CN109662749A - A kind of chin portion of 3 D-printing takes bone conduction plate - Google Patents
A kind of chin portion of 3 D-printing takes bone conduction plate Download PDFInfo
- Publication number
- CN109662749A CN109662749A CN201910035904.0A CN201910035904A CN109662749A CN 109662749 A CN109662749 A CN 109662749A CN 201910035904 A CN201910035904 A CN 201910035904A CN 109662749 A CN109662749 A CN 109662749A
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- China
- Prior art keywords
- guide groove
- osteotomy
- interconnecting piece
- chin portion
- fixing end
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
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- 210000000988 bone and bone Anatomy 0.000 title claims abstract description 63
- 238000007639 printing Methods 0.000 title claims abstract description 18
- 238000005516 engineering process Methods 0.000 claims abstract description 11
- 229910001069 Ti alloy Inorganic materials 0.000 claims abstract description 10
- 238000010146 3D printing Methods 0.000 claims abstract description 7
- 239000000956 alloy Substances 0.000 claims description 5
- 238000000465 moulding Methods 0.000 claims description 2
- 210000003456 pulmonary alveoli Anatomy 0.000 claims description 2
- 230000014759 maintenance of location Effects 0.000 abstract description 8
- 210000004513 dentition Anatomy 0.000 abstract description 6
- 230000036346 tooth eruption Effects 0.000 abstract description 6
- 238000012423 maintenance Methods 0.000 abstract description 2
- 238000005457 optimization Methods 0.000 description 6
- 230000007547 defect Effects 0.000 description 3
- 238000000034 method Methods 0.000 description 3
- 230000001954 sterilising effect Effects 0.000 description 3
- 239000000463 material Substances 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 238000005498 polishing Methods 0.000 description 2
- 239000000843 powder Substances 0.000 description 2
- 238000004659 sterilization and disinfection Methods 0.000 description 2
- 241000337665 Phatnoma Species 0.000 description 1
- 210000003484 anatomy Anatomy 0.000 description 1
- 230000001174 ascending effect Effects 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 210000004204 blood vessel Anatomy 0.000 description 1
- 238000001816 cooling Methods 0.000 description 1
- 238000005520 cutting process Methods 0.000 description 1
- 230000007812 deficiency Effects 0.000 description 1
- 238000001514 detection method Methods 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 238000005553 drilling Methods 0.000 description 1
- 238000010894 electron beam technology Methods 0.000 description 1
- 238000002513 implantation Methods 0.000 description 1
- 230000002452 interceptive effect Effects 0.000 description 1
- 230000001788 irregular Effects 0.000 description 1
- 238000004519 manufacturing process Methods 0.000 description 1
- 238000002844 melting Methods 0.000 description 1
- 230000008018 melting Effects 0.000 description 1
- 238000011369 optimal treatment Methods 0.000 description 1
- 238000004806 packaging method and process Methods 0.000 description 1
- 238000002360 preparation method Methods 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
- 210000001519 tissue Anatomy 0.000 description 1
- 238000011282 treatment Methods 0.000 description 1
- 210000000216 zygoma Anatomy 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/17—Guides or aligning means for drills, mills, pins or wires
- A61B17/1732—Guides or aligning means for drills, mills, pins or wires for bone breaking devices
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/17—Guides or aligning means for drills, mills, pins or wires
- A61B17/1739—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
-
- B—PERFORMING OPERATIONS; TRANSPORTING
- B33—ADDITIVE MANUFACTURING TECHNOLOGY
- B33Y—ADDITIVE MANUFACTURING, i.e. MANUFACTURING OF THREE-DIMENSIONAL [3-D] OBJECTS BY ADDITIVE DEPOSITION, ADDITIVE AGGLOMERATION OR ADDITIVE LAYERING, e.g. BY 3-D PRINTING, STEREOLITHOGRAPHY OR SELECTIVE LASER SINTERING
- B33Y80/00—Products made by additive manufacturing
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B2017/568—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor produced with shape and dimensions specific for an individual patient
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Engineering & Computer Science (AREA)
- Heart & Thoracic Surgery (AREA)
- Molecular Biology (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- Biomedical Technology (AREA)
- General Health & Medical Sciences (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Animal Behavior & Ethology (AREA)
- Dentistry (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Chemical & Material Sciences (AREA)
