201225022 六、發明說明： 【發明所屬之技術領域】 [0001] 本發明是有關於一種使用立體定位導引系統之植牙生體 贋復物成形的整合性方法，特別是有關於一種虛擬口腔 定位系統，以產生虛擬模型，進而可進行虛擬植牙手術 ，藉以縮短植牙手術時間，並能於真正手術時，避免傷 及患者之神經管。 【先前技術】 [0002] 現今的植牙方法，其包括有下列步驟： [0003] ( 1 )製作模型，牙醫師或技師將患者的牙齒狀態，製成 一石膏模型，並於石膏模型中設有具有金屬管之手術參 考板，或者其他放射性不透材質（Radio opaque)做為 定位點。 [0004] ( 2 )斷層掃描（Computer ized Tomography，簡稱CT )，患者進行口腔斷層掃描，以取得口腔中之影像，並 以前述之定位點與該影像製作以3D渲染模型（Render _ i ng mode 1 )。 [0005] (3)調整咬合面水平角度。 [0006] ( 4 )產生全景（Panoramic view )，於冠狀切（201225022 VI. Description of the Invention: [Technical Field of the Invention] [0001] The present invention relates to an integrated method for forming a dental implant body using a stereotactic positioning guide system, and more particularly to a virtual oral positioning The system is used to generate a virtual model, which can be used for virtual dental implant surgery, so as to shorten the time of implant surgery and avoid injury to the patient's neural tube during actual surgery. [Prior Art] [0002] Today's dental implant method includes the following steps: [0003] (1) Making a model, a dentist or technician makes a patient's dental state into a plaster model and set it in a plaster model. There are surgical reference plates with metal tubes, or other radioactive materials (Radio opaque) as positioning points. [0004] (2) Computerized Tomography (CT), the patient performs an oral tomography scan to obtain an image in the oral cavity, and creates a 3D rendering model with the aforementioned positioning point and the image (Render _ i ng mode) 1 ). [0005] (3) Adjusting the horizontal angle of the occlusal surface. [0006] (4) Producing a panoramic view, in a crown cut (
Coronal section)平面點選牙弓線，以運算產生全景 〇 [0007] (5)產生虛擬下顎神經管，於冠狀切、全景或牙弓線交 錯區平面，電腦軟體會自動串接形成均一的下顎神經管 0992075890-0 099143840 表單編號A0101 第4頁/共19頁 201225022 [0008] (6) 虛擬牙齒與設置植體，於牙弓線設置虛擬牙齒，並 調整其大小位置，再於牙弓線的正交切面放置虛擬植體 〇 [0009] (7) 手術，確認植牙之尺寸，逐一調整其立體位置，並 以該資料製作植牙孔徑導引板，患者試戴調整植牙孔徑 導引板，或者重新製作，若患者試戴後，並無任何問題 ，牙醫師可進行手術，以完成植牙之程序。 [0010] ❹ [0011] 然上述之植牙方法於使用上仍存在著諸多缺失，特予分 述如下： 一、 石膏模型往往因檢查結果，而須重複修正其定位板 ，而使原先所製作之參考板無法應用，而須重新製造， 故曠日費時。 [0012] Ο [0013] 二、 患者口中若有金屬假牙，於進行斷層掃描時，金屬 假牙會干擾散射，故無法正確呈現患者之牙齒外形，所 以另需花時間製作辅助石膏模型，再轉為數位資料，以 確認齒列正確外形或更高階影像處理CT資料成形。 三、 目前部份的植牙電腦軟體仍需繁複操作步驟，並且 其大多應用於單一植牙，若應用於多顆植牙，則植牙電 腦軟體無法群組化，故應用於多顆植牙手術規劃時，其 功效不佳。 .Coronal section) Plane point selection of the arch line to calculate the panoramic view [0007] (5) Create a virtual sacral neural tube, in the plane of the coronal cut, panoramic or arch line intersection, the computer software will automatically cascade to form a uniform chin Neural tube 0992075890-0 099143840 Form number A0101 Page 4 / Total 19 pages 201225022 [0008] (6) Virtual teeth and set implants, set virtual teeth on the arch line, and adjust their size position, then on the arch line Orthogonal section placement of virtual implants [0009] (7) Surgery, confirm the size of the implants, adjust their stereo position one by one, and use this data to make the implant aperture guide plate, the patient try to adjust the implant aperture guide plate , or re-made, if the patient does not have any problems after the trial, the dentist can perform surgery to complete the procedure of implanting. [0010] However, there are still many defects