CN108514455A - Dentistry Trinity composite guide plate and production method with precise positioning ability - Google Patents

Dentistry Trinity composite guide plate and production method with precise positioning ability Download PDF

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Publication number
CN108514455A
CN108514455A CN201810446466.2A CN201810446466A CN108514455A CN 108514455 A CN108514455 A CN 108514455A CN 201810446466 A CN201810446466 A CN 201810446466A CN 108514455 A CN108514455 A CN 108514455A
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guide plate
hole
osteotomy
fixed
positioning
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CN108514455B (en
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杨静文
赵娇
赵一娇
王勇
刘琦
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Peking University School of Stomatology
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Peking University School of Stomatology
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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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/17Guides or aligning means for drills, mills, pins or wires
    • A61B17/1732Guides or aligning means for drills, mills, pins or wires for bone breaking devices
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00526Methods of manufacturing

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  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Dentistry (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Epidemiology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Surgical Instruments (AREA)

Abstract

The present invention relates to a kind of dentistry Trinity composite guide plate and production method with precise positioning ability, including positioning guide plate, osteotomy guide plate, plantation guide plate, the positioning guide plate is fastened by maintenance and is connect with osteotomy guide plate, plantation guide plate is fastened by maintenance to be connect with osteotomy guide plate, wherein, the maintenance is fastened through No. 1 fixed hole of positioning guide plate, No. 2 fixed holes, No. 3 fixed holes, No. 4 fixed holes, No. 5 fixed holes, Osteotomy fixed hole, guide plate fixed hole is planted, osteotomy guide plate, positioning guide plate, plantation guide plate is made to link together.The error that implant operation guide plate can be applied in the case of immediate implant Immediate prosthesis, and avoid guide plate in place by the present invention reduces patient trauma, simplifies surgical procedure.

Description

Dentistry Trinity composite guide plate and production method with precise positioning ability
Technical field
The present invention relates to a kind of dentistry Trinity composite guide plates, and in particular to a kind of dentistry with precise positioning ability Trinity composite guide plate and production method.
Background technology
Dentistry, which plants guide plate, to be designed and produced after being analyzed by preoperative planning before dentistry implant operation, helps to cure It is raw to carry out quick, precise positioning during surgery, evade the important tool of medical-risk.Digitlization plantation guide plate is by integrating CT numbers According to scan data in mouth, more precisely comprehensive analysis can be carried out in software, according to jawbone 3 D anatomy structure and stung Conjunction relationship is designed, and goes out surgical guide using Numeric Control Technology or rapid shaping technique processing and fabricating.
Dentistry plants guide plate and is suitable for most implant operations, and being particularly suitable for suffering from tooth can utilize space small, neighbouring weight Want anatomical structure, labial teeth aesthetic orthopaedics and polydonita immediate implant Immediate prosthesis case.In these cases, need accurately digital Change design to ensure the ideal three-dimensional position of planting body.
Existing digitlization implant operation guide plate supports type according to tissue, is divided into three kinds of forms:Tooth-borne type guide plate glues The supported guide plate of film, the supported guide plate of bone.The In vivo study of the progress such as special Bush (Turbush), Ao Zan (Ozan) shows, dental branches It holds formula plantation guide plate and is better than the supported plantation guide plate of bone and mucosa-borne type guide plate.In vivo and in vitro shows mucosa-borne type Guide plate accuracy is relatively slightly poor.Clinically, doctor selects corresponding guide plate form according to condition in different patients mouthful.
Some complicated cases the case where, for example in the case of full mouth immediate implant Immediate prosthesis, often relates to extraction, cuts Multiple operations such as bone, planting body implantation are needed to use osteotomy guide plate and plantation guide plate, be imitated with final reparation to help doctor to realize Fruit is the osteotomy operation being oriented to and planting body implantation.Existing osteotomy guide plate is the supported guide plate of bone, and need large area turns over valve To ensure that guide plate is stablized in place in bone face.Full mouth plantation guide plate is mostly mucosa-borne type guide plate, and precision in place is low, and due at once Plantation patient also remains with remaining natural teeth before surgery, is positioned again after needing extraction, again reduces precision in place.Such as Fruit needs osteotomy, and after turning over valve osteotomy, mucosa-borne type plantation guide plate can not then be stablized in place.
