CN215606416U - Bone increment and planting two-in-one guide plate - Google Patents
Bone increment and planting two-in-one guide plate Download PDFInfo
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- CN215606416U CN215606416U CN202121427239.9U CN202121427239U CN215606416U CN 215606416 U CN215606416 U CN 215606416U CN 202121427239 U CN202121427239 U CN 202121427239U CN 215606416 U CN215606416 U CN 215606416U
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Abstract
The utility model relates to the medical field of bone increment in the oral implantation period and discloses a bone increment and implantation two-in-one guide plate. The guide plate comprises a bone augmentation guide plate part and an implantation guide plate part; the planting guide plate part comprises a guide ring corresponding to the planting position and a positioning main body for positioning, and the guide ring is connected with the positioning main body; the bone augmentation guide plate part comprises a labial side guide plate main body corresponding to a labial side of the bone augmentation region and a palatal side guide plate main body corresponding to a palatal side of the bone augmentation region; the outer sides of the lip-cheek side guide plate main body and the palate side guide plate main body are respectively provided with a connecting structure and are connected with the planting guide plates through the connecting structures, and gaps for filling bone powder are formed between the lip-cheek side guide plate main body and the planting guide plate part and between the palate side guide plate main body and the planting guide plate part. This baffle simple structure, direction function are good, when utilizing the accurate operation of planting, carry out accurate planting and unite bone increment art, make the operation more perfect, reduce operation intensity, reduce operative employee's the operation degree of difficulty.
Description
Technical Field
The utility model relates to the medical field of bone increment in the oral implantation period, in particular to a bone increment and implantation two-in-one guide plate.
Background
Dentition defects are common problems in the field of oral repair, can cause the chewing function of a patient to be limited, has influence on the face and beauty of the patient, and can also influence the pronunciation of the patient due to the tooth missing in a special area. Long-term dentition defects can lead to problems of tilting of the remaining teeth on the gap side, stretching of the teeth in the jaw, food retention, etc., which in turn can lead to caries or (and) periodontal disease of the remaining teeth, and also can lead to temporomandibular joint disease, which in turn can affect the entire oromandibular system. Therefore, patients with dentition defects should be treated in a timely manner.
Implant repair is one of the most effective repair methods for treating dentition defects at present. In the case of implant repair, sufficient bone mass is required around the implanted implant. When the patient has long tooth loss or other factors such as congenital heredity and acquired physiology, the bone mass of the patient is insufficient, which is not enough to support the safety and effectiveness of the implant after implantation. At this point, a bone augmentation procedure is required to increase the patient's bone mass to ensure the bone mass around the implant.
In the prior art, for a patient to be implanted and repaired, the bone increment is generally increased by the experience of a doctor after the implantation is finished, and the increment cannot be accurately determined according to an implantation scheme. In addition, if the titanium net needs to be installed and fixed after increment, the operation of bending the titanium net in the mouth is very difficult, and the operation time is influenced. Meanwhile, the planning can not be accurately transferred into the mouth of a patient during the operation, and the bone grafting after the implant is implanted is completed by experience.
The patent application with publication number CN107224335A discloses a method for designing and manufacturing a bone-growth-promoting implant guide plate with repair as a guide, which mainly comprises the following steps: shooting CT of a patient, obtaining DICOM format data, and converting the DICOM format data into STL data; intraoral three-dimensional scanning or scanning of the plaster model to obtain patient data; fusing the data of the two parts by taking dentition as a common area; designing a prosthesis and a tooth long shaft; positioning the implant by using a long shaft of the tooth, and adjusting the position and the posture of the implant; designing a planting guide plate according to the prosthesis to obtain design data of a planting guide part; designing a bone augmentation guide plate according to the boundary line of the bone defect area to obtain design data of a bone augmentation guide part; and fusing the data of the two parts of the implant guiding and the bone increment guiding to obtain complete STL data of the implant bone increment guide plate, and importing the complete STL data into the matched software of the three-dimensional resin printing equipment to complete the processing of the guide plate. This mode is designed and process out the baffle that has bone planting guide and two aspects functions of increment guide for the direction is restoreed as the direction, and the doctor can use this bone increment and two unification baffles of planting to carry out the implant and implant, then uses the bone increment and the bone increment part of planting two unification baffles to carry out the increment operation, promotes greatly and plants precision and the suitability with the increment to reduce operation time greatly.
Although the bone augmentation and implantation two-in-one guide plate can well realize bone augmentation surgery during implantation surgery, the two-in-one guide plate structure obtained finally is relatively bulky and complex only by simply and directly fusing data of the existing bone augmentation guide plate and implantation guide plate, and functions of guiding implantation and guiding bone augmentation of the guide plate are easily influenced mutually, so that the two-in-one guide plate cannot well play roles in two aspects.
