CN105769362B - Guiding device for the 3D printing that Dental implantion and mandibular integration are rebuild - Google Patents

Guiding device for the 3D printing that Dental implantion and mandibular integration are rebuild Download PDF

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Publication number
CN105769362B
CN105769362B CN201610270251.0A CN201610270251A CN105769362B CN 105769362 B CN105769362 B CN 105769362B CN 201610270251 A CN201610270251 A CN 201610270251A CN 105769362 B CN105769362 B CN 105769362B
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China
Prior art keywords
bone graft
plate
bone
lower jaw
mandibular
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CN201610270251.0A
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CN105769362A (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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    • 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
    • A61C8/009Implanting tools or instruments for selecting the right implanting element, e.g. templates
    • BPERFORMING OPERATIONS; TRANSPORTING
    • B33ADDITIVE MANUFACTURING TECHNOLOGY
    • B33YADDITIVE MANUFACTURING, i.e. MANUFACTURING OF THREE-DIMENSIONAL [3-D] OBJECTS BY ADDITIVE DEPOSITION, ADDITIVE AGGLOMERATION OR ADDITIVE LAYERING, e.g. BY 3-D PRINTING, STEREOLITHOGRAPHY OR SELECTIVE LASER SINTERING
    • B33Y30/00Apparatus for additive manufacturing; Details thereof or accessories therefor
    • BPERFORMING OPERATIONS; TRANSPORTING
    • B33ADDITIVE MANUFACTURING TECHNOLOGY
    • B33YADDITIVE MANUFACTURING, i.e. MANUFACTURING OF THREE-DIMENSIONAL [3-D] OBJECTS BY ADDITIVE DEPOSITION, ADDITIVE AGGLOMERATION OR ADDITIVE LAYERING, e.g. BY 3-D PRINTING, STEREOLITHOGRAPHY OR SELECTIVE LASER SINTERING
    • B33Y40/00Auxiliary operations or equipment, e.g. for material handling

Abstract

The present invention provides the guiding devices for Dental implantion and the 3D printing of mandibular integration reconstruction, it includes bone graft directing plate, Dental implantion guides hole seat, first lower jaw bone fixation plate and the second lower jaw bone fixation plate, the guide tracks of bone graft directing plate extend track cooperation unanimously with bone graft, several bone graft mounting holes for connecting bone graft are offered on bone graft directing plate, Dental implantion guiding hole seat is set to the upside of bone graft directing plate and its aperture is opposite with bone graft, first lower jaw bone fixation plate and the second lower jaw bone fixation plate are connected to the both ends of bone graft directing plate and equipped with the medial surfaces closed with corresponding mandibular bone face paste, several mandibular mounting holes for connecting mandibular are equipped in first lower jaw bone fixation plate and the second lower jaw bone fixation plate.Using the present invention, while capable of making bone graft directing plate reconstruction of jaw is performed the operation under the guidance, Dental implantion part operation is assisted, if implantation hole preparation, planting body are implanted into, greatly improves perform the operation precision and success rate.

