CN208693486U - The guide plate of stretching alveolar bone skeletonization - Google Patents

The guide plate of stretching alveolar bone skeletonization Download PDF

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Publication number
CN208693486U
CN208693486U CN201720679018.8U CN201720679018U CN208693486U CN 208693486 U CN208693486 U CN 208693486U CN 201720679018 U CN201720679018 U CN 201720679018U CN 208693486 U CN208693486 U CN 208693486U
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China
Prior art keywords
guide plate
plate
alveolar bone
bite
stretching
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Expired - Fee Related
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CN201720679018.8U
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Chinese (zh)
Inventor
罗恩
李佳洋
何东明
满毅
胡琛
刘显
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Sichuan University
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Sichuan University
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Abstract

A kind of guide plate of stretching alveolar bone skeletonization provided by the utility model, including bite plate, positioning plate and guide plate ontology, for the U-shaped setting of bite plate of people's occlusion, and bite plate is protruded into the oral area of people by the side that is open, the bottom of bite plate is connect by positioning plate with the middle part of guide plate ontology, guide plate ontology integrally it is arc-shaped setting and guide plate ontology be bonded with the alveolar bone of people, two exhausting holes being laterally arranged are provided on guide plate ontology, osteotomy line is provided between two exhausting holes, stretching alveolar bone skeletonization can be accurately oriented in high precision, it is particularly suitable for that the case of alveolar bone thickness and height need to be increased simultaneously, it can avoid important anatomical structure, improve the safety of operation, guide the completion operation of the smooth safety of doctor, improve operation precision efficiency, alleviate the burden of doctor and patient, furthermore, above-mentioned guide plate structure is simple, it is easy to make, it answers It is used with large-scale promotion conveniently, is suitable for.