Invention content
The object of the present invention is to provide a kind of dentistry Trinity composite guide plates with precise positioning ability, can will plant Surgical guide applies in the case of immediate implant Immediate prosthesis, and the error for avoiding guide plate in place, reduces patient trauma, letter Change surgical procedure;The purpose of the present invention also provides a kind of making of the dentistry Trinity composite guide plate with precise positioning ability Method.
In order to achieve the above object, the present invention has following technical solution:
A kind of dentistry Trinity composite guide plate with precise positioning ability of the present invention, including positioning guide plate, osteotomy Guide plate, plantation guide plate, the positioning guide plate include positioning guide plate supporter, several positioning tooth, No. 1 fixed hole, No. 2 maintenances Hole, No. 3 fixed holes, No. 4 fixed holes, No. 5 fixed holes, the positioning guide plate supporter take the shape of the letter U, several described positioning tooth settings On positioning guide plate supporter, it is correspondingly provided with indicating window in place respectively on several positioning teeth, by observing indicating window in place Whether interior natural teeth fits closely to judge whether positioning guide plate is completely in place with guide plate tissue surface;No. 1 fixed hole, 3 Number fixed hole is located at the two bottom sides edge of positioning guide plate supporter U-shaped structure, and No. 2 fixed holes are located at positioning guide plate support The bottom top edge of body U-shaped structure, No. 4 fixed holes, No. 5 fixed holes are located at positioning guide plate supporter U-shaped structure Two ends;The osteotomy guide plate includes Osteotomy, retention pin guide hole, retention pin, Osteotomy fixed hole, the osteotomy Plane fixed hole is corresponding with No. 1 fixed hole of positioning guide plate, No. 2 fixed holes, No. 3 fixed holes, No. 4 fixed holes, No. 5 fixed holes Fixed hole, the retention pin guide hole is located at Osteotomy lower edge, and is protruding parts, and retention pin guide hole is equipped with Retention pin;It is described plantation guide plate include U-shaped structure plantation guide plate body, several stopping blocks, several pioneers bore location hole, Plant guide plate fixed hole, the plantation guide plate fixed hole be with No. 1 fixed hole of positioning guide plate, No. 2 fixed holes, No. 3 fixed holes, No. 4 fixed holes, the corresponding fixed hole of No. 5 fixed holes, several described stopping blocks are distributed on plantation guide plate body, several elder generations Cutting edge of a knife or a sword bores location hole and is located on several stopping blocks, is bored in pioneer and is equipped with plantation lantern ring in location hole, and the pioneer bores fixed Depth of the stopping block for effectively controlling planting body preparation on the hole of position;The positioning guide plate is fastened and osteotomy guide plate by maintenance Connection, plantation guide plate is fastened by maintenance to be connect with positioning guide plate, osteotomy guide plate, wherein the maintenance fastens 1 by positioning guide plate Number fixed hole, No. 2 fixed holes, No. 3 fixed holes, No. 4 fixed holes, No. 5 fixed holes, Osteotomy fixed hole plant guide plate maintenance Hole makes osteotomy guide plate, positioning guide plate, plantation guide plate link together.
Wherein, No. 1 fixed hole of the positioning guide plate, No. 2 fixed holes, No. 3 fixed holes, No. 4 fixed holes, No. 5 fixed holes With corresponding plantation guide plate fixed hole coaxial inner conductor, the osteotomy guide plate is consolidated with No. 1 fixed hole of corresponding positioning guide plate, No. 2 Position hole, No. 3 fixed holes, No. 4 fixed holes, No. 5 fixed holes, the shift length with 1mm-5mm, the maintenance are fastened including two circles Column protrusion, maintenance fasten No. 1 cylindrical projection for being inserted into positioning guide plate and planting the corresponding fixed hole on guide plate, and maintenance fastens No. 2 The corresponding fixed hole that cylindrical projection is used to be inserted on osteotomy guide plate.
