CN109662787A - A kind of impacted tooth individuation traction attachment of the titanium alloy of 3 D-printing - Google Patents

A kind of impacted tooth individuation traction attachment of the titanium alloy of 3 D-printing Download PDF

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Publication number
CN109662787A
CN109662787A CN201910035934.1A CN201910035934A CN109662787A CN 109662787 A CN109662787 A CN 109662787A CN 201910035934 A CN201910035934 A CN 201910035934A CN 109662787 A CN109662787 A CN 109662787A
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China
Prior art keywords
main body
traction
draw hook
impacted tooth
titanium alloy
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CN201910035934.1A
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Chinese (zh)
Inventor
聂萍
于德栋
朱敏
安庆龙
邹凡
蔡鸣
代杰文
史俊
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Ninth Peoples Hospital Shanghai Jiaotong University School of Medicine
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Ninth Peoples Hospital Shanghai Jiaotong University School of Medicine
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Priority to CN201910035934.1A priority Critical patent/CN109662787A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C7/00Orthodontics, i.e. obtaining or maintaining the desired position of teeth, e.g. by straightening, evening, regulating, separating, or by correcting malocclusions
    • A61C7/002Orthodontic computer assisted systems
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/10Computer-aided planning, simulation or modelling of surgical operations
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C7/00Orthodontics, i.e. obtaining or maintaining the desired position of teeth, e.g. by straightening, evening, regulating, separating, or by correcting malocclusions
    • BPERFORMING OPERATIONS; TRANSPORTING
    • B33ADDITIVE MANUFACTURING TECHNOLOGY
    • B33YADDITIVE 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
    • B33Y30/00Apparatus for additive manufacturing; Details thereof or accessories therefor
    • BPERFORMING OPERATIONS; TRANSPORTING
    • B33ADDITIVE MANUFACTURING TECHNOLOGY
    • B33YADDITIVE 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
    • B33Y80/00Products made by additive manufacturing
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/10Computer-aided planning, simulation or modelling of surgical operations
    • A61B2034/101Computer-aided simulation of surgical operations
    • A61B2034/105Modelling of the patient, e.g. for ligaments or bones
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/10Computer-aided planning, simulation or modelling of surgical operations
    • A61B2034/107Visualisation of planned trajectories or target regions

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  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Epidemiology (AREA)
  • Surgery (AREA)
  • Manufacturing & Machinery (AREA)
  • Chemical & Material Sciences (AREA)
  • Dentistry (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Materials Engineering (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Robotics (AREA)
  • General Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Dental Tools And Instruments Or Auxiliary Dental Instruments (AREA)

Abstract

The present invention relates to field of medical technology, the impacted tooth individuation of specially a kind of titanium alloy of 3 D-printing draws attachment, the impacted tooth individuation of the titanium alloy of the 3 D-printing draws attachment, it is most preferably drawn according to block teeth and pulls out path, the bonding site of design traction attachment and lead, determine best traction accessory main body concrete position and best draw hook position.Traction accessory main body, the draw hook being extremely bonded with corresponding facing are printed according to the design scheme of best traction accessories apparatus based on titanium alloy material, wherein traction accessory main body, draw hook are integral types.It may be implemented extremely to be bonded with facing, it is not easily to fall off after bonding;For titanium alloy material compared with traditional stainless steel, histocompatbility is obviously superior, is less prone to soft, sclerous tissues' inflammatory reaction;The structure of integral type is stronger, is less prone to phenomenon of rupture.