Description

The guide plate of stretching alveolar bone skeletonization
Technical field
The utility model relates to medical assistance instrument field, especially a kind of guide plate of stretching alveolar bone skeletonization.
Background technique
After decades of development, indication is increasingly extensive for tooth-planting technology.Especially alveolar bone distraction osteogenesis skill Art is solved the problems, such as in the application of field of planting because Bone mineral change causes planting body to loosen around implant.Distraction osteogenesis refers to At sutura or at the bone section that bone is cut, retracted with stretch device by certain speed and frequency, shape in the spatium interosseum of generation At new bone, to achieve the purpose that make Limb lengthening or broadening.These area of new bone are to support the basis of implant.Currently, bone stretching Direction be to be determined by the direction of stretch device upper boom, in traditional distraction osteogenesis operation, doctor is mostly put by micro-judgment Stretching bar is set, direction and the final effect of skeletonization cannot be predicted accurately, and especially those need while increasing Level of Alveolar Bone height The case of degree and thickness, it is extremely difficult in art accurately to put stretching bar position, lead to the increment direction people not to the utmost of final alveolar bone Meaning.
Utility model content
In order to solve the above-mentioned technical problem, the guide plate of a kind of stretching alveolar bone skeletonization provided, in the process city used In, the position of osteotomy line according to operation plan, need to be set and cut the final position after bone block growth, bone block need to be cut most by appointing to take Final position set a bit, by cut bone block on this point home position and cut bone block growth after final position on this Point is connected to form a line segment, this line segment is the direction of distraction osteogenesis, and the pre-bending of Distraction Apparatus is carried out in 3D modelling software, The position that multiple through-holes on guide plate ontology are determined according to the position of nail hole after Distraction Apparatus pre-bending is led according to the design of osteotomy line label The position of osteotomy line, adopts the structure on plate, can accurately orient stretching alveolar bone skeletonization in high precision, being particularly suitable for need to be simultaneously Increase the case of alveolar bone thickness and height, meanwhile, important anatomical structure can be avoided, the safety of operation, guidance doctor are improved The completion operation of raw smoothly safety, improves operation precision efficiency, the burden of doctor and patient is alleviated, in addition, above-mentioned guide plate Structure is simple, is easy to make, and uses using large-scale promotion conveniently, is suitable for, and the doctor that experience can be made less familiarizes hand While art operation, guarantee the precision and success rate of operation.
A kind of guide plate of stretching alveolar bone skeletonization provided by the utility model, including bite plate, positioning plate and guide plate ontology, For the U-shaped setting of the bite plate of people's occlusion, and the bite plate is protruded into the oral area of people by the side that is open, the bite plate Bottom is connect by the positioning plate with the middle part of the guide plate ontology, and the guide plate ontology is integrally arc-shaped to be arranged and described lead Plate ontology is bonded with the alveolar bone of people, is provided with two exhausting holes being laterally arranged on the guide plate ontology, two rows of through-holes it Between be provided with osteotomy line.
Further, the lower surface of the bite plate is provided with the lower groove to match with the surface of lower row's tooth of people.
Further, the upper surface of the bite plate is provided with the upper groove to match with the surface of upper row's tooth of people.
Further, the depth bounds of the upper groove and the lower groove are 1mm~4mm.
Further, the positioning plate and the bite plate are arranged in angle, and the size of the angle is 80 degree~100 Degree.
Further, the positioning plate includes two hold-down bars disposed in parallel and is arranged between two hold-down bars And the fixed plate being fixedly connected simultaneously with two hold-down bars, the fixed plate are integrally formed with two hold-down bars.
Further, the top of the positioning plate is fixedly connected by fixing sleeve with the bite plate, the positioning plate Lower part is fixedly connected by fixed block with the guide plate.
Further, the thickness range of the guide plate ontology is 2~3mm.
A kind of production method of the guide plate for stretching alveolar bone skeletonization that the utility model also provides, steps are as follows:
A, CT scan is carried out to the Maxillary region of patient, is generated using 3D rendering and editing and processing software is to patient's jaw face The CT scan result in portion carries out three-dimensional reconstruction, the threedimensional model after being rebuild;
B, the position of lower alveolar duct is marked in the three-dimensional model;
C, it has made the bite plate of fixed function in the three-dimensional model using 3D modelling software, has completed bite plate part Production;
D, guide plate body profiles are drawn on jawbone, generate the guide plate ontology of 2-3mm thickness, determine osteotomy according to operation plan The position and the final position after incision bone block growth of line, appoint a bit that takes and need to cut on bone block final position, will cut bone block The home position of upper this point and this point cut on the final position after bone block growth are connected to form a line segment, this line segment For the direction of distraction osteogenesis, the pre-bending of Distraction Apparatus is carried out in 3D modelling software, according to the position of nail hole after Distraction Apparatus pre-bending Tooth is closed according to the position of osteotomy line on the design label guide plate of osteotomy line the position for setting multiple through-holes on determining guide plate ontology Plate is fixedly connected with guide plate ontology by positioning plate, and leading for implant operation accurate pointing early period stretching alveolar bone skeletonization is obtained Plate;
E, using 3 D-printing material, the guide plate designed is fabricated to by entity by rapid three dimensional printing forming method.
A kind of application method of the guide plate for stretching alveolar bone skeletonization that the utility model also provides, its step are as follows:
A, guide plate is carried out disinfection after processing, it is spare;
B, it to vestibular ditch notch in the jawbone row mouth of patient under general anesthesia, cuts to bone face, removes bone facial muscle meat, soft tissue, Guide plate is fixed in denture by the bite plate on guide plate, is bonded guide plate ontology with jawbone;
C, using the position successively tack holes bored according to multiple through-holes on guide plate ontology is split, using reciprocating saw according to guide plate Osteotomy line on ontology cuts jawbone row box-like;
