TWI358281B - - Google Patents

Description

IX. Description of the invention: [Technical field to which the invention pertains] In particular, the invention relates to a method for manufacturing a guiding plate. [Prior Art] Traditional artificial dental implant surgery, during the operation, the phenomenon of swelling, pain, etc., a blood, and the phenomenon of the phenomenon, the current use of accurate head computer tomography broom and computer software diagnosis The practice is able to see through the three-dimensional model of the bone and the direction of the important nerves without the need for surgery. At the same time, the dentist can evaluate the bone environment of the patient and judge the quality of the teeth. Therefore, it is possible to simulate the surgical implantation on the computer. The implants ensure that the important nerves and blood vessels are avoided during the implant surgery, which greatly improves the safety of the operation and provides better protection for the patients and (4). However, the implant planning before the implant surgery requires a tomographic scan to create an oral model, and then the dentist will make a dental implant plan based on professional medical considerations. However, it is difficult to transfer the results of the implant planning done by the dentist to the operation of the operation. Because the dentist completes the implant planning according to the data of the tomographic scan, the data may be virtual surface data. Or digital information, dentists have no way to accurately perform surgery in the patient's mouth based on this information. The general practice is to ask the dental technician to make a surgical guide plate, but the dental technician will also encounter the same problem as the dentist. It is impossible to accurately present the dental implant planning data performed before the dental implant surgery on the surgical guide plate. . The worst practice is that it is made after repeated tomographic scan corrections, and the manufacturing process is not only decadent, but also increases the cost of production. 1358281'. Referring to Fig. 1, in the invention patent of No. 93121438 of the Republic of China, the method for manufacturing the dental implant guide plate comprises the following steps: Referring to Fig. 2, step 101 is to apply a win in a tooth mold 14. And covering the upper or lower jaw 10 of the patient, and after solidification, a guiding plate u having the shape of the dental mold of the patient can be obtained. Step 102 is to obtain the geometric data of the 3D digital model of the tooth, and use computer analysis to obtain the drilling depth, position and angle required for the implant. Step 103 is to drill a guiding hole 12, according to the obtained data, adjust the position and angle of the guiding plate n in combination with the moving platform, and drill a plurality of guiding holes 12 at predetermined positions of the guiding plate 丨1. . In step 104, a plurality of hollow collars 13 are respectively placed in the guide holes 12 to form a guide 12H having a collar for guiding the drill holes during the implant. although". The production method of the Xuan patent case can be equipped with the 3D digital model geometric data Xuan guide Qian Wei, and then install the board at the predetermined position. However, there is still a τ column missing in the real world: The guiding patent case is based on the patient's mouth first. The tooth mold is used to make the guide plate u, and then the 3D number of the photo is taken. The image is processed by the sputum image, and after the tooth gauge is consumed, the fruit is transmitted through the caliper to the guide (4) u, and the guide plate is implanted. The tooth advancement rule =^ and the mounting collar 丨3 ° Because the county-mixed Becco is completed according to the digital image of the buckle, the virtual surface data or digital data is not easy to accurately display in the guide rainbow.... The board 11 must be repeatedly scanned and corrected. The guide plate U which is accurately and correctly guided is accurately produced, and the existing manufacturing method has a relatively low production efficiency. A lack of high cost. [Summary of the Invention] Therefore, the 1:1 of the tooth-cutting is the provision of a dental implant guide that can accurately reduce the cost of manufacturing by reducing the cost of the implant. How to make it. Therefore, the method for manufacturing the dental implant guiding plate of the present invention comprises the following steps: J / 'J uses a 3D stereoscopic model obtained by oral tomography to perform dental implant planning to obtain a digital model with dental implant planning data; 11) taking the oral cavity model to reshape the patient's oral cavity to form a solid plaster model; (m) solid plaster model positioning, fixing the solid plaster model obtained in step (8) to a solid processing fixture; (iv) scanning The fixed plaster model and the solid processing fixture are scanned to obtain a digital plaster model and a digital processing fixture; (V) Dental implant data positioning 'will be a step (1) digital model of the dental implant (4) Characterizing the position with the digital plaster model of step (W), so that the digital plaster model has dental implant planning data; (VI) processing positioning, by processing the software, setting the digital processing fixture to a physical processing machine Processing position, and positioning the digital plaster model with the digital processing fixture at the processing position; (vii) processing, placing the solid processing fixture together with the solid plaster model The machining position in step (Vi), and drilling the solid plaster model to present the dental implant planning data on the solid plaster model; 1358281 (Viii) device auxiliary inserts, respectively, in the solid plaster model a drilling aid device auxiliary insert; and (ix) a surgical guide plate, one of which is formed by a thermoplastic material through overmolding and vacuum forming, in the solid plaster having an auxiliary insert Forming a surgical guiding plate on the model, the surgical guiding plate has a lower surface corresponding to the surface structure of the solid plaster model, and a plurality of guiding holes respectively corresponding to the positions of the auxiliary inserts . The invention has the beneficial effects that the dental implant planning data obtained by the digital model can be directly transferred to the solid plaster model by making a solid plaster model corresponding to the shape of the patient's oral cavity, and then through the dental implant planning. The physical plaster model of the data directly hits the surgical guide plate, thereby enabling the dental implant planning data to be more accurately presented on the surgical guide plate, and the step of repetitive correction can be reduced, and the production can be saved. The advantage of cost. 〃 [Embodiment] The foregoing, as well as the technical contents, features and effects of the method for manufacturing the implanting hand guide plate of the present invention, will be clear in the following detailed description of several embodiments with reference to the drawings. I understand. FIG. 3 is a first embodiment of the method for manufacturing a dental implant guide plate of the present invention. The preferred embodiment comprises the following steps: Step 201 is a dental implant planning, and the 3D stereo model obtained by the dentist is used to draw (4) The dental plan, the silk and the digital model of the dental implant planning data, such as the digital model image of the dental implant planning data in Annex I. P is an oral cavity model having the 8 (1) 8281 step 202 I, and the shape of the patient's mouth is reversed to form a solid plaster model 2 as shown in FIG. Referring to FIG. 8, step 203 records the physical plaster model positioning, and the solid plaster mold 352 obtained by the step 2〇2 is fixed to the solid processing jig 3 in a fixed manner selected from the group consisting of: Screwing, cardging and embedding.

