TW201325564A - Method for intraoral surgical navigation treatment and training - Google Patents

Method for intraoral surgical navigation treatment and training Download PDF

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TW201325564A
TW201325564A TW100149576A TW100149576A TW201325564A TW 201325564 A TW201325564 A TW 201325564A TW 100149576 A TW100149576 A TW 100149576A TW 100149576 A TW100149576 A TW 100149576A TW 201325564 A TW201325564 A TW 201325564A
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treatment
image data
optical positioning
treatment tool
oral
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TW100149576A
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TWI442909B (en
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da-ke Huang
zong-han Lv
You-Xin Xie
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Eped Inc
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Abstract

The invention relates to a method for intraoral surgical navigation treatment and training, in particular relates to a method which applies computed tomography (CT) photography and optical positioning system to trace a medical instrument. This method includes the steps of: firstly providing a treatment tool equipped with optical positioning and an optical positioning device; using computed tomography photography to obtain image data of an intraoral tissue under medical treatment; precisely displaying movement of the treatment tool in the image data; and immediately inspecting images and performing navigation. Accordingly, a doctor can adopt existing usage habits and auxiliary information can be precisely and conveniently provided in the treatment process, so that the doctor can dedicatedly operate the treatment tool in physical surroundings such as a patient's oral cavity or tooth models.

Description

口腔內手術導引治療及訓練之方法Oral surgery guiding treatment and training method

本發明涉及一種口腔內手術導引治療及訓練之方法,尤指透過光學定位裝置的輔助,用以精確且快速地進行口腔內手術導引治療及訓練。The invention relates to a method for guiding treatment and training of intraoral surgery, in particular to assist in accurate and rapid oral guided therapy and training through the aid of an optical positioning device.

術前評估及規劃在現有口腔內手術治療技術中相當重要,其中為更加了解病患口腔內組織的狀況,醫生常需參考許多不同的資訊。例如牙齒模型可提供病患牙齒的外觀資訊,可讓醫生了解病患的牙齒咬合狀況;計算機斷層掃描(Computerized Tomography,CT)攝影則提供口腔內部的解剖資訊,包括病患牙齒與顎骨的狀態,這些資訊對於某些口腔內手術治療是相當重要的,例如植牙手術、根管治療(root canalling)、阻生齒摘除(impacted tooth extraction)及顳顎關節評估等。Preoperative evaluation and planning are very important in the existing intraoral surgical treatment techniques. In order to better understand the condition of the patient's oral tissues, doctors often need to refer to many different information. For example, the dental model can provide information on the appearance of the patient's teeth, allowing the doctor to understand the patient's dental occlusion; Computerized Tomography (CT) photography provides anatomical information inside the oral cavity, including the condition of the patient's teeth and cheekbones. This information is important for certain intraoral surgical procedures, such as implant surgery, root canalling, impacted tooth extraction, and ankle joint assessment.

以植牙手術為例,為了讓缺牙的患者恢復其正常咬合的功能,人工植牙是其中一種治療方式,其中植牙的方向與位置,對於治療的結果扮演著相當重要的角色,不適當的方位會引起過大的咬合應力,而造成骨脊的骨質快速流失,導致植體脫落。Taking dental implant surgery as an example, in order to restore the function of normal occlusion in patients with missing teeth, artificial dental implant is one of the treatment methods, in which the direction and position of implants play a very important role in the treatment results, inappropriate The orientation causes excessive occlusion stress, which causes the bone ridge to be quickly lost, causing the implant to fall off.