in the above-mentioned dental implant method, and the following are described as follows: 1. The plaster model often has to be repeatedly corrected for the positioning plate due to the inspection result, so that the original preparation is made. The reference board cannot be used and must be remanufactured, so it takes time. [0012] 、 [0013] Second, if there is a metal denture in the patient's mouth, the metal denture will interfere with the scattering when performing the tomography, so the shape of the patient's teeth cannot be correctly presented, so it takes another time to make the auxiliary plaster model, and then turn to Digital data to confirm the correct shape of the dentition or higher order image processing CT data shaping. Third, some dental implant software still require complicated operation steps, and most of them are applied to single implants. If applied to multiple implants, implanted computer software cannot be grouped, so it is applied to multiple implants. When the operation is planned, its efficacy is not good. .
[0014] 四、 電腦軟體所產生之虛擬下顎神經管，多以平均直徑 多點串接標示，其誤差值仍偏高，往往無法發揮其警示 作用。 099143840 表單編號Α0101 第5頁/共19頁 0992075890-0 201225022 [0015] 五、以現有之方式僅能輸出植牙孔徑導引板，而無法規 劃或輸出立體空間定位導引板的功能。 [0016] 六、所有植牙之圖形截面或預製之假牙套件，其不符合 自然牙根的外形，不符人體工學之設計而且有違美觀逹 成。 【發明内容】 [0017] 有鑑於上述習知技藝之問題，本發明之目的就是在提供 一種使用立體定位導引系統之植牙生體贋復物成形的整 合性方法，以解決目前植牙之實體模型所產生的曠曰廢 時之問題、假牙不美觀且不符人體工學、現有電腦軟體 無法發揮應有的警示功能、無法規畫植牙手術、無法克 服斷層掃描干擾所產生之誤差與現有電腦軟體僅能使用 於單一顆植牙。 [0018] 本發明係提供一種使用立體定位導引系統之植牙生體贋 復物成形的整合性方法，其步驟包括有虛擬口腔定位： 將口腔印模托盤與戴著口腔印模托盤之患者分別進行斷 層掃描，並分別建立二影像，於二影像之間建立座標轉 移，以於患者口腔或其數位上下顎模型建立對應座標； 虛擬模型建立：使用前述之座標，於患者的斷層掃描之 3D模型中建立下顎神經管或切緣管的影像；自然牙與植 體之資料庫建立：於一資料庫中設有自然牙資料與各廠 牌之植體2D/3D模型資料；以及虛擬植牙手術：選用由前 述之影像及資料庫，以產生植體之導引板，於一電腦螢 幕模擬於患者之口腔中選用植入點，以植入單顆假牙或 多顆假牙，假牙係可模擬自然牙形態，以符合患者口腔 099143840 表單編號A0101 第6頁/共19頁 0992075890-0 201225022 [0019] 中之穿槔形悲’而電腦螢幕亦顯示植牙機與鑽針之定位 與尺十^ 5又疋0 本發明 <進一步包括有於上述步驟選用之假牙資料，傳 送給電脑輔助機器或快速成型機，以使假牙製造成型之 應用。 [0020] Ο [0021] 本發明更1進步包括有一建立雲端資料區，其係將虛 擬口腔定位、虛擬模型建立、自然牙與植體之資料庫建 立與虚棵植牙手術所使用之電腦程式與資料庫建立於一 雲端伺脲器中’透過網際網路’並於任何適當位置處進 行虛擬槙牙手術，藉此雲端技術係可擴大治療結構群參 與度，β減少與縮短醫療群的溝通阻礙與工作時間。 承上所述，依本發明之使用立體定位導引系統之生體贋 復物的方法’其可具有多個下述優點： [0022] 一、本發明係直接藉二斷層掃描之影像，其經比對後所 產生之座標’進而產生虛擬換塑，並可使該虛擬模型趨 Ο [0023] 近於患者口腔之實際狀態，而使使用端能設計出符合臨 床需求之導引板，以預製符合患者之生體贋復物。 二、免除實體模型的製作之曠曰費時，並以虛擬模型替 代’藉此縮短手術時間’並可同時區分軟硬組織之立體 形態，克服以往檢查結果無法一次性完整呈現所有口内 狀況。 [0024] 二、本發明係藉患者戴著口腔印模托盤取得斷層掃描影 像，進而產生虛擬模型，其可避免金屬假牙的干擾散射 ，可正確呈現患者之牙齒外形，利於後續之植體規劃。 099143840 表單編號Α0101 第7頁/共19頁 0992075890-0 201225022 [0025] 四、虛擬植牙手術，其係使得牙醫師得以於實際進行手 術時，得以精準實施，並可避免可預期地傷害患者之神 經管或鼻竇。 [0026] 五、所製出之假牙，其更趨近於自然牙，並且該假牙之 贋復部分更貼近於原牙齦中的空間，以使該假牙符合美 觀與人體工學之設計。 [0027] 六、本發明更可供牙醫師進行手術前之練習，以使牙醫 師的手術技術更加精益求精。 [0028] 七、下顎神經管或切緣管的影像之建立，使其趨近於患 者之真實神經，故誤差值低，所以能確實發揮其警示作 用。 [0029] 八、本發明係可規劃單一植牙，或者可群組化以應付多 顆植牙手術，並可依實際手術狀態，而可於較短的時間 内做出相對應的調整。 [0030] 九、本發明更可進一步透過雲端技術，而於任何適當位 置處，進行虛擬植牙手術，而使本發明具有較佳之便利 性與參與規模。 【實施方式】 [0031] 請配合參考第1圖所示，本發明係一種使用立體定位導引 系統之植牙生體贋復物成形的整合性方法之流程示意圖 。圖中，本發明之步驟包括如下： [0032] a、虛擬口腔定位： [0033] 第2圖係本發明之口腔印模托盤之示意圖。