CN107174361A - Guide plate of stretching alveolar bone skeletonization and preparation method thereof and application method - Google Patents
Guide plate of stretching alveolar bone skeletonization and preparation method thereof and application method Download PDFInfo
- Publication number
- CN107174361A CN107174361A CN201710436737.1A CN201710436737A CN107174361A CN 107174361 A CN107174361 A CN 107174361A CN 201710436737 A CN201710436737 A CN 201710436737A CN 107174361 A CN107174361 A CN 107174361A
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- guide plate
- plate
- stretching
- alveolar bone
- plate body
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- 210000000988 bone and bone Anatomy 0.000 title claims abstract description 90
- 238000000034 method Methods 0.000 title claims abstract description 20
- 238000002360 preparation method Methods 0.000 title claims description 6
- 238000005452 bending Methods 0.000 claims description 15
- 230000011164 ossification Effects 0.000 claims description 10
- 238000002591 computed tomography Methods 0.000 claims description 6
- 238000009434 installation Methods 0.000 claims description 6
- 239000007943 implant Substances 0.000 claims description 5
- 238000005520 cutting process Methods 0.000 claims description 4
- 238000010146 3D printing Methods 0.000 claims description 3
- RTAQQCXQSZGOHL-UHFFFAOYSA-N Titanium Chemical compound [Ti] RTAQQCXQSZGOHL-UHFFFAOYSA-N 0.000 claims description 3
- 210000001097 facial muscle Anatomy 0.000 claims description 3
- 238000002695 general anesthesia Methods 0.000 claims description 3
- 230000023597 hemostasis Effects 0.000 claims description 3
- 210000002698 mandibular nerve Anatomy 0.000 claims description 3
- 239000000463 material Substances 0.000 claims description 3
- 235000013372 meat Nutrition 0.000 claims description 3
- 210000004400 mucous membrane Anatomy 0.000 claims description 3
- 210000003205 muscle Anatomy 0.000 claims description 3
- 238000007639 printing Methods 0.000 claims description 3
- 238000009877 rendering Methods 0.000 claims description 3
- 210000004872 soft tissue Anatomy 0.000 claims description 3
- 238000004659 sterilization and disinfection Methods 0.000 claims description 3
- 229910052719 titanium Inorganic materials 0.000 claims description 3
- 239000010936 titanium Substances 0.000 claims description 3
- 230000001720 vestibular Effects 0.000 claims description 3
- 230000006835 compression Effects 0.000 claims 1
- 238000007906 compression Methods 0.000 claims 1
- 210000003484 anatomy Anatomy 0.000 abstract description 4
- 238000004519 manufacturing process Methods 0.000 abstract description 4
- 238000005516 engineering process Methods 0.000 description 3
- 238000002224 dissection Methods 0.000 description 2
- 210000003456 pulmonary alveoli Anatomy 0.000 description 2
- 238000010586 diagram Methods 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 229910052500 inorganic mineral Inorganic materials 0.000 description 1
- 238000010030 laminating Methods 0.000 description 1
- 239000011707 mineral Substances 0.000 description 1
- 210000000214 mouth Anatomy 0.000 description 1
- 239000011120 plywood Substances 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C8/00—Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools
- A61C8/0089—Implanting tools or instruments
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C8/00—Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools
- A61C8/0089—Implanting tools or instruments
- A61C8/009—Implanting tools or instruments for selecting the right implanting element, e.g. templates
-
- B—PERFORMING OPERATIONS; TRANSPORTING
- B33—ADDITIVE MANUFACTURING TECHNOLOGY
- B33Y—ADDITIVE 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
- B33Y80/00—Products made by additive manufacturing
Abstract
The guide plate and its manufacture method and application method for a kind of stretching alveolar bone skeletonization that the present invention is provided, including bite plate, location-plate and guide plate body, the U-shaped setting of bite plate being engaged for people, and bite plate is stretched into the oral area of people by opening side, the bottom of bite plate is connected by location-plate with the middle part of guide plate body, guide plate body integrally it is curved setting and guide plate body fitted with the alveolar bone of people, two exhausting holes of laterally setting are provided with guide plate body, osteotomy line is provided between two exhausting holes, stretching alveolar bone skeletonization can be accurately oriented in high precision, being particularly suitable for use in need to be while increases the case of alveolar bone thickness and height, important anatomical structure can be avoided, improve the security of operation, guide the completion operation of the smooth safety of doctor, improve operation precision efficiency, alleviate the burden of doctor and patient, in addition, above-mentioned guide plate structure is simple, it is easy to make, using convenient, used suitable for large-scale promotion.