適當的植牙方位取決於兩個因素:完善的術前規劃與精準的手術中鑽孔。現有植牙手術的術前規劃,牙醫師必須藉助患者牙齒模型與CT攝影,做為規劃最佳植牙方位的依據,牙齒模型主要提供外部資訊,讓牙醫師了解患者上下牙齒咬合狀況並提供術後美觀的資訊;相反地,CT攝影則可提供內部的解剖資訊,包括牙齒、顎骨、齒槽骨神經、上鼻竇等。至於手術中的植體植入,目前大都依賴牙醫師的臨床經驗與手術技巧,將術前規劃落實於患者口中,因此牙醫師的徒手鑽孔穩定度與視覺三度空間的掌握,成為手術品質的重要因素。Proper orientation of the implant depends on two factors: perfect preoperative planning and precise intraoperative drilling. In the preoperative planning of existing dental implant surgery, the dentist must use the patient's dental model and CT photography as the basis for planning the optimal dental implant orientation. The dental model mainly provides external information to let the dentist understand the patient's upper and lower teeth occlusion and provide surgery. After the aesthetic information; on the contrary, CT photography can provide internal anatomical information, including teeth, humerus, alveolar bone, upper sinus and so on. As for implant implantation during surgery, most of them rely on the clinical experience and surgical skills of the dentist, and the preoperative planning is implemented in the patient's mouth. Therefore, the dentist's freehand drilling stability and visual three-dimensional space become the quality of surgery. An important factor.

又,CT攝影與手術用導板的整合,也開始被使用於植牙手術,以提昇其治療品質。CT攝影提供了實體1:1且不變形的患者口腔組織影像,搭配3D影像軟體能讓牙醫師更精準地規劃手術,然後將此治療計劃傳送至手術模板製造系統,如此產生的手術用導板可非常精準地導引手術鑽頭,讓牙醫師將植體置於最佳的位置。該手術用導板通常由樹脂材料製成跨坐於鄰近牙的牙套,於植牙區孔位處安裝金屬導引外環,手術中***不同孔徑的套筒來導引不同尺寸的鑽頭,漸次擴大到植體鎖入顎骨的孔徑大小,不僅提供牙醫師鑽孔時所須的穩定度,也落實了術前規劃的最佳植牙方位。In addition, the integration of CT photography and surgical guides has also begun to be used in implant surgery to improve the quality of treatment. CT photography provides a solid 1:1 image of the patient's oral tissue without deformation. The 3D image software allows the dentist to plan the operation more accurately, and then transmits the treatment plan to the surgical template manufacturing system. The resulting surgical guide The surgical drill bit can be guided very accurately, allowing the dentist to place the implant in the best position. The surgical guide plate is usually made of a resin material, and a metal guide outer ring is installed at a hole position of the implanted region, and a sleeve with different apertures is inserted during the operation to guide the drill bits of different sizes, gradually. Expanding the pore size of the implant into the tibia not only provides the stability required for the dentist to drill, but also implements the optimal orientation of the implant before surgery.

然,雖然上述CT攝影與手術用導板的整合提供了口腔內組織治療的方式,卻未被廣泛地應用於臨床。其中一個主要原因是,使用3D影像軟體規劃手術並不是牙醫師所熟悉的方式。事實上,牙醫師大部份的時間都花在使用器械於患者口腔內或齒模等實體環境,對於術前規劃使用一般電腦輸入設備(滑鼠、鍵盤等)規劃牙齒治療方式,例如術前規劃植入植體的方向、角度與深度,以及選定治療工具,治療過程中再使用滑鼠操縱複雜的3D虛擬軟體,使系統依據規劃資料進行導引與警示,牙醫師常常感到相當無助而裹足不前。However, although the integration of CT photography and surgical guides described above provides a means of tissue treatment in the oral cavity, it has not been widely used in clinical practice. One of the main reasons is that using 3D image software to plan surgery is not a familiar method for dentists. In fact, most of the dentist's time is spent using the device in the patient's mouth or in the physical environment of the dental model. For preoperative planning, use general computer input devices (mouse, keyboard, etc.) to plan dental treatment methods, such as preoperative Plan the direction, angle and depth of the implant, and select the treatment tool. Then use the mouse to manipulate the complex 3D virtual software during the treatment, so that the system can guide and warn according to the planning data. The dentist often feels quite helpless. Wrap up.

於是,為解決上述缺失,本發明之目的係在提供一種口腔內手術導引治療及訓練之方法,利用計算機斷層掃描(CT)攝影及光學定位裝置,於手術時決定相關的方向、角度與深度,也提供治療工具的選用訊息,且即時提供治療工具周邊口腔內組織的CT影像,達到手術中導引的功能。Therefore, in order to solve the above-mentioned deficiency, the object of the present invention is to provide a method for guiding and training oral surgery, using computed tomography (CT) photography and optical positioning device to determine relevant directions, angles and depths during surgery. The selection information of the treatment tool is also provided, and the CT image of the intraoral tissue surrounding the treatment tool is immediately provided to achieve the function of guiding during the operation.