Description

A kind of impacted tooth individuation traction attachment of the titanium alloy of 3 D-printing
Technical field
The present invention relates to field of medical technology, the impacted tooth individuation traction of specially a kind of titanium alloy of 3 D-printing is attached Part.
Background technique
Impacted tooth is a kind of dysplasia clinically very common in mouth disease, easily causes a series of complication, example Such as the pericoronitis of recurrent exerbation, adjacent teeth dental caries are bad, tilt, and accelerate deformity recurrence after correction, food impaction, oral peculiar smell etc..It is general Logical impacted tooth can be pulled out by surgical method, but with nervus alverlaris vascular bundles, upper jaw sinus cavities, Cotunnius' nerve etc. The risk that the close impacted tooth of vital tissue structural relation is directly pulled out is very high, is using surgical exposure joint Orthodontic traction One of optimal treatment method.In previous treatment, using finished product traction device, easily fall off, and traction action position be not easy to determine, Direction is unable to control.
There are the problem of specifically include: firstly, traction design and surgery open a window, position usually disconnects, and orthodontist can only be Surgical site infections are bonded attachment according to surgical windowing position and determine lead;Operation usually needs under blind view, It removes a large amount of bones and finds the relatively flat facing position for being conducive to bonding, there may come a time when that exposed position is unfavorable for traction therapeutic. Secondly, lead is inappropriate, attached gingiva or edge bone loss or traction failure may cause.In addition, clinically used lead Leading-in device is mostly finished product tongue side button, bracket or temporarily bends component, cannot accomplish most preferably to be bonded with the facing form of impacted tooth, is resisted Shearing force is low, and traction device falls off frequent occurrence, needs second operation, is bonded traction device again, increase patient wound, Pain and expense, are easy to happen doctor-patient dispute.Finally, the thickness of tongue side button or bracket can not change, for exposure position compared with Deep situation is easy compressing gum in distraction procedure and causes inflammation etc..
Summary of the invention
Present invention solves the technical problem that being to overcome the deficiencies of existing technologies, a kind of titanium alloy of 3 D-printing is provided Impacted tooth individuation draws attachment.
To achieve the above object, the invention provides the following technical scheme:
A kind of impacted tooth individuation of the titanium alloy of 3 D-printing draws attachment, including traction component, impacted tooth main body and Other tooth main bodies, the traction component include that impacted tooth main body is arranged in traction main body and draw hook, the traction main body Surface, wherein the medial surface of traction main body is bonded with the surface of impacted tooth main body, the surface of other tooth main bodies is provided with Orthodontic wire, the draw hook is arranged in traction main body and is located at far from impacted tooth body side close to the position at middle part, and draws One end of hook side surface corresponding with traction main body is connected and fixed, the other end of the draw hook and other tooth main body tables The orthodontic wire in face is welded and fixed.
Preferably, multiple grooves, the traction is arranged in traction main body inner surface corresponding with impacted tooth main body Main body far from impacted tooth body side other surfaces be smooth surface, it is described traction main body with a thickness of be higher than patient's impacted tooth Main body surrounding gum 1mm.
Preferably, the traction main body and draw hook are an integral molding structure, and the traction main body and draw hook are logical Three-dimensional printing technology composition is crossed, the traction main body and draw hook are that the titanium alloy material composition draw hook surface is smooth, The major axes orientation of the draw hook is consistent with lead is resetted.
Preferably, the quantity of the groove is at least two groups, and is in grid on the surface of traction main body and impacted tooth main body Shape distribution.
Compared with prior art, the beneficial effects of the present invention are: the impacted tooth individuation of the titanium alloy of the 3 D-printing is led Draw attachment, most preferably draw the best biomechanical principle for pulling out path according to block teeth, the bonding site of design traction attachment and Lead determines best traction accessory main body concrete position and best draw hook position.Based on titanium alloy material, according to most The design scheme of good traction accessories apparatus, prints traction accessory main body, the draw hook being extremely bonded with corresponding facing, wherein Draw accessory main body, draw hook is integral type.It may be implemented extremely to be bonded with facing, it is not easily to fall off after bonding;Titanium alloy For material compared with traditional stainless steel, histocompatbility is obviously superior, is less prone to soft, sclerous tissues' inflammatory reaction;Integral type Structure is stronger, is less prone to phenomenon of rupture.
Detailed description of the invention
Fig. 1 is that structure of the invention draws schematic diagram;
Fig. 2 is structural schematic diagram of the invention;
Fig. 3 is structure sectional view of the invention.
In figure: 1 traction component, 2 traction main bodys, 3 draw hooks, 4 impacted tooth main bodys, 5 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.
Fig. 1-3 is please referred to, the present invention provides a kind of technical solution:
A kind of impacted tooth individuation traction attachment of the titanium alloy of 3 D-printing, including traction component 1, impacted tooth main body 4 With other tooth main bodies, the traction component 1 includes traction main body 2 and draw hook 3, and the traction main body 1 is arranged in impacted tooth The surface of main body 4, wherein the medial surface of traction main body 2 is bonded with the surface of impacted tooth main body 4, the table of other tooth main bodies Face is provided with orthodontic wire, and the draw hook 3 is arranged in traction main body 2 and is located at far from 4 side of impacted tooth main body close to middle part Position, and one end of draw hook 3 is connected and fixed with the corresponding side surface of traction main body 2, the other end of the draw hook 3 with The orthodontic wire on other tooth main body surfaces is welded and fixed.
As a kind of technical optimization scheme of the invention, 2 inside corresponding with impacted tooth main body 4 table of traction main body Multiple grooves 5 are arranged in face, and other surfaces of the traction main body 2 far from 4 side of impacted tooth main body are smooth surface, the traction Main body 2 with a thickness of be higher than 4 surrounding gum 1mm of patient's impacted tooth main body.
As a kind of technical optimization scheme of the invention, the traction main body 2 and draw hook 3 are an integral molding structure, The traction main body 2 and draw hook 3 are made up of three-dimensional printing technology, and the traction main body 2 and draw hook 3 are titanium alloy Material is constituted, and 3 surface of draw hook is smooth, and the major axes orientation of the draw hook 3 is consistent with lead is resetted.
As a kind of technical optimization scheme of the invention, the quantity of the groove 5 is at least two groups, and in traction main body 2 It distributes as net shape with the surface of impacted tooth main body 4.
Working principle: when people use when people use the impacted tooth individuation traction of the titanium alloy of the 3 D-printing attached Part, firstly, pre-operative surgical programme planning.Patient maxilla CT, format are DICOMS format, and it is soft that CT data are imported design Three-dimensional reconstruction is carried out in part Mimics, depicts important anatomical structure respectively, after evading damage, is cured by surgeon and correction It takes root according to biomechanical principle, carries out best traction protocols design jointly, and surgery planning is exported as into STL formatted file.
Then, traction component 1 designs.In 2013 software of Geomagic studio, designed according to best traction protocols, The traction main body 2 and draw hook 3 of design personalized, wherein traction main body 2 is 3 D-printing personalization form, by that will draw master Body 2 fits with impacted tooth main body 4, wherein the bonding position of traction main body 2 and impacted tooth main body is impacted tooth body surfaces Best force part, and the groove 5 to distribute as net shape is opened up on surface, convenient for drawing the cemented retention of main body 2;Traction master Other each faces of body 2 are smooth surface, avoid the discomfort for causing patient;Expected gum 1mm is uniformly higher than using traction main body 2 Thickness so that traction main body 2 use and human body to tooth aclusion interfere.And by the setting of draw hook 3 in traction main body 2 To pairing extension, so that the major axes orientation of draw hook 3 is consistent with lead, while draw hook 3 is the smooth titanium in surface Alloy material is constituted, and draw hook 3 is welded on and is fixed on the orthodontic wire on other tooth main body surfaces.
Finally, realizing 3 D-printing and finishing polishing.Using electron beam melting forming method, Sweden Arcam Q10 is utilized Titanium alloy three-dimensional printer, powder material are the Ti-6A1-4V of medical expensive sum, complete 3 D-printing, cooling, blow down extra powder with air pressure gun End, polishing, polishing, finishing etc., then carries out mechanical meaurement, sterilization, final high temperature autoclave sterilization simultaneously carries out implantation material Sterilizing double casing is carried out after Biological Detection.
So that 10 points of the traction component fitting, it is not easily to fall off, and histocompatbility more preferably, be less prone to hard and soft tissue Inflammation, while form is irregular, it is corresponding with exposure facing, highly it is higher than gingival edge, prevents the secondary closing of gum, and make The major axes orientation of draw hook 3 is consistent with tractive force direction, reduces 3 fracture probability of draw hook, because of efficiency before maximizing.
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 (4)

