1285099 日修(更)正本 八、發明說明： 【發明所屬之技術領域】 本發明係關於一種人工括乐 植牙牙根定位鑽孔輔助裝置， 尤指一種可以方便囊i作道1 ^ 展作導板及精確於牙床模型及人體口 内牙床骨預定植牙位置鑽的輔助裝置。 【先前技術】 、當人們牙齒有缺損或祓除時，一般傳統之治療方式I 、、製作假牙代替原有的真牙，但臨床上以假牙代替真牙方 式有如下之缺點··—、若為單顆缺牙時，須磨掉二旁牙齒 的-部分，以作為假牙套的支撐，而破壞原有健康的牙裔； 亦可用金屬鉤卡住旁邊牙齒及其他牙齒作活動假牙，但金 屬鉤會外露而破壞美觀；二、若為多顆缺牙時，僅能靠二 $原有的牙齒支撐假牙，容易因人口咀嚼時上下排牙齒^ 5力過度承載’造成牙床及牙周組織的破壞。 爲改善傳統假牙使用上之缺點，目前多已改用固定式 的人工植牙方式代替；如第二十二及三十圖所示，人工^ 牙方式係於病患嘴巴内之牙床（6 A )缺牙處（6丄A ) 的牙床骨適當處，直接鑽孔形成一大小適當的窩洞（6 2 3 A)，於該窩洞（6 2 3 A)内植入一固定有鈦合金的人 工牙根（6 4A)並縫合傷口，當該人工牙根（6 4A)與牙 床骨完全長在一起後，於該人工牙根（6 4 A )上用具有螺 絲之支台齒（6 5 A )鎖上，最後於該具有螺絲之支台齒 (6 5 A )上套設人工義牙（6 6 A)，藉由該人工牙根（6 4 A )與具有螺絲之支台齒（6 5 A )使得人工義牙（6 6 A ) 1285099 可以完全的由牙床骨支撐，而使該人工義牙（6 6 A)可以 承爻上下排牙齒的咀嚼力，進一步恢復牙齒正常的咬合功 而人工植牙成功與否之關鍵，除了植牙時人工牙根（6 4A)埋入牙床骨之深度外，最重要的即是人工牙根（6 4 A )植於牙床骨上位置正確與否，所謂位置正確與否， 除鑽孔窩洞（6 2 3 A )地點需與缺牙相對應的上或下方牙 齒相對應外，尚包括窩洞(6 2 3 A)之角度是否與缺牙相 對應的上或下方牙齒相對應，若均能相對應，植牙完成後 之人工義牙（6 6 A)上端面（6 6丄A)凹凸才能與其相對 應,牙齒端面凸凹相配合，上下排牙齒咬合力才能達到真 牙般的力1 ;若窩洞（6 2 3 A)的地點或角度有誤差，則 牙後之人工義牙（6 6 A )將無法與相對應的牙齒相契 :摩人工義牙(“A)上端面(“…凸無法與= 穿應之牙齒端面凸凹相配合，而使牙齒咬合力無法達到直 牙般的力量，係為失敗的植牙手術。 〃 孔窝有之植牙手術而言，因病患口腔内牙床骨上之鑽 孔窩洞而配合人工牙根之大小， 無法植人，若窩洞太大nut太小，則人工牙根 且A人工牙根植入之位置容易有偏差， 又4顧及牙床骨所能承受之鑽 洞之孔徑均係以先利"板故窩 洞再逐次將小洞擴大的方式進行’即欲=弓二，由鑽小 作幾故具有直徑不同中空套管的導管。^人孔洞’就製 而本說明為便於說明導板之製作方式，係以製作四個 1285099 導板為例，如第二十三圖所示，係在病患口腔牙床骨臨床 鑽窩洞（6 2 3 A )前’牙醫師會先行模擬病患口腔牙床 之真實狀況，而先行製作病患牙床模型（6)，並依據該 牙床模型（6)先行計算出缺牙處（6 1 )第一基準洞（6 2 )的位置及角度，將該牙床模型（6 )固定於工作台上， 先行以鑽孔機在該缺牙處（6 i )以標示有刻度的鑽頭鑽 出具有一定深度最小孔徑的第一基準洞（62);如第二 十四圖所示，並將與此第—基㈣（62)直徑相同的^ 一基準桿（7)插人該第-基準、洞（6 2 )中；再用峨或 石膏（圖中未示）將缺牙處（61)二旁預定製作導板範 圍内之正常牙冑（63)間之倒凹縫及牙齒端面上之凹凸 不平之溝隙處填滿’再如第二十五圖所示，用膠泥（樹脂） 包，牙（61)處及其二旁的預定製作導板範圍内之 ^牙齒（6 3 )’如第二十六圖所示’待膠泥（樹脂） 凌固後即形成一第一導板（8 )， ^ ^ ^ ^ ^ 0 口 了貝疋1作導板範圍内 之正吊牙齒間之凹縫及牙齒端面上之凹凸不平處 滿，故可輕易將該第一導板（8 ) 、 ^連厂基準桿（7) 自牙床模型上取下，此時該第一導 缺牙處（61)及其二旁的牙齒（6 3 8之，内側面與該 i^ ω ( 6 3 )之外觀完全匹配， 該第一基準桿(7)直徑相同預“作完二: 管（9 )後備用，且該第—中 工 或高於該第一導板（8)貫穿孔（）之高度可相等 貝牙孔（81)之高度，第一中 1285099 空套管（9 )其内徑即為爾後於病患牙床骨上鑽第一窩洞 (62A)之直控（亦即第一鑽頭（1〇1)之直徑）。 然後，再以較大直徑之鑽頭於第一基準洞（6 2 )位 置，以同心圓鑽出相同於第一基準洞（6 2 )深度但直， 較大之第二基準洞，將與此第二基準洞直徑相同的第二2 準桿插入第二基準洞中，之後再如第一導板（8 )之方式 製作一第二導板，用膠泥（樹脂）包覆於缺牙“） 及其二旁的正常牙齒上，待膠泥（樹脂）乾固後即形成第 二=板’再將該第二導板中之第二基準桿抽出而形成一第 一貝穿孔，於該第二貫穿孔中插入與該第二基準桿直徑相 同之第二中空套管後備用，且該第二中空套管之高度與第 中空套官（9)相同，且第二中空套管其内徑即為爾後 於病患牙床骨上鑽第二窩洞之直徑。 如此反覆進行前面動作，加大鑽頭之直徑以同心 2第三基準洞，置入相對應的第三基準桿，並且製作第三 貫穿孔的第三導板，並將預先製作完成相對應的第三中: 套管置入第三導板之第三貫穿孔中備用，直到利用於第： =二(6:3)中插入第四基準桿（7D)#出具有所 -達到第四寫洞（623A)直徑相 ”之第四導板（8C)為止 套二(9 - m 3矛一卞七及一十八圖所 ::因此形成複數個具有由小到大不同直徑中空套管的導 當臨床實施植牙時’請參閱第二十九圖所示，依序先 將該具有第一中空套營^ 先 套s ( 9 )的第-導板（8 )套設於病 1285099 患缺牙（6 1A)處及其二旁牙齒（6 3A)上，因該第 ’導板（8)t内面與缺牙（61A)處及其二旁正常牙 齒（6 3 A)之外觀完全匹配，故可完全正確地與牙床（6 A )精確配合，亦即該第—導板（8 )上之第一中空套管 (9 )位置即位於缺牙處（6 1 A )欲鐵出第一窩洞^ 2 A )之位置上，此時，？醫師以電鐵（i 〇 )，將直^ 相匹配於第一中空套管（9 )的第一鑽頭（丄〇丄）置： 該第-導板（8)1之第-中空套管（9)内，利用第一 中空套管（9)作導引’於該缺牙（6 1A)處牙床骨上 鑽出第-寫洞（6 2 A)後，將第一導板（8 ) 管…自牙床（…上取下；然後，再將第丄： 設於病患缺牙處（6丄A)及其二旁牙齒（6 3 a)上， 因該第二導板之内面亦與缺牙（61A)4及其二旁正常 牙齒（6 3A)之外觀完全相同，可完全正確地與牙床（6 A )精確配合，亦即該第二導板上之第二中空套管位 位於缺牙處之第-离洞（62A)位置上$，然後，如前 述般，牙醫師以電鐵（1(n，將匹配於第二中空#；^ 徑的第二鑽頭置入該第二導板上之第二中空套管内，利用 第二中空套管作導引，於缺牙（61A)4牙床骨上第— 窩洞（6 2幻位置繼續鑽出直徑較大的第二窩洞 ，二導板及第二中空套管自牙““）上取下:、：此 反後進行前面動作，依次換上直徑漸大中空套管的不 板使用直徑漸大的鑽頭，直到利用直徑最大的第四鑽頭 0 4 )及最大直徑第四中空套管（9 3 )之第四導板（8 1285099 c)於牙床骨上鑽出欲達到之窩洞（6 2 3A)直徑為止， 再於窩洞（6 2 3A)上植入適當的人工牙根（6 4A)， 完成植牙的第一步驟。 惟’如上述的導板製作及中空套管使用時，有如下之 缺點.1285099 日修(更)本本八, invention description: [Technical field of invention] The present invention relates to a manual plucking tooth root positioning drilling aid, especially a kind of sac The plate and the auxiliary device which is accurate to the model of the gum and the planned position of the dental implant in the human mouth. [Prior Art] When people have defects or get rid of their teeth, the traditional treatment methods I, and the production of dentures replace the original real teeth, but the clinical use of dentures instead of real teeth has the following shortcomings. In the case of a single missing tooth, the part of the tooth on the side of the tooth must be worn off to support the original healthy tooth. The metal hook can also be used to hold the tooth and other teeth as active dentures, but the metal hook It will be exposed and destructive; secondly, if there are many missing teeth, only the original teeth can support the dentures, which is easy to cause the destruction of the gums and periodontal tissues due to excessive loading of the upper and lower teeth when the population chews. . In order to improve the shortcomings of the use of traditional dentures, it has been replaced by fixed artificial dental implants; as shown in the 22nd and 30th, the artificial teeth are attached to the gums in the patient's mouth (6 A). The appropriate part of the gums of the missing tooth (6丄A) is directly drilled to form a properly shaped cavity (6 2 3 A). An artificial titanium alloy is implanted in the cavity (6 2 3 A). Root (6 4A) and suture the wound. When the artificial root (6 4A) is completely extended with the gum bone, it is locked on the artificial root (6 4 A ) with abutment teeth (6 5 A) with screws. Finally, an artificial denture (6 6 A) is placed on the abutment tooth (65 A) with the screw, and the artificial root (6 4 A) and the abutment tooth (6 5 A) with the screw are used. The artificial denture (6 6 A ) 1285099 can be completely supported by the gum bone, so that the artificial denture (6 6 A) can bear the chewing force of the upper and lower teeth, further restore the normal