Step 204 is a scanning, and scanning the solid plaster model 2 and the solid processing jig 3 of the solid money to obtain a digital processing jig (Fig. (a)) and a digital plaster model (Fig. b)). Step 205 {Orientation of the dental profile data, the digital model of the step 2〇ι implanted teeth (Attachment 1) and the digital plaster model of Step 2〇4 (Attachment 2 (8)) are characterized to make the digital plaster The model has implant planning data (Annex 2 (4))' and is integrated into the digital model image as shown in Figure 2 (4). , Ai Xiang belongs to the processing positioning, referring to Figure 9, by a processing software, set the positioning processing to position 3 - the processing position of the physical processing machine 4

The digital stone-poor model having the dental implant planning data as shown in the attached figure (4) is positioned at the processing position along with the digital processing fixture and is planned according to the dental implant planning data on the . The processing path for the solid stone coffee 2' In the present embodiment, the solid processing machine 4 used is preferably a five-axis processing machine. Step 207 is processing, placing the solid processing jig 3 together with the solid plaster mold in the processing position of the solid processing machine 4 in step 206, and processing the crucible 4 (five-axis processing machine) according to the processing path The solid gypsum crucible 2 is drilled to accurately present the dental implant planning data on the solid plaster _ 2 9 1358281. Step 208 is a device-assisted interposer. Referring to Figures 1A and 14, respectively, a plurality of auxiliary interposing members 5 are provided in the borehole 2G of the solid plaster model 2. The auxiliary inserts 5 are of the plug type and each have a body 51 inserted into the bore 2 of the solid plaster cast 2, and - is connected to the body 51 and exposes the bore 20 The head 52 is in a state in which the body portion 51 is partially exposed in the borehole 20 and exposed to a predetermined length. Referring to FIG. 9 and FIG. 13, step 209 is to obtain a surgical guide slab. The first preferred embodiment is a thermoplastic molding material through a through-molding method, and the solid plaster model 2 having the auxiliary insert 5 The surgical guiding plate 6' is formed on the surgical guiding plate 6 and has a lower surface corresponding to the surface structure of the solid plaster cast 2, and a plurality of positions corresponding to the auxiliary insert 5 are respectively penetrated. The guide hole 6〇. Among them, the overmolding method can be divided into three sub-steps of coating, de-squeezing and demoulding in sequence, and the following contents are respectively explained: (1) Referring to Figure 11, the sentence θ , _ . # ,, 疋h for a heat-fusible first:: [in the solid plaster model 2' and completely envelop the auxiliary inserts 5' and _-bags are material-assisted inserts 5 The state of alignment is formed, and then a 蠘-shaped heart corresponding to a thousand products is formed. For example, the sapling of the plate 6 (see Fig. 13) is as shown in Fig. 12, and the melting point of the first cladding material is second. The covering material is covered with the screw type 7. This uses wax as the first covering material, and the material is used as the second covering material 100. When the de-wax is filled, the second cladding material is dried and hardened, and then heated to make the crucible 7 heat-exposed (preferably using hot steam A cavity is formed between the second cladding material 1G0 and the solid plaster mold 2, and the cavity is filled with a dental filler. In the present embodiment, a resin is used as the filler.

