CN113974868A - Method for manufacturing orthodontic-driven precision surgical guide plate special for cortical osteotomy - Google Patents
Method for manufacturing orthodontic-driven precision surgical guide plate special for cortical osteotomy Download PDFInfo
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- CN113974868A CN113974868A CN202110929392.XA CN202110929392A CN113974868A CN 113974868 A CN113974868 A CN 113974868A CN 202110929392 A CN202110929392 A CN 202110929392A CN 113974868 A CN113974868 A CN 113974868A
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- guide plate
- model
- impression
- cortical
- manufacturing
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- 230000001054 cortical effect Effects 0.000 title claims abstract description 30
- 238000000034 method Methods 0.000 title claims abstract description 23
- 238000004519 manufacturing process Methods 0.000 title claims abstract description 19
- 238000003825 pressing Methods 0.000 claims abstract description 9
- 238000010146 3D printing Methods 0.000 claims abstract description 6
- VYPSYNLAJGMNEJ-UHFFFAOYSA-N Silicium dioxide Chemical compound O=[Si]=O VYPSYNLAJGMNEJ-UHFFFAOYSA-N 0.000 claims abstract description 4
- 229910052602 gypsum Inorganic materials 0.000 claims abstract description 4
- 239000010440 gypsum Substances 0.000 claims abstract description 4
- 239000000463 material Substances 0.000 claims abstract description 4
- 239000000741 silica gel Substances 0.000 claims abstract description 4
- 229910002027 silica gel Inorganic materials 0.000 claims abstract description 4
- 229920002379 silicone rubber Polymers 0.000 claims abstract description 4
- 210000000988 bone and bone Anatomy 0.000 claims description 11
- 238000005520 cutting process Methods 0.000 claims description 9
- 238000009966 trimming Methods 0.000 claims description 8
- 210000000214 mouth Anatomy 0.000 claims description 6
- 238000002360 preparation method Methods 0.000 claims description 6
- 238000004659 sterilization and disinfection Methods 0.000 claims description 6
- 238000005516 engineering process Methods 0.000 claims description 4
- 239000000645 desinfectant Substances 0.000 claims description 3
- 238000010438 heat treatment Methods 0.000 claims description 3
- 238000002690 local anesthesia Methods 0.000 claims description 3
- 239000003550 marker Substances 0.000 claims description 3
- 239000011148 porous material Substances 0.000 claims description 3
- 238000002791 soaking Methods 0.000 claims description 3
- 208000027418 Wounds and injury Diseases 0.000 abstract description 3
- 230000006378 damage Effects 0.000 abstract description 3
- 208000014674 injury Diseases 0.000 abstract description 3
- 238000001356 surgical procedure Methods 0.000 abstract 1
- 239000012528 membrane Substances 0.000 description 8
- 230000006978 adaptation Effects 0.000 description 2
- 241000282414 Homo sapiens Species 0.000 description 1
- 206010061274 Malocclusion Diseases 0.000 description 1
- 210000003484 anatomy Anatomy 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 238000004891 communication Methods 0.000 description 1
- 230000007547 defect Effects 0.000 description 1
- 238000002224 dissection Methods 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 230000000399 orthopedic effect Effects 0.000 description 1
- 230000002093 peripheral effect Effects 0.000 description 1
- 230000002980 postoperative effect Effects 0.000 description 1
- 208000024891 symptom Diseases 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C7/00—Orthodontics, i.e. obtaining or maintaining the desired position of teeth, e.g. by straightening, evening, regulating, separating, or by correcting malocclusions
- A61C7/002—Orthodontic computer assisted systems
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/17—Guides or aligning means for drills, mills, pins or wires
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C19/00—Dental auxiliary appliances
- A61C19/06—Implements for therapeutic treatment
-
- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y02—TECHNOLOGIES OR APPLICATIONS FOR MITIGATION OR ADAPTATION AGAINST CLIMATE CHANGE
- Y02P—CLIMATE CHANGE MITIGATION TECHNOLOGIES IN THE PRODUCTION OR PROCESSING OF GOODS
- Y02P10/00—Technologies related to metal processing
- Y02P10/25—Process efficiency
Abstract
The invention discloses a method for manufacturing a precision surgical guide plate special for orthodontically driven cortical osteotomy, and particularly relates to the field of medical instruments, and the method comprises the following steps: the method comprises the following steps: preparing a model, (I) taking an impression, and preparing an upper jaw accurate impression and a lower jaw accurate impression by using a silicon rubber impression material; secondly, manufacturing a model, namely pouring a silica gel impression by using superhard gypsum to form an upper jaw and lower jaw accurate model; step two: designing a model; step three: preparing a guide plate; step four: is used in surgery. The precise surgical guide plate formed by film pressing or 3D printing is used for the cortex lycii incision operation driven by orthodontics, so that the accuracy of the operation is improved, the operation risk caused by negative injury is reduced, the operation is safer, quicker and easier to popularize, the scientific predictability is improved, the satisfaction degree of a patient is improved, and a firm foundation is laid for future operation digitization and AI.
