TWI524312B - The Method of Making Dental Teaching Dental - Google Patents

The Method of Making Dental Teaching Dental Download PDF

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TWI524312B
TWI524312B TW102123008A TW102123008A TWI524312B TW I524312 B TWI524312 B TW I524312B TW 102123008 A TW102123008 A TW 102123008A TW 102123008 A TW102123008 A TW 102123008A TW I524312 B TWI524312 B TW I524312B
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da-ke Huang
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製作植牙教學牙模之方法 Method for making dental implant teaching dental mold

本發明涉及一種製作教學牙模之方法,特別是指一種應用於人工植牙,基於臨床病例製作植牙教學牙模的方法。 The invention relates to a method for making a teaching dental mold, in particular to a method for artificial dental implants, based on clinical cases for making dental implant teaching dental molds.

早期缺牙多半只能用傳統活動假牙,或是固定式的牙冠或牙橋,做固定牙橋時,還須修磨缺牙區兩側完好的牙齒,若是全口牙都掉光,那就真的食之無味了。直到植牙技術出現,不論是單顆、多顆或是全口無牙患者都很適合。 Most of the early missing teeth can only use traditional active dentures, or fixed crowns or bridges. When fixing the bridge, you must also repair the intact teeth on both sides of the missing area. If the full mouth is gone, then It’s really tasteless. Until the dental implant technology appears, it is suitable for single, multiple or full mouthless patients.

植牙的方向與位置,對於治療的結果扮演著相當重要的角色,不適當的方位會引起過大的咬合應力,而造成骨脊的骨質快速流失,導致植體脫落。 The direction and position of the implants play a very important role in the outcome of the treatment. Inappropriate orientation can cause excessive occlusion stress, resulting in rapid loss of bone ridge and loss of the implant.

適當的植牙方位取決於兩個因素:完善的術前規劃與精準的手術中鑽孔。現有植牙手術的術前規劃,牙醫師必須藉助患者牙齒模型與CT攝影,做為規劃最佳植牙方位的依據,牙齒模型主要提供外部資訊,讓牙醫師了解患者上下牙齒咬合狀況並提供術後美觀的資訊;相反地,CT攝影則可提供內部的解剖資訊,包括牙齒、顎骨、齒槽骨神經、上鼻竇等。至於手術中的植體植入,目前大都依賴牙醫師的臨床經驗與手術技巧,將術前規劃落實於患者口中,因此牙醫師的徒手鑽孔穩定度與視覺三度空間的掌握,成為手術品質的重要因素。 Proper orientation of the implant depends on two factors: perfect preoperative planning and precise intraoperative drilling. In the preoperative planning of existing dental implant surgery, the dentist must use the patient's dental model and CT photography as the basis for planning the optimal dental implant orientation. The dental model mainly provides external information to let the dentist understand the patient's upper and lower teeth occlusion and provide surgery. After the aesthetic information; on the contrary, CT photography can provide internal anatomical information, including teeth, humerus, alveolar bone, upper sinus and so on. As for implant implantation during surgery, most of them rely on the clinical experience and surgical skills of the dentist, and the preoperative planning is implemented in the patient's mouth. Therefore, the dentist's freehand drilling stability and visual three-dimensional space become the quality of surgery. An important factor.

植牙的發展已有二十幾年,經驗的傳承也讓植牙醫師們了解植牙的標準程序,受過完整植牙訓練的醫師,知道如 何增加植牙的成功率,減少後遺症的發生。植牙醫師的養成訓練,須花費時間金錢,培養出嫻熟的手術技術,更是需要經驗累積。因此基於臨床病例所製成的教學牙模絕對是植牙醫師培養出嫻熟的手術技術與經驗累積最好的方法。 The development of implants has been in existence for more than 20 years. The inheritance of experience has also allowed the implant dentists to understand the standard procedures for implants. The physicians who have undergone complete implant training know that How to increase the success rate of implants and reduce the occurrence of sequelae. The cultivation of implant dentists requires time and money to develop skilled surgical techniques, and it requires experience accumulation. Therefore, the teaching model based on clinical cases is definitely the best way for the dental surgeon to cultivate skilled surgical techniques and experience.

