TW201114409A - Manufacture method of surgery guide template - Google Patents
Manufacture method of surgery guide template Download PDFInfo
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- TW201114409A TW201114409A TW98135824A TW98135824A TW201114409A TW 201114409 A TW201114409 A TW 201114409A TW 98135824 A TW98135824 A TW 98135824A TW 98135824 A TW98135824 A TW 98135824A TW 201114409 A TW201114409 A TW 201114409A
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Abstract
Description
201114409 六、發明說明: 【發明所屬之技術領域】 工程計軟體與逆向 或整角 為3依據手術部位之表面預先製作出手術ί 導引模板的輔助導引,即可將植體植入正確的:置,j 以植牙手術而吕,倘若植體植入的位置、角 及齒槽骨内的神經,也會造成牙齒無法ί合之情形: 敗,目驗牙手術導倾板的製作,—般分為以 1 ·言^_ 1圖’其係為傳統的作法,主要是·石膏翻製出 ΐί,的石膏齒模,接著於該石f齒模上製作出臨時 ί對植牙區域的位置上鑽出複數個孔 r再!導引板套合於患者口腔,並依據導引板的孔洞位置, ^針制患者口腔軟域的厚度,並域量測所得 ίΐ祕^石膏齒模上刮除該厚度,使得石膏齒模植入區域呈 土齒槽月之曲面’接著依據患者口腔所拍攝之χ 當,植體尺寸及植人深度,再於騎賴之植人區== ,並植入臨時植體,最後將製作導引模板之材料披 具有臨時植體之石膏齒模上,待其硬化後剝離石膏齒模 可製作出具有植體導引孔之導引模板;該方式雖於製作過程 、中不需使用電腦斷層掃描以及植牙術前規劃軟體,但由於X f所拍攝為2D影像有扭曲變形的問題,導致無法精確的測 槽骨的向度及其頰、舌側的寬度變化;且無法保證探卸 201114409 ^病土軟組織的角度,在對 的,因此所製作出來的手 過全一致 率較高,不符服板精確度較差,手術失敗 實際手術時的空間,外财朗無法模擬患者 盈法細谷易發生後牙區空間過/ ff順利置入導引模板鑽孔的情形 小’植牙鑽頭 2 3=第2圖’其係為較為“的作 術之部位拍攝電腦斷層掃描 以手 ,植牙術前規劃軟體進行二 出,以快速成上並將該料模板的之檔案輸 ϊ及==得31)影像:而清楚獲知口201114409 VI. Description of the invention: [Technical field of the invention] The engineering software and the reverse or full-angle 3 are pre-made according to the surface of the surgical site, and the implant can be implanted correctly. : Set, j to implant surgery, if the implant is implanted in the position, angle and nerves in the alveolar bone, it will also cause the teeth to be unable to meet the situation: defeat, the purpose of the dental surgery guide plate production, It is generally divided into 1 · 言 ^ _ 1 figure 'the traditional method of its system, mainly · gypsum remanufactured ΐί, the gypsum tooth mold, and then on the stone f tooth mold to make a temporary ί on the implant area Drill a plurality of holes r in the position! The guiding plate fits over the patient's mouth, and according to the position of the hole of the guiding plate, the thickness of the patient's oral soft domain is measured, and the measurement results are obtained. The thickness is scraped off, so that the implanted area of the gypsum tooth mold is a curved surface of the soil groove. Then, according to the sputum taken by the patient's mouth, the size of the implant and the depth of the implant are further, and then the planting area of the plant is == Into the temporary implant, and finally the material of the guide template will be made. On the plaster tooth mold of the temporary implant, after the hardening, the gypsum tooth mold can be peeled off to form a guiding template with the implant guiding hole; the method does not need to use computerized tomography and before the dental implant in the manufacturing process. Planning software, but due to the distortion of the 2D image taken by X f, it is impossible to accurately measure the orientation of the groove bone and the width of the cheek and lingual side; and it is impossible to guarantee the angle of the soft tissue of the diseased soil in 201114409 In the right, therefore, the hand-made uniformity rate is high, the accuracy of the inconsistency is not good, and the actual operation time of the surgery fails. The foreign wealth can not simulate the patient's surplus method. Ff smoothly placed into the guide template drilling situation is small 'tooth bit 2 3 = 2nd picture' is a more "part of the operation of the computer tomography scan hand, pre-planting planning software for two out, To quickly get up and copy the file of the material template and == get 31) image: and know the mouth clearly
模板數位;P :都被ϊί2提兩精確度,但其製作的植牙導弓I 必須交:牙ϋΐϋ用該數位槽自行製作導引模板,而 作成太%?牙”丨規劃軟體設計麵製作導引模板,導致製 間,而六式亦因無法模擬患者實際手術時的空 引模板i孔的情ί牙區空間過小’植牙義無法順利置入導 經驗有發明人遂以其多年從事相關行業的研發與製作 期努力之研匕 =====作t手術導引模板之製作方』 【發明弊,此即為本發明之設計宗旨。 利用的—係提供—種手術導賴板之製作方法,复传 ==建_部二數 ==¾ 啟該立體触麵,即可㈣向碎倾技行手術 201114409 作出手術助g設標記物’進而可準確的製 可貼合於手術部位表面及且導輔助模型成型出 置,以蝴丨,將植敝正確的位 利用it 手術導引模板之製作方法,其係 及設計植4Ϊ:開手術的植入規劃 =軟體,精確製作出手術導引“,達 用於ί 的種手術導引模板之製作方法,其應 iSi】植輸===二生後牙 實施p配明作更.步之瞭解,錄一較佳 植牙;=第::拍=手:導引模板之製作方法,其應用於 3D數位影像資料後,將腦斷層掃描,於取得口腔的 植入至齒槽骨牙手術中,係須先將植體 設植體前必須清於植體之上’因此在裝 齒槽骨合適的位置上:而本發 201114409 ^^形$以進行植入規劃’並依照植體的尺寸、方位設計植 助ί:』?建立輔助模型檔案’接著將該完成植入規劃“ 於手=位底面成型出可貼合 助模d第依據植人規劃模型檔案製作之實體辅 ^方位miifr立置、方位等同於將來植體裝設的位 ^位ί以因素來設計,以使得標記物11之方位與植體植ί 祕6圖’本發明具有圓柱形標記物11之實體輔 輔之材料彼覆於實體 料成形後予_ ====材料,待披覆材 應實趙輔助模型1 〇=在 • 1 2上之導引孔丄3的位置=將板 明參閱第7圖,此夕卜’如欲在口腔德 因後牙區郎削、,容祕她之術時, 口的口腔影像,以取得口腔開口時_^ =的2 ’拍攝患者張 並製作出具有上、下顎及輔助支揮 7 ^數位影像資料, 進而可模擬患者後牙區實際手術時的^之;型1f 態,以避免發生植牙錢頭無法順利^向 =入的型 201114409 此外,本發明手術導引模板之製作方法,除了 術和亦可更敍的應祕其他需絲設植體或骨$之骨= 或整形外科手術使用,相同的都可以精確製作出所 ^ 模板及實難助麵’並可於術前進行手術模擬進而達有 升手術成功率,從而本發明實為—深具實祕及進步H & 產品及刊物公開,從而允符發料利申請&, 【圖式簡單說明】 第1圖.