occlusion work of the teeth and artificially implant the teeth successfully. The key to the or not, in addition to the depth of the artificial tooth root (6 4A) buried in the dental implant bone, the most important is the artificial root (6 4 A) Whether the position on the bone of the gum is correct or not, the so-called position is correct or not, except for the upper or lower teeth corresponding to the missing teeth except for the hole (6 2 3 A ), which also includes the cavity (6 2 3 A) Whether the angle corresponds to the upper or lower teeth corresponding to the missing teeth, if they can correspond, the upper end of the artificial tooth (6 6 A) after the implant is completed (6 6 A) Correspondingly, the end face of the tooth is matched with the convex and concave teeth, and the upper and lower teeth bite force can reach the true tooth-like force 1; if the position or angle of the cavity (6 2 3 A) has an error, the artificial denture (6 6 A) of the tooth will be Can not be associated with the corresponding teeth: the artificial upper teeth ("A) upper end face ("... convex can not match the convex end face of the tooth, so that the tooth bite force can not reach the power of straight teeth, Fractured dental implant surgery. 〃 In the case of dental implant surgery, the size of the artificial root is not able to be implanted due to the drilling of the dental fossa bone in the patient's mouth. If the cavity is too large, the nut is too small. The position of the root and A artificial root implant is easy to be biased, and 4 can take care of the dental bone. The hole diameter of the drill hole is carried out in the way of the first hole and the hole of the hole, and then the small hole is expanded one by one, that is, the wire is drilled, and the pipe with a diameter of different hollow casing is used for a few times. In order to facilitate the description of the way the guide plate is made, the four 1285099 guide plates are taken as an example. As shown in the twenty-third figure, the patient is in front of the patient's dental orthopedic bone hole (6 2 3 A). 'The dentist will first simulate the actual condition of the patient's oral gums, and first make the patient's gum model (6), and according to the dental model (6), calculate the missing tooth (6 1) first reference hole (6 2 ) Position and angle, the dental bed model (6) is fixed on the workbench, and the first reference hole having a certain depth and minimum aperture is drilled by the drill at the missing tooth (6 i ) with the scaled drill bit (62); as shown in Fig. 24, and inserting a reference rod (7) having the same diameter as the base (4) (62) into the first reference, the hole (62);峨 or gypsum (not shown) will be placed on the second side of the missing tooth (61) to prepare the normal gums within the guide area ( 63) The inverted concave joint and the uneven groove on the tooth end face are filled up. 'As shown in the twenty-fifth figure, the plastic (resin) package, the teeth (61) and the two sides of the scheduled production The ^ teeth (6 3 ) in the range of the guide plate are as shown in the twenty-sixth figure. After the cement (resin) is consolidated, a first guide plate (8) is formed, ^ ^ ^ ^ ^ 0 1 The groove between the hanging teeth and the unevenness on the end surface of the tooth in the range of the guide plate can be easily taken, so that the first guide plate (8) and the factory reference rod (7) can be easily taken from the dental bed model. Next, at this time, the first guide tooth (61) and the teeth on both sides thereof (6 3 8 , the inner side surface completely matches the appearance of the i^ ω (6 3 ), the first reference rod (7) The same diameter is pre-made "2: After the tube (9) is reserved, and the height of the first or middle working or higher than the first guiding plate (8) through the hole () can be equal to the height of the beating hole (81), The inner diameter of the 12805099 empty casing (9) is the direct control of the first cavity (62A) drilled on the patient's gum bone (ie, the diameter of the first drill bit (1〇1)). Then, with the larger diameter drill bit at the first reference hole (6 2 ), the concentric circle is drilled to the same depth as the first reference hole (62), but the second reference hole is larger and larger. The second reference rod having the same diameter of the second reference hole is inserted into the second reference hole, and then a second guide plate is formed as the first guide plate (8), and the cover is covered with the cement (resin). And on the normal teeth on the two sides, after the cement (resin) is dried, the second = plate is formed, and then the second reference rod in the second guide is drawn to form a first perforation, in the second Inserting a second hollow sleeve having the same diameter as the second reference rod into the through hole, and the second hollow sleeve has the same height as the first hollow sleeve (9), and the inner diameter of the second hollow sleeve is In order to drill the diameter of the second cavity on the patient's gum bone, the front movement is repeated, the diameter of the drill bit is increased to the concentric 2 third reference hole, the corresponding third reference rod is placed, and the third through hole is made. The third guide, and will