CN110236712A - Surgical guide of Auto-dental transplantation preparation tooth socket and preparation method thereof and application - Google Patents
Surgical guide of Auto-dental transplantation preparation tooth socket and preparation method thereof and application Download PDFInfo
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- CN110236712A CN110236712A CN201910469038.6A CN201910469038A CN110236712A CN 110236712 A CN110236712 A CN 110236712A CN 201910469038 A CN201910469038 A CN 201910469038A CN 110236712 A CN110236712 A CN 110236712A
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- 238000002360 preparation method Methods 0.000 title claims abstract description 72
- 210000003781 tooth socket Anatomy 0.000 title claims abstract description 72
- 238000002054 transplantation Methods 0.000 title claims abstract description 49
- 238000013461 design Methods 0.000 claims abstract description 19
- 238000004458 analytical method Methods 0.000 claims description 20
- 210000000214 mouth Anatomy 0.000 claims description 18
- 210000002050 maxilla Anatomy 0.000 claims description 14
- 210000000988 bone and bone Anatomy 0.000 claims description 12
- 239000011505 plaster Substances 0.000 claims description 12
- 239000004053 dental implant Substances 0.000 claims description 8
- 238000004519 manufacturing process Methods 0.000 claims description 8
- 238000002591 computed tomography Methods 0.000 claims description 7
- 210000002455 dental arch Anatomy 0.000 claims description 6
- 229910052602 gypsum Inorganic materials 0.000 claims description 6
- 239000010440 gypsum Substances 0.000 claims description 6
- 239000011120 plywood Substances 0.000 claims description 4
- 238000010586 diagram Methods 0.000 description 33
- 238000010146 3D printing Methods 0.000 description 10
- 238000001356 surgical procedure Methods 0.000 description 10
- 230000002980 postoperative effect Effects 0.000 description 8
- 230000004308 accommodation Effects 0.000 description 6
- 238000005498 polishing Methods 0.000 description 6
- 238000004088 simulation Methods 0.000 description 6
- 239000000758 substrate Substances 0.000 description 6
- 238000005516 engineering process Methods 0.000 description 5
- 238000000034 method Methods 0.000 description 5
- 230000000694 effects Effects 0.000 description 4
- 210000004027 cell Anatomy 0.000 description 3
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 3
- 238000002156 mixing Methods 0.000 description 3
- 241001014327 Anodontia Species 0.000 description 2
- 206010002583 anodontia Diseases 0.000 description 2
- 230000005212 anodontia Effects 0.000 description 2
- 238000007408 cone-beam computed tomography Methods 0.000 description 2
- 210000003464 cuspid Anatomy 0.000 description 2
- 201000010099 disease Diseases 0.000 description 2
- 238000000605 extraction Methods 0.000 description 2
- 210000004283 incisor Anatomy 0.000 description 2
- 238000007689 inspection Methods 0.000 description 2
- 238000002690 local anesthesia Methods 0.000 description 2
- 238000011017 operating method Methods 0.000 description 2
- 230000003239 periodontal effect Effects 0.000 description 2
- 210000002379 periodontal ligament Anatomy 0.000 description 2
- 210000004261 periodontium Anatomy 0.000 description 2
- 238000007639 printing Methods 0.000 description 2
- 238000004393 prognosis Methods 0.000 description 2
- 210000003456 pulmonary alveoli Anatomy 0.000 description 2
- 208000006860 root resorption Diseases 0.000 description 2
- 238000007493 shaping process Methods 0.000 description 2
- 206010061218 Inflammation Diseases 0.000 description 1
- 208000002193 Pain Diseases 0.000 description 1
- 206010033372 Pain and discomfort Diseases 0.000 description 1
- 230000000712 assembly Effects 0.000 description 1
- 238000000429 assembly Methods 0.000 description 1
- 238000006243 chemical reaction Methods 0.000 description 1
- 239000003086 colorant Substances 0.000 description 1
- 230000007547 defect Effects 0.000 description 1
- 208000002925 dental caries Diseases 0.000 description 1
- 210000004262 dental pulp cavity Anatomy 0.000 description 1
- 210000004513 dentition Anatomy 0.000 description 1
- 238000001514 detection method Methods 0.000 description 1
- 238000011161 development Methods 0.000 description 1
- 230000018109 developmental process Effects 0.000 description 1
- 238000000338 in vitro Methods 0.000 description 1
- 238000001727 in vivo Methods 0.000 description 1
- 230000004054 inflammatory process Effects 0.000 description 1
- 230000007774 longterm Effects 0.000 description 1
- 201000001245 periodontitis Diseases 0.000 description 1
- 238000004321 preservation Methods 0.000 description 1
- 239000011347 resin Substances 0.000 description 1
- 229920005989 resin Polymers 0.000 description 1
- 230000021749 root development Effects 0.000 description 1
- 239000007787 solid Substances 0.000 description 1
- 238000012360 testing method Methods 0.000 description 1
- 230000036346 tooth eruption Effects 0.000 description 1
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C8/00—Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools
- A61C8/0089—Implanting tools or instruments
- A61C8/009—Implanting tools or instruments for selecting the right implanting element, e.g. templates
-
- G—PHYSICS
- G06—COMPUTING; CALCULATING OR COUNTING
- G06F—ELECTRIC DIGITAL DATA PROCESSING
- G06F30/00—Computer-aided design [CAD]
- G06F30/20—Design optimisation, verification or simulation
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- G—PHYSICS
- G06—COMPUTING; CALCULATING OR COUNTING
- G06F—ELECTRIC DIGITAL DATA PROCESSING
- G06F2119/00—Details relating to the type or aim of the analysis or the optimisation
- G06F2119/18—Manufacturability analysis or optimisation for manufacturability
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- Theoretical Computer Science (AREA)
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- Public Health (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Epidemiology (AREA)
- Veterinary Medicine (AREA)
- Dentistry (AREA)
- Life Sciences & Earth Sciences (AREA)
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- Dental Tools And Instruments Or Auxiliary Dental Instruments (AREA)
Abstract
The present invention relates to surgical guide of a kind of Auto-dental transplantation preparation tooth socket and preparation method thereof and applications, the surgical guide of the Auto-dental transplantation preparation tooth socket, it includes the biteplate being snapped on tooth, and the biteplate is equipped with several and extends in the longitudinal direction and hold the cylindrical channel that round bur penetrates；All cylindrical channels combine the shape to be formed and the root of the tooth shape of donor tooth matches, the present invention passes through the position of Virtual Reality Design donor tooth, design surgical guide or surgical guide assembly are to instruct by the preparation for planting tooth socket, surgical guide of the invention is to be not only simple in structure, and the preparation precision of host site tooth socket can be improved, so that the tooth socket of guidance preparation has matched degree；In addition the surgical guide can also be effectively ensured donor tooth and be engaged with host site matching.