Description
Technical field
The present invention relates to medical assistance instrument field, the guide plate and its manufacture method of particularly a kind of stretching alveolar bone skeletonization
And application method.
Background technology
Tooth-planting technology passes through the development of decades, and its indication is increasingly extensive.Particularly alveolar bone distraction osteogenesis skill
Art is solved because Bone mineral change causes the problem that planting body loosens around implant in the application of field of planting.Distraction osteogenesis refers to
At sutura or at the bone section that bone is cut, retracted with stretch device by certain speed and frequency, shape in the spatium interosseum of generation
Into new bone, so that reaching makes Limb lengthening or broadening purpose.These area of new bone are to support the basis of implant.At present, bone stretching
Direction be to be determined by the direction of stretch device upper boom, in traditional distraction osteogenesis operation, put more than doctor by micro-judgment
Stretching bar is put, direction and the final effect of its skeletonization can not be predicted accurately, especially those need to increase Level of Alveolar Bone height simultaneously
The case of degree and thickness, it is extremely difficult in art accurately to put stretching bar position, cause the increment direction people not to the utmost of final alveolar bone
Meaning.
The content of the invention
In order to solve the above-mentioned technical problem, a kind of guide plate of the stretching alveolar bone skeletonization provided and its manufacture method and make
With method, in the process city used, the position of osteotomy line according to operation plan, need to be set and cut final after bone piece growth
Position, appoint take need to cut on bone piece final position a bit, will cut bone piece on this point home position with cut bone piece into
This point on final position after length is connected to form a line segment, and this line segment is the direction of distraction osteogenesis, in 3D modellings
The pre-bending of Distraction Apparatus is carried out in software, the position of multiple through holes on guide plate body is determined according to the position of nail after Distraction Apparatus pre-bending
Put, according to the position of osteotomy line on the design mark guide plate of osteotomy line, adopt the structure, stretching tooth can be accurately oriented in high precision
Groove bone skeletonization, be particularly suitable for use in need to while increase the case of alveolar bone thickness and height, meanwhile, important dissection knot can be avoided
Structure, improves the security of operation, and the completion operation of the smooth safety of guiding doctor improves operation precision efficiency, alleviates doctor
With the burden of patient, in addition, above-mentioned guide plate structure is simple, it is easy to make, using convenient, used suitable for large-scale promotion, and can
While the doctor for making experience less is quickly familiar with surgical operation, it is ensured that the precision and success rate of operation.
A kind of guide plate for stretching alveolar bone skeletonization that the present invention is provided, including bite plate, location-plate and guide plate body, for people
The bite plate of occlusion is U-shaped to be set, and the bite plate is stretched into the oral area of people, the bottom of the bite plate by opening side
It is connected by the location-plate with the middle part of the guide plate body, the guide plate body is integrally curved to be set and the guide plate sheet
Body is fitted with the alveolar bone of people, is provided between two exhausting holes of laterally setting, through hole described in two rows and is set on the guide plate body
It is equipped with osteotomy line.
Further, the lower surface of the bite plate is provided with the low groove matched with the surface of lower row's tooth of people.
Further, the upper surface of the bite plate is provided with the upper groove matched with the surface of upper row's tooth of people.
Further, the depth bounds of the upper groove and the low groove is 1mm~4mm.
Further, the location-plate is set with the bite plate in angle, and the size of the angle is 80 degree~100
Degree.
Further, the location-plate includes two hold-down bars be arrangeding in parallel and is arranged between two hold-down bars
And the fixed plate being fixedly connected simultaneously with two hold-down bars, the fixed plate is integrally formed with two hold-down bars.
Further, the top of the location-plate is fixedly connected by fixed cover with the bite plate, the location-plate
Bottom is fixedly connected by fixed block with the guide plate.
Further, the thickness range of the guide plate body is 2~3mm.
