CN105852997B - Digitize Dental implant surgery guide device - Google Patents

Digitize Dental implant surgery guide device Download PDF

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Publication number
CN105852997B
CN105852997B CN201610385744.9A CN201610385744A CN105852997B CN 105852997 B CN105852997 B CN 105852997B CN 201610385744 A CN201610385744 A CN 201610385744A CN 105852997 B CN105852997 B CN 105852997B
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CN
China
Prior art keywords
guide
guide pipe
guide plate
plantation
planting groove
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired - Fee Related
Application number
CN201610385744.9A
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Chinese (zh)
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CN105852997A (en
Inventor
何炳蔚
陈江
庄江惠
刘丽萍
周勇
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AFFILIATED STOMATOLOGICAL HOSPITAL FUJIAN MEDICAL UNIVERSITY
Fuzhou University
Original Assignee
AFFILIATED STOMATOLOGICAL HOSPITAL FUJIAN MEDICAL UNIVERSITY
Fuzhou University
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Priority to CN201610385744.9A priority Critical patent/CN105852997B/en
Publication of CN105852997A publication Critical patent/CN105852997A/en
Application granted granted Critical
Publication of CN105852997B publication Critical patent/CN105852997B/en
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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

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  • Health & Medical Sciences (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Dentistry (AREA)
  • Epidemiology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Dental Prosthetics (AREA)

Abstract

The present invention relates to a kind of digitlization Dental implant surgery guide devices, include that main plantation guide plate in the oral cavity is installed and plants guide plate to the auxiliary for coupling main plantation guide plate and dental drill, the main plantation guide plate includes base, positioning sleeve and planting groove, the first guide pipe is provided on the inside of the planting groove at labial teeth area position, be provided with the second guide pipe at the top of the planting groove at backteeth area position, the auxiliary plantation guide plate include to matched first guide bracket of the first guide pipe and to matched second guide bracket of the second guide pipe.Structure of the invention design is simple, compact, reasonable, be easily assembled, dismantle it is easy, it is highly practical, be easy to grasp, and the plantation situation of anterior tooth deficiency and rear anodontia can be adapted to simultaneously.