A kind of production method of dentistry Trinity composite guide plate with precise positioning ability of the present invention, including it is following Step:
(1) implant operation design software is used:The preceding CBCT scan datas of patient's extraction are imported, planting body type selecting is carried out, plants Enter depth and implant angle design, the position angle information of planting body and retention pin is exported after being confirmed by doctor;
(2) in Three-dimensional Design Software, the dentognathic model imported after being registrated with CBCT patient scan denture Data Positions is swept The planting body location information for retouching data and step (1) carries out dentognathic model tissue surface the selection and finishing on guide plate boundary, Selection region 1-5mm thickness is biased, fence body structure is formed.
(3) labial teeth area and backteeth area Osteotomy are created on dentognathic model, with Osteotomy to fence body structure into Row is cut out, Osteotomy | and tooth closes | and face direction cuts out part and constitutes positioning guide plate, several just in the establishment of positioning guide plate tooth regions Position indicating window is so as to later observation guide plate seated position;
(4) Osteotomy gum direction cuts out part and constitutes osteotomy guide plate, is believed thereon according to the retention pin position of step (1) Breath builds the retention pin guide hole of cylindrical perforations structure;
(5) positioning guide plate tooth regions data are selected and is deleted, it is empty to fill up deletion based on remaining soft tissue area's curvature Between data, and according to the planting body location information of step (1), the pioneer of structure cylindrical perforations structure bores location hole, completes kind Plant the design of guide plate;
(6) near the combination interface of osteotomy guide plate, positioning guide plate and plantation guide plate, multigroup maintenance pore structure is designed, with Matching used fixed hole is maintenance stud structure;The cylindrical projection of maintenance bolt can be inserted into the fixed hole on guide plate plate body, And two cylindrical projections of maintenance bolt are connected with the perforation structure of osteotomy guide plate and positioning/plantation guide plate respectively, play upper and lower The effect of guide plate combination connection, to form osteotomy guide plate, positioning guide plate and the composite construction for planting guide plate.
The advantage of the invention is that:
1, the present invention for the in place of natural teeth Trinity composite guide plate, more than traditional mucosa-borne type lead by precision Plate.
2, bone-culting operation turns over valve without large area, ensure that the stability of osteotomy indicative function and credible by retention system Degree.
3, present invention operation wears retention pin without plucking repeatedly, realizes one-time positioning, whole accurate.
4, in the case where there is remaining natural teeth, invention can also carry out with final repairing effect being that the plantation guide plate being oriented to draws Lead operation.
5, immediate postoperative reparation can ensure that the good of planting body is pierced by position, realize to repair the plantation hand for guiding Art.
Description of the drawings
Fig. 1 is the schematic diagram of positioning guide plate of the present invention;
Fig. 2 is the stereogram of positioning guide plate of the present invention;
Fig. 3 is the stereogram of osteotomy guide plate of the present invention;
Fig. 4 is schematic diagram of the osteotomy guide plate with retention pin of the present invention;
Fig. 5 is the schematic diagram that positioning guide plate of the present invention and osteotomy guide plate combine;
Fig. 6 is the schematic diagram of present invention plantation guide plate;
Fig. 7 is the stereogram of present invention plantation guide plate;
Fig. 8 is the schematic diagram after present invention assembling;
Fig. 9 is the enlarged diagram that maintenance of the present invention is fastened.
In figure:1, positioning guide plate supporter;2, No. 1 positioning tooth;3, No. 2 positioning teeth;4, No. 3 positioning teeth;5, No. 1 refers in place Show window;6, No. 2 indicating windows in place;7, No. 3 indicating windows in place;8, No. 1 fixed hole;9, No. 2 fixed holes;10, No. 3 fixed holes;11、 No. 4 fixed holes;12, No. 5 fixed holes;13, Osteotomy;14, No. 1 Osteotomy fixed hole;15, No. 2 Osteotomy fixed holes; 16, No. 3 Osteotomy fixed holes;17, No. 4 Osteotomy fixed holes;18, No. 5 Osteotomy fixed holes;19, No. 1 retention pin draws Guide hole;20, No. 2 retention pin guide holes;21, No. 3 retention pin guide holes;22, No. 1 retention pin;23, No. 2 retention pins;24, consolidate for No. 3 Position nail;25, No. 1 pioneer bores location hole;26, No. 2 pioneers bore location hole;27, No. 3 pioneers bore location hole;28, No. 4 pioneers bore fixed Position hole;29, No. 5 pioneers bore location hole;30, No. 6 pioneers bore location hole;31, No. 1 stopping block;32, No. 2 stopping blocks;33、3 Number stopping block;34, No. 4 stopping blocks;34-1, No. 5 stopping blocks;34-2, No. 6 stopping blocks;35, No. 1 plantation guide plate is solid Position hole;36, No. 2 plantation guide plate fixed holes;37, No. 3 plantation guide plate fixed holes;38, No. 4 plantation guide plate fixed holes;39, No. 5 kinds Plant guide plate fixed hole;40, No. 1 maintenance is fastened;41, No. 2 maintenances are fastened;42, No. 3 maintenances are fastened;43, No. 4 maintenances are fastened;44, No. 5 maintenances It fastens;45, No. 1 cylindrical projection;46, No. 2 cylindrical projections.