Description
Technical field
The present invention relates to surgical guide of a kind of Auto-dental transplantation preparation tooth socket and preparation method thereof and applications.
Background technique
Auto-dental transplantation technology is same in vivo by the host site for dental implant to needs.Clinically, self tooth moves
Plant is usually used in defect of dentition caused by treating because of dental caries, periodontitis, disease of pulp of tooth or wound etc..The host site of transplanting can be i.e.
Carve the tooth socket pulled out or the tooth socket formed by surgery preparation.The tooth socket preparation of early stage will directly be made after pulling out for tooth
Tried on preparation repeatedly for template.However, the shortcomings that this technology is longer for tooth isolated time and to for sound of baby talk root
Pressure may damage and be attached to root surface periodontal film activity, and the activity of parodontium is to influence the pass of dental implant success rate
Key factor.
In recent years, digitlization guide plate is widely used to Auto-dental transplantation.Lee etc. proposes that appliance computer auxiliary is fast rapid-result
Type technology is fabricated for the model of tooth.The digitized image for tooth is obtained using CT scan, by CT data conversion at three-dimensional finite element
Data print the 3D model for tooth in conjunction with area of computer aided rapid shaping technique.In its clinical test, for tooth it is in vitro when
Between foreshorten to average 7.4 minutes.However, there are still a little uncertain factors in the operation.It is difficult in art really including surgical doctor
Fixed one for the optimal position of tooth and occlusion, the unsuitable excessive preparation that will inevitably lead to alveolar bone for tooth position
With a large amount of blendings to corona, while unsuitable occlusion strength also will affect the long-term prognosis for tooth.
Currently, Virtual Reality Design and rapid shaping technique have greatly facilitated the development of Auto-dental transplantation technology.So
And appliance computer virtual design to be to simulate the postoperative position of planted teeth, while carrying out tooth socket preparation using digitlization guide plate
Report not yet occur.
Summary of the invention
Preparation precision that is simple, can improving host site tooth socket that the purpose of the present invention is to provide a kind of structures simultaneously can be effective
Guarantee surgical guide of Auto-dental transplantation preparation tooth socket that donor tooth is engaged with host site matching and preparation method thereof and answers
With.
The purpose of the present invention is achieved through the following technical solutions: a kind of surgical guide of Auto-dental transplantation preparation tooth socket,
It includes biteplate, and the biteplate is equipped with sleeved part and plants tooth portion；The sleeved part is intended to carry out to plant at tooth for being sheathed on
At least on the tooth of side, the plant tooth portion is located above host site；The plant tooth portion of the biteplate is equipped with several along vertical
Extend and hold the cylindrical channel that round bur penetrates to direction；All cylindrical channels combine the root of the tooth of the shape to be formed Yu donor tooth
Shape matches.
The production method of the surgical guide of the Auto-dental transplantation preparation tooth socket, it the following steps are included:
One, Virtual Reality Design:
1) selection of donor tooth: to the tapered beam CT scan of patient's progress Maxillary region and image data importing digitalization is preoperative
In design software；It is marked by using digitlization Design software tracking donor tooth and from maxilla or mandibular, point
Donor tooth and analysis host site are analysed, to ensure that selected donor tooth can be matched with host site；
2) occlusion is simulated with position: according to the actual conditions in patient oral cavity, being made the oral cavity plaster cast of patient, is used 3D
Scanner is scanned oral cavity plaster cast, by obtained data importing digital Design software, at this point, maxilla
Or the denture part in mandibular is replaced by gypsum dental arch model, and carries out articulation registration；Then, preoperative set is being digitized
The donor tooth that step 1) selected is transferred to host site in meter software, the position of donor tooth is adjusted and is planted with matching occlusion
Area；
Two, design based on digital surgical guides:
A. in digitlization Design software, one is virtually generated according to the denture form of patient and is fixed on tooth
Biteplate；Then several cylindrical channels are generated to simulate the plantation round bur that operation uses, wherein the length of cylindrical channel
Degree, internal diameter and outer diameter are set according to the round bur that operation uses；Later, the cylindrical channel of generation is transferred on biteplate
Position corresponding with donor tooth adjusts the quantity of cylindrical channel and the tilt angle of each cylindrical channel, makes cylindrical logical
Road sufficiently covers neck portion and the root of the tooth of donor tooth, and must perform the operation guide plate die type；
B. the resulting surgical guide model of step a is output in 3D printer, prints to obtain to perform the operation through 3D printer and leads
Plate, the i.e. surgical guide of the Auto-dental transplantation preparation tooth socket.