- Manufacturing & Machinery (AREA)
- Materials Engineering (AREA)
- Dental Tools And Instruments Or Auxiliary Dental Instruments (AREA)
Abstract
The present invention relates to field of medical technology, the chin portion of specially a kind of 3 D-printing takes bone conduction plate, and the chin portion of the 3 D-printing takes bone conduction plate, using three-dimensional printing technology, prints and takes bone titanium alloy guide plate based on tooth-borne type.Using three-dimensional printing technology, prints and bone titanium alloy guide plate is taken based on tooth-borne type.The guide plate is by mandibular dentition maintenance, and firm not loosen, this is retention terminal.The other end, i.e. osteotomy guide groove end are fitted closely with chin portion bone face, and according to required bone graft bone block form Design osteotomy guide groove form and thickness, which is directly fitted closely with chin portion bone face, and guide groove can directly iris out quasi- osteotomy position and form；The thickness of guide groove is equal to the thickness of guide groove and the summation of osteotomy depth according to osteotomy change in depth, the depth of drill point.Fixing end is connected with osteotomy guide groove end by middle interconnecting piece." retention terminal " of the guide plate is seated in mandibular dentition occlusal surface, forms stable tooth-borne type guide plate retention terminal.
Description
Technical field
The present invention relates to field of medical technology, the chin portion of specially a kind of 3 D-printing takes bone conduction plate.
Background technique
In dentition defect, defect of dentition patient, tooth-implanting is considered as current optimal treatment method, but upper and lower
Alveolar bone insufficiency is one of the main obstacle of success rate after interfering tooth-implanting successful implementation and treatment.Using bone increment skill
Art can obtain the raising of certain alveolus bone width, height, increase substantially phatnoma bone height is current field of planting one
Hang-up.Blocky autologous bone transplanting is still the goldstandard of vertical bone increment at present.Autologous bone bone block can be derived from chin portion, mandibular
The regions such as ascending branch, cheekbone.
Previous doctor is operated by rule of thumb, often has the following problems: (1) taking bony site inaccurate.It cannot
According at bone defect the bone block thickness most preferably needed, size, shape completion take bone to operate, often formed donor site transplanting bone block with
Host site is not bonded.It takes bone excessive, causes the unnecessary damage that body is excessive；It takes bone too small, then needs repeatedly to take bone, and
Need to carry out the finishing of bone block form in art.(2) local vital tissue, blood vessel etc. are easy to damage.Such as nervus mentalis.(3) hand
The art time is long, and wound is big.
Summary of the invention
Present invention solves the technical problem that being to overcome the deficiencies of existing technologies, the chin portion for providing a kind of 3 D-printing takes bone
Guide plate.
To achieve the above object, the invention provides the following technical scheme:
A kind of chin portion of 3 D-printing takes bone conduction plate, including guide plate component, and the guide plate component includes that fixing end, osteotomy are led
Slot end and middle interconnecting piece, the fixing end, middle interconnecting piece and osteotomy guide groove end are from top to bottom set gradually, and the centre connects
Socket part is arranged in fixing end and osteotomy guide groove end position between the two, and the both ends of middle interconnecting piece respectively with fixing end
The top surface at bottom surface and osteotomy guide groove end is connected and fixed, and the fixing end offers multiple far from a side surface of middle interconnecting piece
Alveolar part, the inside of the alveolar part are fixed with outside the face of human body lower jaw tooth, and the inner wall of alveolar part and human body lower jaw
Facing fitting, osteotomy guide groove end offers osteotomy guide groove, the osteotomy guide groove card far from a side surface of middle interconnecting piece
The outside for being fixed on human body chin portion bone is connect, wherein the inner chamber bottom surface of osteotomy guide groove is bonded with human body chin portion bone surface.
Preferably, the fixing end, osteotomy guide groove end and middle interconnecting piece are an integral molding structure.
