TWI809982B - Construction of drilling template and its calibration method based on dental implant path planning, and configuration method of one-piece implant guide kit - Google Patents
Construction of drilling template and its calibration method based on dental implant path planning, and configuration method of one-piece implant guide kit Download PDFInfo
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本發明係提供一種基於植牙路徑規劃之鑽孔模板建置及其校準方法,及其一體式植牙引導套件配置方法,尤指一種可將口腔斷層影像及三維口腔影像依據牙齒型態資訊以對合形成一口腔數位模型,使呈現該牙齒型態資訊、齒槽骨型態資訊及牙肉型態資訊之相對關係,藉可準確規劃植牙鑽孔路徑,並對應佈建鑽孔模板,以於齒模鑽孔而建置植牙導板,以及後續透過植牙導板以於患者牙床鑽孔時,其鑽孔路徑皆可完全對應於所規畫之植牙鑽孔路徑,藉以提升植牙手術之精確性者。 The present invention provides a drilling template construction and calibration method based on dental implant path planning, and an integrated dental implant guide set configuration method, especially a method that can combine oral tomographic images and three-dimensional oral images based on tooth shape information. Combine to form a digital model of the oral cavity, so that the relative relationship between the tooth type information, alveolar bone type information and gum type information can be presented, and the implant drilling path can be accurately planned, and the corresponding drilling template can be constructed. When constructing the implant guide plate by drilling holes in the dental model, and subsequently drilling the patient’s gums through the implant guide plate, the drilling path can completely correspond to the planned implant drilling path, so as to improve The accuracy of dental implant surgery.
按,植牙(Dental implant)係透過安裝人工牙根形成假牙,藉以彌補缺牙之修復技術;人工牙根又稱植體,係藉由手術以置入於缺牙處之牙槽骨內,藉以替代自然牙之牙根,使作為牙冠的根基,並待之齒槽骨與植體結合後,即可於植體上安裝假牙冠,使其可形成如同天然之牙齒,並可具有自然牙 之咬合力,對比於習知之牙橋假牙,透過植牙方式形成之假牙更具美觀性與舒適性,且係可長期性使用,故為現今缺牙修復主要之方法之一。 Press, dental implant (Dental implant) is through the installation of artificial tooth roots to form dentures, so as to make up for the restorative technology of missing teeth; The root of the natural tooth is used as the foundation of the crown, and after the alveolar bone is combined with the implant, the artificial crown can be installed on the implant, so that it can form a natural tooth and have a natural tooth Compared with the conventional bridge and dentures, the dentures formed by dental implants are more beautiful and comfortable, and can be used for a long time, so it is one of the main methods for the restoration of missing teeth.
而為提升植牙之精確性及美觀性,故通常係透過口掃機或斷層掃描,使電腦設計植體位置後再輸出形成導板,以令鑽針可透過導板之引導以鑽設預設之深度,使植體可安裝於所需之位置;惟於現今診間chair-side導板之製作,係直接於齒模上,依據施術者規劃欲進行植牙之位置後,直接於齒模鑽設孔洞,而後透過於孔洞安裝定位柱,並於定位套件周緣套接一套件,而套件一側係組設有一扣件,並透過光敏樹脂包覆於周邊牙齒,同時黏結套件及扣件後予以光照固化,最後透過將定位柱及套件移除後將一導引元件組裝於扣件,藉以形成導板;惟此,其對於齒模鑽設孔洞之工序,其鑽孔路徑將決定後續進行植牙之位置及角度,因為齒模僅呈現出口腔之型態,其鑽孔路徑之規劃,主要係依靠牙齒之間的咬合關係來進行,因無法單純從齒模得知骨頭的外型狀態,且骨頭外有軟組織(牙肉),而每人之牙肉厚度都不同,甚至同一個人不同部位的牙肉厚度也不同,故導板在使用的過程中,要進行安全的植牙皆會建議將牙肉切開或翻開,讓醫師可以直接看到牙肉底下之骨頭,以利進行後續之植牙;惟其將導致患者之不適,亦將導致手術時程之延宕,此外,若預計鑽孔之位置及角度中,若發現其骨頭條件較差而無法進行植牙時,則無法進行後續之流程,且因口腔之操作空間有限,難以直接依據施術經驗而直接改到正確之植牙位置;是以,鑽孔路徑之規劃為植牙前置作業極為重要之一環,若未經精確的規劃、判斷或校準,將有影響後續植牙過程之疑慮。 