The digitlization Design software is one of 3.0 software of Proplan CMF, mimics software.
In the selection of step 1) donor tooth, analysis donor tooth includes width, height and the corona and tooth for analyzing donor tooth
The ratio of root；Analysis host site include after analyzing the width of host site alveolar bone, depth and donor dental implant with adjacent teeth away from
From.
Application of the surgical guide in preparation Auto-dental transplantation tooth socket.
A kind of surgical guide assembly of Auto-dental transplantation preparation tooth socket, it includes several surgical guides；The operation
Guide plate includes biteplate, and the biteplate is equipped with sleeved part and plants tooth portion；The sleeved part is for being sheathed on plant tooth to be carried out
On place's at least tooth of side, the plant tooth portion is located above host site；The plant tooth portion of the biteplate is equipped at least one
Extend in the longitudinal direction and hold the cylindrical channel that round bur penetrates；Cylindrical channel on all surgical guides combines the shape to be formed
The root of the tooth shape of shape and donor tooth matches.
The production method of the surgical guide assembly of the Auto-dental transplantation preparation tooth socket, it the following steps are included:
One, Virtual Reality Design:
1) selection of donor tooth: to the tapered beam CT scan of patient's progress Maxillary region and image data importing digitalization is preoperative
In design software；It is marked by using digitlization Design software tracking donor tooth and from maxilla or mandibular, point
Donor tooth and analysis host site are analysed, to ensure that selected donor tooth can be matched with host site；
2) occlusion is simulated with position: according to the actual conditions in patient oral cavity, being made the oral cavity plaster cast of patient, is used 3D
Scanner is scanned oral cavity plaster cast, by obtained data importing digital Design software, at this point, maxilla
Or the denture part in mandibular is replaced by gypsum dental arch model, and carries out articulation registration；Then, preoperative set is being digitized
The donor tooth that step 1) selected is transferred to host site in meter software, the position of donor tooth is adjusted and is planted with matching occlusion
Area；
Two, design based on digital surgical guides:
A. in digitlization Design software, one is virtually generated according to the denture form of patient and is fixed on tooth
Biteplate；Then several cylindrical channels are generated to simulate the plantation round bur that operation uses, wherein the length of cylindrical channel
Degree, internal diameter and outer diameter are set according to the round bur that operation uses；Later, the cylindrical channel of generation is transferred on biteplate
Position corresponding with donor tooth adjusts the quantity of cylindrical channel and the tilt angle of each cylindrical channel, makes cylindrical logical
Road sufficiently covers neck portion and the root of the tooth of donor tooth；
B. at least one cylindrical channel is chosen in conjunction with biteplate after, obtains one of surgical guide model；It connects
Continue to choose at least one remaining cylindrical channel in conjunction with biteplate, then obtain another surgical guide model, according to this
Analogize, until all cylindrical channels obtain corresponding surgical guide model in conjunction with biteplate, and then obtains several hands
Art guide plate model, and can sufficiently be covered after the cylindrical channel combination on all surgical guide models the neck portion of donor tooth with
Root of the tooth；
C. the resulting all surgical guide models of step b are output in 3D printer, if printing to obtain through 3D printer
Dry surgical guide, these surgical guides combine the surgical guide assembly to form the Auto-dental transplantation preparation tooth socket.
The digitlization Design software also can be one of 3.0 software of Proplan CMF, mimics software.
In the selection of step 1) donor tooth, analysis donor tooth includes width, height and the corona and tooth for analyzing donor tooth
The ratio of root；Analysis host site include after analyzing the width of host site alveolar bone, depth and donor dental implant with adjacent teeth away from
From.
Application of the surgical guide assembly in preparation Auto-dental transplantation tooth socket.
For the prior art, the present invention has the advantages that
1. the present invention passes through the position of Virtual Reality Design donor tooth, surgical guide or surgical guide assembly are designed to refer to
It leads by the preparation for planting tooth socket.
2. surgical guide of the invention is not only simple in structure, and can improve the preparation precision of host site tooth socket, so that
The tooth socket of guidance preparation has matched degree；In addition the surgical guide can also be effectively ensured donor tooth and match with host site
Occlusion.
3. carry out Auto-dental transplantation using surgical guide of the invention, can greatly shorten donor tooth in surgical procedure from
The body time greatly protects the activity of periodontal ligament cell, improves the success rate of Auto-dental transplantation.
4. surgical guide assembly of the present invention is divided into several surgical guides, i.e., sets up large number of cylindrical channel separately
In on different biteplates, allowing the cylindrical channel quantity on each biteplate few as far as possible, such design can be effective
Doctor is avoided to repeat to be sent into the polishing of round bur progress host site alveolar bone or forget to same cylindrical channel in the course of surgery
Remember the alveolar bone that round bur polishing host site is sent into some cylindrical channel；Therefore, surgical guide assembly of the invention is utilized
The preparation of tooth socket can be more accurately completed, while can also improve the preparation precision of host site tooth socket, so that guidance preparation
Tooth socket have matched degree.
5. carrying out Auto-dental transplantation using surgical guide assembly of the present invention, donor tooth in surgical procedure can be also greatly shortened
Isolated time greatly protects the activity of periodontal ligament cell, improves the success rate of Auto-dental transplantation.
Detailed description of the invention
Fig. 1 is the structural schematic diagram of one surgical guide assembly of the embodiment of the present invention.
Fig. 2 is the structural schematic diagram of surgical guide A of the present invention.
Fig. 3 is the structural schematic diagram at the back side surgical guide A of the present invention.
Fig. 4 is the structural schematic diagram of surgical guide B of the present invention.
