CN109602508A - It is a kind of for planting the preparation method of the personalized titanium nethike embrane of prebone increment - Google Patents
It is a kind of for planting the preparation method of the personalized titanium nethike embrane of prebone increment Download PDFInfo
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- CN109602508A CN109602508A CN201811488216.1A CN201811488216A CN109602508A CN 109602508 A CN109602508 A CN 109602508A CN 201811488216 A CN201811488216 A CN 201811488216A CN 109602508 A CN109602508 A CN 109602508A
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- titanium
- net film
- titanium net
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- threedimensional model
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- 229910052719 titanium Inorganic materials 0.000 title claims abstract description 92
- 239000010936 titanium Substances 0.000 title claims abstract description 92
- RTAQQCXQSZGOHL-UHFFFAOYSA-N Titanium Chemical compound [Ti] RTAQQCXQSZGOHL-UHFFFAOYSA-N 0.000 title claims abstract description 91
- 238000002360 preparation method Methods 0.000 title claims abstract description 17
- 210000000988 bone and bone Anatomy 0.000 claims abstract description 54
- 230000007547 defect Effects 0.000 claims abstract description 20
- 238000012423 maintenance Methods 0.000 claims abstract description 15
- 239000000463 material Substances 0.000 claims abstract description 13
- 210000001909 alveolar process Anatomy 0.000 claims abstract description 10
- 238000004519 manufacturing process Methods 0.000 claims abstract description 10
- 210000003484 anatomy Anatomy 0.000 claims abstract description 3
- 230000007704 transition Effects 0.000 claims abstract 2
- 239000000843 powder Substances 0.000 claims description 9
- 238000005520 cutting process Methods 0.000 claims description 6
- 238000007639 printing Methods 0.000 claims description 4
- 230000008439 repair process Effects 0.000 claims description 4
- 210000001847 jaw Anatomy 0.000 claims description 3
- 230000007306 turnover Effects 0.000 claims description 3
- 229910001069 Ti alloy Inorganic materials 0.000 claims description 2
- RVTZCBVAJQQJTK-UHFFFAOYSA-N oxygen(2-);zirconium(4+) Chemical compound [O-2].[O-2].[Zr+4] RVTZCBVAJQQJTK-UHFFFAOYSA-N 0.000 claims description 2
- GUVRBAGPIYLISA-UHFFFAOYSA-N tantalum atom Chemical compound [Ta] GUVRBAGPIYLISA-UHFFFAOYSA-N 0.000 claims description 2
- 229910001928 zirconium oxide Inorganic materials 0.000 claims description 2
- 229910000861 Mg alloy Inorganic materials 0.000 claims 1
- 238000000034 method Methods 0.000 abstract description 9
- 230000008901 benefit Effects 0.000 abstract description 4
- 238000005516 engineering process Methods 0.000 description 9
- 230000000694 effects Effects 0.000 description 5
- 210000004400 mucous membrane Anatomy 0.000 description 4
- 238000013461 design Methods 0.000 description 3
- 238000010146 3D printing Methods 0.000 description 2
- 230000004888 barrier function Effects 0.000 description 2
- 230000010478 bone regeneration Effects 0.000 description 2
- 230000006378 damage Effects 0.000 description 2
- 239000007943 implant Substances 0.000 description 2
- 230000014759 maintenance of location Effects 0.000 description 2
- 210000000214 mouth Anatomy 0.000 description 2
- 210000004872 soft tissue Anatomy 0.000 description 2
- 241001465754 Metazoa Species 0.000 description 1
- 241000337665 Phatnoma Species 0.000 description 1
- 208000027418 Wounds and injury Diseases 0.000 description 1
- 238000005452 bending Methods 0.000 description 1
- 230000008859 change Effects 0.000 description 1
- 230000007812 deficiency Effects 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 238000006073 displacement reaction Methods 0.000 description 1
- 235000013399 edible fruits Nutrition 0.000 description 1
- 230000006870 function Effects 0.000 description 1
- 230000006872 improvement Effects 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 229910052500 inorganic mineral Inorganic materials 0.000 description 1
- 238000002844 melting Methods 0.000 description 1
- 230000008018 melting Effects 0.000 description 1
- 239000011707 mineral Substances 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 238000000465 moulding Methods 0.000 description 1
