TWI733645B - All-zirconium integrated dental implant locking type denture forming method and structure - Google Patents
All-zirconium integrated dental implant locking type denture forming method and structure Download PDFInfo
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Abstract
一種全鋯一體式植牙鎖固式義齒成形方法及其結構,其成形方法包括:植入人工牙根後之口腔掃描、3D建檔、製作臨時義齒、製作一體式永久義齒,藉由於患者口腔掃描獲得口腔內數位檔案影像資料,再於電腦中設計建構數位義齒模型,而後進行實體化製作,據此提高義齒製作上效率及精準度,若需修改,利用電腦讀取數位檔案即可進行修改,並可立即進行一體式加工成形,俾可簡單且快速地取得永久義齒,又該永久義齒為全鋯一體式成形製作,且內部無金屬支柱的設計,可減少傳統義齒黏著金屬支柱所產生的誤差及不便,大幅提升義齒製作效率,同時兼具整體美觀者。 An all-zirconium integrated implant-locked denture forming method and its structure. The forming method includes: oral scanning after implantation of artificial tooth roots, 3D archiving, making temporary dentures, making integrated permanent dentures, and scanning the patient’s oral cavity. Obtain the image data of the digital file in the oral cavity, then design and construct the digital denture model in the computer, and then make the materialized production. According to this, the efficiency and accuracy of the denture production can be improved. If it needs to be modified, the digital file can be read by the computer to make the modification. It can be processed and formed immediately, so that the permanent denture can be obtained simply and quickly. The permanent denture is made of all-zirconium one-piece molding, and the design without metal pillars inside can reduce the error caused by traditional dentures adhering to the metal pillars And inconvenience, greatly improve the efficiency of denture production, and at the same time have the overall aesthetics.
Description
本發明係關於一種植牙義齒成形方法及結構,尤指一種全鋯一體式植牙鎖固式義齒成形方法及其結構。 The invention relates to a method and structure for forming a dental implant denture, in particular to a method and structure for forming an all-zirconium integrated dental implant locking type denture.
按,植牙實施上係將患者損壞牙齒拔除或直接於牙齒脫落處,植入一金屬植體作為人工牙根80,再於該植體上設置一轉印支台齒,而後取一矽膠等材料的轉印模,提供翻製患者口內情況,上下顎齒的咬合,進行口內建模81,於轉印模上獲得患者缺牙區齒列狀態,繼進行石膏灌製翻模,以製作出一口腔石膏模型82,續於該口腔石膏模型82製作臨時牙套83,經試戴後試情況進行修改或是進行最終義齒84的製作。
According to the dental implant implementation, the damaged tooth of the patient is extracted or directly implanted in the tooth lost place, a metal implant is implanted as an
然,現有使用轉印模令患者咬合後取得缺牙區齒列形狀,再由石膏翻模輾轉製出口腔石膏模型82方式,其工序相當繁複且容易產生誤差值,導致假牙義齒84製成後,經常發生咬合不良情形,也因此牙醫師得花費較長時間去做口內建模81及修改調整,往往造成診療時間拉長,也相對使病患感到不適。再者,經由轉印模翻製之口腔石膏模型82所製作假牙義齒,不僅易產生假牙義齒製作的誤差,且工序繁瑣費時欠缺效率,此外,當患者咬合轉印模時,轉印模的材料味道也常令患者感到不舒適,另提供轉印模製作的矽膠等材料於廢棄時亦會造成環境污染等問題,其口腔石膏模型也需要空間暫存以便於修改,進而大量佔據可用空間,造成檔案資料整理上
的不便。
However, the existing method of using transfer molds to obtain the shape of the dentition in the edentulous area after occluding the patient, and then using the plaster cast to make the
