TWM544918U - External auxiliary guiding device of dental surgery - Google Patents
External auxiliary guiding device of dental surgery Download PDFInfo
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- TWM544918U TWM544918U TW106203632U TW106203632U TWM544918U TW M544918 U TWM544918 U TW M544918U TW 106203632 U TW106203632 U TW 106203632U TW 106203632 U TW106203632 U TW 106203632U TW M544918 U TWM544918 U TW M544918U
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- Dental Prosthetics (AREA)
Description
本創作一種牙科手術境外輔助導引裝置，尤指應用於牙齒醫療領域之技術，其主要特徵在於提供牙醫進行植牙手術前，能知曉所該進行植牙的方向、角度，以及植牙手術過程中的鑽孔的深度，藉此達到精準植牙而形成理想的齒列咬合，更重要的是提高植牙手術的安全性，即為一種實用性極佳之創作。 This invention relates to a dental external guidance device, especially to the medical field of dentistry. The main feature is that the dentist can know the direction and angle of the implant, and the dental implant procedure before the dental implant operation. The depth of the hole in the hole, in order to achieve accurate tooth implants to form the ideal occlusion, and more importantly to improve the safety of implant surgery, is a practical and excellent creation.
牙齒是人體中俗稱守護神的一道關口，牙齒是一種能夠用於咀嚼食物的鈣化組織，肉食性動物尤其倚賴牙齒進行獵食或搏鬥、禦敵。牙齒的構成成份不是骨骼，而是由動物體內不同密度與硬度的複雜組織組成，它的根部則由骨頭包覆、固定。口腔內的牙齒具有許多齒種，例如：具切割功能的門齒、具撕裂功能的犬齒、研磨功能的臼齒，又每一顆牙齒包括有琺瑯質、象牙質、牙髓腔、牙齦，其中象牙質若蛀牙達此層則遇冷熱會感到酸痛、牙髓腔內含血管、神經...等構造，具供給牙齒養份，若蛀牙深及此層則感到劇烈疼痛，當蛀牙到牙髓腔時就代表了此顆牙齒已經無法挽救而必須拔除避免病菌的擴大影響其他牙齒。 Teeth are a common point in the human body called the patron saint. Teeth are a kind of calcified tissue that can be used to chew food. Carnivorous animals rely on their teeth to hunt or fight and fight against enemies. The constituents of the teeth are not bones, but are composed of complex tissues of different densities and hardnesses in the animal, and the roots are covered and fixed by bones. The teeth in the mouth have many types of teeth, such as: incisors with cutting function, canine teeth with tearing function, molars with grinding function, and each tooth includes enamel, dentin, pulp cavity, gums, among which dentin If the tooth decay reaches this layer, it will feel sore when it is cold and hot, and the structure of the pulp cavity contains blood vessels, nerves, etc., which can supply the teeth nutrients. If the tooth decays deep and the layer feels severe pain, when the tooth decays into the pulp cavity It means that this tooth has been saved and must be removed to avoid the expansion of other bacteria.
牙齒對於人們既是如此的重要，因此每個人對於牙齒的保健越來越重視，定期的洗牙、塗氟、美白等，但到後期牙齒已 經無法使用的話就必須安裝假牙以維持咀嚼，而市面上常見假牙的安裝方式有兩種，不外乎固定式的牙冠牙橋或是活動假牙，但活動假牙具有下列諸多缺失：吃過東西後或睡覺時，要取下來刷洗再浸在水中，比較不方便、戴入或取出時可能容易變形、容易遺失、容易鬆脫、打噴嚏時甚至會飛出口外等，故隨著科技的進步已經有所謂「植牙」的方式取代了假牙的安裝，植牙就是把鈦金屬做的人工牙根(植體)植入口腔齒槽骨中，當作類似牙齒的原有之牙根，等三至六個月植體與骨頭緊密結合後，才在鈦金屬牙根上製作假牙，以恢復其美觀及咀嚼功能。如果顎骨太薄或太少，可以藉植入骨粉做骨誘導再生術或是做鼻竇提昇術，但必須等較久的時間，待植體與骨頭緊密結合後，才可以製作假牙。 Teeth are so important to people, so everyone pays more and more attention to the care of their teeth. Regular dental cleaning, fluorination, whitening, etc. If you can't use it, you must install dentures to maintain chewing. There are two kinds of common dentures installed on the market. There are only fixed crown bridges or active dentures, but the active dentures have the following defects: After sleeping or sleeping, it should be taken down and then immersed in water. It is inconvenient, easy to deform when worn or removed, easy to lose, easy to loosen, even fly out when sneezing, etc. There has been a so-called "planting" method to replace the installation of dentures. The implants are implanted with artificial roots (implants) made of titanium into the alveolar bone, which are used as the original roots of teeth. After six months of tight integration of the implant and the bone, the denture was made on the titanium root to restore its aesthetic and chewing function. If the humerus is too thin or too little, bone regeneration can be done by implanting bone powder or doing sinus lift, but it must be waited for a long time before the implant can be tightly combined with the bone before the denture can be made.