本發明之另一目的係在提供一種口腔內手術導引治療及訓練之方法,利用計算機斷層掃描(CT)攝影及光學定位裝置,使牙醫師在口腔內手術治療過程中,即時檢視影像資料及進行口腔內組織治療手術的導引,專注使用治療工具於患者口腔內或牙齒模型等實體環境。Another object of the present invention is to provide a method for guiding and training oral surgery, using computed tomography (CT) photography and optical positioning device, so that the dentist can immediately view the image data during the intraoral surgical treatment. Guided by intraoral tissue treatment, focusing on the use of therapeutic tools in the patient's mouth or physical environment such as dental models.

為達上述之目的,本發明揭露一種口腔內手術導引治療及訓練之方法,係應用計算機斷層掃描(CT)攝影及光學定位系統追蹤醫療器具的方法,該方法至少包括以下步驟:步驟(A)提供具光學定位之治療工具及一光學定位裝置於接受治療的口腔內組織所在處;步驟(B)再藉由計算機斷層掃描攝影取得接受治療口腔內組織之影像資料,取得治療工具與該光學定位裝置間的定位關係,且透過演算法讓影像資料與實體空間產生對應,然後在影像資料中精準地顯示治療工具之動作;及步驟(C)透過治療工具在口腔內接受治療之所在處的移動,即時檢視影像資料及進行口腔內組織手術治療。To achieve the above object, the present invention discloses a method for guiding and training oral surgery, which is a method for tracking a medical device using a computed tomography (CT) imaging and optical positioning system, the method comprising at least the following steps: Providing an optically positioned therapeutic tool and an optical positioning device at the site of the treated oral tissue; and step (B) obtaining image data of the treated oral tissue by computed tomography, obtaining the therapeutic tool and the optical Positioning the positioning relationship between the devices, and by using an algorithm to make the image data correspond to the physical space, and then accurately displaying the action of the treatment tool in the image data; and step (C) where the treatment is performed in the oral cavity through the treatment tool Move, instantly view image data and perform intraoral tissue surgery.

其中,前述接受治療之口腔內組織所在處係為病人的口腔,包含口腔內軟硬組織;或前述接受治療之口腔內組織所在處為病人的牙齒模型。Wherein, the oral tissue in the treatment is located in the oral cavity of the patient, and includes soft and hard tissues in the oral cavity; or the dental tissue in the aforementioned treatment is the dental model of the patient.

其中,步驟(C)可透過一控制裝置切換檢視影像資料的方式,切換檢視影像資料不隨治療工具的移動而變動,或檢視影像資料跟隨治療工具的移動而變動。The step (C) can switch the view image data through a control device, and the switch view image data does not change with the movement of the treatment tool, or the view image data changes according to the movement of the treatment tool.

其中,步驟(C)係透過即時檢視影像資料,在進行口腔內組織的治療手術中直接進行檢視。或步驟(B)後進一步包括步驟(B-1),使用手術規劃軟體結合所述影像資料規劃一手術規劃資料檔,使步驟(C)的臨床治療過中系統依據手術規劃資料檔進行導引與警示。其中,步驟(B-1)所製成之手術規劃資料檔係由牙醫師臨床規劃,做為口腔內組織治療手術的導引依據。或步驟(B-1)所製成之手術規劃資料檔係由訓練者(老師)及/或被訓練者(學生)規劃,做為口腔內組織治療手術的實作導引依據。Among them, step (C) is to directly examine the image in the oral cavity through the immediate examination of the image data. Or step (B) further comprising the step (B-1), using the surgical planning software combined with the image data to plan a surgical planning data file, so that the clinical treatment system of step (C) is guided according to the surgical planning data file And warnings. Among them, the surgical planning data file prepared in step (B-1) is clinically planned by the dentist, and serves as a guiding basis for oral tissue treatment. Or the surgical planning data file prepared in step (B-1) is planned by the trainer (teacher) and/or the trainee (student) as the basis for the implementation of the intraoral tissue treatment surgery.

