SUMMERY OF THE UTILITY MODEL
In view of the above-mentioned shortcomings of the prior art, the present invention is directed to a method for constructing a guide plate for guiding, lifting, repositioning and fixing maxillofacial teeth, which solves the problems of the prior art.
To achieve the above and other related objects, an aspect of the present invention provides a method for constructing a guide plate model for maxillary tooth guided lifting reduction and fixation, including:
constructing and obtaining a three-dimensional fusion model based on a jaw three-dimensional model, a maxilla three-dimensional model and a mandible three-dimensional model, wherein the jaw three-dimensional model comprises a mandible lifting and fixing area;
constructing and obtaining an in-situ area based on the outer surface of the upper jaw;
constructing a hole position area around the mandible lifting and fixing area on the basis of the outer side surface of the mandible lifting and supporting, wherein the hole position area extends from the front edge of the mandible lifting and supporting to the rear edge of the mandible lifting and supporting;
constructing a buckling part of a hole site area based on a mandibular sigmoid notch of mandible lifting;
and constructing a connecting part, wherein the connecting part is respectively connected with the hole site area and the in-place area and is positioned outside the hole site area and the in-place area.
In some embodiments of the present invention, the three-dimensional model of the jaw bone includes a maxilla and a mandible.
In some embodiments of the invention, the three-dimensional fusion model is fused based on at least 3 reference points selected from the group consisting of one or more of cuspids, premolars, cuspids of molars, incisor nodules on crowns.
The utility model discloses in some embodiments, the thickness in place district is 2 ~ 3mm, the thickness in hole position district is 2 ~ 3 mm.
In some embodiments of the present invention, the length of the connecting portion is 15 to 20 mm.
In some embodiments of the present invention, the method further comprises: and constructing a positioning part penetrating the pore site area on the pore site area.
The utility model discloses another aspect provides a preparation method of guide plate that upper jaw tooth guide rises to prop up and resets and fix, the method includes: and constructing the obtained guide plate model for guiding, lifting, resetting and fixing the upper teeth according to the construction method of the guide plate model for guiding, lifting, resetting and fixing the upper teeth, and preparing the guide plate for guiding, lifting, resetting and fixing the upper teeth.
The utility model discloses another aspect provides a guide that upper jaw tooth guide rises to prop up and resets and fixed baffle, by the upper jaw tooth guide rise to prop up and reset and the fixed baffle model the construction method construct obtain or by the preparation method preparation of guide that upper jaw tooth guide rises to prop up and reset and fixed baffle obtain.
Another aspect of the present invention provides a computer-readable storage medium having a computer program stored thereon, wherein the program, when executed by a processor, implements the steps of the method for constructing the model of the guide plate for maxillary tooth guided elevating restoration and fixation or the steps of the method for preparing the guide plate for maxillary tooth guided elevating restoration and fixation.
The utility model discloses another aspect provides an equipment, include: a processor and a memory, wherein the memory is used for storing a computer program, and the processor is used for executing the computer program stored by the memory so as to enable the device to execute the steps of the method for constructing the guide plate model for guiding, elevating, resetting and fixing the upper teeth or the steps of the method for preparing the guide plate for guiding, elevating, resetting and fixing the upper teeth.
The utility model discloses another aspect provides a guide of maxillary tooth leads to rise and resets and fixed baffle, including the position spare that is used for laminating maxillary tooth, be used for laminating mandible to rise the hole site spare on outer side surface, it rises a fixed region and holds the mouth to be equipped with mandible on the hole site spare, it opens to the mandible angle direction from hole site spare middle part to hold the mouth, the jaw incisura side of hole site spare still is equipped with the lock spare that is used for lock jaw incisura, connect through the connecting piece between position spare and the hole site spare, be equipped with on the hole site spare and run through the locating hole of hole site spare.
In some embodiments of the present invention, the positioning member is closely attached to at least a part of the upper teeth, and the thickness of the positioning member is 2 to 3 mm.
The utility model discloses in some embodiments, the shape of the inboard binding face of hole site spare and the shape of mandible rising an outside surface cooperate, and the thickness of hole site spare is 2 ~ 3 mm.
In some embodiments of the present invention, the positioning hole penetrates through the hole site member, and the hole site member is provided with a plurality of positioning holes.
The utility model discloses in some embodiments, the locating hole evenly distributed on the hole position spare, the locating hole is cylindrical hole, and the diameter is 1.8 ~ 2.2 mm.
