CN107260341B - A kind of production method of personalization gum aesthetics forming gingival former - Google Patents
A kind of production method of personalization gum aesthetics forming gingival former Download PDFInfo
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- CN107260341B CN107260341B CN201710426531.0A CN201710426531A CN107260341B CN 107260341 B CN107260341 B CN 107260341B CN 201710426531 A CN201710426531 A CN 201710426531A CN 107260341 B CN107260341 B CN 107260341B
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- gum
- base station
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- 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
- A61C8/0093—Features of implants not otherwise provided for
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- 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
- A61C8/0048—Connecting the upper structure to the implant, e.g. bridging bars
- A61C8/005—Connecting devices for joining an upper structure with an implant member, e.g. spacers
-
- 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
- B33Y10/00—Processes of additive manufacturing
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Epidemiology (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Dentistry (AREA)
- General Health & Medical Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- Chemical & Material Sciences (AREA)
- Manufacturing & Machinery (AREA)
- Engineering & Computer Science (AREA)
- Materials Engineering (AREA)
- Dental Tools And Instruments Or Auxiliary Dental Instruments (AREA)
Abstract
The present invention relates to a kind of production methods of personalized gum aesthetics forming gingival former, comprising: and it is 1) preoperative to produce the upper mandibular model of patient, and CBCT is shot, lower jaw Dicom data in acquisition；2) upper mandibular model is scanned, plantation guide plate design software will be imported after the CBCT of the stl file of acquisition and Dicom format fitting；3) planting body three-dimensional position and guide plate, 3D printing jawbone model and guide plate are designed；4) the finished product temporary abutment surface in tooth implantation system is handled, in-vitro simulated plantation, places finished product temporary abutment, scan planting body three-dimensional position using optical scanner and import base station design software；5) base station is cut using CAD/CAM, and be bonded in vitro, production condensation locator determines base station in intraoral position using adjacent teeth.Compared with prior art, the advantages that implant operation same period of the present invention places personalized gum aesthetics and shapes gingival former, the wound for avoiding general planting secondary operation from cutting again, reduces the stimulation to soft tissue.
Description
Technical field
The present invention relates to one kind, more particularly, to a kind of production method of personalized gum aesthetics forming gingival former.
Background technique
It plants base station and is planting body and plants the important coupling part that structure is repaired on top have and form gum closing, tooth
The stomatoplastic effect of gum sleeve is worn the health and aesthetic effect of gum height, material and form to implant denture gum cuff and is produced
It is raw to influence.The finished product base station of clinical use at present, alternative form, angle are less, adjust and reform and are limited in scope.Base station cross section
It is often circle, can not be completely the same with natural teeth neck form, it is difficult to take into account patient personalized function and aesthetic demands.
At present both at home and abroad gum gingival former there are following several problems: implant denture gum gingival former diameter generally with
Natural teeth recess diameter is inconsistent.When gum diameter is worn in selection is less than the base station of corresponding site natural teeth recess diameter, Wu Faliang
Gingiva tissue is supported well, causes upper prosthesis edge to be located at the hat side of natural teeth gum, dummy axial length is insufficient, labial teeth
Gum curve is unsightly.Cheek side soft tissue can not obtain good dummy and support simultaneously, lip side tissue recess.And when reparation base
When platform wears gum greater than natural teeth recess diameter, lip side gum is excessively shunk back and dummy axial length lengthens, and causes corona elongated
And gum curve is uncoordinated.It is made up, is still unable to reach natural to a certain extent although with gum porcelain or root of the tooth color porcelain
The aesthetic effect of tooth.
Implant denture gum gingival former form and natural teeth recess diameter are inconsistent, lack Morphological Diversity: existing to make
Premanillary teeth gum gingival former form is cylinder or truncated cone-shaped, lacks the neck shape of the irregular roundness triangle of natural teeth
Seem stiff discontinuous at state hat gum edge, thus is unable to reach preferable aesthetic requirement.