又,步驟(B-1)後進一步包括步驟(B-2),轉移該手術規劃資料檔製作手術用導板。Further, after the step (B-1), the step (B-2) is further included, and the surgical planning data file is transferred to create a surgical guide.

本發明的優點在於,係應用計算機斷層掃描(CT)攝影及光學定位系統追蹤醫療器具的新治療及訓練方法,利用計算機斷層掃描(CT)攝影及光學定位裝置,於牙科手術時決定相關的方向、角度與深度,也可提供治療工具的選用訊息,且即時提供治療工具所在位置之附近的CT影像,達到臨床手術中導引的功能,且牙醫師在牙齒治療過程中,不影響牙醫師現有使用習慣並提供精確方便之輔助資訊,使醫師專注使用治療工具於患者口腔內或牙齒模型等實體環境。本方法在應用上可以不需要手術規劃,大大縮短口腔內組織手術治療時程;本方法同時也可應用於需要進行手術規劃及訓練或製作手術用導板的治療中,大大增加手術規劃及訓練評估的效率。The invention has the advantages of using a computed tomography (CT) imaging and optical positioning system to track new treatment and training methods of medical instruments, and using computed tomography (CT) photography and optical positioning devices to determine relevant directions during dental surgery. , angle and depth, can also provide information on the selection of treatment tools, and immediately provide CT images near the location of the treatment tool to achieve the guiding function in clinical surgery, and the dentist does not affect the existing dentist during the dental treatment process. Use habits and provide accurate and convenient auxiliary information to enable physicians to focus on the use of treatment tools in the patient's mouth or physical environment such as dental models. The method can not require surgical planning in application, and greatly shortens the time course of intraoral tissue surgery; the method can also be applied to the treatment requiring surgery planning and training or making surgical guides, greatly increasing the planning and training of the surgery. The efficiency of the assessment.

茲有關本發明之詳細內容及技術說明,現以實施例來作進一步說明,但應瞭解的是,該等實施例僅為例示說明之用,而不應被解釋為本發明實施之限制。The detailed description of the present invention and the technical description of the present invention are further illustrated by the embodiments, but it should be understood that these embodiments are for illustrative purposes only and are not to be construed as limiting.

本發明揭露一種口腔內手術導引治療及訓練之方法,係應用計算機斷層掃描(CT)攝影及光學定位系統追蹤醫療器具的治療及訓練方法。The invention discloses a method for guiding treatment and training of oral surgery, which is a method for tracking and treating medical instruments by using computed tomography (CT) photography and optical positioning system.

其中計算機斷層掃描(CT)攝影為已知技術,且非本專利重點,在此不多加贅述。而美國專利第6,675,040號「光學目標尋跡系統(Optical Object Tracking System)」,其揭示一種光學偵測系統,用以記錄連接有光學上可偵測的物件的儀器在空間中的位置,藉由數個攝影機係與數據處理器、影像掃描數據、以及電腦與相關的圖形顯示器相結合,而能夠在手術、診斷、治療設定中,搜尋儀器、標的、病人、以及裝置的位置;及後續的專利技術揭露相關的改良技術,所以透過光學定位系統追蹤醫療器具的技術為已知技術,且非本專利重點,在此不多加贅述。Among them, computed tomography (CT) photography is a known technology, and is not the focus of this patent, and will not be described here. U.S. Patent No. 6,675,040, "Optical Object Tracking System", which discloses an optical detection system for recording the position of an instrument connected to an optically detectable object in space. Several cameras are combined with data processors, image scanning data, and computers and associated graphic displays to search for instruments, targets, patients, and devices in surgical, diagnostic, and therapeutic settings; and subsequent patents The technology discloses related improved techniques, so the technique of tracking medical instruments through an optical positioning system is a known technique, and is not a focus of this patent, and will not be further described herein.