A kind of preparation method of the guide plate for stretching alveolar bone skeletonization that the present invention is also provided, step is as follows：
A, the Maxillary region to patient carry out CT scan, using 3D rendering generation and editing and processing software to patient's jaw face
The CT scan result in portion carries out three-dimensional reconstruction, the threedimensional model after being rebuild；
B, the position for marking inferior alveolar nerve pipe in the three-dimensional model；
C, the bite plate for having made using 3D modellings software fixation in the three-dimensional model, complete bite plate part
Making；
D, draw guide plate body profiles on jawbone, guide plate body thick generation 2-3mm determines osteotomy according to operation plan
Final position behind the position of line and incision bone piece growth, a bit on bone piece final position need to be cut by appointing to take, and will cut bone piece
The home position of upper this point is connected to form a line segment, this line segment with cutting this point on the final position after bone piece growth
For the direction of distraction osteogenesis, the pre-bending of Distraction Apparatus is carried out in 3D modelling softwares, according to the position of nail after Distraction Apparatus pre-bending
The position for determining multiple through holes on guide plate body is put, according to the position of osteotomy line on the design mark guide plate of osteotomy line, tooth is closed
Plate is fixedly connected with guide plate body by location-plate, obtains leading for implant operation early stage accurate pointing stretching alveolar bone skeletonization
Plate；
E, using 3 D-printing material, the guide plate designed is fabricated to by entity by rapid three dimensional printing forming method.
A kind of application method of the guide plate for stretching alveolar bone skeletonization that the present invention is also provided, its step is as follows：
It is standby after a, processing that guide plate carries out disinfection；
To the intraoral vestibular ditch otch of jawbone row of patient under b, general anesthesia, cut to bone face, peel off bone facial muscle meat, soft tissue,
Guide plate is fixed in denture by the bite plate on guide plate, guide plate body is fitted with jawbone；
C, using the position tack holes successively that bores according to multiple through holes on guide plate body is split, using reciprocating saw according to guide plate
Osteotomy line on body cuts jawbone row box-like；
D, the Distraction Apparatus by the nail position location and installation pre-bending on the jawbone of osteotomy line both sides, and fixation is followed closely by titanium, really
Determine the direction of distraction osteogenesis；
E, polished flat the bone surface of a wound with round bur, fully places negative-pressure drainage tube after hemostasis, layering suture muscle, mucous membrane, plus
Briquetting is pricked after field of operation, completes the installation exercise of guide plate.
In summary, the present invention is provided the guide plate of stretching alveolar bone skeletonization a kind of and its manufacture method and application method with
Prior art has the advantage that in the process city used, the position of osteotomy line according to operation plan, need to be set compared to it
Put and cut bone piece growth after final position, appoint take need to cut on bone piece final position a bit, will cut bone piece on this
The home position of point is connected to form a line segment with cutting this point on the final position after bone piece growth, and this line segment is traction
The direction of skeletonization, carries out the pre-bending of Distraction Apparatus in 3D modelling softwares, is determined according to the position of nail after Distraction Apparatus pre-bending
The position of multiple through holes on guide plate body, according to the position of osteotomy line on the design mark guide plate of osteotomy line, is adopted the structure,
Stretching alveolar bone skeletonization can be accurately oriented in high precision, and being particularly suitable for use in need to be while increases the case of alveolar bone thickness and height, together
When, important anatomical structure can be avoided, the security of operation is improved, the completion operation of the smooth safety of guiding doctor improves hand
Art precision efficiency, alleviates the burden of doctor and patient, in addition, above-mentioned guide plate structure is simple, it is easy to make, and using convenient, fits
Used in large-scale promotion, and the doctor that experience can be made less is while be quickly familiar with surgical operation, it is ensured that the precision of operation and
Success rate.
The lower surface of bite plate is provided with the low groove matched with the surface of lower row's tooth of people, facilitates bite plate and people
Lower row's tooth is fitted, and lower row tooth of the bite plate preferably with people is fixed.
The upper surface of bite plate is provided with the upper groove matched with the surface of upper row's tooth of people, facilitates bite plate and people
Upper row's tooth is fitted, and upper row tooth of the bite plate preferably with people is fixed.
The thickness range of guide plate body is 2~3mm, it is ensured that the use intensity of guide plate body, and is being led using splitting to drill through
When through hole on plate body on mandibular to boring nail, guide plate body will not the drill bit that bores of counterincision interfered.
