CN113974868B - Manufacturing method of special precision surgical guide plate for orthodontic driven osteotomy - Google Patents
Manufacturing method of special precision surgical guide plate for orthodontic driven osteotomy Download PDFInfo
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- CN113974868B CN113974868B CN202110929392.XA CN202110929392A CN113974868B CN 113974868 B CN113974868 B CN 113974868B CN 202110929392 A CN202110929392 A CN 202110929392A CN 113974868 B CN113974868 B CN 113974868B
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- 238000004519 manufacturing process Methods 0.000 title claims abstract description 17
- 230000001054 cortical effect Effects 0.000 claims abstract description 15
- 210000000988 bone and bone Anatomy 0.000 claims abstract description 11
- 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
- 239000004945 silicone rubber Substances 0.000 claims abstract description 4
- 238000000034 method Methods 0.000 claims description 12
- 238000005520 cutting process Methods 0.000 claims description 10
- 238000009966 trimming Methods 0.000 claims description 9
- 210000000214 mouth Anatomy 0.000 claims description 7
- 238000002360 preparation method Methods 0.000 claims description 6
- 238000005516 engineering process Methods 0.000 claims description 4
- 238000010438 heat treatment Methods 0.000 claims description 3
- 239000003550 marker Substances 0.000 claims description 3
- 239000012528 membrane Substances 0.000 claims 4
- 238000007639 printing Methods 0.000 claims 1
- 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
- 238000002560 therapeutic procedure Methods 0.000 description 3
- 239000000645 desinfectant Substances 0.000 description 2
- 238000002690 local anesthesia Methods 0.000 description 2
- 238000002791 soaking Methods 0.000 description 2
- 238000004659 sterilization and disinfection Methods 0.000 description 2
- 230000001720 vestibular Effects 0.000 description 2
- 241000282414 Homo sapiens Species 0.000 description 1
- 210000003484 anatomy Anatomy 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000007547 defect Effects 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
- 230000002980 postoperative effect Effects 0.000 description 1
- 238000004904 shortening Methods 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
Classifications
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- 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
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- Dentistry (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- General Health & Medical Sciences (AREA)
- Epidemiology (AREA)
- Surgery (AREA)
- Engineering & Computer Science (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Molecular Biology (AREA)
- Medical Informatics (AREA)
- Heart & Thoracic Surgery (AREA)
- Biomedical Technology (AREA)
- Orthopedic Medicine & Surgery (AREA)
- General Engineering & Computer Science (AREA)
- Dental Tools And Instruments Or Auxiliary Dental Instruments (AREA)
Abstract
The invention discloses a manufacturing method of a special precision surgical guide plate for an orthodontic driven cortical bone incision, which particularly relates to the field of medical appliances, and comprises the following steps: step one: preparing a model, (1) taking an impression, and taking an accurate impression of the upper jaw and the lower jaw by using a silicone rubber impression material; manufacturing a model, namely pouring a silica gel impression by using super-hard gypsum to form an accurate model of the upper jaw and the lower jaw; step two: designing a model; step three: preparing a guide plate; step four: is used in operation. The invention uses the precise surgical guide plate formed by film pressing or 3D printing for orthodontic driven cortical bone incision operation, increases the accuracy of operation, reduces the operation risk caused by negative injury, ensures safer, faster and easier popularization of operation, increases the scientific predictability and the satisfaction degree of patients, and lays a firm foundation for future operation digitization and AI.
Description
Technical Field
The invention relates to the technical field of medical appliances, in particular to a manufacturing method of a special precision surgical guide plate for an orthodontic driven osteotomy.