SUMMERY OF THE UTILITY MODEL
The utility model aims to provide a bone increment and implantation two-in-one guide plate which is simple in structure and excellent in guide function.
The utility model discloses a bone increment and implantation two-in-one guide plate, which comprises a bone increment guide plate part and an implantation guide plate part;
the planting guide plate part comprises a guide ring corresponding to a planting position and a positioning main body for positioning, and the guide ring is connected with the positioning main body;
the bone augmentation guide plate part comprises a labial side guide plate main body corresponding to a labial side of the bone augmentation region and a palatal side guide plate main body corresponding to a palatal side of the bone augmentation region;
the outer sides of the lip-cheek side guide plate main body and the palate side guide plate main body are respectively provided with a connecting structure and are connected with the planting guide plates through the connecting structures, and gaps for filling bone powder are formed between the lip-cheek side guide plate main body and the planting guide plate part and between the palate side guide plate main body and the planting guide plate part.
Preferably, the labial and buccal side guide body and the palatal side guide body each include a side plate and an edge plate located at an alveolar ridge end of the side plate and corresponding to an alveolar ridge crest.
Preferably, the width of the edge plate of the lip and cheek side guide plate main body is 0.8-1.2 mm, and the width of the edge plate of the palate side guide plate main body is 0.4-0.6 mm.
Preferably, the distal alveolar ridge ends of the lip and cheek side guide body and the palate side guide body are both provided with overflow holes.
Preferably, the diameter of the overflow hole is 1-2 mm.
Preferably, both ends of the positioning main body are provided with positioning parts corresponding to the teeth, and the guide ring is positioned between the positioning parts at both ends.
Preferably, the positioning portion at each end corresponds to at least two teeth.
Preferably, the connecting structure is a round strip-shaped connecting piece, two sides of the lip-cheek side guide plate main body are respectively connected with the implant guide plate part through the round strip-shaped connecting piece, and two sides of the palate side guide plate main body are respectively connected with the implant guide plate part through the round strip-shaped connecting piece.
The utility model has the beneficial effects that: this bone increment and two unification baffles utilize the location main part of planting the baffle to realize the holistic location of baffle, divide into lip buccal side and palate side two parts with bone increment baffle, be connected with planting baffle respectively, guarantee under the prerequisite of guide function, the overall structure of baffle has been simplified to a great extent, utilize bone increment and two unification baffles of planting when can carry out the accurate operation of planting, carry out accurate planting and unite bone increment art, make the operation more perfect, and can all surgical procedure plan in place in advance, can go on fast during the operation, reduce operation intensity, reduce the operation degree of difficulty of art person.
Drawings
FIG. 1 is a schematic view of the present invention;
FIG. 2 is a palatal side view of the guide plate in place on the model;
FIG. 3 is a schematic view of the cheek side with the guide plate in place on the mold.
Reference numerals: bone augmentation guide plate part 1, labial and buccal guide plate body 11, palate side guide plate body 12, overflow hole 13, border plate 14, side plate 15, implant guide plate part 2, guide ring 21, positioning part 22, and connection structure 3.
Detailed Description
The utility model is further described below with reference to the accompanying drawings.
As shown in figure 1, the bone augmentation and implantation two-in-one guide plate of the utility model comprises a bone augmentation guide plate part 1 and an implantation guide plate part 2;
the planting guide plate part 2 comprises a guide ring 21 corresponding to a planting position and a positioning main body for positioning, and the guide ring 21 is connected with the positioning main body;
as shown in fig. 2 and 3, the bone augmentation guide plate part 1 includes a labial side guide plate body 11 corresponding to a labial side of a bone augmentation region and a palatal side guide plate body 12 corresponding to a palatal side of the bone augmentation region;
the outer sides of the lip-cheek side guide plate main body 11 and the palate side guide plate main body 12 are respectively provided with a connecting structure 3 and connected with the planting guide plate through the connecting structure 3, and gaps for filling bone powder are formed between the lip-cheek side guide plate main body 11 and the planting guide plate part 2 and between the palate side guide plate main body 12 and the planting guide plate part 2.
