mandibular bone.
As preferred scheme, the upside of described bone graft guided plate extends the first buckling parts held on the upside of oriented bone graft.
As preferred scheme, described Dental implantion bullport seat is arranged on described first buckling parts.
As preferred scheme, the downside of described bone graft guided plate extends the second buckling parts held on the downside of oriented bone graft.
As preferred scheme, the downside of described first lower jaw bone fixation plate extends the 3rd buckling parts that oriented chin subordinate's edge holds, and the upside of described first lower jaw bone fixation plate is provided with the 4th buckling parts fastened with tooth and teeth space.
As preferred scheme, the downside of described second lower jaw bone fixation plate is extended with the 5th buckling parts held to angle of mandible.
As preferred scheme, the central axis in the hole of described Dental implantion bullport seat is in bone graft surface of bone.
As preferred scheme, described bone graft guided plate is provided with the titanium plate locating slot extended along bone graft track.
As preferred scheme, described titanium plate locating slot offers and some is available for whole screw through through hole titanium plate and bone graft linked together.
As preferred scheme, described bone graft guided plate, Dental implantion bullport seat, the first lower jaw bone fixation plate and the second lower jaw bone fixation plate adopt the printing integrated molding of 3D.
Implement a kind of 3D rebuild for Dental implantion and mandibular bone integration of present invention guide printed, compared with prior art, have the advantages that
The present invention adopts and collects Dental implantion and mandible reconstruction in integral structure, by designing Dental implantion bullport seat on bone graft guided plate, while the operation of bone graft guided plate reconstruction of jaw under the guidance can be made, auxiliary Dental implantion part operation, as implantation hole preparation, implantation body implant, it is greatly improved operation precision and success rate.
Accompanying drawing explanation
In order to be illustrated more clearly that the technical scheme of the embodiment of the present invention, the accompanying drawing of embodiment will be briefly described below.
Fig. 1 is the guide of the present invention outer side view when being connected with mandibular bone;
Fig. 2 is the inner side view of guide.
Detailed description of the invention
Below in conjunction with the accompanying drawing in the embodiment of the present invention, the technical scheme in the embodiment of the present invention is clearly and completely described, it is clear that described embodiment is only a part of embodiment of the present invention, rather than whole embodiments.Based on the embodiment in the present invention, the every other embodiment that those of ordinary skill in the art obtain under not making creative work premise, broadly fall into the scope of protection of the invention.
nullAs depicted in figs. 1 and 2,The preferred embodiments of the present invention,The guide that a kind of 3D rebuild for Dental implantion and mandibular bone integration prints,It includes bone graft guided plate 1、Dental implantion bullport seat 2、First lower jaw bone fixation plate 3a and the second lower jaw bone fixation plate 3b,The guide tracks of described bone graft guided plate 1 extends track with bone graft and coordinates consistent,Described bone graft guided plate 1 offers some bone graft fixing holes 11 for connecting bone graft,Described Dental implantion bullport seat 2 is arranged at the upside of described bone graft guided plate 1 and its aperture is relative with bone graft,Described first lower jaw bone fixation plate 3a and the second lower jaw bone fixation plate 3b is connected to the two ends of described bone graft guided plate 1 and is provided with and the medial surface of corresponding mandibular bone 4 surface of bone laminating,Described first lower jaw bone fixation plate 3a and the second lower jaw bone fixation plate 3b is equipped with some mandibular bone fixing holes 31 for connecting mandibular bone 4.
In the present embodiment, obtain the head mathematical model of patient by CBCT or CT scan, set up Three-dimensional model by software three-dimensional reconstruction.Computer software is used to formulate operation plan on 3-dimensional digital skull model and draw the profile of bone graft guided plate 1, Dental implantion bullport seat the 2, first lower jaw bone fixation plate 3a and the second lower jaw bone fixation plate 3b, and adopt the non-toxic material such as resin, plastics by 3D printing shaping fabrication techniques all-in-one-piece bone graft guided plate 1, Dental implantion bullport seat the 2, first lower jaw bone fixation plate 3a and the second lower jaw bone fixation plate 3b, make so that it is guaranteed that complete complicated accurate per-sonalization structures.Bone graft guided plate 1 extends track form generating according to virtual bone graft, bone graft fixing hole 11 on bone graft guided plate 1 is corresponding with the screwed hole on bone graft, bone graft is screwed on bone graft guided plate 1, it is matched unanimously that the guide tracks thus utilizing bone graft guided plate 1 makes bone graft extend track, it is ensured that bone graft is accurately positioned and fixing.The upside of bone graft guided plate 1 extends the first buckling parts 12 held on the upside of oriented bone graft, Dental implantion bullport seat 2 is arranged on the first buckling parts 12, Dental implantion bullport seat 2 can be caused on the upside of bone graft by this first buckling parts 12, the aperture making Dental implantion bullport seat 2 is relative with bone graft top surface of bone, to guarantee the optimum position of implantation body's implantable graft bone center of top.Mandibular bone fixing hole 31 on first lower jaw bone fixation plate 3a and the second lower jaw bone fixation plate 3b is corresponding with the screwed hole on mandibular bone 4, first lower jaw bone fixation plate 3a and the second lower jaw bone fixation plate 3b is fixed on mandibular bone 4 respectively through screw, so that it is guaranteed that bone graft guided plate 1 accurate positioning be fixed on desired location.Visible, the present invention adopts and collects Dental implantion and mandible reconstruction in integral structure, by designing Dental implantion bullport seat 2 on bone graft guided plate 1, while the operation of bone graft guided plate 1 reconstruction of jaw under the guidance can be made, auxiliary Dental implantion part operation, as implantation hole preparation, implantation body implant, it is greatly improved operation precision and success rate.
More preferably, the downside of described bone graft guided plate 1 extends the second buckling parts 13 held on the downside of oriented bone graft, by the combination of the first buckling parts 12 and the second buckling parts 13, make bone graft guided plate 1 form Semi surrounding type structure and surround bone graft, facilitate bone graft location and fixing.
More preferably, the downside of described first lower jaw bone fixation plate 3a extends the 3rd buckling parts 32 that oriented chin subordinate's edge holds, the upside of described first lower jaw bone fixation plate 3a is provided with the 4th buckling parts 33 fastened with tooth and teeth space, patient's chin portion's sclerotin and dental area so that the first lower jaw bone fixation plate 3a fits completely, make bone graft guided plate 1 and strong side, front portion mandibular bone 4 accurate match, guarantee that bone graft guided plate 1 is accurately in place, reduce operation technique error.
More preferably, the downside of described second lower jaw bone fixation plate 3b is extended with the 5th buckling parts 34 held to angle of mandible, patient's angle of mandible position sclerotin so that the second lower jaw bone fixation plate 3b fits completely, make bone graft guided plate 1 and strong side, rear portion mandibular bone 4 ascending branch accurate match, guarantee that bone graft guided plate 1 is accurately in place, reduce operation technique error.
More preferably, the central axis in the hole 21 of described Dental implantion bullport seat 2, in bone graft surface of bone, so that the gmatjpdumamics of implantation body is along implantation body's major axis transmission, provides good fixing foundation for kind of tooth.
More preferably, described bone graft guided plate 1 is provided with the titanium plate locating slot 14 extended along bone graft track, makes interior fixing titanium framework (i.e. titanium plate) be located in desired location and bone graft surface of bone of fitting completely, it is ensured that bone collection is accurately implemented.
More preferably, described titanium plate locating slot 14 offers some it is available for whole screw through the through hole 15 titanium plate and bone graft linked together.When removing guide, retain the screw on this lead to the hole site, to keep the connection between titanium plate and bone graft, and unclamp the screw on bone graft fixing hole 11 and mandibular bone fixing hole 31 position and dismountable guide.
Above disclosed it is only presently preferred embodiments of the present invention, certainly can not limit the interest field of the present invention, the equivalent variations therefore made according to the present patent application the scope of the claims with this, still belong to the scope that the present invention contains.