再者,傳統義齒84係於內部黏著一金屬支柱85,利用該金屬支柱85與該人工牙根80契合並經由一螺栓86螺鎖固定,但由於上述口內建模81所構成之口腔石膏模型82容易產生誤差,加上金屬支柱85與義齒84的物性差異,義齒84預設凹部841無法準確契合該金屬支柱,進而影響義齒84與該金屬支柱85的黏著密合度,需再耗時調整以及黏合固定,另一方面,傳統義齒84如需改色或加瓷時,則還要進入烤爐內慢慢加溫退溫破壞崩解黏著劑842,將該金屬支柱85取出後再進行義齒84的改色、加瓷,上述改色、加瓷作業後則還要重覆進行黏著、拋光等步驟,過程繁複而缺乏效率,患者、醫師跟技師皆耗時辛苦;另外,該義齒84與金屬支柱85黏合固定時,由於義齒84與金屬支柱85的顏色差異,造成義齒84底部與牙齦間能清楚看到非牙齒色澤的金屬支柱85,大幅降低該義齒裝設之美觀度。
Furthermore, the
有鑑於此,本發明人於多年從事相關產品之製造開發與設計經驗,針對上述之目標,詳加設計與審慎評估後,終得一確具實用性之本發明。 In view of this, the inventor has been engaged in the manufacturing, development and design of related products for many years, and after detailed design and careful evaluation for the above goals, he finally obtained a practical invention.
本發明所欲解決之技術問題在於針對現有技術存在的上述缺失,提供一種全鋯一體式植牙鎖固式義齒成形方法及其結構。 The technical problem to be solved by the present invention is to provide an all-zirconium integrated implant locking denture forming method and structure in view of the above-mentioned defects in the prior art.
上述植牙鎖固式義齒成形方法,包括:植入人工牙根後之口腔掃描、3D建檔、製作臨時義齒、製作一體式永久義齒,其中,口腔掃描係利用一光學掃描機進行口內掃描,將口內每一顆牙齒的情況、缺牙處或是已植入人工牙根之部位完整掃描,並應用CAD/CAM軟體建立一義齒模型之數位檔案,再以該義齒模型之數位檔案經由一五軸加工機將一牙齒色樹 脂材料製作成一臨時義齒,以供試戴,隨著試戴情況予以修改該義齒模型之數位檔案或是進行永久義齒的製作,製作永久義齒時,係採用牙齒色全鋯材質之義齒材料,搭配一五軸加工機於該義齒材料進行一體式的成形加工,將該義齒材料製成一無金屬支柱之永久義齒,再經五軸加工機自動貫穿該永久義齒的咬合面及牙冠底面形成一植接穿孔,最後再進行改色或加瓷作業,即可完成該永久義齒。 The above-mentioned implant-locked denture forming method includes: oral scanning after implantation of artificial tooth roots, 3D archiving, making temporary dentures, and making integrated permanent dentures. The oral scanning system uses an optical scanner to perform intraoral scanning. Completely scan the condition of each tooth in the mouth, the missing tooth or the part where the artificial tooth root has been implanted, and use CAD/CAM software to create a digital file of the denture model, and then use the digital file of the denture model to pass through the 15 Shaft processing machine puts a tooth color tree The fat material is made into a temporary denture for try-on. The digital file of the denture model is modified according to the try-on situation or the permanent denture is made. When the permanent denture is made, the denture material of tooth-colored full zirconium is used. A five-axis processing machine performs integral forming processing on the denture material, and the denture material is made into a permanent denture without metal pillars, and then the five-axis processing machine automatically penetrates the occlusal surface of the permanent denture and the bottom surface of the crown to form a permanent denture. The permanent denture can be completed by implanting the perforation, and then changing the color or adding porcelain.