Description

Digitize Dental implant surgery guide device
Technical field
The present invention relates to a kind of digitlization Dental implant surgery guide devices.
Background technology
Modern dental implant be by the 1960s professor Branemark propose synosteosis theory based on, by Walk the new discipline to grow up.Dental implantion is not really to plant nature tooth, but compatibility will be combined with human body bone High pure titanium metal is designed like the cylinder of root of the tooth, is implanted into the alveolar bone of edentulous region and generates synosteosis with bone tissue, so Corona is made on planting body afterwards.It can bear normally to chew strength, function with aesthetically almost as natural tooth, praised It is the preferred repair mode of agomphosis for the third pair tooth of the mankind.
In implant surgery operation, implantation position, direction and the depth of dental implant are whether influencing successful surgery Key factor.Deviation in incorrect positioning and direction is likely to result in growing area bone split, the perforation of alveolar bone side wall, root nerve Phenomena such as damage, brings prodigious difficulty for the reparation of subsequent superstructure.This requires doctor that accurately grasp can be planted The implantation position of body and direction, thus many doctors instruct Dental implant surgery with locating guiding template.It is led by implant surgery Being properly positioned and being precisely oriented to template, avoid causes planting body to repair work(because performing the operation implantation position and direction inaccuracy The failure of energy.The traditional production method of surgical template is moulded by hand-made transparent self curing plastic or heat setting on plaster cast Expect template, the disadvantage is that precision is inadequate, and visual effect is poor.Surgical template made of being suppressed using air film press, although It is at low cost, it makes simply, but positioning and guiding precision is not high, it is difficult to obtain ideal position and direction, is mainly used in guidance The implantation of single or two neighboring planting body or planting location require less strict operation.With the extensive use of CT images, Derive many and is reworked guiding die plate on the basis of CT templates.This method scans pendant using CT layer scanning technologies It wears radiation resistance and penetrates the defect of dentition of label template or the upper and lower jawbone of deletion patients, obtained image and data pass through a variety of CASE(Computer Aided Software Engineering) carries out Computer Aided Design and three-dimensional reconstruction, and surgical template is obtained eventually by rapid shaping technique.
In dental implant operation, implantation hole needs to can be only achieved the implantation requirement of planting body by multiple hole drill.Dental implantion Drill bit is by using being sequentially respectively:Position round bur, pioneer's hole drilling and reaming brill etc..Traditional Dental implantion guidance mode is broadly divided into Two kinds:Single bar guide list sleeve steering is planted and the more sleeve multistage guiding plantations of more guide plates.The sleeve of the two is all to be interference fitted Mode be fixed on the round base station of guide plate, cannot fall off or replace in art.Wherein single bar guide list sleeve is only used for guiding First time drilling, and subsequent hole drill is completed with surgical experience, greatly reduces the precision of plantation.More more sleeves of guide plate It is then to coordinate the sleeve of different inner diameters come pilot bore hole by making the dental implant template of identical appearance, when operation passes through replacement Template guides the drill bit of corresponding hole drill.Positioning repeatedly need to be dismantled and dispose when causing the waste of material in this way, and performing the operation Template is also easy to produce larger position error, to affect the accuracy of planting body implantation.
Sleeve used in existing most of dental implant templates cannot achieve multistage drill bit because being fixed in template and draw The problem of leading, NobelGuide implant systems are solved in the way of double layer sleeve barrel.This double layer sleeve barrel be divided into it is two layers inside and outside, Outer layer is solidificated in using interference fit in template as general sleeve, and inner layer sleeve is placed on the inside of outer layer sleeve, between Gap type cooperation connection.Inner layer sleeve is that a series of outer diameters are identical, and the different guide tube of internal diameter, when operation only needs to change different pore size Inner layer sleeve just can realize the guiding of multistage drill bit.But since ectonexine sleeve is only by gap couples without fixed form, Implement to easily cause inner layer sleeve when operation with bit, the problems such as when drill bit movement generates shaking because of gap, is unfavorable for planting Plant the guarantee of hole precision.And SurgiGuide templates are realized by making a series of guide tunnel template of different-diameters, it should Method is presently the most common method.Due to that when guiding different-diameter drill bit, corresponding guide tunnel template need to be matched, faced Bed operability is poor, and there is secondary position errors, while the cost of manufacture of series mask is also relatively high.
Invention content
In view of the deficiencies in the prior art, technical problem to be solved by the invention is to provide a kind of digitlization Dental implant surgeries Guide device, not only structure design is simple, compact, reasonable, but also can adapt to the plantation of anterior tooth deficiency and rear anodontia simultaneously Situation.
In order to solve the above-mentioned technical problem, the technical scheme is that:It include the main plantation installed in the oral cavity Guide plate and to couple it is main plantation guide plate and dental drill auxiliary plant guide plate, the main plantation guide plate include base, position Set and planting groove, are provided with the first guide pipe on the inside of the planting groove at labial teeth area position, are located at the kind at backteeth area position It plants and is provided with the second guide pipe at the top of slot, the auxiliary plantation guide plate includes to draw with the first guide pipe matched first Saddle and to matched second guide bracket of the second guide pipe.
Preferably, the arbitrary two adjacent planting grooves are interconnected.
Preferably, first guide bracket is comprising to be inserted into the axis pin of the first guide pipe and to accept the support of dental drill Handle, the drill bit of the dental drill is through asking the through-hole on handle to reaching corresponding planting groove.
Preferably, first guide pipe is triangle tubular type guide pipe, and the axis pin uses the triangle axis pin of arc transition.
Preferably, second guide bracket includes to be inserted into the sleeve of the second guide pipe and handle easy to operation, tooth The drill bit of drilling machine is through the sleeve to reaching corresponding planting groove.
Preferably, second guide pipe is telescopic guide pipe.
Preferably, the base includes upper layer and lower layer, wherein the lower layer being in direct contact with oral mucosa using hardness small, bullet Property big material, and the material that upper layer is big using rigidity, hardness is big.
Preferably, the main plantation that the base, positioning sleeve, planting groove, the first guide pipe and the second guide pipe are formed is led Plate is that 3D printing technique is quickly integrally formed.