於是,為解決上述缺失,本發明之目的係在提供一種製作植牙教學牙模之方法,將缺牙病例的牙齒模型與利用計算機斷層掃描(CT)攝影所得到的數位模型資料,整合前述數位模型資料後加工成型即獲得教學牙模模型,依本方法製程的牙模模型,其外部具有與真人一樣自然的牙齒外型,內部皮質骨厚度與真人一致,且模型的皮質骨與海綿骨分佈構造與真人一致,具有擬真教學價值。 Therefore, in order to solve the above-mentioned deficiencies, the object of the present invention is to provide a method for manufacturing a dental implant teaching dental mold, which integrates the dental model of the missing tooth case with the digital model data obtained by computerized tomography (CT) photography, and integrates the aforementioned digital position. After the model data is processed and formed, the dental model is obtained. According to the dental model of the method, the exterior has the same natural appearance as the real person. The thickness of the internal cortical bone is consistent with the real person, and the distribution of the cortical bone and the sponge bone of the model. The structure is consistent with the real person and has the value of immersive teaching.

為達上述之目的,本發明揭露一種製作植牙教學牙模之方法,該方法至少包括以下步驟:步驟(A-1)針對一缺牙病例,牙醫師用牙科翻模材料翻製該缺牙病例的齒模外型,再由牙技師利用翻製的齒模外型灌注牙科材料製成一牙齒模型;步驟(A-2)使用掃描機掃瞄該牙齒模型用以獲得牙齒部分資料的一第一模型資料;步驟(B)針對前述缺牙病例拍攝一醫學影像,處理該醫學影像獲得該缺牙病例的口腔周邊骨骼內部構造資料的一第二模型資料;步驟(C)將該第一模型資料與該第二模型資料進行對正,對正後,將該第一模型資料的牙齒部分資料轉換成一第三模型資料,且該第二模型資料的骨骼內部構造資料轉換成一第四模型資料;步驟(D)將第三模型資料的牙齒部分模型資料與第四模型資料的骨骼內部構造模型資料結合,獲得一第五模型資料;及步驟(E)將該第五模型資料加工成型即獲得與該缺牙病例特徵一致的一教學牙模模型。 In order to achieve the above object, the present invention discloses a method for manufacturing a dental implant teaching dental mold, the method comprising at least the following steps: Step (A-1) For a missing tooth case, the dentist uses the dental mold material to make the missing tooth In the case of the dental model of the case, the dental technician uses the revolving tooth shape to inject the dental material to form a tooth model; and step (A-2) scans the tooth model with a scanner to obtain a part of the tooth material. The first model data; the step (B) is to take a medical image for the edentulous case, and process the medical image to obtain a second model data of the internal structural material of the oral cavity of the edentulous case; and step (C) The model data is aligned with the second model data. After the alignment, the tooth part data of the first model data is converted into a third model data, and the skeleton internal structure data of the second model data is converted into a fourth model data. Step (D) combining the tooth part model data of the third model data with the bone internal structure model data of the fourth model data to obtain a fifth model data; and step (E) the fifth model Data processing and molding obtains a teaching dental model that is consistent with the characteristics of the missing tooth case.

其中,該醫學影像係經由計算機斷層掃描(CT)對該缺牙病例攝影,用以取得該缺牙病例口腔周邊組織的影像。 The medical image is photographed by a computed tomography (CT) image of the missing tooth to obtain an image of the surrounding tissue of the missing tooth case.

其中,該教學牙模模型外部具有與該缺牙病例一樣的牙齒外型與牙齦模型,且該教學牙模模型具有與該缺牙病例一樣的口腔周邊骨骼內部構造。 Wherein, the external model of the dental model has the same tooth appearance and gum model as the case of the missing tooth, and the teaching dental model has the same internal structure of the oral surrounding bone as the missing tooth case.

