TW476633B - A micro-implantable apparatus and method for the stability assessment of a two-stage dental implant - Google Patents
A micro-implantable apparatus and method for the stability assessment of a two-stage dental implant Download PDFInfo
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五、發明說明(1) 本發明係關於— 及方法,尤其係一稀以植入式人工牙根穩固度感測裝置 =2變化之可遙測的裝置Ϊ =知人工牙根植體植入 由人工牙根植體的 *及方法;該微型感測裝置可 下傳至骨/植體介 '口虼,將一脈衝檢測波由植體往 測虿骨/牙根植體兩者的^ f ^收亚分析所得之反射波來 械嵌合度之變化,古、X。間,因骨癒合所造成的機 植體邊界條件變化對二,二f發明將可有效評估骨/牙根 又結合一射頻線圈:用二二,影響,此外,該感測裝置 無線量測之目的,又壯业傳遞檢測訊號,進而達到 性,該感測裝置亦結合一 ^ ®測效益及實施之安全 裝置在刼作期間所 ♦ 田子70件,用以暫時儲存該 並進-步降低裝置之複;:及=除了内置電源的需求 所導:T::以::以 科醫療有三種方式之以傳統上假牙裝設/牙 ;_ ^ ^ 為修磨病牙週邊的年此 的=疋i二為將金屬連接鉤卡住病牙週邊之二2利作牙橋 假牙:二為利用口腔黏膜作受力支持全:作成活動 牙組&方式雖然治療時程較短且花費不古卩又牙。上述假 的「,良假牙後遺症」卻長期造成裝設:牙j是隨之而來 不良牙橋」所導致之蛀牙及牙周病、「 ^之困擾,如 響美觀及對支柱牙的副作用、「全口 活,假牙鉤」影 合無力等問題。 &」各易鬆脫及咬V. Description of the invention (1) The present invention relates to-and a method, and particularly to a device for detecting the stability of implanted artificial roots = 2 devices that can be measured remotely. Implant * and method; The micro-sensing device can be transmitted to the bone / implant interface, and a pulse detection wave is transmitted from the implant to the zygomatic bone / tooth root implant. The resulting reflection wave changes in the degree of mechanical fit, ancient, X. In the meantime, the changes in the boundary conditions of the implant caused by bone healing will be effective in evaluating the bone / tooth root combined with a radio frequency coil: using two two, the impact, and the purpose of wireless measurement of the sensing device In addition, Zhuangye passed the detection signal, and then achieved the performance. The sensing device also combined with the safety benefits and safety devices implemented during operation. 70 pieces of Tianzi were used to temporarily store the parallel-step reduction device. ; And: In addition to the requirements of the built-in power supply: T ::::: Yike Medical has three ways to traditionally install dentures / tooths; _ ^ ^ is the year around grinding the diseased tooth = 牙 i The second is to clamp the metal connection hook around the diseased tooth. The second is to make dental bridge dentures. The second is to use the oral mucosa as a force to support the whole. The method is to create a movable tooth group. Although the treatment duration is short and the cost is not ancient. tooth. The fake "good sequelae" has caused installation for a long time: tooth decay and periodontal disease caused by tooth j is followed by bad dental bridges, and the problems of "^, such as beautiful appearance and side effects on pillar teeth, "Full mouth, false teeth hook" photos of weakness and other issues. & "Easy to loose and bite
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4/DOJJ 五、發明說明(2) 所進彳^λ來π i針詞'上述假牙裝設方弍所產生的困擾與問題 :c中,以「人工植牙」為目前最佳之選 ^ , 牙」係以鈦金屬為材料,鈦金屬具有良好之 蓉彳A 谷,在、體内不會因環境因素而解離產生細胞毒素 M A H透確手術步驟,「人工植牙」可達 0 、/ W,具耐久、美觀、咬合力大、骨質不流 失,不用削磨旁邊好牙等多項優點。 "平估人工牙根植體之穩定度,依其癒合過程可分為主 ^ ^又及-人要階段。主要階段中決定牙根植體穩定度的因 素包含有:齒槽骨的密度和厚度、手術方法的選定、人工 牙根植體外形及尺寸設計等。基於主要階段中牙根植體所 達成的癒合狀況,影響次要階段中牙根植體穩定度的因 素’則取決於牙根植體與齒槽骨接合面之間的骨再生及吸 收機制。 近年來,在評估人工牙根癒合情形之穩固度檢測方 法,主要是藉由振動理論中的非破壞性技術。在這類方法 中,一般是以脈衝(impulse force)或正弦波(sinus〇idal wave)來激發人工牙根的振動,並監測及分析共振頻率 (resonance frequency)或所謂自然頻率(nat^ai、 frequency)來判定牙槽骨與人工牙根的骨邊界間 密度關係。