In order to improve the accuracy and aesthetics of dental implants, it is usually through oral scanning machines or tomographic scans, so that the computer can design the position of the implant and then output it to form a guide plate, so that the drill can be guided by the guide plate to drill the preset position. The depth is set so that the implant can be installed at the desired position; however, in the current clinic, the chair-side guide is made directly on the tooth model, and after the operator plans the desired implant position, it is directly placed on the tooth. Drill a hole, install a positioning post through the hole, and fit a set around the periphery of the positioning set, and a fastener is set on one side of the set, and the surrounding teeth are covered with photosensitive resin, and the set and fastener are bonded at the same time Afterwards, it is cured by light, and finally a guide element is assembled to the fastener by removing the positioning column and the kit to form a guide plate; however, for the process of drilling holes in the tooth mold, the drilling path will determine the subsequent The position and angle of the implant, because the tooth model only shows the shape of the mouth, and the planning of the drilling path mainly depends on the occlusal relationship between the teeth, because the shape of the bone cannot be known from the tooth model state, and there is soft tissue (gum) outside the bone, and the thickness of the gum is different for each person, and even the thickness of the gum is different for different parts of the same person. It is recommended to cut or open the gum, so that the doctor can directly see the bone under the gum, so as to facilitate subsequent dental implants; however, it will cause discomfort to the patient and delay the operation schedule. In the position and angle of the drill hole, if the bone condition is found to be poor and the dental implant cannot be performed, the subsequent procedures cannot be carried out, and because the operating space of the oral cavity is limited, it is difficult to directly change to the correct dental implant position based on the operation experience ; Therefore, the planning of the drilling path is an extremely important part of the pre-implantation operation. If it is not accurately planned, judged or calibrated, there will be doubts that will affect the subsequent implantation process.
此外,現有植牙引導套件之設置,通常皆為套件及定位柱呈分離之兩件式之設置,藉以透過將定位柱穿組於套件後,令定位柱插組於前述齒模經鑽設之孔洞,使調整套件之方向及位置,而後過透過光敏樹脂包覆於周邊牙齒,同時黏結套件予以光照固化,藉以將定位柱移除後形成導板;然其植牙引導套件之配置,於透過光敏樹脂進行黏著時,常有因定位柱及套件間之組合力量有限,導致黏著過程產生晃動或位移,使於過程中需要非常注意,或需透過手指進行其按壓固定,此將造成製作過程極為不便,且極易因其偏移導致套件之角度不如預期之規劃,導致後續進行植牙鑽孔時,無法精確地進行鑽孔,使其植牙具有偏差之疑慮。 In addition, the setting of the existing dental implant guide kits is usually a two-piece set with the kit and the positioning post separated, so that the positioning post can be inserted into the drilled tooth mold by passing the positioning post behind the kit. The hole is used to adjust the direction and position of the set, and then cover the surrounding teeth with photosensitive resin, and at the same time, the bonding set is cured by light, so that the positioning post is removed to form a guide plate; however, the configuration of the implant guide set is passed through When the photosensitive resin is bonded, it is often due to the limited strength of the combination between the positioning column and the kit, which causes shaking or displacement during the bonding process, so that great attention must be paid during the process, or it needs to be pressed and fixed by fingers, which will make the production process very difficult. It is inconvenient, and it is very easy to cause the angle of the set to be lower than the expected plan due to the deviation, resulting in the inability to accurately drill the holes in the subsequent implant drilling, making the implant have doubts about deviation.