Claims (10)

1. the guide that the 3D rebuild for Dental implantion and mandibular bone integration prints, it is characterized in that, described guide includes bone graft guided plate, Dental implantion bullport seat, first lower jaw bone fixation plate and the second lower jaw bone fixation plate, the guide tracks of described bone graft guided plate extends track with bone graft and coordinates consistent, described bone graft guided plate offers some bone graft fixing holes for connecting bone graft, described Dental implantion bullport seat is arranged at the upside of described bone graft guided plate and its aperture is relative with bone graft, described first lower jaw bone fixation plate and the second lower jaw bone fixation plate are connected to the two ends of described bone graft guided plate and are provided with and the medial surface of corresponding mandibular bone surface of bone laminating, described first lower jaw bone fixation plate and the second lower jaw bone fixation plate are equipped with some mandibular bone fixing holes for connecting mandibular bone.
2. the guide that the 3D rebuild for Dental implantion and mandibular bone integration as claimed in claim 1 prints, it is characterised in that the upside of described bone graft guided plate extends the first buckling parts held on the upside of oriented bone graft.
3. the guide that the 3D rebuild for Dental implantion and mandibular bone integration as claimed in claim 2 prints, it is characterised in that described Dental implantion bullport seat is arranged on described first buckling parts.
4. the guide that the 3D rebuild for Dental implantion and mandibular bone integration as claimed in claim 1 prints, it is characterised in that the downside of described bone graft guided plate extends the second buckling parts held on the downside of oriented bone graft.
5. the guide that the 3D rebuild for Dental implantion and mandibular bone integration as claimed in claim 1 prints, it is characterized in that, the downside of described first lower jaw bone fixation plate extends the 3rd buckling parts that oriented chin subordinate's edge holds, and the upside of described first lower jaw bone fixation plate is provided with the 4th buckling parts fastened with tooth and teeth space.
6. the guide that the 3D rebuild for Dental implantion and mandibular bone integration as claimed in claim 1 prints, it is characterised in that the downside of described second lower jaw bone fixation plate is extended with the 5th buckling parts held to angle of mandible.
7. the guide that the 3D rebuild for Dental implantion and mandibular bone integration as claimed in claim 1 prints, it is characterised in that the central axis in the hole of described Dental implantion bullport seat is in bone graft surface of bone.
8. the guide that the 3D rebuild for Dental implantion and mandibular bone integration as claimed in claim 1 prints, it is characterised in that described bone graft guided plate is provided with the titanium plate locating slot extended along bone graft track.
9. the guide that the as claimed in claim 8 3D rebuild for Dental implantion and mandibular bone integration prints, it is characterised in that offer on described titanium plate locating slot and some be available for whole screw through through hole titanium plate and bone graft linked together.
10. the guide that the 3D rebuild for Dental implantion and mandibular bone integration as claimed in claim 1 prints, it is characterized in that, described bone graft guided plate, Dental implantion bullport seat, the first lower jaw bone fixation plate and the second lower jaw bone fixation plate adopt the printing integrated molding of 3D.
CN201610270251.0A 2016-04-26 2016-04-26 Guiding device for the 3D printing that Dental implantion and mandibular integration are rebuild Active CN105769362B (en)