Description

Guiding device for the 3D printing that Dental implantion and mandibular integration are rebuild
Technical field
The present invention relates to medical instruments fields, the 3D printing that more particularly, to Dental implantion and mandibular integration are rebuild Guiding device.
Background technology
Tumor invading, inflammation, wound and radiotherapy are the main reason for causing jawbone to destroy, and operative treatment usually needs Bulk jawbone is cut off, patient facial region's external defects are necessarily caused and is engaged the forfeiture of masticatory function, this just needs superior reparation Reconstruction technique intercepts one section of fibula of self shank non-bearing, and it is most currently used to fashion into the shape similarity metric jawbone of jawbone Means.
It is primarily focused in the form of reconstruction of jaw however, colleague both at home and abroad at present, i.e., the appearance of patient is restored Aspect but ignores the recovery of the occlusion masticatory function of patient, is engaged the bad quality of life shadow to patient of masticatory function in fact Ring bigger.A large amount of reconstruction of jaw cases that we complete in early days, have smoothly restored patient's appearance, but the most of patients later stage has a denture made Difficulty affects the recovery of occlusion masticatory function.The reparation of removable denture is carried out on the fibula of transplanting, often maintenance is poor, Masticatory efficiency is low, and tooth-implanting maintenance is good, is the most ideal style for restoring meshing functionss, is conducive to have a denture made, especially favorably In the reconstruction of jaw scheme of tooth-implanting be pursuing a goal for Oral and Maxillofacial Surgery and Prosthodontics doctor, but often because of jawbone The deficient accuracy and deficient reasonability or planting body implant angle or depth of reconstructed positions be not good enough, and Most patients is caused to lose kind Plant tooth chance.So being badly in need of a kind of guiding device with guiding Dental implantion and mandible reconstruction function, it can be ensured that fibula is accurate While transplanting, implantation hole preparation and planting body implantation are guided.
Invention content
Technical problem to be solved by the present invention lies in provide a kind of 3D rebuild for Dental implantion and mandibular integration The guiding device of printing, can make bone graft directing plate under the guidance reconstruction of jaw perform the operation while, assist Dental implantion part operation, If implantation hole preparation, planting body are implanted into, operation precision and success rate are greatly improved.
In order to solve the above technical problem, the present invention provides the 3D printings rebuild for Dental implantion and mandibular integration Guiding device, the guiding device includes bone graft directing plate, Dental implantion guiding hole seat, the first lower jaw bone fixation plate and the second lower jaw Bone fixation plate, guide tracks and the bone graft of the bone graft directing plate extend track cooperation unanimously, the bone graft directing plate On offer several for connecting the bone graft mounting holes of bone graft, the Dental implantion guiding hole seat is set to the bone graft and draws The upside of guide plate and its aperture is opposite with bone graft, the first lower jaw bone fixation plate and the second lower jaw bone fixation plate are separately connected In the both ends of the bone graft directing plate and equipped with the medial surface closed with corresponding mandibular bone face paste, first mandibular is solid Several mandibular mounting holes for connecting mandibular are equipped on fixed board and the second lower jaw bone fixation plate.
As a preferred option, the upside of the bone graft directing plate extends first wrapped on the upside of oriented bone graft and fastens Portion.
As a preferred option, the Dental implantion guiding hole seat is set on first buckling parts.
As a preferred option, the downside of the bone graft directing plate extends second wrapped on the downside of oriented bone graft and fastens Portion.
As a preferred option, the downside of the first lower jaw bone fixation plate extends the third button of oriented chin subordinate edge wrapping Conjunction portion, the upside of the first lower jaw bone fixation plate are equipped with the 4th buckling parts fastened with tooth and teeth space.
As a preferred option, the 5th wrapped to angle of mandible is extended on the downside of the second lower jaw bone fixation plate to fasten Portion.
As a preferred option, the central axis in the hole of the Dental implantion guiding hole seat is in bone graft bone face.
As a preferred option, the bone graft directing plate is equipped with the titanium plate locating slot extended along bone graft track.
As a preferred option, offered on the titanium plate locating slot it is several for whole screw pass through by titanium plate with transplanting The through-hole that bone links together.
As a preferred option, the bone graft directing plate, Dental implantion guiding hole seat, the first lower jaw bone fixation plate and second Lower jaw bone fixation plate is integrally formed using 3D printing.
The guiding device for implementing a kind of 3D printing rebuild for Dental implantion and mandibular integration of the present invention, with existing skill Art compares, and has the advantages that:
The present invention, which uses, collects Dental implantion and mandible reconstruction in integral structure, by designing tooth on bone graft directing plate Plantation guiding hole seat, can make bone graft directing plate under the guidance reconstruction of jaw perform the operation while, assist Dental implantion part operation, If implantation hole preparation, planting body are implanted into, operation precision and success rate are greatly improved.
Description of the drawings
In order to illustrate the technical solution of the embodiments of the present invention more clearly, will simply be situated between to the attached drawing of embodiment below It continues.
Fig. 1 is outer side view when guiding device of the present invention is connect with mandibular;
Fig. 2 is the inner side view of guiding device.
Specific implementation mode
Following will be combined with the drawings in the embodiments of the present invention, and technical solution in the embodiment of the present invention carries out clear, complete Site preparation describes, it is clear that described embodiments are only a part of the embodiments of the present invention, instead of all the embodiments.It is based on Embodiment in the present invention, those of ordinary skill in the art are obtained every other without creative efforts Embodiment shall fall within the protection scope of the present invention.