有鑑於此,吾等發明人乃潛心進一步研究植牙路經規劃之精確度,以及後續可精確的依據規劃之路徑進行施術,並著手進行研發及改良,期以一較佳發明以解決上述問題,且在經過不斷試驗及修改後而有本發明之問世。 In view of this, our inventors are concentrating on further research on the accuracy of dental implant path planning, and subsequent operations can be performed accurately according to the planned path, and started to develop and improve, hoping to solve the above problems with a better invention , and after continuous testing and modification, the present invention has come out.
爰是,本發明之目的係為解決前述問題,為達致以上目的,吾等發明人提供一種基於植牙路徑規劃之鑽孔模板建置及其校準方法,其步驟包含:(a)透過斷層掃描以獲取一包含牙齒型態資訊及齒槽骨型態資訊之口腔斷層影像;(b)擷取一包含牙齒型態資訊及牙肉型態資訊之三維口腔影像;(c)藉由一電腦經載入後執行一程序,以將口腔斷層影像及三維口腔影像依據牙齒型態資訊以對合形成一口腔數位模型,使呈現該牙齒型態資訊、齒槽骨型態資訊及牙肉型態資訊之相對關係;(d)透過該口腔數位模型規劃一對應於該齒槽骨型態資訊及牙肉型態資訊之植牙鑽孔路徑;以及(e)依據該齒槽骨型態資訊、牙肉型態 資訊及該植牙鑽孔路徑以佈建一具有對應於該植牙鑽孔路徑之導引槽的鑽孔模板,並對應配置於一齒模;以及(f)將一具有校準孔之檢查模型,置於該鑽孔模板之導引槽內,以透過該校準孔校準及驗證該植牙鑽孔路徑;以及(g)透過一鑽孔裝置受該鑽孔模板之導引槽進行引導,以於該齒模鑽設一對應於該植牙鑽孔路徑之孔洞。 Yes, the purpose of the present invention is to solve the aforementioned problems. In order to achieve the above purpose, our inventors provide a drilling template construction and calibration method based on dental implant path planning. The steps include: (a) through the fault Scanning to obtain an oral tomographic image including tooth type information and alveolar bone type information; (b) extracting a three-dimensional oral cavity image including tooth type information and gum type information; (c) by a computer After loading, execute a program to combine the oral tomography image and the three-dimensional oral cavity image according to the tooth type information to form a digital oral model, so as to present the tooth type information, alveolar bone type information and gum type (d) planning an implant drilling path corresponding to the alveolar bone type information and gum type information through the oral digital model; and (e) based on the alveolar bone type information, Gum type information and the implant drilling path to construct a drilling template with a guide groove corresponding to the implant drilling path, and correspondingly configure a dental model; and (f) a check model with calibration holes , placed in the guide groove of the drill template to calibrate and verify the implant drill path through the calibration hole; and (g) be guided by the guide groove of the drill template through a drilling device to A hole corresponding to the drilling path of the dental implant is drilled in the tooth model.
據上所述之基於植牙路徑規劃之鑽孔模板建置及其校準方法,其中,該鑽孔模板係具有一連接部,且於該連接部連接設置有一導接部,該連接部係對應於該牙齒型態資訊或該牙肉型態資訊之至少一部分者,而該導接部係設有該導引槽,並於該導引槽底端設有一對應於該植牙鑽孔路徑之導引孔。 According to the above-mentioned drill template construction and calibration method based on dental implant path planning, wherein, the drill template has a connection part, and a guide part is connected to the connection part, and the connection part corresponds to For at least a part of the tooth type information or the gum type information, the guide part is provided with the guide groove, and a hole corresponding to the implant drilling path is provided at the bottom of the guide groove pilot hole.
據上所述之基於植牙路徑規劃之鑽孔模板建置及其校準方法,其中,該三維口腔影像係透過一口腔掃描機掃描一口腔以獲取者。 According to the above-mentioned drilling template construction and calibration method based on dental implant path planning, the three-dimensional oral cavity image is obtained by scanning an oral cavity with an oral scanner.