植牙它的優點為：(一)咬合力幾乎可恢復至原有牙齒的水準，這點是全***動假牙所完全不能比的。(二)可以減少齒槽骨的吸收。(三)如果是單顆牙或少數幾顆缺牙，可以不用磨掉旁邊鄰近的健康牙。(四)固定式的作法不再像活動假牙，需要拿上拿下，便利多了。(五)在美觀上，如果條件許可的話，其效果看起來可與自然牙差不多，也沒有像活動假牙的金屬掛勾有礙觀瞻。(六)活動式的作法，亦可以穩定活動假牙、增加咀嚼效率。可是植牙卻具有一定的風險存在，最大的風險就是安全上的問題，一般植牙是將金屬植入齒槽骨中，藉此提供假牙的安裝鎖設，但是在金屬植入齒槽骨的手術過程中，因為齒槽骨內具有無數的神經血管，所以非常容易造成神經血管的斷裂，此刻就必須仰賴醫師的技術與經驗，可是人畢竟非機械來的精密準確，以至於金屬植入前的鑽孔角度、方位、深度等都一定會有落差，此些落差就具有非常大的機會影響到後續 植牙的過程，甚至造成病菌的感染、神經斷裂無法復原等諸多問題產生，且醫師進行手術時必須全神貫注的閃避神經所在，因此會耗費極大的心神，導致無法連續進行植牙手術。 The advantages of implants are: (1) The bite force can be restored to almost the level of the original teeth, which is completely incomparable for full-mouth active dentures. (B) can reduce the absorption of alveolar bone. (3) If it is a single tooth or a few missing teeth, you can not wear off the adjacent healthy teeth. (4) The fixed method is no longer like active dentures. It needs to be taken up and taken down, which is more convenient. (5) In terms of aesthetics, if the conditions permit, the effect seems to be similar to that of natural teeth, and there is no metal hook like the movable denture. (6) The movable method can also stabilize the activity of dentures and increase the efficiency of chewing. However, implants have certain risks, and the biggest risk is safety. Generally, implants are implanted into the alveolar bone to provide mounting locks for the dentures, but implanted in the metal. During the operation, because there are numerous nerve vessels in the alveolar bone, it is very easy to cause the rupture of the nerve vessels. At this moment, it depends on the doctor's technology and experience, but after all, the non-mechanical precision is so accurate that the metal is implanted before. The drilling angle, orientation, depth, etc. must have a drop, and these gaps have a very large chance to affect the follow-up The process of implanting teeth, even the infection of the bacteria, the failure of the nerve break can not be restored, and many other problems arise, and the doctor must concentrate on the dodge nerve when performing the operation, so it will consume a great deal of heart, resulting in continuous dental implant surgery.
根據上述說明植牙的風險下，為了追求精準無誤的鑽孔，相關業者推出了一種提供鑽孔導引的模具以利於手術鑽孔中不會有歪斜的問題產生，但此模具的使用僅能適用於第一階段的鑽孔，一般鑽孔的作法是先透過模具上所設置固定的導引金屬，讓鑽頭能夠根據導引金屬的孔位而鑽入並先在齒槽骨上鑽取小孔，接著將模具拆離口腔後，按照步驟陸續更換由小至大的鑽頭逐漸擴大齒槽骨上的孔洞，直到金屬牙根能夠植入，雖然在第一階段的鑽孔已經能夠準確導引所要鑽取之位置，但是將模具拆離口腔後各階段的擴大鑽孔就又回到了前述仰賴牙醫師的經驗與技術的層面，這對於患者來說還是具有極大的風險存在。故，如何讓植牙手術的過程中能夠減少風險的存在是該領域的相關業者必須審慎思考的目標。 According to the above description, the risk of implanting teeth, in order to pursue accurate and accurate drilling, the relevant industry has introduced a mold to provide drilling guidance to facilitate the problem of skew in the surgical drilling, but the use of this mold can only Suitable for the first stage of drilling, the general drilling method is to firstly pass the fixed guiding metal provided on the mold, so that the drill bit can be drilled according to the hole position of the guiding metal and drilled small on the alveolar bone first. Hole, then remove the mold from the mouth, follow the steps to gradually replace the hole in the alveolar bone from the small to large drill bit, until the metal root can be implanted, although the drilling in the first stage has been able to accurately guide the Drilling position, but the enlarged drilling of each stage after the mold is detached from the mouth returns to the above-mentioned experience and technology of the dentist, which is still a great risk for the patient. Therefore, how to reduce the risk of dental implant surgery is a goal that must be carefully considered by the relevant industry in this field.
有鑑於上述所列之先前技術的說明中，習用植牙手術所具有的諸多缺失之下，本創作人投入許多時間研究相關知識，並加以比較各項優劣，進行相關產品的研究及開發，並歷經的多次實驗及測試，而終於推出一種『牙科手術境外輔助導引裝置』改善上述缺失，以符合大眾所需使用。 In view of the above-mentioned prior art descriptions, the creators have devoted a lot of time to researching relevant knowledge and comparing various advantages and disadvantages, and conducting research and development of related products, and having many defects in the conventional dental implant surgery. After many experiments and tests, a "Dental Surgery Auxiliary Guide Device" was finally introduced to improve the above-mentioned defects to meet the needs of the public.