請參閱圖1,為本發明之實施流程示意圖。本案口腔內手術治療及訓練之方法至少包括以下步驟:Please refer to FIG. 1 , which is a schematic diagram of an implementation flow of the present invention. The method of intraoral surgery and training in this case includes at least the following steps:

步驟(A):提供具光學定位之治療工具及光學定位裝置於接受治療的口腔內組織所在處。其中,前接受治療口腔內組織之所在處係為病人的口腔內軟硬組織,或為病人牙齒的牙齒模型。就目前現行口腔內組織的治療方式,大都依賴牙醫師的臨床經驗與手術技巧,對於有些治療病例,牙醫師評估可以直接做治療的,就可將具光學定位之治療工具及光學定位裝置用於接受治療病人的口腔;而牙醫師可透過先製作病人的牙齒模型或臨床手術評估,在製作完成的牙齒模型上設置具光學定位之治療工具及光學定位裝置,做後續的手術前規劃或手術前模擬、比對。Step (A): providing a medical tool with optical positioning and an optical positioning device at the site of the treated oral tissue. Among them, the place where the tissue in the oral cavity is treated is the soft and hard tissue of the patient's mouth, or the tooth model of the patient's teeth. Most of the current treatment methods for oral tissues rely on the clinical experience and surgical skills of the dentist. For some treatment cases, the dentist can directly evaluate the treatment, and the optical positioning device and optical positioning device can be used. The patient's mouth is treated; and the dentist can set up the patient's dental model or clinical surgical evaluation to set up the optically positioned treatment tool and optical positioning device on the finished tooth model for subsequent preoperative planning or preoperative operation. Simulation, comparison.

步驟(B):再藉由計算機斷層掃描攝影取得接受治療口腔內組織之影像資料,取得治療工具與該光學定位裝置間的定位關係,且透過演算法讓影像資料與實體空間產生對應,然後將治療工具動作精準地與影像資料結合。以植牙為例,透過影像軟體載入接受治療之計算機斷層掃描攝影可顯示病人植牙區顎骨解剖影像,幫助牙醫師決定最佳植牙方位,提供牙醫師更加完整之口腔3D虛擬環境。Step (B): obtaining image data of the treated oral tissue by computed tomography, obtaining a positioning relationship between the treatment tool and the optical positioning device, and correspondingly matching the image data with the physical space through an algorithm, and then The treatment tool moves precisely with the image data. Taking implants as an example, computerized tomography images loaded into the treatment through image software can display the anatomical images of the humerus in the patient's implanted area, helping the dentist to determine the optimal orientation of the implant and providing a more complete oral 3D virtual environment for the dentist.

步驟(C):透過治療工具在接受治療牙齒之所在處的移動,依治療工具與該光學定位裝置間的定位關係,及影像資料與實體空間產生對應,牙醫師只需移動治療工具,就可即時檢視影像資料及進行口腔內組織治療手術的導引。Step (C): through the movement of the treatment tool at the place where the tooth is treated, according to the positioning relationship between the treatment tool and the optical positioning device, and the corresponding relationship between the image data and the physical space, the dentist can simply move the treatment tool. Instantly view image data and guide the operation of intraoral tissue treatment.

依前述方法步驟,牙醫師在口腔內組織的治療過程中,可專注使用治療工具於患者口腔內或牙齒模型等實體環境。本方法實施上不影響醫師現有使用習慣並提供精確方便之輔助資訊,在實施應用上可以不需要手術規劃,可以縮短口腔內組織治療的時程。According to the foregoing method steps, the dentist can focus on using the treatment tool in the patient's mouth or in a physical environment such as a tooth model during the treatment of the intraoral tissue. The implementation of the method does not affect the physician's existing habits and provides accurate and convenient auxiliary information. In the implementation application, surgical planning is not required, and the time course of intraoral tissue treatment can be shortened.

實施上,在步驟(C)可透過一控制裝置切換檢視影像資料的方式,切換檢視影像資料不隨治療工具的移動而變動,或檢視影像資料跟隨治療工具的移動而變動。例如透過腳踏開關或手動開關控制檢視影像資料的切換,使影像資料不隨治療工具的移動而變動,方便牙醫師可以針對部分CT影像做更仔細的判讀與評估。In practice, in step (C), the image data can be switched by a control device, and the switching image data does not change with the movement of the treatment tool, or the image data changes according to the movement of the treatment tool. For example, through the foot switch or the manual switch to control the switching of the image data, the image data does not change with the movement of the treatment tool, so that the dentist can make a more careful interpretation and evaluation of some CT images.

