201141446 六、發明說明： 【發明所屬之技術領域】 本發明係關於-種植科引裝置，_是關於不需 之棱牙遙引验蒈。 【先前技術】 人工植牙的技術發展已有約五十年的歷史，並具有相者 好的成功率。在現今愈趨老年化的社會，植牙技術 : Φ 人口在照顧生活品質上的重要發明。 缺牙的症狀’不單是在年老的人口才會發生，在年輕的 族群亦有許多缺牙的患者，據統計，台灣在12歲以上的人 口，即有47。/。的人口有缺牙的問題。缺牙的治療傳統有活動 式義齒’亦即假牙’依據研究約8〇%的活動義齒患者，對所 使用的活動義齒皆有不滿的反應，諸如異物感大、外出社交 不方便、發音不順、甚至會造成牙嵴疼痛…等。 人工植牙的撕，舰針對這些缺點提做善，並亦具 • #口腔美容的效果。人工植牙是將-鈦金屬人工牙根植入、 上、下顎骨，讓骨組織和植入的植體產生所謂的骨整合，之 後再於癒合好的人工牙根上方置入牙科補綴物。相較於傳統 的活動假牙，穩定性較好，病人的接受度也較高。 植牙技術触，還需透卿_制和賴其植牙之位 置及角度’絲位患者製作柯之植牙導板和料孔，在植 牙手術中，醫師將透過此導引孔進行人工牙根之植入。 ”然而，目前的植牙技術中，在鑽孔的過程，醫師必需使 用單手持握-活動套筒，並將其維持置放於導引模板1〇〇之 201141446 固定套筒110，並使用另一手進行鑽頭的操作。如第一圖所 示，其係習知技術使用單手持握一活動套筒12〇之示意圖， 會影響醫師鑽孔動作之進行，亦不便取用其它牙科器具，而 鑽孔位置如在後牙區，則手術會相當難施行且操作不便。 【發明内容】 本發明提供一種植牙導引裝置，該植牙導引裝置用於一 植牙模板，該植牙模板套設於上或下排牙齒、黏膜或齒槽骨 上，且該植牙模板具有複數個穿孔，該植牙導引震置 數個活動套筒以及至少一連接器。 每-活動套筒具有—手持端以及—套筒端；手持端 至少-定位部；套筒端連接於手持端，該套筒端具有一^人 部’供套設於植牙模板之該些穿孔中；連接器透過該些定^ 將該些活動套筒進行連接。 動套筒之套合部具有不同高mm· 部古牙模板之不同穿孔中’因為套筒端的套合 ^度不R，因此’複數個活動套筒進行連接時，手持端可 目j合’科會使套筒端於穿孔中產生偏移或轉動。 控制鑽=内側具一止撞部’可提供鐵頭-止播功能，來 個連接器或疋利用多個連接器，皆能夠將 201141446 各個活動套筒進行連接。 本發明所提供的植牙導引裝置將複數個活動套筒進行連 接’使醫師利闕具鑽㈣過程中，各個活動套筒間能互相 抵抗旋轉，使醫師方便進行手術並使鐵孔過程 發明所提供雜牙導職置不料持之活動套筒設;，利^ 連接器將複數個活動套冑進行jus，並架設於植彳導板 孔上’如此能同時固定好多個鑽孔位置，並且不需醫師手持， 係有利於手術進行之權，減少患者於手術時承受之痛苦。201141446 VI. Description of the Invention: [Technical Field to Which the Invention Is Applicable] The present invention relates to a planting device, and _ relates to an unnecessary toothing test. [Prior Art] The technology of artificial implants has been developed for about 50 years and has a good success rate. In today's increasingly aging society, implant technology: Φ The population is an important invention in caring for the quality of life. The symptoms of missing teeth are not only occurring in the elderly population. There are also many patients with missing teeth in the younger population. According to statistics, Taiwan has a population of over 12 years old. /. The population has problems with missing teeth. The treatment of edentulous teeth has movable dentures, that is, dentures. According to about 8% of active denture patients, there are dissatisfaction with the active dentures used, such as large foreign body sensation, inconvenient socialization, and poor pronunciation. It can even cause gum pain...etc. The tearing of artificial implants, the ship is good at these shortcomings, and also has the effect of #口美容. Artificial implants are implanted with titanium artificial roots, upper and lower tibia, so that bone tissue and implanted implants produce so-called osseointegration, and then dental implants are placed over the well-healed artificial roots. Compared with traditional active dentures, the stability is better and the patient's acceptance is higher. In the dental implant technology, it is necessary to make the position and angle of the gingival and lytic implants. The patient with the silk position can make the guide plate and the hole of the zhizhi. In the dental implant operation, the physician will implant the artificial root through the guiding hole. . However, in the current dental implant technology, in the process of drilling, the physician must use a single hand grip-moving sleeve and maintain it in the guide template 1〇〇201141446 fixed sleeve 110, and use another The operation of the drill bit is performed in one hand. As shown in the first figure, it is a conventional technique that uses a single hand to hold a movable sleeve 12 示意图, which may affect the drilling operation of