TWI789006B - Diseased tooth prosthesis and method for making same with surrounding tooth base - Google Patents
Diseased tooth prosthesis and method for making same with surrounding tooth base Download PDFInfo
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Abstract
一種病牙假體,是以3D列印製成並包含一牙根體以及一牙冠體,該牙根體內部形成一中空的牙髓腔且具有相連的一牙冠芯部與一牙根部,該牙冠體包覆於該牙冠芯部的周圍,該牙冠體是以一第一列印材料固化製成,該牙根體至少以一第二列印材料固化製成,該牙冠體的硬度大於該牙根體的硬度;藉由3D列印的構造,使每個病牙假體的構造具有不同的曲線,可模擬不同患者的牙齒,當於牙髓腔填入牙髓進行模擬根管治療時,牙冠與牙根軟硬不同的質地與不重複的牙髓腔形狀,能貼近現實中患者牙齒的狀況而能提升教學的效果。A diseased tooth prosthesis is made by 3D printing and includes a tooth root body and a tooth crown body. A hollow pulp cavity is formed inside the tooth root body and a crown core and a tooth root are connected. The crown is wrapped around the core of the crown, the crown is made by curing a first printing material, the root is at least made by curing a second printing material, and the crown is made of The hardness is greater than the hardness of the root body; with the structure of 3D printing, the structure of each diseased tooth prosthesis has a different curve, which can simulate the teeth of different patients, which is equivalent to filling the pulp cavity to simulate the root canal During treatment, the soft and hard textures of the crown and the root and the non-repetitive shape of the pulp cavity can be close to the actual condition of the patient's teeth and improve the teaching effect.
Description
本發明與牙醫學科的教具有關;特別是指一種病牙假體及其與周邊牙座的製作方法。 The present invention is related to the teaching aid of the department of dentistry; in particular, it refers to a prosthesis for a diseased tooth and a method for making the prosthesis and its surrounding tooth base.
牙科醫學領域中的根管治療(endodontic therapy),是將牙齒的牙冠開擴後,使用細小器械沿開啟的開口置入牙髓腔內,將感染的牙髓組織徹底清創,同時將牙髓腔的空間適度擴大與修型以利根管封填時,根管充填材料能順利放入。 Root canal therapy (endodontic therapy) in the field of dental medicine is to expand the crown of the tooth, and then use a small instrument to insert it into the pulp cavity along the opened opening to completely debride the infected pulp tissue and at the same time remove the When the space of the medullary cavity is appropriately expanded and shaped to facilitate root canal sealing, the root canal filling material can be put in smoothly.
而牙科的醫學生或實習醫生在練習根管治療時,會使用制式的牙齒模型教具放置於一平台或是簡單治具上進行練習,上述牙齒模型是在固定的模具內部置入彎曲狀的牙髓,再填入塑膠成型製成,牙科的醫學生或實習醫生利用此種方式模擬牙齒的構造與牙髓腔,進行清牙髓、擴大、修型等訓練以模擬根管治療。 When dental medical students or interns practice root canal treatment, they will use standard tooth model teaching aids to be placed on a platform or simple jigs for practice. Dental medical students or interns use this method to simulate the structure of the tooth and the pulp cavity, and conduct training such as pulp cleaning, enlargement, and shaping to simulate root canal treatment.
然而,由於每個患者的牙齒與髓腔的形狀各不相同,而習知技術的牙齒模型的牙髓腔僅為單一的曲線構造,無法模擬不同患者各種不同形狀的牙齒與牙髓,亦無法模擬周邊牙齒對於實際根管治療時的影響,教學效果仍顯不足,實有改善的必要。 However, since each patient's tooth and pulp cavity have different shapes, the pulp cavity of the tooth model of the prior art is only a single curved structure, which cannot simulate the various shapes of teeth and pulp of different patients, nor can it The teaching effect of simulating the influence of surrounding teeth on actual root canal treatment is still insufficient, and there is a need for improvement.