請再參閱圖2,步驟(B)後進一步可包括一步驟(B-1),牙醫師可使用手術規劃軟體規劃一手術規劃資料檔,透過手術前的規劃,使步驟(C)的治療過中系統依據規劃資料進行治療過程中的導引與警示。其中,步驟(B-1)所製成之手術規劃資料檔係由牙醫師規劃,直接做為口腔內組織治療手術的導引依據。或步驟(B-1)所製成之手術規劃資料檔係由訓練者(老師)及/或被訓練者(學生)規劃,被訓練者(學生)可以用自己所規劃的去做實作導引練習,訓練者(老師)也可以指正,或由訓練者(老師)提供標準的手術規劃資料檔,做為口腔內組織治療手術的實作導引依據,可應用於口腔內組織手術的教育訓練。Please refer to FIG. 2 again. Step (B) may further comprise a step (B-1). The dentist can use the surgical planning software to plan a surgical planning data file, and the treatment of step (C) is processed through pre-operative planning. The middle system guides and alerts during the treatment process based on the planning data. Among them, the surgical planning data file prepared in step (B-1) is planned by the dentist and used directly as a guiding basis for oral tissue treatment. Or the surgical planning data file made in step (B-1) is planned by the trainer (teacher) and/or the trainee (student), and the trainee (student) can use his or her own plan to make a practical guide. Guide exercise, the trainer (teacher) can also correct, or the trainer (teacher) provides standard surgical planning data files, as a basis for the implementation of oral tissue treatment surgery, can be applied to the education of oral tissue surgery training.

請再參閱圖3,前述步驟(B-1)後進一步可包括一步驟(B-2),該步驟(B-2)係轉移該手術規劃檔製作手術用導板。現有的手術用導板製造技術可分成兩類:快速成型與數值鑽床,其中快速成型技術被揭露於美國專利US5768134;數值鑽床技術揭露於美國專利US5967777、US6296483、US6814575等,手術用導板製造技術為已知技術,且非本專利重點,在此不多加贅述。Referring to FIG. 3 again, the foregoing step (B-1) may further include a step (B-2) of transferring the surgical plan file to prepare a surgical guide. The existing surgical guide plate manufacturing techniques can be divided into two categories: rapid prototyping and numerical drilling, wherein the rapid prototyping technology is disclosed in US Pat. No. 5,768,134; the numerical drilling technology is disclosed in U.S. Patent Nos. 5,967,777, 6,296,483, 6,821,575, etc. It is a known technology, and is not the focus of this patent, and will not be described here.

本發明利用係應用計算機斷層掃描(CT)攝影及光學定位系統追蹤醫療器具的新治療方法,利用計算機斷層掃描(CT)攝影及光學定位裝置,於口腔內組織手術時決定相關的方向、角度與深度,也可提供治療工具的選用訊息,且即時提供治療工具周邊口腔內組織的CT影像,達到手術中導引的功能,且牙醫師在牙科治療過程中,可專注使用治療工具於患者口腔內或牙齒模型等實體環境,應用上可以不需要手術規劃,大大縮短治療時程,也大大增加手術規劃評估的效率。The invention utilizes a new treatment method for tracking medical instruments by using computed tomography (CT) photography and optical positioning system, and uses computed tomography (CT) photography and optical positioning device to determine the relevant direction, angle and time during intraoral tissue surgery. The depth can also provide the selection information of the treatment tool, and provide the CT image of the tissue in the surrounding area of the treatment tool to achieve the function of guidance during the operation, and the dentist can focus on using the treatment tool in the patient's mouth during the dental treatment process. Or physical environment such as dental model, application can not require surgical planning, greatly shorten the treatment time course, and greatly increase the efficiency of surgical planning evaluation.

惟以上所述者,僅為本發明之較佳實施例而已,當不能以此限定本發明實施之範圍,即大凡依本發明申請專利範圍及發明說明內容所作之簡單的等效變化與修飾,皆仍屬本發明專利涵蓋之範圍內。The above is only the preferred embodiment of the present invention, and the scope of the invention is not limited thereto, that is, the simple equivalent changes and modifications made by the scope of the invention and the description of the invention are All remain within the scope of the invention patent.