本創作主要目的在於提供醫師在植牙手術上能夠以最精準的角度、方位及深度予以進行，藉此維持最佳的齒排，並且減少手術過程中所可能產生的安全性問題；其改善了習知在植牙手術上容易發生鑽孔偏移、鑽不對位置、鑽孔深度不精確，導致後續 假牙的安裝無法順暢；此外鑽孔不夠精準時甚至會嚴重到患者的安全等問題。藉此，為了達到上述所說的功效並改善習知的缺失，本創作一種牙科手術境外輔助導引裝置，其裝設於口腔內，其包括：一第一導板，其套組於牙齒並予以包覆；一第二導板，其與第一導板呈間距設置並形成一工作區間，該第二導板係套組於牙齒並予以包覆；一外導套，其兩端分別連接於第一導板、第二導板的側表面，且該外導套係相鄰於工作區間；及一導具，其包含有一埋設於外導套內之導板，以及至少一標桿插組於導板，該導板於外導套所埋設之位置係對應工作區間，且該導板係設有至少一插孔由上至下予以貫穿，又該至少一插孔之孔深定義一高度距離H，另外該至少一標桿以一端插組於至少一插孔內；其中，透過導板於外導套內的設置及擺設角度模擬口腔之齒槽骨的骨型，並以標桿插設於插孔內形成校準依據，以便於根據標桿的傾斜度、外露於插孔的長度及水平標齊方位而精準的於齒槽骨上進行鑽孔。 The main purpose of this creation is to provide physicians with the most precise angle, orientation and depth in implant surgery, thereby maintaining optimal tooth rows and reducing the safety issues that may arise during surgery; It is known that in the dental implant surgery, the drilling offset is easy to occur, the drilling is not correct, and the drilling depth is not accurate, resulting in subsequent The installation of the dentures is not smooth; in addition, when the drilling is not accurate enough, the patient's safety may be serious. Therefore, in order to achieve the above-mentioned efficacy and to improve the conventional deficiency, the present invention provides a dental surgery external auxiliary guiding device which is installed in the oral cavity and includes: a first guiding plate which is set in the teeth and The second guide plate is disposed at a distance from the first guide plate and forms a working interval, the second guide plate is set on the tooth and covered; and an outer guide sleeve is respectively connected at both ends thereof a side surface of the first guide plate and the second guide plate, wherein the outer guide sleeve is adjacent to the working section; and a guide member including a guide plate embedded in the outer guide sleeve, and at least one benchmark rod insertion In the guide plate, the position of the guide plate embedded in the outer guide sleeve is corresponding to the working interval, and the guide plate is provided with at least one insertion hole extending from top to bottom, and the hole depth of the at least one insertion hole defines a height a distance H, the at least one pole is inserted into the at least one insertion hole at one end; wherein the bone shape of the alveolar bone of the oral cavity is simulated by the arrangement and the angle of the guide plate in the outer guide sleeve, and the rod is inserted in the pole A calibration basis is formed in the jack so as to be exposed according to the inclination of the pole Drill holes accurately on the alveolar bone in the length and horizontal orientation of the jack.
根據上述之說明下，本創作進一步的技術特徵在於，該第一導板、第二導板及外導套係為一體成型。 According to the above description, a further technical feature of the present invention is that the first guide plate, the second guide plate and the outer guide sleeve are integrally formed.
根據上述之說明下，本創作進一步的技術特徵在於，該導板及標桿係為金屬材質。 According to the above description, a further technical feature of the present invention is that the guide plate and the pole are made of metal.
根據上述之說明下，本創作進一步的技術特徵在於，該外導套包含有一上表面、一下表面、一左貼面及一右側面，該上表面係對應至少一插孔係設有一貫孔予以相連通，而該左貼面係貼抵於口腔內之齒槽骨側邊面，又該導板的頂面的水平延伸與上表面的水平延伸之間形成一傾斜角度α，該傾斜角度α的角度值取決於齒槽骨的骨型以及內部神經的分佈。 According to the above description, a further technical feature of the present invention is that the outer guide sleeve comprises an upper surface, a lower surface, a left surface and a right side surface, wherein the upper surface is provided with a corresponding hole corresponding to at least one of the sockets. Connected to each other, and the left veneer is attached to the side surface of the alveolar bone in the oral cavity, and the horizontal extension of the top surface of the guide plate and the horizontal extension of the upper surface form an inclination angle α, the inclination angle α The angular value depends on the bone shape of the alveolar bone and the distribution of internal nerves.
根據上述之說明下，本創作進一步的技術特徵在於，該外導套包含有一上表面、一下表面、一左貼面及一右側面，該上表面係對應至少一插孔係設有一貫孔予以相連通，而該左貼面係貼抵於口腔內之齒槽骨側邊面，又該導板的頂面的水平延伸與上表面的水平延伸之間相互平行。 According to the above description, a further technical feature of the present invention is that the outer guide sleeve comprises an upper surface, a lower surface, a left surface and a right side surface, wherein the upper surface is provided with a corresponding hole corresponding to at least one of the sockets. Connected to each other, the left veneer is attached to the side surface of the alveolar bone in the oral cavity, and the horizontal extension of the top surface of the guide plate and the horizontal extension of the upper surface are parallel to each other.