- 210000004877 mucosa Anatomy 0.000 description 1
- 210000003205 muscle Anatomy 0.000 description 1
- 230000011164 ossification Effects 0.000 description 1
- 230000002980 postoperative effect Effects 0.000 description 1
- 230000008569 process Effects 0.000 description 1
- 238000011160 research Methods 0.000 description 1
- 108010048734 sclerotin Proteins 0.000 description 1
- 238000006748 scratching Methods 0.000 description 1
- 230000002393 scratching effect Effects 0.000 description 1
- 230000035807 sensation Effects 0.000 description 1
- 230000000638 stimulation Effects 0.000 description 1
- 238000012360 testing method Methods 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C13/00—Dental prostheses; Making same
- A61C13/0003—Making bridge-work, inlays, implants or the like
- A61C13/0004—Computer-assisted sizing or machining of dental prostheses
-
- 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
Landscapes
- Health & Medical Sciences (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Dentistry (AREA)
- Epidemiology (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Prostheses (AREA)
Abstract
The invention discloses a kind of for planting the preparation method of the personalized titanium nethike embrane of prebone increment, this method is the anatomical structure according to the alveolar bone in the jawbone three-dimensional digital model after reparation, titanium net film threedimensional model is built into terms of side whole U-shaped, top and side smooth transition, height reaches the enamelo-cemental junction height of adjacent teeth or the crest of alveolar ridge height of adjacent teeth, cheek-tongue direction width is to increase by 1.5~1.8 millimeters than planting the boundaries on either side of body Model, middle-distant direction width is 2~3 millimeters of boundary of the titanium net film threedimensional model top boundary apart from adjacent teeth, boundary round blunt is smooth, maintenance nail hole is provided on the titanium net film threedimensional model of building;Then according to the data of the titanium net film threedimensional model of building, increasing material manufacturing goes out titanium net film.The titanium net film that this method obtains can be suitably used for all kinds of bone defects, especially complicated large area bone defect, have many advantages, such as more to fit in jawbone (alveolar bone) anatomic form, not need to bend in art, be conducive to fixed and take out.
Description
Technical field
The invention belongs to the field of medical instrument technology, it is related to dental titanium net, more particularly to a kind of for planting prebone increasing
The preparation method of the personalized titanium nethike embrane of amount.
Background technique
Plantation, which is repaired, after tooth body missing has been obtained for higher success rate, and more and more patients select plantation to repair,
One of the conventional repair mode for having become tooth body missing is repaired in plantation, however due to people's oral hygiene poor consciousness, missing tooth
The reasons such as overlong time cause jawbone bone amount largely to be lost, and plantation is usually faced with the difficulty of bone height and short of width when repairing
Topic.Sufficient bone amount and good sclerotin is to guarantee that planting body obtains the certainty of good primary stability and repairing effect at a specified future date
Condition.The deficiency of bone amount affects the load of indication, the quality of planting body, function, plantation aesthetics and the planting body of plantation treatment
In intraoral effective life span.
Therefore how to increase bone amount is the biggest problem planting doctor and facing.All the time, based on different defects and
The bone increment technique of size is constantly carried out in human and animal tests.But although improving the research of Bone mineral change with operation method
Make great progress, how effectively to rebuild enough bone height still have with bone width problem it is to be solved.At present clinically
There are many methods to carry out bone increment, including the transplanting of distraction osteogenesis, pelvic radiograph technology, onlay bone block, Guided Bone Regeneration skill
Art.