be pre-made to complete the corresponding third: the casing is placed The third through hole of the guide plate is reserved until the fourth reference rod (7D) is inserted into the second: (2:6), and the fourth phase (63A) diameter phase is reached. The guide plate (8C) is set to two (9 - m 3 spears one seven and eighteen:: thus forming a plurality of hollow casings with small to large diameters for clinical implementation of implants' In the twenty-ninth figure, the first guide plate (8) having the first hollow sleeve s (9) is firstly placed on the ill-free tooth (6 1A) and the second On the side teeth (6 3A), the inner surface of the 'guide plate (8)t is completely matched with the appearance of the missing teeth (61A) and the normal teeth (6 3 A) on both sides, so that the gums can be completely correctly 6 A) precise fit, that is, the position of the first hollow sleeve (9) on the first guide plate (8) is located at the position of the missing tooth (6 1 A) to be out of the first cavity ^ 2 A ) ,at this time,? The physician uses an electric iron (i 〇) to match the first drill bit of the first hollow casing (9): the first hollow sleeve of the first guide plate (8) 1 ( 9), after using the first hollow sleeve (9) as a guide to drill the first-write hole (6 2 A) on the dental bed bone of the missing tooth (6 1A), the first guide plate (8) Tube... remove from the gums (... then, then, the third: on the patient's missing tooth (6丄A) and its two adjacent teeth (6 3 a), because the inner surface of the second guide is also It has exactly the same appearance as the missing tooth (61A) 4 and its normal teeth (6 3A), and can be exactly matched with the gum (6 A) correctly, that is, the second hollow sleeve on the second guide. Located at the first-out hole (62A) position of the missing tooth, then, as mentioned above, the dentist puts the electric iron (1 (n, the second drill that matches the second hollow #; In the second hollow sleeve on the second guide plate, the second hollow sleeve is used as a guide, and the second cavity with a larger diameter continues to be drilled in the first cavity of the edentulous (61A) 4 dental bed bone. Two guide plates and a second hollow sleeve on the teeth "") Bottom:,: After this, the front action is performed, and the diameter of the enlarged diameter hollow casing is sequentially replaced with the drill bit of the diameter, until the fourth drill bit with the largest diameter is used, and the fourth hollow casing with the largest diameter is used. 9 3) The fourth guide plate (8 1285099 c) drills the diameter of the cavity (6 2 3A) to be reached on the dental bone, and implants the appropriate artificial root (6 4A) on the cavity (6 2 3A). , the first step of implanting the tooth. However, the following shortcomings are used when the guide plate is made and the hollow sleeve is used.
一、以第一導板（8 )的使用為例，因每個病患的口 腔可以張開的大小有限，而電鑽（丄〇 )及第一鑽頭（工 〇 1 )需鑽入牙床骨有一定之深度，故第一鑽頭（丄〇工） 有相當長度，而當牙醫師欲將電鑽第一鑽頭（丄〇 i )置 入第一導板（8)内之第一中空套管（9)中，如第二十 八圖所示，需先將電鑽（10)及第一鑽頭（1〇1)置 入病患口中，第一鑽頭（1 〇 1 )越過第一導板（8 )後 再置入第一中空套官（9 )，此時病患之口腔需張開至最 大，對於口形較小或缺牙處係在牙床後面的病患而言，造 成相當痛苦及壓力，而牙醫師在手術過程中亦有困擾。 再以第一導板（8 )的使用為例，當藉由第 板及其上之第一中空套管以第一導板（8 )的使用為例， ;缺牙處（61A)牙床骨上鑽孔時，因牙醫師看不到第 -導板（8)上第一中空套管（9) β第一鑽頭（1〇工〕 刻度亡位置’故對於第一鑽頭（丄〇丄）i之刻度標示是 木入牙床月㉟虽深度無法目視，僅能以經驗判斷鑽孔 深度，故工作中需停下工作，將電鑽（i 〇 )及第一鑽頭 士 〇 1 )自病患口中取出，並先行測試鑽孔深度後，再 龜績鑽孔工作，造成鑽孔深度的不確定與不方便。 8 1285099 :!製：不同導板時，須使用直徑漸大的鑽頭反覆進 ^鑽基相動作，依次換上基準桿後，才能製作不同導板， 釭序上較繁複，而有改善之空間。 【發明内容】 置，財#於既有之人工植牙牙根定位鑽孔輔助裝 /、上有其不便之處，而造成病患及牙醫師的困擾， 因此，本創作之主 西T幻IS復 tJ m 的係為棱供一種精確且方便牙醫師 ί牙床導板，牙醫師於手術時可以看到電鐵鑽頭深 定位鑽二病患可以張口較小即可操作的人工植牙牙根 :=孔輔助裝置’因而減少病患及牙醫師的困擾，並提 鬲牙醫師的工作效率。 支JL捉 牙二達：述目的所使用之主要技術手段係將該人工植牙 牙根疋位鑽孔輔助裝置，設計有， 才 床模:::!基:::=，準桿直㈣與牙 片狀==序!:具有磁性之材料所製成的半圓形 小直徑之導引片m並與基準桿為同心圓，其最 仏係與基準桿之外徑相匹配。 牙醫師使用本發明輔助裝置， 省製作導板所需要的時間；且由之製作，節 開口端將錢頭直接藉由導引片m師可直接由導板該 孔，可減少病”過… 病患牙床上鑽 師在牙庆㈣ 嘴巴之情況發生；且由於牙醫 牙床鑽寫洞的同時’亦可直 ： 而了解鑽孔之深度’無需暫停鑽孔之動作;因」= 9 1285099 節省時間。 【實施方式】 請參閱第一圖所示，本發明輔助襞置包括 基準桿（1)，係為圓柱體，其 該其進士曰,1、+ - 可貝為導磁材料， 土卓才干（1)直獲係與牙床模型（3)( 之第一基準洞（32 )直徑匹配； 第—圖所不) 複數之導引片，其外觀為一半 性材料，其第,片…、形片狀體，材質為磁 徑相匹配，第二導引片(22内徑係與基準桿⑴直 片（2 2 )之内徑係與第-導引片（2 :外徑相配合’其他後續導引片之直 片之内徑係與前h 為便於說明本發明輔助裝置之使用方法，本說 鉍例’係以病患缺牙處牙床骨上窩洞由四次 :、 惟於實際實施本發明時，並不受此四次所限制。“成’ 人工It閱第二及三圖所示’為使用本發明辅助裝置作為 彳牙牙根定位鑽孔的第—種使用方法，當牙醫師使用 ▲:明輔助裝置時，如習用般先依據病患牙床模型 计异出缺牙處（3 1 )之鑽設基準洞（3 2 )位置與角度， :::?组（3)固定於工作台上（圖中未示），先行以 γ機（圖中未示）在缺牙處（31)以標示有刻度的鑽 頭（圖中未示）鐵出具有一定深度最小孔徑的基準洞（3 2 )，並將與此基準洞（3 2 )直徑相匹配的基準桿（1 ) 插入，此基準桿（1 )之直徑係相同於在病患牙床（3 A ) 要鑽出的第一窩洞（32A)(如第十一圖所示）直徑相 1285099 匹配，然後，如第四_ $ = Γ(1)露出基準润…）=”)貼附 (2 1 )凹弧貼附於基 、、第-導 模型（3 )外方，即相_ 的方向為朝向牙床 1)之背面；待、口腔之方向為第-導引片（2 待第一導引片（2工）定a # ^ ^ 示，將第二導？丨片 位後，如第五圖所 引片（2 1 ) i ·价）以相同方式重疊貼附於第一導 的第四導引片（24彳at p ，、圖所不，至直徑最大 乃^ 4 )貼上於第三導引片 此貼上基準桿（1)與第_ )為止，·而 1 ) / ( 2 2 ) / (…’第四導引片（2 牙床（川（如料=((24)之數目，係與病患 次數相配合者。 · τ缺牙處（3 1 A)窩洞鑽孔 用蟻或石膏（圖-、 1)二旁預定製:導床模型(3)缺 凹縫及牙…端=圍内之正常牙齒（川間之倒 所亍，用二 凸不平溝隙處填滿，如第七圖 及二)包覆於牙床㈣（3)具有基準桿 =二上引片广… 於基 匕成導板（4 )半成品，並使導板（4 ) 于 及第一 /第二/第三/第四導引片（21) 22)/(23)/(24)端留設有縱向開口（4 1 );待膠泥（樹脂）乾固後，即形成具有開口（4工） 之導板（4 )，且基準桿（1 )與複數導引片並於開口（ 4 1 )内形成有半圓形縱向穿孔（4 2)。 再如第八圖所示，將導板（4 )、基準桿（D與第 1285099 一/第二/第三/第四導引片（21)/(22)/(2 )/ (24)由牙床模型（3)取下，並將基準桿（1) 離後備用，此時，由開口（4 1 )端可以見到第一/第二 第第四導引片（21)/ (22)/(23) /(2 4 )容置於縱向穿孔（4 2 )内；又為防止最大直徑之第 四導引片（2 4 )#法與導板（4 )上之半圓形縱向穿孔（4 ::相貼附，可於穿孔（42)内塗設黏膠，強化穿孔（4 二）與第四導引片（24)之黏著性；亦可如第九圖所示， 四導引片（24)亦可先行於片體上設有固定孔（24 )，使當膠泥（樹脂）包覆於最大直徑導引片（2 4 ) :::份膠泥（樹脂)會進入固定孔(2 4 "中，待膠泥 ^旨）乾固後，導板⑷便可與第四導引片（ 合為一體。 ^師：：手術使用•，如第十圖所示，先將附 3(二2疒第四導引片（21)/(22)/(2 處（31A 2導板（4)置於病患牙床（3A)缺牙 之内 邊牙齒（33A)上，因該導板 之内面亦與缺牙處（3 1A)及复 彳板… 之外觀完全相π -T . ”―旁正吊牙齒（33A) 導板4)= 牙床（3A)配合，亦即該 导坂（4)上之第一導引片 i A )之箱μ 1 )位置即位於缺牙處（3 1 A )之預s又的弟一窩洞（3 第十-圖所示’牙醫師以電鑽（5)，將微二然；’如 第-導引片（21)内彳f的第 ' 相當）於 η 鑽頭（5 1 )透過開口 r 4 1 )直接貼附導板（4 )之笫 開口（ 4 )弟—導引片（21)内，利用 12 1285099 第導引片（21)作導引，如第十 (HA)牙床骨上錯出第—窩洞於缺牙處 第一導引片（21)以工具去除，露出第_2A);然後，將 再以相同於第二導引片（22) :片(”）’ 該導板（4)第二導引片内，利用第二二鐵頭貼附 導引’如鑽設出第一窩洞（3 2 A ( 2 2 )作 A)牙床骨上鑽出第二寫洞。 於缺牙處 換上==T作’去除第2)及 /斬大的第二鑽頭，藉由第三導51片（” 第一窩洞，直到如第十三圖所示，直徑 _、 4)藉由最大直徑的第四導引 、第四鑽頭（5 欲達到直逕最大的第四寫洞(V22心：牙床骨上鑽出 植=當的人工牙根（64Α)，完成植牙的第—再步於驟寫洞上 本發明辅助裝置的第二種使用方法為·· 當牙醫師使用本發明輔助裝置時， ‘ a、+、„ 如第十四圖所示， 2述第-種使用方法般’先依據病患牙床模型（ 异出缺牙（31)處之基準洞（32)位 ° 床模型（W缺牙處（3D以鑽頭鐵出角將牙 小；^丨^ ,瓚出具有一定深度最 J、孔搜的基準洞（32)，並將與此基準洞 被 相同的基準桿（i )插入，此基準 3 2)直嫂 預锆士 j 1 J 2 )之直徑係與 :備在病患牙床（3A)缺牙處（“A)要鑽出的第— 0 /同（3 2 A )直徑相匹配，然後將第一導引片 ::於基準捍⑴露出第一基準洞（32)的桿體丄： 導引片（2 i )貝占附方向為朝向牙床模型（3 )外 13 1285099 方，即相對於口腔之方向為第一導引片f 心咕、* 乃、2 1 )之背面，· 待第一導引片（21)定位後，用犧 既及石貧（圖中未 不）將牙床模型（3)缺牙處（31) -a r !¥!如 ^ 一方預定製作導板 乾圍内之正节牙齒（3 3)間之凹縫及 J酉％?面卜夕PJ7几 不平處填滿；再如第十五圖所示，用 5F ^ /on (树脂）包覆於 牙床核型（3 )具有基準桿⑴及第―導引1. Taking the use of the first guide plate (8) as an example, the size of the mouth of each patient can be opened, and the electric drill (丄〇) and the first drill bit (worker 1) need to be drilled into the gum core. A certain depth, so the first drill bit (completed) has a considerable length, and when the dentist wants to place the first drill bit (丄〇i) of the electric drill into the first hollow casing (9) (9) In the twenty-eighth figure, the electric drill (10) and the first drill bit (1〇1) are first placed in the patient's mouth, and the first drill bit (1 〇1) passes over the first guide plate (8). After the first hollow sleeve (9), the patient's mouth needs to be opened to the maximum, which is quite painful and stressful for patients with small mouth or missing teeth behind the gums. The dentist is also troubled during the operation. Taking the use of the first guide plate (8) as an example, when the first guide plate (8) is used as an example by the first hollow sleeve on the first plate and the upper guide plate (8); When drilling the hole, the dentist can not see the first hollow sleeve (9) on the first guide plate (8). The first drill bit (1 completion) is the position of the dead end. Therefore, for the first drill bit (丄〇丄) The scale of i is the wood into the gums. Although the depth is not visible, only the depth of the drill can be judged by experience. Therefore, it is necessary to stop the work during the work, and the electric drill (i 〇) and the first drill bit 1) are from the patient's mouth. After taking out and testing the drilling depth first, the drilling work will be drilled, resulting in uncertainty and inconvenience of the drilling depth. 8 1285099 :! System: When different guide plates are used, it is necessary to use the drill bit with a larger diameter to repeatedly press the base action of the drill, and then change the base rod in turn to make different guide plates. The order is more complicated and there is room for improvement. . [Summary of the Invention] Set, Cai # in the existing artificial implant root positioning drilling auxiliary device /, there are inconveniences, causing troubles for patients and dentists, therefore, the main West T-Iss The complex tJ m is a kind of rib for a precise and convenient dentist's dental bed guide. The dentist can see the electric iron drill bit deep positioning when the dentist is operating. The artificial implant root can be operated with a small opening:= The hole assister' thus reduces the hassle of the patient and the dentist and improves the efficiency of the dentist. JL catches the tooth two: The main technical means used for the purpose of the description is to design the artificial implant root root drilling aid, and the bed mold:::! base:::=, the straight rod (four) and Flake-shaped == order!: The semi-circular small-diameter guide piece m made of a magnetic material is concentric with the reference rod, and its final twist is matched with the outer diameter of the reference rod. The dentist uses the auxiliary device of the invention to save the time required for the production of the guide plate; and the preparation of the guide plate is made by the open end of the section, and the guide head can be directly guided by the guide plate to reduce the disease. The patient's dental bed driller occurs in the mouth of the tooth (4); and because the dentist's gum bed drills the hole, it can also be straight: and understand the depth of the hole 'no need to pause the drilling action; because" = 12 1285099 saves time . [Embodiment] Referring to the first figure, the auxiliary device of the present invention includes a reference rod (1), which is a cylinder, which is a gyroscope, and a +- - can be a magnetic conductive material, a soil ( 1) Direct acquisition system and dental bed model (3) (the first reference hole (32) diameter matching; the first figure is not) The plurality of guide pieces, the appearance of which is half of the material, the first, the piece..., the piece Shape, the material is matched by the magnetic diameter, the second guide piece (22 inner diameter system and the inner diameter of the straight rod (2 2 ) of the reference rod (1) and the first guide piece (2: outer diameter match 'other follow-up The inner diameter of the straight piece of the guiding piece is the same as that of the front part. In order to facilitate the description of the method of using the auxiliary device of the present invention, the example of the present invention is based on the four times of the orbital cavity of the patient's missing tooth: At the time of the invention, it is not limited by the above four times. "Into the artificial It is shown in the second and third figures' is the first method of using the auxiliary device of the present invention as a positioning hole for the root of the molar tooth, when the dentist uses ▲: When the auxiliary device is used, the reference hole (3 2 ) of the missing tooth (3 1 ) is calculated according to the patient's gum model. And the angle, :::? group (3) is fixed on the workbench (not shown), first with a gamma machine (not shown) at the missing tooth (31) to indicate the graduated bit (not shown) Showing) a reference hole (3 2 ) having a certain depth and a minimum aperture, and inserting a reference rod (1) matching the diameter of the reference hole (3 2 ), the diameter of the reference rod (1) being the same as The patient's gums (3 A) are to be drilled in the first cavity (32A) (as shown in Figure 11) with a diameter of 12,850,99, and then, as the fourth _ $ = Γ (1) reveals the baseline run...) = " ) attaching (2 1 ) concave arc attached to the base, and the first guide model (3), that is, the direction of the phase _ is toward the back of the gums 1); the direction of the mouth and the mouth is the first guide piece ( 2 After the first guiding piece (2 work) is set to a ^ ^ ^, the second guiding piece is placed, as shown in the fifth figure (2 1 ) i · price) is attached in the same way The fourth guiding piece of the first guide (24彳at p , the figure is not, the maximum diameter is ^ 4 ) is attached to the third guiding piece, and the reference rod (1) and the first _) are attached. And 1) / ( 2 2 ) / (...'fourth guide piece (2 Bed (Chuan (if the number of materials = (24), the number of patients with the number of patients. · τ missing teeth (3 1 A) hole drilling ants or plaster (Figure -, 1) : guide bed model (3) lack of concave joints and teeth... end = normal teeth in the circumference (in the middle of the river, filled with two convex uneven grooves, as shown in the seventh and second) coated on the gums (four) ( 3) With reference rod = two upper lead sheets... The base material is semi-finished with the guide plate (4), and the guide plate (4) is applied to the first/second/third/fourth guide piece (21) 22 The / (23) / (24) end is provided with a longitudinal opening (4 1 ); after the cement (resin) is dried, a guide plate (4) having an opening (4 work) is formed, and the reference rod (1) A semi-circular longitudinal perforation (42) is formed in the opening (41) with the plurality of guiding pieces. As shown in the eighth figure, the guide plate (4), the reference rod (D and the 1286099 one / second / third / fourth guide piece (21) / (22) / (2) / (24) Removed from the gum model (3) and left the reference rod (1) for later use. At this time, the first/second fourth guide piece (21)/(22) can be seen from the opening (4 1 ) end. ) / (23) / (2 4 ) is placed in the longitudinal perforation (4 2 ); it is also used to prevent the maximum diameter of the fourth guide piece (2 4 ) # method and the semi-circular longitudinal direction on the guide plate (4) Perforation (4:: attaching, can apply adhesive in the perforation (42), strengthen the adhesion of the perforation (4 2) and the fourth guiding piece (24); also as shown in the ninth figure, four The guiding piece (24) may also be provided with a fixing hole (24) on the sheet body so that when the cement (resin) is coated on the maximum diameter guiding piece (2 4 ) ::: part of the cement (resin) will enter and fix After the hole (2 4 ", to be glued), the guide plate (4) can be integrated with the fourth guide piece. ^师::Surgical use•, as shown in the tenth figure, first Attachment 3 (two 2 疒 fourth guide piece (21) / (22) / (2 places (31A 2 guide plate (4) placed in the patient's gums (3A) missing teeth inside the teeth (33A), because the inner surface of the guide plate is also completely π-T with the appearance of the missing tooth (3 1A) and the retanning plate. ” “Parallel hanging teeth (33A) Guide plate 4) = gums (3A) ), that is, the box of the first guiding piece i A ) on the guide (4) is located at the position of the missing tooth (3 1 A) and the first hole of the brother (3 tenth - As shown in the figure, 'Dentist's electric drill (5), will be micro-ramp; 'as in the first guide piece (21), the first 'equal' of the 彳f) is directly attached to the η drill bit (5 1 ) through the opening r 4 1 ) In the opening (4) of the guide plate (4), the guiding piece (21) is guided by the 12 1285099 guiding piece (21), for example, the tenth (HA) tooth bed is displaced from the first cavity. The first guiding piece (21) is removed by the tool at the missing tooth to expose the second _2A); then, it is again the same as the second guiding piece (22): the piece (")' the guiding plate (4) In the two guiding pieces, use the second two iron