CN104188729A - Manufacture method of digital oral implanting positioner - Google Patents
Manufacture method of digital oral implanting positioner Download PDFInfo
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- CN104188729A CN104188729A CN201410408468.4A CN201410408468A CN104188729A CN 104188729 A CN104188729 A CN 104188729A CN 201410408468 A CN201410408468 A CN 201410408468A CN 104188729 A CN104188729 A CN 104188729A
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Abstract
The invention relates to a manufacture method of a digital oral implanting positioner; the digital oral implanting positioner comprises a countersink and a first through hole; the countersink is used for containing a guide tube of a drilling device; the guide tube is a cylinder with a second through hole; and each drilling device is provided with two guide tubes of different inside diameters. The manufacture method disclosed by the invention comprises the following steps of: photographing a CT (Computed Tomography) photo, constructing a three-dimensional model by utilizing the CT image, and establishing an omni-directional implant surgery simulation environment; selecting an implant according to an implant information base; importing scanning data of a plaster model, and aligning the plaster model to the three-dimensional model according to a selected reference point; evaluating the implant position of the implant according to standard jaw occlusal relationship, and generating revision suggestion; and extracting the basic information of the implant, and manufacturing the oral implanting positioner. The manufacture method disclosed by the invention is beneficial to reducing the kind of drills required by doctors; the drilling depth is precisely controlled, and therefore, the convenience degree of hospitals to medical equipment management is improved.
Description
Technical field
The invention belongs to tooth-planting technical field, particularly relates to a kind of digitalized oral cavity plantation localizer manufacture method.
Background technology
Traditional tooth-planting operation, needs to take X-ray to patient in the preoperative, stings simultaneously and gets tooth mould, and doctor infers patient's three-dimensional bone structure and soft tissue situation by X-ray and tooth mould according to the experience of oneself, with this, formulates surgical planning and implements operation.Yet this deduction depends on doctor's experience very much, the invisible risk that increases operation.
Just to be to make to plant tooth more accurate for the meaning that designs and produces of positioning device for tooth planting, greatly reduces operation risk, and the production method of positioning device for tooth planting can be divided into two kinds of traditional method and digitizing solutions substantially now.Traditional method is to adopt thermoplasticity material plastic uptake on patient's plaster model, and then simulation boring on the plaster model with plastic uptake material is taken off plastic uptake material and repaired and just made an easy positioning device for tooth planting; Another kind of traditional method is first on plaster model, to carry out Drilling operation, loads onto auxiliary plant part, then to fill with mold forming mode, makes operation positioning device for tooth planting.
Digitized manufacture method is mainly with computer software, to carry out the generation of patient's sham operated and positioning device for tooth planting.Existing software engineering or need to carry out with engineering software the design of positioning device for tooth planting exactly, like this do not have simulation to plant the function of tooth, the inadequate science of effect, can cause can not directly exporting the file format that can directly dock with process equipment after design, make design with process can not be good be connected.
Traditional positioning device for tooth planting is to set certain thickness material at the position of needs boring at present, and beats counterbore and through hole on this position, and counterbore and through hole are used for placing drill bushing.In when boring, the shoulder portion of drill bit touches drill bushing, and it is dark that drill bit has just reached predetermined brill.But patient's situation is different, needed brill is deeply also not quite similar, and for this reason, doctor just need to prepare the dark drill bit of a variety of brills, and shoulder is positioned at the drill bit of differing heights.For example, may need to bore 10,11,12,13 ... 30mm is the hole of 21 kinds of degree of depth altogether, so needs to prepare 21 kinds of dark drill bits of different brills, in addition in order to bore a hole, need the drill bit of different-diameter to complete drilling operation, this has just increased the quantity of drill bit to a greater extent.So this has just significantly increased the drill bit kind that hospital prepares for dental implant surgical, cause hospital to increase for the complex management degree of medical device.