(3) Referring to Figure U and Figure 12, after the mold is taken, after the dental filler is dry-formed, the second cladding material is removed! (9), separately extracting the auxiliary inserts 5 and the solid stone f model 2, as shown in FIG. 13, forming a plurality of guiding holes 6G on the filling material, thereby preparing the dental implant planning data. έHai surgery guide plate 6. The polishing treatment is performed so that the surgical guide sheet 6 after molding is polished to form a smooth surface. = is the device collar 8, providing a plurality of hollow collars 8 having substantially the same height as the thickness of the surgical guide plate 6, see Figures 13 and 14

The field sets 1 and 8 have the outer head ring portion 81' of the head portion 52 of the auxiliary insert member 5 and the body portion 51 of the auxiliary insert member 5, and the guide holes μ , the piece 5 is taken out and formed... 士 £ π is replaced by the set of 裱 8 to the guide bow , hole, =: 仙仙 (4) 昼 昼 昼 昼 手术 品 品 品 品 品 品 较佳It is a metal collar. ^ Illustrated is 'the auxiliary insert 5: the outer diameter D1 of the teacher Si: 2 and the two-tooth system of the body 51 are matched, the metal sleeves... upper and lower clothes 4 81, 82 The outer diameter is designed to be the same as the outer diameter of the head portion 11 1358281 52 of the auxiliary insertion member 5 and the body portion 51, so as to be correspondingly inserted into the guides left after the auxiliary insertion members 5 are removed. In the hole 60. Furthermore, the length 该 of the auxiliary inserts 5 is determined by the length required to be fixed in the solid plaster cast 2 and the depth of the implants planned for the implant. Referring to FIG. 4, a second preferred embodiment of the present invention, steps 301 to 307 of the second preferred embodiment and steps 2〇1 to 207 of the first preferred embodiment (see FIG. 2) It is exactly the same, so I won’t go into details. See Figure 16, the main

The difference is that when the device assists the interposer 9 in step 308, the auxiliary interposing members 9 each have a latch 91 and a set of rings 92 that are nested together, and therefore, in step 309, as described in step 209 above. When the surgical guiding plate 6 (see FIG. 13) is formed by molding, after the dental filling material is dry-formed and the second covering material 100 is removed (see FIG. 12), the auxiliary inserts are directly taken out. a y-shaped latch 91, which is combined with the filler to be retained in the guide holes 60 (see FIG. 13), so that the sleeve can be directly prepared.