於口腔印模托 099143840 表單編號A0101 第8頁/共19頁 0992075890-0 201225022[0014] Fourth, the virtual sacral neural tube produced by the computer software is mostly marked by multiple points in an average diameter, and the error value is still high, and often cannot play its warning role. 099143840 Form No. Α0101 Page 5 of 19 0992075890-0 201225022 [0015] V. In the existing way, only the implant aperture guide plate can be output without the function of regulating or outputting the stereo space positioning guide. [0016] 6. The pattern section of all dental implants or the prefabricated denture kit, which does not conform to the shape of the natural root, does not conform to the ergonomic design and is contrary to aesthetics. SUMMARY OF THE INVENTION [0017] In view of the above problems of the prior art, the object of the present invention is to provide an integrated method for forming a dental implant body using a stereotactic positioning system to solve the current dental implant. The problem of decadence caused by the solid model, the dentures are not aesthetically pleasing and ergonomic, the existing computer software can not perform the proper warning function, the irregular dental painting surgery, the error caused by the interference of the tomographic scan can not be overcome Computer software can only be used for a single implant. [0018] The present invention provides an integrated method for forming a dental implant body using a stereotactic guidance system, the steps of which include virtual oral positioning: a dental impression tray and a patient wearing an oral impression tray Perform a tomographic scan separately, and establish two images separately, and establish coordinate transfer between the two images to establish corresponding coordinates in the patient's mouth or its digital upper and lower jaw model; virtual model establishment: using the aforementioned coordinates, 3D in the patient's tomographic scan The image of the inferior or sacral canal is established in the model; the database of natural teeth and implants is established: the natural tooth data and the 2D/3D model data of the implants in each database are included in the database; and the virtual implants are provided. Surgery: Select the image and database from the above to generate the guiding plate of the implant, and use a computer screen to simulate the implantation of the patient's mouth to implant a single denture or multiple dentures. The denture can be simulated. The shape of the natural tooth is in accordance with the patient's oral cavity 099143840 Form No. A0101 Page 6 / 19 pages 0992075890-0 201225022 [0019] Positioning of the implant with the drill machine and the ten-foot 5 and Cloth 0 ^ invention < further comprising the step of the above-described selection information to dentures, the machine or transmitted to the computer-aided rapid prototyping machine, so that the application of the denture manufacturing molded. [0020] The invention further includes a cloud data area, which is a computer program for virtual oral positioning, virtual model establishment, natural tooth and implant database establishment, and virtual tooth implant surgery. The database is built in a cloud-based device to perform virtual fang surgery at any appropriate location through the Internet. The cloud technology system can expand the participation of the treatment structure group, and reduce the communication between the β and the medical group. Obstruction