Specific implementation mode
The following examples are used to illustrate the present invention, but are not intended to limit the scope of the present invention..
Referring to Fig. 1-9, a kind of dentistry Trinity composite guide plate with precise positioning ability of the present invention of the invention, Including positioning guide plate, osteotomy guide plate, plantation guide plate, the positioning guide plate includes positioning guide plate supporter, several positioning tooth, 1 Number fixed hole, No. 2 fixed holes, No. 3 fixed holes, No. 4 fixed holes, No. 5 fixed holes, the positioning guide plate supporter takes the shape of the letter U, described Several positioning teeth are arranged on positioning guide plate supporter, are correspondingly provided with indicating window in place respectively on several positioning teeth, lead to Cross whether the natural teeth observed in indicating window in place is fitted closely with guide plate tissue surface to judge whether positioning guide plate is completely in place; No. 1 fixed hole, No. 3 fixed holes are located at the two bottom sides edge of positioning guide plate supporter U-shaped structure, No. 2 fixed holes Positioned at the bottom top edge of positioning guide plate supporter U-shaped structure, No. 4 fixed holes, No. 5 fixed holes are located at positioning guide plate Two ends of supporter U-shaped structure;The osteotomy guide plate includes Osteotomy, retention pin guide hole, retention pin, Osteotomy Fixed hole, the Osteotomy fixed hole are and No. 1 fixed hole of positioning guide plate, No. 2 fixed holes, No. 3 fixed holes, No. 4 maintenances Hole, the corresponding fixed hole of No. 5 fixed holes, the retention pin guide hole are located at Osteotomy lower edge, and are protruding parts, Gu Position nail guide hole is equipped with retention pin;If the plantation guide plate include the plantation guide plate body of U-shaped structure, several stopping blocks, Dry pioneer bores a location hole, a plantation guide plate fixed hole, the plantation guide plate fixed hole be with No. 1 fixed hole of positioning guide plate, No. 2 Fixed hole, No. 3 fixed holes, No. 4 fixed holes, the corresponding fixed hole of No. 5 fixed holes, several described stopping blocks are distributed in plantation On guide plate body, several pioneers bore location hole and are located on several stopping blocks, are bored in pioneer and are equipped with plantation in location hole Lantern ring, the pioneer bore depth of the stopping block for effectively controlling planting body preparation on location hole;The positioning guide plate is logical It crosses maintenance and fastens and connect with osteotomy guide plate, plantation guide plate is fastened by maintenance to be connect with positioning guide plate, osteotomy guide plate, wherein described solid It fastens through No. 1 fixed hole of positioning guide plate, No. 2 fixed holes, No. 3 fixed holes, No. 4 fixed holes, No. 5 fixed holes, Osteotomy position Fixed hole plants guide plate fixed hole, and osteotomy guide plate, positioning guide plate, plantation guide plate is made to link together.
Wherein, No. 1 fixed hole of the positioning guide plate, No. 2 fixed holes, No. 3 fixed holes, No. 4 fixed holes, No. 5 fixed holes With corresponding plantation guide plate fixed hole coaxial inner conductor, the osteotomy guide plate is consolidated with No. 1 fixed hole of corresponding positioning guide plate, No. 2 Position hole, No. 3 fixed holes, No. 4 fixed holes, No. 5 fixed holes, the shift length with 1mm-5mm, the maintenance are fastened including two circles Column protrusion, maintenance fasten No. 1 cylindrical projection for being inserted into positioning guide plate and planting the corresponding fixed hole on guide plate, and maintenance fastens No. 2 The corresponding fixed hole that cylindrical projection is used to be inserted on osteotomy guide plate.
