CN110916817A - Method for manufacturing individual bone windowing guide plate for embedded tooth - Google Patents

Method for manufacturing individual bone windowing guide plate for embedded tooth Download PDF

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Publication number
CN110916817A
CN110916817A CN201911247453.3A CN201911247453A CN110916817A CN 110916817 A CN110916817 A CN 110916817A CN 201911247453 A CN201911247453 A CN 201911247453A CN 110916817 A CN110916817 A CN 110916817A
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China
Prior art keywords
guide plate
embedded
bone
intraoral scanner
tooth
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CN201911247453.3A
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Chinese (zh)
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赵苏峰
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NANJING CITY STOMATOLOGY HOSPITAL
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NANJING CITY STOMATOLOGY HOSPITAL
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Priority to CN201911247453.3A priority Critical patent/CN110916817A/en
Publication of CN110916817A publication Critical patent/CN110916817A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C3/00Dental tools or instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C19/00Dental auxiliary appliances
    • A61C19/06Implements for therapeutic treatment

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  • Health & Medical Sciences (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Dentistry (AREA)
  • Epidemiology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Dental Tools And Instruments Or Auxiliary Dental Instruments (AREA)

Abstract

The invention discloses a method for manufacturing an individual bone windowing guide plate for an embedded tooth, which is prepared by utilizing a 3D printing technology based on intraoral scanner and CBCT data, the guide plate is made of a resin material, the embedded tooth windowing guide plate based on a dental support type is printed by the 3D printing technology, and a guide plate assembly is positioned by teeth around the embedded tooth, so that the guide plate assembly is stable and does not loosen, and the positioning accuracy is ensured.