and working hours. According to the present invention, the method for using the stereoscopic positioning guide system for living body rafts can have a plurality of advantages as follows: [0022] 1. The present invention directly scans images by two tomography, After the comparison, the coordinate generated by the comparison generates virtual replacement and can make the virtual model tend to be close to the actual state of the patient's mouth, so that the user can design a guiding plate that meets the clinical requirements. The prefabrication conforms to the patient's body and body complex. Second, the elimination of the production of the physical model is time-consuming, and the virtual model is replaced by 'to shorten the operation time' and the stereoscopic shape of the soft and hard tissues can be distinguished at the same time. Overcoming the previous inspection results, it is impossible to fully present all the intraoral conditions at one time. [0024] 2. The invention obtains a tomographic image by the patient wearing an oral impression tray, thereby generating a virtual model, which can avoid the interference scattering of the metal denture, and can correctly represent the shape of the patient's teeth, which is beneficial to the subsequent implant planning. 099143840 Form No. 1010101 Page 7 of 19 0992075890-0 201225022 [0025] Fourth, virtual dental implant surgery, which enables the dentist to accurately implement the operation, and avoid the expected injury to the patient Neural tube or sinus. [0026] 5. The denture produced is closer to the natural tooth, and the restored portion of the denture is closer to the space in the original gum so that the denture conforms to the aesthetic and ergonomic design. [0027] Sixth, the present invention is more suitable for the dentist to perform pre-operative exercises to make the dentist's surgical technique more refined. [0028] VII, the establishment of the image of the sacral neural tube or the marginal tube, so that it is close to the real nerve of the patient, so the error value is low, so it can really play its warning role. [0029] 8. The present invention can plan a single implant, or can be grouped to cope with multiple implant operations, and can make corresponding adjustments in a shorter time according to the actual surgical state. [0030] IX. The present invention can further perform virtual dental implant surgery at any suitable location through cloud technology, so that the present invention has better convenience and participation scale. [Embodiment] [0031] Referring to Fig. 1, the present invention is a schematic flow chart of an integrated method for forming a dental implant body using a stereotactic positioning system. In the drawings, the steps of the present invention include the following: [0032] a. Virtual Oral Positioning: [0033] Figure 2 is a schematic view of an oral impression tray of the present invention. For dental impression holder 099143840 Form No. A0101 Page 8 of 19 0992075890-0 201225022