有鑑於此,本發明之目的在於提供一種利用3D醫學影像成像技術印製的病牙假體,以及該病牙假體與其周邊牙座的製作方法。該病牙假體是以兩種以上的列印材料印製而成,該周邊牙座則具有提供該病牙假體置入定位的牙根腔,用以模擬患者口腔包含牙床與牙齒的實際外觀形狀,達到使用時能提升根管治療教學效果的功效。 In view of this, the object of the present invention is to provide a diseased tooth prosthesis printed by 3D medical imaging technology, and a method for manufacturing the diseased tooth prosthesis and its surrounding tooth sockets. The diseased dental prosthesis is printed with two or more printing materials, and the peripheral tooth base has a root cavity for positioning the diseased dental prosthesis to simulate the actual appearance of the patient's oral cavity including gums and teeth Shape, to achieve the effect of improving the teaching effect of root canal treatment when used.
緣以達成上述目的,本發明提供一種病牙假體,是以3D列印製成並且包含一牙根體以及一牙冠體;該牙根體包含相連的一牙冠芯部以及一牙根部,並且於內部具有一中空的牙髓腔;該牙冠體包覆於該牙冠芯部的周圍,該牙根部外露於該牙冠體外;其中,該牙冠體是以一第一列印材料固化製成,該牙根體是至少以一第二列印材料固化製成,該牙冠體的硬度大於該牙根體的硬度。 In order to achieve the above purpose, the present invention provides a diseased tooth prosthesis, which is made by 3D printing and includes a tooth root body and a tooth crown body; the tooth root body includes a tooth crown core and a tooth root that are connected, and There is a hollow pulp chamber inside; the crown is wrapped around the core of the crown, and the root is exposed outside the crown; wherein, the crown is cured with a first printing material The tooth root body is made by curing at least one second printing material, and the hardness of the tooth crown body is greater than that of the tooth root body.
緣以達成上述目的,本發明提供一種病牙假體的製作方法,其步驟包含:利用3D醫學影像成像技術取得病牙的結構影像;利用該結構影像建模取得一病牙列印參數;利用3D列印機以該病牙列印參數印製一如請求項1所述之病牙假體,該病牙假體包含一牙根體以及一包覆於該牙根體部分的牙冠體,該牙根體內具有一牙髓腔;該3D列印機印製該病牙假體時,是以兩種以上列印材料進行印製,以一第一列印材料印製該牙冠體,至少以一第二列印材料印製該牙根體;固化後的該牙冠體的硬度大於固化後的該牙根體的硬度。 In order to achieve the above object, the present invention provides a method for manufacturing a diseased tooth prosthesis, the steps of which include: using 3D medical imaging technology to obtain a structural image of the diseased tooth; using the structural image to model a diseased tooth to obtain printing parameters; using The 3D printer prints a diseased tooth prosthesis as described in claim 1 with the printing parameters of the diseased tooth. The diseased tooth prosthesis includes a tooth root and a crown covering the tooth root. There is a pulp cavity in the root of the tooth; when the 3D printer prints the prosthesis of the diseased tooth, it prints with two or more printing materials, and prints the crown with a first printing material, at least A second printing material prints the tooth root body; the hardness of the cured tooth crown body is greater than that of the cured tooth root body.
緣以達成上述目的,本發明提供一種病牙假體周邊牙座的製作方法,其步驟包含:利用3D醫學影像成像技術取得病牙及其周邊牙齒與牙床的結構影像;利用該結構影像建模取得一周邊牙列印參數,該周邊牙列印參數包括該牙床、位於該牙床上的病牙的牙根腔,以及位於該病牙兩側各至少一顆牙齒的列印參數;利用3D列印機以該周邊牙列印 參數印製一周邊牙座;該3D列印機印製該周邊牙座時,是以一種以上列印材料進行印製,印製完成的該周邊牙座包含一牙床以及位於該病牙兩側各至少一顆牙齒,該牙床具有一病牙的牙根腔,可供如請求項1至4其中任一項所述的病牙假體設置於其中。 In order to achieve the above object, the present invention provides a method for manufacturing a dental socket around a diseased tooth prosthesis, the steps of which include: using 3D medical imaging technology to obtain a structural image of the diseased tooth and its surrounding teeth and gums; using the structural image to model Obtain a peripheral tooth printing parameter, the peripheral tooth printing parameter includes the gum, the root cavity of the diseased tooth located on the gum bed, and the printing parameters of at least one tooth on each side of the diseased tooth; using 3D printing The machine prints with the peripheral tooth Parametric printing of a peripheral dental mount; when the 3D printer prints the peripheral dental mount, it is printed with more than one printing material, and the printed peripheral dental mount includes a gum and a tooth located on both sides of the diseased tooth. For each at least one tooth, the gum bed has a root cavity of a diseased tooth, in which the diseased tooth prosthesis according to any one of Claims 1 to 4 can be set.