The ring 92 has the surgical guide plate 6 finished with the dental implant data. Then, the formed surgical guide 6 can be polished and polished to form a new surface. In the second preferred embodiment, the body of the latch body is said to have an outer diameter substantially equal to the hole of the upper and lower ring portions 921, 2 of the collar 92 so as to fit over the collar 92. The design inside, in addition, the size of the Γ- is designed to match the dental implant system of the dentist, and the length of the pin 91 is also matched with the dental implant system of the dentist and the planned depth of the implant. ^: The predetermined length is sudden The lower two positions extending out of the collar 92 are positioned in the solid plaster cast 2 to enable the auxiliary insert 9 to be positioned. 12 1358281 Referring to FIG. 5, a third embodiment of the present invention, steps 401 to 408 of the third preferred embodiment, and steps 2〇1 to 208 of the first preferred embodiment (see FIG. 2) It is exactly the same, so it will not be described again. The main difference is that in step 409, the surgical guide plate is made by vacuum forming, and the plastic material is softened by a vacuum forming machine and pressed on the plastic material. The surface of the solid plaster model 2 having the auxiliary inserts 5 as shown in FIG. 10 is prepared, and a surgical guide plate primordial (not shown) is prepared after drying, and the primordial embryo of the surgical guide plate is trimmed into The required size, and the auxiliary inserts 5 and the solid plaster cast 2 are respectively taken out, and the surgical guide plate 6 having the dental implant cutting data as shown in Fig. 13 is obtained, which is formed and trimmed. The surgical guide plate 6〇 is also polished and polished. In addition, referring to FIG. 13, FIG. 14 and FIG. 15, since the auxiliary inserts 5 used in the step 4〇8 are also in the form of a pin, the guides j are also taken out after the auxiliary inserts j are taken out. Hole 6〇. Therefore, in the third preferred embodiment, the step 41 of the device collar 8 is also included. In step 410, the auxiliary inserts 5 removed by replacing the hollow collars 8 are placed in the guide holes 6A. The auxiliary inserts 8 are also designed to have a predetermined size and length in accordance with the dental implant system and the dental implant plan used by the dentist. Referring to FIG. 5, a fourth preferred embodiment of the present invention, the step of the fourth preferred embodiment, step 5〇7, and the step 4 of the third preferred embodiment, step 407 (see FIG. 4) The same is true, so it will not be described again. Referring to Fig. 13 and Fig. 5, the main difference is that when step 508 is used to insert the auxiliary insert 9, the auxiliary inserts 9 are also fitted with each other - the latch 91 and a type of collar μ 13 1358281, and the type of the pin 91 and the collar 92 are also the same as the auxiliary insert 9 in the second preferred embodiment, and the step 5〇 is also as in the third In the vacuum forming method of the preferred embodiment (4), the surgical guiding plate is prepared, and the artificial guiding plate initial embryo is prepared after the plastic raw material is dried, and the surgical guiding plate initial embryo is trimmed as needed. After the size, the pins 9 of the auxiliary inserts 9 are directly taken out, and the collars 92 are combined with the plastic material to be retained in the guide holes 6A. Therefore, it is possible to directly produce the surgical guide sheet 6 on which the ferrule 92 has been mounted and has dental implant planning data. Subsequently, the formed and trimmed surgical guide sheet 6 can be polished and polished to form a smooth surface. The invention can be achieved by the following method for producing the dental implant guide plate 6 of the present invention, so that the following objects can be achieved: 1. The dental mouthpiece 3D model obtained by the tomography scan of the present invention is used for implanting teeth. Planning and recasting the solid plaster model 2 corresponding to the patient's oral shape to directly reflect the results of the implant planning with the digital model onto the solid plaster model 2 're-transparent processing of the solid plaster model 2 The result of the tooth planning can be materialized, and the processed solid plaster model 2 is closer to the actual condition of the patient than the result simulated on the computer, so that the surgical guiding plate 6 thus produced can be more accurately The present invention has the ability to directly reduce the process and man-hours of the repeated adjustment and correction, so that the invention can directly produce the surgical guide plate 6 with high precision, and saves time and labor and reduces production. The nature of the cost. Secondly, the auxiliary inserts 5' 9 can be combined with the dental implant system and the depth of the implant to select a specific size and length, so that the surgical guide plate 6 143585281 has a specific application flexibility. . Hungarian, 祁# combination of the plug w and the type 92 ^ After the surgical guide 6 is formed, the plug μ 2 can be directly taken out to directly bond the collar 92 to the surgical guide plate 6, which is labor-saving. name

However, the above description is only intended to limit the scope of the invention, and the scope of the invention is intended to be within the scope of the invention. The preferred embodiment of the present invention is not limited to the equivalent variation and modification of the patent application form of the present invention, and is still a simple description of the drawing. FIG. 1 is a dental implant in the invention patent of No. 93121438 of the Republic of China. A flow chart of a method for manufacturing a surgical guide plate; FIG. 2 is a partial cross-sectional view showing the case where the dental guide plate is used to perform dental implant drilling in the patient's gum; FIG. 3 is a dental implant operation of the present invention. A method of manufacturing a guide plate - a flow chart of a preferred embodiment;