As depicted in figs. 1 and 2, the preferred embodiment of the present invention, it is a kind of to rebuild for Dental implantion and mandibular integration The guiding device of 3D printing comprising under bone graft directing plate 1, Dental implantion guiding hole seat 2, the first lower jaw bone fixation plate 3a and second Jawbone fixed plate 3b, guide tracks and the bone graft of the bone graft directing plate 1 extend track cooperation unanimously, and the bone graft draws Several bone graft mounting holes 11 for connecting bone graft are offered on guide plate 1, the Dental implantion guiding hole seat 2 is set to described The upside of bone graft directing plate 1 and its aperture is opposite with bone graft, the first lower jaw bone fixation plate 3a and the second mandibular are solid Fixed board 3b is connected to the both ends of the bone graft directing plate 1 and is equipped with the medial surface closed with 4 bone face paste of corresponding mandibular, Several mandibulars for connecting mandibular 4 are equipped on the first lower jaw bone fixation plate 3a and the second lower jaw bone fixation plate 3b Mounting hole 31.
In the present embodiment, the head mathematical model of patient is obtained with CBCT or CT scan, passes through software three-dimensional reconstruction Establish Three-dimensional model.Operation plan is formulated on 3-dimensional digital skull model with computer software and draws bone graft draws The profile of guide plate 1, Dental implantion guiding hole seat 2, the first lower jaw bone fixation plate 3a and the second lower jaw bone fixation plate 3b, and using tree The non-toxic materials such as fat, plastics make integral bone graft directing plate 1 by 3D printing forming technique, Dental implantion guides hole seat 2, First lower jaw bone fixation plate 3a and the second lower jaw bone fixation plate 3b makes so that it is guaranteed that completing complicated accurate per-sonalization structures. Bone graft directing plate 1 extends track form generating according to virtual bone graft, the bone graft mounting hole 11 on bone graft directing plate 1 with Threaded hole on bone graft is corresponding, and bone graft is screwed on bone graft directing plate 1, thus utilizes transplanting bone guided It is matched consistent that the guide tracks of plate 1 make bone graft extend track, it is ensured that bone graft is accurately positioned and fixes.Transplant bone guided The upside of plate 1 extends the first buckling parts 12 wrapped on the upside of oriented bone graft, and Dental implantion guiding hole seat 2 is set to the first buckling parts On 12, which can guide hole seat 2 to lead on the upside of bone graft Dental implantion, make the aperture of Dental implantion guiding hole seat 2 It is opposite with bone face at the top of bone graft, to ensure the optimum position of planting body implantable graft bone center of top.First lower jaw bone fixation Mandibular mounting hole 31 on plate 3a and the second lower jaw bone fixation plate 3b is corresponding with the threaded hole on mandibular 4, the first lower jaw Bone fixation plate 3a and the second lower jaw bone fixation plate 3b are screwed in respectively on mandibular 4, so that it is guaranteed that transplanting bone guided Plate 1 is accurate in place and is fixed on desired location.As it can be seen that the present invention is using collecting Dental implantion and mandible reconstruction in integral structure, Hole seat 2 is guided by designing Dental implantion on bone graft directing plate 1, the reconstruction of jaw under the guidance of bone graft directing plate 1 can be made While operation, assist Dental implantion part operation, if implantation hole preparation, planting body be implanted into, greatly improve perform the operation precision and at Power.
More preferably, the downside of the bone graft directing plate 1 extends the second buckling parts 13 wrapped on the downside of oriented bone graft, leads to The combination for crossing the first buckling parts 12 and the second buckling parts 13 makes bone graft directing plate 1 form Semi surrounding type structure and surrounds transplanting Bone facilitates bone graft to position and fix.
More preferably, the downside of the first lower jaw bone fixation plate 3a extends the third buckling parts of oriented chin subordinate edge wrapping The upside of 32, the first lower jaw bone fixation plate 3a are equipped with the 4th buckling parts 33 fastened with tooth and teeth space, to make first Lower jaw bone fixation plate 3a is bonded patient's chin portion's sclerotin and dental area completely, and bone graft directing plate 1 is made to be good for side mandibular 4 with front Accurate match, it is ensured that bone graft directing plate 1 is accurate in place, reduces surgical procedure error.
More preferably, it is extended with the 5th buckling parts 34 wrapped to angle of mandible on the downside of the second lower jaw bone fixation plate 3b, To make the second lower jaw bone fixation plate 3b be bonded patient's lower jaw angular position sclerotin completely, bone graft directing plate 1 is made to be good for side with rear portion 4 ascending branch accurate match of mandibular, it is ensured that bone graft directing plate 1 is accurate in place, reduces surgical procedure error.
More preferably, the central axis in the hole 21 of the Dental implantion guiding hole seat 2 is in bone graft bone face, to make planting body Snap-in force along plantation long axis of body transmit, provide good fixed foundation for kind of a tooth.
More preferably, the bone graft directing plate 1 is equipped with the titanium plate locating slot 14 extended along bone graft track, makes interior fixation Titanium framework (i.e. titanium plate) is located in desired location, and fitting bone graft bone face completely, it is ensured that bone collection is accurately implemented.
More preferably, several pass through for whole screw is offered on the titanium plate locating slot 14 to connect titanium plate with bone graft Through-hole 15 together.When removing guiding device, retain the screw on the lead to the hole site, to keep between titanium plate and bone graft Connection, and unclamp the i.e. dismountable guiding device of screw on 31 position of bone graft mounting hole 11 and mandibular mounting hole.
Above disclosed is only presently preferred embodiments of the present invention, cannot limit the right of the present invention with this certainly Range, therefore according to equivalent variations made by scope of the present invention patent, be still within the scope of the present invention.

