CN108514455B - 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
CN108514455B
CN108514455B CN201810446466.2A CN201810446466A CN108514455B CN 108514455 B CN108514455 B CN 108514455B CN 201810446466 A CN201810446466 A CN 201810446466A CN 108514455 B CN108514455 B CN 108514455B
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guide plate
osteotomy
positioning
hole
fixed
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CN108514455A (en
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杨静文
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 plates and production method with precise positioning ability, including positioning guide plate, osteotomy guide plate, plant guide plate, the positioning guide plate is fastened by maintenance and is connect with osteotomy guide plate, the plantation guide plate is fastened by maintenance to be connect with osteotomy guide plate, the maintenance is fastened including two cylindrical projections, maintenance fastens No. 1 cylindrical projection for being inserted into No. 1 to No. 5 fixed hole of positioning guide plate or the plantation guide plate fixed hole of the plantation guide plate, maintenance fastens No. 2 cylindrical projections for being inserted into the Osteotomy fixed hole of osteotomy guide plate, positioning guide plate or plantation guide plate is set to link together with osteotomy guide plate.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 technique
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 number According to scan data in mouth, can carry out more accurate comprehensive analysis in software, according to jawbone 3 D anatomy structure and sting 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 be small using space, 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 guarantee the ideal three-dimensional position of planting body.
Existing digitlization implant operation guide plate supports type according to tissue, and be 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 Formula plantation guide plate is held 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, need to use osteotomy guide plate and plantation guide plate, to help doctor to realize with final reparation effect Fruit is the osteotomy operation and planting body implantation of guiding.Existing osteotomy guide plate is the supported guide plate of bone, and need large area turns over valve To guarantee 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, needs to be positioned again after having tooth pulled out, 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.
Summary of the invention
The object of the present invention is to provide a kind of dentistry Trinity composite guide plate 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 production of 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 invention, including positioning guide plate, osteotomy Guide plate, plantation guide plate, the positioning guide plate include positioning guide plate supporter, several positioning teeth, 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 are in U-shape, several described positioning tooth settings On positioning guide plate supporter, respectively correspond on several positioning teeth equipped with indicating window in place, by observing indicating window in place Whether interior natural teeth fits closely 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 sides of the bottom 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, bores positioning hole in pioneer and is equipped with plantation lantern ring, the pioneer bores fixed Stopping block on the hole of position is for effectively controlling the depth of planting body preparation;The positioning guide plate is fastened and osteotomy guide plate by maintenance Connection, the plantation guide plate is fastened by maintenance to be connect with osteotomy guide plate, and the maintenance is fastened including two cylindrical projections, and maintenance fastens 1 Number cylindrical projection is used to be inserted into No. 1 to No. 5 fixed hole of positioning guide plate or the plantation guide plate fixed hole of the plantation guide plate, maintenance No. 2 cylindrical projections are fastened for being inserted into the Osteotomy fixed hole of osteotomy guide plate, make positioning guide plate or plantation guide plate and osteotomy guide plate It links 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 the plantation of No. 1 to No. 5 fixed hole or the plantation guide plate of No. 1 cylindrical projection for being inserted into positioning guide plate Guide plate fixed hole, maintenance fasten No. 2 cylindrical projections for being inserted into the Osteotomy fixed hole of osteotomy guide plate.
A kind of production method of dentistry Trinity composite guide plate with precise positioning ability of the invention, including it is following Step:
(1) it uses implant operation design software: importing CBCT scan data before patient has tooth pulled out, carry out planting body type selecting, plant 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 Position is swept The planting body position angle information for retouching data and step (1) carries out the selection on guide plate boundary to dentognathic model tissue surface and repairs It is whole, 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 creation 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, thereon according to the retention pin position angle of step (1) Information is spent, the retention pin guide hole of cylindrical perforations structure is constructed;
(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 position angle information of step (1), the pioneer for constructing cylindrical perforations structure bores location hole, complete At the design of plantation guide plate;
(6) near the combination interface of osteotomy guide plate, positioning guide plate and plantation guide plate, multiple groups maintenance pore structure is designed, with Matching used fixed hole is that maintenance fastens structure;The cylindrical projection that maintenance is fastened can be inserted into the fixed hole on guide plate plate body, And two cylindrical projections that maintenance is fastened are connected with the fixed hole of osteotomy guide plate and positioning or 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 present invention has the advantages that
1, for the in place of natural teeth Trinity composite guide plate, precision is greater than traditional mucosa-borne type and leads the present invention 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, operation of the present invention wears retention pin without plucking repeatedly, realizes primary positioning, whole accurate.
4, in the case where there is remaining natural teeth, invention also can be carried out is drawn with the plantation guide plate that final repairing effect is guiding Lead operation.
5, immediate postoperative reparation can guarantee that the good of planting body is pierced by position, realize to repair the plantation hand for guiding Art.