Although GBR technology increases effect stability in terms of alveolar bone thickness and crest of alveolar ridge height in Implant, for
Larger bone tissue defect carries out bone increment effect using GBR technology merely and pays no attention to since it is difficult to maintain stable space
Think.In addition to this GBR technology commonly can absorb barrier film and is difficult to provide effective skeletonization sky in default of self-forming ability
Between, and it is postoperative may occur because of the movement of lip buccinator muscle fold fall off, cause bone-grafting material displacement absorb, and then influence skeletonization effect
Fruit.
Titanium net has good biocompatibility, has been used as the implants of various operations, and titanium net itself has one
Fixed intensity and plasticity can provide stable skeletonization space, while titanium net can mould the contours profiles of area of new bone.As
The space support object of bone increment, titanium net have good intensity, effectively soft tissue can be organized to fall into, and can bear certain
Ambient pressure, for phatnoma bone height and width increase provide space support.At present clinically using wider for molding titanium
Net, but form titanium net be not bonded with alveolar bone anatomic form, in art titanium net must by being trimmed again after contrast defect's range,
Bend and devote a tremendous amount of time in art, this time except bend during be difficult to avoid that and will form sharp edge, be easy to cause art
The exposure of titanium net afterwards.Operating time and difficulty must be increased by pilum maintenance by forming titanium net, and when secondary operation must be complete
Exposure pilum can remove titanium net, and have the titanium net of sharp edges to be also not easy to scratch soft tissue again in removal process.
Summary of the invention
Technical problem to be solved by the invention is to provide a kind of for planting the system of the personalized titanium nethike embrane of prebone increment
Preparation Method, the titanium net film which obtains can be suitably used for all kinds of bone defects, especially complicated large area bone defect, more paste
It together in jawbone (alveolar bone) anatomic form, does not need to bend, be conducive to fixed and take out in art, to overcome of the existing technology lack
It falls into.
In order to solve the above technical problems, the present invention adopts the following technical scheme that:
It is a kind of for planting the preparation method of the personalized titanium nethike embrane of prebone increment, which comprises the steps of:
A, the image of patient's Maxillary region is extracted, and carries out three-dimensional reconstruction, obtains jawbone three-dimensional digital model;
B, plantation body Model is placed in the missing tooth region of jawbone three-dimensional digital model, repaired in jawbone three-dimensional digital model
Bone defect region;
C, titanium net film threedimensional model is constructed according to the jawbone three-dimensional digital model after reparation: according to jawbone three-dimensional digital model
In alveolar bone anatomical structure, titanium net film threedimensional model is built into terms of side whole U-shaped, top and side are smoothed
It crosses, highly reaches the enamelo-cemental junction height of adjacent teeth or the crest of alveolar ridge height of adjacent teeth, cheek-tongue direction width is than planting body Model
Boundaries on either side increase by 1.5~1.8 millimeters, middle-distant direction width be boundary of the titanium net film threedimensional model top boundary apart from adjacent teeth
2~3 millimeters, boundary round blunt is smooth, is provided with maintenance nail hole on the titanium net film threedimensional model of building;
D, according to the data of the titanium net film threedimensional model of building, increasing material manufacturing goes out titanium net film.
The cell element of the titanium net film threedimensional model is configured as triangle or circle is rectangular or special-shaped, and part is quadrangle
Or pentagon.
For the benefit of mucous membrane wraps up, and in further improvement of the present invention, the titanium net film threedimensional model is in corresponding alveolar ridge
The top position at top is provided with internal buckle.
For convenient for the later period take out titanium net film, the titanium net film threedimensional model correspond to alveolar ridge at the top of top position and/
Or other turnover positions are built with cutting belt, the diameter of the attachment beam of the cutting belt is slightly less than the beam diameter at other positions.
The diameter of the maintenance nail hole is 2mm, and the titanium net film threedimensional model, which is located at cheek side, has 2~4 maintenance nail hole,
There is 0~2 maintenance nail hole positioned at jaw side or tongue side.