4 / DOJJ V. Description of the invention (2) Introduce ^ λ to π i. The dilemma and problems caused by the above-mentioned denture installation method: In c, "artificial implant" is the best choice at present ^ "Tooth" is made of titanium metal. Titanium metal has a good A valley. It will not dissociate in the body and the environment to produce cytotoxic MAH. Thorough surgical procedures. The "artificial implant" can reach 0, / W has many advantages such as durability, beautiful appearance, large bite force, no loss of bone, and no need to sharpen the good teeth next to it. " Estimating the stability of artificial tooth root implants can be divided into two main stages according to their healing process: ^ ^ and-human stage. The factors that determine the stability of the root implant in the main stages include: the density and thickness of the alveolar bone, the choice of surgical methods, the shape and size of the artificial root implant. Based on the healing status achieved by the root implant in the main stage, the factors that affect the stability of the root implant in the secondary stage are determined by the bone regeneration and absorption mechanism between the tooth root implant and the alveolar bone junction. In recent years, the robustness detection methods for assessing the healing status of artificial tooth roots have mainly used non-destructive techniques in vibration theory. In this kind of method, it is common to use impulse force or sinusoidal wave to excite the vibration of the artificial tooth root, and monitor and analyze the resonance frequency (resonance frequency) or the so-called natural frequency (nat ^ ai, frequency ) To determine the density relationship between the alveolar bone and the artificial bone root.
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其中,Meredith及其研究小組,利用一 ^ 外力來激發人工牙根振動。其結果顯示,妓穩定的正弦 牙根暴露於齒.槽骨以外的高度以及其^ =頻率與人工 高的相關性。然而,由於這個方法/需要—構條件有極 (cant 1 lever beam)來傳導正弦外力 口 4壁樑 勡’在有限的口腔空間限制下,其臨 一才根振 κ、°°冰應用受到限制。 而發明專利第8 7 1 1 00 53號「利用自麸 變之邊界條件的方法」,係將振動感測、、、星'/、檢測牙周病 之唇側面,再以衝擊槌敲擊其表面;丨發牙:貝的J :待測牙 =動::器及衝^追之訊號經由頻譜 傳至= ,由頻域圖上虛部函數(lmage m〇de)的相二二二=處 貝邛函數(real m〇de)的反曲點來· 及 - 个刊斷自然頻率的所右义 置。然而,對於口腔後段區域之牙 斤在位 .0 + 才齒(P〇steri〇:r teeth);如智齒的位置,以衝螌灰 難。 符#槌破擊在施作上則有其困 本發明即針對以上問題,開發一種可植入式人工 穩疋度檢測裝置,因此本發明之主 根 電系統(_s)製成技術來設計—種要用微機 穩固度感測褒置及方法」,主要是一 工牙根 =及裝置假牙前用以檢測其因骨癒合所產生牙根 、支化之檢測裝置及方法。 〜 &Among them, Meredith and his research team used an external force to excite the artificial root vibration. The results show that the prostitute-sinusoidal roots are exposed to the heights beyond the tooth and socket bones and the correlation between their ^ = frequency and artificial height. However, due to this method / requirement—constructive conditions have poles (cant 1 lever beam) to conduct sinusoidal external force port 4 wall beams 在 'Due to limited oral space constraints, its application only limits κ, °° ice applications. . And the invention patent No. 8 7 1 00 53 "method of using boundary conditions of self-gluten transformation" is to detect the side of the lip of periodontal disease by vibration detection, and then strike it with an impact mallet. Surface; 丨 tooth: shell J: tooth to be tested = movement :: signal of the device and punch ^ chase is transmitted to = through the frequency spectrum, from the phase of the imaginary part function (lmage m〇de) on the frequency domain diagram = 22 = The inverse curvature point of the real function (real m〇de) comes from the right position of a natural frequency. However, it is difficult for the teeth in the posterior region of the oral cavity to be in the position of .0 + teeth (such as the position of wisdom teeth) to flush the ashes.符 # mallet smashing has its difficulties in construction. The present invention addresses the above problems, and develops an implantable artificial stability detection device. Therefore, the main root electrical system (_s) manufacturing technology of the present invention is designed to design— It is necessary to use microcomputer stability to sense the placement and method ", which is mainly a detection device and method for detecting the root and branch of the tooth before the artificial tooth root = and the denture. ~ &Amp;