head to attach the guiding 'such as drilling to set the first cavity (3 2 A (2 2 ) for A) to drill the second writing hole on the bone of the dental bed. Upper ==T for 'remove 2nd' and //large second bit, with the third guide 51 pieces (" first cavity, until As shown in the thirteenth figure, the diameter _, 4) by the fourth guide of the largest diameter, the fourth drill bit (5 to reach the fourth largest hole in the diameter of the diameter (V22 heart: dental implants on the bones = when Artificial root (64Α), the first step of completing the implant. The second method of using the auxiliary device of the present invention is when the dentist uses the auxiliary device of the present invention, 'a, +, „ As shown in the fourteenth figure, the second method is the first method based on the patient's gum model (the reference hole (32) at the missing tooth (31) is a bed model (W is missing the tooth (3D with bit iron) The corner is small; ^丨^, the reference hole (32) with the depth J and the hole search is extracted, and the same reference hole (i) is inserted with the reference hole. This reference is 3 2) The diameter of the pre-zirconium j 1 J 2 ) is: in the missing teeth of the patient's gum (3A) ("A) to be drilled - 0 / the same (3 2 A) diameter match, then the first Guide piece:: The rod body of the first reference hole (32) is exposed at the reference 捍(1): the guiding piece (2 i ) is in the direction of the 13 2,850,590 square of the dental bed model (3), that is, relative to the oral cavity To the back of the first guiding piece f, *, 乃, 2 1 ), · After positioning the first guiding piece (21), use the sacrificial and stone-poor (not shown) (3) ) missing teeth (31) -ar !¥!如^ One party is scheduled to make a concave joint between the orthodontic teeth (3 3) in the dry circumference of the guide plate and J酉%? Faces are filled with PJ7; As shown in the fifteenth figure, the 5C ^ /on (resin) is applied to the gum core (3) with a reference rod (1) and a guide
之缺牙處（川⑯置及其預定之週邊牙齒（ ，並使第一導板(4A)於基準桿⑴ /第-導引片（2 1 )開口端留設有縱向開口（ 4丄a )， 待膠泥（樹脂)乾固後，即形成具有開口“ 1 A )之第 一導板（4A)，基準桿（1)與第一導弓I片（21)並 於第一導板（4A)形成有半圓形第-穿孔（42A)(如 第十六圖）； (1 )與第一導 再將該第一導板 (21)—併抽 將該第一導板（4 A )連同該基準桿 引片（21)自牙床模型（3)上取下， (4 A )中之基準桿（i )及第一導引片 出’將該第-導板（4A)置於旁邊備用 請再參閱第十七圖所示，將貼附有第__導引片（2 的基準桿⑴再度置回該基準、洞（32)中，將内徑盘 第-導引片（⑴外徑匹配之第二導引片(22 附 於第一導引片（2 1 )上，爯用赚：尸、 再用膝泥（樹脂）如製作第一導 板（4 A )之流程製作出一且右 咖 外出具有弟二穿孔（42Β)之第 二導板（4 Β );繼之，爯蔣兮笙 再將δ亥第二導板（4Β)中之基 準桿（1 )、第—導弓I片f 9 n斤 巷 1片（2 1)及弟二導引片（22)同The missing tooth (the Chuan 16 and its intended peripheral teeth (and the first guide (4A) is provided with a longitudinal opening at the open end of the reference rod (1) / the first guide piece (2 1 ) (4丄a After the cement (resin) is dried, a first guide plate (4A) having an opening "1A" is formed, and the reference rod (1) and the first guide bow I piece (21) are combined with the first guide plate ( 4A) formed with a semi-circular first-perforation (42A) (as in the sixteenth diagram); (1) and the first guide and then the first guide (21) - and draw the first guide (4 A With the reference rod leader (21) removed from the gum model (3), the reference rod (i) in (4 A) and the first guide sheet out 'place the first guide (4A) Next to the standby, please refer to the seventeenth figure, and attach the __ guide piece (2) of the reference rod (1) back to the reference, hole (32), and the inner diameter disc - guide piece ( (1) The second guide piece with the outer diameter matching is attached to the first guiding piece (2 1 ), and the process of making the first guiding plate (4 A ) is made by using the corpse and the knee mud (resin). Make a second guide (4 Β) with a second piercing (42 Β) on the right coffee, followed by爯 兮笙 兮笙 兮笙 兮笙 δ δ δ 第二 第二 第二 δ δ δ δ δ δ δ δ δ δ δ δ δ δ δ δ δ δ δ δ δ δ δ δ δ δ δ δ δ δ δ δ δ δ δ δ δ δ δ δ δ
Cs: 1285099 時抽出·，係再將貼附有第一導引 2) 的基準桿（丄） ）弟-V弓丨片（2 ^冉度置回該基準洞（q 由 該第二導引片（？ 9、L J 1 3 2 )中，並在 2 )上再重豐貼附外徑匹配之第三導 ’再用膠泥（樹脂)如前述方式 穿孔之第三導板；如第四：弟三 (2 4 )作出且古货 i到利用第四導弓丨片 乍出，、有第四穿孔"2D)的第四導板 二’將貼附有複數導引片（21) (2 4)的基準桿（丄） 1)(2 W丞早/ncJ2)取下，將導引片（2 導柄彳 （2 3 )( 2 4 )各別置入與其外徑相匹配之 導板（“）（4B) (4D)穿 (42D)中偌 H 比 士 UA)(42B) β )中備用，此時由各該開π端（4 i A) (4 i 3) ο1//可以見到各別之導引片（21U22) (2 當醫師臨床實施植牙_，請再 示，先腌罢λ 士你 > 閲第十九圖所 :將置入有第一導引片（21)之第 於病患嘴巴之牙床（3 Α)缺牙處 旁牙齒-r A)及，、一 亦即第-床（3A)精確配合， 牙床L缺丄 第一導引片(21)位置即位於 …位置上，此時，如第二十圖所示 第-寫洞（3 將與第-導引片(川内徑相匹配的第：=電鐵…， 開口（41A)端直接移入該第一導板由 内，利用第一導引片（21)<=)之第一導 — i 等弓丨，於該缺牙 A)處牙床月上鑽出第一寫洞（32a)後，將第 1285099 導板/ 4 A )連同第—導引片（2 1 )取下。 然後’再將該笛_ …處及其二旁牙=3=套設於病患缺牙（3 (5)，將與該第’如前述般，以電鐵 入導引片（2 ?)內 2 )内！相同的第二鑽頭移 缺牙△、占J用第一導引片（22)作導引，於 、 1A)處之牙床骨上以第一寫、、同9 Λ 心圓鑽出第二窩洞。 “（32Α)為同 :此反覆進行前面動作，換上第三導板（4 C )及使 用直徑較大的鑽頭，於缺 二寫洞為同心圓鐵出第處之牙床骨上以第 第四错…到如第二十-圖所示， 藉由第四導板（4D)之最大直徑第四 2D… 牙床骨上鑽出直徑最大的第四窩洞（3 止’再於寫洞上植入適當的人工牙根(“ 兀成植牙的第一步驟。 由上述說明’本發明之有如下之優點： 一、因本發明可以藉由導板之開口端，將電鑽鑽頭移 :::縱向穿孔内之導引片’藉由導引片之導引可以直接 f骨上鑽孔’故鑽頭不需越過導板後再置入導引片， 使得病患口腔需張開之程度可以減少，尤其對於口形小或 缺牙處係在牙床後面的病患而言，可以減輕相當痛苦及麼 力而牙醫師在手術過程中亦不會困擾。 二、當藉由導板及導引片於缺牙處牙床骨上鑽孔時， 因牙醫師可以藉由開口端看到導引片内鑽頭之位置，故對 於鑽頭上之刻度標示亦可以目視，可以憑鑽頭上之刻度標 16 1285099 -示判斷鑽孔深度，故手術中不需停下工作，將電鑽及鑽頭 自病患口中取出’測試鑽孔深度後，再繼續鑽孔工作，不 會有鑽孔深度的不確定及不方便的情況發生。 三、當牙醫師於病患牙床模型上製作導板時，不須使 用不同尺寸的鑽頭反覆鑽孔及置入相對應不同尺寸的基準 • 扣，即可完成導板，簡化導板之製作程序。 了以單導板配合複數導引片使用，臨床上只需 籲-個導板配合複數個導引片即可完成工作，經濟省時。 【圖式簡單說明】 第一圖·係為本發明較佳實施例之分解示意圖。 第二圖：係為本發明第一種實施方式具有基準洞之牙床模 型外觀圖。 第三圖：係為本發明裳 q a弟一種貫施方式插設有一基準桿之牙 床模型外觀圖。 