本發明的優點在於,將缺牙病例的牙齒模型與利用計算機斷層掃描(CT)攝影所得到的數位模型資料,經過對正後,整合模型資料後即可加工成型即獲得與該缺牙病例特徵一致的教學牙模模型,其外部具有與真人一樣自然的牙齒外型,模型上牙齦可被手術刀劃開,模型齒槽骨部分與病例特徵一致,具有兩種不同密度的構造:皮質骨與海綿骨,內部皮質骨厚度與真人一致,模型的皮質骨與海綿骨分佈構造與真人一致,具有擬真教學價值。基於臨床病例所製成的教學牙模絕對是植牙醫師培養出嫻熟的手術技術與經驗累積最好的方法。 The invention has the advantages that the dental model of the missing tooth case and the digital model data obtained by using computed tomography (CT) photography can be processed and formed after the model data is integrated, and the characteristics of the missing tooth case are obtained. Consistent teaching model of dental model, the exterior has the same natural appearance as the real person. The upper jaw of the model can be cut by the scalpel. The model of the alveolar bone is consistent with the case characteristics. It has two different density structures: cortical bone and Sponge bone, internal cortical bone thickness is consistent with real people, the model's cortical bone and sponge bone distribution structure is consistent with real people, with immersive teaching value. Teaching dental molds based on clinical cases are definitely the best way for implant dentists to develop skilled surgical techniques and experience.

圖1為本發明之實施流程示意圖。 FIG. 1 is a schematic diagram of an implementation flow of the present invention.

茲有關本發明之詳細內容及技術說明,現以實施例來作進一步說明,但應瞭解的是,該等實施例僅為例示說明之用,而不應被解釋為本發明實施之限制。 The detailed description of the present invention and the technical description of the present invention are further illustrated by the embodiments, but it should be understood that these embodiments are for illustrative purposes only and are not to be construed as limiting.

用於植牙教學牙模之特性在於模型齒槽骨部分必須與活體特徵一致,具有兩種不同密度的構造:皮質骨與海綿骨,且牙模上具有牙齦結構可被手術刀劃開。具上述特徵的教學牙模將使植牙醫師更快培養出對於真實病例嫻熟的手術技術與不同病例的經驗累積。 The characteristics of the dental implant model are that the model alveolar bone part must be consistent with the living body feature, and has two different density structures: cortical bone and sponge bone, and the gingival structure on the dental mold can be cut by the scalpel. Teaching dental models with the above characteristics will enable the implant dentist to develop the experience of surgical techniques and different cases that are familiar to real cases.

請參閱圖1,為本發明之實施流程示意圖。本發 明揭露一種製作植牙教學牙模之方法,其至少包括以下步驟:由臨床牙醫師尋找一缺牙病例,然後進行步驟(A-1),針對該缺牙病例,牙醫師用牙科翻模材料翻製該缺牙病例的齒模外型,再由牙技師利用翻製的齒模外型灌注牙科材料製成一牙齒模型;步驟(A-2)使用掃描機掃瞄該牙齒模型用以獲得牙齒部分資料的一第一模型資料。其中牙齒模型製成為已知技術,且非本專利重點,在此不多加贅述。 Please refer to FIG. 1 , which is a schematic diagram of an implementation flow of the present invention. This hair A method for making a dental implant teaching dental mold includes at least the following steps: finding a missing tooth case by a clinical dentist, and then performing step (A-1), for which the dentist uses dental mold material Reducing the tooth profile of the edentulous case, and then the dental technician uses the revolving tooth mold to inject the dental material to form a tooth model; and step (A-2) scans the tooth model with a scanner to obtain A first model of data on the tooth part. The dental model is made into a known technique, and is not the focus of this patent, and will not be further described herein.

步驟(B),針對前述缺牙病例拍攝一醫學影像,處理該醫學影像獲得該缺牙病例的口腔周邊骨骼內部構造資料的一第二模型資料;其中,該醫學影像係經由計算機斷層掃描(CT)對該缺牙病例攝影,用以取得該缺牙病例口腔周邊組織的影像。計算機斷層掃描(CT)攝影為已知技術,且非本專利重點,在此不多加贅述。但要強調的是計算機斷層掃描(CT)攝影口腔周邊組織的影像可以獲的口腔內軟硬組織的相關資料,如此該第二模型資料有該缺牙病例的牙齦結構分佈大小資料,及內部皮質骨與海綿骨分佈構造與該缺牙病例一致。 Step (B): taking a medical image for the edentulous case, and processing the medical image to obtain a second model data of the internal structural material of the oral cavity of the edentulous case; wherein the medical image is scanned by computed tomography (CT) The photograph of the missing tooth case is used to obtain an image of the surrounding tissue of the missing tooth case. Computed tomography (CT) photography is a known technique and is not the focus of this patent, and will not be described here. However, it is important to emphasize the information about the soft and hard tissues in the oral cavity obtained by computed tomography (CT) imaging of the surrounding tissues of the oral cavity. Thus, the second model data has the distribution of the gingival structure of the missing tooth case, and the internal cortex. The bone and sponge bone distribution structure is consistent with this missing tooth case.