根據上述之說明下，本創作進一步的技術特徵在於，該導板上另設有一通孔，標桿為複數支時係插組於該通孔及插孔內，複數標桿的插設作為雙重校正，又該通孔之孔深定義一高度距離h，該高度距離H與高度距離h的比較可為H<h、H>h或者是H=h任一種。 According to the above description, a further technical feature of the present invention is that the guide plate is further provided with a through hole, and the plurality of branches are inserted into the through hole and the jack, and the insertion of the plurality of benchmarks is double corrected. Further, the hole depth of the through hole defines a height distance h, and the height distance H and the height distance h may be any one of H<h, H>h or H=h.
綜合上述針對本創作所描述的各項技術特徵之下，其優點在於，牙醫師在進行植牙手術前，先進行患者口腔內之牙齒、齒槽骨進行相關的電腦量測，再根據所得到數據進行境外輔助導引裝置的製作，進而得到了由第一導板、第二導板、外導套及導具所構成的境外輔助導引裝置，又透過位在外導套內導板設置下，藉由標桿的插設下提供給牙醫師在進行齒槽骨的鑽孔上有所依據，透過標桿的插設深度而取決於鑽孔的深度、標桿相對外導套的傾斜取決於入刀鑽孔的角度，藉此讓牙醫師能夠閃避位在齒槽骨內的神經，也更能夠確認預備植入齒槽骨內的金屬牙根是否能夠精準的植入。因此本創作可說是一種相當具有實用性及進步性之創作，相當值得產業界來推廣，並公諸於社會大眾。 Combining the above technical features described in this creation, the advantage is that the dentist performs the relevant computer measurement on the teeth and alveolar bone in the patient's mouth before performing the dental implant operation, and then according to the obtained The data is used for the production of the overseas auxiliary guiding device, and the external auxiliary guiding device composed of the first guiding plate, the second guiding plate, the outer guiding sleeve and the guiding device is obtained, and the positioning device is arranged under the outer guiding sleeve. It is provided to the dentist by the insertion of the benchmark to make a basis for the drilling of the alveolar bone. The depth of the insertion of the pole depends on the depth of the borehole, and the inclination of the benchmark relative to the outer guide sleeve depends on the penetration. The angle of the hole allows the dentist to evade the nerves located in the alveolar bone and to confirm the precise implantation of the metal roots that are implanted in the alveolar bone. Therefore, this creation can be said to be a kind of practical and progressive creation, which is worthy of promotion by the industry and publicized to the public.
(1)‧‧‧第一導板 (1) ‧‧‧First guide
(2)‧‧‧第二導板 (2) ‧‧‧Second guide
(3)‧‧‧工作區間 (3) ‧‧‧Working interval
(4)‧‧‧外導套 (4) ‧‧‧ outer guide sleeve
(41)‧‧‧上表面 (41) ‧ ‧ upper surface
(411)‧‧‧貫孔 (411)‧‧‧Tongkong
(42)‧‧‧下表面 (42)‧‧‧ Lower surface
(43)‧‧‧左貼面 (43) ‧ ‧ left veneer
(44)‧‧‧右側面 (44) ‧‧‧ right side
(5)‧‧‧導具 (5) ‧‧‧ Guides
(51)‧‧‧導板 (51) ‧‧ ‧ Guide
(511)‧‧‧插孔 (511)‧‧‧ jack
(512)‧‧‧通孔 (512)‧‧‧through holes
(52)‧‧‧標桿 (52) ‧ ‧ benchmark
H‧‧‧高度距離 H‧‧‧ Height distance
h‧‧‧高度距離 H‧‧‧height distance
α‧‧‧傾斜角度 ‧‧‧‧ tilt angle
第一圖為本創作安裝於口腔內之第一實施例立體示意圖。 The first figure is a perspective view of a first embodiment of the present invention installed in the oral cavity.
第二圖為本創作的立體示意圖。 The second picture is a three-dimensional diagram of the creation.
第三圖為本創作另一視角立體示意圖。 The third picture is a three-dimensional diagram of another perspective of the creation.
第四圖為第一圖之Ⅳ-Ⅳ剖面示意圖。 The fourth figure is a schematic cross-sectional view of the IV-IV of the first figure.
第五圖為第一圖之V-V剖面示意圖。 The fifth figure is a schematic view of the V-V section of the first figure.
第六圖為本創作第二實施例導板與上表面間呈現具傾斜角度α之剖面示意圖。 The sixth figure is a schematic cross-sectional view showing the inclined angle α between the guide plate and the upper surface of the second embodiment of the present invention.
