CN105726169A - Guider for 3D printing for dental implantation and superior maxillary bone integrated reconstruction - Google Patents

Guider for 3D printing for dental implantation and superior maxillary bone integrated reconstruction Download PDF

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Publication number
CN105726169A
CN105726169A CN201610270778.3A CN201610270778A CN105726169A CN 105726169 A CN105726169 A CN 105726169A CN 201610270778 A CN201610270778 A CN 201610270778A CN 105726169 A CN105726169 A CN 105726169A
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China
Prior art keywords
upper jaw
bone
jaw bone
guide
dental implantion
Prior art date
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Granted
Application number
CN201610270778.3A
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Chinese (zh)
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CN105726169B (en
Inventor
李劲松
张汉卿
范松
王友元
林钊宇
李群星
陈伟雄
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Sun Yat Sen Memorial Hospital Sun Yat Sen University
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Sun Yat Sen Memorial Hospital Sun Yat Sen University
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Priority to CN201610270778.3A priority Critical patent/CN105726169B/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/28Bones
    • A61F2/2875Skull or cranium
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C8/00Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools
    • A61C8/0089Implanting tools or instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2310/00Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
    • A61F2310/00005The prosthesis being constructed from a particular material
    • A61F2310/00359Bone or bony tissue

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  • Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Veterinary Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Epidemiology (AREA)
  • Dentistry (AREA)
  • Neurosurgery (AREA)
  • Cardiology (AREA)
  • Transplantation (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Dental Prosthetics (AREA)

Abstract

The invention provides a guider for 3D printing for dental implantation and superior maxillary bone integrated reconstruction. The guider comprises a transplanted bone guide plate, a dental implantation guide hole seat, a first superior maxillary bone fixing plate and a second superior maxillary bone fixing plate, wherein the guide track of the transplanted bone guide plate is consistently matched with a transplanted bone extending track; a plurality of transplanted bone fixing holes connected with transplanted bones are formed in the transplanted bone guide plate; the dental implantation guide hole seat is arranged on the lower side of the transplanted bone guide plate and holes of the dental implantation guide hole seat are opposite to the transplanted bones; the first superior maxillary bone fixing plate and the second superior maxillary bone fixing plate are respectively connected to two ends of the transplanted bone guide plate and are provided with inner side surfaces which are attached to corresponding superior maxillary bone surfaces; and a plurality of superior maxillary bone fixing holes connected with superior maxillary bones are respectively formed in the first superior maxillary bone fixing plate and the second superior maxillary bone fixing plate. By the guider, partial operations, such as implantation hole preparation and implantation of implants, of dental implantation are assisted while a transplanted bone guider guides superior maxillary bone reconstruction surgery.

