Summary of the invention
In view of the foregoing deficiencies of prior art, the purpose of the present invention is to provide a kind of maxillary teeth guidance ascending branches to reset
And the construction method of fixed guide plate, for solving the problems of the prior art.
In order to achieve the above objects and other related objects, one aspect of the present invention provide a kind of maxillary teeth guidance ascending branch reset and
The construction method of fixed guide plate model, comprising:
It is constructed based on jawbone threedimensional model, maxillary teeth threedimensional model and lower jaw tooth threedimensional model and obtains three-dimensional fusion model,
It include Mandibular Rumas fixed area on the jawbone threedimensional model;
Based on maxillary teeth outer surface, building obtains area in place;
Based on Mandibular Rumas outer surface, hole location area, the hole location are obtained around the building of Mandibular Rumas fixed area
Area is extended to the rear of Mandibular Rumas by the leading edge of Mandibular Rumas;
Lower jaw simoid notch based on Mandibular Rumas constructs hole location area buckling parts;
Interconnecting piece is constructed, the interconnecting piece is connected with hole location area and area in place respectively, and is located at hole location area and area in place
Outside.
In some embodiments of the present invention, the jawbone threedimensional model includes maxilla and mandibular.
In some embodiments of the present invention, three-dimensional fusion model is based at least three datum mark and is merged, the benchmark
Click one of canine tooth freely, premolar teeth, the cusp ground one's teeth in sleep, mamelon on corona or a variety of combinations.
In some embodiments of the present invention, the area in place with a thickness of 2~3mm, the hole location area with a thickness of 2~
3mm。
In some embodiments of the present invention, the length of the interconnecting piece is 15~20mm.
In some embodiments of the present invention, further includes: building runs through the positioning region in hole location area in hole location area.
Another aspect of the present invention provides the preparation method of a kind of maxillary teeth guidance ascending branch reset and fixed guide plate, the side
Method includes: the maxillary teeth that the construction method building for the guide plate model for resetting and fixing according to the maxillary teeth guidance ascending branch obtains
The guide plate model for guiding ascending branch to reset and fix prepares maxillary teeth guidance ascending branch reset and fixed guide plate.
Another aspect of the present invention provides a kind of guide plate that maxillary teeth guidance ascending branch is resetted and fixed, and is drawn by the maxillary teeth
It leads ascending branch reset and the construction method building for the guide plate model fixed obtains or by the maxillary teeth guidance ascending branch reset and admittedly
The preparation method of fixed guide plate prepares.
Another aspect of the present invention provides a kind of computer readable storage medium, is stored thereon with computer program, feature
It is, the maxillary teeth guidance ascending branch reset and the building of fixed guide plate model is realized when described program is executed by processor
The step of preparation method of the step of method or maxillary teeth guidance ascending branch reset and fixed guide plate.
Another aspect of the present invention provides a kind of equipment, comprising: processor and memory, the memory are calculated for storing
Machine program, the processor are used to execute the computer program of the memory storage, so that upper described in equipment execution
Jaw tooth guide ascending branch reset and the step of the construction method of fixed guide plate model or the maxillary teeth guidance ascending branch reset and
The step of preparation method of fixed guide plate.
Another aspect of the present invention provides a kind of guide plate that maxillary teeth guidance ascending branch is resetted and fixed, including for being bonded the upper jaw
The part in place of tooth, the hole location part for being bonded Mandibular Rumas outer surface, the hole location part are fixed equipped with Mandibular Rumas
Region utensil receiving opening, the utensil receiving opening are opened wide from the middle part of hole location part to lower jaw angular direction, and the jawbone incisura side of the hole location part is also set
There is the fastener for fastening jawbone incisura, connected between the part in place and hole location part by connector, on the hole location part
Equipped with the location hole for running through the hole location part.
In some embodiments of the present invention, part in place is fitted closely at least part of maxillary teeth, the thickness of part in place
For 2~3mm.