為了清楚說明本創作所能達成上述之目的及功效，茲搭配圖示就本創作的實施例加以詳細說明其特徵與功效。請參閱第一圖至第五圖所示，本創作一種牙科手術境外輔助導引裝置，其裝設於口腔內，其主要是輔助牙醫師於植牙手術過程中能以最精準的方式進行，減少意外發生的危險，因此本創作其包括：一保護相鄰植牙處之牙齒安全的第一導板(1)，其套組於牙齒並予以包覆；同樣保護相鄰於植牙處之牙齒安全的一第二導板(2)，其與第一導板(1)呈間距設置並形成一工作區間(3)，該第二導板(2)係套組於牙齒並予以包覆；一外導套(4)，其兩端分別連接於第一導板(1)、第二導板(2)的側表面，且該外導套(4)係相鄰於工作區間(3)，且由第一圖所示該外導套(4)係由工作區間(3)的側邊呈橫跨型態；及一輔助牙醫師植牙手術時作為鑽孔依據之導具(5)，其包含有一埋設於外導套(4)內之導板(51)，以及至少一標桿(52)插組於導板(51)，該導板(51)於外導套(4)所埋設之位置係對應工作區間(3)，且該導板(51)呈長板狀並設有至少一插孔(511)由上至下予以貫穿，又該至少一插孔(511)之孔深定義一高度距離H，另外該至少一標桿(52)以一端插組於至少一插孔(511)內；其中，透過導板(51)於外導套(4)內的設置及擺設角度模擬口腔 之齒槽骨的骨型，並以標桿(52)插設於插孔(511)內形成校準依據，以便於根據標桿(52)的傾斜度、外露於插孔(511)的長度及水平標齊方位而精準的於齒槽骨上進行鑽孔(前述為本創作主實施例之主要技術特徵，其對應本案申請專利範圍第一項的內容，得以詳知本創作之目的與實施型態，而其餘附屬申請專利範圍所述的技術特徵是為對申請專利範圍第一項內容的詳述或附加技術特徵，而非用以限制申請專利範圍第一項的界定範圍，應知本案申請專利範圍第一項不必要一定包含其餘附屬申請專利範圍所述的技術特徵)。 In order to clarify the purpose and effect of the above-mentioned creations, the features and effects of the present invention will be described in detail with reference to the drawings. Referring to the first to fifth figures, the present invention provides a dental surgical external guiding device which is installed in the oral cavity, and is mainly used to assist the dentist in the most accurate manner during the dental implant surgery. To reduce the risk of accidents, the creation includes: a first guide (1) that protects the teeth of adjacent implants, which is placed over the teeth and covered; likewise protected adjacent to the implant a second guide plate (2) for tooth safety, which is disposed at a distance from the first guide plate (1) and forms a working section (3), and the second guide plate (2) is sleeved on the teeth and covered An outer guide sleeve (4) has two ends connected to the side surfaces of the first guide plate (1) and the second guide plate (2), and the outer guide sleeve (4) is adjacent to the working interval (3) And the outer guide sleeve (4) shown in the first figure is crossed by the side of the working section (3); and a guide for assisting the dentist in the dental implant surgery (5) ), comprising a guide plate (51) embedded in the outer guide sleeve (4), and at least one pole (52) is inserted into the guide plate (51), the guide plate (51) is disposed on the outer guide sleeve (4) The location to be buried corresponds to the work area The guide plate (51) has a long plate shape and is provided with at least one insertion hole (511) penetrating from top to bottom, and the hole depth of the at least one insertion hole (511) defines a height distance H In addition, the at least one pole (52) is inserted into the at least one jack (511) at one end; wherein the mouth is simulated by the arrangement and the angle of the guide plate (51) in the outer guide sleeve (4) The bone shape of the alveolar bone is inserted into the socket (511) with a pole (52) to form a calibration basis, so as to be exposed according to the inclination of the pole (52), the length of the socket (511) and the horizontal scale Orientation and precision drilling on the alveolar bone (the foregoing is the main technical feature of the main embodiment of the creation, which corresponds to the content of the first item of the patent application scope of this case, and can understand the purpose and implementation form of the creation. The technical features described in the scope of the remaining patent applications are detailed or additional technical features of the first content of the patent application scope, and are not intended to limit the scope of the first paragraph of the patent application scope. The first item does not necessarily have to include the technical features described in the scope of the remaining dependent patents).