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Application Number Priority Date Filing Date Title
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CN105769362B CN105769362B (en) 2018-10-09

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Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107714207A (en) * 2016-08-10 2018-02-23 深圳市普天阳医疗科技股份有限公司 A kind of same period plants guide plate arrangement
CN108514455A (en) * 2018-05-11 2018-09-11 北京大学口腔医学院 Dentistry Trinity composite guide plate and production method with precise positioning ability
CN108969131A (en) * 2018-08-07 2018-12-11 佛山科学技术学院 A kind of tooth-implanting is for aperture apparatus
CN109394328A (en) * 2017-08-16 2019-03-01 包霆威 The 3D printing of fibular flap transplanting mandibular defect is assisted to preset screw way and the embedded guide plate system of titanium plate

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101822575A (en) * 2010-04-15 2010-09-08 浙江工业大学 Method of making partial-anodontia tooth implantation surgical guide plate
CN102170841A (en) * 2008-08-26 2011-08-31 安迪·博扬久 A dental bone implant, methods for implanting the dental bone implant and methods and systems for manufacturing dental bone implants
EP2519165A1 (en) * 2009-12-29 2012-11-07 Mobelife NV Customized surgical guides, methods for manufacturing and uses thereof
CN103997985A (en) * 2011-12-22 2014-08-20 ***·阿卡巴·阿里 Devices and methods for enhancing bone growth
CN203988440U (en) * 2014-06-24 2014-12-10 蔡镇国 Plant tooth dual-purpose mould structure
CN104382661A (en) * 2014-11-25 2015-03-04 深圳市康泰健牙科器材有限公司 Manufacturing method and system of digitized 3D implanting guide plate

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102170841A (en) * 2008-08-26 2011-08-31 安迪·博扬久 A dental bone implant, methods for implanting the dental bone implant and methods and systems for manufacturing dental bone implants
EP2519165A1 (en) * 2009-12-29 2012-11-07 Mobelife NV Customized surgical guides, methods for manufacturing and uses thereof
CN101822575A (en) * 2010-04-15 2010-09-08 浙江工业大学 Method of making partial-anodontia tooth implantation surgical guide plate
CN103997985A (en) * 2011-12-22 2014-08-20 ***·阿卡巴·阿里 Devices and methods for enhancing bone growth
CN203988440U (en) * 2014-06-24 2014-12-10 蔡镇国 Plant tooth dual-purpose mould structure
CN104382661A (en) * 2014-11-25 2015-03-04 深圳市康泰健牙科器材有限公司 Manufacturing method and system of digitized 3D implanting guide plate

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107714207A (en) * 2016-08-10 2018-02-23 深圳市普天阳医疗科技股份有限公司 A kind of same period plants guide plate arrangement
CN109394328A (en) * 2017-08-16 2019-03-01 包霆威 The 3D printing of fibular flap transplanting mandibular defect is assisted to preset screw way and the embedded guide plate system of titanium plate
CN108514455A (en) * 2018-05-11 2018-09-11 北京大学口腔医学院 Dentistry Trinity composite guide plate and production method with precise positioning ability
CN108514455B (en) * 2018-05-11 2019-06-25 北京大学口腔医学院 Dentistry Trinity composite guide plate and production method with precise positioning ability
CN108969131A (en) * 2018-08-07 2018-12-11 佛山科学技术学院 A kind of tooth-implanting is for aperture apparatus

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