Preferably, the auxiliary plantation guide plate uses medical stainless steel material.
Compared with prior art, the invention has the advantages that:
(1)The present invention can adapt to the plantation situation of labial teeth and rear anodontia simultaneously, according in labial teeth area and backteeth area It operates complexity and uses different guiding implantation methods, flexibility is high, and applicability is good;
(2)Base in the present invention is designed as upper layer and lower layer, and the material hardness of lower layer is small, elastic ensures plantation guide plate greatly The comfort of wearing, the material stiffness of lower layer is big, hardness ensures greatly the stability of main plantation guide plate;
(3)Each planting body determines a planting groove on main plantation guide plate in the present invention, arbitrary two adjacent described kind It plants slot to be interconnected, is conducive to the timely discharge of oral cavity blood and other dirts in Dental implant surgery, reduce operation interference;
(4)Main plantation guide plate in the present invention is designed and produced according to difference is patient personalized, quick by 3D printing technique It is integrally formed, can be accurately positioned and is accurately oriented to, improve the success rate of implant operation;
(5)Auxiliary plantation guide plate making material in the present invention is medical stainless steel, has versatility, can give birth in batches in advance Production reduces implant operation cost and treatment cycle;
(6)Structure of the invention design is simple, compact, reasonable, be easily assembled, dismantle it is easy, it is highly practical, be easy to grasp.
The present invention will be further described in detail with reference to the accompanying drawings and detailed description.
Description of the drawings
Fig. 1 is the organigram of the main plantation guide plate of the embodiment of the present invention.
Fig. 2 is the organigram of base of the embodiment of the present invention.
Fig. 3 is the organigram of the first guide bracket of the embodiment of the present invention.
Fig. 4 is the organigram of the second guide bracket of the embodiment of the present invention.
Fig. 5 is intended to for the first use state of the embodiment of the present invention.
Fig. 6 is the second use state diagram of the embodiment of the present invention.
In figure:1-main plantation guide plate, 11- bases, the upper layers 111-, 112- lower layers, 12- positioning sleeves, 13- planting grooves, 14- First guide pipe, the second guide pipes of 15-, 2- dental drills, 21- drill bits, the first guide brackets of 3-, 31- axis pins, 32- hold in the palm handle, 4- second Guide bracket, 41- sleeves, 42- handles.
Specific implementation mode
To make the foregoing features and advantages of the present invention clearer and more comprehensible, special embodiment below, and coordinate attached drawing, make detailed Carefully it is described as follows.
As shown in Fig. 1 ~ 6, a kind of digitlization Dental implant surgery guide device includes the main plantation installed in the oral cavity Guide plate 1 and guide plate is planted to couple the auxiliary of main plantation guide plate 1 and dental drill 2, the main plantation guide plate 1 includes base 11, positioning sleeve 12 and planting groove 13 are provided with the first guide pipe 14 positioned at the inside of the planting groove 13 at labial teeth area position, are located at The top of the planting groove 13 at backteeth area position is provided with the second guide pipe 15, wherein first guide pipe 14, the second guide pipe 15 height has reacted the depth information of planting body, and first guide pipe 14, the cental axial position of the second guide pipe 15 are equal It is determined by planting body position.Auxiliary plantation guide plate include to 14 matched first guide bracket 3 of the first guide pipe and To with 15 matched second guide bracket 4 of the second guide pipe.
In embodiments of the present invention, the arbitrary two adjacent planting grooves 13 are interconnected.
In embodiments of the present invention, first guide bracket 3 includes to be inserted into the axis pin 31 of the first guide pipe 14 and use To accept the support handle 32 of dental drill 2, the drill bit 21 of the dental drill 2 is through asking the through-hole on handle 32 to reaching corresponding planting groove 13。
In embodiments of the present invention, first guide pipe 14 is triangle tubular type guide pipe, and the axis pin 31 uses triangle Axis pin 31.
In embodiments of the present invention, second guide bracket 4 include to be inserted into the sleeve 41 of the second guide pipe 15 with just In the handle 42 of operation, the drill bit 21 of dental drill 2 is through the sleeve 41 to reaching corresponding planting groove 13;The sleeve 41 The internal diameter of outer diameter and the second guide pipe 15 is adapted, and the internal diameter of the sleeve 41 is adapted with the outer diameter of drill bit 21, passes through replacement The second guide bracket 4 with different size sockets 41, adapts to various sizes of drill bit 21, to realize the guiding of multistage drill bit 21 Drilling, and with high-precision.
In embodiments of the present invention, second guide pipe 15 is telescopic guide pipe.
In embodiments of the present invention, the base 11 includes upper layer and lower layer, wherein the lower layer being in direct contact with oral mucosa 111 using hardness small, elastic big material, and upper layer 112 is using the big material of rigid material, hardness.
In embodiments of the present invention, the base 11, positioning sleeve 12, planting groove 13, the first guide pipe 14 and second are led The main plantation guide plate 1 formed to pipe 15 is that 3D printing technique is quickly integrally formed.
In embodiments of the present invention, the auxiliary plantation guide plate uses medical stainless steel material.
Specific use process is as follows by the present invention:
(1)The main plantation guide plate 1 is placed in patient's mouth, when labial teeth area is performed the operation, drill bit 21 will be installed 2 clamping of dental drill in first guide bracket 3, when operation by the axis pin 31 of arc transition in first guide bracket 3 along The first guide pipe 14 on main plantation guide plate 1 is inserted into, while being opened dental drill 2 and being drilled, when the axis pin 31 is fully inserted into In first guide pipe 14, this time drilling terminates, and exits drill bit 21, then replaces various sizes of drill bit 21, repeat the above process, Until the size of implantation hole reaches operation and requires;
(2)When backteeth area is performed the operation, the sleeve 41 in second guide bracket 4 is inserted into the second guide pipe 15, The drill bit 21 of dental drill 2 is drilled directed along 41 internal diameter of sleeve, when the drill bit 21 of dental drill 2 is completely into sleeve 41 Afterwards, drilling terminates, and exits drill bit 21, then replaces the second guide bracket 4 and drill bit 21 with different size sockets 41, repeats The above process, until the size of implantation hole reaches operation and requires.
(3)Main plantation guide plate 1 is finally removed, planting body is implanted to jawbone.
The present invention is not limited to above-mentioned preferred forms, anyone can show that other are each under the inspiration of the present invention The digitlization Dental implant surgery guide device of kind form.All equivalent changes and modifications done according to scope of the present invention patent, The covering scope of the present invention should all be belonged to.