牙醫師在進型患者的植牙手術時，首先透過電腦的掃描(3D斷層、X光片等)，先了解位於齒槽骨內的神經分佈位置，以及齒槽骨的骨型，先從電腦內決定金屬牙根的植入位置後，進一步模擬患者口腔內的牙齒、牙床等相關部位並製作出手術模板，而在組裝前必須透過習用的模具，讓牙醫師在石膏齒模進行模擬鑽孔，當孔的位置明確制定後，再將本創作的第一導板(1)、第二導板(2)套設於預備要植牙處的兩端牙齒，讓工作區間(3)疊合在準備植牙的位置並對應該該處的齒槽骨，接著牙醫師將標桿(52)***於位在外導套(4)內的導板(51)之插孔(511)內，並根據電腦所呈現植牙處的狀況後決定標桿(52)***插孔(511)的深度，又因為在製作本創作境外輔助導引裝置時，導板(51)在外導套(4)內的位置、擺設方位、角度已經是經過計算的，因此導板(51)上的插孔(511)也會跟隨著導板(51)的擺設而朝向不同的方位，故牙醫師將標桿(52)***於插孔(511)候，利用相關的鑽孔工具於工作區間(3)的位置對齒槽骨進行鑽孔施做，牙醫師根據標桿(52)外露插孔(511)的長度、標桿(52)相對導板(51)的傾斜等，進一步由已經成形的孔位決定鑽孔工具的鑽孔方向、鑽取深度，如此 一來即可避免破壞齒槽骨內的神經，以最佳的方位鑽取最佳的深度，讓金屬牙根可以如期的裝設於齒槽骨內提供假牙的安裝，好讓假牙的安裝能夠符合咬合力道以及口腔的閉合。 In the dental implant surgery of the patient, the dentist first scans the computer (3D tomography, X-ray, etc.) to understand the location of the nerve located in the alveolar bone and the bone shape of the alveolar bone. After determining the implantation position of the metal root, the teeth, gums and other related parts in the patient's mouth are further simulated and a surgical template is prepared. Before assembly, the mold must be used to allow the dentist to perform simulated drilling on the plaster tooth mold. After the position of the hole is clearly defined, the first guide plate (1) and the second guide plate (2) of the present creation are placed on the teeth at both ends of the preparation for the implant, so that the working interval (3) is superposed in preparation. Position the implant and the alveolar bone where it should be, then the dentist inserts the pole (52) into the socket (511) of the guide (51) in the outer guide sleeve (4), and according to the computer Determining the depth of the pole (52) inserted into the jack (511) after presenting the condition of the implant, and because of the position and arrangement of the guide (51) in the outer guide sleeve (4) when the auxiliary guide device is created outside the creation of the present invention The orientation and angle are already calculated, so the jack (511) on the guide (51) will follow the guide. The plate (51) is oriented in different orientations, so the dentist inserts the benchmark (52) into the socket (511) and drills the alveolar bone at the position of the working section (3) using the associated drilling tool. By doing so, the dentist determines the drilling direction of the drilling tool and the drilling direction according to the length of the exposed socket (511) of the benchmark rod (52), the inclination of the benchmark rod (52) relative to the guide plate (51), and the like. Take the depth, so In order to avoid destroying the nerves in the alveolar bone, the best depth can be drilled in the best orientation, so that the metal root can be installed in the alveolar bone as scheduled to provide the installation of the denture, so that the installation of the denture can be met. The bite force and the closure of the mouth.
根據上述說明本創作在植牙過程中的功能下，進一步細述本創作的基本型態，該外導套(4)包含有一上表面(41)、一下表面(42)、一左貼面(43)及一右側面(44)，又本創作將該外導套(4)的設置位置置於口腔內為主要實施例說明，但並非限定外導套(4)必須要位在手術位置的舌側，亦可在手術位置的頰側，該外導套(4)的位置取決於牙醫師的判斷，又該外導套(4)的上表面(41)對應至少一插孔(511)係設有一貫孔(411)，該貫孔(411)會與插孔(511)相連通，而該外導套(4)的左貼面(43)會貼抵於口腔內之齒槽骨的側邊面(如果外導套(4)是位於牙齒的頰側時，則會以右側面(44)貼抵於齒槽骨的側邊面)，又該導板(51)的頂面的水平延伸線會與上表面(41)的水平延伸線之間形成一傾斜角度α，而本創作的導板(51)與上表面之間主要具有兩種型態，其一為形成傾斜角度α，傾斜角度α的形成主要取決於電腦對於齒槽骨的照射後所得到的神經分佈、骨型等，因此導板(51)會在外導套(4)內為傾斜裝設，請參閱第六圖所示；其二則是導板(51)的頂面與上表面(41)之間為相互平行設置，也就是說標桿(52)能夠直上直下的插拔於插孔(511)，同樣的是根據齒槽骨之骨型而制定，請參閱第三、四、五圖所示。導板(51)不同的擺設是根據患者齒槽骨及神經的分佈情況，藉此提供牙醫師進行鑽孔時能夠以最安全的方式進行鑽孔，而不會傷及神經同時保有鑽孔上的完整性。 According to the above description, the basic form of the creation is further described under the function of the creation process, and the outer guide sleeve (4) comprises an upper surface (41), a lower surface (42) and a left surface ( 43) and a right side surface (44), and the creation of the outer guiding sleeve (4) in the oral cavity is the main embodiment, but the outer guiding sleeve (4) is not limited to the surgical position. The lingual side, also on the buccal side of the surgical position, the position of the outer guide sleeve (4) depends on the judgment of the dentist, and the upper surface (41) of the outer guide sleeve (4) corresponds to at least one insertion hole (511) There is a consistent hole (411) which communicates with the socket (511), and the left facing surface (43) of the outer guiding sleeve (4) adheres to the alveolar bone in the oral cavity. The side surface (if the outer guide sleeve (4) is located on the buccal side of the tooth, it will be attached to the side surface of the alveolar bone with the right side surface (44)), and the top surface of the guide plate (51) The horizontal extension line forms an oblique angle α with the horizontal extension line of the upper surface (41), and there are mainly two types of the guide plate (51) and the upper surface of the present invention, one of which is to form an inclination angle. α, the formation of the inclination angle α is mainly Depending on the nerve distribution, bone shape, etc. obtained after the computer has irradiated the alveolar bone, the guide plate (51) will be tilted in the outer guide sleeve (4), see Figure 6; The top surface and the upper surface (41) of the guide plate (51) are arranged parallel to each other, that is, the pole (52) can be inserted straight and straight into the socket (511), and the same is based on the alveolar bone. For bone type, please refer to the third, fourth and fifth figures. The different arrangement of the guide plate (51) is based on the distribution of the patient's alveolar bone and nerves, thereby providing the dentist with the most safe way to drill while drilling, without damaging the nerve while retaining the hole. Integrity.