上述植牙鎖固式義齒之結構,其包含:一人工牙根、一永久義齒、一植接螺絲以及一填充物,該人工牙根係預先埋設於口內牙齦齒槽骨內,且該人工牙根頂端接著形成一植接面以及由該植接面中央凸設之一植接部,該植接面以及該植接部係外露於牙齦表面,並由該植接部上表面往下設一植接螺孔,該永久義齒係以全鋯材質之義齒材料經一五軸加工機一體成形加工,再貫穿該永久義齒的咬合面以及底面形成一植接穿孔,該植接穿孔內徑係對應該植接部之凸起高度設一限位環部,該限位環部下方形成一套接部契合包覆該植接部,並以該限位環部抵靠該植接部上表面,且該永久義齒之底面形成一平整面與該人工牙根之植接面平面貼合,該植接螺絲係置入該植接穿孔與該人工牙根之植接螺孔鎖設固定,又該植接螺絲頂端更形成一限位頭端下壓抵靠該限位環部,該填充物係由該永久義齒之咬合面灌入該植接穿孔內填補封閉,俾以完成該義齒結構者。 The structure of the above-mentioned implant-locked denture includes: an artificial tooth root, a permanent denture, an implant screw, and a filler. The artificial tooth root is pre-embedded in the intraoral gingival alveolar bone, and the top of the artificial tooth root Next, an implantation surface and an implantation part protruding from the center of the implantation surface are formed. The implantation surface and the implantation part are exposed on the surface of the gums, and an implantation part is set down from the upper surface of the implantation part. Screw hole, the permanent denture is made of all zirconium denture material and processed by a five-axis processing machine, and then penetrates the occlusal surface and bottom surface of the permanent denture to form an implant perforation. The inner diameter of the implant perforation corresponds to the implant The height of the protrusion of the connecting portion is provided with a limiting ring portion, a sleeve portion is formed below the limiting ring portion to fit and cover the implanting portion, and the limiting ring portion is pressed against the upper surface of the implanting portion, and the The bottom surface of the permanent denture forms a flat surface to fit the implant surface of the artificial tooth root. The implant screw is inserted into the implant perforation and the implant screw hole of the artificial tooth root is locked and fixed, and the top of the implant screw A limiting head end is pressed down to abut against the limiting ring portion, and the filler is poured from the occlusal surface of the permanent denture into the implantation perforation to fill and seal the denture structure.
較佳地,所述永久義齒為單顆牙冠,並對應一該人工牙根進行植接鎖設。 Preferably, the permanent denture is a single crown, and is implanted and locked corresponding to the artificial tooth root.
較佳地,所述永久義齒為複數顆至全顎之牙冠並經一體加工成形排列,且所述永久義齒係具有至少二植接穿孔,對應至少二人工牙根 進行植接鎖設。 Preferably, the permanent denture is a plurality of crowns up to the full jaw and arranged in an integrally processed shape, and the permanent denture system has at least two implant perforations, corresponding to at least two artificial tooth roots Carry out the implant lock setting.
對照先前技術之功效:本發明係藉由於患者口腔掃描獲得口腔內數位檔案影像資料,再於電腦中設計建構數位義齒模型,而後進行實體化製作,據此提高義齒製作上效率及精準度,若需修改,利用電腦讀取數位檔案即可進行修改,並可立即進行一體式加工成形,俾可簡單且快速地取得永久義齒,有效節省醫師重新取模以及患者多次約診的時間,同時還可減少傳統轉印模的使用,降低印模柱套件接合黏合的不精確及人為誤差,避免患者咬合轉印模所造成的不舒適感,以及防止轉印模廢棄時造成的環保問題,大幅提升患者的看診、治療的舒適感。 Comparing with the effects of the prior art: The present invention uses a patient’s oral scan to obtain digital file image data in the oral cavity, then designs and constructs a digital denture model in a computer, and then implements the physical production, thereby improving the efficiency and accuracy of denture production. If you need to modify it, you can use the computer to read the digital file to modify it, and it can be processed and formed immediately, so that the permanent denture can be easily and quickly obtained, which effectively saves the time of the doctor to take the mold again and the patient's multiple appointments. It can reduce the use of traditional transfer molds, reduce the inaccuracy and human error of the impression post kit joining and bonding, avoid the discomfort caused by the patient biting the transfer mold, and prevent the environmental protection problems caused when the transfer mold is discarded, which greatly improves The comfort of the patient's visit and treatment.