In some embodiments of the present invention, the shape of the shape of binding face and Mandibular Rumas outer surface on the inside of hole location part
Shape matches, hole location part with a thickness of 2~3mm.
In some embodiments of the present invention, the location hole runs through hole location part, and the hole location part is equipped with multiple positioning
Hole.
In some embodiments of the present invention, the location hole is uniformly distributed on hole location part, and location hole is cylindrical hole
Hole, diameter are 1.8~2.2mm.
In some embodiments of the present invention, the connector extends along the lateral surface of hole location part and/or part in place, by it
Extending direction, the length of the connector are 15~20mm.
In some embodiments of the present invention, described connector one end is connected with part in place, and the other end is leaned on hole location part
The leading edge side connection of nearly Mandibular Rumas.
In some embodiments of the present invention, the connector is cylinder, and the diameter of the cylinder is 4~6mm.
In some embodiments of the present invention, the fastener is detour shape, fastener with a thickness of 2~3mm.
Specific embodiment
Inventor passes through a large amount of practical studies, provides a kind of new maxillary teeth guidance ascending branch and resets and fixed
The construction method of guide plate, the constructed maxillary teeth guidance ascending branch obtained reset and fixed guide plate can mandibular is minimally invasive,
Stablize, simply accurately restore and be fixed on original position, completes the present invention on this basis.
First aspect present invention provides the construction method of a kind of maxillary teeth guidance ascending branch reset and fixed guide plate model, packet
It includes:
S1 three-dimensional fusion mould) is obtained based on jawbone threedimensional model, maxillary teeth threedimensional model and the building of lower jaw tooth threedimensional model
Type includes Mandibular Rumas fixed area on the jawbone threedimensional model;
S2 it) is based on maxillary teeth outer surface, building obtains area in place;
S3 it) is based on Mandibular Rumas outer surface, obtains hole location area, the hole around the building of Mandibular Rumas fixed area
Position area is extended to the rear of Mandibular Rumas by the leading edge of Mandibular Rumas;
S4) based on the sigmoid incisure of mandible of Mandibular Rumas, hole location area buckling parts is constructed;
S5 interconnecting piece) is constructed, the interconnecting piece is connected with hole location area and area in place respectively, and positioned at hole location area and in place
On the outside of area.
Maxillary teeth guidance ascending branch provided by the present invention resets and the construction method of fixed guide plate model, may include:
Jawbone threedimensional model is obtained, includes Mandibular Rumas fixed area on the jawbone threedimensional model.The jawbone threedimensional model is logical
It is obtained after often software being imported by CT data, specifically can be the software such as Medraw, mimics, the jawbone is usual
It may include the positions such as maxilla, mandibular.The Mandibular Rumas fixed area is usually located at the outside of Mandibular Rumas, leads to
It is frequently located in the middle part on the outside of Mandibular Rumas, and the angle of mandible on the outside of Mandibular Rumas can be extended to, is generally corresponded to down
Jawbone repairs position, is attached for mandible growth position to be retained part with mandibular.
Maxillary teeth guidance ascending branch provided by the present invention resets and the construction method of fixed guide plate model, may include:
Obtain maxillary teeth threedimensional model and lower jaw tooth threedimensional model.When obtaining maxillary teeth threedimensional model and/or lower jaw tooth threedimensional model, lead to
Often can by upper lower jaw tooth modulus (for example, by perfusion plaster cast), scan model (for example, passing through laser scanning), thus
Lower jaw point cloud data (passing through a coordinate record model surface data), imports software for point cloud data, is converted into three in acquisition
Angle patch model, and repairing model surface, to generate maxillary teeth threedimensional model and lower jaw tooth threedimensional model, model file format
It can be STL, specifically can be the software such as Medraw, 3-matic, Geomagic, matlab.The maxillary teeth three-dimensional mould
Type includes maxillary teeth and its periodontium etc., and the lower jaw tooth threedimensional model includes lower jaw tooth and its periodontium etc..