係為習式一導引模板製作之流程示意圖。The template digits; P: both are ϊί2 to mention two precisions, but the implanted dental guide bow I must be handed over: the gums use the digital slot to make their own guide template, and make too much??"" planning software design surface production Guide template, leading to the system, and the six styles can not simulate the patient's actual surgery when the empty template i hole of the situation, the space of the tooth area is too small 'plant teeth can not be smoothly introduced into the experience of the inventor, who has been engaged for many years Research and development of related industries and efforts in the production period ===== as the producer of the t-surgical guide template" [The invention is disadvantageous, this is the design tenet of the invention. The use of the system provides a surgical guide The production method, re-transmission == construction _ part two == 3⁄4 to open the three-dimensional contact surface, you can (4) to the surgery technology 201114409 to make surgery to help set the mark 'and thus can be accurately fit to the surgery The surface of the part and the auxiliary model are formed, and the method of making the correct position of the planting is guided by the method of guiding the template, and the design and planting are carried out: the implantation plan of the operation = software, accurately produced Surgical guidance ", for the surgical guidance of ί The method of making the template, it should be iSi] implanted === the second generation of the posterior teeth to implement the p-match with the Ming. The step of understanding, recording a better implant; =:: beat = hand: guide template production method, After being applied to 3D digital image data, the brain tomography scan is performed in the preparation of the oral cavity into the alveolar bone surgery. The implant must be placed on the implant before the implant is implanted. The appropriate position of the trough: and the 201111409 ^^ shape $ for implant planning 'and design according to the size and orientation of the implant ί:』? Create an auxiliary model file 'and then complete the implant plan' The hand=bit bottom surface is formed to fit the mold aid d. According to the implanted planning model file, the physical auxiliary auxiliary position miifr is placed, and the orientation is equivalent to the position of the future implant device. The orientation of the object 11 and the implants ί 秘 6 diagram 'The material of the invention with the cylindrical marker 11 is supplemented with the material of the physical material. _ ==== material, the material to be covered should be assisted by Zhao Model 1 〇 = position of the guide hole 丄 3 on • 1 2 = see Figure 7 for the board, this ‘ In the oral cavity of the oral cavity, when the surgery is performed, the oral cavity image of the mouth is taken to obtain the patient's piece of _^ = 2' when the mouth is open, and the upper and lower jaws and the auxiliary branch are 7 ^ digits The image data can be used to simulate the actual operation of the patient's posterior region; the type 1f state can be avoided to avoid the occurrence of implants. The type of the surgical guide template is not limited. Surgery and more succinctly, other bones need to be implanted or bone $ bone = or orthopedic surgery, the same can be accurately produced ^ template and real difficult face ' and can be simulated before surgery In turn, the success rate of the operation is up, so that the present invention is practically-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Schematic diagram of the process of making a guide template.
^2圖·係為習式二導引模板製作之流程示意圖。 第3圖:本發明之流程示意圖。 第4圖:本發明實體輔助模型之示意圖。 : ί發明於實體輔助模型上製作手術導引模板之示素圖。 第6圓:本㈣手術導賴板之示細。 〜圆 圖:本發明另—實施例實體辅助模型之示意圖。 【主要元件符號說明】 本發明部份: 11:標記物 13:導引孔 1〇:實體輔助模型 12:手術導引模板 14:輔助支樓元件^2图· is a schematic diagram of the flow of the production of the second guide template. Figure 3: Schematic diagram of the process of the present invention. Figure 4: Schematic diagram of the entity assisted model of the present invention. : ί Invented the scent map of the surgical guide template on the solid assisted model. The sixth round: This (four) the guidance of the surgical guide board. ~ Circle Figure: Schematic diagram of another embodiment of the present invention. [Main component symbol description] Part of the invention: 11: Marker 13: Guide hole 1〇: Solid assisted model 12: Surgical guide template 14: Auxiliary branch building element
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