Claims (7)

1. the guiding device for the 3D printing that Dental implantion and mandibular integration are rebuild, which is characterized in that the guiding device includes Bone graft directing plate, Dental implantion guiding hole seat, the first lower jaw bone fixation plate and the second lower jaw bone fixation plate, the transplanting bone guided The guide tracks of plate extend that track cooperation is consistent with bone graft, and the bone graft directing plate is equipped with to be extended along bone graft track Titanium plate locating slot offers several passed through for whole screw on the titanium plate locating slot and titanium plate and bone graft links together Through-hole, several bone graft mounting holes for connecting bone graft are offered on the bone graft directing plate, the Dental implantion draws Guide hole seat is set to the upside of the bone graft directing plate and its aperture is opposite with bone graft, the first lower jaw bone fixation plate and Second lower jaw bone fixation plate is connected to the both ends of the bone graft directing plate and is equipped with and closed with corresponding mandibular bone face paste Medial surface, be equipped in the first lower jaw bone fixation plate and the second lower jaw bone fixation plate several for connecting under mandibular Jawbone mounting hole, the bone graft directing plate, Dental implantion guiding hole seat, the first lower jaw bone fixation plate and the second lower jaw bone fixation plate It is integrally formed using 3D printing.
2. the guiding device for the 3D printing rebuild as described in claim 1 for Dental implantion and mandibular integration, feature exist In the upside of the bone graft directing plate extends the first buckling parts wrapped on the upside of oriented bone graft.
3. the guiding device for the 3D printing rebuild as claimed in claim 2 for Dental implantion and mandibular integration, feature exist In the Dental implantion guiding hole seat is set on first buckling parts.
4. the guiding device for the 3D printing rebuild as described in claim 1 for Dental implantion and mandibular integration, feature exist In the downside of the bone graft directing plate extends the second buckling parts wrapped on the downside of oriented bone graft.
5. the guiding device for the 3D printing rebuild as described in claim 1 for Dental implantion and mandibular integration, feature exist In the downside of the first lower jaw bone fixation plate extends the third buckling parts of oriented chin subordinate edge wrapping, first mandibular The upside of fixed plate is equipped with the 4th buckling parts fastened with tooth and teeth space.
6. the guiding device for the 3D printing rebuild as described in claim 1 for Dental implantion and mandibular integration, feature exist In being extended with the 5th buckling parts wrapped to angle of mandible on the downside of the second lower jaw bone fixation plate.
7. the guiding device for the 3D printing rebuild as described in claim 1 for Dental implantion and mandibular integration, feature exist In the central axis in the hole of the Dental implantion guiding hole seat is in bone graft bone face.
CN201610270251.0A 2016-04-26 2016-04-26 Guiding device for the 3D printing that Dental implantion and mandibular integration are rebuild Active CN105769362B (en)