Background
Orthodontic driven osteocorticotomy is an emerging technology recently developed in the orthodontic profession, and aims to provide a therapy which aims at shortening the treatment course, expanding the indication, reducing the large-scale operation and reducing the postoperative recurrence rate when various orthodontics are worn on various misjaw deformities of human beings, and the like, and the therapy has long treatment course (generally needs a plurality of years), limited application range (the misjaw deformity of an osseous adult is difficult to correct and needs orthodontics surgery), easy recurrence after operation and the like. The therapy requires the use of an ultrasonic osteotome to cut the cortical bone at the appropriate location to achieve this. However, in the actual operation process, the requirements on the skill and clinical experience of the operator are too high, and the adjacent tooth root or other important anatomical structures around the adjacent tooth root can be damaged by a little careless, so that a solution is urgently needed.
Disclosure of Invention
In order to overcome the defects in the prior art, the embodiment of the invention provides a manufacturing method of a special precision surgical guide plate for an orthodontic driven cortical opening, which aims to solve the technical problems that: how to perform orthodontic-driven osteotomy more safely and more quickly.
In order to achieve the above purpose, the present invention provides the following technical solutions: a manufacturing method of an orthodontic-driven special precision surgical guide plate for a cortical opening comprises the following steps:
step one: preparation of the model
Taking an impression, and taking an accurate impression of the upper jaw and the lower jaw by using a silicone rubber impression material;
manufacturing a model, namely pouring a silica gel impression by using super-hard gypsum to form an accurate model of the upper jaw and the lower jaw;
step two: model design
Designing the direction and length of the cortical bone incision on the model obtained in the first step, and marking by using a marker;
step three: preparation of guide plate
Placing the marked model in the second step on a dental transparent retainer film pressing machine, heating by using a 2mm hard film, vacuumizing and pressing the film, then removing the film, trimming and reserving the width of the film in an operation area at 5mm on two sides of a marking line, and cutting corresponding linear holes on the film covered in the operation area along the marking line of the model by using a craftsman needle to obtain a guide plate;
step four: surgical use
Before use, the guide plate obtained in the third step is placed in a disinfectant for soaking and disinfection, the disinfected guide plate is placed in an oral cavity during operation, a 15-number circular knife is used for cutting a mucoperiosteum along the guide plate under local anesthesia, an ultrasonic osteotome working tip is used for cutting an osteocortex 3mm under guide of the guide plate, and an orthodontic-driven osteocortex cutting operation is completed.
In a preferred embodiment, the step one takes a digital impression of the oral cavity by using a digital intraoral scanner, then uses CAD software to form a digital model from the digital impression, and prints the model by using 3D printing technology.
In a preferred embodiment, the model obtained in the first step is capable of fully exposing the labial buccal vestibule to the vestibular floor, and the model obtained in the first step is burr-polished with a burr trimmer.
In a preferred embodiment, the direction and length of the cortical bone incision in the second step are set according to ODC, SAD surgical principles and biomechanical needs.
In a preferred embodiment, in step three, the patch trimming remains 5mm across the marking line for the surgical field patch width, with the remaining patches being consistent with conventional retainer patch trimming principles.
In a preferred embodiment, the linear aperture cut by the technical needle in the third step is 1.5mm wide, and the length is consistent with the length of the mark in the second step.
In a preferred embodiment, the guide plate in the fourth step is sterilized at normal temperature and normal pressure for 5-10min.
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 invention uses the precise surgical guide plate formed by film pressing or 3D printing for orthodontic driven cortical bone incision operation, increases the accuracy of operation, reduces the operation risk caused by negative injury, ensures safer, faster and easier popularization of operation, increases the scientific predictability and the satisfaction degree of patients, and lays a firm foundation for future operation digitization and AI.
Detailed Description
The technical solutions of the embodiments of the present invention will be clearly and completely described below in conjunction with the embodiments of the present invention, and it is apparent that the described embodiments are only some embodiments of the present invention, not all embodiments. All other embodiments, which can be made by those skilled in the art based on the embodiments of the invention without making any inventive effort, are intended to be within the scope of the invention.