以上步驟(A-1)與步驟(A-2)可與步驟(B)不分前後次序,只要分別取得該第一模型資料與第二模型資料即可。 The above steps (A-1) and (A-2) may be performed in the same manner as the step (B), as long as the first model data and the second model data are respectively obtained.

接下來步驟(C),將該第一模型資料與該第二模型資料進行對正,以該第一模型資料的特徵位置為基準,利用該第一模型資料特徵位置將該第二模型資料做平移或旋轉或縮放等資料調整,使該第一模型資料與該第二模型資料相互對應且重合;對正後,將該第一模型資料的牙齒部分資料轉換成一第三模型資料,且該第二模型資料的骨骼內部構造資料轉換成一第四模型資料。 In the following step (C), the first model data is aligned with the second model data, and the second model data is made by using the feature position of the first model data as a reference. Data adjustment such as translation or rotation or scaling, so that the first model data and the second model data correspond to each other and coincide; after the alignment, the tooth portion data of the first model data is converted into a third model data, and the first The internal structural data of the bones of the second model data is converted into a fourth model data.

步驟(D)將第三模型資料的牙齒部分模型資料與 第四模型資料的骨骼內部構造模型資料結合,獲得一第五模型資料;該第五模型資料包括該缺牙病例的牙齒部分模型資料及骨骼內部構造模型資料。 Step (D) is to compare the tooth part model data of the third model data with The fourth model data is obtained by combining the internal structural model data of the fourth model data; the fifth model data includes the tooth part model data of the missing tooth case and the internal structural model data of the bone.

最近步驟(E),依據該第五模型資料,牙模製作者可加工成型,即可獲得與該缺牙病例特徵一致的一教學牙模模型。該教學牙模模型外部具有與該缺牙病例一樣的牙齒外型與牙齦模型,且該教學牙模模型具有與該缺牙病例一樣的口腔周邊骨骼內部構造。 According to the recent step (E), according to the fifth model data, the dental mold maker can process and shape, and a teaching dental model which is consistent with the characteristics of the missing tooth case can be obtained. The external model of the dental model has the same tooth appearance and gum model as the case of the missing tooth, and the teaching dental model has the same internal structure of the oral periphery as the case of the missing tooth.

教學牙模模型外部具有與真人一樣自然的牙齒外型,模型上牙齦可被手術刀劃開,模型齒槽骨部分與病例特徵一致,也具有兩種不同密度的構造:皮質骨與海綿骨,內部皮質骨厚度與真人一致,模型的皮質骨與海綿骨分佈構造與真人一致,具有擬真教學價值。基於臨床病例所製成的教學牙模絕對是植牙醫師培養出嫻熟的手術技術與經驗累積最好的方法。 The external model of the dental model has the same natural appearance as the real person. The upper jaw of the model can be cut by the scalpel. The model of the alveolar bone is consistent with the case characteristics. It also has two different density structures: cortical bone and sponge bone. The thickness of the internal cortical bone is consistent with that of the real person. The distribution of the cortical bone and the spongy bone of the model is consistent with the real person and has the value of immersive teaching. Teaching dental molds based on clinical cases are definitely the best way for implant dentists to develop skilled surgical techniques and experience.

惟以上所述者,僅為本發明之較佳實施例而已,當不能以此限定本發明實施之範圍,即大凡依本發明申請專利範圍及發明說明內容所作之簡單的等效變化與修飾,皆仍屬本發明專利涵蓋之範圍內。 The above is only the preferred embodiment of the present invention, and the scope of the invention is not limited thereto, that is, the simple equivalent changes and modifications made by the scope of the invention and the description of the invention are All remain within the scope of the invention patent.