其次,口腔掃描以及3D建檔所獲得之數位檔案影像資料,有助於醫師永久保存,避免紙本資料以及實體模具放置所造成的存放問題,有助於提升工作效率以及減少資料歸檔工時。 Secondly, the digital file image data obtained from oral scanning and 3D archiving can help physicians to keep them permanently, avoid storage problems caused by the placement of paper data and physical molds, and help improve work efficiency and reduce data archiving man-hours.
此外,本發明的永久義齒為全鋯一體式成形製作,該永久義齒內部無金屬支柱的設計,可減少傳統義齒黏著金屬支柱所產生的誤差及不便,且當該永久義齒表面欲進行改色或加瓷時,可直接進行加工,省去傳統義齒需經由烤爐加溫崩解黏著劑後將金屬支柱分離,以及改色、加瓷後再黏著金屬支柱、拋光表面之步驟,大幅提升義齒製作效率,且該永久義齒全鋯無金屬支柱之設計,同時還能兼具整體美觀者。 In addition, the permanent denture of the present invention is made of all-zirconium integrated molding. The design of the permanent denture without metal pillars can reduce the error and inconvenience caused by traditional dentures adhering to the metal pillars, and when the surface of the permanent denture is to be colored or added When porcelain, it can be processed directly, eliminating the need for traditional dentures to heat the oven to disintegrate the adhesive and separate the metal pillars, as well as the steps of changing the color, adhering to the metal pillars after adding the porcelain, and polishing the surface, which greatly improves the efficiency of denture production. Moreover, the permanent denture is designed with all zirconium and metal-free pillars, and at the same time it has an overall appearance.
〔本發明〕 〔this invention〕
10:人工牙根 10: Artificial tooth root
11:植接面 11: Implantation surface
12:植接部 12: Implantation Department
13:植接螺孔 13: Implantation screw hole
20:口腔掃描 20: Oral scan
30:3D建檔 30: 3D file creation
40:製作臨時義齒 40: Making temporary dentures
50:永久義齒 50: permanent dentures
51:植接穿孔 51: Implant Perforation
511:限位環部 511: Limiting Ring
512:套接部 512: Socket
52:平整面 52: flat surface
60:植接螺絲 60: Implantation screw
61:限位頭端 61: limit head end
70:填充物 70: Filling
A:牙齦 A: gums
〔習知〕 [Learning]
80:人工牙根 80: Artificial tooth root
81:口內建模 81: Intraoral modeling
82:口腔石膏模型 82: Oral plaster model
83:臨時牙套 83: Temporary braces
84:義齒 84: Denture
841:凹部 841: recess
842:黏著劑 842: Adhesive
85:金屬支柱 85: Metal pillar
86:螺栓 86: Bolt
〔第1圖〕係本發明之植牙鎖固式義齒成形步驟流程圖。 [Figure 1] is a flow chart of the forming steps of the implant-locked denture of the present invention.
〔第2圖〕係本發明之植牙鎖固式義齒結構及其植接示意圖。 [Figure 2] is a schematic diagram of the implant-locked denture structure of the present invention and its implantation.
〔第3圖〕係本發明之永久義齒與人工牙根植接固定之剖視圖。 [Figure 3] is a cross-sectional view of the permanent denture and the artificial tooth root implanted and fixed according to the present invention.
〔第4圖〕係本發明之永久義齒以整排方式植接於人工牙根之示意圖。 [Figure 4] is a schematic diagram of the permanent denture of the present invention implanted on the artificial tooth root in a whole row.
〔第5圖〕係習知傳統植牙鎖固式義齒成形步驟流程圖。 [Figure 5] is a flow chart of the conventional traditional implant locking denture forming steps.
〔第6圖〕係習知傳統植牙鎖固式義齒結構組成示意圖。 [Figure 6] is a schematic diagram of the structure of a conventional traditional implant-locked denture.