盤 1 (Dental impression tray)中填充印模材，口腔 印模托盤1具有多個定位點或多邊形之物件，並將此一口 腔印模托盤1進行斷層掃描（CT)，以建立影像，患者再 戴著此口腔印模托盤1進行斷層掃描，並建立另一影像， 口腔印模托盤1的影像與患者的影像之間建立一對一座標 轉移關係，以於患者口腔内或其數位上下顎模型建立相 對應座標。此外，口腔印模托盤1係可於其三點以上位置 處分別設有放射不透材質（Radio opaque)，以做為定 GThe impression printing material is filled in the Dental impression tray, and the dental impression tray 1 has a plurality of positioning points or polygonal objects, and the dental impression tray 1 is subjected to tomography (CT) to establish an image, and the patient re Wearing the dental impression tray 1 to perform a tomographic scan and establish another image, and establish a one-to-one label transfer relationship between the image of the dental impression tray 1 and the patient's image for the patient's oral cavity or its digital upper and lower jaw model. Establish corresponding coordinates. In addition, the dental impression tray 1 can be provided with a radio opaque at a position of three or more points as a fixed G.
[0034] b、虛擬模型建立： Ο [0035] 請參閱第3圖所示，其為本發明之下顎神經管之示意圖。 使用上述之座標，於患者的斷層掃描之3D模型的切面之 單點或多點位置處，以實際大小形成下顎神經管2或切緣 管（Incisal canal);請參閱第4圖所示，其為本發 明之下顎骨之示意圖。而可較精準評估其結構於患者之 下顎骨3内的立體位置與大小，以助於牙科手術之進一步 風險評估，該牙科手術可為植牙或正顎矯正；並藉由影 像翻模技術對口腔印模托盤的影像進行運算，以產生上 下顎實體或數位模型。 [0036] c、自然牙與植體之資料庫建立： [0037] 資料庫中之自然牙資料係包含有自然牙3D模型形態，以 便製作個人化牙根形態之形變之假牙贋復部分，其係選 定植牙之上部平台直徑，並與欲製作假牙之正常牙根立 體，相互重疊相減2匪〜4mm形漸變，以製出3D模型圖播 099143840 表單編號A0101 第9頁/共19頁 0992075890-0 201225022 ’；該資料庫亦包含有各廠牌之植體2D/3D模型資料，該資 料為平台、植體直徑與長度。 [0038] d、虛擬植牙手術： [0039] 請配合參考第5圖所示，其為本發明之導引板之示意圖， 操作者選用由步驟a至c所產生影像及資料庫，以產生植 體之導引板4，操作者可於一電腦螢幕模擬於患者之口腔 中選用一植入點，以植入單顆假牙或多顆假牙，該假牙 係可模擬自然牙形態，以符合患者口腔中之牙根形態， 而該電腦螢幕亦顯示植牙機與鑽針之定位與尺寸的設定 〇 [0040] 該植入點設定如下： [0041] 以欲植牙之位置為植入點，並以植入點之牙弓線（X軸） 為主；牙弓線以冠狀切景之圖像，於上下顎之齒槽骨之 牙齒位置點出連線；牙弓線兩側各1至2公分之後度產生 全景；牙弓線正交為切面（Y軸），以產生2D模型影像， 並維持正交點調整不同X、Y軸之夾角度（2至5度/次）， 以符鄰牙之牙軸，並與正焦點可前後或左右水平移動， 以調整至理想之植入點，並於確認之切面建立其植牙植 入立體軸向；選擇植入立體軸向，以成立參考軸，可於 不同位置之欲平行植牙群可套用，並以群組化調整共同 平行軸向，而一組牙弓線可建立多個群組，以簡化植牙 規劃步驟，每一患者可建立多組牙弓線，其係分為上下 兩類，並同時可調整植入物之直徑大小3, 25至6刪並提供 植體安全間距值設定，或者以相關植入物之立體圖投影 099143840 表單編號Α0101 第10頁/共19頁 0992075890-0 201225022 [0042] 至相關2D/3D模型圖影中。 3D模型可半透明化，以顯示其中之實際尺寸之神經管， 以及植牙外形圖，並可套用不透明/透明不同之表面顏色 〇 [0043] 不同3D模型可以透過患者的影像與數位模型之間建立一 對一座標轉換，影像融合（I mage f us i on )係規劃植體 路徑與數位牙齒，並可套疊，以評估植牙空間與原自然 牙之差異性。 Θ 师] 植體之導引板4為植體孔徑導引板、植體定位導引板與複 合式植體導引板，藉由影像特徵擷取、影像分割與影像 成長，以對口腔印模托模的影像模型進行運算，以產生 植體植入路徑且其他完全密合於牙齒及牙齦表面之植體 定位導引板或植體孔徑導引板，或依手術需求提供更多 手術區域的齒槽骨接觸面之複合式植體導引板。 [0045] e、實體假牙成型： 〇 _] 將步驟d於資料庫中所選之假牙資料傳送給電腦輔助機器 或快速成型機，以使所選用之假牙製造成型。請參閱第6 圖所示，其為本發明之局部植牙動作演練之示意圖。如 圖所示，於此本步驟中，牙醫師可使用前述之導引板與 已為成之假牙，進行植牙前之演練與預習，以降低實際 植牙時可能會發生之風險性或錯誤，並增進其醫療技巧 〇 [0047] f、建立雲端處理區·· 099143840 表單編號A0101 第11頁/共19頁 0992075890-0 201225022 [0048] 前述步驟a至d所使用之電腦程式與資料庫係可建立於一 雲端伺服器中，透過網際網路，以讓操作者得以於任何 適當位置處進行虛擬植牙手術，並可藉此雲端技術係可 擴大治療結構群參與度，以減少與縮短醫療群的溝阻礙 與工作時間。 以上所述僅為舉例性，而非為限制性者。任何未脫離本 發明之精神與範疇，而對其進行之等效修改或變更，均 應包含於後附之申請專利範圍中。 【圖式簡單說明】 [0049] 第1圖係為本發明之使用立體定位導引系統之生體贋復物 的方法之流程示意圖。 第2圖係本發明之口腔印模托盤之示意圖。 第3圖係本發明之下顎神經管之示意圖。 第4圖係本發明之下顎骨之示意圖。 第5圖係本發明之導引板之示意圖。 第6圖係本發明之局部植牙動作演練之示意圖。 