Description

Guide for the 3D printing that Dental implantion and upper jaw bone integration are rebuild
Technical field
The present invention relates to medical instruments field, particularly for the guide of the 3D printing that Dental implantion and upper jaw bone integration are rebuild.
Background technology
Tumor invading, inflammation, wound and radiotherapy are the main causes causing jawbone to destroy, operative treatment usually needs excision bulk jawbone, necessarily cause patient facial region's external defects and the forfeiture of occlusion masticatory function, this is accomplished by superior reconstruction technology, intercepting the nonweight-bearing one section of fibula of autologous shank, fashioning into the shape similarity metric jawbone of jawbone is most currently used means.
But, colleague is primarily focused in the form of reconstruction of jaw more both at home and abroad at present, and namely the outward appearance recovery aspect of patient, but ignores the recovery of the occlusion masticatory function of patient, and the occlusion bad Quality of Life to patient of masticatory function is bigger in fact.A large amount of reconstruction of jaw cases that we complete in early days, have recovered patient's outward appearance, the difficulty but the most of patients later stage has a denture made smoothly, have impact on the recovery of occlusion masticatory function.The fibula transplanted carries out the reparation of removable denture, often maintenance is poor, masticatory efficiency is low, and Dental Implant maintenance is good, it is the most ideal style recovering meshing functions, is conducive to having a denture made, particularly being conducive to the reconstruction of jaw scheme of Dental Implant is pursuing a goal of Oral and Maxillofacial Surgery and Prosthodontics doctor, but often because the deficient accuracy of reconstruction of jaw position and deficient reasonability, or implantation body's implant angle or the degree of depth not good enough, cause that Most patients loses Dental Implant chance.So being badly in need of a kind of guide having and guiding Dental implantion and maxillary reconstruction function, it can be ensured that while fibula is precisely transplanted, implantation hole preparation and implantation body is guided to implant.
Summary of the invention
The technical problem to be solved is in that, a kind of 3D rebuild for Dental implantion and upper jaw bone integration guide printed is provided, can make bone graft guided plate while guiding maxillary reconstruction operation, auxiliary Dental implantion part operation, as implantation hole preparation, implantation body implant, it is greatly improved operation precision and success rate.
nullIn order to solve above-mentioned technical problem,Present invention provide for the 3D of Dental implantion and the upper jaw bone integration reconstruction guide printed,It includes bone graft guided plate、Dental implantion bullport seat、First upper jaw bone fixation plate and the second upper jaw bone fixation plate,The guide tracks of described bone graft guided plate extends track with bone graft and coordinates consistent,Described bone graft guided plate offers some bone graft fixing holes for connecting bone graft,Described Dental implantion bullport seat is arranged at the downside of described bone graft guided plate and its aperture is relative with bone graft,Described first upper jaw bone fixation plate and the second upper jaw bone fixation plate are connected to the two ends of described bone graft guided plate and are provided with and the medial surface of corresponding upper jaw bone surface of bone laminating,Described first upper jaw bone fixation plate and the second upper jaw bone fixation plate are equipped with some upper jaw bone fixing holes for connecting upper jaw bone.
As preferred scheme, the downside of described bone graft guided plate extends the first buckling parts held on the downside of oriented bone graft.
As preferred scheme, described Dental implantion bullport seat is arranged on described first buckling parts.
As preferred scheme, the upside of described first upper jaw bone fixation plate extends the second buckling parts that oriented apertura piriformis lower edge holds.
As preferred scheme, the downside of described first upper jaw bone fixation plate extends the 3rd buckling parts that oriented tooth holds.
As preferred scheme, the downside of described second upper jaw bone fixation plate extends the 4th buckling parts that oriented zygoma holds.
As preferred scheme, the central axis in the hole of described Dental implantion bullport seat is in bone graft surface of bone.
As preferred scheme, described bone graft guided plate, Dental implantion bullport seat, the first upper jaw bone fixation plate and the second upper jaw bone fixation plate adopt the printing integrated molding of 3D.
Implement a kind of 3D rebuild for Dental implantion and upper jaw bone integration of present invention guide printed, compared with prior art, have the advantages that
The present invention adopts and collects Dental implantion and maxillary reconstruction in integral structure, can make bone graft guided plate while guiding maxillary reconstruction operation by designing Dental implantion bullport seat on bone graft guided plate, auxiliary Dental implantion part operation, as implantation hole preparation, implantation body implant, it is greatly improved operation precision and success rate.
Accompanying drawing explanation
In order to be illustrated more clearly that the technical scheme of the embodiment of the present invention, the accompanying drawing of embodiment will be briefly described below.
Fig. 1 is the guide of the present invention front view when being connected with upper jaw bone;
Fig. 2 is the upward view of structure shown in Fig. 1.
Detailed description of the invention
Below in conjunction with the accompanying drawing in the embodiment of the present invention, the technical scheme in the embodiment of the present invention is clearly and completely described, it is clear that described embodiment is only a part of embodiment of the present invention, rather than whole embodiments.Based on the embodiment in the present invention, the every other embodiment that those of ordinary skill in the art obtain under not making creative work premise, broadly fall into the scope of protection of the invention.
nullAs depicted in figs. 1 and 2,The preferred embodiments of the present invention,Guide for the 3D printing that Dental implantion and upper jaw bone integration are rebuild,It includes bone graft guided plate 1、Dental implantion bullport seat 2、First upper jaw bone fixation plate 3a and the second upper jaw bone fixation plate 3b,The guide tracks of described bone graft guided plate 1 extends track and coordinates consistent with bone graft 4,Described bone graft guided plate 1 offers some bone graft fixing holes 11 for connecting bone graft 4,Described Dental implantion bullport seat 2 is arranged at the downside of described bone graft guided plate 1 and its aperture is relative with bone graft 4,Described first upper jaw bone fixation plate 3a and the second upper jaw bone fixation plate 3b is connected to the two ends of described bone graft guided plate 1 and is provided with and the medial surface of corresponding upper jaw bone 5 surface of bone laminating,Described first upper jaw bone 5 fixes plate 3a and the second upper jaw bone 5 is fixed and is equipped with some upper jaw bone fixing holes 31 for connecting upper jaw bone 5 on plate 3b.
In the present embodiment, obtain the head mathematical model of patient by CBCT or CT scan, set up Three-dimensional model by software three-dimensional reconstruction.Computer software is used to formulate operation plan on 3-dimensional digital skull model and draw the profile of bone graft guided plate 1, Dental implantion bullport seat the 2, first upper jaw bone fixation plate 3a and the second upper jaw bone fixation plate 3b, and adopt the non-toxic material such as resin, plastics by 3D printing shaping fabrication techniques all-in-one-piece bone graft guided plate 1, Dental implantion bullport seat the 2, first upper jaw bone fixation plate 3a and the second upper jaw bone fixation plate 3b, make so that it is guaranteed that complete complicated accurate per-sonalization structures.Bone graft guided plate 1 extends track form generating according to virtual bone graft 4, bone graft fixing hole 11 on bone graft guided plate 1 is corresponding with the screwed hole on bone graft 4, bone graft 4 is screwed on bone graft guided plate 1, it is matched unanimously that the guide tracks thus utilizing bone graft guided plate 1 makes bone graft 4 extend track, it is ensured that bone graft 4 is accurately positioned and fixing.The downside of bone graft guided plate 1 extends the first buckling parts 12 held on the downside of oriented bone graft 4, Dental implantion bullport seat 2 is arranged on the first buckling parts 12, Dental implantion bullport seat 2 can be caused on the downside of bone graft 4 by this first buckling parts 12, the aperture making Dental implantion bullport seat 2 is relative with surface of bone bottom bone graft 4, to guarantee the optimum position of implantation body's implantable graft bone 4 bottom center.Upper jaw bone fixing hole 31 on first upper jaw bone fixation plate 3a and the second upper jaw bone fixation plate 3b is corresponding with the screwed hole on upper jaw bone 5, first upper jaw bone fixation plate 3a and the second upper jaw bone fixation plate 3b is fixed on upper jaw bone 5 respectively through screw, so that it is guaranteed that bone graft guided plate 1 accurate positioning be fixed on desired location.Visible, the present invention adopts and collects Dental implantion and maxillary reconstruction in integral structure, it can be ensured that while fibula is precisely transplanted, and guides implantation hole preparation and implantation body to implant, is greatly improved operation precision and success rate.
More preferably, the upside of described first upper jaw bone fixation plate 3a extends the second buckling parts 32 that oriented apertura piriformis lower edge holds, the downside of described first upper jaw bone fixation plate 3a extends the 3rd buckling parts 33 that oriented tooth holds, so that the first upper jaw bone fixation plate 3a fit completely at the bottom of patient's nose with the sclerotin at apertura piriformis position and dental area, make bone graft guided plate 1 and strong side, front portion upper jaw bone 5 accurate match, guarantee that bone graft guided plate 1 is accurately in place, reduce operation technique error.
More preferably, the downside of described second upper jaw bone fixation plate 3b extends the 4th buckling parts 34 that oriented zygoma holds, patient's zygoma position sclerotin so that the second upper jaw bone fixation plate 3b fits completely, make bone graft guided plate 1 and strong side, rear portion upper jaw bone 5 accurate match, guarantee that bone graft guided plate 1 is accurately in place, reduce operation technique error.
More preferably, the central axis in the hole of described Dental implantion bullport seat 2, in bone graft 4 surface of bone, so that the gmatjpdumamics of implantation body is along implantation body's major axis transmission, provides good fixing foundation for kind of tooth.
Above disclosed it is only presently preferred embodiments of the present invention, certainly can not limit the interest field of the present invention, the equivalent variations therefore made according to the present patent application the scope of the claims with this, still belong to the scope that the present invention contains.