本發明透過醫學造影配合不同列印材料,製作每顆具有不同曲線構造的病牙假體,以及提供周邊牙座模擬病牙假體所在環境之教學使用的效果在於: The present invention uses medical radiography and different printing materials to produce diseased prostheses with different curve structures, and provides surrounding dental sockets to simulate the environment in which the diseased prostheses are located. The effects of teaching use are as follows:
1.可實際模擬不同患者病牙的牙髓腔構造,貼近現實中患者牙髓腔的狀況,因此能提升教學的效果。 1. It can actually simulate the structure of the pulp cavity of different patients' diseased teeth, which is close to the situation of the pulp cavity of patients in reality, so it can improve the teaching effect.
2.以兩種以上的列印材料印製出的病牙假體,運用於模擬根管治療的操作時能取得更接近實際病牙的質感。 2. The diseased tooth prosthesis printed with two or more printing materials can obtain a texture closer to the actual diseased tooth when it is used to simulate the operation of root canal treatment.
3.印製的周邊牙座能模擬病牙周邊的牙床與牙齒,放入病牙假體進行模擬根管治療的操作時,更符合病患口腔的實際情況。 3. The printed peripheral tooth base can simulate the gums and teeth around the diseased tooth, and it is more in line with the actual situation of the patient's oral cavity when the diseased tooth prosthesis is placed for simulated root canal treatment.
〔本發明〕 〔this invention〕
100:病牙假體 100: Diseased Dental Prosthesis
10:牙根體 10: root body
12:牙冠芯部 12: Crown core
14:牙根部 14: tooth root
16:牙髓腔 16: Pulp cavity
20:牙冠體 20: crown body
30:訓練牙髓 30: Training Endodontics
40:3D列印機 40:3D printer
50:周邊牙座 50: Peripheral Tooth Block
52:牙床 52: Gum
54:牙齒 54: Teeth
56:牙根腔 56: Root cavity
A:堆疊層 A: stacked layers
A1:第一列印材料 A1: First printing material
A2:第二列印材料 A2: Second printing material
A3:第三列印材料 A3: The third printing material
S01至S07:步驟 S01 to S07: Steps
圖1為本發明一較佳實施例之病牙假體的製作方法的步驟流程圖。 Fig. 1 is a flow chart of the steps of the manufacturing method of a diseased tooth prosthesis according to a preferred embodiment of the present invention.
圖2為本發明一較佳實施例印製病牙假體的示意圖。 Fig. 2 is a schematic diagram of printing a diseased tooth prosthesis according to a preferred embodiment of the present invention.
圖3為本發明一較佳實施例之病牙假體的剖面示意圖。 Fig. 3 is a schematic cross-sectional view of a diseased tooth prosthesis according to a preferred embodiment of the present invention.
圖4為本發明另一較佳實施例之周邊牙座的製作方法的步驟流程圖。 Fig. 4 is a flow chart of the steps of the manufacturing method of the peripheral dental socket according to another preferred embodiment of the present invention.
圖5為本發明另一較佳實施例之周邊牙座的立體示意圖。 Fig. 5 is a three-dimensional schematic view of a peripheral dental socket according to another preferred embodiment of the present invention.
圖6為本發明另一較佳實施例安裝病牙假體的剖面示意圖。 Fig. 6 is a schematic cross-sectional view of another preferred embodiment of the present invention for installing a prosthesis for a diseased tooth.
為能更清楚地說明本發明,茲舉較佳實施例並配合圖式詳細說明如後。請參圖1至圖3所示,為本發明一較佳實施例之病牙假體的製作方法,如圖1所示的步驟流程圖,其方法的步驟包含有: In order to illustrate the present invention more clearly, preferred embodiments are given and detailed descriptions are given below in conjunction with drawings. Please refer to Fig. 1 to shown in Fig. 3, be the manufacture method of the diseased tooth prosthesis of a preferred embodiment of the present invention, the step flowchart shown in Fig. 1, the step of its method comprises:
(S01)取得結構影像:利用3D醫學影像成像技術取得病牙的結構影像,如本較佳實施例是以電腦斷層造影掃描(CT)取得病牙的3D結構影像。 (S01) Obtaining a structural image: using 3D medical imaging technology to obtain a structural image of a diseased tooth. For example, in this preferred embodiment, a computerized tomography (CT) scan is used to obtain a 3D structural image of a diseased tooth.