【主要元件符號說明】 [0050] 步驟流程：a〜f 1…口腔印模托盤 2…下顎神經管 3…下顎骨 4…導引板 099143840 表單編號A0101 第12頁/共19頁 0992075890-0[0034] b, virtual model establishment: Ο [0035] Please refer to Figure 3, which is a schematic diagram of the sacral canal. Using the above coordinates, the sacral canal 2 or the Incisal canal is formed at the actual size of the single or multiple points of the section of the 3D model of the patient's tomography; see Figure 4, It is a schematic diagram of the tibia under the present invention. The stereo position and size of the structure under the patient's tibia 3 can be accurately evaluated to facilitate further risk assessment of dental surgery, which can be corrected for dental implants or orthognathic surgery; The images of the dental impression tray are manipulated to produce an upper and lower squat entity or a digital model. [0036] c, the establishment of the database of natural teeth and implants: [0037] The natural tooth data in the database contains the shape of the natural tooth 3D model, in order to make the deformation of the individual tooth root shape of the denture complex, the system Select the diameter of the upper platform of the implant and compare it with the normal root of the tooth to be made, and subtract the 2匪~4mm gradient to make the 3D model. 099143840 Form No. A0101 Page 9 / 19 pages 0992075890-0 201225022 '; The database also contains 2D/3D model data of implants of various brands, which are platform, implant diameter and length. [0038] d, virtual implant surgery: [0039] Please refer to the reference figure 5, which is a schematic diagram of the guide plate of the present invention, the operator selects the image and database generated by steps a to c to generate The guiding plate 4 of the implant, the operator can select an implantation point in a patient's mouth in a computer screen to implant a single denture or a plurality of dentures, which can simulate the natural tooth shape to conform to the patient. The shape of the root in the mouth, and the computer screen also shows the positioning and size setting of the dental implanter and the drill needle. [0040] The implant point is set as follows: [0041] The position of the implanted tooth is used as the implantation point, and The arch line (X-axis) of the implant site is mainly used; the arch line is imaged by a crown, and the line is connected to the teeth of the alveolar bone of the upper and lower jaws; 1 to 2 on each side of the arch line After the centimeters, a panoramic view is generated; the arch line is orthogonal to the section (Y-axis) to generate a 2D model image, and the orthogonal point is adjusted to adjust the angle of the different X and Y axes (2 to 5 degrees/time) to The axis of the tooth, and the positive focus can be moved horizontally back and forth or left and right to adjust to the ideal implant point, and Confirming the cut surface to establish the stereoscopic axial direction of the dental implant; selecting the stereoscopic axial direction to establish the reference axis, the parallel implantable tooth group can be applied at different positions, and the common parallel axial direction is adjusted by grouping, and A group of arch lines can establish multiple groups to simplify the planning process of implants. Each patient can establish multiple sets of arch lines, which are divided into upper and lower categories, and can also adjust the diameter of the implants. 