1. a kind of impacted tooth individuation of titanium alloy of 3 D-printing draws attachment, including traction component (1), impacted tooth main body (4) and other tooth main bodies, it is characterised in that: the traction component (1) includes traction main body (2) and draw hook (3), described to lead Draw main body (1) setting on the surface of impacted tooth main body (4), wherein the table of the medial surface of traction main body (2) and impacted tooth main body (4) Face paste is closed, and the surface of other tooth main bodies is provided with orthodontic wire, and draw hook (3) setting is remote in traction main body (2) It is located at from impacted tooth main body (4) side close to the position at middle part, and one end of draw hook (3) is corresponding with traction main body (2) One side surface is connected and fixed, and the other end of the draw hook (3) and the orthodontic wire on other tooth main body surfaces are welded and fixed.
2. a kind of impacted tooth individuation of the titanium alloy of 3 D-printing according to claim 1 draws attachment, feature exists In: the multiple grooves (5) of traction main body (2) the inner surface setting corresponding with impacted tooth main body (4), the traction main body (2) far from impacted tooth main body (4) side other surfaces be smooth surface, it is described traction main body (2) with a thickness of be higher than patient Impacted tooth main body (4) surrounding gum 1mm.
3. a kind of impacted tooth individuation of the titanium alloy of 3 D-printing according to claim 1 draws attachment, feature exists In: the traction main body (2) and draw hook (3) are an integral molding structure, and the traction main body (2) and draw hook (3) are logical Three-dimensional printing technology composition is crossed, the traction main body (2) and draw hook (3) are that titanium alloy material is constituted, the draw hook (3) Surface is smooth, and the major axes orientation of the draw hook (3) is consistent with lead is resetted.
4. a kind of impacted tooth individuation of the titanium alloy of 3 D-printing according to claim 1 draws attachment, feature exists In: the quantity of the groove (5) is at least two groups, and on grid-shaped point of the surface of traction main body (2) and impacted tooth main body (4) Cloth.
CN201910035934.1A 2019-01-15 2019-01-15 A kind of impacted tooth individuation traction attachment of the titanium alloy of 3 D-printing Pending CN109662787A (en)