the physician, and it is also inconvenient to use other dental appliances while drilling. If the position of the hole is in the posterior region, the operation may be quite difficult to perform and the operation is inconvenient. [Invention] The present invention provides a dental implant guiding device for a dental implant template, the dental implant template sleeve It is disposed on the upper or lower row of teeth, mucous membranes or alveolar bone, and the dental implant template has a plurality of perforations, and the implants are guided to set a plurality of movable sleeves and at least one connector. Each of the movable sleeves has — a hand-held end and a sleeve end; the hand-held end is at least a positioning portion; the sleeve end is connected to the hand-held end, the sleeve end has a body portion for being sleeved in the perforations of the dental implant template; Some fixed ^ some activity sleeve The connection of the moving sleeve has different heights in the different perforations of the ancient tooth template. Because the sleeve end is not R, when the multiple movable sleeves are connected, the hand-held end can be seen. The j-section will cause the sleeve end to shift or rotate in the perforation. Control drill = inner side with a collision part can provide iron head-stop function, and a connector or a plurality of connectors can be used. It is possible to connect the various movable sleeves of 201141446. The dental implant guiding device provided by the invention connects a plurality of movable sleeves, so that during the process of drilling (4), the movable sleeves can mutually resist rotation, so that The doctor facilitates the operation and makes the iron-hole process invention provide the movable sleeves for the dental guides; the connector will carry a plurality of active rafts for jus and erect on the holes of the vegetable guides. The ability to fix multiple drilling positions at the same time, without the need for a physician to hold, is beneficial to the operation of the surgery, reducing the pain of the patient during surgery.
關於本發明之優點與精神，以及更詳細的實施方式可以 藉由以下的實施方式以及所關式制進_步的瞭解。 【實施方式】 請參考第二圖，其係本發明植牙導引裝置之示意圖，本 =牙導引裝置2〇〇用於一植牙模板咖，該植牙模板· 下排牙齒、黏膜或齒槽骨上，且該植牙模板30〇 =缺牙處具有魏個穿孔31〇，該植牙導引裝置咖包含 複數個活動套筒210以及至少一連接器22〇。 :參閱第三圖，第三_本發明植牙料裝置組合示意 動套筒训具有—手持端211以及—套筒_ ; 端2广^有至少一定位部2111;套筒端212連接於手持 5 端具有—套合部，供套設賊牙模板咖之 之純农㈣中’連接器220透職些定位部2111將兩個以上 =!進行連接，當然活動套筒210可為同尺寸或 料所構成。’且'舌動套筒210可由不鏽鋼或生物相容性佳的材 201141446 ，參考第四圖’其係本發難牙導引裝置定位部之示意 ，定位柯如上圖為定位孔2112的設計，也可如下圖為卡 合槽2113的設計。 —請參考第五圖，其係本發明植牙導引裝置連接器22〇之 j圖’連接H 220具有-上端部22卜一與上端部221間 隔叹置之下端部223，及-連接上端部221與下端部223之 連接部222。若定位部2111為定位孔2112的設計，連接器 220一的上、下端部221，223可如第四圖為雜形或半圓球形（未 繪不）设計，連接器220之上、下端部221 ,223的直徑皆大 於連接部222的直徑’也就是說，連接器220的外形類似租 鈴形狀，如此可使連接部222方便套入定位孔2112，且鑽頭 作動時，各個相連接的活動套筒21〇不容易脫離。較佳地， 連接器220係選用彈性材料來製作，例如橡膠或矽膠等，而 欲將兩個活動套筒210連接在一起時，先將兩個活動套筒21〇 上之疋位孔2112先選定連接位置後予以重疊，再將連接器 220的下端部223施加一壓力而變形，推擠該連接器22〇使 其下端部223穿過該些連接套筒上已彼此重疊的定位孔2^2 後，該下端部223即能回復其原來的形狀，使各個活動套筒 210可藉由該些定位孔2112與連接器220來相連接，而連接 器220不易自定位孔2112脫落。若定位部2111為卡合槽2113 的设计，連接器220的上、下端部221 ’ 223的形狀就無須為 錐形或半圓球形，連接器220直接侧向卡進該些重疊的卡合 槽2113，以利透過該些卡合槽2113將各個活動套筒21〇進 行連接。 此外，第六圖揭示另一種連接器220b實施態樣，連接器 220b具有一第一連接件224以及一第二連接件225。第一連 201141446 接件224以及第二連接件225可藉由磁力、卡合、卡扣、黏 合、螺合其中之一或其組合進行連接。 舉例而言，第一連接件224具有-凸部2241，第二連接 件225具有一與凸部2241相對應的凹部2251，透過凸部2241 和凹部2251結合，亦可將各個活動套筒21〇進行連接。除此 之外，第-連接件224以及第二連接# 225也可為磁力元件， 藉由磁力使第-連接件224及第二連接件225接合。當然， 此時連接If 22Gb的上下二端也無須限制為轉或半球形。