CN109662788A - A kind of impacted tooth individuation fenestration guide plate based on three-dimensional printing technology - Google Patents

A kind of impacted tooth individuation fenestration guide plate based on three-dimensional printing technology Download PDF

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Publication number
CN109662788A
CN109662788A CN201910036432.0A CN201910036432A CN109662788A CN 109662788 A CN109662788 A CN 109662788A CN 201910036432 A CN201910036432 A CN 201910036432A CN 109662788 A CN109662788 A CN 109662788A
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CN
China
Prior art keywords
guide plate
tooth
locating piece
dimensional printing
printing technology
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.)
Withdrawn
Application number
CN201910036432.0A
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Chinese (zh)
Inventor
于德栋
聂萍
王旭东
朱敏
安庆龙
邹凡
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
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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Application filed by Ninth Peoples Hospital Shanghai Jiaotong University School of Medicine filed Critical Ninth Peoples Hospital Shanghai Jiaotong University School of Medicine
Priority to CN201910036432.0A priority Critical patent/CN109662788A/en
Publication of CN109662788A publication Critical patent/CN109662788A/en
Withdrawn legal-status Critical Current

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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
    • A61B34/20Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • 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
    • A61B34/20Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • A61B2034/2068Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis using pointers, e.g. pointers having reference marks for determining coordinates of body points

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  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Surgery (AREA)
  • Materials Engineering (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Manufacturing & Machinery (AREA)
  • Chemical & Material Sciences (AREA)
  • Epidemiology (AREA)
  • Dentistry (AREA)
  • Oral & Maxillofacial Surgery (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, specially a kind of impacted tooth individuation fenestration guide plate based on three-dimensional printing technology, the impacted tooth individuation fenestration guide plate based on three-dimensional printing technology, using three-dimensional printing technology, based on titanium alloy material, according to best traction design scheme, the fenestration positioning guide plate based on tooth-borne type is printed.The guide plate component is positioned by impacted tooth periphery tooth, and firm not loosen, the positioning through hole in other end lead ring portion outstanding is fitted closely with bone face, irises out quasi- windowing position;Guide plate component is constituted using titanium alloy material, compared with traditional stainless steel, histocompatbility is obviously superior, is less prone to soft, sclerous tissues' inflammatory reaction;For titanium alloy material guide plate compared with resin material guide plate, volume is more frivolous, and thickness is smaller, be more suitable for backteeth grind one's teeth in sleep area small space operation;The structure of integral type is stronger, is less prone to phenomenon of rupture.It is most preferably drawn according to block teeth and pulls out path, determine best fenestration position.