Summary of the invention
The invention provides a kind of digitalized oral cavity plantation localizer manufacture method for solving the technical problem existing in known technology, the localizer that this manufacture method is produced is conducive to reduce the kind of the required drill bit of doctor, precisely control lower drilling depth simultaneously, accurately reach the required drilling depth of doctor, thereby improved the comfort level of hospital for medical device management.
A kind of digitalized oral cavity plantation localizer manufacture method, digitalized oral cavity plantation localizer comprises a counterbore and a through hole first coaxial with described counterbore, described counterbore is for holding the guide pipe of drilling equipment, guide pipe is the cylinder with the through hole second of a up/down perforation, a drilling equipment has at least 2 guide pipes, the internal diameter of the through hole second of each guide pipe on each drilling equipment is different
S1, CT sheet is taken in patient oral cavity, utilize CT picture construction threedimensional model, set up omnibearing implant operation simulated environment;
S2, the CT taking according to patient, the CT tomography bone amount showing in software, in conjunction with implantation body's information bank, is selected the implantation body of applicable brand, model;
The scan-data of S3, importing plaster model, according to selected reference point, aligns plaster model with threedimensional model;
S4, according to standard jaw, learn occluding relation, implantation body's implantation position is evaluated, and generated suggestion for revision;
S5, the extraction essential information of implantation body and the brill of doctor's drill bit used are deeply convinced breath, process oral cavity plantation localizer;
Wherein, the implementation method of described S1 step is:
Input patient's essential information, the data of importing patient CT sheet, directly read patient CT file by software, by volume drawing function, precisely build threedimensional model, reduction patient oral cavity truth;
Patient's three-dimensional bone structure and soft tissue situation are truly intactly presented in computer;
By rotation, convergent-divergent, transparence function, on 3-D view, any selection will be observed the position in cross section, obtains the information such as local arbitrarily bone structure, nerve, sets up omnibearing implant operation simulated environment;
The implementation method of described S5 step is:
Extract the essential information of implantation body and the brill of doctor's drill bit used and deeply convince breath, according to the appointment of doctor's drill bit used, bore dark definite localizer at the thickness of drill hole, generate positioning device for tooth planting model;
According to the positioning device for tooth planting model generating, obtain the processed file of positioning device for tooth planting;
Localizer processed file is sent to process equipment, processes oral cavity plantation localizer.
Advantage and good effect that the invention has are:
Because the invention adopts technique scheme, image before operation, scientifically carry out sham operated, according to the result of sham operated, design and produce out the dental implant surgical positioning device for tooth planting that meets patient's s own situation, according to standard jaw, learn occluding relation simultaneously, implantation body's implantation position is evaluated, and generate suggestion for revision, make positioning device for tooth planting design science, make digitized, reduced the risk of operation, the success rate of operation and the Efficiency and accuracy of positioning device for tooth planting production and processing have been improved, can be widely used in stomatology and plant tooth field.And, according to the brill of drill bit, deeply convince that breath determines that guider, at the thickness of drill hole, can reduce the kind of the drill bit that the degree of depth is different.Only need to be equipped with the dark drill bit of several brills, the guider of additional different-thickness, can meet the requirement of diversified drilling depth., by taking to have different inner diameters guide pipe, can adapt in actual boring meanwhile, after subdrilling aperture, bore the needs of punching, avoid in prior art, guide pipe need to be embedded in localizer and cause changing the problem of guide pipe internal diameter.
Accompanying drawing explanation
Fig. 1 is the schematic flow sheet of the invention;
Fig. 2 is the structural representation of drilling equipment;
In figure: 1, hands handle; 2, pressing plate; 3, guide pipe; 4, through hole second.