Brief description of the drawings
In order to illustrate more clearly about the embodiment of the present invention or technical scheme of the prior art, below will be to embodiment or existing
There is the accompanying drawing used required in technology description to be briefly described, it should be apparent that, drawings in the following description are only this
Some embodiments of invention, for those of ordinary skill in the art, on the premise of not paying creative work, can be with
Other accompanying drawings are obtained according to these accompanying drawings.
A kind of overall structure diagram of the guide plate for stretching alveolar bone skeletonization that Fig. 1 provides for the present invention；
A kind of structural representation of the bite plate of the guide plate for stretching alveolar bone skeletonization that Fig. 2 provides for the present invention；
A kind of structural representation of the location-plate of the guide plate for stretching alveolar bone skeletonization that Fig. 3 provides for the present invention；
A kind of structural representation of the guide plate body of the guide plate for stretching alveolar bone skeletonization that Fig. 4 provides for the present invention；
In figure
1st, bite plate；2nd, location-plate；3rd, guide plate body；11st, low groove；31st, through hole.
Embodiment
To make the object, technical solutions and advantages of the present invention clearer, technical scheme will be carried out below
Detailed description.Obviously, described embodiment is only a part of embodiment of the invention, rather than whole embodiments.Base
Embodiment in the present invention, those of ordinary skill in the art are resulting on the premise of creative work is not made to be owned
Other embodiment, belongs to the scope that the present invention is protected.
As shown in Figures 1 to 4, the guide plate for a kind of stretching alveolar bone skeletonization that the present invention is provided, including bite plate 1, positioning
Plate 2 and guide plate body 3, the U-shaped setting of bite plate 1 being engaged for people, and bite plate 1 is stretched into the oral area of people, tooth by opening side
The bottom of plywood 1 is connected by location-plate 2 with the middle part of guide plate body 3, the overall curved setting of guide plate body 3 and guide plate body
3 fit with the alveolar bone of people, are provided between two exhausting holes 31 of laterally setting, two exhausting holes 31 and are provided with guide plate body 3
Osteotomy line, in the process city used, according to operation plan, need to set the position of osteotomy line and cut final after bone piece growth
Position, appoint take need to cut on bone piece final position a bit, will cut bone piece on this point home position with cut bone piece into
This point on final position after length is connected to form a line segment, and this line segment is the direction of distraction osteogenesis, in 3D modellings
The pre-bending of Distraction Apparatus is carried out in software, multiple through holes 31 on guide plate body 3 are determined according to the position of nail after Distraction Apparatus pre-bending
Position, according to the position of osteotomy line on the design mark guide plate of osteotomy line, adopts the structure, stretching can be accurately oriented in high precision
Alveolar bone skeletonization, be particularly suitable for use in need to while increase the case of alveolar bone thickness and height, meanwhile, important dissection knot can be avoided
Structure, improves the security of operation, and the completion operation of the smooth safety of guiding doctor improves operation precision efficiency, alleviates doctor
With the burden of patient, in addition, above-mentioned guide plate structure is simple, it is easy to make, using convenient, used suitable for large-scale promotion, and can
While the doctor for making experience less is quickly familiar with surgical operation, it is ensured that the precision and success rate of operation.
In a preferred embodiment, the lower surface of bite plate 1 is provided with what is matched with the surface of lower row's tooth of people
Low groove 11, facilitates bite plate 1 to be fitted with lower row's tooth of people, and lower row tooth of the bite plate 1 preferably with people is fixed.
In a preferred embodiment, the upper surface of bite plate 1 is provided with what is matched with the surface of upper row's tooth of people
Upper groove, facilitates bite plate 1 to be fitted with upper row's tooth of people, and upper row tooth of the bite plate 1 preferably with people is fixed.
It is preferred that, the depth bounds of upper groove and low groove 11 is 1mm~4mm, facilitates upper groove and upper row's tooth of people
Laminating, low groove 11 is fitted with lower row's tooth of people, and can guarantee that certain bonding strength, bite plate 1 is preferably fixed on people
Oral cavity in.
In a preferred embodiment, location-plate 2 and bite plate 1 are set in angle, and the size of angle be 80 degree~
100 degree, it is ensured that location-plate 2 is by the fixation of bite plate 1 and guide plate, it is ensured that the bonding strength of whole guide plate.
In a preferred embodiment, location-plate 2 includes two hold-down bars be arrangeding in parallel and is arranged on two fixations
The fixed plate being fixedly connected simultaneously between rod and with two hold-down bars, fixed plate is integrally formed with two hold-down bars, it is ensured that positioning
The bulk strength of plate 2.