Claims (3)

一種製作植牙教學牙模之方法,該方法至少包括以下步驟:(A-1)針對一缺牙病例,牙醫師用牙科翻模材料翻製該缺牙病例的齒模外型,再由牙技師利用翻製的齒模外型灌注牙科材料製成一牙齒模型;(A-2)使用掃描機掃瞄該牙齒模型用以獲得牙齒部分資料的一第一模型資料;(B)針對前述缺牙病例拍攝一醫學影像,處理該醫學影像獲得該缺牙病例的口腔周邊骨骼內部構造資料的一第二模型資料,其中,該第二模型資料包括該缺牙病例的牙齦結構分佈大小資料及內部皮質骨與海綿骨分佈構造;(C)將該第一模型資料與該第二模型資料進行對正,對正後,將該第一模型資料的牙齒部分資料轉換成一第三模型資料,且該第二模型資料的骨骼內部構造資料轉換成一第四模型資料;(D)將第三模型資料的牙齒部分模型資料與第四模型資料的骨骼內部構造模型資料結合,獲得一第五模型資料;及(E)將該第五模型資料加工成型即獲得與該缺牙病例特徵一致的一教學牙模模型,其中,該教學牙齒模型具有與該缺牙病例一樣的牙齒外型、牙齦模型及口腔周邊骨骼,又,該牙齦模型為可被劃開之材質,且,該口腔周邊骨骼係依第二模型資料對應內部皮質骨與海綿骨分佈,製成具有兩種不同密度的構造,並且內部皮質骨厚度與缺牙病例一致。 A method for preparing a dental implant teaching dental mold, the method comprising at least the following steps: (A-1) for a missing tooth case, the dentist uses a dental over-mold material to reproduce the tooth profile of the missing tooth case, and then the tooth The technician uses a revolving tooth mold to inject the dental material into a tooth model; (A-2) scans the tooth model with a scanner to obtain a first model data of the tooth portion data; (B) for the aforementioned deficiency The dental case takes a medical image, and the medical image is processed to obtain a second model data of the internal structural material of the oral cavity of the missing tooth case, wherein the second model data includes the size distribution data of the gingival structure of the missing tooth case and the internal Cortical bone and sponge bone distribution structure; (C) aligning the first model data with the second model data, and after correcting, converting the tooth portion data of the first model data into a third model data, and the The internal structural data of the second model data is converted into a fourth model data; (D) the tooth part model data of the third model data is combined with the bone internal structural model data of the fourth model data, Obtaining a fifth model data; and (E) processing the fifth model data to obtain a teaching dental model that is consistent with the characteristics of the missing tooth case, wherein the teaching tooth model has the same teeth as the missing tooth case The appearance, the gum model, and the surrounding bones of the mouth, and the gum model is a material that can be cut, and the bone surrounding the oral cavity is made according to the second model data corresponding to the distribution of the inner cortical bone and the sponge bone. The density was constructed and the internal cortical bone thickness was consistent with the case of missing teeth. 如申請專利範圍第1項所述之方法,其中,該醫學影像係經由計算機斷層掃描(CT)對該缺牙病例攝影,用以取得該缺牙病例口腔周邊組織的影像。 The method of claim 1, wherein the medical image is imaged by a computed tomography (CT) scan to obtain an image of the surrounding tissue of the edentulous case. 如申請專利範圍第1項所述之方法,其中,該第一模型資料與該第二模型資料對正係以該第一模型資料的特徵位置為基準,利用該第一模型資料特徵位置將該第二模型資料做資料調整,使該第一模型資料與該第二模型資料對應重合。 The method of claim 1, wherein the first model data and the second model data are based on the feature position of the first model data, and the first model data feature location is used. The second model data is adjusted to make the first model data and the second model data coincide.
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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
TWI674564B (en) * 2018-03-22 2019-10-11 醫百科技股份有限公司 Dental mold for teaching dental treatment and manufacturing method thereof

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
TWI674564B (en) * 2018-03-22 2019-10-11 醫百科技股份有限公司 Dental mold for teaching dental treatment and manufacturing method thereof

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