Description
Technical Field
The invention relates to the technical field of medical instruments, in particular to a method for manufacturing a precision surgical guide plate special for orthodontically driven cortical osteotomy.
Background
Orthodontically driven cortical bone dissection is a new technology which is just developed in oral orthodontic profession in recent years, and aims to effectively shorten the treatment course, expand the adaptation symptoms, reduce the large-scale operation and reduce the postoperative recurrence rate when the problems of long treatment course (generally requiring years), limited adaptation range (the orthopedic adult malocclusion is difficult to correct and needs orthognathic surgical operation), easy recurrence after operation and the like are frequently encountered when various appliances are worn by human beings for various malocclusal deformities. This procedure requires the use of an ultrasonic osteotome to cut the cortical bone at the appropriate site to achieve the above objective. However, the requirements for the manual skill and clinical experience of operators in the actual operation process are too high, and the roots of the adjacent teeth or other important peripheral anatomical structures can be damaged by careless treatment, so that a solution is urgently needed.
Disclosure of Invention
In order to overcome the above defects in the prior art, the embodiment of the invention provides a method for manufacturing a precision surgical guide plate special for orthodontically driven cortical osteotomy, and the technical problem to be solved by the invention is as follows: a safer and faster orthodontic-driven cortical osteotomy.
In order to achieve the purpose, the invention provides the following technical scheme: a method for manufacturing a precision surgical guide plate special for orthodontically driven cortical osteotomy comprises the following steps:
the method comprises the following steps: preparation of the model
Taking an impression, and preparing an upper jaw accurate impression and a lower jaw accurate impression by using a silicon rubber impression material;
secondly, manufacturing a model, namely pouring a silica gel impression by using superhard gypsum to form an upper jaw and lower jaw accurate model;
step two: model design
Designing the direction and length of the cortical opening on the model obtained in the step one, and marking the cortical opening by using a marker pen;
step three: preparation of guide plates
Placing the model marked in the step two on a dental transparent retainer film pressing machine, heating by using a 2mm hard film, vacuumizing and pressing the film, then taking down the film, trimming and keeping the width of the film in the operation area at two sides of the marking line by 5mm, and cutting corresponding linear pores on the film covered in the operation area along the marking line of the model by using a technician machine needle to obtain a guide plate;
step four: for operation use
Placing the guide plate obtained in the third step in a disinfectant for soaking and disinfection before use, placing the guide plate after disinfection in an oral cavity during operation, cutting a mucoperiosteum along the guide plate by using a No. 15 circular knife under local anesthesia, cutting a bone cortex for 3mm under the guide of the guide plate by using an ultrasonic bone knife working tip, and completing the orthodontically driven cortical bone incision operation.
In a preferred embodiment, when taking the impression in the first step, a digital intraoral scanner is used for taking a digital intraoral impression, then CAD software is used for forming the digital impression into a digital model, and then the model is printed by using a 3D printing technology.
In a preferred embodiment, the model obtained in the first step is capable of showing all of the labial-buccal vestibules to the floor of vestibule sulcus, and the model obtained in the first step is trimmed by using a burr trimmer.
In a preferred embodiment, the direction and length of the cortical opening in step two are designed according to ODC, SAD surgical principles and corrective biomechanical requirements.
In a preferred embodiment, the membrane trimming in step three leaves the width of the surgical field membrane 5mm on either side of the mark line, with the remaining membranes conforming to conventional retainer membrane trimming principles.
In a preferred embodiment, the linear aperture cut by the technician needle in step three has a width of 1.5mm and a length corresponding to the length marked in step two.
In a preferred embodiment, the guide plate in the fourth step is sterilized at normal temperature and normal pressure for 5-10 min.