The utility model discloses in some embodiments, the lateral surface extension of hole position spare and/or position spare is followed to the connecting piece, according to its extending direction, the length of connecting piece is 15 ~ 20 mm.
In some embodiments of the present invention, one end of the connecting member is connected to the positioning member, and the other end of the connecting member is connected to the hole site member near the front edge of the mandible.
In some embodiments of the present invention, the connecting member is cylindrical, and the diameter of the cylindrical connecting member is 4 to 6 mm.
In some embodiments of the present invention, the fastener is a circuitous fastener, and the thickness of the fastener is 2-3 mm.
Detailed Description
The utility model discloses the inventor provides a new upper jaw tooth guide rises to prop up and resets and the construction method of fixed baffle through a large amount of practical studies, and the upper jaw tooth guide that its institute found the acquisition rises to prop up and resets and fixed baffle can be with mandible wicresoft, stable, simply accurately resume and fix in original position, accomplished on this basis the utility model discloses the tooth guide is fixed to the position of fixing.
The utility model discloses a first aspect provides a maxillary tooth guide rises to prop up and resets and fixed baffle model's construction method, include:
s1) constructing and obtaining a three-dimensional fusion model based on the jaw three-dimensional model, the maxilla three-dimensional model and the mandible three-dimensional model, wherein the jaw three-dimensional model comprises a mandible lifting and fixing area;
s2) constructing an acquiring location area based on the external surface of the upper jaw;
s3) constructing a hole location area around the mandibular advancement fixing area based on the lateral surface of the mandibular advancement, the hole location area extending from the leading edge of the mandibular advancement to the trailing edge of the mandibular advancement;
s4) constructing a hole site area buckling part based on a mandible sigmoid notch of mandible lifting;
s5) constructing connections, which are connected with and located outside the hole site area and the seating area, respectively.
The utility model provides a maxillary tooth guide rises to prop up and resets and fixed baffle model's construction method can include: and obtaining a jaw three-dimensional model which comprises a mandible lifting and supporting fixed area. The three-dimensional model of the jaw bone can be obtained by introducing CT data into software, such as Medraw, mimics, etc., and the jaw bone can generally include the upper jaw bone, the lower jaw bone, etc. The mandible rises and props up fixed zone and is located the outside that the mandible rises usually, lies in the middle part that the mandible rises and props up the outside usually to can extend to the mandible angle that the mandible rises and props up the outside, it usually corresponds to the mandible and restores the position, is used for keeping partial being connected with the mandible restoration position.
The utility model provides a maxillary tooth guide rises to prop up and resets and fixed baffle model's construction method can include: and acquiring a three-dimensional model of the upper jaw teeth and a three-dimensional model of the lower jaw teeth. When obtaining the three-dimensional model of the upper jaw teeth and/or the three-dimensional model of the lower jaw teeth, generally, the upper jaw teeth and the lower jaw teeth are modeled (for example, by pouring a plaster model), the model is scanned (for example, by laser scanning), thereby obtaining point cloud data of the upper jaw teeth and the lower jaw teeth (that is, model surface data is recorded by point coordinates), the point cloud data is imported into software, converted into a triangular patch model, and the model surface is repaired, thereby generating the three-dimensional model of the upper jaw teeth and the three-dimensional model of the lower jaw teeth, and the model file format may be STL, and specifically may be software such as Medraw, 3-matic, geogenic, matlab, and the. The three-dimensional model of the upper jaw teeth comprises the upper jaw teeth, periodontal tissues and the like, and the three-dimensional model of the lower jaw teeth comprises the lower jaw teeth, the periodontal tissues and the like.
The utility model provides a maxillary tooth guide rises to prop up and resets and fixed baffle model's construction method can include: and constructing and obtaining a three-dimensional fusion model based on the jaw occlusion position three-dimensional model, the upper jaw tooth three-dimensional model and the lower jaw tooth three-dimensional model. Because the jaw occlusion position three-dimensional model usually cannot accurately reflect the true structure of the tooth part and the peripheral soft tissues thereof, and has large errors, the upper jaw three-dimensional model and the lower jaw three-dimensional model need to be combined with the jaw occlusion position three-dimensional model, so that a more accurate jaw integral three-dimensional model is obtained. In fusion, it is often necessary to register at least three reference points based on multiple reference points, such as at least three reference points, which may be tooth surface landmarks, such as cuspids, premolars, cuspids of molars, incisal marginal nodules on crowns, etc., to improve accuracy more effectively.