A kind of production method of dentistry Trinity composite guide plate with precise positioning ability of the present invention, including it is following Step:
(1) implant operation design software (3shape) is used;The preceding CBCT scan datas of patient's extraction are imported, planting body is carried out Type selecting, implantation position depth and implant angle design, export the position angle information of planting body and retention pin after being confirmed by doctor;
(2) in Three-dimensional Design Software (U.S. Geomagic Stuido, 3Dsystem);In, it imports patient and is scanned with CBCT The planting body location information of dentognathic model scan data and step (1) after denture Data Position registration, to dentognathic model group Surface of second order carries out the selection and finishing on guide plate boundary, biases selection region 1-5mm thickness, forms fence body structure.
(3) labial teeth area and backteeth area Osteotomy are created on dentognathic model, with Osteotomy to fence body structure into Row is cut out, Osteotomy | and tooth closes | and face direction cuts out part and constitutes positioning guide plate, several just in the establishment of positioning guide plate tooth regions Position indicating window is so as to later observation guide plate seated position;
(4) Osteotomy gum direction cuts out part and constitutes osteotomy guide plate, is believed thereon according to the retention pin position of step (1) Breath builds the retention pin guide hole of cylindrical perforations structure;
(5) positioning guide plate tooth regions data are selected and is deleted, it is empty to fill up deletion based on remaining soft tissue area's curvature Between data, and according to the planting body location information of step (1), the pioneer of structure cylindrical perforations structure bores location hole, completes kind Plant the design of guide plate;
(6) near the combination interface of osteotomy guide plate, positioning guide plate and plantation guide plate, multigroup maintenance pore structure is designed, with Matching used fixed hole is maintenance stud structure;The cylindrical projection of maintenance bolt can be inserted into the fixed hole on guide plate plate body, And two cylindrical projections of maintenance bolt are connected with the perforation structure of osteotomy guide plate and positioning/plantation guide plate respectively, play upper and lower The effect of guide plate combination connection, to form osteotomy guide plate, positioning guide plate and the composite construction for planting guide plate.
The registration (registration) refers to the different images figure obtained with different imaging means in the same area The matching of the geographical coordinate of shape.Include the processing of three aspect of geometric correction, projective transformation and common scale ruler.Matching in the present invention Standard, mainly for the data that 3-D scanning twice obtains, with three-dimensional configuration between the two is identical or approximately uniform regional area For common region, by the coordinate system matching of said one data to the process in another data coordinate system.
The indicating window in place includes No. 1 indicating window in place, No. 2 indicating windows in place, No. 3 indicating windows in place;
The positioning tooth includes No. 1 positioning tooth, No. 2 positioning teeth, No. 3 positioning teeth;
The osteotomy guide plate fixed hole includes No. 1 Osteotomy fixed hole, No. 2 Osteotomy fixed holes, No. 3 Osteotomies Fixed hole;
The retention pin guide hole includes No. 1 retention pin guide hole, No. 2 retention pin guide holes, No. 3 retention pin guide holes;
The plantation guide plate fixed hole includes No. 1 plantation guide plate fixed hole, No. 2 plantation guide plate fixed holes, No. 3 plantation guide plates Fixed hole, No. 4 plantation guide plate fixed holes, No. 5 plantation guide plate fixed holes;
It includes that No. 1 pioneer bores location hole, No. 2 pioneers bore location hole, No. 3 pioneers bore location hole, 4 that the pioneer, which bores location hole, Number pioneer bores location hole, No. 5 pioneers bore location holes, No. 6 pioneers bore location holes;
The stopping block stops including No. 1 stopping block, No. 2 stopping blocks, No. 3 stopping blocks, No. 4 stopping blocks, No. 5 Moving platform, No. 6 stopping blocks.
As described above, the present invention more can be realized adequately.The foregoing is merely the relatively reasonable implementations of the present invention Example, protection scope of the present invention include but is not limited to this, and those skilled in the art is any to be based on the technology of the present invention side Unsubstantiality denaturation change is included within the scope of the present invention includes in case.