In a preferred embodiment, the top of location-plate 2 is fixedly connected by fixed cover with bite plate 1, location-plate 2
Bottom be fixedly connected by fixed block with guide plate.
In a preferred embodiment, the thickness range of guide plate body 3 is 2~3mm, it is ensured that the use of guide plate body 3
Intensity, and using split drilled through through hole 31 on guide plate body 3 to boring nail on mandibular when, guide plate body 3 will not
The drill bit that counterincision is bored is interfered.
A kind of preparation method of the guide plate for stretching alveolar bone skeletonization that the present invention is also provided, step is as follows：
A, the Maxillary region to patient carry out CT scan, using 3D rendering generation and editing and processing software to patient's jaw face
The CT scan result in portion carries out three-dimensional reconstruction, the threedimensional model after being rebuild；
B, the position for marking inferior alveolar nerve pipe in the three-dimensional model；
C, the bite plate 1 for having made using 3D modellings software fixation in the three-dimensional model, complete bite plate portion
The making divided；
D, draw the profile of guide plate body 3 on mandibular, guide plate body 3 thick generation 2-3mm is determined according to operation plan
Final position behind the position of osteotomy line and incision bone piece growth, a bit on bone piece final position need to be cut by appointing to take, and will be cut
The home position of this point is connected to form a line segment with cutting this point on the final position after bone piece growth in bone piece, this
Line segment is the direction of distraction osteogenesis, the pre-bending of Distraction Apparatus is carried out in 3D modelling softwares, according to nail after Distraction Apparatus pre-bending
Position determine the positions of multiple through holes 31 on guide plate body 3, according to the position of osteotomy line on the design mark guide plate of osteotomy line,
Bite plate 1 is fixedly connected with guide plate body 3 by location-plate 2, obtains being used for implant operation early stage accurate pointing stretching alveolus
The guide plate of bone skeletonization；
E, using 3 D-printing material, the guide plate designed is fabricated to by entity by rapid three dimensional printing forming method.
Using above-mentioned preparation method, the accurate orientation stretching alveolus of guide plate high accuracy of the stretching alveolar bone skeletonization of making can be made
Bone skeletonization, be particularly suitable for use in need to while increase the case of alveolar bone thickness and height, meanwhile, important anatomical structure can be avoided,
The security of operation is improved, the completion operation of the smooth safety of guiding doctor improves operation precision efficiency, alleviates doctor and trouble
The burden of person, in addition, guide plate structure is simple, it is easy to make, using convenient, is used suitable for large-scale promotion, and can make experience compared with
While few doctor is quickly familiar with surgical operation, it is ensured that the precision and success rate of operation.
A kind of application method of the guide plate for stretching alveolar bone skeletonization that the present invention is also provided, its step is as follows：
It is standby after a, processing that guide plate carries out disinfection；
To the intraoral vestibular ditch otch of jawbone row of patient under b, general anesthesia, cut to bone face, peel off bone facial muscle meat, soft tissue,
Guide plate is fixed in denture by the bite plate 1 on guide plate, guide plate body 3 is fitted with jawbone；
C, using splitting the position tack holes successively that bores according to multiple through holes 31 on guide plate body 3, using reciprocating saw according to
Osteotomy line on guide plate body 3 cuts jawbone row box-like；
D, the Distraction Apparatus by the nail position location and installation pre-bending on the jawbone of osteotomy line both sides, and fixation is followed closely by titanium, really
Determine the direction of distraction osteogenesis；
E, polished flat the bone surface of a wound with round bur, fully places negative-pressure drainage tube after hemostasis, layering suture muscle, mucous membrane, plus
Briquetting is pricked after field of operation, completes the installation exercise of guide plate.
Using above-mentioned application method, it is ensured that the accurate orientation stretching alveolar bone of the guide plate of stretching alveolar bone skeletonization high accuracy into
Bone, be particularly suitable for use in need to while increase the case of alveolar bone thickness and height, meanwhile, important anatomical structure can be avoided, improved
The security of operation, the completion operation of the smooth safety of guiding doctor, improves operation precision efficiency, alleviates doctor and patient
Burden, in addition, guide plate structure is simple, it is easy to make, using convenient, is used, and experience can be made less suitable for large-scale promotion
While doctor is quickly familiar with surgical operation, it is ensured that the precision and success rate of operation.