Maxillary teeth guidance ascending branch provided by the present invention resets and the construction method of fixed guide plate model, may include:
Three-dimensional fusion model is obtained based on jawbone occlusion position threedimensional model, maxillary teeth threedimensional model and the building of lower jaw tooth threedimensional model.By
Tooth portion and its peripheral soft tissues generally can not be accurately reflected in jawbone occlusion position threedimensional model is really structure, and there are larger mistakes
Difference is combined so needing maxillary teeth threedimensional model and lower jaw tooth threedimensional model being engaged position threedimensional model with jawbone, thus
Obtain more accurate jaw portion entirety threedimensional model.In fusion, generally require for example, at least to merge based on multiple datum marks
Three datum marks are registrated, so as to more efficiently promote accuracy, these datum marks can be dental surface index point, example
It such as can be canine tooth, premolar teeth, the cusp ground one's teeth in sleep, the mamelon on corona.
Maxillary teeth guidance ascending branch provided by the present invention resets and the construction method of fixed guide plate model, may include:
Based on maxillary teeth outer surface, building obtains area in place.The area in place is typically based on the building of maxillary teeth outer surface and obtains, for example,
It can be based on maxillary teeth outer surface, construct the area's binding face in place being bonded with maxillary teeth outer surface, area's binding face in place is logical
It is often fitted closely with maxillary teeth outer surface, further according to area's binding face in place, to binding face lateral direction, (area's binding face i.e. in place is anti-
To in the direction of maxillary teeth outer surface) extend, area in place is obtained to construct, the distance of extension can be 2~3mm.Extend
The thickness in the usually corresponding mandible reconstruction resting guide area in place of distance, usually, the distance that area's each section in place extends
Can be of substantially equal, so that the thickness of the guide plate plate body formed is uniform.
Maxillary teeth guidance ascending branch provided by the present invention resets and the construction method of fixed guide plate model, may include:
Based on Mandibular Rumas outer surface, hole location area is obtained around the building of Mandibular Rumas fixed area, the hole location area is by lower jaw
The leading edge of bone ascending branch extends to the rear of Mandibular Rumas.The hole location area is typically based on the building of Mandibular Rumas outer surface and obtains
, for example, Mandibular Rumas outer surface can be based on, building obtains hole location area binding face, and hole location area binding face can be with
The rear of Mandibular Rumas is extended to by the leading edge of Mandibular Rumas, hole location area binding face is usually and on the outside of Mandibular Rumas
The corresponding position in surface fits closely, further according to hole location area binding face, to binding face lateral direction (i.e. hole location area binding face
Be in reverse to the direction of jawbone occlusion position threedimensional model) extend, obtain hole location area to construct, the distance of extension can for 2~
3mm.Since Mandibular Rumas fixed area is usually located at the outside of Mandibular Rumas, and it is located at the middle part on the outside of Mandibular Rumas
And the angle of mandible on the outside of Mandibular Rumas can be extended to, so hole location area usually can be on the outside of Mandibular Rumas close to lower jaw
Incisura side extends, to form "Ji" type.
Maxillary teeth guidance ascending branch provided by the present invention resets and the construction method of fixed guide plate model, may include:
Mandibular notch based on Mandibular Rumas constructs hole location area buckling parts.Hole location area buckling parts is typically based on Mandibular Rumas
Mandibular notch construct and obtain, for example, can based on the mandibular notch outer surface of Mandibular Rumas, by hole location area binding face into
One step extends, to obtain buckling parts binding face around mandibular notch building, the buckling parts binding face is usually by mandibular notch
Outside (side of hole location area binding face is built on Mandibular Rumas) extends to inside (the i.e. Mandibular Rumas of mandibular notch
The upper unstructured side for having hole location area binding face), the buckling parts binding face is usually fitted closely with mandibular notch surface, then root
According to buckling parts binding face, to binding face lateral direction (i.e. buckling parts binding face is in reverse to the direction that jawbone is engaged position threedimensional model)
Extend, obtains hole location area buckling parts to construct, the distance of extension can be 2~3mm.