The invention provides a manufacturing method of an orthodontic-driven special precision surgical guide plate for a cortical opening, which comprises the following steps:
step one: preparation of the model
Taking an impression, and taking an accurate impression of the upper jaw and the lower jaw by using a silicone rubber impression material;
manufacturing a model, namely pouring a silica gel impression by using super-hard gypsum to form an accurate model of the upper jaw and the lower jaw;
step two: model design
Designing the direction and length of the cortical bone incision on the model obtained in the first step, and marking by using a marker;
step three: preparation of guide plate
Placing the marked model in the second step on a dental transparent retainer film pressing machine, heating by using a 2mm hard film, vacuumizing and pressing the film, then removing the film, trimming and reserving the width of the film in an operation area at 5mm on two sides of a marking line, and cutting corresponding linear holes on the film covered in the operation area along the marking line of the model by using a craftsman needle to obtain a guide plate;
step four: surgical use
Before use, the guide plate obtained in the third step is placed in a disinfectant for soaking and disinfection, the disinfected guide plate is placed in an oral cavity during operation, a 15-number circular knife is used for cutting a mucoperiosteum along the guide plate under local anesthesia, an ultrasonic osteotome working tip is used for cutting an osteocortex 3mm under guide of the guide plate, and an orthodontic-driven osteocortex cutting operation is completed.
In a preferred embodiment, the step one takes a digital impression of the oral cavity by using a digital intraoral scanner, then uses CAD software to form a digital model from the digital impression, and prints the model by using 3D printing technology.
In a preferred embodiment, the model obtained in the first step is capable of fully exposing the labial buccal vestibule to the vestibular floor, and the model obtained in the first step is burr-polished with a burr trimmer.
In a preferred embodiment, the direction and length of the cortical bone incision in the second step are set according to ODC, SAD surgical principles and biomechanical needs.
In a preferred embodiment, in step three, the patch trimming remains 5mm across the marking line for the surgical field patch width, with the remaining patches being consistent with conventional retainer patch trimming principles.
In a preferred embodiment, the linear aperture cut by the technical needle in the third step is 1.5mm wide, and the length is consistent with the length of the mark in the second step.
In a preferred embodiment, the guide plate in the fourth step is sterilized at normal temperature and normal pressure for 5-10min.
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 precise surgical guide plate formed by film pressing or 3D printing is used for orthodontic driven cortical bone incision operation, so that the accuracy of the operation is improved, the operation risk caused by negative injury is reduced, the operation is safer, faster and easier to popularize, the satisfaction degree of a patient is improved while the scientific predictability is improved, and a firm foundation is laid for future operation digitization and AI.
The last points to be described are: first, in the description of the present application, it should be noted that, unless otherwise specified and defined, the terms "mounted," "connected," and "connected" are to be construed broadly, and may be mechanical or electrical, or may be a direct connection between two elements, and "upper," "lower," "left," "right," etc. are merely used to indicate relative positional relationships, which may be changed when the absolute position of the object being described is changed;
finally: the foregoing description of the preferred embodiments of the invention is not intended to limit the invention to the precise form disclosed, and any such modifications, equivalents, and alternatives falling within the spirit and principles of the invention are intended to be included within the scope of the invention.
Claims (6)
1. A manufacturing method of an orthodontic driven special precision surgical guide plate for a cortical osteotomy is characterized by comprising the following steps: the method comprises the following steps:
step one: preparation of the model
Taking an impression, and taking an accurate impression of the upper jaw and the lower jaw by using a silicone rubber impression material;
manufacturing a model, namely pouring a silica gel impression by using super-hard gypsum to form an accurate model of the upper jaw and the lower jaw;
step two: model design
Designing the direction and length of the cortical bone incision on the model obtained in the first step, and marking by using a marker;
step three: preparation of guide plate
And (3) placing the marked model 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 removing the film, trimming and keeping the width of the film in an operation area at 5mm on two sides of a marking line, and cutting corresponding linear holes on the film covered in the operation area along the marking line of the model by using a craftsman needle to obtain the guide plate.
2. The method for manufacturing the special precision surgical guide plate for the orthodontic driven osteotomy as in claim 1, wherein the method comprises the following steps: and in the first step, a digital oral cavity scanner is used for preparing a digital oral cavity impression when the impression is taken, CAD software is used for forming a digital model from the digital impression, and a 3D printing technology is used for printing out the model.