476633 五、發明說明(4) 緣是,本發明係有關於一種微型植入式的认 、的檢、、目丨丨壯取 該裝置之合成及施行方法包括在人工牙根上梦“衣置’ 感測元件之合成裝置。該基板之一面呈有〜^置一基板與 射頻線圈、訊號處理器等,負責控制信號的接崎仔早几、 號的分析、傳遞及能量儲存。而基板之另一面收 檢測訊 動器與導波架,經由垂直導線與基板一側之感則備有一致 接,負責檢測訊號的產生、接收。經處理後I 件相連 以確認該人工牙根與牙齦、牙床等周邊骨組 ^就則可用 程度,以判斷在人工牙根上進一步裝置假牙、、、3之緊密接合 之適當時機。 茲以本發明一較具體之實施例,並配合圖A _ 之裝置、檢測方法及其特點功效等詳細說、將本發明 ϋ 卜" · 本發明之裝置係安裝在已經完成植入手術 上,藉由-致動器發出檢測波透過人工牙根來之判人斷^牙根 與骨周邊界面的接合情幵i ’進而藉以判定植邊 織之密合度。 /、周遣a組 如第一、二、三、四圖所示,該裝置組成包括:在人 工牙根20上端開口處,裝置一種取代癒合封蓋(heaUng cap)之微型基板(substrate)l〇,其一面具有能量儲存元 件(energy storage)101、射頻線圈(c〇iis)102、1〇2,、 訊號產生器(RF signal generator)103、射頻積體電路476633 V. Description of the invention (4) The reason is that the present invention relates to a micro-implanted recognition, inspection, and purpose. The method of synthesis and execution of the device includes dreaming "clothing" on the artificial tooth root. Synthesizing device of the sensing element. One side of the substrate is provided with a substrate, a radio frequency coil, and a signal processor, which are responsible for the analysis, transmission, and energy storage of control signals. One side receives the detection transducer and the wave guide, and there is a consistent connection with the side of the substrate through the vertical wire, which is responsible for detecting the generation and reception of the signal. After processing, I pieces are connected to confirm the artificial tooth root and gums, gums, etc. The peripheral bone group can be used to determine the appropriate timing for further installation of the artificial teeth on the artificial roots. The more specific embodiment of the present invention is used in conjunction with the device, detection method and The characteristics and effects of the invention will be described in detail. The device of the present invention is installed on an implantation operation that has been completed. The joint between the broken tooth root and the bone peripheral interface 'i' can be used to determine the closeness of the grafted weave. / Group Zhou A is shown in Figures 1, 2, 3, and 4. The device composition includes: the artificial tooth root 20 At the upper opening, a micro substrate 10 instead of a heaUng cap is installed. One side has an energy storage element 101, a radio frequency coil 102, 102, Signal generator (RF signal generator) 103, RF integrated circuit
476633 五、發明說明(5) (RFIC)104 ’ 其間利用導線(interconnection lines)105 連接,該基板10之另一面置有致動器(acoustic wave actuator)108,同時也利用一垂直連接構件(vertical connection) 109與該導線105相連接;利用此裝置固定在 人工牙根上,而由帽蓋3〇鎖緊固定。 請參閱第五圖,其中,在射頻檢測訊號傳遞與驅動能 量傳輸部分之構成與方法係: •使用兩個射頻線圈1 0 2與1 〇 2,負責發送與接收驅動能 量; ^使用兩個射頻線圈102與102’負責發送及接收控制訊 3號使用兩個射頻線圈1()2與m’負責發送及接收感測信 使用犯里儲存711件1 0 1負責儲存收到的驅動能量。 波,此載波由外在、壯y,、線傳遞機制均藉由一高頻載 上另一線圈102,接經—線圈102發射,並由基板 換成以下兩種择作,丄接,所得射頻電波依其使用狀況轉 而實際的驅動頻圭= 一、直接用於驅動致動器108 ’ 計’最後經由高頻2;;;(動器108之材質及尺寸設 量的線圈阻抗上辦 里4 impedance meter) 1 07所測 i化以觀察系統穩固度變化之情況;二、 476633 五、發明說明(6) -- 父流之南頻載波將先轉換成直流,並儲存於能量儲存元件 101中,以提供訊號產生器丨03及訊號處理器11〇所需之電 能0 關於微機電系統(MEMS)垂直連接構件1〇9和致動哭1〇8 部分之構成與方法係: ° 1 ·致動器1 0 8將依MEMS製成技術分別置放於基板丨〇的一側 或另一側上’並用以產生一機械檢測波; 2·垂直連接構件1 〇9將穿越基板丨〇以相互連接兩側 件; 3·致動器1()8由線圈1G2,獲得驅動能量,並轉換成檢測波 以量測植體植入後之穩固度變化; 4.致動器108接收來自骨/植體介面間之反射波’並經由 線圈1 0 2將檢測結果向外發射。 在生物^容性方面,本裝置將於基板1〇含線圈之一側 上’形成-氧化物或氮化物之塗裝;以及在基板1〇含導波 ^(electroforming)106 - ik 3?ιη〇 ^ 双動态1 〇 8之一侧形成一層金屬 塗裝薄膜。 致動器1 0 8係包括在基板1 〇 且可完全覆蓋人工牙根20之口 部或底部之能量儲存元件1 〇 1 頂部或底部的任一個部位, 腔侧之開口,置於基板1 〇頂 將負責提供致動器1 0 8所需476633 V. Description of the Invention (5) (RFIC) 104 'In the meantime, it is connected by interconnecting lines 105. An actuator 108 is placed on the other side of the substrate 10, and a vertical connection member is also used. ) 109 is connected with the wire 105; the device is fixed on the artificial tooth root, and is locked and fixed by the cap 30. Please refer to the fifth figure, in which the composition and method of the radio frequency detection signal transmission and driving energy transmission part are: • using two radio frequency coils 102 and 102 to send and receive driving energy; ^ using two radio frequencies Coils 102 and 102 'are responsible for sending and receiving control signals. 