Fig. 5 is the structural schematic diagram at the back side surgical guide B of the present invention.
Fig. 6 is the structural schematic diagram of surgical guide C of the present invention.
Fig. 7 is the structural schematic diagram at the back side surgical guide C of the present invention.
Fig. 8 is the structural schematic diagram of surgical guide D of the present invention.
Fig. 9 is the structural schematic diagram at the back side surgical guide D of the present invention.
Figure 10 is the structural schematic diagram of surgical guide E of the present invention.
Figure 11 is the structural schematic diagram at the back side surgical guide E of the present invention.
Figure 12 is the structural schematic diagram of surgical guide F of the present invention.
Figure 13 is the structural schematic diagram at the back side surgical guide F of the present invention.
Figure 14 is the structural schematic diagram of surgical guide G of the present invention.
Figure 15 is the structural schematic diagram at the back side surgical guide G of the present invention.
Figure 16 is the structural schematic diagram of surgical guide H of the present invention.
Figure 17 is the structural schematic diagram at the back side surgical guide H of the present invention.
Figure 18 is the structural schematic diagram of the surgical guide assembly of another Auto-dental transplantation preparation tooth socket.Wherein, figure a is
The structural schematic diagram of all surgical guides in the surgical guide assembly of the Auto-dental transplantation preparation tooth socket；Scheming b is all hands
After cylindrical channel on art guide plate is transferred to the corresponding position of same biteplate and extends downwardly, it is located at biteplate lower section
The assembled state figure divided.
Figure 19 is the schematic diagram that the selection of donor tooth is carried out in 3.0 software of Proplan CMF；Wherein, figure a shows patient
36 anodontias；Donor tooth is determined as 18 teeth and is marked donor tooth from maxilla with yellow by figure b.
Figure 20 is the state diagram adjusted the donor tooth 18 for marking yellowly to when matching occlusion.
Figure 21 is the state diagram when donor tooth 18 for marking yellowly to be located in the tooth socket of host site.
Figure 22 be cylindrical channel in conjunction with biteplate when status diagram.
When Figure 23 is neck portion and the root of the tooth of quantity and the tilt angle of adjustment cylindrical channel to cover donor tooth 18
State diagram；Wherein, figure a is the state diagram that cylindrical channel covers 18 tooth neck area of donor tooth；Figure b covers for cylindrical channel
The state diagram in lid donor tooth 18 neck portion and root of the tooth region.
Figure 24 is the state diagram that surgical guide is located in denture.
Figure 25 is that the 3D printing model tooth of donor tooth is located in the state diagram of tooth socket.
Figure 26 is whether the tooth socket of terminal guide plate detection preparation matches stinging for simulation with the 3D printing model tooth of donor tooth
State diagram when conjunction.
Figure 27 is the state diagram that patient donor's tooth entity is located in tooth socket.
Figure 28 is the structural schematic diagram of two surgical guide of the embodiment of the present invention.
Figure 29 is the structural schematic diagram at the two surgical guide back side of the embodiment of the present invention.
Label declaration: 1 surgical guide assembly, 11 surgical guides, 111 biteplates, 112 cylindrical channels, 113 grooves, 114
Through-hole, 2 3D printing model teeth, 3 terminal guide plates, 4 donor tooth entities.
Specific embodiment
The content of present invention is described in detail with embodiment with reference to the accompanying drawings of the specification:
Embodiment one:
As Fig. 1-17 show a kind of reality of the surgical guide assembly of Auto-dental transplantation preparation tooth socket provided by the invention
Illustration is applied to be intended to.
The surgical guide assembly of the Auto-dental transplantation preparation tooth socket, it includes several surgical guides 11；The hand
Art guide plate 11 includes biteplate 111, and the biteplate 111 is equipped with sleeved part and plants tooth portion；The sleeved part is for being sheathed on
It is intended to plant at tooth on at least tooth of side, the plant tooth portion is located above host site；In the plant tooth portion of the biteplate 111
The cylindrical channel 112 that round bur penetrates is extendd in the longitudinal direction and held equipped at least one；Cylinder on all surgical guides 11
The root of the tooth shape of shape and donor tooth that the combination of shape channel 112 is formed matches.
In the surgical guide assembly 1, the biteplate 111 of each surgical guide 11 is identical, it can is sheathed on
On the same tooth for planting the tooth zone of influence.Cylindrical channel 112 on each surgical guide 11 is transferred to same biteplate 111
Corresponding position and after extending downwardly, the part positioned at 111 lower section of biteplate can sufficiently be covered for the neck portion of tooth and root of the tooth.
The sleeved part is equipped with several grooves 113 to match with tooth.
It is additionally provided on the biteplate 111 and holds the through-hole 114 that tooth is pierced by.As patient the plant tooth zone of influence cover canine tooth or
Incisor, biteplate 111 at this time, which can be set, holds the through-hole 114 that canine tooth or incisor are pierced by, in addition, the tooth of certain sufferers is long also
It can be set on biteplate 111 and hold the through-hole 114 that tooth is pierced by.
As shown in Fig. 1-17, which includes 8 surgical guides 11, and respectively surgical guide A, operation are led
Plate B, surgical guide C, surgical guide D, surgical guide E, surgical guide F, surgical guide G, surgical guide H.
As shown in figure 18: the present invention also provides the surgical guide assemblies 1 of another set of Auto-dental transplantation preparation tooth socket.It should
Surgical guide assembly 1 includes 4 surgical guides 11, and the cylindrical channel 112 on this 4 surgical guides 11 is transferred to same and stings
The corresponding position of plywood 111 and after extending downwardly, the part positioned at 111 lower section of biteplate forms cone cell.