Claims (3)

1. a kind of dentistry Trinity composite guide plate with precise positioning ability, including positioning guide plate, osteotomy guide plate, plantation are led Plate, it is characterised in that:The positioning guide plate includes positioning guide plate supporter, several positioning tooth, No. 1 fixed hole, No. 2 maintenances Hole, No. 3 fixed holes, No. 4 fixed holes, No. 5 fixed holes, the positioning guide plate supporter take the shape of the letter U, several described positioning tooth settings On positioning guide plate supporter, it is correspondingly provided with indicating window in place respectively on several positioning teeth, by observing indicating window in place Whether interior natural teeth fits closely to judge whether positioning guide plate is completely in place with guide plate tissue surface;No. 1 fixed hole, 3 Number fixed hole is located at the two bottom sides edge of positioning guide plate supporter U-shaped structure, and No. 2 fixed holes are located at positioning guide plate support The bottom top edge of body U-shaped structure, No. 4 fixed holes, No. 5 fixed holes are located at positioning guide plate supporter U-shaped structure Two ends;The osteotomy guide plate includes Osteotomy, retention pin guide hole, retention pin, Osteotomy fixed hole, the osteotomy Plane fixed hole is corresponding with No. 1 fixed hole of positioning guide plate, No. 2 fixed holes, No. 3 fixed holes, No. 4 fixed holes, No. 5 fixed holes Fixed hole, the retention pin guide hole is located at Osteotomy lower edge, and is protruding parts, and retention pin guide hole is equipped with Retention pin;It is described plantation guide plate include U-shaped structure plantation guide plate body, several stopping blocks, several pioneers bore location hole, Plant guide plate fixed hole, the plantation guide plate fixed hole be with No. 1 fixed hole of positioning guide plate, No. 2 fixed holes, No. 3 fixed holes, No. 4 fixed holes, the corresponding fixed hole of No. 5 fixed holes, several described stopping blocks are distributed on plantation guide plate body, several elder generations Cutting edge of a knife or a sword bores location hole and is located on several stopping blocks, is bored in pioneer and is equipped with plantation lantern ring in location hole, and the pioneer bores fixed Depth of the stopping block for effectively controlling planting body preparation on the hole of position;The positioning guide plate is fastened and osteotomy guide plate by maintenance Connection, plantation guide plate is fastened by maintenance to be connect with positioning guide plate, osteotomy guide plate, wherein the maintenance fastens 1 by positioning guide plate Number fixed hole, No. 2 fixed holes, No. 3 fixed holes, No. 4 fixed holes, No. 5 fixed holes, Osteotomy fixed hole plant guide plate maintenance Hole makes osteotomy guide plate, positioning guide plate, plantation guide plate link together.
2. a kind of dentistry Trinity composite guide plate with precise positioning ability, it is characterised in that:No. 1 of the positioning guide plate Fixed hole, No. 2 fixed holes, No. 3 fixed holes, No. 4 fixed holes, No. 5 fixed holes and corresponding plantation guide plate fixed hole coaxial inner conductor, The osteotomy guide plate and No. 1 fixed hole of corresponding positioning guide plate, No. 2 fixed holes, No. 3 fixed holes, No. 4 fixed holes, No. 5 maintenances Hole, the shift length with 1mm-5mm, the maintenance are fastened including two cylindrical projections, and maintenance fastens No. 1 cylindrical projection for being inserted into Corresponding fixed hole on positioning guide plate and plantation guide plate, it is corresponding on osteotomy guide plate for being inserted into that maintenance fastens No. 2 cylindrical projections Fixed hole.
3. a kind of production method of the dentistry Trinity composite guide plate with precise positioning ability, it is characterised in that including following Step:
(1) implant operation design software is used:The preceding CBCT scan datas of patient's extraction are imported, planting body type selecting is carried out, is implanted into position Depth and implant angle design are set, the position angle information of planting body and retention pin is exported after being confirmed by doctor;
(2) it in Three-dimensional Design Software, imports and scans number with the dentognathic model after patient's CBCT denture scan data position registrations According to and step (1) planting body location information, the selection and finishing on guide plate boundary, biasing are carried out to dentognathic model tissue surface Selection region 1-5mm thickness forms fence body structure.