3 Use two RF coils 1 () 2 and m' to send and receive sensing letters. Use the storage to store 711 pieces 1 0 1 to store the received driving energy. Waves, the carrier is transmitted by external, strong, and line transmission mechanisms through a high frequency on another coil 102, and then transmitted through the coil 102, and the substrate is replaced with the following two options, then The radio frequency wave is converted to the actual driving frequency according to its use status = 1. Directly used to drive the actuator 108 'meter' and finally through the high frequency 2 ;; (the material and size of the actuator 108 are set on the coil impedance 4 impedance meter) 1 07 to measure the stability of the system to observe the changes in the stability of the system; Second, 476633 V. Description of the invention (6)-The south frequency carrier of the parent stream will be converted into DC first and stored in the energy storage element In 101, in order to provide the electrical energy required by the signal generator 丨 03 and the signal processor 0, the composition and method of the micro-electromechanical system (MEMS) vertical connection member 109 and the actuation cry 108 are: 1 The actuator 108 will be placed on one or the other side of the substrate according to the MEMS manufacturing technology and used to generate a mechanical detection wave; 2. The vertical connection member 10 will pass through the substrate. To connect the two pieces of each other; 3 · Actuator 1 () 8 by the coil 1G2, to obtain driving energy, Detection wave is converted into a change in the measurement of the degree of stability of the implant implantation; 4. The actuator 108 receives a reflected wave from 'the interface between the bone / implant body 102 via the transmitting coil outward detection result. In terms of bio-capacitance, the device will be coated with an oxide or nitride on the substrate 10 including one side of the coil; and the substrate 10 includes electroforming 106-ik 3? Ιη 〇 ^ Double Dynamic 1 008 forms a metal coating film on one side. The actuator 108 includes an energy storage element 100 on the substrate 10 and can completely cover the mouth or the bottom of the artificial tooth root 20. The opening on the cavity side is placed on the top of the substrate 10. Will be responsible for providing actuators required
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五、發明說明(7) 之動力。致動器108所產生之檢測波範圍係包括:聲波、 SAW(表面聲波)、超音波等波段’該檢測波將可用於穿透 牙根植體’並經由骨介面反射訊號來量測骨癒合之情形。 該反射訊號可由致動器108接收,再由位於基板1〇上或位 於裝置外部之訊號處理器110 ’經—軟體程式進行分$。 基板10上之導波架106 ’將依MEMS製成技術完成;致動哭 108或致動器的頂部和底部的電極所使用之基材將鱼基= 10使用不同的材質。生物.相容性之覆蓋材料將包含、·土 …石夕的氮化物或高分子聚合物、鈦金屬薄膜等材;乳 二軋化矽、矽的氣化物或高分子聚合物等所覆蓋之位 含蓋基板10 —側含射頻線圈等元件的表面,而鈦金膜 所覆盍之位置將位於基板1 〇 一侧含致動器丨〇 8之表面。、、 綜合以上所述,本發明係利用微型感測裝置,將一 衝檢測波由植體往下傳至骨/植體介面,再經由接收、、)= 析所得之反射波來測量骨/牙根植體兩者的接合面亚/刀 骨癒合所造成的機械嵌合度之變化,以有效評估A 因 植體邊界條件變化對穩固度之影響,此外,感測^牙根 合一射頻線圈,用以接收並傳遞檢測訊號,而達5 f又結 測之目的,又為提高裝置之量測效益及實施之八…、線夏 感測裝置更結合一能量儲存元件,用以暫時儲二性,該 操作期間所需之電能,解決了内置電源的需求Z 3裝置在 步降低裝置之複雜性及侵入性。爰是,本發明,亚進~ 法確具產業利用價值,爰依法提出申請。 之裝置及工 476633 圖式簡單說明 圖式之簡單說明: 第一圖係本發明之整體外觀圖; 第二圖係本發明之平面視圖; 第三圖係本發明之局部分解外觀圖; 第四圖係本發明之局部組合剖面圖; 第五圖係本發明之驅動系統方塊圖。 