為使 貴審查委員對本發明之目的、特徵及功效能夠有更進一步之瞭解與認識,以下茲請配合【圖式簡單說明】詳述如後: In order to enable your reviewer to have a further understanding and understanding of the purpose, features and effects of the present invention, please cooperate with the following [simple description of the diagram] in detail as follows:
首先,先請參閱第1圖所示,一種全鋯一體式植牙鎖固式義齒成形方法,包括:植入人工牙根10後之口腔掃描20、3D建檔30、製作臨時義齒40、製作一體式永久義齒50,其中,口腔掃描20係利用一光學掃描機進行口內掃描,將口內每一顆牙齒的情況、缺牙處或是已植入人工牙根10之部位完整掃描,應用CAD/CAM軟體建立一義齒模型之數位檔案,並儲存於電腦裡,再以該義齒模型之數位檔案經由一五軸加工機將一牙齒色樹脂材料製作成一臨時義齒,以供試戴,隨著試戴情況於電腦上修改該義齒模型之數位檔案或是進行永久義齒50的製作,製作永久義齒時50,係採用牙齒色全鋯材質之義齒材料,搭配一五軸加工機於該義齒材料進行一體式的成形加工,將該義齒材料製成一無金屬支柱之永久義齒50,再經五軸加工機自動貫穿該永久義齒50的咬合面及牙冠底面形成一植接穿孔51,最後再進行改色或加瓷作業,即可完成該永久義齒。
First of all, please refer to Figure 1, a method for forming an all-zirconium integrated dental implant locking denture, including:
所述植牙鎖固式義齒之結構組成,再請參閱第2、3圖所示,其包含一人工牙根10、一永久義齒50、一植接螺絲60以及一填充物70,該人
工牙根10係預先埋設於口內牙齦A內,且該人工牙根10頂端形成一植接面11以及由該植接面11中央凸設之一植接部12,該植接面11以及該植接部12係外露於牙齦A表面,並由該植接部12上表面往下設一植接螺孔13,該永久義齒50係以全鋯材質之義齒材料經一五軸加工機一體成形加工,再經五軸加工機自動貫穿該永久義齒50的咬合面以及底面形成一植接穿孔51,該植接穿孔51內徑係對應該植接部12之凸起高度設一限位環部511,該限位環部511下方形成一套接部512契合包覆該植接部12,並以該限位環部511抵靠該植接部12上表面,且該永久義齒50之底面形成一平整面52與該人工牙根10之植接面11平面貼合,該植接螺絲60係置入該植接穿孔51與該人工牙根10之植接螺孔13鎖設固定,又該植接螺絲60頂端更形成一限位頭端61下壓抵靠該限位環部511,該填充物70係由該永久義齒50之咬合面灌入該植接穿孔51內填補封閉,俾以完成該義齒結構者。
The structural composition of the implant-locked denture, please refer to Figures 2 and 3 again, which includes an
進一步說明,所述人工牙根10之植接部12為六角型凸柱或是八角形凸柱者。
To further illustrate, the implanted
進一步說明,所述永久義齒50為單顆牙冠,並對應一該人工牙根10進行植接鎖設,此外,所述永久義齒50可為複數顆至全顎之牙冠並經一體加工成形排列,如第4圖所示,且所述永久義齒50係具有至少二植接穿孔51,對應至少二該人工牙根10進行植接鎖設。
To further illustrate, the
藉上述具體實施例之結構,可得到下述之效益:本發明係藉由於患者口腔掃描獲得口腔內數位檔案影像資料,再於電腦中設計建構數位義齒模型,而後進行實體化製作,據此提高義齒製作上效率及精準度,若需修改,利用電腦讀取數位檔案即可進行修改,並可立即進行一體式加
工成形,俾可簡單且快速地取得永久義齒50,有效節省醫師重新取模以及患者多次約診的時間,同時還可減少傳統轉印模使用,降低印模柱套件接合黏合的不精確及人為誤差,避免患者咬合轉印模所造成的不舒適感,以及防止轉印模廢棄時造成的環保問題,大幅提升患者的看診、治療的舒適感。
With the structure of the above specific embodiment, the following benefits can be obtained: The present invention obtains digital file image data in the oral cavity by scanning the patient’s oral cavity, and then designs and constructs the digital denture model in the computer, and then implements the physical production, thereby improving The efficiency and accuracy of denture production. If you need to modify it, you can use the computer to read the digital file to modify it, and it can be integrated immediately.