When titanium net film threedimensional model and bone face have gap, also increasing on the inside of the maintenance nail hole has support, to twist
Guarantee that titanium net film is indeformable when tight retention pin.
By adopting the above technical scheme, the titanium net film that preparation method of the invention obtains can be suitably used for all kinds of bone defects, especially
It is complicated large area bone defect, has and more fit in jawbone (alveolar bone) anatomic form, do not need to bend in art, be conducive to fix
The advantages that with taking out.
Detailed description of the invention
Fig. 1 is the schematic perspective view of titanium net film threedimensional model;
Fig. 2 is the top schematic diagram of titanium net film threedimensional model;
In figure, 100- titanium net film threedimensional model, 101- cell element configuration, 102- maintenance nail hole, 103- border structure, 120- cut
Cut band, 121- attachment beam.
Specific embodiment
Combined with specific embodiments below and attached drawing, the present invention is further explained.
The preparation method of personalized titanium nethike embrane for planting prebone increment of the invention comprising following steps:
1, CBCT (conical beam CT) image of patient's Maxillary region is extracted, and carries out three-dimensional reconstruction, obtains jawbone 3-dimensional digital
Model.
2, plantation body Model is placed in the missing tooth region of jawbone three-dimensional digital model, repaired in jawbone three-dimensional digital model
Bone defect region.
3, titanium net film threedimensional model is constructed according to the jawbone three-dimensional digital model after reparation, specifically:
As depicted in figs. 1 and 2, according to the anatomical structure of alveolar bone, the titanium net film threedimensional model 100 of building is whole in terms of side
Body configuration is U-shaped, depending on specific size is by bone defect area, can cover entire alveolar bone, can also only cover a tooth position,
The top and side of titanium net film threedimensional model 100 should seamlessly transit, to avoid stimulation mucous membrane.The born of the same parents of titanium net film threedimensional model 100
First configuration 101 is mainly that triangle configuration constitutes (can also be designed to circular hole, square hole or other irregularly-shaped holes), and part is to have four
Side shape or pentagon, specific aperture or side length size are determined that defect area can reduce greatly aperture by the area of bone defect
Or side length, to increase titanium net film-strength.Titanium net film threedimensional model with a thickness of 0.2~1mm (namely cell element configuration in titanium net film
101 diameter is 0.2~1mm), depending on the size of bone defect, the big defect of area needs suitably to increase specific thickness
Thickness is to increase its intensity.The border structure 103 of titanium net film threedimensional model 100 needs round blunt as far as possible smooth, to prevent scratching mucous membrane tissue,
Some internal buckles are needed at the top of alveolar ridge, in favor of mucous membrane package.
The height of titanium net film threedimensional model 100 reaches in the enamelo-cemental junction height of adjacent teeth or the crest of alveolar ridge of adjacent teeth
Highly.
The cheek-tongue direction width of titanium net film threedimensional model 100, using planting body as reference, the boundaries on either side than planting body increases
1.5~1.8 millimeters.
The middle-distant direction width of titanium net film threedimensional model 100, using adjacent teeth as reference, i.e. titanium net film threedimensional model top boundary
2~3 millimeters of boundary apart from adjacent teeth.
Again as shown in Figure 1, being provided with reserved maintenance nail hole 102 on titanium net film threedimensional model 100.Maintenance nail hole 101 is straight
Diameter is 2 millimeters, and bone amount abundance position, general cheek side 2~4, jaw side (tongue side) 0~2 should be arranged in.In titanium net film three-dimensional mould
When there is gap in type 100 and bone face, support need to be increased on the inside of nail hole position, to guarantee that titanium net film is constant when tightening retention pin
Shape.