The utility model provides a maxillary tooth guide rises to prop up and resets and fixed baffle model's construction method can include: based on the external surface of the upper jaw teeth, an acquisition location area is constructed. The locating area is usually constructed and obtained based on the outer surface of the upper jaw teeth, for example, a locating area attaching surface attached to the outer surface of the upper jaw teeth can be constructed based on the outer surface of the upper jaw teeth, the locating area attaching surface is usually closely attached to the outer surface of the upper jaw teeth, and then the locating area extends towards the outer side direction of the attaching surface (namely the direction of the locating area attaching surface opposite to the outer surface of the upper jaw teeth) according to the locating area attaching surface, so that the locating area is constructed and obtained, and the extending distance can be 2-3 mm. The distance of extension generally corresponds to the thickness of the seating area of the fixed guide for mandibular reconstruction, and typically, the portions of the seating area may extend substantially equally so that the thickness of the resulting guide plate body is uniform.
The utility model provides a maxillary tooth guide rises to prop up and resets and fixed baffle model's construction method can include: based on the lateral surface of the mandible ascending and supporting, a hole position area is constructed around the mandible ascending and supporting fixing area, and the hole position area extends from the front edge of the mandible ascending and supporting to the rear edge of the mandible ascending and supporting. The hole site district usually rises based on the mandible and props up the outside surface and construct and obtain, for example, can rise based on the mandible and prop up the outside surface, construct and obtain hole site district binding face, hole site district binding face can rise the leading edge that props up by the mandible and extend to the trailing edge that the mandible rises and props up, hole site district binding face is closely laminated with the position that the mandible rises and props up outside surface rather than corresponding usually, again according to hole site district binding face, extends to the outside direction of laminating face (that is hole site district binding face is reverse in the direction of jaw bite position three-dimensional model) to the hole site district is obtained in the construction, the distance of extension can be 2 ~ 3 mm. Because the fixed region is promoted and props up to the mandible is usually located the outside that the mandible promoted and props up, and is located the middle part that the mandible promoted and props up the outside and can extend to the mandible angle that the mandible promoted and props up the outside, so the position of the hole district usually can be promoted and props up the outside and be close to one side extension of mandibular incisura at the mandible to form "nearly" style of calligraphy.
The utility model provides a maxillary tooth guide rises to prop up and resets and fixed baffle model's construction method can include: and constructing a hole site area buckling part based on a mandibular incisal trace of mandible lifting. Hole site district buckling parts rise the lower jaw incisal mark that props up based on the mandible usually and construct and obtain, for example, can rise the lower jaw incisal mark outside surface that props up based on the mandible, distinguish binding face with the hole site further extends to build around the lower jaw incisal mark and obtain buckling parts binding face, buckling parts binding face extends to the inboard of lower jaw incisal mark (do not construct one side of the district binding face of hole site on the lower jaw rises and props up) usually by the lower jaw incisal mark outside (do not construct one side of the district binding face of hole site promptly), buckling parts binding face closely laminates with lower jaw incisal mark surface usually, and according to buckling parts binding face again, extend to laminating face outside direction (the direction that buckling parts binding face is reverse in the three-dimensional model of jaw site), thereby the district buckling parts of hole site are obtained in the construction, and the distance of extension can be 2 ~ 3 mm.
The utility model provides a maxillary tooth guide rises to prop up and resets and fixed baffle model's construction method can include: and constructing a connecting part, wherein the connecting part is respectively connected with the hole site area and the in-place area and is positioned outside the hole site area and the in-place area. The connecting part is generally connected with the hole site area and the locating area, is generally located outside the hole site area and the locating area (namely opposite to the direction of the jaw occlusion site three-dimensional model), can generally extend along the outer side surface of the hole site area and/or the locating area, and can have the length of 15-20 mm according to the extending direction of the connecting part. In a preferred embodiment of the present invention, the connecting portion is cylindrical.
The utility model provides a maxillary tooth guide rises to prop up and resets and fixed baffle model's construction method can include: and constructing a positioning part penetrating the pore site area on the pore site area. The locating part usually passes through the hole site district, and the outside in hole site district extends to the inboard in hole site district promptly, locating part usually can be evenly distributed on the hole site district, and locating part can be cylindrical hole, and the diameter can be 1.7 ~ 2.0 mm.