需 特別注意的是，本實施例只是舉例說明，並不以此為限。The advantages and spirit of the present invention, as well as the more detailed embodiments, can be understood by the following embodiments and the related methods. [Embodiment] Please refer to the second figure, which is a schematic diagram of the dental implant guiding device of the present invention. The dental guiding device 2 is used for a dental implant template, the dental implant template, the lower row of teeth, the mucous membrane or On the alveolar bone, and the dental implant template 30〇=the missing tooth has a Wei perforation 31〇, the dental implant guiding device comprises a plurality of movable sleeves 210 and at least one connector 22〇. Referring to the third figure, the third embodiment of the present invention comprises a hand-held end 211 and a sleeve _; the end 2 has at least one positioning portion 2111; the sleeve end 212 is connected to the hand-held The end of the 5th has a lap joint for the arranging of the thief's fangs. The connector 220 is connected to the positioning unit 2111 to connect more than two =!, of course, the movable sleeve 210 can be the same size or The composition of the material. The 'and' tongue sleeve 210 may be made of stainless steel or a biocompatible material 201141446, with reference to the fourth figure, which is a schematic representation of the positioning portion of the refractory guide device, and the positioning of the locator as shown above is the design of the positioning hole 2112. The design of the engagement groove 2113 can be as shown in the following figure. - Refer to the fifth figure, which is the connector of the dental implant guide of the present invention. The connection H 220 has an upper end 22 and an upper end 221 spaced apart from the lower end 223, and - the upper end is connected A connecting portion 222 between the portion 221 and the lower end portion 223. If the positioning portion 2111 is designed as the positioning hole 2112, the upper and lower end portions 221, 223 of the connector 220 can be designed as a heterogeneous or semi-spherical shape (not drawn) as shown in the fourth figure, and the upper and lower ends of the connector 220 are provided. The diameters of the 221 and 223 are both larger than the diameter of the connecting portion 222. That is to say, the shape of the connector 220 is similar to the shape of the bell, so that the connecting portion 222 can be easily inserted into the positioning hole 2112, and the connected activities are performed when the drill bit is actuated. The sleeve 21 is not easily detached. Preferably, the connector 220 is made of an elastic material, such as rubber or silicone rubber. When the two movable sleeves 210 are to be connected together, the two movable sleeves 21 are first placed on the clamping holes 2112. After the connection positions are selected, they are overlapped, and then the lower end portion 223 of the connector 220 is deformed by applying a pressure, and the connector 22 is pushed so that the lower end portion 223 passes through the positioning holes 22.5 of the connection sleeves that overlap each other. After that, the lower end portion 223 can return to its original shape, so that the movable sleeves 210 can be connected to the connector 220 by the positioning holes 2112, and the connector 220 is not easily detached from the positioning holes 2112. If the positioning portion 2111 is designed as the engaging