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CN105769362B true CN105769362B (en) 2018-10-09

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Families Citing this family (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107714207A (en) * 2016-08-10 2018-02-23 深圳市普天阳医疗科技股份有限公司 A kind of same period plants guide plate arrangement
CN109394328A (en) * 2017-08-16 2019-03-01 包霆威 The 3D printing of fibular flap transplanting mandibular defect is assisted to preset screw way and the embedded guide plate system of titanium plate
CN108514455B (en) * 2018-05-11 2019-06-25 北京大学口腔医学院 Dentistry Trinity composite guide plate and production method with precise positioning ability
CN108969131A (en) * 2018-08-07 2018-12-11 佛山科学技术学院 A kind of tooth-implanting is for aperture apparatus

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Publication number Priority date Publication date Assignee Title
CN101822575A (en) * 2010-04-15 2010-09-08 浙江工业大学 Method of making partial-anodontia tooth implantation surgical guide plate
CN102170841A (en) * 2008-08-26 2011-08-31 安迪·博扬久 A dental bone implant, methods for implanting the dental bone implant and methods and systems for manufacturing dental bone implants
EP2519165A1 (en) * 2009-12-29 2012-11-07 Mobelife NV Customized surgical guides, methods for manufacturing and uses thereof
CN103997985A (en) * 2011-12-22 2014-08-20 穆罕默德·阿卡巴·阿里 Devices and methods for enhancing bone growth
CN203988440U (en) * 2014-06-24 2014-12-10 蔡镇国 Plant tooth dual-purpose mould structure
CN104382661A (en) * 2014-11-25 2015-03-04 深圳市康泰健牙科器材有限公司 Manufacturing method and system of digitized 3D implanting guide plate

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102170841A (en) * 2008-08-26 2011-08-31 安迪·博扬久 A dental bone implant, methods for implanting the dental bone implant and methods and systems for manufacturing dental bone implants
EP2519165A1 (en) * 2009-12-29 2012-11-07 Mobelife NV Customized surgical guides, methods for manufacturing and uses thereof
CN101822575A (en) * 2010-04-15 2010-09-08 浙江工业大学 Method of making partial-anodontia tooth implantation surgical guide plate
CN103997985A (en) * 2011-12-22 2014-08-20 穆罕默德·阿卡巴·阿里 Devices and methods for enhancing bone growth
CN203988440U (en) * 2014-06-24 2014-12-10 蔡镇国 Plant tooth dual-purpose mould structure
CN104382661A (en) * 2014-11-25 2015-03-04 深圳市康泰健牙科器材有限公司 Manufacturing method and system of digitized 3D implanting guide plate

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