3. The method for manufacturing the special precision surgical guide plate for the orthodontic driven osteotomy as in claim 2, wherein the method comprises the following steps: the model obtained in the first step can fully display the lip and cheek side oral cavity from the vestibule to the vestibule gutter bottom, and the model obtained in the first step polishes burrs by using a burr trimmer.
4. The method for manufacturing the special precision surgical guide plate for the orthodontic driven osteotomy as in claim 1, wherein the method comprises the following steps: in the second step, the direction and length of the cortical bone incision are designed according to the ODC and SAD operation principle and the biomechanical correction requirement.
5. The method for manufacturing the special precision surgical guide plate for the orthodontic driven osteotomy as in claim 1, wherein the method comprises the following steps: and in the third step, the membrane trimming keeps the width of the operation area membrane 5mm at the two sides of the marking line, and the rest membranes are consistent with the traditional retainer membrane trimming principle.
6. The method for manufacturing the special precision surgical guide plate for the orthodontic driven osteotomy as in claim 1, wherein the method comprises the following steps: and thirdly, cutting a linear aperture with the width of 1.5mm by using a technical lathe needle, wherein the length of the linear aperture is consistent with the length of the mark in the second step.
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| 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 |
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| Application Number | Priority Date | Filing Date | Title |
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| CN202110929392.XA CN113974868B (en) | 2021-08-13 | 2021-08-13 | Manufacturing method of special precision surgical guide plate for orthodontic driven osteotomy |
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| CN113974868A CN113974868A (en) | 2022-01-28 |
| CN113974868B true CN113974868B (en) | 2023-06-23 |
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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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| Publication number | Priority date | Publication date | Assignee | Title |
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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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| CN109893263A (en) * | 2017-12-11 | 2019-06-18 | 无锡时代天使医疗器械科技有限公司 | Shelly-shaped dental appliance production method |
| CN110035708A (en) * | 2016-12-02 | 2019-07-19 | 阿莱恩技术有限公司 | The method of palatal expander and palatal expansion |
Family Cites Families (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| EP2276417B1 (en) * | 2008-04-15 | 2018-07-25 | Biomet 3i, LLC | Method of creating an accurate bone and soft-tissue digital dental model |
| US20120214121A1 (en) * | 2011-01-26 | 2012-08-23 | Greenberg Surgical Technologies, Llc | Orthodontic Treatment Integrating Optical Scanning and CT Scan Data |
| WO2017143107A1 (en) * | 2016-02-16 | 2017-08-24 | Jason Watson | Sequential dental surgical guide system and related methods |
| CN109602509A (en) * | 2018-12-07 | 2019-04-12 | 杨勇 | A kind of production method for surgical guide template for oral cavity planting operation |
| CN112587258B (en) * | 2020-12-11 | 2022-06-21 | 上海交通大学医学院附属第九人民医院 | Method for manufacturing tool for improving cortex lycii cutting |
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- 2021-08-13 CN CN202110929392.XA patent/CN113974868B/en active Active
Patent Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN204207868U (en) * | 2014-10-13 | 2015-03-18 | 首都医科大学附属北京口腔医院 | Correction micro screw implantation guide plate |
| CN105832432A (en) * | 2016-03-17 | 2016-08-10 | 边专 | Invisible orthodontic treatment method designing integral movement of teeth based on morphology of alveolar bones |
| CN110035708A (en) * | 2016-12-02 | 2019-07-19 | 阿莱恩技术有限公司 | The method of palatal expander and palatal expansion |
| CN207693698U (en) * | 2017-06-07 | 2018-08-07 | 佛山科学技术学院 | A kind of dentistry plantation guide plate |
| CN109893263A (en) * | 2017-12-11 | 2019-06-18 | 无锡时代天使医疗器械科技有限公司 | Shelly-shaped dental appliance production method |
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