groove 2113, the shape of the upper and lower end portions 221 ' 223 of the connector 220 need not be tapered or semi-spherical, and the connector 220 directly laterally snaps into the overlapping engaging slots 2113. In order to facilitate the connection of the respective movable sleeves 21 through the engaging grooves 2113. In addition, the sixth figure discloses another embodiment of the connector 220b. The connector 220b has a first connector 224 and a second connector 225. The first connection 201141446 connector 224 and the second connector 225 can be connected by magnetic force, snapping, snapping, bonding, screwing, or a combination thereof. For example, the first connecting member 224 has a convex portion 2241, and the second connecting member 225 has a concave portion 2251 corresponding to the convex portion 2241. The movable portion 2241 and the concave portion 2251 are combined, and each movable sleeve 21 can also be 〇 Make a connection. In addition to this, the first connector 224 and the second connector #225 may also be magnetic elements that engage the first connector 224 and the second connector 225 by magnetic force. Of course, the upper and lower ends of the connection If 22Gb are not limited to a turn or a hemisphere at this time. It should be noted that the embodiment is merely illustrative and not limited thereto.
請參考第七圖，其係本發明植牙導引裝置之連接器22〇a 另一實施態樣之示意圖，連接器22〇a同樣 22la，-與上端部如間隔設置之下端部㈣有及一= 上端部221a與下端部223a之連接部222a。連接器220a外 形大致呈釘子狀，下端部223a的直徑等於連接部222a的直 徑，並可穿過或侧向卡進手持端211之定位部2111，而上端 部221a的直徑大於連接部222a的直徑，且無法穿過或侧向 卡進疋位部21U。下端部223a可為，但视於，錐形或半 圓球形，上端部221a可為，但不限於，圓柱形或半圓球形， 連接器220a的材質可為彈性材質或剛性材質。連接器⑽ 之下端部223a可直接穿職些重#蚊位孔2112，使各個 活動套筒210藉由該些定位孔2i12相連接。 另外，請參考第八圖，其係本發明植牙導引裝置套筒端 212之示意圖，該些套筒端212分別具有—套合部21^、 212b、212c ’本圖所示之套合部212a、212b、212c代表不同 南度的套合部；當複數個活動套筒21()之套筒端2i2置於植 牙模板300之不同穿孔310+，因為套筒端212的套合部 201141446 212a、212b、212c高度不同’因此，活動套筒210進行連接 時’手持端211可以相互疊合並藉由連接器220、220a、220b 連接’而不會有套筒端212套合於穿孔310中的深度不足而 產生偏斜或脫落的缺點。 而該些套筒端212之内侧更分別具有一止擋部213a、 213b、213c，該些止擋部213a、213b、213c為一階層設計， 較佳地，該些止擋部213a、213b、213c的高度不同，因此在 進行鑽削時’可提供綱-止擋魏，來鋪鑽削深度。 此外，套筒端212可為一 C型開口設計，也就是套筒端 212之一側可具有一開口，醫師所使用的鑽頭可以以侧向的 方式進入套筒端，以避免因活動套筒210高度影響鑽頭之置 入0 當二個以上活動套筒210放置於導引模板300上不同位 置之穿孔310中時，因不同位置之穿孔有不—樣之高度， 會導致該等/¾動套《21〇之間有高低差，此時，連接器220、 220a、220b可由撓性材料所製成，較佳地，該撓性材料可為 橡膠或梦膠，藉以消⑨二活動套筒21G間之高低差。請參考 第九圖’其係本發職牙料裝置活動套筒⑽連接位置之 示意圖活動套靖210手持端211之複數個定位部2111可以 提供醫師在不同連接位置有不同角度及長度組合之選擇，使 醫師更能靈活運用此活動套筒210。 請參考第十圖以及第十一圖，此二圖皆係本發明植 引裝置複數個活動套筒·連接之示意圖，不論是利用一個 連接器220、220a、220b將各個活動套筒210進行連 是利用多個連接器220、挪、220b將各個活動套筒21〇進 行連接’皆能夠制將複數鑛動套筒21Q連接之效果。 201141446 本發明所提供的植牙導引裝置將複數個活動套筒進行 連接，使醫師利用鑽具鑽孔的過程中，各個活動套筒間能互 相抵抗旋轉，使醫師方便進行手術並使鐵孔過 = 本發明所提供雜牙導引裝置不需手持之活動套筒設^利 用連接器賴數鑛動套肢拥定，縣設於植牙導板之 穿孔上，如此能同時架設於複數個鑽孔位置，並且不需醫師 手，，有利於手術進行之賴性，減少患者於手術時承受之 痛苦，且手術位置位於後牙區時，更能幫助手術的進行。 本發明雖雜佳實例_如上，财並_以限定本發 明精神與發明實體僅止於上述實施例爾。對熟悉此項技術 者’，可輕易了解並细其它元件或方式來產生相同的功 效。是以，在不脫離本發明之精神與範圍内所作之修改，均 應包含在下述之申請專利範圍内。 201141446 【圖式簡單說明】 …藉由以下詳細之描述結合所關示，將可輕易的了解上 述内容及此項發明之諸多優點，其中： 第一圖：習知技術使用單手持握—活動套筒之示意圖； 第二圖：本發明植牙導引裝置之示意圖； 第三圖：本發職牙導引裝置組合之示意圖； 第四圖：本發明植牙料裝置定位部之示意圖； 第五圖：本發職牙導引裝置連_之示意圖； 第六圖：本發明植牙導引裝置連接器另—實施態樣之示 意圖； 第七圖：本發明植牙導引裝置連接器另—實施態樣之示 意圖； 第八圖：本發明植牙以丨裝置套筒端之示意圖； 第九圖：本個植科引裝置活動套筒連接位置之示意 圖；以及 第十圖以及第十-® :本發賊牙導引裝置複數個活動 套筒連接之示意圖。 