Description

Method for manufacturing individual bone windowing guide plate for embedded tooth
Technical Field
The invention relates to a method for manufacturing an individual bone fenestration guide plate of an embedded tooth.
Background
A buried tooth is a tooth that has passed the eruption stage but has failed to erupt. The tooth embedding and generating is a clinical common oral disease and is easy to cause a series of complications, such as disordered occlusion relation, malocclusion deformity, food impaction and the like. The common embedded teeth are maxillary canine teeth, and the current clinical optimal treatment scheme is to expose the embedded teeth through surgical fenestration and combine an orthodontic traction method to be the optimal treatment method. However, in the existing window opening process of the surgical operation, blind window opening is often adopted through the experience of doctors, and the defects of inaccurate window opening positioning, inaccurate bone removing amount, large wound, high failure rate and the like exist. At present, a technical scheme is urgently needed clinically, which can accurately position an embedded tooth in an operation and avoid the damage of the embedded tooth and surrounding tissues caused by blind operation.
Disclosure of Invention
Aiming at the defects of the prior art, the invention solves the problems that: the preparation method of the individual bone windowing guide plate for the embedded tooth, which can realize accurate positioning, small wound and high success rate, is provided.
In order to solve the problems, the technical scheme adopted by the invention is as follows:
a method for manufacturing an individual bone fenestration guide plate of an embedded tooth comprises the following steps:
s1, subjecting the patient with the embedded teeth to CBCT examination and accurately scanning the embedded periodontal peripheral teeth and gingival mucosa by an intraoral scanner;
s2, carrying out three-dimensional reconstruction on oral cavity soft and hard tissues after accurately fitting CBCT data and intraoral scanner data, and designing a scheme of an individualized bone windowing guide plate;
s3, transmitting the scheme to a 3D printing machine for material reduction preparation;
s4, the individualized bone windowing guide plate is installed in the target area, the perfect fit between the bone windowing guide plate and the teeth is achieved as a result, a surgeon accurately exposes the embedded teeth through connection and positioning of the bone windowing guide plate, and the orthodontist successfully installs the traction bracket on the outer dental crowns corresponding to the embedded teeth.
Further, in the step S2, the data of the embedded periodontal teeth of the patient is individually scanned by an intraoral scanner and prepared by a 3D printing technique, so as to obtain a design scheme of the fixing portion of the bone fenestration guide plate attached and fixed to the teeth; scanning the structure of the gum tissue around the embedded periodontal by using an intraoral scanner and preparing the structure by using a 3D printing technology to obtain a design scheme of a connecting part attached and positioned on the gum tissue; accurately positioning the cut end of the embedded tooth after fitting the CBCT data and the data of the intraoral scanner, and preparing the cut end by a 3D printing technology to obtain a design scheme of a positioning part attached to one side of the outer part of the embedded tooth cut; the fixing part, the connecting part and the positioning part of the bone windowing guide plate are integrally formed and printed.
Further, in step S2, the CBCT data and the intraoral scanner data are accurately fitted by the E-3D design software, and then three-dimensional reconstruction of the soft and hard tissue of the oral cavity is performed.
Further, in step S3, 3D printing is performed by the ProJet MJP 3600.
Further, the window guide plate is made of a resin material; the resin is VisJet M3.
Further, the intraoral scanner is an Itero intraoral scanner.
The invention has the advantages of
1. The individualized bone windowing guide plate for the embedded tooth is prepared by utilizing a 3D printing technology based on intraoral scanner and CBCT data, the technology is matched with medical images, digital images and three-dimensional printing technologies, the printed individualized bone windowing guide plate realizes accurate fixation through the embedded periodontal peripheral teeth, and the cut end part position of the embedded tooth can be accurately positioned through the positioning component.
2. The invention obtains a design scheme of a fixing part of a bone windowing guide plate attached and positioned on teeth by scanning data of embedded periodontal teeth of a patient in an individualized way through an intraoral scanner and preparing the data through a 3D printing technology, obtains a design scheme of a connecting part of the bone windowing guide plate attached and positioned on gingival tissues by scanning a structure of the gingival tissues of the embedded periodontal teeth through the intraoral scanner and preparing the data through the 3D printing technology, realizes close attachment and fixation from gingiva to teeth through the fixing part of the bone windowing guide plate attached and fixed on the teeth and the connecting part of the bone windowing guide plate attached and positioned on the gingival tissues, accurately positions a cutting end of the embedded teeth after fitting through CBCT data and intraoral scanner data, obtains a bone windowing guide plate attached on one side outside an incision of the embedded teeth through the preparation of the 3D printing technology, and obtains a bone windowing guide plate for attaching the fixing part of the bone windowing guide plate, thus, Connecting portion, location portion integrated into one piece have realized carrying out accurate location under the form that closely firmly laminates the connection, have improved convenience, fastness, the accuracy of bone windowing baffle installation.