4 is a flow chart of a second preferred embodiment of the dental implant surgery guide plate of the present invention; FIG. 5 is a third preferred embodiment of the method for fabricating the dental implant guide plate of the present invention. FIG. 6 is a flow chart of a fourth preferred embodiment of the method for fabricating a dental implant guide plate of the present invention; FIG. 7 is a perspective view of a method for manufacturing a dental implant guide plate according to the present invention. Acquired - solid plaster model; 15 - Figure 8 is a three-dimensional schematic diagram illustrating the positioning of the solid plaster model to the cross-body processing fixture; Figure 9 is a perspective schematic view illustrating the processing with a plaster model; ° The machine to the two to 10 Γ stereo schematic 'describes the situation where most of the auxiliary inserts are installed in the processing part of the body plaster model; : 11疋一立体不意' description is covered with a first cladding material The solid plaster model and the auxiliary inserts are formed to form a two-in-one cover. FIG. 13 is a perspective view showing the situation in which the surgical guide is equipped with a plurality of collars; '=14 is- Side view showing the aid FIG. 15 is a side view showing the type of the sleeve used for the device_surgical guide plate; and FIG. 16 is a side view showing the auxiliary insert being in a set of eight The case of the collar and the bolt. #〇 β Digital model image with information on implant planning, 3 digital model established by 3D stereo model obtained by oral tomography. Includes Annex 2: Explain the integration of a digital processing tool, a digital plaster model, and an implant planning data into a schematic representation of a digital model image for processing positioning. 16 1358281 [Description of main component symbols] 2·······... Solid plaster model 82•...·...Lower ring part 20...·Drilling 9...Auxiliary insert 3...•...Solid processing fixture 91 ······Latch 5...... ...·Auxiliary Insert 911 ····body 51 ·····body 92····.. collar 52 ······Head 921... upper ring portion 6 ... ... surgical guide plate 922 ... lower ring portion 60 ..... ... guide hole D, ... ... ... outer diameter 7 ... ... · wax type ... 2 ... " ... Outer diameter 8...... ...·Ring Η...... ...length 81 ···· •...Upper ring

17

Claims (1)