Description

A kind of impacted tooth individuation fenestration guide plate based on three-dimensional printing technology
Technical field
The present invention relates to field of medical technology, specially a kind of impacted tooth individuation fenestration based on three-dimensional printing technology Guide plate.
Background technique
Impacted tooth refers to that the tooth eruption phase is already expired, but tooth fails the tooth of complete eruption.The impacted is clinically non- A kind of mouth disease usually seen, easily causes a series of complication, for example, recurrent exerbation pericoronitis, cause adjacent teeth dental caries bad or Lopsided recurrence, food impaction, oral peculiar smell etc. after inclination, acceleration correction.Common impacted tooth can be by surgical operation side Method is pulled out, but with the close impacted tooth of vital tissues structural relation such as nervus alverlaris vascular bundles, upper jaw sinus cavities, Cotunnius' nerve The risk directly pulled out is very high, is easy to damage surrounding important structures, or the post-surgical trauma of extraction is very big.It is opened using surgical operation Window, expose portion block teeth, the method for combining Orthodontic traction is one of optimal treatment method.It is past during surgical exposure It is not accurate toward using blind windowing, there is the site that opens a window, go the disadvantages of bone amount is inaccurate, and wound is big, and failure rate is high.
Impacted tooth often only has a small amount of tissue of tooth and is exposed to oral cavity, or is hidden completely in being unable to eruption in bone.In order to Quickly, effectively, safely impacted tooth traction is pulled out, generally requires to complete fenestration operation according to lead, is correctly drawing Under the action of power, tooth just can be pulled out more effectively by traction.
Summary of the invention
Present invention solves the technical problem that be to overcome the deficiencies of existing technologies, provide a kind of based on three-dimensional printing technology Impacted tooth individuation fenestration guide plate.
To achieve the above object, the invention provides the following technical scheme:
A kind of impacted tooth individuation fenestration guide plate based on three-dimensional printing technology, including guide plate component, the guide plate group Part includes retention terminal and lead ring portion, and the side of retention terminal is arranged in the lead ring portion, and the lead ring portion includes locating piece and positioning Through-hole, the locating piece are connected and fixed close to the side of retention terminal sidewall surfaces corresponding with retention terminal, the positioning through hole It is provided with the inside of locating piece, the bottom surface of the retention terminal offers multiple opposite with the face of surrounding tooth around human body impacted tooth The alveolar part answered, the alveolar part are fixed on the outside in surrounding tooth face around human body impacted tooth, and wherein alveolar part is interior Surrounding tooth face paste is closed around wall and human body impacted tooth.
Preferably, the locating piece is an integral molding structure with retention terminal, and the retention terminal is consistent with Arch width Semi-circular shape part, wherein one end of the remotely located part of retention terminal and locating piece are provided with arc-shaped far from one end of retention terminal Chamfering, the fixing end and locating piece are that three-dimensional printing technology is constituted, and the fixing end and locating piece are titanium alloy material Material is constituted, and the thickness of the locating piece is 1mm, and the section of the fixing end is reverse frustoconic.
Preferably, the quantity of the alveolar part is at least two groups, and is in arc shaped successively linear rows in the bottom surface of fixing end Column.
It compared with prior art, the beneficial effects of the present invention are: should the impacted tooth individuation bone based on three-dimensional printing technology Open a window guide plate, using three-dimensional printing technology, is based on titanium alloy material, according to best traction design scheme, prints based on dental branches Hold the fenestration positioning guide plate of formula.The guide plate component is positioned by impacted tooth periphery tooth, and firm not loosen, the other end is outstanding The positioning through hole in lead ring portion is fitted closely with bone face, irises out quasi- windowing position;Guide plate component is constituted using titanium alloy material, with biography The stainless steel of system is compared, and histocompatbility is obviously superior, is less prone to soft, sclerous tissues' inflammatory reaction;Titanium alloy material guide plate with Resin material guide plate is compared, and volume is more frivolous, and thickness is smaller, be more suitable for backteeth grind one's teeth in sleep area small space operation;Integral type Structure is stronger, is less prone to phenomenon of rupture.Pre-operative surgical conceptual design most preferably draws according to block teeth and pulls out path, if The best bonding site of meter traction attachment and lead, determine best fenestration position, failure rate and traction are effectively reduced Device expulsion rate.
Detailed description of the invention
Fig. 1 is retention terminal schematic bottom view of the invention;
Fig. 2 is structure sectional view of the invention;
Fig. 3 is structural schematic diagram of the invention.
In figure: 1 guide plate component, 2 retention terminals, 3 lead ring portions, 4 locating pieces, 5 positioning through hole, 6 alveolar parts.
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 fenestration guide plate based on three-dimensional printing technology, including guide plate component 1, the guide plate group Part 1 includes retention terminal 2 and lead ring portion 3, and the side of retention terminal 2 is arranged in the lead ring portion 3, and the lead ring portion 3 includes locating piece 4 With positioning through hole 5, the locating piece 4 is connected and fixed close to the side of retention terminal 2 sidewall surfaces corresponding with retention terminal 2, institute The inside that positioning through hole 5 is provided with locating piece 4 is stated, the bottom surface of the retention terminal 2 offers multiple and human body impacted tooth front The corresponding alveolar part 6 in the face of mandibular dentition, the alveolar part 6 are fixed on the face of the mandibular dentition of human body impacted tooth front Outside, wherein the mandibular dentition face paste of the inner wall of alveolar part 6 and human body impacted tooth front is closed.
As a kind of technical optimization scheme of the invention, the locating piece 4 is an integral molding structure with retention terminal 2, described Retention terminal 2 be with the consistent semi-circular shape part of Arch width, wherein one end of the remotely located part 4 of retention terminal 2 and locating piece 4 are remote One end from retention terminal 2 is provided with circular arc chamfering, and the fixing end 2 and locating piece 4 are that three-dimensional printing technology is constituted, institute It states fixing end 2 and locating piece 4 is that titanium alloy material is constituted, the thickness of the locating piece 4 is 1mm, the fixing end 2 Section is reverse frustoconic.
As a kind of technical optimization scheme of the invention, the quantity of the alveolar part 6 is at least two groups, and in fixing end 2 Bottom surface in arc shaped successively linear array.
Working principle: when people use the impacted tooth individuation fenestration guide plate based on three-dimensional printing technology, firstly, suffering from Person shoots CT, thickness 0.625mm, and format is DICOMS format, and CT data are imported in design software Mimics and carry out Three-dimensional Gravity It builds, depicts important anatomical structure respectively, after evading damage, best traction side is carried out by surgeon and orthodontist jointly Case design, and surgery planning is exported as into STL formatted file.
Then, it in 2013 software of Geomagic studio, is designed according to best lead, runners, wherein Fixing end 2 is to fit closely, contact with tooth conjunction face, and the alveolar part 6 by being provided with 2 bottom surface of fixing end is fixed on tooth The strong fix of guide plate component 1 is realized in the face of tooth;Wherein lead ring portion 3 is and fits closely at jawbone windowing.Using locating piece 4 Interior surface opens up the mode that positioning through hole 5 constitutes lead ring portion 3, quasi- windowing position is irised out by positioning through hole 5, wherein as drawing The form of the positioning through hole 5 of pathway and the osteotomy form of quasi- windowing are completely the same, and entire 4 thickness of locating piece is 1mm thick Titanium alloy material is made.
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.
To obtain one kind, accurately fenestration guide plate, the retention terminal 2 of the guide plate component 1 are seated under impacted tooth front Jaw denture surface forms the retention terminal 2 of stable tooth-borne type guide plate component 1.The locating piece in the lead ring portion 3 of the guide plate component 1 It can be precisely bonded with the bone surface at the quasi- windowing position of corresponding jawbone, positioning through hole 5 and the jawbone contact site in lead ring portion 3 are For fenestration range.Surgeon can be cut by drill gun, small round bur or piezosurgery osteotomy etc. along positioning through hole, Ji Kejing Standard is cut into fenestration site.
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 (3)