The implant guide plate part 2 is mainly used for guiding a prepared hole of an implant, the guide ring 21 is used for guiding the prepared hole, the positioning main body is matched with teeth to ensure the accuracy of the whole installation and positioning of the guide plate, the bone augmentation guide plate part 1 is mainly used for guiding bone augmentation surgery, and mainly comprises a lip-buccal side guide plate main body 11 and a palate-side guide plate main body 12 which are used for respectively providing guidance for adding bone powder on the lip-buccal side and the palate-buccal side of a alveolar ridge. The planting guide plate part 2 is connected with the bone increment guide plate part 1 through a connecting structure 3, and a certain gap is kept at the same time, so that bone powder can be conveniently filled.
Before the bone increment and implantation two-in-one guide plate is actually used for performing the operation, the bone increment and implantation two-in-one guide plate can be firstly used for being positioned on an increment model, then the actual operation process is simulated on the basis, the problems possibly encountered in the operation are confirmed, and a corresponding plan is made.
During actual operation, firstly, the gum in the edentulous area is cut and the valve is turned, then the bone increment and the two-in-one implanting guide plate are in place, the bone increment and the implanting are realized by matching the positioning main body and the corresponding teeth, the preparation hole under the guide plate navigation is carried out according to the guide plate operation flow, and then the implant is implanted. Pressing bone powder into the gap of jaw bone of the guide plate at the crest of alveolar ridge of the labial-buccal side guide plate main body 11 and the palate side guide plate main body 12, taking out the guide plate, covering the increment area with absorbable collagen membrane, and installing a pre-bent titanium mesh.
The shapes of the labial and palatal side guide bodies 11 and 12 are determined according to the specific design of bone increment, in order to ensure that the top filling height and thickness meet the design requirements when bone powder is filled, the labial and palatal side guide bodies 11 and 12 each comprise a side plate 15 and an edge plate 14, and the edge plate 14 is positioned at the alveolar ridge end of the side plate 15 and corresponds to the alveolar ridge top. The gap between the side plate 15 and the original jaw bone forms a filling cavity of the bone powder, and the edge plate 14 can better ensure that the filling height of the bone powder is proper, and simultaneously, the upper area filled with the bone powder can be filled.
Based on the stress condition of the teeth, the labial and buccal sides are required to be filled with thicker bone augmentation, so the width of the edge plate 14 of the labial and buccal guide main body 11 is 0.8-1.2 mm, the width of the edge plate 14 of the palatal guide main body 12 is 0.4-0.6 mm, and meanwhile, the bone powder filling on the labial and palatal sides is ensured to meet the requirements, as shown in the embodiment shown in fig. 1, the width of the edge plate 14 of the labial and buccal guide main body 11 is about 1mm, and the width of the edge plate 14 of the palatal guide main body 12 is about 0.5 mm.
In order to prevent the bone powder from being filled in place due to the pressure of blood or air caused by the closing of the operation area, the distal alveolar ridge ends of the labial-buccal guide body 11 and the palatal-side guide body 12 are both provided with overflow holes 13. The diameter of the overflow hole 13 is usually 1-2 mm, preferably 1.5 mm. Since the bone powder is filled from the alveolar ridge end of the bone augmentation catheter portion 1, the overflow hole 13 needs to be provided on the opposite side thereof, i.e. the distal alveolar ridge end. When filling, need the bone meal to fill guide plate main part inside, have overflow hole 13 simultaneously and have the bone meal to spill over, can take off the guide plate and carry out the next step of operation.
Because the two-in-one guide plate needs to guide the bone increment and the implant simultaneously, the requirements on the positioning precision and the stability are relatively high, although the positioning can be realized in a unilateral positioning mode, the two ends of the positioning main body are preferably provided with the positioning parts 22 corresponding to the teeth, the guide ring 21 is positioned between the positioning parts 22 at the two ends, the position accuracy of the guide ring 21 is ensured, in addition, the positioning part 22 at each end at least corresponds to two teeth, and usually 3 adjacent teeth can be matched at each end, so that the position accuracy of the guide plate after the guide plate is in place is ensured, and the guide plate does not shift in the operation process.
The lip and cheek side guide main body 11 and the palate side guide main body 12 need to be stable, and the connection between the lip and cheek side guide main body 11 and the palate side guide main body 12 and the implantation guide plate part 2 also needs to be stable, the specific connecting structure 3 can be in a strip shape, a plate shape and the like, and a connection after forming and an integral forming mode and the like can be selected according to a forming process, as shown in the embodiment shown in fig. 1 to 3, the connecting structure 3 is a round strip-shaped connecting piece, two sides of the lip and cheek side guide main body 11 are respectively connected with the implantation guide plate part 2 through the round strip-shaped connecting piece, two sides of the palate side guide main body 12 are respectively connected with the implantation guide plate part 2 through the round strip-shaped connecting piece, and the processing and manufacturing can be performed by a forming mode of 3D printing. The lip-cheek side guide main body 11 and the palate side guide main body 12 are connected to the implant guide plate part 2 through the round strip-shaped connecting pieces on both sides, so that the influence of the connecting structure 3 on bone powder filling is reduced while the lip-cheek side guide main body 11 and the palate side guide main body 12 are accurately and stably positioned.