圖號對照表: 1 〇 -基板 2 0 -人工牙根 3 0 -帽蓋 1 0 1 -能量儲存元件 1 0 2 -射頻線圈 1 0 3 -射頻訊號產生器 104-射頻基體電路 1 0 5 -導線 1 0 6 -導波架 107-高頻阻抗記量器 1 0 8 -致動器 I 0 9 -垂直導線 II 0 -訊號處理器V. Motivation of invention description (7). The detection wave range generated by the actuator 108 includes: acoustic waves, SAW (surface acoustic waves), ultrasonic waves and other bands. The detection wave will be used to penetrate the root implant and measure the bone healing through the reflection signal of the bone interface. situation. The reflected signal can be received by the actuator 108, and then divided by a signal processor 110 'located on the substrate 10 or outside the device via a software program. The wave guide 106 'on the substrate 10 will be completed according to the MEMS manufacturing technology; the substrate used to actuate the cry 108 or the top and bottom electrodes of the actuator will be based on 10 different materials. Bio-compatible covering materials will include materials such as nitride, polymer, titanium polymer, and titanium film of Shi Xi; emulsion-coated silicon, silicon vapor, or polymer. The cover substrate 10 is located on the side of the surface containing components such as radio frequency coils, and the position covered by the titanium gold film will be on the surface of the substrate 10 including the actuator 8 on the side. Based on the above, the present invention uses a micro-sensing device to transmit a shock detection wave from the implant to the bone / implant interface, and then receives the reflected wave from the analysis to measure the bone / Changes in mechanical fit caused by sub-joint / bone healing of tooth root implants to effectively assess the effect of A on the stability due to changes in implant boundary conditions. In addition, sensing ^ tooth root in one RF coil, using In order to receive and transmit the detection signal, and achieve 5 f for the purpose of testing again, in order to improve the measurement efficiency of the device and the implementation of the eighth, the line summer sensing device combines an energy storage element to temporarily store the duality, The electrical energy required during this operation addresses the need for a built-in power supply. The Z 3 device reduces the complexity and intrusiveness of the device in steps. It is true that, according to the present invention, the Yajin ~ method has industrial use value, and the application is submitted in accordance with the law. Device and process 476633 Brief description of the drawings Brief description of the drawings: The first diagram is the overall appearance of the present invention; the second diagram is a plan view of the present invention; the third diagram is a partially exploded appearance diagram of the present invention; the fourth The figure is a partial sectional view of the present invention; the fifth figure is a block diagram of the driving system of the present invention. Drawing number comparison table: 1 〇-substrate 2 0-artificial tooth root 3 0-cap 1 0 1-energy storage element 1 0 2-radio frequency coil 1 0 3-radio frequency signal generator 104-radio frequency base circuit 1 0 5-wire 1 0 6-Waveguide 107-High-frequency impedance meter 1 0 8-Actuator I 0 9-Vertical wire II 0-Signal processor
III -濾波器I 11 2 -濾波器I I 11 3 -固態開關III-Filter I 11 2-Filter I I 11 3-Solid State Switch
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Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US9788749B2 (en) | 2013-12-02 | 2017-10-17 | National Central University | System and method for detecting bone defects |
US10052063B2 (en) | 2015-10-23 | 2018-08-21 | National Chiao Tung University | Sensing bone fixing element |
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Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US9788749B2 (en) | 2013-12-02 | 2017-10-17 | National Central University | System and method for detecting bone defects |
US10052063B2 (en) | 2015-10-23 | 2018-08-21 | National Chiao Tung University | Sensing bone fixing element |
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