In a preferred embodiment, the ultrasonic osteotome in the fourth step adopts an ultrasonic osteotome BS1, and the working tip of the ultrasonic osteotome BS1 has a 3mm depth limiting line.
Compared with the prior art, the invention has the technical effects and advantages that:
the precise surgical guide plate formed by film pressing or 3D printing is used for the cortex lycii incision operation driven by orthodontics, so that the accuracy of the operation is improved, the operation risk caused by negative injury is reduced, the operation is safer, quicker and easier to popularize, the scientific predictability is improved, the satisfaction degree of a patient is improved, and a firm foundation is laid for future operation digitization and AI.
Detailed Description
The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.
The invention provides a method for manufacturing a precision surgical guide plate special for orthodontically driven cortical osteotomy, which comprises the following steps:
the method comprises the following steps: preparation of the model
Taking an impression, and preparing an upper jaw accurate impression and a lower jaw accurate impression by using a silicon rubber impression material;
secondly, manufacturing a model, namely pouring a silica gel impression by using superhard gypsum to form an upper jaw and lower jaw accurate model;
step two: model design
Designing the direction and length of the cortical opening on the model obtained in the step one, and marking the cortical opening by using a marker pen;
step three: preparation of guide plates
Placing the model marked in the step two on a dental transparent retainer film pressing machine, heating by using a 2mm hard film, vacuumizing and pressing the film, then taking down the film, trimming and keeping the width of the film in the operation area at two sides of the marking line by 5mm, and cutting corresponding linear pores on the film covered in the operation area along the marking line of the model by using a technician machine needle to obtain a guide plate;
step four: for operation use
Placing the guide plate obtained in the third step in a disinfectant for soaking and disinfection before use, placing the guide plate after disinfection in an oral cavity during operation, cutting a mucoperiosteum along the guide plate by using a No. 15 circular knife under local anesthesia, cutting a bone cortex for 3mm under the guide of the guide plate by using an ultrasonic bone knife working tip, and completing the orthodontically driven cortical bone incision operation.
In a preferred embodiment, when taking the impression in the first step, a digital intraoral scanner is used for taking a digital intraoral impression, then CAD software is used for forming the digital impression into a digital model, and then the model is printed by using a 3D printing technology.
In a preferred embodiment, the model obtained in the first step is capable of showing all of the labial-buccal vestibules to the floor of vestibule sulcus, and the model obtained in the first step is trimmed by using a burr trimmer.
In a preferred embodiment, the direction and length of the cortical opening in step two are designed according to ODC, SAD surgical principles and corrective biomechanical requirements.
In a preferred embodiment, the membrane trimming in step three leaves the width of the surgical field membrane 5mm on either side of the mark line, with the remaining membranes conforming to conventional retainer membrane trimming principles.
In a preferred embodiment, the linear aperture cut by the technician needle in step three has a width of 1.5mm and a length corresponding to the length marked in step two.
In a preferred embodiment, the guide plate in the fourth step is sterilized at normal temperature and normal pressure for 5-10 min.
In a preferred embodiment, the ultrasonic osteotome in the fourth step adopts an ultrasonic osteotome BS1, and the working tip of the ultrasonic osteotome BS1 has a 3mm depth limiting line.
The invention has the beneficial effects that: the precision surgical guide plate formed by pressing the film or 3D printing is used for the cortex lycii incision operation driven by orthodontics, the accuracy of the operation is increased, the operation risk caused by negative injury is reduced, the operation is safer, quicker and easier to popularize, the satisfaction degree of a patient is improved while the scientific predictability is increased, and a firm foundation is laid for future operation digitalization and AI.
The points to be finally explained are: first, in the description of the present application, it should be noted that, unless otherwise specified and limited, the terms "mounted," "connected," and "connected" should be understood broadly, and may be a mechanical connection or an electrical connection, or a communication between two elements, and may be a direct connection, and "upper," "lower," "left," and "right" are only used to indicate a relative positional relationship, and when the absolute position of the object to be described is changed, the relative positional relationship may be changed;
and finally: 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 are within the spirit and principle of the present invention are intended to be included in the scope of the present invention.