The foregoing is only a specific embodiment of the invention, but protection scope of the present invention is not limited thereto, any
Those familiar with the art the invention discloses technical scope in, change or replacement can be readily occurred in, should all be contained
Cover within protection scope of the present invention.Therefore, protection scope of the present invention should be based on the protection scope of the described claims.
Claims (10)
1. a kind of guide plate of stretching alveolar bone skeletonization, it is characterised in that including bite plate (1), location-plate (2) and guide plate body
(3) the U-shaped setting of the bite plate (1), being engaged for people, and the bite plate (1) is stretched into the oral area of people, institute by opening side
The bottom for stating bite plate (1) is connected by the location-plate (2) with the middle part of the guide plate body (3), the guide plate body (3)
The overall curved setting and guide plate body (3) is fitted with the alveolar bone of people, is provided with transverse direction and sets on the guide plate body (3)
Osteotomy line is provided between two exhausting holes (31) put, through hole (31) described in two rows.
2. the guide plate of a kind of stretching alveolar bone skeletonization according to claim 1, it is characterised in that the bite plate (1)
Lower surface is provided with the low groove (11) matched with the surface of lower row's tooth of people.
3. the guide plate of a kind of stretching alveolar bone skeletonization according to claim 2, it is characterised in that the bite plate (1)
Upper surface is provided with the upper groove matched with the surface of upper row's tooth of people.
4. a kind of guide plate of stretching alveolar bone skeletonization according to claim 3, it is characterised in that the upper groove and described
The depth bounds of low groove (11) is 1mm~4mm.
5. a kind of guide plate of stretching alveolar bone skeletonization according to claim 1, it is characterised in that the location-plate (2) with
The bite plate (1) is set in angle, and the size of the angle is 80 degree~100 degree.
6. a kind of guide plate of stretching alveolar bone skeletonization according to claim 1, it is characterised in that location-plate (2) bag
Include two hold-down bars be arrangeding in parallel and be arranged between two hold-down bars and fixed simultaneously with two hold-down bars and connect
The fixed plate connect, the fixed plate is integrally formed with two hold-down bars.
7. the guide plate of a kind of stretching alveolar bone skeletonization according to claim 1, it is characterised in that the location-plate (2)
Top is fixedly connected by fixed cover with the bite plate (1), and the bottom of the location-plate (2) passes through fixed block and the guide plate
It is fixedly connected.
8. a kind of guide plate of stretching alveolar bone skeletonization according to claim 1, it is characterised in that the guide plate body (3)
Thickness range be 2~3mm.
9. a kind of preparation method of the guide plate of stretching alveolar bone skeletonization as described in claim any one of 1-8, it is characterised in that
Step is as follows：
A, the Maxillary region to patient carry out CT scan, using 3D rendering generation and editing and processing software to patient's Maxillary region
CT scan result carries out three-dimensional reconstruction, the threedimensional model after being rebuild；
B, the position for marking inferior alveolar nerve pipe in the three-dimensional model；
C, the bite plate (1) for having made using 3D modellings software fixation in the three-dimensional model, complete bite plate (1) portion
The making divided；
D, draw guide plate body (3) profile on mandibular, guide plate body (3) thick generation 2-3mm is determined according to operation plan
Final position behind the position of osteotomy line and incision bone piece growth, a bit on bone piece final position need to be cut by appointing to take, and will be cut
The home position of this point is connected to form a line segment with cutting this point on the final position after bone piece growth in bone piece, this
Line segment is the direction of distraction osteogenesis, the pre-bending of Distraction Apparatus is carried out in 3D modelling softwares, according to nail after Distraction Apparatus pre-bending
Position determine the positions of multiple through holes (31) on guide plate body (3), according to osteotomy line on the design mark guide plate of osteotomy line
Position, bite plate (1) is fixedly connected with guide plate body (3) by location-plate (2), obtains accurately fixed for implant operation early stage
To the guide plate of stretching alveolar bone skeletonization；
E, using 3 D-printing material, the guide plate designed is fabricated to by entity by rapid three dimensional printing forming method.