The production method of the surgical guide assembly of the Auto-dental transplantation preparation tooth socket, it the following steps are included:
1) selection of donor tooth: carrying out the tapered beam CT scan of Maxillary region (CBCT) to patient, Scan slice thickness 0.15mm, and will
Image data is imported in dicom format in 3.0 software of Proplan CMF；It is tracked by using 3.0 software of Proplan CMF
Donor tooth is simultaneously marked from maxilla or mandibular, analysis donor tooth and analysis host site, to ensure selected donor tooth
(as shown in figure 19, a display 36 anodontia of patient of Figure 19 can be matched with host site；The b of Figure 19 is shown, determines that donor tooth is
18 teeth, and donor tooth 18 is marked from maxilla with yellow)；Analysis donor tooth includes width, the height for analyzing donor tooth
The ratio of degree and corona and root of the tooth；Analysis host site includes that the width for analyzing host site alveolar bone, depth and donor tooth move
After plant at a distance from adjacent teeth；
After selecting and having analyzed donor tooth, the data of selected donor tooth can be output to 3D printer with STL format
In, it prints to obtain the 3D printing model tooth 2 of donor tooth through 3D printer.
2) occlusion is simulated with position: according to the actual conditions in patient oral cavity, being made the oral cavity plaster cast of patient, is used 3D
Scanner is scanned oral cavity plaster cast, and obtained data are imported in 3.0 software of Proplan CMF with STL format,
At this point, the denture part in maxilla or mandibular is replaced by gypsum dental arch model, and carry out articulation registration；Then, exist
The donor tooth that step 1) selected is transferred to host site in 3.0 software of Proplan CMF, adjust the position of donor tooth with
Matching occlusion host site (as shown in Figure 20,21), that is, adjust donor tooth position so that upper lower jaw occluding relation with record before
Articulation registration it is identical or be at least close；At this point, just completing occlusion and position mould in 3.0 software of Proplan CMF
It is quasi-；
Then, 3 model of a terminal guide plate, 3 model of terminal guide plate of generation can be generated in 3.0 software of Proplan CMF
It is output in 3D printer with STL format, prints to obtain terminal guide plate 3 through 3D printer.The terminal guide plate 3 is for determining donor
After the 3D printing model tooth 2 of tooth or the donor tooth entity 4 of patient itself move into host site, upper lower jaw occlusion situation is stung with simulation
It whether unanimous on the whole closes；
The terminal guide plate 3 includes matching the substrate being engaged with the donor tooth for being implanted into host site, the bottom of the substrate
Face is equipped with the accommodation groove to match with donor tooth and adjacent teeth.Belong to routine techniques, therefore this hair because accommodation groove is set on substrate
Bright attached drawing does not mark out the specific location of accommodation groove.
3) empty according to the denture form of patient in 3.0 software of Proplan CMF then, on the basis of step 2)
It is quasi- to generate a biteplate 111 being fixed on tooth；Then several cylindrical channels 112 are generated to simulate operation and use
Plant round bur, wherein length, internal diameter and the outer diameter of cylindrical channel 112 are set according to the round bur that operation uses；Later,
The cylindrical channel of generation is transferred to corresponding with donor tooth position on biteplate 111 (as shown in figure 22, in Proplan
In 3.0 software of CMF, simulates and donor tooth has been transferred to host site, marked the donor tooth of yellowly cylindrical in Figure 22
Channel is covered), the quantity of cylindrical channel and the tilt angle of each cylindrical channel are adjusted, covers cylindrical channel sufficiently
The neck portion of lid donor tooth and root of the tooth；As shown in a of Figure 23: can first adjust the quantity and each cylinder of cylindrical channel 112
The tilt angle in channel 112 simulates the preparation of neck portion to cover the neck portion of donor tooth；It is further added by the number of cylindrical channel 112
It measures and adjusts the tilt angle of cylindrical channel 112 and form tooth root preparation (such as the b institute of Figure 22 to cover the root of the tooth of donor tooth
Show)；
4) after, continue in 3.0 software of Proplan CMF, choose at least one cylindrical channel 112 and biteplate
111 combine, and obtain one of surgical guide model；It then continues to choose at least one remaining cylindrical channel 112 and sting
Plywood 111 combines, then obtains another surgical guide model, and so on, until all cylindrical channels 112 are and biteplate
111 combine, and obtain corresponding surgical guide model, and then obtain several surgical guide models, and all surgical guide models
On cylindrical channel 112 combine after can sufficiently cover neck portion and the root of the tooth of donor tooth；
5) the resulting all surgical guide models of step 4) are output in 3D printer with STL format, through 3D printer
Printing obtains several surgical guides 11, and the combination of these surgical guides 11 forms the hand of the Auto-dental transplantation preparation tooth socket
Art guide plate assembly 1.
6) operating method of Auto-dental transplantation operation is carried out substantially using the surgical guide assembly 1 of embodiment one are as follows:
Entire surgical procedure carries out under local anesthesia.
In the case transplanted at once, firstly, pulling out the tooth that host site can not retain；
Then, one of surgical guide 11 in surgical guide assembly 1 is worn in the denture of host site (such as Figure 24 institute
Show), planting machine round bur is respectively enterd in the cylindrical channel 112 of this surgical guide 11, later, which is moved
It removes and replaces another surgical guide 11, respectively enter plantation again in the cylindrical channel 112 of the surgical guide 11 after replacement
Machine round bur, operates according to this, and all surgical guides 11 in entire surgical guide assembly 1 are worn one by one in the denture of host site,
And planting machine round bur is respectively enterd in the cylindrical channel 112 of corresponding surgical guide 11, until the tooth socket preparation of host site
It is good；
After tooth socket to host site is ready, the 3D printing model tooth 2 of donor tooth is first transferred to the alveolus of host site
In nest (as shown in figure 25), whether matched with the 3D printing model tooth 2 of donor tooth using the tooth socket that terminal guide plate 3 detects preparation
The occlusion (as shown in figure 26) of simulation；
After the tooth socket matching occlusion of preparation to be determined, the donor of selected patient itself is pulled out with minimally invasive tooth extraction
Donor tooth entity 4 is implanted into ready tooth socket (as shown in figure 27) at once by tooth entity 4, then solid using resinic splint
It is fixed；
Make it that Occlusal interference be not present finally, carrying out blending to donor tooth entity 4, that is, completes the transplanting of self tooth.