25 to 6 delete and provide the implant safety spacing value setting, or project the stereoscopic map of the relevant implant 099143840 Form No. 1010101 Page 10 / 19 pages 0992075890-0 201225022 [0042] to the relevant 2D/3D model map. The 3D model can be translucent to show the actual size of the neural tube, as well as the outline of the implant, and can be applied with opaque/transparent surface colors. [0043] Different 3D models can be passed between the patient's image and the digital model. Establishing a pair of standard conversions, image fusion (I mage f us i on ) is to plan the implant path and digital teeth, and can be nested to assess the difference between the implant space and the original natural tooth.导引师] The guiding plate 4 of the implant is an implant aperture guiding plate, an implant positioning guiding plate and a composite implant guiding plate, and the stomata is printed by image feature extraction, image segmentation and image growth. The image model of the mold is operated to create an implant placement path and other implant positioning guides or implant aperture guides that are completely in close contact with the tooth and gum surface, or provide additional surgical areas depending on the surgical needs. Composite implant guide plate for the alveolar bone contact surface. [0045] e, solid denture molding: 〇 _] Transfer the denture data selected in step d to the computer aided machine or rapid prototyping machine to make the selected dentures. Please refer to FIG. 6 , which is a schematic diagram of a partial dental implant exercise of the present invention. As shown in the figure, in this step, the dentist can use the above-mentioned guide plates and the existing dentures to perform pre-tooth implant exercises and previews to reduce the risk or error that may occur during actual implants. And improve its medical skills 〇 [0047] f, establish cloud processing area · · 099143840 Form No. A0101 Page 11 / 19 pages 0992075890-0 201225022 [0048] The computer programs and database used in the aforementioned steps a to d It can be built in a cloud server to allow the operator to perform virtual implant surgery at any suitable location through the Internet, and the cloud technology system can expand the participation of the treatment structure to reduce and shorten the medical treatment. The ditch of the group hinders the working hours. The above is intended to be illustrative only and not limiting. Any equivalent modifications or alterations to the spirit and scope of the invention are intended to be included in the scope of the appended claims. BRIEF DESCRIPTION OF THE DRAWINGS [0049] Fig. 1 is a flow chart showing a method of using a living body 赝 complex of a stereotactic positioning guide system of the present invention. Figure 2 is a schematic illustration of an oral impression tray of the present invention. Fig. 3 is a schematic view of the sacral canal of the present invention. Figure 4 is a schematic illustration of the tibia below the present invention. Figure 5 is a schematic view of the guide sheet of the present invention. Figure 6 is a schematic view of a partial dental implant exercise of the present invention. [Main component symbol description] [0050] Step flow: a~f 1... Dental impression tray 2... Lower jaw nerve tube 3... Lower jaw bone 4... Guide plate 099143840 Form number A0101 Page 12 of 19 0992075890-0