It can be easily and quickly obtained the
其次,口腔掃描20以及3D建檔30所獲得之數位檔案影像資料,有助於醫師永久保存,避免紙本資料以及實體模具放置所造成的存放問題,有助於提升工作效率以及減少資料歸檔工時。
Secondly, the digital file image data obtained by the
此外,本發明的永久義齒50為全鋯一體式成形製作,該永久義齒50內部無金屬支柱的設計,可減少傳統義齒黏著金屬支柱所產生的誤差及不便,且當該永久義齒50表面欲進行改色或加瓷時,可直接進行加工,省去傳統義齒需經由烤爐加溫崩解黏著劑後將金屬支柱分離,以及改色、加瓷後再黏著金屬支柱、拋光表面之步驟,大幅提升義齒製作效率,且該永久義齒50全鋯無金屬支柱之設計,同時還能兼具整體美觀者。
In addition, the
綜上所述,本發明確實已達突破性之結構設計,而具有改良之發明內容,同時又能夠達到產業上之利用性與進步性,且本發明未見於任何刊物,亦具新穎性,當符合專利法相關法條之規定,爰依法提出發明專利申請,懇請 鈞局審查委員授予合法專利權,至為感禱。 In summary, the present invention has indeed achieved a breakthrough structural design, and has an improved content of the invention. At the same time, it can achieve industrial applicability and progress. Moreover, the present invention has not been seen in any publications, and it is also novel. In accordance with the relevant provisions of the Patent Law, Yan filed an application for a patent for invention in accordance with the law, and I implore the review committee of the Jun Bureau to grant a legal patent right. I really pray.
唯以上所述者,僅為本發明之一較佳實施例而已,當不能以之限定本發明實施之範圍;即大凡依本發明申請專利範圍所作之均等變化與修飾,皆應仍屬本發明專利涵蓋之範圍內。 Only the above is only a preferred embodiment of the present invention, and should not be used to limit the scope of implementation of the present invention; that is, all equal changes and modifications made in accordance with the scope of the patent application of the present invention shall still belong to the present invention. Covered by the patent.
10:人工牙根 10: Artificial tooth root
20:口腔掃描 20: Oral scan
30:3D建檔 30: 3D file creation
40:製作臨時義齒 40: Making temporary dentures
50:永久義齒 50: permanent dentures
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TW201117778A (en) * | 2009-11-26 | 2011-06-01 | Pou Yu Biotechnology Co Ltd | Digital model for use in dental implant and manufacturing method for artificial teeth |
CN106388959A (en) * | 2016-09-12 | 2017-02-15 | 西安工业大学 | Preparation method of zirconia ceramic false teeth |
CN111716488A (en) * | 2020-06-11 | 2020-09-29 | 中南大学 | Method for manufacturing hollow zirconia false tooth through high-yield 3D printing |
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TW201117778A (en) * | 2009-11-26 | 2011-06-01 | Pou Yu Biotechnology Co Ltd | Digital model for use in dental implant and manufacturing method for artificial teeth |
CN106388959A (en) * | 2016-09-12 | 2017-02-15 | 西安工业大学 | Preparation method of zirconia ceramic false teeth |
CN111716488A (en) * | 2020-06-11 | 2020-09-29 | 中南大学 | Method for manufacturing hollow zirconia false tooth through high-yield 3D printing |
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