X. Patent application scope: The manufacturing method of implant dental surgery guide plate includes the following steps: (I) Dental implant planning, using the 3D stereoscopic model obtained by oral tomography for dental implant planning to obtain a dental implant plan a digital model of the data; (II) obtaining an oral model, reshaping the patient's oral shape, and creating a solid plaster model; (ui) a perforated plaster model positioning 'fixing the solid stone deficiency model produced in step (ii) to an entity (iv) scanning, scanning the solid plaster model and the solid processing fixture after the fixation to obtain a digital plaster model and a digital processing fixture; (V) positioning of the dental implant data 'will step (1) The digital model after implant planning and the digital plaster model of step (lv) are used to locate the material, so that the digital plaster model has the dental implant planning data; (VI) processing positioning 'by processing the software, setting the digital processing The fixture is clamped to a processing position of a poor processing machine, and the digital plaster model is positioned at the processing position along with the digital processing fixture; (vii) processing, The body processing jig is placed together with the solid plaster model in the processing position in the step (Vi), and the solid plaster model is drilled to present the dental implant planning data on the solid plaster model; (V111) device assist Inserting means for respectively assisting the inserting member in the drilling processing portion of the solid plaster model; and (ix) preparing a surgical guiding plate to adopt one of the manufacturing methods of the thermoplastic material through the overmolding and vacuum forming, Forming a surgical guiding plate on the solid plaster model of the 18 1358281 with an auxiliary insert, the surgical guiding plate, and the lower surface and the eve of the solid stone f model The guide holes are respectively penetrating through the positions corresponding to the auxiliary inserts. 2. The method for manufacturing a dental implant guide sheet according to the invention of claim 1, wherein in step (iii), the solid plaster model is a fixed manner selected from the group of jaws J. Fixed to the physical processing fixture: screwing, snapping and embedding. 3. The method of making a dental implant guide according to the second aspect of the patent application, wherein the solid processing machine used in the step (vi) is a five-axis machine. 4. The method for manufacturing a dental implant guide sheet according to the third aspect of the patent application, wherein in step (ix), the surgical guide sheet is obtained by a mold forming method, and the mold is formed The method essentially includes the steps of coating, removing the butterfly and taking the mold. 5. The method according to claim 4, wherein in the step (ix), when the overmolding method is applied, the first package is provided which is susceptible to heat fusion. The covering material is coated on the solid plaster model, and completely covers the auxiliary inserts, and the first covering material is in a state of being flatly aligned with the top ends of the auxiliary inserts, thereby forming a The corresponding shape of the finished product of the surgical guide plate, and then a second covering material having a bright point higher than the melting point of the first covering material covers the wax type. 6. The method for manufacturing a dental implant guiding plate according to claim 5, wherein in the step (8), the first molding material is dried when the soil molding is performed by the overmolding method. Thereafter, the wax is heated to be melted, and the second cladding material and the solid plaster mold are poured into the cavity into the dental filling material. In the working chamber, the method for manufacturing the dental implant guiding plate described in the sixth paragraph of the patent scope, wherein in the step (8), when the mold is formed by the overmolding method, the dental filling is to be performed. After the material is dry-formed, the second covering material is removed, and the auxiliary inserts and the solid plaster model are respectively taken out to obtain the surgical guiding sheet having the dental implant planning data. 8. The method of manufacturing a dental implant guide according to claim 7, wherein in the step (10), the formed surgical guide is polished and polished. 9. The method of manufacturing a dental implant guide according to claim 7, wherein the auxiliary insert used in the step (viii) is a plug type, and each has a - inserted in the entity a body in the borehole of the plaster mold, connected to the body and exposing a head outside the borehole, and the body opening P 疋 is partially located in the borehole and exposed to a predetermined length. After the surgical guide plate is obtained by the overmolding method in the step (4), the auxiliary insertion members are respectively taken out to form a plurality of guide holes. According to the production of the dental implant guide plate according to the ninth application of the patent application scope, the method further includes a step (1) after the step (8), and the step (1) is, the collar is provided, and the plurality of heights are provided. a hollow collar that is the same as the thickness of the surgical guide plate and each of the collars has an upper ring portion that is the same as the outer diameter of the auxiliary insertions, and - I5 with the auxiliary insertion members The lower ring portions having the same outer diameter are replaced by the collars into the guide holes after the auxiliary inserts are removed and the shape 20 1358281 is formed into the guide holes. The method of manufacturing a dental implant guide sheet according to item 6 of the patent application of the present invention is wherein the auxiliary inserts used in the step (Viii) each have a phase sleeve. The plug and the -bump, and in the step (ix), using the overmolding method - the method (4), after the dental filler is dry formed, the second covering material is removed, and then directly taken out The plugs of the auxiliary inserts, the Φ and the like are combined with the filler and retained in the guide holes to directly obtain the surgery in which the collar has been installed and has a dental implant plan The guide plate is finished. 12. The method of manufacturing a dental implant guide according to claim n, wherein in step (ix), the formed surgical guide is polished and polished. 13. The method of producing a dental implant guide sheet according to claim 3, wherein in the step (1X), the hand guide plate is obtained by vacuum forming. 14. The method according to claim 13, wherein in the step (ix), the plastic material is softened and pressed by a vacuum forming machine. On the surface of the solid plaster model having the auxiliary inserts, a surgical guide plate initial embryo is prepared after being dried, and the surgical guide plate initial embryo is trimmed to a desired size, and the auxiliary inserts are respectively taken out. The surgical guide plate having the dental implant planning data is prepared by the setting and the solid plaster model. 1 1. The method according to claim 14, wherein the formed and trimmed surgical guide plate is polished and polished. deal with. 16. The method of manufacturing a dental implant guide according to claim 15, wherein the auxiliary insert used in the step (viii) is a plug type, and each has a - inserted in the solid plaster a body in the bore of the model, and a head connected to the body and exposing the outer portion of the borehole, and the body is partially in the borehole and exposed to a predetermined length, in the step (1X) After the surgical guide sheets are obtained by vacuum forming, the auxiliary inserts are respectively taken out to form a plurality of guide holes. 1 7. The method for manufacturing a dental implant guiding guide according to item 6 of the scope of the patent application, further comprising a step (χ) after the step (ix), and the step (X) is a device sleeve The ring 'provides a plurality of t-sleeves having substantially the same height as the thickness of the surgical guide plate, and each of the collars has an upper ring portion identical to the outer diameter of the head of the auxiliary insertion members, and a The lower ring portions of the auxiliary inserts having the same outer diameter of the body 4 are replaced by the collars when the auxiliary inserts are taken & These guide holes are in the middle. According to the application. The method for manufacturing a dental implant guide plate according to item i 3 of the above, wherein the auxiliary inserts used in the step (viii) each have a latch and a collar of the sleeve, and in the step (8) The middle is formed by a vacuum sacred machine, which first softens a plastic material and presses it on the surface of the solid plaster model with auxiliary inserts such as enamel. After drying, a surgical guiding cup is prepared. Such as β masonry, primordial, and then trimming the primordial embryo of the surgical guide plate into the required size, Yu Gong α, ^ knife to remove the plug of the auxiliary insert and the 22 1358281 solid plaster model, the set The ring is combined with the plastic material to be retained in the guiding holes to directly prepare the surgical guiding plate product which has the collar installed and has dental implant planning information. 19. The method of manufacturing a dental implant guide sheet according to claim 18, wherein in the step (ix), the formed and trimmed surgical guide plate is polished and polished. twenty three