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110974453A (en) * 2019-12-25 2020-04-10 中国医科大学附属口腔医院 Digitization method for designing traction direction of embedded tooth by matching with 3D printing model
CN111728721A (en) * 2020-06-29 2020-10-02 四川大学 Traction device and correction method for impacted upper anterior teeth

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2897189Y (en) * 2006-03-27 2007-05-09 徐葆琛 Impacted tooth guiding-out device
CN103330600A (en) * 2013-07-08 2013-10-02 季骏 Multifunctional traction correction appliance for embedded tooth
KR101723674B1 (en) * 2016-12-09 2017-04-05 정유미 Lingual orthodontic system
CN108378939A (en) * 2018-03-12 2018-08-10 保定翰阳科技有限公司 A kind of special draw hook of customized type invisible orthotic device and its design method
CN211534896U (en) * 2019-01-15 2020-09-22 上海交通大学医学院附属第九人民医院 Individual traction accessory for three-dimensional printed embedded teeth made of titanium alloy

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2897189Y (en) * 2006-03-27 2007-05-09 徐葆琛 Impacted tooth guiding-out device
CN103330600A (en) * 2013-07-08 2013-10-02 季骏 Multifunctional traction correction appliance for embedded tooth
KR101723674B1 (en) * 2016-12-09 2017-04-05 정유미 Lingual orthodontic system
CN108378939A (en) * 2018-03-12 2018-08-10 保定翰阳科技有限公司 A kind of special draw hook of customized type invisible orthotic device and its design method
CN211534896U (en) * 2019-01-15 2020-09-22 上海交通大学医学院附属第九人民医院 Individual traction accessory for three-dimensional printed embedded teeth made of titanium alloy

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110974453A (en) * 2019-12-25 2020-04-10 中国医科大学附属口腔医院 Digitization method for designing traction direction of embedded tooth by matching with 3D printing model
CN111728721A (en) * 2020-06-29 2020-10-02 四川大学 Traction device and correction method for impacted upper anterior teeth

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