The utility model discloses a second aspect provides a preparation method of guide plate that upper jaw tooth guide rises to prop up and resets and fix, the method includes: according to the utility model discloses the upper jaw tooth guide rises to prop up and resets and fixed baffle model's that the construction method of the baffle model that the first aspect provided found the upper jaw tooth guide that obtains restores to the throne and fixes baffle model, prepares upper jaw tooth guide and rises to prop up and reset and fixed baffle. The method for preparing the guide plate for maxillary tooth guiding, ascending, resetting and fixing according to the maxillary tooth guiding, ascending, resetting and fixing guide plate model constructed according to the method for constructing the maxillary tooth guiding, ascending, resetting and fixing guide plate model is known to those skilled in the art, and for example, a 3D printing method and the like can be adopted, and the used material can be photosensitive resin and the like.
The utility model discloses the third aspect provides a guide that upper jaw tooth guide rises to prop up and resets and fixed baffle, upper jaw tooth guide rises to prop up and resets and fixed baffle can be by the utility model discloses the upper jaw tooth guide that the first aspect provided rises to prop up and resets and the construction method of fixed baffle model founds and obtains, or by the utility model discloses the upper jaw tooth guide that the second aspect provided rises to prop up and resets and the preparation method preparation of fixed baffle obtains.
The utility model discloses the fourth aspect provides a guide of upper jaw tooth guide rises and props up restoration and fixed baffle, as shown in fig. 1, including the position part 1 that is used for laminating upper jaw tooth, the hole site spare 3 that is used for laminating mandible to rise an outside surface, it rises a fixed region and holds mouth 7 to be equipped with mandible on the hole site spare 3, hold the mouth and open to mandible angle direction from hole site spare 3 middle part, the jaw incisura side of hole site spare 3 still is equipped with buckling piece 4 that is used for lock jaw incisura, connect through connecting piece 2 between position part 1 and the hole site spare 3, be equipped with on the hole site spare 3 and run through the locating hole 5 of hole site spare 3. As described in the above construction method, the positioning member can be generally closely attached to the maxillary tooth, the hole member can be attached to the outer side surface of the maxillary ascending support, and the hole member and the maxillary ascending support are connected by the connecting member, so that the positioning member can be conveniently positioned during the operation, the relative position relationship between the maxillary dentition and the ascending support and the condylar process can be accurately determined without additionally exposing the non-operation region, and the accommodating opening exists, so that the hole member extends from the front edge of the mandibular ascending support to the mandibular sigmoid notch and further extends from the mandibular sigmoid notch to the rear edge of the mandibular ascending support, so that the hole member forms a zigzag shape, and the mandibular repaired portion and the mandibular remaining portion can be conveniently connected during the operation.
The utility model provides an in the guide of upper jaw tooth guide rises a reset and fixed baffle, the piece of taking one's place 1 can closely laminate in at least part of upper jaw tooth usually, and the size of the thickness direction (the direction of perpendicular to upper jaw binding face) of just putting the piece can be for 2 ~ 3mm to can conveniently arrange the operation position in the operation.
The utility model provides an in the guide of upper jaw tooth leads to rise to reset and fixed baffle, the shape of its inside binding face of hole site spare 3 (being that hole site spare 3 is used for laminating one side that the mandible rises) is promoted the shape on a surface of the outside with the mandible usually and is matched with to can closely laminate in the outside that the mandible of at least part rises, the size of the thickness direction (the direction that the perpendicular to mandible rises the binding face) of hole site spare 3 can be for 2 ~ 3mm, thereby can conveniently arrange the operation position in the operation. The positioning hole 5 may extend through the hole member 3, that is, may extend from an inner attachment surface of the hole member 3 to the other side, and one or more positioning holes 5, preferably a plurality of positioning holes 5, may be further provided on the hole member 3, so that the hole member 3 may be stably fixed. The positioning holes 5 can be generally uniformly distributed on the hole component 3, and the positioning holes 5 can be cylindrical holes with the diameter of 1.8-2.2 mm, so that the stress can be uniformly applied.
The utility model provides an in the guide of upper jaw tooth guide rises and props up reset and fixed baffle, the connecting piece can be followed hole site spare 3 usually and/or the lateral surface extension of taking one's place 1, according to its extending direction, the length of connecting piece can be for 15 ~ 20mm, and its one end can be connected with the piece of taking one's place 1, and the other end can be connected near jaw leading edge one side of rising with hole site spare 3. In a preferred embodiment of the present invention, the connecting member is cylindrical, and the diameter of the cylindrical connecting member may be 4-6 mm.