Preferably, the quantity of the alveolar part is at least two groups, and in a side surface of the fixing end far from middle interconnecting piece
Successively linear array.
Preferably, the fixing end is sector shape annular element, is wherein at least two groups of alveolar part on the surface of fixing end
It is arranged in arc line shaped.
Preferably, the fixing end, osteotomy guide groove end and middle interconnecting piece are made of three-dimensional printing technology.
Preferably, the fixing end, osteotomy guide groove end and middle interconnecting piece are made of titanium alloy material.
Preferably, the thickness of the fixing end and middle interconnecting piece is 2mm.
Compared with prior art, it the beneficial effects of the present invention are: the chin portion of the 3 D-printing takes bone conduction plate, is beaten using three-dimensional
Print technology prints and takes bone titanium alloy guide plate based on tooth-borne type.Using three-dimensional printing technology, print based on tooth-borne type
Take bone titanium alloy guide plate.The guide plate is by mandibular dentition maintenance, and firm not loosen, this is retention terminal.The other end, i.e. osteotomy are led
Slot end is fitted closely with chin portion bone face, straight according to required bone graft bone block form Design osteotomy guide groove form and thickness, the part
It connects and is fitted closely with chin portion bone face, guide groove can directly iris out quasi- osteotomy position；The thickness of guide groove is bored according to osteotomy change in depth
The depth of needle is equal to the thickness of guide groove and the summation of osteotomy depth.Fixing end and osteotomy guide groove end have been contacted by middle interconnecting piece
Come." retention terminal " of the guide plate is seated in mandibular dentition occlusal surface, forms stable tooth-borne type guide plate retention terminal.The guide plate
" osteotomy guide groove end " can be precisely bonded with the bone surface at the quasi- osteotomy position in corresponding chin portion, what osteotomy guide groove end was contacted with jawbone
Position is fenestration range, and the effective length of specific drill point subtracts osteotomy guide groove thickness and is equal to the bone depth for needing drilling.Outside
Section doctor can be cut by specific length drill point along lead ring edge, can precisely be cut into transplanting bone block.
Detailed description of the invention
Fig. 1 is structure sectional view of the invention；
Fig. 2 is fixing end top schematic diagram of the invention.
In figure: 1 guide plate component, 2 fixing ends, 3 osteotomy guide groove ends, 4 middle interconnecting pieces, 5 alveolar parts, 6 osteotomy guide grooves.
Specific embodiment
Following will be combined with the drawings in the embodiments of the present invention, and technical solution in the embodiment of the present invention carries out clear, complete
Site preparation description, it is clear that described embodiments are only a part of the embodiments of the present invention, instead of all the embodiments.It is based on
Embodiment in the present invention, it is obtained by those of ordinary skill in the art without making creative efforts every other
Embodiment shall fall within the protection scope of the present invention.
The present invention provides a kind of technical solution referring to FIG. 1-2:
A kind of chin portion of 3 D-printing takes bone conduction plate, including guide plate component 1, and the guide plate component 1 includes fixing end 2, cuts
Bone conduction slot end 3 and middle interconnecting piece 4, the fixing end 2, middle interconnecting piece 4 and osteotomy guide groove end 3 are from top to bottom set gradually,
Fixing end 2 and osteotomy guide groove end 3 position between the two, and the both ends of middle interconnecting piece 4 are arranged in the middle interconnecting piece 4
The top surface with the bottom surface of fixing end 2 and osteotomy guide groove end 3 is connected and fixed respectively, and the fixing end 2 is far from middle interconnecting piece 4
One side surface offers multiple alveolar parts 5, and the inside of the alveolar part 5 is fixed with outside the face of human body lower jaw tooth, and tooth
The inner wall of groove portion 5 is bonded with human body lower jaw facing, and osteotomy guide groove end 3 is offered far from a side surface of middle interconnecting piece 4
Osteotomy guide groove 6, the osteotomy guide groove 6 are fixed on the outside of human body chin portion bone, wherein the inner chamber bottom surface of osteotomy guide groove 6 and people
Body chin portion's bone surface fitting, the form of osteotomy guide groove 6 and the form of quasi- osteotomy are completely the same, with a thickness of cutting tool (drill point or
Piezosurgery osteotomy) working end length and required bone thickness difference.