201141446 【主要元件符號說明】 導引裝置：200 活動套筒：120、210 手持端：211 定位部：2111 定位孔：2112 卡合槽：2113 套筒端：212 套合部：212a、212b、212c 止擋部：213a、213b、213c 連接器：220、220a、220b 上端部：221、221a 連接部：222、222a 下端部：223、223a 第一連接件：224 凸部：2241 第二連接件：225 凹部：2251 植牙模板：100、300 穿孔：110、310 11Please refer to the seventh figure, which is a schematic diagram of another embodiment of the connector 22a of the dental implant guiding device of the present invention. The connector 22A is also 22la, and the upper end is spaced apart from the lower end (4). One = a connecting portion 222a of the upper end portion 221a and the lower end portion 223a. The connector 220a has a substantially nail-like shape, the lower end portion 223a has a diameter equal to the diameter of the connecting portion 222a, and can be inserted or laterally inserted into the positioning portion 2111 of the hand-held end 211, and the diameter of the upper end portion 221a is larger than the diameter of the connecting portion 222a. And cannot pass through or laterally snap into the clamping portion 21U. The lower end portion 223a may be, but is, tapered or semi-spherical, and the upper end portion 221a may be, but not limited to, a cylindrical shape or a semi-spherical shape, and the material of the connector 220a may be an elastic material or a rigid material. The lower end portion 223a of the connector (10) can directly pass through the plurality of mosquito bit holes 2112, so that the respective movable sleeves 210 are connected by the positioning holes 2i12. In addition, please refer to the eighth figure, which is a schematic view of the sleeve end 212 of the dental implant guiding device of the present invention, and the sleeve ends 212 respectively have a sleeve portion 21^, 212b, 212c' The portions 212a, 212b, 212c represent different south degrees of the sleeve; when the sleeve ends 2i2 of the plurality of movable sleeves 21 () are placed in different perforations 310+ of the implant template 300, because of the sleeve end of the sleeve end 212 201141446 212a, 212b, 212c are different in height ' Therefore, when the movable sleeve 210 is connected, the handheld ends 211 can be stacked on each other and connected by the connectors 220, 220a, 220b without the sleeve end 212 being fitted to the through hole 310. The lack of depth in the middle produces the disadvantage of skewing or falling off. The inner ends of the sleeve ends 212 further have a stop portion 213a, 213b, 213c. The stop portions 213a, 213b, and 213c are of a hierarchical design. Preferably, the stop portions 213a, 213b, The height of the 213c is different, so when drilling is done, the outline can be provided to stop the drilling depth. In addition, the sleeve end 212 can be a C-shaped opening design, that is, one side of the sleeve end 212 can have an opening, and the drill bit used by the physician can enter the sleeve end in a lateral direction to avoid the movable sleeve. 210 height affects the placement of the drill bit. When two or more movable sleeves 210 are placed in the perforations 310 at different positions on the guide template 300, the perforations at different positions have a height that is not the same, which may cause the The sleeve has a height difference between the two corners. At this time, the connectors 220, 220a, 220b can be made of a flexible material. Preferably, the flexible material can be rubber or dream gel, thereby eliminating the movable sleeve. The difference between the 21G. Please refer to the ninth figure, which is a schematic diagram of the connection position of the active sleeve device (10). The plurality of positioning portions 2111 of the movable sleeve 210 can provide the doctor