第四圖：係為本發明第一種實施方Cs: 1285099, when it is pulled out, the reference rod (丄) with the first guide 2) is attached, and the --V bow is placed (2 ^冉 is set back to the reference hole (q by the second guide) In the sheet (?9, LJ 1 3 2), and on the 2), the third guide of the outer diameter matching the third guide 'reuse cement (resin) perforated as described above; Brother III (2 4 ) made and the ancient goods i to use the fourth guide bow to pull out, and the fourth guide 2' with the fourth piercing "2D) will be attached with a plurality of guide pieces (21) ( 2 4) The reference rod (丄) 1) (2 W丞 early / ncJ2) is removed, and the guide piece (2 guide 彳 (2 3 ) ( 2 4 ) is placed in the guide that matches its outer diameter. The plate (") (4B) (4D) is worn (42D) in the middle 偌 H 士 UA) (42B) β ) in standby, at this time by each of the open π end (4 i A) (4 i 3) ο1// You can see the different guides (21U22) (2 When the doctor implements the implant in the clinic _, please show it again, first pickle the λ Shi Shi you > Read the 19th map: the first guide piece will be placed (21) The teeth in the mouth of the patient's mouth (3 Α), the teeth next to the missing teeth - r A) and, the first, the first bed (3A), the teeth L is missing the position of the first guiding piece (21) at the position of ..., at this time, as shown in the twentieth figure, the first-writing hole (3 will be matched with the first guiding piece (the inner diameter of the tube:= Electric iron..., the end of the opening (41A) is directly moved into the first guide plate, and the first guide piece (21) <=) is used for the first guide-i, such as the arch, and the tooth is placed at the missing tooth A) After drilling the first write hole (32a) on the month, remove the 1285099 guide plate / 4 A ) together with the first guide piece (2 1 ). Then 'the flute _ ... and its two adjacent teeth = 3=Set the tooth in the patient (3 (5), and the same as the above, with the electric iron into the guide piece (2?) 2)! The same second bit is missing the tooth △, J is guided by the first guiding piece (22), and the second cavity is drilled on the gum bone at 1A) with the first writing and the same 9 Λ heart circle. "(32Α) is the same: this repeated Perform the front action, replace the third guide plate (4 C) and use the drill with a larger diameter. In the absence of the second hole, the concentric circle is the fourth fault on the bone of the first place... to the twentieth- As shown in the figure, the fourth diameter of the fourth guide (4D) is the fourth 2D... The fourth hole with the largest diameter (3 s' is then implanted with a suitable artificial root ("the first step of 兀 implanting teeth. From the above description" the present invention has the following advantages: 1. Due to the present invention The drill bit can be moved by the open end of the guide plate::: The guide piece in the longitudinal perforation can be directly drilled through the guide piece by the guide piece. Therefore, the drill bit does not need to be over the guide plate and then placed. Into the guide piece, the degree of opening of the patient's mouth can be reduced, especially for patients with small mouth or missing teeth behind the gums, which can relieve considerable pain and effort and the dentist will not Troubled. 2. When the guide plate and the guide piece are drilled on the bone of the tooth in the missing tooth, the dentist can see the position of the drill bit in the guide piece through the open end, so the scale mark on the drill bit can also be visually observed. According to the scale on the drill bit 16 1285099 - to determine the drilling depth, so do not need to stop working during the operation, take the drill and drill bit out of the patient's mouth, after testing the drilling depth, continue drilling work, will not Uncertain and inconvenient situations with drilling depth occur. 3. When the dentist makes the guide plate on the patient's dental bed model, it is not necessary to use different drill bits to drill holes and insert the corresponding standard buckles of different sizes to complete the guide plate and simplify the production process of the guide plate. . With a single guide plate and a plurality of guide pieces, it is only necessary to use a guide plate with a plurality of guide pieces to complete the work, which is economical and time-saving. BRIEF DESCRIPTION OF THE DRAWINGS The first figure is an exploded view of a preferred embodiment of the present invention. Fig. 2 is an external view of a dental bed model having a reference hole in the first embodiment of the present invention. The third figure is an external view of the model of the dental bed in which a reference rod is inserted into the present invention. Figure 4: The first implementation of the invention
種實施方式插設有一基準桿 一種實施方式插設有一基準桿 一種實施方式插設有一基準桿 種實施方式製作導板之俯視The embodiment is provided with a reference rod. One embodiment is provided with a reference rod. One embodiment is provided with a reference rod.