Claims (8)
1. The bone increment and implantation two-in-one guide plate is characterized by comprising a bone increment guide plate part (1) and an implantation guide plate part (2);
the planting guide plate part (2) comprises a guide ring (21) corresponding to a planting position and a positioning main body for positioning, and the guide ring (21) is connected with the positioning main body;
the bone increment guide plate part (1) comprises a lip-cheek side guide plate main body (11) corresponding to a lip-cheek side of a bone increment region and a palate side guide plate main body (12) corresponding to a palate side of the bone increment region;
the outer sides of the lip and cheek side guide plate main body (11) and the palate side guide plate main body (12) are respectively provided with a connecting structure (3) and connected with the planting guide plate through the connecting structure (3), and gaps for filling bone powder are formed between the lip and cheek side guide plate main body (11) and the planting guide plate part (2) and between the palate side guide plate main body (12) and the planting guide plate part (2).
2. The bone augmentation and implantation two-in-one guide of claim 1, wherein: the lip and cheek side guide plate main body (11) and the palate side guide plate main body (12) respectively comprise a side plate (15) and an edge plate (14), and the edge plate (14) is positioned at the alveolar ridge end of the side plate (15) and corresponds to the alveolar ridge top.
3. The bone augmentation and implantation two-in-one guide of claim 2, wherein: the width of the edge plate (14) of the lip-cheek side guide plate main body (11) is 0.8-1.2 mm, and the width of the edge plate (14) of the palate side guide plate main body (12) is 0.4-0.6 mm.
4. The bone augmentation and implantation two-in-one guide of claim 1, wherein: overflow holes (13) are formed in the far alveolar ridge ends of the lip and cheek side guide main body (11) and the palate side guide main body (12).
5. The bone augmentation and implantation two-in-one guide of claim 4, wherein: the diameter of the overflow hole (13) is 1-2 mm.
6. The bone augmentation and implantation two-in-one guide of claim 1, wherein: the two ends of the positioning main body are respectively provided with a positioning part (22) corresponding to teeth, and the guide ring (21) is positioned between the positioning parts (22) at the two ends.
7. The bone augmentation and implantation two-in-one guide of claim 6, wherein: the positioning portion (22) at each end corresponds to at least two teeth.
8. The bone augmentation and implantation two-in-one guide of claim 1, wherein: the connecting structure (3) is a round strip-shaped connecting piece, two sides of the lip and cheek side guide plate main body (11) are respectively connected with the planting guide plate part (2) through the round strip-shaped connecting piece, and two sides of the palate side guide plate main body (12) are respectively connected with the planting guide plate part (2) through the round strip-shaped connecting piece.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202121427239.9U CN215606416U (en) | 2021-06-25 | 2021-06-25 | Bone increment and planting two-in-one guide plate |
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| Application Number | Priority Date | Filing Date | Title |
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| CN202121427239.9U CN215606416U (en) | 2021-06-25 | 2021-06-25 | Bone increment and planting two-in-one guide plate |
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| CN215606416U true CN215606416U (en) | 2022-01-25 |
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Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN114366359A (en) * | 2022-02-10 | 2022-04-19 | 北京大学口腔医学院 | Manufacturing method of digital combined guide plate suitable for bone increment synchronous planting |
| CN115317163A (en) * | 2022-07-11 | 2022-11-11 | 四川大学 | Bone block trimming and three-dimensional position accurate positioning guide plate in bone augmentation |
-
2021
- 2021-06-25 CN CN202121427239.9U patent/CN215606416U/en active Active
Cited By (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN114366359A (en) * | 2022-02-10 | 2022-04-19 | 北京大学口腔医学院 | Manufacturing method of digital combined guide plate suitable for bone increment synchronous planting |
| CN114366359B (en) * | 2022-02-10 | 2024-03-12 | 北京大学口腔医学院 | Manufacturing method of digital combined guide plate suitable for bone increment synchronous planting |
| CN115317163A (en) * | 2022-07-11 | 2022-11-11 | 四川大学 | Bone block trimming and three-dimensional position accurate positioning guide plate in bone augmentation |
| CN115317163B (en) * | 2022-07-11 | 2023-07-21 | 四川大学 | Bone piece is maintained and accurate location baffle in three-dimensional position among bone increment |
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