with different angles and length combinations at different connection positions. This allows the physician to use the active sleeve 210 more flexibly. Please refer to the tenth and eleventh drawings, which are schematic diagrams of a plurality of movable sleeves and connections of the implanting device of the present invention, whether the movable sleeves 210 are connected by a connector 220, 220a, 220b. It is possible to connect the plurality of the movable sleeves 21Q by using the plurality of connectors 220, 220, 220b to connect the respective movable sleeves 21'. 201141446 The dental implant guiding device provided by the invention connects a plurality of movable sleeves, so that during the drilling process of the driller, the movable sleeves can mutually resist rotation, so that the doctor can conveniently perform the operation and make the iron holes. The tooth guide device provided by the invention does not need to be hand-held, the movable sleeve is set up, and the county is arranged on the perforation of the dental guide plate, so that it can be erected at the same time. Drilling position, and no need for a doctor's hand, is conducive to the operation of the surgery, reducing the pain of the patient during surgery, and the operation position is located in the posterior region, which can help the operation. The present invention is a well-executed example. As described above, the invention and the inventive entity are limited to the above embodiments. For those skilled in the art, it is easy to understand and fine-tune other components or methods to produce the same effect. Modifications made without departing from the spirit and scope of the invention are intended to be included within the scope of the appended claims. 201141446 [Simple description of the drawings] ... The above-mentioned contents and the advantages of the invention can be easily understood by the following detailed description, in which: Figure 1: The prior art uses a single hand grip - a movable sleeve Schematic diagram of the cartridge; second diagram: schematic diagram of the dental implant guiding device of the present invention; third diagram: schematic diagram of the combination of the dental implant guiding device; fourth: schematic diagram of the positioning portion of the dental implant device of the present invention; Figure: Schematic diagram of the present dental guide device; Figure 6: Schematic diagram of the other embodiment of the implant guide device of the present invention; Figure 7: The connector of the dental implant guide of the present invention is another Schematic diagram of the embodiment; Figure 8: Schematic diagram of the sleeve end of the implant device of the present invention; Figure 9: Schematic diagram of the connection position of the movable sleeve of the implant guide; and the tenth and tenth-® : The schematic diagram of a plurality of movable sleeve connections of the thief tooth guiding device. 201141446 [Explanation of main component symbols] Guide device: 200 movable sleeve: 120, 210 Handheld: 211 Positioning: 2111 Positioning hole: 2112 Engagement groove: 2113 Sleeve end: 212 Fitting: 212a, 212b, 212c Stop: 213a, 213b, 213c Connector: 220, 220a, 220b Upper end: 221, 221a Connection: 222, 222a Lower end: 223, 223a First connector: 224 Projection: 2241 Second connector: 225 Recessed: 2251 Dental implant template: 100, 300 Perforation: 110, 310 11