另外，有的時候單一支標桿(52)可能無法讓牙醫師完全了解所要鑽取的深度、角度、方位等，因此可以在於導板(51)上 另設有一通孔(512)，該通孔(512)會與插孔(511)呈間距且並排設置，因為在插孔(511)內有定義高度距離H，也就是牙醫師可以根據電腦的顯示而決定標桿(52)***於插孔(511)的深度，又通孔(512)也定義有一高度距離h，其中通孔(512)的高度距離h與插孔(511)的高度距離H之間比較可為三種，分別為H<h、H>h或者是H=h，簡單來說牙醫師可以透過複數支標桿(52)插設於插孔(511)及通孔(512)的深度之相互比對下，更加精準的決定在齒槽骨上必須鑽取多深的深度，以及所要鑽孔的角度、斜度等，藉由兩支以上的標桿(52)可以提供更為準確的方位、深度等資訊，好讓牙醫師能夠保護患者的安全以外，更能夠提供更良好的術後成果，請參閱第五、六圖所示。 In addition, sometimes a single pole (52) may not allow the dentist to fully understand the depth, angle, orientation, etc. to be drilled, so it can be on the guide (51) There is also a through hole (512) which is spaced apart from the socket (511) and arranged side by side because there is a defined height distance H in the socket (511), that is, the dentist can according to the computer The display determines the depth at which the pole (52) is inserted into the jack (511), and the through hole (512) also defines a height distance h, wherein the height distance h of the through hole (512) is the height distance H from the jack (511). There are three kinds of comparisons, which are H<h, H>h or H=h. In simple terms, the dentist can insert the plurality of rods (52) into the jack (511) and the through hole (512). With the mutual comparison of depths, it is more accurate to determine how deep the depth must be drilled on the alveolar bone, as well as the angle and slope of the hole to be drilled, and more accurate by providing more than two benchmarks (52). Information such as orientation, depth, etc., so that the dentist can protect the safety of the patient and provide better postoperative results. Please refer to the fifth and sixth figures.
最後，本創作在第一導板(1)、第二導板(2)及外導套(4)的設置上以採用一體成型，且所使用之材質為聚甲基丙烯酸甲酯、丙烯腈-丁二烯-苯乙烯共聚物或者是聚乳酸材質，此些化合物較適合置入於口腔內且避免感染齒槽骨的鑽孔處；而導板(51)及標桿(52)則以金屬材質為較佳使用，其主要是因導板(51)及標桿(52)以金屬製作具有一定程度上的硬度，且標桿(52)插組於導板(51)上也較不會產生晃動、掉落等問題發生，可以有效的提供牙醫師在植牙的過程中，以最精準的判斷與多年經驗下，在齒槽骨上能夠鑽取出最合適的孔洞提供金屬牙根植入，不論是所鑽之深度、角度、方位等都是合適當下的患者，重要的是不會傷害到神經以確保患者的安全，預防後續得併發症產生。總結說明下，本創作的優點在於牙醫師進行植牙的過程中，透過導板(51)、標桿(52)的配合下，能夠以標桿(52)作為標準進行手術，以合適患者的齒槽骨之骨型、神經的分佈進行鑽孔作業，從鑽孔的角度、從何方向進行鑽孔、鑽取多少深度的孔，藉 此得到安全的孔洞提供金屬牙根植入，當金屬牙根確實無誤的植入齒槽骨後，即可讓假牙以最整齊的方式進行裝合，比起前述習知所述現今植牙技術下，本創作更符合一般大眾的需求，也更具有實質上的進步性與實用性。 Finally, the creation is integrally formed on the first guide plate (1), the second guide plate (2) and the outer guide sleeve (4), and the material used is polymethyl methacrylate and acrylonitrile. - Butadiene-styrene copolymer or polylactic acid material, these compounds are more suitable for placement in the oral cavity and avoid infecting the borehole of the alveolar bone; and the guide plate (51) and the benchmark (52) are made of metal. The material is preferably used, which is mainly because the guide plate (51) and the benchmark rod (52) are made of metal to have a certain degree of hardness, and the benchmark rod (52) is inserted into the guide plate (51) and is less swaying. Problems such as falling, can effectively provide the dentist in the process of implanting teeth, with the most accurate judgment and years of experience, the most suitable holes can be drilled on the alveolar bone to provide metal root implant, whether it is The depth, angle, and orientation of the drill are suitable for the current patient. It is important that the nerve is not injured to ensure the safety of the patient and prevent subsequent complications. In summary, the advantage of this creation is that during the process of implanting the dentist, through the cooperation of the guide plate (51) and the benchmark (52), the surgery can be performed with the standard (52) as the standard to suit the patient's cogging. The bone type and nerve distribution of the bone are drilled, and the hole is drilled from the angle of the hole, from which direction, and how many depth holes are drilled. This safe hole provides metal root implants, and when the metal roots are implanted into the alveolar bones without errors, the dentures can be assembled in the most neat way, compared to the prior art implant technique described above. This creation is more in line with the needs of the general public, but also more substantial and practical.