Inventor is that (age is 21 to 42 for 10 consecutive patients randomly selecting using surgical guide assembly 1 of the invention
Between) Auto-dental transplantation is carried out, 10 patients are in the postoperative same day, 3 months after operation and further consultation row Dental X-ray film inspection in 6 months.It is fixed
Clamping plate removes parallel necessary clinical examination, including mobility, pulp condition, External apical root resorption and periodontal feelings after operation 4-6 weeks
The inspection of condition.Root development complete for tooth in postoperative row root canal treatment in two weeks.Due to preoperative through accurate occlusion matching, for tooth
Conjunction overglaze matter be able to maximum preservation, wherein 8 patients do not need row hat repair, this reduces the medical treatment costs of patient.This
10 patient's row Auto-dental transplantations obtain following result:
10 patients are completed dental implant operation.All digitlization surgical guides in denture can it is good just
Position.After host site tooth socket preparation, all 3D printing model teeth can have good in place and occlusion.Donor in all cases
Tooth can realize (time in place is less than 30s) at once in place, and the average time of tooth socket preparation is 22.8min.It is detailed pre-
Situation is as shown in table 1 afterwards.Two weeks all patients do not tell the pain and discomfort of planted teeth after postoperative.Clinical examination has no obvious inflammation
Disease.Postoperative 6 months return visit Dental X-ray films have no External apical root resorption and periapicitis disease shadow-mark picture, the visible continuous parodontium shadow of all cases
Picture, clinical examination have no obvious loosening, do not visit and obvious oral pocket (< 4mm).
By matched degree in art and postoperative high success rate, we conclude that, Virtual Reality Design combines number
Word guide plate technology can effectively simulate the postoperative position of Auto-dental transplantation, while simplify surgical procedure, realize tooth socket
Precisely preparation.
The follow-up planted teeth prognosis in postoperative 6 months of table 1
Embodiment two:
It is as indicated by figs. 28-29 a kind of embodiment of the surgical guide of Auto-dental transplantation preparation tooth socket provided by the invention
Schematic diagram.In embodiment two, designed all cylindrical channels 112 are located on same biteplate 111.
The surgical guide of the Auto-dental transplantation preparation tooth socket, it includes biteplate 111, is set on the biteplate 111
There is sleeved part and plants tooth portion；The sleeved part, which is used to be sheathed on, is intended to carry out to plant at tooth at least tooth of side, the plant tooth portion
Above host site；The plant tooth portion of the biteplate 111 is equipped with several and extends in the longitudinal direction and hold what round bur penetrated
Cylindrical channel 112；The root of the tooth shape of shape and donor tooth that all combinations of cylindrical channel 112 are formed matches.
The sleeved part is equipped with several grooves 113 to match with tooth.
It reference numerals serial number can be distinguished respectively on the cylindrical channel 112, certainly, each cylindrical channel 112 is also
It can be distinguished with different colours, in order to avoid doctor to repeat to be sent into ball in the course of surgery to same cylindrical channel 112 as far as possible
It creeps into the polishing of row host site alveolar bone or forgets the alveolus for being sent into round bur polishing host site into some cylindrical channel 112
Bone.
Also the through-hole 114 for being similar to that appearance tooth is pierced by described in embodiment one can be equipped on the biteplate 111.
The production method of the surgical guide of the Auto-dental transplantation preparation tooth socket, it the following steps are included:
1) selection of donor tooth: carrying out the tapered beam CT scan of Maxillary region (CBCT) to patient, Scan slice thickness 0.15mm, and will
Image data is imported in dicom format in 3.0 software of Proplan CMF；It is tracked by using 3.0 software of Proplan CMF
Donor tooth is simultaneously marked from maxilla or mandibular, analysis donor tooth and analysis host site, to ensure selected donor tooth
It can be matched with host site；Analysis donor tooth includes the ratio for analyzing width, height and the corona and root of the tooth of donor tooth；Analysis
Host site include after analyzing the width of host site alveolar bone, depth and donor dental implant at a distance from adjacent teeth；
After selecting and having analyzed donor tooth, the data of selected donor tooth can be output to 3D printer with STL format
In, it prints to obtain the 3D printing model tooth 2 of donor tooth through 3D printer.
2) occlusion is simulated with position: according to the actual conditions in patient oral cavity, being made the oral cavity plaster cast of patient, is used 3D
Scanner is scanned oral cavity plaster cast, and obtained data are imported in 3.0 software of Proplan CMF with STL format,
At this point, the denture part in maxilla or mandibular is replaced by gypsum dental arch model, and carry out articulation registration；Then, exist
The donor tooth that step 1) selected is transferred to host site in 3.0 software of Proplan CMF, adjust the position of donor tooth with
Matching occlusion host site, that is, adjust the position of donor tooth, so that upper lower jaw occluding relation is identical as the articulation registration recorded before
Or it is at least close；At this point, just completing occlusion and the simulation of position in 3.0 software of Proplan CMF；
Then, 3 model of a terminal guide plate, 3 model of terminal guide plate of generation can be generated in 3.0 software of Proplan CMF
It is output in 3D printer with STL format, prints to obtain terminal guide plate 3 through 3D printer.The terminal guide plate 3 is for determining donor
After the 3D printing model tooth 2 of tooth or the donor tooth entity 4 of patient itself move into host site, upper lower jaw occlusion situation is stung with simulation
It whether unanimous on the whole closes；
The terminal guide plate 3 includes matching the substrate being engaged with the donor tooth for being implanted into host site, the bottom of the substrate
Face is equipped with the accommodation groove to match with donor tooth and adjacent teeth.Belong to routine techniques, therefore this hair because accommodation groove is set on substrate
Bright attached drawing does not mark out the specific location of accommodation groove.