Claims (8)

1. the guide that the 3D rebuild for Dental implantion and upper jaw bone integration prints, it is characterized in that, described guide includes bone graft guided plate, Dental implantion bullport seat, first upper jaw bone fixation plate and the second upper jaw bone fixation plate, the guide tracks of described bone graft guided plate extends track with bone graft and coordinates consistent, described bone graft guided plate offers some bone graft fixing holes for connecting bone graft, described Dental implantion bullport seat is arranged at the downside of described bone graft guided plate and its aperture is relative with bone graft, described first upper jaw bone fixation plate and the second upper jaw bone fixation plate are connected to the two ends of described bone graft guided plate and are provided with and the medial surface of corresponding upper jaw bone surface of bone laminating, described first upper jaw bone fixation plate and the second upper jaw bone fixation plate are equipped with some upper jaw bone fixing holes for connecting upper jaw bone.
2. the guide that the 3D rebuild for Dental implantion and upper jaw bone integration as claimed in claim 1 prints, it is characterised in that the downside of described bone graft guided plate extends the first buckling parts held on the downside of oriented bone graft.
3. the guide that the 3D rebuild for Dental implantion and upper jaw bone integration as claimed in claim 2 prints, it is characterised in that described Dental implantion bullport seat is arranged on described first buckling parts.
4. the guide that the 3D rebuild for Dental implantion and upper jaw bone integration as claimed in claim 1 prints, it is characterised in that the upside of described first upper jaw bone fixation plate extends the second buckling parts that oriented apertura piriformis lower edge holds.
5. the guide that the 3D rebuild for Dental implantion and upper jaw bone integration as claimed in claim 1 prints, it is characterised in that the downside of described first upper jaw bone fixation plate extends the 3rd buckling parts that oriented tooth holds.
6. the guide that the 3D rebuild for Dental implantion and upper jaw bone integration as claimed in claim 1 prints, it is characterised in that the downside of described second upper jaw bone fixation plate extends the 4th buckling parts that oriented zygoma holds.
7. the guide that the 3D rebuild for Dental implantion and upper jaw bone integration as claimed in claim 1 prints, it is characterised in that the central axis in the hole of described Dental implantion bullport seat is in bone graft surface of bone.
8. the guide that the 3D rebuild for Dental implantion and upper jaw bone integration as claimed in claim 1 prints, it is characterized in that, described bone graft guided plate, Dental implantion bullport seat, the first upper jaw bone fixation plate and the second upper jaw bone fixation plate adopt the printing integrated molding of 3D.
CN201610270778.3A 2016-04-26 2016-04-26 The guiding device for the 3D printing rebuild for Dental implantion and maxilla integration Active CN105726169B (en)