(S02)建立模型:利用該結構影像建立3D立體模型,取得能夠以3D列印機列印病牙的一病牙列印參數。 (S02) Build a model: use the structural image to build a 3D stereoscopic model, and obtain a printing parameter of a diseased tooth that can be printed with a 3D printer.
(S03)列印病牙假體:利用3D列印機40以該病牙列印參數印製一病牙假體100,該病牙假體100包含一牙根體10以及一包覆於該牙根體10部分的牙冠體20,該牙根體10包含相連的一牙冠芯部12以及一牙根部14,並且內部具有一牙髓腔16。
(S03) Print diseased tooth prosthesis: use the
當該3D列印機40印製該病牙假體100時,是以兩種以上的列印材料進行印製,以一第一列印材料A1印製該牙冠體20,至少以一第二列印材料A2印製該牙根體10,固化後的該牙冠體20的硬度大於固化後的該牙根體10的硬度;在本較佳實施例中,僅以第二列印材料A2印製該牙根體10,當3D列印機40印製該病牙假體100的過程中,是列印多個堆疊層A經堆疊累積固化後形成該病牙假體100,多個堆疊層A其中部分的堆疊層A包含兩種以上的列印材料,如本較佳實施例是包含列印牙冠體20的第一列印材料A1以及列印牙冠芯部12的第二列印材料A2,更具體說明,如圖2所示,當該牙根體10與該牙冠體20印製過程,係利用該第一列印材料A1與該第二列印材料A2在同一水平面上堆疊印製該牙冠芯部12與該牙冠體20,且該牙冠體20圍繞於該牙冠芯部12的輪廓周圍。
When the
(S04)填入訓練牙髓:該病牙假體100印製完成後,於該牙髓腔16充填一訓練牙髓30,該訓練牙髓30的硬度小於該牙根體10的硬度。
( S04 ) Filling the training pulp: after the
本發明除上述較佳實施例,是在該病牙假體100完成後充填該訓練牙髓30以外,亦可在(S03)列印病牙假體的步驟中,於對應該牙髓腔16的位置以一第三列印材料A3印製一訓練牙髓30,固化後的該訓練牙髓30的硬度小於固化後的該牙根體10的硬度。
In addition to the above-mentioned preferred embodiment of the present invention, in addition to filling the
本發明通過上述較佳實施例之病牙假體的製作方法,製作出一病牙假體100,如圖3所示,其構造包括一牙根體10以及一包覆於該牙根體10部分的牙冠體20,其中:該牙根體10包含相連的一牙冠芯部12以及一牙根部14,該牙根體10的內部具有一中空的牙髓腔16。該牙冠體20包覆於該牙冠芯部12的周圍,該牙根部14外露於該牙冠體20外,該牙冠體20的硬度大於該牙根體10的硬度,該牙根體10除了以兩種以上的列印材料印製固化而成以外,也可僅以單一列印材料印製固化而成。
The present invention produces a
較佳的,當上述的病牙假體100提供作為牙醫學科的教具使用時,該牙髓腔16內具有一訓練牙髓30,該訓練牙髓30可為充填於該牙髓腔16的材料,亦可為3D列印方式印製的構造。由於該病牙假體100是採用醫學造影的3D模型印製,因此各顆病牙假體100的構造能列印為不同的曲線構造,在提供根管治療的模擬練習時,能提供構造不重複的病牙假體100練習,可讓使用者接觸多種不同的病牙狀況進行根管治療,提升教學練習的效果。
Preferably, when the above-mentioned
請配合參看圖4至圖6所示,為本發明另一較佳實施例之病牙假體周邊牙座的製作方法,是為配合上述病牙假體100於教學時,能
置放於模擬患者口腔環境的教學使用,如圖4所示的步驟流程圖,其方法的步驟包含:
Please refer to Fig. 4 to Fig. 6, which is another preferred embodiment of the method for making the peripheral tooth base of the diseased tooth prosthesis of the present invention, in order to cooperate with the above-mentioned
(S05)取得結構影像:利用3D醫學影像成像技術取得病牙的結構影像,如本較佳實施例是以電腦斷層造影掃描(CT)取得病牙及其周邊牙齒與牙床的結構影像。 (S05) Obtaining structural images: using 3D medical imaging technology to obtain structural images of diseased teeth, such as the present preferred embodiment, obtaining structural images of diseased teeth and their surrounding teeth and gums by computerized tomography (CT).