The specific embodiment
For further understanding innovation and creation content, the Characteristic of the invention, hereby exemplify following examples, and coordinate accompanying drawing to be described in detail as follows:
As shown in Figure 1,
A kind of digitalized oral cavity plantation localizer manufacture method, digitalized oral cavity plantation localizer comprises a counterbore and a through hole first coaxial with counterbore, counterbore is for holding the guide pipe of drilling equipment, guide pipe is the cylinder with the through hole second of a up/down perforation, a drilling equipment has at least 2 guide pipes, the internal diameter of the through hole second of each guide pipe on each drilling equipment is different
S1, CT sheet is taken in patient oral cavity, utilize CT picture construction threedimensional model, set up omnibearing implant operation simulated environment;
S2, the CT taking according to patient, the CT tomography bone amount showing in software, in conjunction with implantation body's information bank, is selected the implantation body of applicable brand, model;
The scan-data of S3, importing plaster model, according to selected reference point, aligns plaster model with threedimensional model;
S4, according to standard jaw, learn occluding relation, implantation body's implantation position is evaluated, and generated suggestion for revision;
S5, the extraction essential information of implantation body and the brill of doctor's drill bit used are deeply convinced breath, process oral cavity plantation localizer;
Particularly, the implementation method of S1 step is:
Input patient's essential information, the data of importing patient CT sheet, regulate threshold value, build threedimensional model;
Patient's three-dimensional bone structure and soft tissue situation are truly intactly presented in computer;
By rotation, convergent-divergent, transparence function, on 3-D view, any selection will be observed the position in cross section, obtains the information such as local arbitrarily bone structure, nerve, sets up omnibearing implant operation simulated environment;
Particularly, the implementation method of S5 step is:
Extract the essential information of implantation body and the brill of doctor's drill bit used and deeply convince breath, according to the appointment of doctor's drill bit used, bore dark definite localizer at the thickness of drill hole, generate positioning device for tooth planting model;
For example,, if doctor's drilling depth is 12mm.And because following 3 amounts are for quantitatively: 1, to bore the length of the bit of the brake platform below of (boring with the oral cavity of stop platform) be 20mm to doctor's stop used.2, be placed on the through hole first at localizer counterbore place, can expose a small stair with respect to localizer, the thickness of step is 1mm.3, the thickness that localizer is located below counterbore is 2mm.So calculating variable is 20-1-2-12=5mm, the degree of depth of finally adjusting localizer counterbore by software is 5mm, thereby reach doctor, thinks drilling depth.And if doctor need to bore the hole that 14mm is dark, by the depth design of the localizer counterbore using specifically, be so 5+ (14-12)=7mm, counterbore localizer is around than the high 7mm in counterbore bottom.So can make doctor can complete with the less drill bit of kind the larger boring work of dark coverage of boring.
According to the positioning device for tooth planting model generating, obtain the processed file of positioning device for tooth planting;
Localizer processed file is sent to process equipment, processes oral cavity plantation localizer.
As shown in Figure 2, due to can not one-time-reach-place to the boring of patient's dental bed, thus need less hole of subdrilling, and then carry out reaming at same position, so can not use a kind of guide pipe of internal diameter size.So the present invention also provides a kind of drilling equipment, this drilling equipment comprises and is positioned at the handle at middle part and the pressing plate at handle two ends and perpendicular to the guide pipe of pressing plate, guide pipe has a through hole second, the internal diameter of the through hole second of the different guide pipes of a drilling equipment is different, and the external diameter of guide pipe is all identical.During boring, can first a less guide pipe of internal diameter be inserted in the counterbore of localizer, in order to bore less hole, the hole of Φ 3mm for example, the guide pipe of then using the other end instead inserts in this counterbore, can bore larger hole, for example the hole of Φ 4mm.Thereby avoided in prior art, because drilling equipment is embedded in localizer, what be not drawn out easily, change, reinsert and cause cannot bore at same position the problem in the hole of a plurality of different-diameters.