Detailed description of the invention
Fig. 1 is the schematic diagram of positioning guide plate of the present invention;
Fig. 2 is the perspective view of positioning guide plate of the present invention;
Fig. 3 is the perspective view 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 perspective view 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 embodiment
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 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 teeth, 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 is in U-shape, described Several positioning teeth are arranged on positioning guide plate supporter, respectively correspond on several positioning teeth equipped with indicating window in place, 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 sides of the bottom 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 location hole, plantation guide plate fixed hole, and the plantation guide plate fixed hole is and 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, bore positioning hole in pioneer and are equipped with plantation Lantern ring, the pioneer bore the stopping block on location hole for effectively controlling the depth of planting body preparation;The positioning guide plate is logical It crosses maintenance and fastens and connect with osteotomy guide plate, the plantation guide plate is fastened by maintenance to be connect with osteotomy guide plate, and the maintenance is fastened including two A cylindrical projection, maintenance fasten No. 1 cylindrical projection for being inserted into No. 1 to No. 5 fixed hole or the plantation guide plate of positioning guide plate Plant guide plate fixed hole, maintenance fastens No. 2 cylindrical projections for being inserted into the Osteotomy fixed hole of osteotomy guide plate, make positioning guide plate or Plantation guide plate links together with osteotomy guide plate.
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 the plantation of No. 1 to No. 5 fixed hole or the plantation guide plate of No. 1 cylindrical projection for being inserted into positioning guide plate Guide plate fixed hole, maintenance fasten No. 2 cylindrical projections for being inserted into the Osteotomy fixed hole of osteotomy guide plate.
A kind of production method of dentistry Trinity composite guide plate with precise positioning ability of the invention, including it is following Step:
(1) implant operation design software (3shape) is used;CBCT scan data before patient has tooth pulled out is 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) it in Three-dimensional Design Software (U.S. Geomagic Stuido, 3Dsystem), imports patient and CBCT is scanned The planting body position angle information of dentognathic model scan data and step (1) after denture Data Position registration, to tooth jaw mould Type tissue surface 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 creation 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, thereon according to the retention pin position angle of step (1) Information is spent, the retention pin guide hole of cylindrical perforations structure is constructed;
(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 position angle information of step (1), the pioneer for constructing cylindrical perforations structure bores location hole, complete At the design of plantation guide plate;
(6) near the combination interface of osteotomy guide plate, positioning guide plate and plantation guide plate, multiple groups maintenance pore structure is designed, with Matching used fixed hole is that maintenance fastens structure;The cylindrical projection that maintenance is fastened can be inserted into the fixed hole on guide plate plate body, And two cylindrical projections that maintenance is fastened are connected with the fixed hole of osteotomy guide plate and positioning or 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 in the same area with different imaging means different images figure obtained The matching of the geographical coordinate of shape.Processing including 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 the identical or nearly identical regional area of three-dimensional configuration between the two 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 relatively reasonable implementations of the 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 teeth, 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 are in U-shape, several described positioning tooth settings On positioning guide plate supporter, respectively correspond on several positioning teeth equipped with indicating window in place, by observing indicating window in place Whether interior natural teeth fits closely 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 sides of the bottom 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, bores positioning hole in pioneer and is equipped with plantation lantern ring, the pioneer bores fixed Stopping block on the hole of position is for effectively controlling the depth of planting body preparation;The positioning guide plate is fastened and osteotomy guide plate by maintenance Connection, the plantation guide plate is fastened by maintenance to be connect with osteotomy guide plate, and the maintenance is fastened including two cylindrical projections, and maintenance fastens 1 Number cylindrical projection is used to be inserted into No. 1 to No. 5 fixed hole of positioning guide plate or the plantation guide plate fixed hole of the plantation guide plate, maintenance No. 2 cylindrical projections are fastened for being inserted into the Osteotomy fixed hole of osteotomy guide plate, make positioning guide plate or plantation guide plate and osteotomy guide plate It links together.
2. a kind of dentistry Trinity composite guide plate with precise positioning ability described in accordance with the claim 1, feature exist In 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 kind Guide plate fixed hole coaxial inner conductor is planted, the osteotomy guide plate is consolidated with No. 1 fixed hole of corresponding positioning guide plate, No. 2 fixed holes, No. 3 Position hole, No. 4 fixed holes, No. 5 fixed holes, the shift length with 1mm-5mm.
3. a kind of production side of dentistry Trinity composite guide plate with precise positioning ability described in accordance with the claim 1 Method, it is characterised in that the following steps are included:
(1) it uses implant operation design software: importing CBCT scan data before patient has tooth pulled out, carry out planting body type selecting, be 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 CBCT denture scan data position registration According to and step (1) planting body position angle information, to dentognathic model tissue surface carry out guide plate boundary selection and finishing, 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, and fence body structure is cut with Osteotomy Cut out, Osteotomy | tooth closes | and face direction cuts out part and constitutes positioning guide plate, creates several fingers in place 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, is believed thereon according to the retention pin position angle of step (1) Breath constructs 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 position angle information of step (1), the pioneer for constructing 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, multiple groups maintenance pore structure is designed, with maintenance Matching used hole is that maintenance fastens structure;The cylindrical projection that maintenance is fastened can be inserted into the fixed hole on guide plate plate body, and solid Two cylindrical projections fastening of position respectively with osteotomy guide plate and positioning or plant guide plateFixed holeIt is connected, plays upper and lower guide plate The effect of connection is combined, 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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