Drawings
FIG. 1 is a scanned view of a bone-opening guide plate of the present invention installed on the outer side of an embedded tooth.
Detailed Description
The present invention will be described in further detail with reference to the accompanying drawings.
A method for manufacturing an individual bone fenestration guide plate of an embedded tooth comprises the following steps:
s1, subjecting the patient with the embedded teeth to CBCT examination and accurately scanning the embedded periodontal peripheral teeth and gingival mucosa by an intraoral scanner;
s2, carrying out three-dimensional reconstruction on oral cavity soft and hard tissues after accurately fitting CBCT data and intraoral scanner data, and designing a scheme of an individualized bone windowing guide plate;
s3, transmitting the scheme to a 3D printing machine for material reduction preparation;
s4, the individualized bone windowing guide plate is installed in the target area, the perfect fit between the bone windowing guide plate and the teeth is achieved as a result, a surgeon accurately exposes the embedded teeth through connection and positioning of the bone windowing guide plate, and the orthodontist successfully installs the traction bracket on the outer dental crowns corresponding to the embedded teeth.
As shown in fig. 1, in step S2, the data of the teeth around the embedded tooth 4 of the patient are individually scanned by an intraoral scanner and prepared by a 3D printing technology, so as to obtain a design scheme of the fixing part 2 of the bone fenestration guide plate which is attached and fixed on the teeth; scanning the structure of the gum tissue around the embedded tooth 4 by an intraoral scanner and preparing by a 3D printing technology to obtain a design scheme of the connecting part 1 attached and positioned on the gum tissue; accurately positioning the cut end of the embedded tooth after fitting the CBCT data and the data of the intraoral scanner, and preparing by a 3D printing technology to obtain a design scheme of a positioning part 3 attached to one side of the outer part of the embedded tooth cut; the cut 5 is located above the positioning portion 3, and the fixing portion, the connecting portion, and the positioning portion of the bone conduction plate are integrally formed and printed, and the positioning portion may be a strip-shaped body having an arc-shaped structure, or may have any other suitable structure. Further, in step S2, the CBCT data and the intraoral scanner data are accurately fitted by the E-3D design software, and then three-dimensional reconstruction of the soft and hard tissue of the oral cavity is performed. Further, in step S3, 3D printing is performed by the ProJet MJP 3600. Further, the window guide plate is made of a resin material; the resin is VisJet M3. Further, the intraoral scanner is an Itero intraoral scanner.
The individualized bone windowing guide plate for the embedded tooth is prepared by utilizing a 3D printing technology based on intraoral scanner and CBCT data, the technology is matched with medical images, digital images and three-dimensional printing technologies, the printed individualized bone windowing guide plate realizes accurate fixation through the embedded periodontal peripheral teeth, and the cut end part position of the embedded tooth can be accurately positioned through the positioning component.
The invention obtains a design scheme of a fixing part of a bone windowing guide plate attached and positioned on teeth by scanning data of embedded periodontal teeth of a patient in an individualized way through an intraoral scanner and preparing the data through a 3D printing technology, obtains a design scheme of a connecting part of the bone windowing guide plate attached and positioned on gingival tissues by scanning a structure of the gingival tissues of the embedded periodontal teeth through the intraoral scanner and preparing the data through the 3D printing technology, realizes close attachment and fixation from gingiva to teeth through the fixing part of the bone windowing guide plate attached and fixed on the teeth and the connecting part of the bone windowing guide plate attached and positioned on the gingival tissues, accurately positions a cutting end of the embedded teeth after fitting through CBCT data and intraoral scanner data, obtains a bone windowing guide plate attached on one side outside an incision of the embedded teeth through the preparation of the 3D printing technology, and obtains a bone windowing guide plate for attaching the fixing part of the bone windowing guide plate, thus, Connecting portion, location portion integrated into one piece have realized carrying out accurate location under the form that closely firmly laminates the connection, have improved convenience, fastness, the accuracy of bone windowing baffle installation.
The above description is only for the purpose of illustrating the preferred embodiments of the present invention and is not to be construed as limiting the invention, and any modifications, equivalents, improvements and the like that fall within the spirit and principle of the present invention are intended to be included therein.