圖1為本發明之實施流程示意圖。FIG. 1 is a schematic diagram of an implementation flow of the present invention.

圖2為本發明之另一實施流程示意圖一。FIG. 2 is a first schematic diagram of another embodiment of the present invention.

圖3為本發明之另一實施流程示意圖二。FIG. 3 is a second schematic diagram of another embodiment of the present invention.

Claims (9)

一種口腔內手術導引治療及訓練之方法,係應用計算機斷層掃描(CT)攝影及光學定位系統追蹤醫療器具的方法,該方法至少包括以下步驟:(A)提供具光學定位之治療工具及一光學定位裝置於接受治療的口腔內組織所在處;(B)再藉由計算機斷層掃描攝影取得接受治療口腔內組織之影像資料,取得治療工具與該光學定位裝置間的定位關係,且透過演算法讓影像資料與實體空間產生對應,然後將治療工具動作精準地與影像資料結合;及(C)透過治療工具在接受治療牙齒之所在處的移動,即時檢視影像資料及進行口腔內組織的治療。The invention relates to a method for guiding treatment and training in oral surgery, which is a method for tracking medical instruments by using computed tomography (CT) photography and optical positioning system, and the method comprises at least the following steps: (A) providing a therapeutic tool with optical positioning and a The optical positioning device is located at the site of the treated oral cavity; (B) the image data of the treated oral tissue is obtained by computed tomography, and the positioning relationship between the treatment tool and the optical positioning device is obtained, and the algorithm is obtained through the algorithm. The image data is mapped to the physical space, and the treatment tool is accurately combined with the image data; and (C) the movement of the treatment tooth is performed through the treatment tool, and the image data and the treatment of the oral tissue are immediately observed. 如申請專利範圍第1項所述之方法,其中,前述接受治療的口腔內組織所在處係為病人的口腔。The method of claim 1, wherein the oral tissue to be treated is located in the oral cavity of the patient. 如申請專利範圍第1項所述之方法,其中,前述接受治療的口腔內組織所在處係為病人的牙齒模型。The method of claim 1, wherein the aforementioned oral tissue to be treated is a dental model of the patient. 如申請專利範圍第1項所述之方法,其中,步驟(C)可透過一控制裝置切換檢視影像資料的方式,切換檢視影像資料不隨治療工具的移動而變動,或檢視影像資料跟隨治療工具的移動而變動。The method of claim 1, wherein the step (C) is capable of switching between viewing the image data through a control device, switching the view image data without changing with the movement of the treatment tool, or viewing the image data following the treatment tool The movement changes. 如申請專利範圍第1項所述之方法,其中,步驟(C)係透過即時檢視影像資料,在進行口腔內組織的治療手術中直接進行檢視。The method of claim 1, wherein the step (C) is performed by directly examining the image data and performing a direct examination in the treatment of the intraoral tissue. 如申請專利範圍第1項所述之方法,其中,步驟(B)後續進一步包括步驟(B-1),使用手術規劃軟體結合所述影像資料規劃一手術規劃資料檔。The method of claim 1, wherein the step (B) further comprises the step (B-1), and the surgical planning software is used to combine the image data to plan a surgical planning data file. 如申請專利範圍第6項所述之方法,其中,步驟(B-1)所製成之手術規劃資料檔係由牙醫師臨床規劃,做為步驟(C)口腔內組織治療手術的導引依據。The method of claim 6, wherein the surgical planning data file prepared by the step (B-1) is clinically planned by the dentist, and is used as a guide for the step (C) oral tissue treatment operation. . 如申請專利範圍第6項所述之方法,其中,步驟(B-1)所製成之手術規劃資料檔係由訓練者及/或被訓練者規劃,做為步驟(C)口腔內組織治療手術的實作導引依據。The method of claim 6, wherein the surgical planning data file prepared by the step (B-1) is planned by the trainer and/or the trainee as a step (C) intraoral tissue treatment. The basis for the implementation of the surgery. 如申請專利範圍第6項所述之方法,其中,步驟(B-1)後進一步包括步驟(B-2),係轉移該手術規劃資料檔製作手術用導板。The method of claim 6, wherein the step (B-1) further comprises the step (B-2) of transferring the surgical planning data file to produce a surgical guide.
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