3) empty according to the denture form of patient in 3.0 software of Proplan CMF then, on the basis of step 2)
It is quasi- to generate a biteplate 111 being fixed on tooth；Then, several cylindrical channels 112 are generated to simulate operation and use
Plantation round bur, wherein length, internal diameter and the outer diameter of cylindrical channel 112 are set according to the round bur that uses of operation；It
Afterwards, the cylindrical channel of generation 112 is transferred on biteplate 111 position corresponding with donor tooth (in Proplan CMF 3.0
In software, simulate and donor tooth moved into host site), adjust the quantity and each cylindrical channel 112 of cylindrical channel 112
Tilt angle makes cylindrical channel 112 sufficiently the neck portion of covering donor tooth and root of the tooth, and must perform the operation guide plate die type；
4) the resulting surgical guide model of step 3) is output in 3D printer with STL format, is printed through 3D printer
Obtain surgical guide 11, the i.e. surgical guide of the Auto-dental transplantation preparation tooth socket.
5) operating method of Auto-dental transplantation operation is carried out substantially using the surgical guide of embodiment two are as follows:
Entire surgical procedure carries out under local anesthesia.In the case transplanted at once, firstly, pulling out host site can not protect
The tooth stayed；Then, surgical guide 11 is worn in the denture of host site；Then in the cylindrical channel 112 of surgical guide 11
Respectively enter planting machine round bur preparation host site tooth socket；After tooth socket to host site is ready, the 3D of donor tooth is beaten
Print teeth model 2 be first transferred in the tooth socket of host site, using terminal guide plate 3 detect preparation tooth socket whether the 3D with donor tooth
The occlusion of the matching simulation of printer model tooth 2；After the tooth socket matching occlusion of preparation to be determined, is pulled out and selected with minimally invasive tooth extraction
Donor tooth entity 4, is implanted into ready tooth socket by the patient's Self Donor tooth entity 4 selected at once, then utilizes resin clip
Plate is fixed；Make it that Occlusal interference be not present finally, carrying out blending to donor tooth entity 4, that is, completes the transplanting of self tooth.
The surgical guide assembly 1 of the embodiment of the present invention one and the surgical guide of embodiment two can accurately complete tooth socket
Preparation, both embodiments each have their own advantage when in use.Such as the surgical guide assembly 1 of embodiment one, if because it is divided into
Large number of cylindrical channel 112, i.e., be divided on different biteplates 111 by a dry surgical guide 11, allows each occlusion
112 quantity of cylindrical channel on plate 111 is few as far as possible, such design can effectively avoid doctor in the course of surgery to
Same cylindrical channel 112 repeats to be sent into the polishing of round bur progress host site alveolar bone or forget to some cylindrical channel
The alveolar bone of round bur polishing host site is sent into 112.
And it carries out only needing this part hand in the entire surgical procedure of tooth socket preparation using the surgical guide of embodiment two 11
The preparation of tooth socket can be completed in art guide plate 11, is not necessarily to carry out the replacement of surgical guide 11 halfway, improves the efficiency of dental implant.
Claims (10)
1. a kind of surgical guide of Auto-dental transplantation preparation tooth socket, it is characterised in that: it includes biteplate (111), described to sting
Plywood (111) is equipped with sleeved part and plants tooth portion；The sleeved part, which is used to be sheathed on, is intended to carry out to plant at tooth at least tooth of side
On, the plant tooth portion is located above host site；The plant tooth portion of the biteplate (111) is extendd in the longitudinal direction equipped with several
And hold the cylindrical channel (112) that round bur penetrates；The root of the tooth of shape and donor tooth that all cylindrical channel (112) combinations are formed
Shape matches.
2. the surgical guide of Auto-dental transplantation preparation tooth socket according to claim 1, it is characterised in that: the sleeved part
It is equipped with several grooves (113) to match with tooth.
3. a kind of surgical guide assembly of Auto-dental transplantation preparation tooth socket, it is characterised in that: it includes several surgical guides
(11)；The surgical guide (11) includes biteplate (111), and the biteplate (111) is equipped with sleeved part and plants tooth portion；It is described
Sleeved part, which is used to be sheathed on, is intended to carry out to plant at tooth at least tooth of side, and the plant tooth portion is located at host site top；It is described to sting
The plant tooth portion of plywood (111) is equipped at least one and extends in the longitudinal direction and hold the cylindrical channel (112) that round bur penetrates；Institute
The root of the tooth shape of the shape and donor tooth that have cylindrical channel (112) combination on surgical guide (11) to be formed matches.
4. the surgical guide assembly of Auto-dental transplantation preparation tooth socket according to claim 3, it is characterised in that: the set
If portion is equipped with several grooves (113) to match with tooth.