It is usually that Implant, secondary operation, gum moulding and ceramic crown repair four steps that clinically plantation, which is repaired,
Treatment time is long, and patient wears without suitable provisional prosthesis, often influences the beauty of patient, pronunciation and social work.As can will
Secondary operation merges with gum forming process, can shorten the course for the treatment of, reduces patient charge list and uses.
The gum forming base station of finished product mostly uses titanium alloy to make at present.It is expensive, and is difficult to adjust and reform.Even if certain
The base station of brand uses lip side for the aesthetics design on inclined-plane, still can not be with day to guarantee that lip side has certain soft tissue amount
Right thread form state is completely the same.
Therefore, how to produce with natural teeth recess diameter, form is consistent, wears gum base station convenient for what is adjust and reform, be shorten control
The course for the treatment of is treated, the best aesthetic effect problem to be solved of Upper Anterior Teeth implant prostheses is obtained.
Raising with people to aesthetic requirement, the ideal soft Tissue Aesthetic effect of bone regeneration around implant is increasingly by patient
Pay attention to.When carrying out premanillary teeth area aesthetic orthopaedics using implant denture, need to carry out gum forming to edentulous region soft tissue, with
Obtain similar with natural teeth form and diameter wears gum cuff.Common method includes: operation gum forming process, directly makes and bake
Porcelain is preced with forming process, finished product base station gum forming process and temporary dental crown gum forming process.
Gum forming of performing the operation includes two aspects.One modifies for gum after Osseointegrated implants, establishes planting body and top
The channel of dummy.Gum forming base station or permanent hat is needed to maintain cuff form.Two be to adopt when there are soft tissue deficiency
With soft tissue graft technology, repairs gingival recession caused by soft tissue amount deficiency or collapse.The former be to be formed wear gum cuff must
Step and our design personalizeds is wanted to wear the precondition of gum base station.
The method that directly production porcelain or resin temporary crown carry out gum forming, which has, to be not easy to adjust and reform neck form, repeatedly
The shortcomings that modification sintering influences enamel coating intensity and beauty, need to apply temporary abutment price, and be not easy to check hat bead and kind
Phytyl platform whether Mi Tai, after completing disassembly modification be not easy.It is preced with the too early stress repaired and not can avoid planting body simultaneously, especially
It is the biggish patient of bite force, and planting body is easy to cause to lose synosteosis.
The gum forming base station of finished product is expensive, and material mostly uses titanium alloy, and therefore, it is difficult to adjust and reform.Most of finished product tooth
It is circle that gum, which shapes base station, not consistent with natural labial teeth neck circle triangle.And base station lip side and proximal surface height are consistent, lack
The weary normal gum lip side curvature different from proximal surface.Even if the base station of certain brands uses lip side for the aesthetics design on inclined-plane, with
Guarantee that lip side has certain soft tissue amount, it still can not be completely the same with natural teeth form.
Temporary dental crown compressing gingival forming method be at present it is ideal and effectively plant permanently be preced with preprosthetic gum at
Shape method, is widely used in clinic.But some patientss still can be because of self-curing resin pressure sores and its discharged monomer thorn
Poor healing, gum week chronic inflammation, red and swollen phenomenon caused by swashing, to influence the smoothness at gum edge, accuracy, peri-implant
Health extends and wears the hat period, increases the expense of patient.
Summary of the invention
It is an object of the present invention to overcome the above-mentioned drawbacks of the prior art and provide a kind of personalized gum beauty
The production method for studying shape gingival former.
The purpose of the present invention can be achieved through the following technical solutions:
A kind of production method of personalization gum aesthetics forming gingival former, comprising the following steps:
1) preoperative to produce the upper mandibular model of patient, and CBCT is shot, lower jaw Dicom data in acquisition；
2) upper mandibular model is scanned, is set plantation guide plate is imported after the stl file of acquisition and the CBCT fitting of Dicom format
Software is counted, the bone tissue information of patient is obtained；
3) planting body three-dimensional position and guide plate are designed, generates patient's art area soft tissue information, 3D printing jawbone model and is led
Plate；
4) the finished product temporary abutment surface in tooth implantation system is handled, in-vitro simulated plantation, it is interim places finished product
Base station scans planting body three-dimensional position using optical scanner and imports base station design software；
5) base station is cut using CAD/CAM, and be bonded in vitro, production condensation locator determines base station using adjacent teeth
In intraoral position.