10. a kind of application method of the guide plate of stretching alveolar bone skeletonization as described in claim any one of 1-8, its feature exists
In its step is as follows：
It is standby after a, processing that guide plate carries out disinfection；
To the intraoral vestibular ditch otch of jawbone row of patient under b, general anesthesia, cut to bone face, peel off bone facial muscle meat, soft tissue, pass through
Guide plate is fixed in denture by the bite plate (1) on guide plate, guide plate body (3) is fitted with jawbone；
C, using splitting the position tack holes successively that bores according to multiple through holes (31) on guide plate body (3), using reciprocating saw according to
Osteotomy line on guide plate body (3) cuts jawbone row box-like；
D, the Distraction Apparatus by the nail position location and installation pre-bending on the jawbone of osteotomy line both sides, and fixation is followed closely by titanium, it is determined that leading
Open the direction of skeletonization；
E, polished flat the bone surface of a wound with round bur, and negative-pressure drainage tube, layering suture muscle, mucous membrane, compression wrap are fully placed after hemostasis
Prick after field of operation, complete the installation exercise of guide plate.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201710436737.1A CN107174361A (en) | 2017-06-12 | 2017-06-12 | Guide plate of stretching alveolar bone skeletonization and preparation method thereof and application method |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201710436737.1A CN107174361A (en) | 2017-06-12 | 2017-06-12 | Guide plate of stretching alveolar bone skeletonization and preparation method thereof and application method |
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| Publication Number | Publication Date |
|---|---|
| CN107174361A true CN107174361A (en) | 2017-09-19 |
Family
ID=59836566
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201710436737.1A Pending CN107174361A (en) | 2017-06-12 | 2017-06-12 | Guide plate of stretching alveolar bone skeletonization and preparation method thereof and application method |
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| CN (1) | CN107174361A (en) |
Cited By (9)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN108514455A (en) * | 2018-05-11 | 2018-09-11 | 北京大学口腔医学院 | Dentistry Trinity composite guide plate and production method with precise positioning ability |
| CN108577963A (en) * | 2018-05-23 | 2018-09-28 | 上海交通大学医学院附属第九人民医院 | Tooth-borne type alveolar ridge distractor guide plate arrangement and preparation method thereof |
| CN108703800A (en) * | 2018-05-23 | 2018-10-26 | 上海交通大学医学院附属第九人民医院 | Supported lower jaw bone tractor guide plate arrangement of bone and preparation method thereof |
| CN108992211A (en) * | 2018-07-24 | 2018-12-14 | 北京大学口腔医学院 | A kind of titanium net production method for Alveolar Bone Defect |
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| CN113017764A (en) * | 2021-01-26 | 2021-06-25 | 南京善择生物科技有限公司 | Preparation method of navigation template of osteotomy extender for treating skin-rochondric syndrome by distraction osteogenesis |
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| CN108577963A (en) * | 2018-05-23 | 2018-09-28 | 上海交通大学医学院附属第九人民医院 | Tooth-borne type alveolar ridge distractor guide plate arrangement and preparation method thereof |
| CN108703800A (en) * | 2018-05-23 | 2018-10-26 | 上海交通大学医学院附属第九人民医院 | Supported lower jaw bone tractor guide plate arrangement of bone and preparation method thereof |
| WO2019238098A1 (en) * | 2018-06-14 | 2019-12-19 | 深圳市植合体技术有限公司 | Implantation device with adjustable tooth occlusion level for making preparation hole for dental implant, and adjustment and control method |
| CN108992211A (en) * | 2018-07-24 | 2018-12-14 | 北京大学口腔医学院 | A kind of titanium net production method for Alveolar Bone Defect |
| CN109199564A (en) * | 2018-08-28 | 2019-01-15 | 上海交通大学医学院附属第九人民医院 | Alveolar ridge of maxilla tractor guide plate arrangement and preparation method thereof |
| CN110547884A (en) * | 2019-09-19 | 2019-12-10 | 首都医科大学附属北京口腔医院 | Orthodontic orthognathic operation positioning device |
| CN111870400A (en) * | 2020-07-10 | 2020-11-03 | 四川大学 | Alveolar bone augmentation surgery personalized titanium mesh guiding and positioning device and manufacturing method |
| CN113017764A (en) * | 2021-01-26 | 2021-06-25 | 南京善择生物科技有限公司 | Preparation method of navigation template of osteotomy extender for treating skin-rochondric syndrome by distraction osteogenesis |
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