D, it by the Distraction Apparatus of the nail hole position location and installation pre-bending on the jawbone of osteotomy line two sides, and is followed closely and is fixed by titanium, really Determine the direction of distraction osteogenesis;
E, it is polished flat the bone surface of a wound with round bur, negative-pressure drainage tube is sufficiently placed after hemostasis, layering suture muscle, mucous membrane add After field of operation is pricked in briquetting, the installation exercise of guide plate is completed.
In conclusion the guide plate and its manufacturing method of a kind of stretching alveolar bone skeletonization provided by the utility model and user Method compared with prior art its have the advantage that for, in the process city used, need to according to operation plan, set osteotomy line Position and cut bone block growth after final position, appoint take need to cut on bone block final position a bit, will cut bone block on The home position of this point and this point cut on the final position after bone block growth are connected to form a line segment, this line segment is The direction of distraction osteogenesis carries out the pre-bending of Distraction Apparatus, according to the position of nail hole after Distraction Apparatus pre-bending in 3D modelling software The position for determining multiple through-holes on guide plate ontology, according to the position of osteotomy line on the design label guide plate of osteotomy line, use is such Structure can accurately orient stretching alveolar bone skeletonization in high precision, be particularly suitable for that the disease of alveolar bone thickness and height need to be increased simultaneously Example, meanwhile, important anatomical structure can be avoided, the safety of operation is improved, the completion operation of the smooth safety of guidance doctor improves Operation precision efficiency, alleviates the burden of doctor and patient, in addition, above-mentioned guide plate structure is simple, is easy to make, using side Just, it is suitable for large-scale promotion to use, and while the doctor that experience can be made less familiarizes surgical operation, guarantees the essence of operation Degree and success rate.
The lower surface of bite plate is provided with the lower groove to match with the surface of lower row's tooth of people, facilitates bite plate and people Lower row's tooth is bonded, and bite plate is fixed preferably with lower row's tooth of people.
The upper surface of bite plate is provided with the upper groove to match with the surface of upper row's tooth of people, facilitates bite plate and people Upper row's tooth is bonded, and bite plate is fixed preferably with upper row's tooth of people.
The thickness range of guide plate ontology is 2~3mm, guarantees the use intensity of guide plate ontology, and splits to drill through in use and lead When through-hole on plate ontology is to nail hole is bored on mandibular, guide plate ontology will not the drill bit that bores of counterincision interfered.
Detailed description of the invention
In order to illustrate the embodiment of the utility model or the technical proposal in the existing technology more clearly, below will be to embodiment Or attached drawing needed to be used in the description of the prior art is briefly described, it should be apparent that, the accompanying drawings in the following description is only It is some embodiments of the utility model, for those of ordinary skill in the art, in the premise not made the creative labor Under, it is also possible to obtain other drawings based on these drawings.
Fig. 1 is a kind of overall structure diagram of the guide plate of stretching alveolar bone skeletonization provided by the utility model;
Fig. 2 is a kind of structural schematic diagram of the bite plate of the guide plate of stretching alveolar bone skeletonization provided by the utility model;
Fig. 3 is a kind of structural schematic diagram of the positioning plate of the guide plate of stretching alveolar bone skeletonization provided by the utility model;
Fig. 4 is a kind of structural schematic diagram of the guide plate ontology of the guide plate of stretching alveolar bone skeletonization provided by the utility model;
In figure
1, bite plate;2, positioning plate;3, guide plate ontology;11, lower groove;31, through-hole.
Specific embodiment
To keep the purpose of this utility model, technical solution and advantage clearer, below by the technology to the utility model Scheme is described in detail.Obviously, the described embodiments are only a part of the embodiments of the utility model, rather than all Embodiment.Based on the embodiments of the present invention, those of ordinary skill in the art are not before making creative work Obtained all other embodiment is put, the range that the utility model is protected is belonged to.
As shown in Figures 1 to 4, the guide plate of a kind of stretching alveolar bone skeletonization provided by the utility model, including bite plate 1, Positioning plate 2 and guide plate ontology 3, for the U-shaped setting of bite plate 1 of people's occlusion, and bite plate 1 is protruded into the mouth of people by the side that is open The bottom in portion, bite plate 1 is connect by positioning plate 2 with the middle part of guide plate ontology 3, and 3 entirety of guide plate ontology is arc-shaped to be arranged and lead Plate ontology 3 is bonded with the alveolar bone of people, is provided with two exhausting holes 31 being laterally arranged on guide plate ontology 3, between two exhausting holes 31 It is provided with osteotomy line, in the process city used, after the position of osteotomy line according to operation plan, need to be set and cut bone block growth Final position, appoint take need to cut on bone block final position a bit, will cut bone block on this point home position and incision This point on final position after bone block growth is connected to form a line segment, this line segment is the direction of distraction osteogenesis, in 3D mould The pre-bending that Distraction Apparatus is carried out in type Software for producing determines multiple logical on guide plate ontology 3 according to the position of nail hole after Distraction Apparatus pre-bending The position in hole 31 is adopted the structure according to the position of osteotomy line on the design label guide plate of osteotomy line, can be accurately fixed in high precision To stretching alveolar bone skeletonization, it is particularly suitable for that the case of alveolar bone thickness and height need to be increased simultaneously, meanwhile, it can avoid important Anatomical structure, improves the safety of operation, and the completion operation of the smooth safety of guidance doctor improves operation precision efficiency, mitigates The burden of doctor and patient in addition, above-mentioned guide plate structure is simple are easy to make, and using convenient, make suitable for large-scale promotion With, and while the doctor that experience can be made less familiarizes surgical operation, guarantee the precision and success rate of operation.