As a kind of technical optimization scheme of the invention, the fixing end 2, osteotomy guide groove end 3 and middle interconnecting piece 4 are
Integrated formed structure.
As a kind of technical optimization scheme of the invention, the quantity of the alveolar part 5 is at least two groups, and in fixing end 2
A side surface successively linear array far from middle interconnecting piece 4.
As a kind of technical optimization scheme of the invention, it is wherein at least two groups that the fixing end 2, which is sector shape annular element,
Alveolar part 5 the surface of fixing end 2 in arc line shaped arrange.
As a kind of technical optimization scheme of the invention, the fixing end 2, osteotomy guide groove end 3 and middle interconnecting piece 4 are equal
It is made of three-dimensional printing technology.
As a kind of technical optimization scheme of the invention, the fixing end 2, osteotomy guide groove end 3 and middle interconnecting piece 4 are equal
It is made of titanium alloy material.
As a kind of technical optimization scheme of the invention, the thickness of the fixing end 2 and middle interconnecting piece 3 is 2mm.
Working principle: when people take bone conduction plate using the chin portion of the 3 D-printing, firstly, patient CT, uses
0.625mm thickness, format are DICOMS format, and CT data are imported in design software Mimics and carry out three-dimensional reconstruction, are retouched respectively
Important anatomical structure is drawn, after evading damage, according to host site situation, designs the form and volume of best bone grafting bone block, and
Surgery planning is exported as into STL formatted file.
Then, it in 2013 software of Geomagic studio, using three-dimensional printing technology, prints based on tooth-borne type
Chin portion osteotomy titanium alloy material constitute guide plate component 1.The guide plate component 1 is fixed on alveolar part by human body lower jaw tooth
5 inside carries out position and fixes, and does not loosen so that guide plate component 1 consolidates in use, this is retention terminal 2.Centre connection
The position between retention terminal 2 and osteotomy guide groove end 3 is arranged in portion 4, wherein it is located at side of the middle interconnecting piece 4 far from fixing end 2,
That is osteotomy guide groove end 3 is provided with 6 form of osteotomy guide groove of 3 bottom surface of osteotomy guide groove end according to required bone graft bone block form Design
And thickness, shape can be circle, can be rectangle or irregular form, mainly determined according to the needs of bone graft area
It is fixed, osteotomy guide groove 6 should be fixed on to the outside of human body chin portion bone during using guide plate component 1, by its inner wall and chin
The fitting of portion's bone surface, while human body lower jaw tooth being fixed on inside the alveolar part 5 of fixing end 2, to carry out entire
The position of guide plate component 1 is fixed, and can directly iris out quasi- osteotomy position by being fixed on the osteotomy guide groove 6 outside chin portion bone
And form；The thickness of osteotomy guide groove 6 is according to osteotomy change in depth simultaneously, after osteotomy position determines, is equal to by using depth and is led
The thickness of slot and the drill point of osteotomy depth summation, carry out osteotomy.During the fixing end 2 of the guide plate component 1 and osteotomy guide groove end 3 pass through
Between interconnecting piece 4 connect.And in addition to osteotomy guide groove end 3, entire guide plate component 1 is that the titanium alloy material of 2mm thickness is made.
Finally, using Sweden's Arcam Q10 titanium alloy three-dimensional printer, powder material is using electron beam melting forming method
The Ti-6A1-4V of medical expensive sum completes 3 D-printing, cooling, blows down excessive powder, polishing, polishing, finishing etc. with air pressure gun,
Then mechanical meaurement is carried out, sterilization, final high temperature autoclave sterilization simultaneously carries out carrying out sterilizing after implantation material Biological Detection double
Layer packaging, can be completed the production of guide plate component entirety.
It although an embodiment of the present invention has been shown and described, for the ordinary skill in the art, can be with
A variety of variations, modification, replacement can be carried out to these embodiments without departing from the principles and spirit of the present invention by understanding
And modification, the scope of the present invention is defined by the appended.