Claims (5)

1. a kind of digitlization Dental implant surgery guide device, it is characterised in that:Include that the main plantation installed in the oral cavity is led Plate and to couple it is main plantation guide plate and dental drill auxiliary plant guide plate, the main plantation guide plate include base, positioning sleeve And planting groove, it is provided with the first guide pipe on the inside of the planting groove at labial teeth area position, is located at the plantation at backteeth area position The second guide pipe is provided at the top of slot, the auxiliary plantation guide plate includes to be guided with the first guide pipe matched first Frame and to matched second guide bracket of the second guide pipe, the arbitrary two adjacent planting groove be interconnected, described second Guide bracket includes to be inserted into the sleeve of the second guide pipe and handle easy to operation, and the drill bit of dental drill is reached through the sleeve To corresponding planting groove, second guide pipe is telescopic guide pipe, and the base includes upper layer and lower layer, wherein with oral cavity The lower layer that mucous membrane is in direct contact small, elastic big material using hardness, and the material that upper layer is big using rigidity, hardness is big.
2. digitlization Dental implant surgery guide device according to claim 1, it is characterised in that:The first guide bracket packet Containing the axis pin to be inserted into the first guide pipe with to accept the support handle of dental drill, the drill bit of the dental drill is logical on handle through holding in the palm Hole is to reaching corresponding planting groove.
3. digitlization Dental implant surgery guide device according to claim 2, it is characterised in that:First guide pipe is Triangle tubular type guide pipe, the axis pin use the triangle axis pin of arc transition.
4. digitlization Dental implant surgery guide device according to claim 1, it is characterised in that:The base, positioning sleeve, The main plantation guide plate that planting groove, the first guide pipe and the second guide pipe are formed is that 3D printing technique is quickly integrally formed.
5. digitlization Dental implant surgery guide device according to claim 1, it is characterised in that:The auxiliary plants guide plate Using medical stainless steel material.
CN201610385744.9A 2016-06-03 2016-06-03 Digitize Dental implant surgery guide device Expired - Fee Related CN105852997B (en)

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Application Number Priority Date Filing Date Title
CN201610385744.9A CN105852997B (en) 2016-06-03 2016-06-03 Digitize Dental implant surgery guide device

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Application Number Priority Date Filing Date Title
CN201610385744.9A CN105852997B (en) 2016-06-03 2016-06-03 Digitize Dental implant surgery guide device

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CN105852997B true CN105852997B (en) 2018-07-20

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Families Citing this family (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107049527B (en) * 2017-06-12 2023-07-25 四川大学 Treatment guide plate for root canal treatment and preparation method thereof
CN110464496B (en) * 2019-08-26 2020-06-23 四川大学 Manufacturing method of C-shaped small-opening type implantation operation guiding device and guiding device
CN110652368A (en) * 2019-09-23 2020-01-07 福建艾尔法医疗器械制造有限公司 Method for manufacturing temporary immediate prosthesis for edentulous jaw implantation
CN111821046B (en) * 2020-07-20 2021-08-27 中国科学院深圳先进技术研究院 Root canal treatment guide plate and preparation method thereof

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CA2695735A1 (en) * 2007-09-12 2009-03-19 Imagnosis Inc. Implant erecting drill tool, hand-piece, adapter for the hand-piece, and surgical guide
CN102098978A (en) * 2008-07-14 2011-06-15 诺贝尔生物服务公司 Improved fixture of two-piece dental implant
CN202950775U (en) * 2012-10-09 2013-05-29 台湾植体科技股份有限公司 Operation guiding board apparatus
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
CN103598920A (en) * 2013-12-04 2014-02-26 杭州六维齿科医疗技术有限公司 Whole-tooth lost dental implantation operation guide plate and making method thereof

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CA2695735A1 (en) * 2007-09-12 2009-03-19 Imagnosis Inc. Implant erecting drill tool, hand-piece, adapter for the hand-piece, and surgical guide
CN102098978A (en) * 2008-07-14 2011-06-15 诺贝尔生物服务公司 Improved fixture of two-piece dental implant
CN202950775U (en) * 2012-10-09 2013-05-29 台湾植体科技股份有限公司 Operation guiding board apparatus
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
CN103598920A (en) * 2013-12-04 2014-02-26 杭州六维齿科医疗技术有限公司 Whole-tooth lost dental implantation operation guide plate and making method thereof

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