Claims (6)

1. A method for manufacturing an individualized bone windowing guide plate for an embedded tooth is characterized by comprising the following steps:
s1, subjecting the patient with the embedded teeth to CBCT examination and accurately scanning the embedded periodontal peripheral teeth and gingival mucosa by an intraoral scanner;
s2, carrying out three-dimensional reconstruction on oral cavity soft and hard tissues after accurately fitting CBCT data and intraoral scanner data, and designing a scheme of an individualized bone windowing guide plate;
s3, transmitting the scheme to a 3D printing machine for material reduction preparation;
s4, the individualized bone windowing guide plate is installed in the target area, the perfect fit between the bone windowing guide plate and the teeth is achieved as a result, a surgeon accurately exposes the embedded teeth through connection and positioning of the bone windowing guide plate, and the orthodontist successfully installs the traction bracket on the outer dental crowns corresponding to the embedded teeth.
2. The method for manufacturing the individual bone fenestration guide plate for the embedded tooth according to claim 1, wherein in step S2, the data of the embedded periodontal tooth of the patient is individually scanned by an intraoral scanner and prepared by 3D printing technology, so as to obtain a design scheme of the fixing part of the bone fenestration guide plate attached to the tooth; scanning the structure of the gum tissue around the embedded periodontal by using an intraoral scanner and preparing the structure by using a 3D printing technology to obtain a design scheme of a connecting part attached and positioned on the gum tissue; accurately positioning the cut end of the embedded tooth after fitting the CBCT data and the data of the intraoral scanner, and preparing the cut end by a 3D printing technology to obtain a design scheme of a positioning part attached to one side of the outer part of the embedded tooth cut; the fixing part, the connecting part and the positioning part of the bone windowing guide plate are integrally formed and printed.
3. The method for making the individualized bone fenestration guide plate for the embedded tooth as claimed in claim 1, wherein the CBCT data and the intraoral scanner data are precisely fitted by E-3D design software in step S2 for three-dimensional reconstruction of soft and hard tissues of the oral cavity.
4. The method for making an individualized bone fenestration guide for an embedded tooth according to claim 1, wherein the step S3 is performed by a ProJet MJP 3600 for 3D printing.
5. The method for making an individualized bone fenestration guide for an embedded tooth according to claim 1, wherein the fenestration guide is made of a resin material; the resin is VisJet M3.
6. The method of claim 1, wherein the intraoral scanner is an Itero intraoral scanner.
CN201911247453.3A 2019-12-09 2019-12-09 Method for manufacturing individual bone windowing guide plate for embedded tooth Pending CN110916817A (en)

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111529133A (en) * 2020-04-29 2020-08-14 上海交通大学医学院附属第九人民医院 Windowing system for cheekbone planting
CN111803235A (en) * 2020-08-11 2020-10-23 中南大学 Periodontal accelerated osteogenesis auxiliary orthodontic treatment surgical guide plate system and forming method thereof

Citations (5)

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US20150132714A1 (en) * 2013-11-08 2015-05-14 Beak And Bumper, Llc Force applying attachment, kit and method for pre-loosening a tooth in order to facilitate removal thereof
CN107802357A (en) * 2017-09-19 2018-03-16 广州医科大学附属口腔医院(广州医科大学羊城医院) One kind digitlization tip of a root surgical operation guide plate and its application
CN108888378A (en) * 2018-05-23 2018-11-27 上海交通大学医学院附属第九人民医院 Buried Teeth palate side approach pulls out guide plate and preparation method thereof
CN209253201U (en) * 2018-05-23 2019-08-16 上海交通大学医学院附属第九人民医院 Buried Teeth cheek side approach pulls out guide plate
CN110338922A (en) * 2019-07-30 2019-10-18 深圳市倍康美医疗电子商务有限公司 Tooth mould guide plate production method, cut end stripping guide plate, acid etching guide plate and positioning guide plate

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20150132714A1 (en) * 2013-11-08 2015-05-14 Beak And Bumper, Llc Force applying attachment, kit and method for pre-loosening a tooth in order to facilitate removal thereof
CN107802357A (en) * 2017-09-19 2018-03-16 广州医科大学附属口腔医院(广州医科大学羊城医院) One kind digitlization tip of a root surgical operation guide plate and its application
CN108888378A (en) * 2018-05-23 2018-11-27 上海交通大学医学院附属第九人民医院 Buried Teeth palate side approach pulls out guide plate and preparation method thereof
CN209253201U (en) * 2018-05-23 2019-08-16 上海交通大学医学院附属第九人民医院 Buried Teeth cheek side approach pulls out guide plate
CN110338922A (en) * 2019-07-30 2019-10-18 深圳市倍康美医疗电子商务有限公司 Tooth mould guide plate production method, cut end stripping guide plate, acid etching guide plate and positioning guide plate

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111529133A (en) * 2020-04-29 2020-08-14 上海交通大学医学院附属第九人民医院 Windowing system for cheekbone planting
CN111529133B (en) * 2020-04-29 2023-02-21 上海交通大学医学院附属第九人民医院 Windowing system for cheekbone planting
CN111803235A (en) * 2020-08-11 2020-10-23 中南大学 Periodontal accelerated osteogenesis auxiliary orthodontic treatment surgical guide plate system and forming method thereof

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