Again as shown in Fig. 2, being taken out to be located at the titanium net film in oral cavity convenient for the later period: in the tooth of titanium net film threedimensional model 100
At the top of slot ridge or other turnover positions, are also constructed with cutting belt 120, more 121 less parallels of attachment beam in cutting belt 120
Ground is spaced apart between the boundary beam 122 of two sides, and the diameter of attachment beam 121 is slightly less than the other positions of titanium net film threedimensional model
The diameter of beam.
4, according to the data of the titanium net film threedimensional model of building, increasing material manufacturing goes out titanium net film.The increasing material manufacturing is laser beam
3D is successively printed, and the printing powder that laser beam 3D successively prints use is selected from pure titanium valve, titanium alloy powder, Zirconium oxide powder or tantalum
Metal powder, printing diameier are 10~60 μm.
It is above exactly the preparation method of the personalized titanium nethike embrane for planting prebone increment of the invention, which is
According to the tooth of each patient, alveolar bone configuration state difference carries out personalized designs, obtains the form of expected alveolar repair, leads to
The increasing material technology for crossing increasing material manufacturing produces the titanium net film of personalized form, in tooth bone increment prosthesis for being to obtain
Tooth-implanting is expected alveolar bone border motif, grows the bone amount and form for meeting clinical tooth-implanting.
The present invention passes through personalized titanium nethike embrane prepared by digital modeling technique combination increasing material manufacturing technique, can closely paste
It closes alveolar bone and dissects shape, the three-D volumes and three-dimensional position of accurate reconstruction jawbone, and operation plan can be formulated in advance, remove from
Shaped by hand in operation, greatly shortens operating time, has the characteristics that shape is good, precision is high, simple and convenient.Compared to tradition
Titanium net, personalized titanium nethike embrane are accurately measured jawbone by three-dimensional data and lacked more suitable for complicated large area bone defect case
The size and volume of damage, design the reticular structure for more fitting in jawbone anatomic form, utilize the increasing material of 3D printing laser melting
Manufacturing technology is made.Personalized titanium nethike embrane not only has the identical effect of simultaneous interpretation system titanium net film that can stablize graft materials,
Enough spaces are created, barrier film Guided Bone Regeneration is played the role of, and have the advantage of following uniqueness:
1, it is suitable for all kinds of bone defects, especially complicated large area bone defect;
2, it can determine bone amount needed for rebuilding bone, convenient for design bone grafting scheme;
3, jawbone (alveolar bone) anatomic form is more fitted in;
4, it avoids bending in art, reduces operating time;
5, mitigate patient's burden, reduce difference between different patients;
6, formalness is smoothly soft, fixes and takes out conducive to titanium net film, can reduce mucosa injury, reduces exposure.
7, it due to being made of the increases material manufacturing technology of 3D printing, can be made to very thin, wear and do not have in the oral cavity
There is foreign body sensation, as snug as a bug in a rug.
But those of ordinary skill in the art it should be appreciated that more than embodiment be intended merely to illustrate this
Invention, and be not used as limitation of the invention, as long as in spirit of the invention, to embodiment described above
Variation, modification will all fall within the scope of claims of the present invention.
Claims (8)
1. a kind of for planting the preparation method of the personalized titanium nethike embrane of prebone increment, which comprises the steps of:
A, the image of patient's Maxillary region is extracted, and carries out three-dimensional reconstruction, obtains jawbone three-dimensional digital model;
B, plantation body Model is placed in the missing tooth region of jawbone three-dimensional digital model, repairs the bone in jawbone three-dimensional digital model
Defect area;
C, titanium net film threedimensional model is constructed according to the jawbone three-dimensional digital model after reparation: according in jawbone three-dimensional digital model
Titanium net film threedimensional model is built into terms of side whole U-shaped, top and side smooth transition by the anatomical structure of alveolar bone,
Height reaches the enamelo-cemental junction height of adjacent teeth or the crest of alveolar ridge height of adjacent teeth, and cheek-tongue direction width is the side than planting body Model
Boundary two sides increase by 1.5~1.8 millimeters, and middle-distant direction width is boundary 2~3 of the titanium net film threedimensional model top boundary apart from adjacent teeth
Millimeter, boundary round blunt is smooth, is provided with maintenance nail hole on the titanium net film threedimensional model of building;
D, according to the data of the titanium net film threedimensional model of building, increasing material manufacturing goes out titanium net film.