In a preferred embodiment, the lower surface of bite plate 1, which is provided with, matches with the surface of lower row's tooth of people Lower groove 11 facilitates bite plate 1 to be bonded with lower row's tooth of people, and bite plate 1 is fixed preferably with lower row's tooth of people.
In a preferred embodiment, the upper surface of bite plate 1, which is provided with, matches with the surface of upper row's tooth of people Upper groove facilitates bite plate 1 to be bonded with upper row's tooth of people, and bite plate 1 is fixed preferably with upper row's tooth of people.
Preferably, the depth bounds of upper groove and lower groove 11 are 1mm~4mm, facilitate upper groove and upper row's tooth of people Fitting, lower groove 11 is bonded with lower row's tooth of people, and can guarantee certain bonding strength, and bite plate 1 is made preferably to be fixed on people Oral cavity in.
In a preferred embodiment, positioning plate 2 and bite plate 1 are arranged in angle, and the size of angle for 80 degree~ 100 degree, guarantee that positioning plate 2 by the fixation of bite plate 1 and guide plate, guarantees the bonding strength of entire guide plate.
In a preferred embodiment, positioning plate 2 includes two hold-down bars disposed in parallel and is arranged in two fixations The fixed plate being fixedly connected between stick and simultaneously with two hold-down bars, fixed plate are integrally formed with two hold-down bars, guarantee positioning The integral strength of plate 2.
In a preferred embodiment, the top of positioning plate 2 is fixedly connected by fixing sleeve with bite plate 1, positioning plate 2 Lower part be fixedly connected by fixed block with guide plate.
In a preferred embodiment, the thickness range of guide plate ontology 3 is 2~3mm, guarantees the use of guide plate ontology 3 Intensity, and when using the through-hole 31 split drilled through on guide plate ontology 3 to nail hole is bored on mandibular, guide plate ontology 3 will not The drill bit that counterincision is bored is interfered.
A kind of production method of the guide plate for stretching alveolar bone skeletonization that the utility model also provides, steps are as follows:
A, CT scan is carried out to the Maxillary region of patient, is generated using 3D rendering and editing and processing software is to patient's jaw face The CT scan result in portion carries out three-dimensional reconstruction, the threedimensional model after being rebuild;
B, the position of lower alveolar duct is marked in the three-dimensional model;
C, it has made the bite plate 1 of fixed function in the three-dimensional model using 3D modelling software, has completed bite plate portion The production divided;
D, 3 profile of guide plate ontology is drawn on mandibular, generates the guide plate ontology 3 of 2-3mm thickness, is determined according to operation plan The position and the final position after incision bone block growth of osteotomy line, appoint a bit that takes and need to cut on bone block final position, will cut The home position of this point and this point cut on the final position after bone block growth are connected to form a line segment in bone block, this Line segment is the direction of distraction osteogenesis, the pre-bending of Distraction Apparatus is carried out in 3D modelling software, according to nail hole after Distraction Apparatus pre-bending Position determine the positions of multiple through-holes 31 on guide plate ontology 3, according to the position of osteotomy line on the design label guide plate of osteotomy line, Bite plate 1 is fixedly connected with guide plate ontology 3 by positioning plate 2, is obtained for accurate pointing stretching implant operation early period alveolus The guide plate of bone skeletonization;
E, using 3 D-printing material, the guide plate designed is fabricated to by entity by rapid three dimensional printing forming method.
Using above-mentioned production method, the accurate orientation stretching alveolus of guide plate high-precision of the stretching alveolar bone skeletonization of production can be made Bone skeletonization is particularly suitable for that the case of alveolar bone thickness and height need to be increased simultaneously, meanwhile, important anatomical structure can be avoided, The safety of operation is improved, the completion operation of the smooth safety of guidance doctor improves operation precision efficiency, alleviates doctor and trouble The burden of person is easy to make in addition, guide plate structure is simple, using convenient, be suitable for large-scale promotion and use, and can make experience compared with While few doctor familiarizes surgical operation, guarantee the precision and success rate of operation.
A kind of application method of the guide plate for stretching alveolar bone skeletonization that the utility model also provides, its step are as follows:
A, guide plate is carried out disinfection after processing, it is spare;
B, it to vestibular ditch notch in the jawbone row mouth of patient under general anesthesia, cuts to bone face, removes bone facial muscle meat, soft tissue, Guide plate is fixed in denture by the bite plate 1 on guide plate, is bonded guide plate ontology 3 with jawbone;
C, using splitting the position successively tack holes bored according to multiple through-holes 31 on guide plate ontology 3, using reciprocating saw according to Osteotomy line on guide plate ontology 3 cuts jawbone row box-like;
D, it by the Distraction Apparatus of the nail hole position location and installation pre-bending on the jawbone of osteotomy line two sides, and is followed closely and is fixed by titanium, really Determine the direction of distraction osteogenesis;
E, it is polished flat the bone surface of a wound with round bur, negative-pressure drainage tube is sufficiently placed after hemostasis, layering suture muscle, mucous membrane add After field of operation is pricked in briquetting, the installation exercise of guide plate is completed.
Using above-mentioned application method, it is ensured that the accurate orientation stretching alveolar bone of the guide plate of stretching alveolar bone skeletonization high-precision at Bone is particularly suitable for that the case of alveolar bone thickness and height need to be increased simultaneously, meanwhile, important anatomical structure can be avoided, is improved The safety of operation, the completion operation of the smooth safety of guidance doctor, improves operation precision efficiency, alleviates doctor and patient Burden, in addition, guide plate structure is simple, is easy to make, and uses using large-scale promotion conveniently, is suitable for, and experience can be made less While doctor familiarizes surgical operation, guarantee the precision and success rate of operation.
Above description is only a specific implementation of the present invention, but the protection scope of the utility model is not limited to In this, anyone skilled in the art within the technical scope disclosed by the utility model, can readily occur in variation Or replacement, it should be covered within the scope of the utility model.Therefore, the protection scope of the utility model should be with the power Subject to the protection scope that benefit requires.