The CBCT uses Dicom format.
The upper mandibular model is scanned using raster scanner.
The plantation guide plate design software uses 3Diagnosys software, generates patient after designing planting body three-dimensional position
Wear gum information.
The base station shape with opposite side Homonym teeth neck form simultaneously switchback to its 10%, be higher than gum edge 1mm.
The base station design software uses 3Shape software.
Described cuts base station, 3Shape software design base station, the file typesetting meter that design is completed using CAD/CAM
It calculates, sends information to grinding machine X-mill 220, grinding is completed.
Compared with prior art, the invention has the following advantages that
1. clinical major part patient carries out soft tissue forming using temporary crown after Osseointegrated implants, general synosteosis is needed
3-6 months are taken, soft tissue forming needs at least four moon.Present invention combination CAD/CAM technology is led for the preoperative production plantation of patient
Plate and personalized aesthstic gingival former, the implant operation same period dispose personalized base station, and soft tissue is completed during reaching synosteosis and is cured
It closes and forming, the wound for avoiding general planting secondary operation from cutting again reduces the stimulation to soft tissue, while shortening treatment week
Phase reduces patient assessment's number.It belittles or lacks such as, usually not in addition, the patient of most of anterior tooth deficiency is commonly present lip side seam plate
It can temporarily repair on top at once, the proposition of this experiment provides new selection for such patient.
2. the present invention uses 3D printing patient jawbone model, in-vitro simulated plantation can observe three-dimensional implant direction.
3. personalized aesthetics forming gingival former neck morphological Simulation of the invention reduces 10% opposite side Homonym teeth neck shape
State, can both obtain it is personalized wears gum profile, while avoid patient's neck from wearing gum form is excessive to lead to soft group of bone regeneration around implant
It knits and shrinks back.
Detailed description of the invention
Fig. 1 is the schematic diagram of gnathode in 3D printing；
Fig. 2 is the schematic diagram at another visual angle of gnathode in 3D printing
Fig. 3 is the schematic diagram of 3D printing guide plate；
Fig. 4 is the structural schematic diagram of base station installation in a model；
Fig. 5 is the schematic diagram of base station；
Fig. 6 is the schematic diagram for condensing locator.
Specific embodiment
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 description, it is clear that described embodiment is a part of the embodiments of the present invention, rather than whole embodiments.Based on this hair
Embodiment in bright, those of ordinary skill in the art's every other reality obtained without making creative work
Example is applied, all should belong to the scope of protection of the invention.
Choose the upper jaw or lower jaw left/right central incisor or lateral incision anodontia, Implant, the patient repaired to top
It is included in experiment.It is included in standard: health, no whole body system disease.Occlusion is normal, without obvious malposed tooth；A, the side in twoth area B
Incisor is vital tooth, and neck portion is without dummy or obturation；Edentulous region gum appearance is normal, no redness, no ulcer, no scar,
Not bleeding, no oral pocket are examined in spy；Smoking is less than 10/day；Out-patient of the age at 18 years old or more.
Of the invention detailed process is as follows: producing the upper mandibular model of patient, and shoots CBCT (Dicom format).Use light
Mandibular model in grid scanner (ceramill map300, Germany) scanning, the stl file of acquisition and Dicom format CBCT are intended
Plantation guide plate design software is imported after conjunction, obtains the bone tissue information of patient.
Planting body three-dimensional position and guide plate are designed, the soft tissue information of patient is generated.3D printing jawbone model (such as Fig. 1, figure
Shown in 2) and guide plate (as shown in Figure 3).Ankylos finished product temporary abutment surface is handled, in-vitro simulated plantation is positioned to
Product temporary abutment scans implant three-dimensional position using optical scanner (3Shape, Denmark) and imports base station design software.Design
Base station shape with opposite side Homonym teeth neck form simultaneously switchback to its 10%, be higher than gum edge 1mm (as shown in Figure 4, Figure 5).