Although by reference to the accompanying drawings the preferred embodiment of the invention is described above; but the invention is not limited to the above-mentioned specific embodiment; the above-mentioned specific embodiment is only schematic; be not restrictive; those of ordinary skill in the art is under the enlightenment of the invention; not departing from the scope situation that the invention aim and claim protects, can also make a lot of forms, within these all belong to the protection domain of the invention.
Claims (1)
1. a digitalized oral cavity is planted localizer manufacture method, digitalized oral cavity plantation localizer comprises a counterbore and a through hole first coaxial with described counterbore, described counterbore is for holding the guide pipe of drilling equipment, guide pipe is the cylinder with the through hole second of a up/down perforation, a drilling equipment has at least 2 guide pipes, the internal diameter of the through hole second of each guide pipe on each drilling equipment is different
It is characterized in that, this manufacture method comprises the following steps:
S1, CT sheet is taken in patient oral cavity, utilize CT picture construction threedimensional model, set up omnibearing implant operation simulated environment;
S2, the CT taking according to patient, the CT tomography bone amount showing in software, in conjunction with implantation body's information bank, is selected the implantation body of applicable brand, model;
The scan-data of S3, importing plaster model, according to selected reference point, aligns plaster model with threedimensional model;
S4, according to standard jaw, learn occluding relation, implantation body's implantation position is evaluated, and generated suggestion for revision;
S5, the extraction essential information of implantation body and the brill of doctor's drill bit used are deeply convinced breath, process oral cavity plantation localizer;
Wherein, the implementation method of described S1 step is:
Input patient's essential information, the data of importing patient CT sheet, directly read patient CT file by software, by volume drawing function, precisely build threedimensional model, reduction patient oral cavity truth;
Patient's three-dimensional bone structure and soft tissue situation are truly intactly presented in computer;
By rotation, convergent-divergent, transparence function, on 3-D view, any selection will be observed the position in cross section, obtains the information such as local arbitrarily bone structure, nerve, sets up omnibearing implant operation simulated environment;
The implementation method of described S5 step is:
Extract the essential information of implantation body and the brill of doctor's drill bit used and deeply convince breath, according to the appointment of doctor's drill bit used, bore dark definite localizer at the thickness of drill hole, generate positioning device for tooth planting model;
According to the positioning device for tooth planting model generating, obtain the processed file of positioning device for tooth planting;
Localizer processed file is sent to process equipment, processes oral cavity plantation localizer.
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Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN104939938A (en) * | 2015-07-24 | 2015-09-30 | 天津市亨达升科技股份有限公司 | Secondary fitting production method for digital tooth-planting positioner for tooth position deficiency |
| CN108498190A (en) * | 2017-12-22 | 2018-09-07 | 姚丽霞 | A kind of method and device for manufacturing drill holes of oral planting positioner |
| CN108926398A (en) * | 2018-06-01 | 2018-12-04 | 苏州迪凯尔医疗科技有限公司 | Edentia in mandible plants component, tracker, navigation system and implanting instrument |
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| CN101822575A (en) * | 2010-04-15 | 2010-09-08 | 浙江工业大学 | Method of making partial-anodontia tooth implantation surgical guide plate |
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Cited By (4)
| Publication number | Priority date | Publication date | Assignee | Title |
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| CN104939938A (en) * | 2015-07-24 | 2015-09-30 | 天津市亨达升科技股份有限公司 | Secondary fitting production method for digital tooth-planting positioner for tooth position deficiency |
| CN108498190A (en) * | 2017-12-22 | 2018-09-07 | 姚丽霞 | A kind of method and device for manufacturing drill holes of oral planting positioner |
| CN108926398A (en) * | 2018-06-01 | 2018-12-04 | 苏州迪凯尔医疗科技有限公司 | Edentia in mandible plants component, tracker, navigation system and implanting instrument |
| CN108926398B (en) * | 2018-06-01 | 2021-03-16 | 苏州迪凯尔医疗科技有限公司 | Lower jaw edentulous jaw planting assembly, tracker, navigation system and implantation tool |
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