(3) labial teeth area and backteeth area Osteotomy are created on dentognathic model, and fence body structure is cut with Osteotomy Cut out, Osteotomy | tooth closes | and face direction cuts out part and constitutes positioning guide plate, and several fingers in place are created in positioning guide plate tooth regions Show window so as to later observation guide plate seated position;
(4) Osteotomy gum direction cuts out part and constitutes osteotomy guide plate, thereon according to the retention pin location information of step (1), Build the retention pin guide hole of cylindrical perforations structure;
(5) positioning guide plate tooth regions data are selected and is deleted, filled up based on remaining soft tissue area's curvature and delete space number According to, and according to the planting body location information of step (1), the pioneer of structure cylindrical perforations structure bores location hole, completes plantation and leads The design of plate;
(6) near the combination interface of osteotomy guide plate, positioning guide plate and plantation guide plate, multigroup maintenance pore structure is designed, with maintenance Matching used hole is maintenance stud structure;The cylindrical projection of maintenance bolt can be inserted into the fixed hole on guide plate plate body, and solid Two cylindrical projections of position bolt are connected with the perforation structure of osteotomy guide plate and positioning/plantation guide plate respectively, play upper and lower guide plate The effect for combining connection, to form osteotomy guide plate, positioning guide plate and the composite construction for planting guide plate.
CN201810446466.2A 2018-05-11 2018-05-11 Dentistry Trinity composite guide plate and production method with precise positioning ability Active CN108514455B (en)

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CN110314004A (en) * 2019-07-05 2019-10-11 四川大学 It digitizes standby tooth and plants the production method and surgical guide of combined surgery guide plate
CN111803232A (en) * 2020-07-14 2020-10-23 中国人民解放军空军军医大学 Dentition missing implantation operation device taking occlusion relation as guide and preparation method thereof
CN111821049A (en) * 2020-07-27 2020-10-27 上海交通大学医学院附属第九人民医院 Combined-bolt-channel type full-range digital guide plate for full-mouth planting operation
CN111938847A (en) * 2020-07-10 2020-11-17 厦门医学院附属口腔医院(厦门市口腔医院) Digital oral implanting guide plate with water guide function
CN112076002A (en) * 2020-10-13 2020-12-15 四川大学 GBR middle periosteum nail position and direction positioning guide plate and manufacturing method thereof
WO2021004278A1 (en) * 2019-07-05 2021-01-14 儒蓉(成都)医疗科技有限公司 Composite guide plate
CN112618070A (en) * 2020-12-21 2021-04-09 广州黑格智造信息科技有限公司 Denture implant repair device and denture implant repair method
CN113440282A (en) * 2020-07-27 2021-09-28 上海交通大学医学院附属第九人民医院 Whole-course digital combined guide plate suitable for whole-mouth planting operation
CN113598991A (en) * 2021-07-30 2021-11-05 儒蓉(成都)医疗科技有限公司 Auxiliary guiding device for planting and preparation and use methods thereof
CN113827307A (en) * 2021-10-21 2021-12-24 武汉大学 Jaw cuts bone baffle indicating system that is in place
CN114767304A (en) * 2022-04-22 2022-07-22 成都金典牙科技术开发有限公司 Instant load transition false tooth, combined device and digital preparation method
CN115869067A (en) * 2023-03-08 2023-03-31 北京大学口腔医学院 Guiding device, assembly and preparation method for dental operation
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CN115869067A (en) * 2023-03-08 2023-03-31 北京大学口腔医学院 Guiding device, assembly and preparation method for dental operation
CN115869067B (en) * 2023-03-08 2023-06-06 北京大学口腔医学院 Guiding device, assembly and preparation method for dental surgery
CN116491985A (en) * 2023-06-30 2023-07-28 首都医科大学附属北京口腔医院 Miniature ultrasonic detection positioning device for oral cavity
CN116491985B (en) * 2023-06-30 2023-12-12 首都医科大学附属北京口腔医院 Miniature ultrasonic detection positioning device for oral cavity
CN116919636A (en) * 2023-07-28 2023-10-24 常熟玉蕙口腔医院有限公司 Full-flow digital sequence combined magnetic attraction type guide plate for full-mouth planting

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