CAD/CAM cuts base station, and is bonded in vitro, production condensation locator (as shown in Figure 6).The implant system of selection is: Ankylos
System (Germany).
CAD/CAM cutting personalized aesthetic resin gingival former feature: 1. shorten treatment cycle: can by secondary operation with
Gum forming process merges, and can shorten the course for the treatment of, reduces patient charge list and uses.2. reducing patient's spending: when traditional gum shapes
The expense of required temporary crown and temporary abutment can save；3. personalized: the gum forming base station for proposing meter is same according to opposite side
Name tooth or adjacent teeth neck form are made, consistent with natural teeth shape as far as possible, are coordinated symmetrical；4. conveniently adjusting and reforming: quasi- to adopt
With resin production gum forming.Recess diameter is added or reduced if necessary, when modifying neck profile, than titanium alloy base station
It is more easier.
The above description is merely a specific embodiment, but scope of protection of the present invention is not limited thereto, any
Those familiar with the art in the technical scope disclosed by the present invention, can readily occur in various equivalent modifications or replace
It changes, these modifications or substitutions should be covered by the protection scope of the present invention.Therefore, protection scope of the present invention should be with right
It is required that protection scope subject to.
Claims (7)
1. a kind of production method of personalization gum aesthetics forming gingival former, which comprises the following steps:
1) preoperative to produce the upper mandibular model of patient, and CBCT is shot, the data of lower jaw Dicom format in acquisition；
2) upper mandibular model is scanned, it is soft by plantation guide plate design is imported after the stl file of acquisition and the CBCT fitting of Dicom format
Part obtains the bone tissue information of patient；
3) planting body three-dimensional position and guide plate are designed, patient's art area soft tissue information, 3D printing jawbone model and guide plate are generated；
4) the finished product temporary abutment surface in tooth implantation system is handled, in-vitro simulated plantation, places finished product temporary abutment,
Planting body three-dimensional position is scanned using optical scanner and imports base station design software；
5) base station is cut using CAD/CAM, and be bonded in vitro, production condensation locator determines base station in mouth using adjacent teeth
Intracavitary position.
2. a kind of production method of personalized gum aesthetics forming gingival former according to claim 1, which is characterized in that
The CBCT uses Dicom format.
3. a kind of production method of personalized gum aesthetics forming gingival former according to claim 1, which is characterized in that
The upper mandibular model is scanned using raster scanner.
4. a kind of production method of personalized gum aesthetics forming gingival former according to claim 1, which is characterized in that
The plantation guide plate design software uses 3Diagnosys software, and generation patient wears gum letter after designing planting body three-dimensional position
Breath.
5. a kind of production method of personalized gum aesthetics forming gingival former according to claim 1, which is characterized in that
The base station shape with opposite side Homonym teeth neck form simultaneously switchback to its 10%, be higher than gum edge 1mm.
6. a kind of production method of personalized gum aesthetics forming gingival former according to claim 1, which is characterized in that
The base station design software uses 3Shape software.
7. a kind of production method of personalized gum aesthetics forming gingival former according to claim 1, which is characterized in that
Described cuts base station using CAD/CAM, and 3Shape software design base station, the file typesetting that design is completed calculates, by information
It is sent to grinding machine X-mill 220, grinding is completed.