1. a kind of impacted tooth individuation fenestration guide plate based on three-dimensional printing technology, including guide plate component (1), feature exists In: the guide plate component (1) includes retention terminal (2) and lead ring portion (3), and the lead ring portion (3) is arranged the one of retention terminal (2) Side, the lead ring portion (3) include locating piece (4) and positioning through hole (5), the locating piece (4) close to retention terminal (2) side with The corresponding sidewall surfaces of retention terminal (2) are connected and fixed, and the positioning through hole (5) is provided with the inside of locating piece (4), described solid The bottom surface at position end (2) offers multiple alveolar parts (6) corresponding with the face of human body impacted tooth periphery tooth, the alveolar part (6) it is fixed on the outside in human body impacted tooth periphery tooth face, wherein tooth around the inner wall and human body impacted tooth of alveolar part (6) Flank of tooth fitting.
2. a kind of impacted tooth individuation fenestration guide plate based on three-dimensional printing technology according to claim 1, feature Be: the locating piece (4) is an integral molding structure with retention terminal (2), and the retention terminal (2) is and Arch width consistent half Circular ring shape part, wherein one end of retention terminal (2) remotely located part (4) and locating piece (4) are all provided with far from the one end of retention terminal (2) Be equipped with circular arc chamfering, the fixing end (2) and locating piece (4) they are that three-dimensional printing technology is constituted, the fixing end (2) and Locating piece (4) is that titanium alloy material is constituted, and the thickness of the locating piece (4) is 1mm, and the section of the fixing end (2) is Reverse frustoconic.
3. a kind of impacted tooth individuation fenestration guide plate based on three-dimensional printing technology according to claim 1, feature Be: the quantity of the alveolar part (6) is at least two groups, and is in arc shaped successively linear array in the bottom surface of fixing end (2).
CN201910036432.0A 2019-01-15 2019-01-15 A kind of impacted tooth individuation fenestration guide plate based on three-dimensional printing technology Withdrawn CN109662788A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201910036432.0A CN109662788A (en) 2019-01-15 2019-01-15 A kind of impacted tooth individuation fenestration guide plate based on three-dimensional printing technology

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201910036432.0A CN109662788A (en) 2019-01-15 2019-01-15 A kind of impacted tooth individuation fenestration guide plate based on three-dimensional printing technology

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CN109662788A true CN109662788A (en) 2019-04-23

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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
CN115531014A (en) * 2022-12-01 2022-12-30 北京大学口腔医学院 Dental crown lengthening operation guide plate and manufacturing method thereof

Cited By (3)

* 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
CN115531014A (en) * 2022-12-01 2022-12-30 北京大学口腔医学院 Dental crown lengthening operation guide plate and manufacturing method thereof
CN115531014B (en) * 2022-12-01 2023-03-03 北京大学口腔医学院 Dental crown lengthening operation guide plate and manufacturing method thereof

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Application publication date: 20190423

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