Maxillary teeth guidance ascending branch provided by the present invention resets and the construction method of fixed guide plate model, may include:
Interconnecting piece is constructed, the interconnecting piece is connected with hole location area and area in place respectively, and is located on the outside of hole location area and area in place.It is described
Interconnecting piece usually connects hole location area and area in place, is usually located on the outside of hole location area and area in place and (is in reverse to jawbone occlusion position three
The direction of dimension module), it can usually extend along the lateral surface in hole location area and/or area in place, by its extending direction, the interconnecting piece
Length can be 15~20mm.In a preferred embodiment, the interconnecting piece is cylinder.
Maxillary teeth guidance ascending branch provided by the present invention resets and the construction method of fixed guide plate model, may include:
Building runs through the positioning region in hole location area in hole location area.The positioning region is typically opening through hole location area, and Ji You hole location is prolonged on the outside of area
The inside in hole location area is extended to, the positioning region can be usually uniformly distributed in hole location area, and positioning region can be cylindrical cavity,
Diameter can be 1.7~2.0mm.
Second aspect of the present invention provides the preparation method of a kind of maxillary teeth guidance ascending branch reset and fixed guide plate, the side
Method includes: the construction method that provided maxillary teeth guides ascending branch reset and fixed guide plate model according to a first aspect of the present invention
The maxillary teeth guidance ascending branch that building obtains resets and fixed guide plate model, prepares maxillary teeth guidance ascending branch and resets and fixed lead
Plate.It is resetted according to the maxillary teeth guidance ascending branch and the construction method of fixed guide plate model constructs the maxillary teeth guidance obtained
Ascending branch resets and fixed guide plate prepares the method for maxillary teeth guidance ascending branch reset and fixed guide plate for those skilled in the art
It should be known for member, for example, can be using the methods of 3D printing, used material can be photosensitive resin etc..
Third aspect present invention provides a kind of guide plate that maxillary teeth guidance ascending branch is resetted and fixed, and the maxillary teeth guidance rises
Zhi Fuwei and the guide plate of fixation can be the guidance ascending branch of the maxillary teeth as provided by the first aspect present invention and reset and consolidate
Fixed guide plate model construction method building obtain or the maxillary teeth as provided by second aspect of the present invention guidance ascending branch reset and
The preparation method of fixed guide plate prepares.
Fourth aspect present invention provides a kind of guide plate that maxillary teeth guidance ascending branch is resetted and fixed, as shown in Figure 1, including using
In part in place 1, the hole location part 3 for being bonded Mandibular Rumas outer surface of fitting maxillary teeth, the hole location part 3 is equipped with down
Jawbone ascending branch fixed area utensil receiving opening 7, the utensil receiving opening are opened wide from 3 middle part of hole location part to lower jaw angular direction, the hole location part 3
Jawbone incisura side is additionally provided with the fastener 4 for fastening jawbone incisura, and described 1 in place passes through connector 2 between hole location part 3
Connection, the hole location part 3 are equipped with the location hole 5 through the hole location part 3.Described in construction method as described above,
The part in place usually can be closely adhered in maxillary teeth, and the hole location part can fit in Mandibular Rumas outer surface, and two
It is connected between person by connector, can be convenient at the time of surgery, in place, be not necessarily to additional exposure non-surgical, accurately determine
Relative positional relationship between maxillary dentition and ascending branch and condyle are prominent, the presence of utensil receiving opening, so that hole location part is by Mandibular Rumas
Leading edge extends to sigmoid incisure of mandible, and the rear of Mandibular Rumas is further extended to by sigmoid incisure of mandible, so that
Hole location part forms " several " font, can be attached in order to which mandible growth position is retained part with mandibular in art.
In maxillary teeth guidance ascending branch reset provided by the present invention and fixed guide plate, part 1 in place usually usually can be tight
It is closely connected together at least part of maxillary teeth, the size of the thickness direction (perpendicular to the direction of maxillary teeth binding face) of part in place can be with
For 2~3mm, to be placed in operative site with can be convenient during surgery.