Claims (7)
1. a kind of chin portion of 3 D-printing takes bone conduction plate, including guide plate component (1), it is characterised in that: guide plate component (1) packet
Fixing end (2), osteotomy guide groove end (3) and middle interconnecting piece (4) are included, the fixing end (2), middle interconnecting piece (4) and osteotomy are led
Slot end (3) is from top to bottom set gradually, and middle interconnecting piece (4) setting is in both fixing end (2) and osteotomy guide groove end (3)
Between position, and the both ends of middle interconnecting piece (4) top surface with the bottom surface of fixing end (2) and osteotomy guide groove end (3) respectively
It is connected and fixed, the fixing end (2) offers multiple alveolar parts (5), the alveolus far from a side surface of middle interconnecting piece (4)
The inside in portion (5) is fixed with outside the face of human body lower jaw tooth, and the inner wall of alveolar part (5) is bonded with human body lower jaw facing,
Osteotomy guide groove end (3) offers osteotomy guide groove (6) far from a side surface of middle interconnecting piece (4), the osteotomy guide groove (6)
It is fixed on the outside of human body chin portion bone, wherein the inner chamber bottom surface of osteotomy guide groove (6) is bonded with human body chin portion bone surface.
2. a kind of chin portion of 3 D-printing according to claim 1 takes bone conduction plate, it is characterised in that: the fixing end (2),
Osteotomy guide groove end (3) and middle interconnecting piece (4) are an integral molding structure.
3. a kind of chin portion of 3 D-printing according to claim 1 takes bone conduction plate, it is characterised in that: the alveolar part (5)
Quantity be at least two groups, and in the side surface of fixing end (2) far from middle interconnecting piece (4) successively linear array.
4. a kind of chin portion of 3 D-printing according to claim 1 takes bone conduction plate, it is characterised in that: the fixing end (2)
For sector shape annular element, wherein at least arranged on the surface of fixing end (2) in arc line shaped for two groups of alveolar part (5).
5. a kind of chin portion of 3 D-printing according to claim 1 takes bone conduction plate, it is characterised in that: the fixing end (2),
Osteotomy guide groove end (3) and middle interconnecting piece (4) are made of three-dimensional printing technology.
6. a kind of chin portion of 3 D-printing according to claim 1 takes bone conduction plate, it is characterised in that: the fixing end (2),
Osteotomy guide groove end (3) and middle interconnecting piece (4) are made of titanium alloy material.
7. a kind of chin portion of 3 D-printing according to claim 1 takes bone conduction plate, it is characterised in that: the fixing end (2)
And the thickness of middle interconnecting piece (4) is 2mm.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201910035904.0A CN109662749A (en) | 2019-01-15 | 2019-01-15 | A kind of chin portion of 3 D-printing takes bone conduction plate |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201910035904.0A CN109662749A (en) | 2019-01-15 | 2019-01-15 | A kind of chin portion of 3 D-printing takes bone conduction plate |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN109662749A true CN109662749A (en) | 2019-04-23 |
Family
ID=66149496
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201910035904.0A Withdrawn CN109662749A (en) | 2019-01-15 | 2019-01-15 | A kind of chin portion of 3 D-printing takes bone conduction plate |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN109662749A (en) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN115300042A (en) * | 2022-08-11 | 2022-11-08 | 中国人民解放军空军军医大学 | Preparation and use method of three-dimensional osteotomy guide plate capable of fixing depth and direction |
-
2019
- 2019-01-15 CN CN201910035904.0A patent/CN109662749A/en not_active Withdrawn
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN115300042A (en) * | 2022-08-11 | 2022-11-08 | 中国人民解放军空军军医大学 | Preparation and use method of three-dimensional osteotomy guide plate capable of fixing depth and direction |
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| Date | Code | Title | Description |
|---|---|---|---|
| PB01 | Publication | ||
| PB01 | Publication | ||
| SE01 | Entry into force of request for substantive examination | ||
| SE01 | Entry into force of request for substantive examination | ||
| WW01 | Invention patent application withdrawn after publication | ||
| WW01 | Invention patent application withdrawn after publication |
Application publication date: 20190423 |