The utility model provides an among the guide of upper jaw tooth guide lifting reset and fixed baffle, buckling piece 4 can be circuitous form to can extend to the inboard of lower jaw incised track (the opposite side relative to its outside on the lower jaw lifting promptly) by the lower jaw incised track outside (can laminating hole position spare 3 on the lower jaw lifting promptly), thereby can lock in the jaw incised track. The size of the thickness direction (the direction perpendicular to the binding face of the buckling piece 4) of the buckling piece 4 can be 2-3 mm, so that the buckling piece can be conveniently placed at an operation position in an operation, and the buckling piece is convenient to tightly buckle.
The fifth aspect of the present invention provides a computer-readable storage medium having a computer program stored thereon, wherein the program is executed by a processor to implement the steps of the method for constructing a model of a guide plate for guiding and lifting a support for restoration and fixation of a maxillary tooth provided by the first aspect of the present invention or the steps of the method for preparing a guide plate for guiding and lifting a support for restoration and fixation of a maxillary tooth provided by the second aspect of the present invention.
The utility model discloses another aspect provides an equipment, include: a processor and a memory, the memory is used for storing computer programs, the processor is used for executing the computer programs stored in the memory, so that the equipment executes the steps of the construction method of the guide plate model for guiding, lifting, resetting and fixing the upper teeth provided by the first aspect of the invention or the steps of the preparation method of the guide plate for guiding, lifting, resetting and fixing the upper teeth provided by the second aspect of the invention.
The utility model provides a maxillary tooth guide rises to prop up and resets and fixed baffle construction method and the maxillary tooth guide who founds the acquisition rises to prop up and resets and fixed baffle is taken one's place conveniently, need not additionally to expose non-operation region, its baffle is fixed at patient's maxillary dentition in situ district, hole site district lock rises in the affected side, transmit the relative position relation between maxillary dentition and rising and the condyle at the connecting rod at baffle middle part, in the art, make mandibular rise to prop up and condyle accurately resets and fix in original position, have the wicresoft, it is stable, characteristics such as simple and easy accuracy, good industrialization prospect has.
The following description of the embodiments of the present invention is provided for illustrative purposes, and other advantages and effects of the present invention will be readily apparent to those skilled in the art from the disclosure herein. The present invention can also be implemented or applied through other different specific embodiments, and various details in the present specification can be modified or changed based on different viewpoints and applications without departing from the spirit of the present invention.
Example 1
1) Importing the head CT data of a patient into medical image processing software Medraw, wherein the image technical information is as follows, and the read information is shown in a certificate;
-data-
01. Layer thickness: 0.625000
02. Resolution ratio: 0.505859\0.505859
03. Line number: 512
04. The number of columns: 512
2) Reconstructing the head data of the patient in three dimensions, wherein the result is shown in a certificate file;
3) determining the range of the osteotomy of the mandible, and reserving a steel plate fixing area, wherein the result is shown in a certificate;
4) fusing and registering the maxillary scanning data and the CT reconstruction data of the patient, wherein the result is shown in a certificate;
5) the lifting support reduction and fixing guide plate is designed by using the maxillofacial guidance in software, and the result is shown in a certificate document.
Constructing the obtained lifting support resetting and fixed guide plate model according to the steps, wherein the specific parameters are as follows: the thickness of the guide plate is 2mm, the length of the connecting piece is 16.8mm, and the diameter of the connecting rod is 6 mm. The hole site area length is 35.9mm, and the height is 26.8 mm.
And according to the constructed model, a lifting support resetting and fixing guide plate is obtained through 3D printing of photosensitive resin.
The lifting support resetting and fixing guide plate obtained by the construction is used for segmental resection of the mandible, so that the lifting support and the condylar process of the mandible can be accurately reset and fixed at the original position in the operation, and the postoperative occlusion relationship of a patient is well restored. Compared with the prior art, the position of the condyle has no obvious change in the postoperative clinic and CT, and the joint dysfunction does not appear.
To sum up, the utility model discloses various shortcomings in the prior art have effectively been overcome and high industry value has.
The above embodiments are merely illustrative of the principles and effects of the present invention, and are not to be construed as limiting the invention. Modifications and variations can be made to the above-described embodiments by those skilled in the art without departing from the spirit and scope of the present invention. Accordingly, it is intended that all equivalent modifications or changes which may be made by those skilled in the art without departing from the spirit and technical spirit of the present invention be covered by the claims of the present invention.