Claims (5)

1. a kind of guide plate of stretching alveolar bone skeletonization, which is characterized in that including bite plate (1), positioning plate (2) and guide plate ontology (3), for the bite plate (1) U-shaped setting of people's occlusion, and the bite plate (1) is protruded into the oral area of people, institute by the side that is open The bottom for stating bite plate (1) is connect by the positioning plate (2) with the middle part of the guide plate ontology (3), the guide plate ontology (3) The whole arc-shaped setting and guide plate ontology (3) is bonded with the alveolar bone of people, is provided with transverse direction and sets on the guide plate ontology (3) Two exhausting holes (31) set are provided with osteotomy line between two rows of through-holes (31);The upper surface of the bite plate (1) is provided with The upper groove to match with the surface of upper row's tooth of people;
The positioning plate (2) and the bite plate (1) are arranged in angle, and the size of the angle is 80 degree~100 degree;
The positioning plate (2) includes two hold-down bars disposed in parallel and is arranged between two hold-down bars and simultaneously with two The fixed plate that a hold-down bars is fixedly connected, the fixed plate are integrally formed with two hold-down bars.
2. a kind of guide plate of stretching alveolar bone skeletonization according to claim 1, which is characterized in that the bite plate (1) Lower surface is provided with the lower groove (11) to match with the surface of lower row's tooth of people.
3. a kind of guide plate of stretching alveolar bone skeletonization according to claim 2, which is characterized in that the upper groove and described The depth bounds of lower groove (11) are 1mm~4mm.
4. a kind of guide plate of stretching alveolar bone skeletonization according to claim 1, which is characterized in that the positioning plate (2) Top is fixedly connected by fixing sleeve with the bite plate (1), and the lower part of the positioning plate (2) passes through fixed block and the guide plate It is fixedly connected.
5. a kind of guide plate of stretching alveolar bone skeletonization according to claim 1, which is characterized in that the guide plate ontology (3) Thickness range be 2~3mm.
CN201720679018.8U 2017-06-12 2017-06-12 The guide plate of stretching alveolar bone skeletonization Expired - Fee Related CN208693486U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201720679018.8U CN208693486U (en) 2017-06-12 2017-06-12 The guide plate of stretching alveolar bone skeletonization

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201720679018.8U CN208693486U (en) 2017-06-12 2017-06-12 The guide plate of stretching alveolar bone skeletonization

Publications (1)

Publication Number Publication Date
CN208693486U true CN208693486U (en) 2019-04-05

Family

ID=65911394

Family Applications (1)

Application Number Title Priority Date Filing Date
CN201720679018.8U Expired - Fee Related CN208693486U (en) 2017-06-12 2017-06-12 The guide plate of stretching alveolar bone skeletonization

Country Status (1)

Country Link
CN (1) CN208693486U (en)

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Granted publication date: 20190405

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