2. according to claim 1 for planting the preparation method of the personalized titanium nethike embrane of prebone increment, it is characterised in that:
The cell element of the titanium net film threedimensional model is configured as triangle, and perhaps circle is rectangular or special-shaped local for quadrangle or five sides
Shape.
3. according to claim 1 for planting the preparation method of the personalized titanium nethike embrane of prebone increment, it is characterised in that:
Top position of the titanium net film threedimensional model at the top of corresponding alveolar ridge is provided with internal buckle.
4. according to claim 1 for planting the preparation method of the personalized titanium nethike embrane of prebone increment, it is characterised in that:
The top position and/or other turnover positions that the titanium net film threedimensional model corresponds at the top of alveolar ridge are built with cutting belt, institute
The diameter for stating the attachment beam of cutting belt is slightly less than the beam diameter at other positions.
5. according to claim 1 for planting the preparation method of the personalized titanium nethike embrane of prebone increment, it is characterised in that:
The diameter of the maintenance nail hole is 2mm, and the titanium net film threedimensional model is located at cheek side with 2~4 maintenance nail hole, is located at jaw side
Or tongue side has 0~2 maintenance nail hole.
6. according to claim 1 for planting the preparation method of the personalized titanium nethike embrane of prebone increment, it is characterised in that:
When there is gap in the bone face of titanium net film threedimensional model and jawbone three-dimensional digital model, also increasing on the inside of the maintenance nail hole has branch
Support.
7. according to claim 1 for planting the preparation method of the personalized titanium nethike embrane of prebone increment, it is characterised in that:
The increasing material manufacturing be laser beam 3D successively print, the laser beam 3D successively print use printing powder be selected from pure titanium valve,
Titanium alloy powder, Zirconium oxide powder, tantalum metal powder or magnesium alloy powder.
8. according to claim 7 for planting the preparation method of the personalized titanium nethike embrane of prebone increment, it is characterised in that:
The printing diameier is 10~60 μm.
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CN201810998377 | 2018-08-29 |
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Cited By (11)
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CN110353836A (en) * | 2019-08-06 | 2019-10-22 | 成都优材科技有限公司 | Plantation jawbone and its Digital manufacturing mode with Dental implantion site |
CN111545753A (en) * | 2020-05-27 | 2020-08-18 | 浙江省人民医院 | Titanium support for tooth implant bone increment and manufacturing method thereof |
CN111759543A (en) * | 2020-07-06 | 2020-10-13 | 北京科技大学 | Preparation method of thin-wall saddle-shaped titanium alveolar bone implant |
CN111870368A (en) * | 2020-07-31 | 2020-11-03 | 河北春立航诺新材料科技有限公司 | Oral implant |
CN113230002A (en) * | 2021-06-22 | 2021-08-10 | 安阳市第六人民医院(安阳市口腔医院) | Preparation method of personalized titanium mesh for bone defect reconstruction in dental implantation area |
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CN113520638A (en) * | 2021-06-18 | 2021-10-22 | 佳木斯大学 | Design and manufacturing method of titanium mesh for alveolar bone increment |
CN113558797A (en) * | 2021-07-27 | 2021-10-29 | 佛山市安齿生物科技有限公司 | Titanium net type planting guide plate and guide plate assembly |
CN115054410A (en) * | 2022-06-09 | 2022-09-16 | 北京大学口腔医学院 | Super-ductility plastic titanium mesh and processing method and application thereof |
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CN113289056A (en) * | 2020-02-24 | 2021-08-24 | 张锴 | 3D printing titanium mesh and preparation method and application thereof |
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