由上所述者僅為用以解釋本創作之較佳實施例，並非企圖據以對本創作做任何形式上之限制，是以，凡有在相同之創作精神下所做有關本創作之任何修飾或變更者，為其他可據以實施之型態且具有相同效果者，皆仍應包括在本創作意圖保護之範疇內。 The above description is only a preferred embodiment for explaining the present creation, and is not intended to impose any form limitation on the creation, so that any modification related to the creation in the same creative spirit is made. Or the changer, other types that can be implemented according to the same effect, should still be included in the scope of protection of this creative intention.
綜上所述，本創作「牙科手術境外輔助導引裝置」，其實用性及成本效益上，確實是完全符合產業上發展所需，且所揭露之結構創作亦是具有前所未有的創新構造，所以其具有「新穎性」應無疑慮，又本創作可較習用之結構更具功效之增進，因此亦具有「進步性」，其完全符合我國專利法有關新型專利之申請要件的規定，乃依法提起專利申請，並敬請 鈞局早日審查，並給予肯定。 In summary, the creation of the "Dental Surgery Auxiliary Guide Device for Dental Surgery" is indeed in line with the needs of industrial development and its innovative structure is unprecedented in its practicality and cost-effectiveness. Its "novelty" should be undoubtedly considered, and this creation can be more effective than the conventional structure. Therefore, it is also "progressive". It fully complies with the requirements of the application requirements for new patents in the Chinese Patent Law. Patent applications, and please ask the bureau for an early review and give affirmation.
(1)‧‧‧第一導板 (1) ‧‧‧First guide
(2)‧‧‧第二導板 (2) ‧‧‧Second guide
(3)‧‧‧工作區間 (3) ‧‧‧Working interval
(4)‧‧‧外導套 (4) ‧‧‧ outer guide sleeve
(5)‧‧‧導具 (5) ‧‧‧ Guides
(51)‧‧‧導板 (51) ‧‧ ‧ Guide
(511)‧‧‧插孔 (511)‧‧‧ jack
(512)‧‧‧通孔 (512)‧‧‧through holes
(52)‧‧‧標桿 (52) ‧ ‧ benchmark
Claims (7)
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| TW106203632U TWM544918U (en) | 2017-03-15 | 2017-03-15 | External auxiliary guiding device of dental surgery |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| TW106203632U TWM544918U (en) | 2017-03-15 | 2017-03-15 | External auxiliary guiding device of dental surgery |
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| Publication Number | Publication Date |
|---|---|
| TWM544918U true TWM544918U (en) | 2017-07-11 |
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| TW106203632U TWM544918U (en) | 2017-03-15 | 2017-03-15 | External auxiliary guiding device of dental surgery |
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Cited By (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN109745127A (en) * | 2018-12-14 | 2019-05-14 | 厦门医学院附属口腔医院 | A kind of guide plate and preparation method thereof for instructing All ceramic veneer precisely to bond |
| TWI668000B (en) * | 2017-08-17 | 2019-08-11 | 洪澄祥 | Orthodontic correction device |
| CN110236712A (en) * | 2019-05-31 | 2019-09-17 | 福建医科大学附属口腔医院 | Surgical guide of Auto-dental transplantation preparation tooth socket and preparation method thereof and application |
| US11049276B2 (en) | 2018-06-29 | 2021-06-29 | Industrial Technology Research Institute | Positioning guidance method and system for tooth brackets |
| CN110236712B (en) * | 2019-05-31 | 2024-08-27 | 福建医科大学附属口腔医院 | Surgical guide plate for preparing alveolus by autologous tooth transplantation and manufacturing method and application thereof |
-
2017
- 2017-03-15 TW TW106203632U patent/TWM544918U/en not_active IP Right Cessation
Cited By (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| TWI668000B (en) * | 2017-08-17 | 2019-08-11 | 洪澄祥 | Orthodontic correction device |
| US11049276B2 (en) | 2018-06-29 | 2021-06-29 | Industrial Technology Research Institute | Positioning guidance method and system for tooth brackets |
| CN109745127A (en) * | 2018-12-14 | 2019-05-14 | 厦门医学院附属口腔医院 | A kind of guide plate and preparation method thereof for instructing All ceramic veneer precisely to bond |
| CN109745127B (en) * | 2018-12-14 | 2024-01-30 | 厦门医学院附属口腔医院 | Guide plate for guiding accurate bonding of all-ceramic veneers and manufacturing method thereof |
| CN110236712A (en) * | 2019-05-31 | 2019-09-17 | 福建医科大学附属口腔医院 | Surgical guide of Auto-dental transplantation preparation tooth socket and preparation method thereof and application |
| CN110236712B (en) * | 2019-05-31 | 2024-08-27 | 福建医科大学附属口腔医院 | Surgical guide plate for preparing alveolus by autologous tooth transplantation and manufacturing method and application thereof |
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