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Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106109021A (en) * 2016-08-31 2016-11-16 复旦大学附属华山医院 Scalable arc frons pattern guide plate
CN107789033A (en) * 2017-11-13 2018-03-13 重庆医科大学附属口腔医院 A kind of guide board fixer and mandibular cutting method
CN107802358A (en) * 2017-09-19 2018-03-16 广州医科大学附属口腔医院(广州医科大学羊城医院) A kind of CT formulas tip of a root surgical operation guide plate and its application
CN107802357A (en) * 2017-09-19 2018-03-16 广州医科大学附属口腔医院(广州医科大学羊城医院) One kind digitlization tip of a root surgical operation guide plate and its application
CN111419446A (en) * 2020-04-29 2020-07-17 上海交通大学医学院附属第九人民医院 Wear pterygoid lamina and plant baffle positioner
CN112245074A (en) * 2020-09-10 2021-01-22 上海交通大学医学院附属第九人民医院 Jaw bone transplantation in-place guide plate

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US8282635B1 (en) * 2007-01-18 2012-10-09 Amato Cyrus J Intra-oral devices for craniofacial surgery
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CN103142320A (en) * 2013-03-20 2013-06-12 福州大学 Operation guidance device for core drill of dental implanting system, manufacturing and using methods of operation guidance device
CN103315829A (en) * 2013-06-27 2013-09-25 中国人民解放军总医院 Manufacturing method of individualized stent for repairing defect of more than four tooth positions on one side of low jawbone
CN105078586A (en) * 2015-09-28 2015-11-25 四川大学 Digitized template used for orthognathic surgery and manufacturing method thereof
CN105078596A (en) * 2014-09-15 2015-11-25 汤雨龙 Manufacturing method of individual dental implant surgical guide plate

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EP1894539A1 (en) * 2006-09-04 2008-03-05 Bio-Micron S.A.S. di Campetti Emilio Template for drilling the mandibular or maxillary bone
US8282635B1 (en) * 2007-01-18 2012-10-09 Amato Cyrus J Intra-oral devices for craniofacial surgery
CN102858257A (en) * 2010-04-29 2013-01-02 斯恩蒂斯有限公司 Orthognatic implant and methods of use
CN103142320A (en) * 2013-03-20 2013-06-12 福州大学 Operation guidance device for core drill of dental implanting system, manufacturing and using methods of operation guidance device
CN103315829A (en) * 2013-06-27 2013-09-25 中国人民解放军总医院 Manufacturing method of individualized stent for repairing defect of more than four tooth positions on one side of low jawbone
CN105078596A (en) * 2014-09-15 2015-11-25 汤雨龙 Manufacturing method of individual dental implant surgical guide plate
CN105078586A (en) * 2015-09-28 2015-11-25 四川大学 Digitized template used for orthognathic surgery and manufacturing method thereof

Cited By (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106109021A (en) * 2016-08-31 2016-11-16 复旦大学附属华山医院 Scalable arc frons pattern guide plate
CN106109021B (en) * 2016-08-31 2022-06-24 复旦大学附属华山医院 Adjustable arc forehead portion mode baffle
CN107802358A (en) * 2017-09-19 2018-03-16 广州医科大学附属口腔医院(广州医科大学羊城医院) A kind of CT formulas tip of a root surgical operation guide plate and its application
CN107802357A (en) * 2017-09-19 2018-03-16 广州医科大学附属口腔医院(广州医科大学羊城医院) One kind digitlization tip of a root surgical operation guide plate and its application
CN107789033A (en) * 2017-11-13 2018-03-13 重庆医科大学附属口腔医院 A kind of guide board fixer and mandibular cutting method
CN111419446A (en) * 2020-04-29 2020-07-17 上海交通大学医学院附属第九人民医院 Wear pterygoid lamina and plant baffle positioner
CN112245074A (en) * 2020-09-10 2021-01-22 上海交通大学医学院附属第九人民医院 Jaw bone transplantation in-place guide plate

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