5. the production method of the surgical guide of Auto-dental transplantation preparation tooth socket as claimed in claim 1 or 2, feature exist
In: it the following steps are included:
One, Virtual Reality Design:
1) selection of donor tooth: the tapered beam CT scan of Maxillary region is carried out to patient and by image data importing digital Design
In software；It is marked by using digitlization Design software tracking donor tooth and from maxilla or mandibular, analysis supplies
Body tooth and analysis host site, to ensure that selected donor tooth can be matched with host site；
2) occlusion is simulated with position: according to the actual conditions in patient oral cavity, being made the oral cavity plaster cast of patient, is scanned using 3D
Instrument is scanned oral cavity plaster cast, by obtained data importing digital Design software, at this point, maxilla or under
Denture part in jawbone is replaced by gypsum dental arch model, and carries out articulation registration；Then, soft in digitlization Design
The donor tooth that step 1) selected is transferred to host site in part, adjusts the position of donor tooth to match occlusion host site；
Two, design based on digital surgical guides:
A. in digitlization Design software, the occlusion being fixed on tooth is virtually generated according to the denture form of patient
Plate (111)；Then several cylindrical channels (112) are generated to simulate the plantation round bur that operation uses, wherein cylindrical channel
(112) length, internal diameter and outer diameter is set according to the round bur that operation uses；Later, by the cylindrical channel of generation (112)
It is transferred to position corresponding with donor tooth on biteplate (111), quantity and each cylinder for adjusting cylindrical channel (112) are logical
The tilt angle in road (112) makes cylindrical channel (112) sufficiently the neck portion of covering donor tooth and root of the tooth, obtains operation guide plate die
Type；
B. the resulting surgical guide model of step a is output in 3D printer, prints to obtain surgical guide through 3D printer
(11), i.e., the surgical guide (11) of described Auto-dental transplantation preparation tooth socket.
6. the production method of the surgical guide of Auto-dental transplantation preparation tooth socket according to claim 5, it is characterised in that:
The digitlization Design software is one of Proplan CMF3.0 software, mimics software.
7. the production method of the surgical guide of Auto-dental transplantation preparation tooth socket according to claim 5, it is characterised in that:
In the selection of step 1) donor tooth, analysis donor tooth includes the ratio for analyzing width, height and the corona and root of the tooth of donor tooth；
Analysis host site include after analyzing the width of host site alveolar bone, depth and donor dental implant at a distance from adjacent teeth.
8. the production method of the surgical guide assembly of Auto-dental transplantation preparation tooth socket as described in claim 3 or 4, feature
Be: it the following steps are included:
One, Virtual Reality Design:
1) selection of donor tooth: the tapered beam CT scan of Maxillary region is carried out to patient and by image data importing digital Design
In software；It is marked by using digitlization Design software tracking donor tooth and from maxilla or mandibular, analysis supplies
Body tooth and analysis host site, to ensure that selected donor tooth can be matched with host site；
2) occlusion is simulated with position: according to the actual conditions in patient oral cavity, being made the oral cavity plaster cast of patient, is scanned using 3D
Instrument is scanned oral cavity plaster cast, by obtained data importing digital Design software, at this point, maxilla or under
Denture part in jawbone is replaced by gypsum dental arch model, and carries out articulation registration；Then, soft in digitlization Design
The donor tooth that step 1) selected is transferred to host site in part, adjusts the position of donor tooth to match occlusion host site；
Two, design based on digital surgical guides:
A. in digitlization Design software, the occlusion being fixed on tooth is virtually generated according to the denture form of patient
Plate (111)；Then several cylindrical channels (112) are generated to simulate the plantation round bur that operation uses, wherein cylindrical channel
(112) length, internal diameter and outer diameter is set according to the round bur that operation uses；Later, by the cylindrical channel of generation (112)
It is transferred to position corresponding with donor tooth on biteplate (111), quantity and each cylinder for adjusting cylindrical channel (112) are logical
The tilt angle in road (112) makes cylindrical channel (112) sufficiently the neck portion of covering donor tooth and root of the tooth；
B. at least one cylindrical channel (112) is chosen after and biteplate (111) combine, and obtains one of surgical guide mould
Type；It then continues to choose at least one remaining cylindrical channel (112) and biteplate (111) combines, then obtain another hand
Art guide plate model, and so on, until all cylindrical channels (112) are combined with biteplate (111), performed the operation accordingly
Guide plate model, and then several surgical guide models are obtained, and cylindrical channel (112) combination on all surgical guide models
Neck portion and the root of the tooth of donor tooth can be sufficiently covered afterwards；
C. the resulting all surgical guide models of step b are output in 3D printer, print to obtain several through 3D printer
Surgical guide (11), the combination of these surgical guides (11) form the surgical guide assembly of the Auto-dental transplantation preparation tooth socket
(1)。
9. application of the surgical guide as claimed in claim 1 or 2 in preparation Auto-dental transplantation tooth socket.
10. application of the surgical guide assembly as described in claim 3 or 4 in preparation Auto-dental transplantation tooth socket.
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| Application Number | Priority Date | Filing Date | Title |
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| CN201910469038.6A CN110236712B (en) | 2019-05-31 | 2019-05-31 | Surgical guide plate for preparing alveolus by autologous tooth transplantation and manufacturing method and application thereof |
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|---|---|---|---|
| CN201910469038.6A CN110236712B (en) | 2019-05-31 | 2019-05-31 | Surgical guide plate for preparing alveolus by autologous tooth transplantation and manufacturing method and application thereof |
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| CN114886585A (en) * | 2022-05-25 | 2022-08-12 | 青岛市口腔医院 | Split type baffle subassembly of dentistry |
| CN117562687A (en) * | 2024-01-17 | 2024-02-20 | 北京大学口腔医学院 | Autologous tooth implantation operation cavity preparation guide plate and manufacturing method thereof |
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| CN110236712B (en) | 2024-08-27 |
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