種實施方式將基準桿由具有 17 1285099 第九圖·係為本 種具有固定孔之實施二種貫施方式第四導引片另-第十圖·係為本發明第一 板置於病患牙床上 ^式具有導引片之導 不上之不意圖。 圖·係為本發明第一種竇 鑽設第一窩洞之示专圖。 種貫轭方式於病患牙床上 圖係為本發明第一稽會姑士 j 完成第—窩洞之示意#貫施方式於病唐、牙床上 第十三圖··係為本發明笛從〜 完成第四窩洞之示意圖“第-種貫施方式於病患牙床上 第十四圖.係為本發明第二 插設有一基準桿及篦, 只細方式於牙床模型上 第一導引片之牙床模型外顴R 第十五圖：係為本發明第二種實 ^圖。 製作第板之外觀圖示意圖貫施方式於牙床模型上 圖係為本發明第二種實你方士入 將基準桿及第一 貫轭方式於第一導板上 楚丄 片为離之外觀圖示意圖。 七圖··係為本發明第二種 視圖。 乃八I作弟二導板之俯 弟十八圖·係為本 — > 、 之俯視圖。 、細1式製作第四導板 第十九圖··係為本 4、 用第-導板及第一導引片上種…式於病患牙床利 笛一工·弓|片鑽汉弟一窩洞之示意圖。 一圖·係為本發明第二種實施方4 設有第一窩洞之示意圖。 、 式衣病患牙床鑽 18 ^^5099 圖·係為本發明第二種竇你t I又有第1洞之示意圖。 ^方式於病患牙床 第二+ 一十二圖：係習用於病患牙_ 牙根、具右碑“此 可床鑽-窩洞及組裝人工 a 累絲之支口 W及人工義牙之示意圖。 示意^十三圖：#習用於牙床模型鑽設有第-基準洞之 第二十四圖··#習用於牙床模型第一基準洞插入第— 基準桿之示意圖。 第二十五圖：係習用於牙床模型利用第—基準 第一導板之示意圖。 第二十六圖：係習用於第一導板分離第一貫穿孔置 第一中空套管之示意圖。入 第二十七圖··係習用於牙床模型利用第四基準桿製 第四導板之示意圖。 第二十八圖：係習用於第四導板分離第四貫穿孔置 籲第四中空套管之示意圖。 第二十九圖：係習用於病患牙床利用第一導板及第一 中空套管鑽設第一窩洞之示意圖。 第三十圖：係習用於病患牙床利用第四導板及第四中 空套管鑽設第四窩洞之示意圖。 第三十/圖··係習用於病患牙床鑽設有第四窩洞 意圖。 【主要元件符號成明】 (1)基準桿 19 1285099 (2 1 )第一導引片 (2 2 )第二導引片 (2 3 )第三導引片 (2 4 )第四導引片 (2 4 1 )固定孔 (3 )牙床模型 (3 A )病患牙床 (3 1 )缺牙處 (3 1 A )缺牙處 (3 2 )基準洞 (3 2 A )第一窩洞 (3 2 D )第四窩洞 (3 3 )牙齒 (3 3 A )牙齒 (4 )導板 (4 A )第一導板 (4 B )第二導板 (4 D )第四導板 (4 1 )縱向開口 (4 1 A )第一縱向開口 (4 1 B )第二開口 (4 1 D )第四開口 (4 2 )穿孔 (4 2 A )第一穿孔 (4 2 B )第二穿孔 (4 2 D )第四穿孔 (5 )電鑽 (5 1 )第一鑽頭 (5 4 )第四鑽頭 (6 )牙床模型 (6 A )牙床 (6 1 )缺牙處 (6 1 A )缺牙處 (6 2 )第一基準洞 (6 2 A )第一窩洞 (6 2 3 )第四基準洞 (623A)第四窩洞（63)牙齒 (63A)牙齒 （64A)人工牙根 6 5 A )具有螺絲之支台齒（6 6 A )人工義牙 (6 6 1A)上端面 (7 )第一基準桿 (7 D)第四基準桿 (8 )第一導板 (8 C )第四導板 (8 1 )第一貫穿孔 20 (S] 1285099Embodiments of the reference rod are provided with a 17 1285099 ninth figure, which is a type of implementation with a fixed hole, a second guide piece, a fourth guide piece, and a tenth figure, which is the first plate of the present invention. The type of dental bed has the intention of not guiding the guide piece. Figure is a special diagram of the first cavity of the first sinus drill of the present invention. The yoke method is based on the patient's dental bed. The first syllabus of the invention is the first syllabus of the invention. The completion of the first-figure method is the result of the method. The four-hole schematic diagram "the first-type method of application to the patient's gum bed, the fourteenth figure. This is the second insertion of a reference rod and ankle in the invention, and only the fine-grained model of the first guiding piece on the dental bed model.颧 颧 第 第 第 第 第 第 第 第 第 第 第 第 第 第 第 第 第 第 第 第 第 第 第 第 第 第 第 第 第 第 第 第 第 第 第 第 第 第 第 第 第 第 第 第The consistent yoke method is a schematic diagram of the appearance of the Chuan film on the first guide plate. The seventh figure is the second view of the invention. Ben- >, top view., the fourth type of the fourth guide plate, the nineteenth figure · · is based on 4, using the first guide and the first guide piece on the ... type of sick teeth ·Bow|Slice diagram of a hole in the Han Dynasty. One figure is the second embodiment of the invention. Intention., the clothing patient's gums drill 18 ^ ^ 5099 Figure · is the second sinus of the present invention, you have a first hole. ^ Way in the patient's gums second + twelfth map: the system of use In the patient's teeth _ root, with the right monument "this can be a bed drill - cavity and assembly artificial a tired wire branch W and artificial denture. Illustrated ^13: #习用牙牙模型钻有第一-基准洞 The twenty-fourth figure··# used in the dental bed model first reference hole insertion - the schematic diagram of the reference rod. Figure 25: Schematic diagram of the use of the first-reference first guide plate for the gum model. Figure 26: Schematic diagram of the first hollow sleeve for the first guide plate to separate the first through hole. The twenty-seventh figure is a schematic diagram of the fourth guide plate made of the fourth reference rod for the dental bed model. Figure 28: Schematic diagram of the fourth hollow sleeve for the fourth guide plate to separate the fourth through hole. Twenty-ninth figure: A schematic diagram of the use of a first guide plate and a first hollow casing for drilling a first cavity for a patient's gum. Figure 30: Schematic diagram of the use of the fourth guide and the fourth hollow casing to drill the fourth cavity in the patient's gum. The thirtieth/figure is used for the fourth hole of the patient's gums. [Main component symbolization] (1) Reference rod 19 1285099 (2 1 ) First guiding piece (2 2 ) Second guiding piece (2 3 ) Third guiding piece (2 4 ) Fourth guiding piece (2 4 1 ) Fixation hole (3) Dental bed model (3 A ) Patient's gum bed (3 1 ) Missing tooth (3 1 A) Missing tooth (3 2 ) Reference hole (3 2 A) First cavity (3 2 D) fourth cavity (3 3 ) teeth (3 3 A) teeth (4) guide (4 A) first guide (4 B) second guide (4 D) fourth guide (4 1 ) Longitudinal opening (4 1 A) first longitudinal opening (4 1 B ) second opening (4 1 D ) fourth opening (4 2 ) perforation (4 2 A ) first perforation (4 2 B ) second perforation (4 2 D) fourth perforation (5) electric drill (5 1 ) first drill bit (5 4 ) fourth drill bit (6 ) dental bed model (6 A ) dental bed (6 1 ) missing tooth (6 1 A) missing tooth ( 6 2) First reference hole (6 2 A ) First cavity (6 2 3 ) Fourth reference hole (623A) Fourth cavity (63) Teeth (63A) Teeth (64A) Artificial root 6 5 A ) With screw Abutment tooth (6 6 A) artificial denture (6 6 1A) upper end face (7) first reference rod (7 D) fourth reference rod (8) first guide plate (8 C) fourth guide plate (8 1) First through hole 20 (S] 1285099
(84)第四貫穿孔 （9)第一中空套管 (93)第四中空套管（10)電鑽 (101)第一鑽頭 （104)第四鑽頭(84) Fourth through hole (9) First hollow sleeve (93) Fourth hollow sleeve (10) Electric drill (101) First drill bit (104) Fourth drill bit