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| CN201710426531.0A CN107260341B (en) | 2017-06-08 | 2017-06-08 | A kind of production method of personalization gum aesthetics forming gingival former |
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| CN201710426531.0A CN107260341B (en) | 2017-06-08 | 2017-06-08 | A kind of production method of personalization gum aesthetics forming gingival former |
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| CN107260341A CN107260341A (en) | 2017-10-20 |
| CN107260341B true CN107260341B (en) | 2019-10-01 |
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| CN109276332B (en) * | 2018-09-12 | 2020-12-18 | 深圳市康泰健牙科器材有限公司 | Oral cavity model manufacturing method and system |
| CN111489445B (en) * | 2020-03-12 | 2023-05-23 | 浙江工业大学 | Generating method for gingival penetration surface of implant abutment |
| CN111728719B (en) * | 2020-07-02 | 2022-02-18 | 上海交通大学医学院附属第九人民医院 | Personalized abutment-crown integrated temporary prosthesis and preparation method and application thereof |
| CN112603569B (en) * | 2021-01-05 | 2021-10-22 | 中钢南京环境工程技术研究院有限公司 | Full-digital preparation method of operation guide plate for dental implantation |
| CN112957148A (en) * | 2021-03-23 | 2021-06-15 | 郝晋玲 | Healing scanning body with biological anatomical structure and manufacturing process thereof |
| CN112957147A (en) * | 2021-03-23 | 2021-06-15 | 郝晋玲 | Method for manufacturing dental crown or abutment by utilizing biological anatomical structure healing scanning body |
| CN112998887B (en) * | 2021-04-02 | 2022-04-08 | 四川大学 | Virtual temporary base station and construction method and system of grinding guide plate of virtual temporary base station |
| CN113288468B (en) * | 2021-05-31 | 2022-03-18 | 北京大学口腔医学院 | Gum radian shaping device and preparation method thereof |
| CN114391990A (en) * | 2022-02-12 | 2022-04-26 | 马腾 | Scannable coding healing abutment component |
Citations (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN101836898A (en) * | 2009-03-20 | 2010-09-22 | 德固萨有限责任公司 | Be used to make the method for base station |
| CN102125466A (en) * | 2010-01-12 | 2011-07-20 | 拉菲生物有限责任公司 | Dental implant abutment blank for tailor-made dental abutments and method for manufacturing a dental abutment using the same |
| CN102357044A (en) * | 2011-07-29 | 2012-02-22 | 王培志 | Ceramic abutment for dental implant and manufacturing method for ceramic abutment |
| CN104473700A (en) * | 2014-11-25 | 2015-04-01 | 深圳市康泰健牙科器材有限公司 | Digital personalized abutment manufacture method and system |
| CN204744462U (en) * | 2015-07-22 | 2015-11-11 | 王运武 | Quick shaping system of processing of implant base station plants |
| CN205433954U (en) * | 2015-12-25 | 2016-08-10 | 大连三生科技发展有限公司 | Individualized healing base station |
-
2017
- 2017-06-08 CN CN201710426531.0A patent/CN107260341B/en active Active
Patent Citations (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN101836898A (en) * | 2009-03-20 | 2010-09-22 | 德固萨有限责任公司 | Be used to make the method for base station |
| CN102125466A (en) * | 2010-01-12 | 2011-07-20 | 拉菲生物有限责任公司 | Dental implant abutment blank for tailor-made dental abutments and method for manufacturing a dental abutment using the same |
| CN102357044A (en) * | 2011-07-29 | 2012-02-22 | 王培志 | Ceramic abutment for dental implant and manufacturing method for ceramic abutment |
| CN104473700A (en) * | 2014-11-25 | 2015-04-01 | 深圳市康泰健牙科器材有限公司 | Digital personalized abutment manufacture method and system |
| CN204744462U (en) * | 2015-07-22 | 2015-11-11 | 王运武 | Quick shaping system of processing of implant base station plants |
| CN205433954U (en) * | 2015-12-25 | 2016-08-10 | 大连三生科技发展有限公司 | Individualized healing base station |
Non-Patent Citations (2)
| Title |
|---|
| CAD_CAM个性化基台的临床回顾性研究;冯小琼 等;《河南医学研究》;20170228;第26卷(第4期);全文 * |
| 用CAD_CAM技术制作个性化种植基台的临床进展;郝志军 等;《世界最新医学信息文摘》;20161231;第16卷(第104期);全文 * |
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