(S06)建立模型:利用該結構影像建立3D立體模型,取得能夠以3D列印機列印周邊牙座的一周邊牙列印參數,該周邊牙列印參數包括牙床52、位於該牙床52上的病牙的牙根腔56,以及位於該病牙兩側各至少一顆牙齒54的列印參數。
(S06) Build a model: use the structure image to build a 3D three-dimensional model, and obtain a peripheral tooth printing parameter that can be used to print the peripheral tooth seat with a 3D printer. The peripheral tooth printing parameter includes the
(S07)列印周邊牙座:利用3D列印機以該周邊牙列印參數印製一周邊牙座50,該3D列印機印製該周邊牙座50時,是以一種以上列印材料進行印製,印製完成的該周邊牙座50包含一牙床52以及位於該病牙兩側各至少一顆牙齒54,如本較佳實施例,是將下顎的所有牙齒54與下顎骨皆列印出來,該牙床52具有一病牙的牙根腔56,可供上述的病牙假體100設置於其中,該牙根腔56的形狀與該病牙假體100的牙根部14形狀相同。
(S07) Print peripheral teeth: use a 3D printing machine to print a
當選擇以至少兩種列印材料印製該周邊牙座50時,是以一軟質列印材料印製該牙床52,並以一硬質列印材料印製該些牙齒54,列印過程中是列印多個堆疊層經堆疊累積固化後形成該周邊牙座50,多個堆疊層其中部分的堆疊層包含兩種以上的列印材料,固化後的該硬質列印材料的硬度大於固化後的該軟質列印材料的硬度,使得印製完成的該些牙齒54的硬度大於該周邊牙座50的硬度。
When choosing to print the
當上述較佳實施例列印出的周邊牙座50配合該病牙假體100作為牙醫學科的教具使用時,是將與某患者病牙相同形狀的病牙假
體100的牙根部14,嵌入該周邊牙座50的牙根腔56內固定,由於該病牙假體100是設置在具有至少兩顆牙齒54以及牙床52的環境,因此進行模擬根管治療的操作時特別真實,更符合病患口腔的情況因此教學練習的效果更佳。
When the
以上所述僅為本發明較佳可行實施例而已,舉凡應用本發明說明書及申請專利範圍所為之等效變化,理應包含在本發明之專利範圍內。 The above description is only a preferred feasible embodiment of the present invention, and all equivalent changes made by applying the description of the present invention and the scope of the patent application should be included in the scope of the patent of the present invention.
S01至S04:步驟 S01 to S04: Steps
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Citations (5)
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CN106548695A (en) * | 2017-01-16 | 2017-03-29 | 南京医科大学附属口腔医院 | The special split type 3D tooth models of root canal teaching |
CN208422226U (en) * | 2017-12-15 | 2019-01-22 | 南方医科大学南方医院 | A kind of impacted tooth teaching mode of 3D printing |
TWI728780B (en) * | 2020-04-17 | 2021-05-21 | 國立臺北科技大學 | Light-cured printing material and prosthesis manufacturing method and prosthesis with the light-cured printing material |
WO2021105354A1 (en) * | 2019-11-29 | 2021-06-03 | 3D Medical Print Kg | Jaw model, tooth model and system for practicing techniques of operative dentistry |
US20210275286A1 (en) * | 2013-12-31 | 2021-09-09 | Dentsply Sirona Inc. | Three-dimensional printing system and methods of use |
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Patent Citations (5)
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US20210275286A1 (en) * | 2013-12-31 | 2021-09-09 | Dentsply Sirona Inc. | Three-dimensional printing system and methods of use |
CN106548695A (en) * | 2017-01-16 | 2017-03-29 | 南京医科大学附属口腔医院 | The special split type 3D tooth models of root canal teaching |
CN208422226U (en) * | 2017-12-15 | 2019-01-22 | 南方医科大学南方医院 | A kind of impacted tooth teaching mode of 3D printing |
WO2021105354A1 (en) * | 2019-11-29 | 2021-06-03 | 3D Medical Print Kg | Jaw model, tooth model and system for practicing techniques of operative dentistry |
TWI728780B (en) * | 2020-04-17 | 2021-05-21 | 國立臺北科技大學 | Light-cured printing material and prosthesis manufacturing method and prosthesis with the light-cured printing material |
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