Claims (8)
1. A method for manufacturing a precision surgical guide plate special for orthodontically driven cortical osteotomy is characterized in that: the method comprises the following steps:
the method comprises the following steps: preparation of the model
Taking an impression, and preparing an upper jaw accurate impression and a lower jaw accurate impression by using a silicon rubber impression material;
secondly, manufacturing a model, namely pouring a silica gel impression by using superhard gypsum to form an upper jaw and lower jaw accurate model;
step two: model design
Designing the direction and length of the cortical opening on the model obtained in the step one, and marking the cortical opening by using a marker pen;
step three: preparation of guide plates
Placing the model marked in the step two on a dental transparent retainer film pressing machine, heating by using a 2mm hard film, vacuumizing and pressing the film, then taking down the film, trimming and keeping the width of the film in the operation area at two sides of the marking line by 5mm, and cutting corresponding linear pores on the film covered in the operation area along the marking line of the model by using a technician machine needle to obtain a guide plate;
step four: for operation use
Placing the guide plate obtained in the third step in a disinfectant for soaking and disinfection before use, placing the guide plate after disinfection in an oral cavity during operation, cutting a mucoperiosteum along the guide plate by using a No. 15 circular knife under local anesthesia, cutting a bone cortex for 3mm under the guide of the guide plate by using an ultrasonic bone knife working tip, and completing the orthodontically driven cortical bone incision operation.
2. The method for manufacturing an orthodontic-driven precision surgical guide plate for cortical osteotomy according to claim 1, wherein: and when taking the impression in the first step, a digital oral cavity scanner is used for making the digital oral cavity impression, then CAD software is used for forming the digital impression into a digital model, and then the model is printed by utilizing a 3D printing technology.
3. The method for manufacturing the precision surgical guide plate special for the orthodontically driven cortical osteotomy according to claim 2, wherein: the model obtained in the first step can completely show the labial-buccal oral cavity vestibule to the vestibule sulcus bottom, and burrs are polished by a burr trimming machine.
4. The method for manufacturing an orthodontic-driven precision surgical guide plate for cortical osteotomy according to claim 1, wherein: and in the second step, the direction and the length of the cortical opening are designed according to the ODC and SAD operation principles and the correction biomechanical requirements.
5. The method for manufacturing an orthodontic-driven precision surgical guide plate for cortical osteotomy according to claim 1, wherein: in the third step, the width of the diaphragm in the operation area is maintained to be 5mm on two sides of the marking line, and the rest diaphragms are consistent with the diaphragm finishing principle of the traditional retainer.
6. The method for manufacturing an orthodontic-driven precision surgical guide plate for cortical osteotomy according to claim 1, wherein: in the third step, the width of the linear hole cut by the needle of the mechanic is 1.5mm, and the length of the linear hole is consistent with the length marked in the second step.
7. The method for manufacturing an orthodontic-driven precision surgical guide plate for cortical osteotomy according to claim 1, wherein: and the guide plate in the fourth step is sterilized at normal temperature and normal pressure for 5-10 min.
8. The method for manufacturing an orthodontic-driven precision surgical guide plate for cortical osteotomy according to claim 1, wherein: the ultrasonic osteotome in the fourth step adopts an ultrasonic osteotome BS1, and a 3mm depth limit line is arranged at the working tip of the ultrasonic osteotome BS 1.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202110929392.XA CN113974868B (en) | 2021-08-13 | 2021-08-13 | Manufacturing method of special precision surgical guide plate for orthodontic driven osteotomy |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202110929392.XA CN113974868B (en) | 2021-08-13 | 2021-08-13 | Manufacturing method of special precision surgical guide plate for orthodontic driven osteotomy |
Publications (2)
| Publication Number | Publication Date |
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| CN113974868A true CN113974868A (en) | 2022-01-28 |
| CN113974868B CN113974868B (en) | 2023-06-23 |
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| Application Number | Title | Priority Date | Filing Date |
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| CN202110929392.XA Active CN113974868B (en) | 2021-08-13 | 2021-08-13 | Manufacturing method of special precision surgical guide plate for orthodontic driven osteotomy |
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| Country | Link |
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Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| TWI801189B (en) * | 2022-03-31 | 2023-05-01 | 許漢忠 | Vacuum forming method and vacuum forming apparatus for film-like structure comprising protruded body |
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| US20110129792A1 (en) * | 2008-04-15 | 2011-06-02 | Berckmans Iii Bruce | Method of creating an accurate bone and soft-tissue digital dental model |
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| TWI801189B (en) * | 2022-03-31 | 2023-05-01 | 許漢忠 | Vacuum forming method and vacuum forming apparatus for film-like structure comprising protruded body |
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| Publication number | Publication date |
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| CN113974868B (en) | 2023-06-23 |
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