Maxillary teeth provided by the present invention guidance ascending branch reset and fixed guide plate in, hole location part 3 its inside binding face is (i.e.
Hole location part 3 is used to be bonded the side of Mandibular Rumas) shape usually matched with the shape of Mandibular Rumas outer surface, from
And can be closely adhered in the outside of at least part of Mandibular Rumas, the thickness direction of hole location part 3 is (perpendicular to Mandibular Rumas
The direction of binding face) size can be 2~3mm, to be placed in operative site with can be convenient during surgery.The location hole
5 can run through hole location part 3, it can by hole location part 3, its inside binding face extends to the other side, can be on the hole location part 3
Equipped with one or more location holes 5, preferably several location holes 5, so as to steadily fixed hole position part 3.The location hole 5
It can be usually uniformly distributed on hole location part 3, location hole 5 can be cylindrical cavity, and diameter can be 1.8~2.2mm, thus
It can be with uniform stressed.
In maxillary teeth guidance ascending branch reset provided by the present invention and fixed guide plate, the connector usually can be along hole
The lateral surface of position part 3 and/or part 1 in place extends, and by its extending direction, the length of the connector can be 15~20mm,
One end can be connected with part 1 in place, and the other end can be connect with hole location part 3 close to the leading edge side of Mandibular Rumas.At this
It invents in a preferred embodiment, the connector is cylinder, and the diameter of the cylinder can be 4~6mm.
In maxillary teeth guidance ascending branch reset provided by the present invention and fixed guide plate, the fastener 4 can be detour
Shape, so as to extend to mandibular notch by (can be bonded the side of hole location part 3 on Mandibular Rumas) on the outside of mandibular notch
Inside (i.e. relative to the other side on the outside of it on Mandibular Rumas), so as to be fastened on jawbone incisura.The thickness of fastener 4
The size for spending direction (perpendicular to the direction of 4 binding face of fastener) can be 2~3mm, to set with can be convenient during surgery
In operative site, in order to closely fasten.
Fifth aspect present invention provides a kind of computer readable storage medium, is stored thereon with computer program, the journey
The guide plate model that the guidance ascending branch of maxillary teeth provided by first aspect present invention is resetted and fixed is realized when sequence is executed by processor
Construction method the step of or second aspect of the present invention provided by maxillary teeth guidance ascending branch reset and the preparation of fixed guide plate
The step of method.
Another aspect of the present invention provides a kind of equipment, comprising: processor and memory, the memory are calculated for storing
Machine program, the processor are used to execute the computer program of memory storage, so that the equipment executes the present invention the
Maxillary teeth provided by one side guides the step of construction method of ascending branch reset and fixed guide plate model or the present invention second
Maxillary teeth provided by aspect guides the step of preparation method of ascending branch reset and fixed guide plate.
What the construction method and its building of maxillary teeth guidance ascending branch reset provided by the present invention and fixed guide plate obtained
Maxillary teeth guidance ascending branch resets and fixed guide plate facilitates in place, is not necessarily to additional exposure non-surgical, and guide plate area in place is solid
Be scheduled on patient's maxillary dentition, hole location area is fastened on Ipsilateral ascending branch, by the middle part of guide plate connecting rod transmitting maxillary dentition and ascending branch and
Relative positional relationship between condyle is prominent makes Mandibular Rumas and condyle dash forward and accurately resets and be fixed on original position, have in art
There is the features such as minimally invasive, stable, simple accurate, there is good industrialization prospect.
Illustrate embodiments of the present invention below by way of specific specific example, those skilled in the art can be by this specification
Other advantages and efficacy of the present invention can be easily understood for disclosed content.The present invention can also pass through in addition different specific realities
The mode of applying is embodied or practiced, the various details in this specification can also based on different viewpoints and application, without departing from
Various modifications or alterations are carried out under spirit of the invention.