據上所述之基於植牙路徑規劃之鑽孔模板建置及其校準方法,其中,該三維口腔影像係透過三維掃描一口腔石膏模型以獲取者。 According to the above-mentioned drilling template construction and calibration method based on dental implant path planning, the 3D oral cavity image is acquired by 3D scanning a dental plaster model.
據上所述之基於植牙路徑規劃之鑽孔模板建置及其校準方法,其步驟更包含:(h)依據該牙齒型態資訊、牙肉型態資訊及該植牙鑽孔路徑以產出一鑽孔模板影像;以及(i)依據該鑽孔模板影像以建置該鑽孔模板。 According to the above-mentioned drill template construction and calibration method based on implant path planning, the steps further include: (h) generating a drill hole template based on the tooth type information, gum type information, and the implant drill path generating a drilling template image; and (i) constructing the drilling template according to the drilling template image.
據上所述之基於植牙路徑規劃之鑽孔模板建置及其校準方法,其中,該步驟(i)係將該鑽孔模板影像輸入至一3D列印機,以透過3D列印方式建置該鑽孔模板者。 According to the above-mentioned drilling template construction and calibration method based on dental implant path planning, the step (i) is to input the drilling template image to a 3D printer to build Set the drilling template.
本發明另提供一種基於光固化成型植牙引導套件之配置方法,其步驟包含:一種基於光固化成型植牙引導套件之配置方法,其步驟包含:於如上所述之基於植牙路徑規劃之鑽孔模板建置及其校準方法配置之齒模的孔洞 中,對應配置一引導套件,該引導套件係具有一導引套筒,該導引套筒係略呈管狀設置,並於頂端形成一開口,且導引套筒側緣切設有對應連通於該開口之導槽;該導槽底端具有一承接部,且該導引套筒設有一定位軸,該定位軸設有一定位部及一軸桿,該定位部係對應套接於該導引套筒內,該軸桿係可對應穿伸於該導引套筒底部,並對應組接於該孔洞,且該導引套筒與該定位部間設有至少一定位部件,用以定位於該定位軸;配置一光敏樹脂,以連接於該導引套筒外緣及該齒模,用以調校及定位該導引套筒之位置;以及透過光照固化以固化該光敏樹脂。 The present invention also provides a configuration method based on photo-curing molding dental implant guide set, the steps of which include: a configuration method based on photo-curing molding dental implant guide kit, the steps of which include: The hole of the tooth mold for the construction of the hole template and its calibration method Among them, a guide sleeve is correspondingly configured, the guide sleeve has a guide sleeve, the guide sleeve is arranged in a slightly tubular shape, and an opening is formed at the top end, and the side edge of the guide sleeve is cut to communicate with the The guide groove of the opening; the bottom end of the guide groove has a receiving part, and the guide sleeve is provided with a positioning shaft, and the positioning shaft is provided with a positioning part and a shaft rod, and the positioning part is correspondingly sleeved on the guide sleeve In the barrel, the shaft can be correspondingly extended through the bottom of the guide sleeve, and correspondingly connected to the hole, and at least one positioning part is provided between the guide sleeve and the positioning part for positioning on the a positioning shaft; arrange a photosensitive resin to be connected to the outer edge of the guide sleeve and the tooth mold for adjusting and locating the position of the guide sleeve; and cure the photosensitive resin through light curing.
據上所述之基於光固化成型植牙引導套件之配置方法,其中,該導引套筒外緣更設有至少一定位元件。 According to the configuration method of the dental implant guide set based on photocuring molding, at least one positioning element is further provided on the outer edge of the guide sleeve.
據上所述之基於光固化成型植牙引導套件之配置方法,其中,該軸桿更徑向設置有一承接元件,而該承接元件頂端與該導引套筒之底端間,更設有至少一連結部件。 According to the above-mentioned configuration method based on photocuring implant guide set, wherein, the shaft rod is further provided with a receiving element radially, and between the top end of the receiving element and the bottom end of the guiding sleeve, at least a connecting component.
是由上述說明及設置,顯見本發明主要具有下列數項優點及功效,茲逐一詳述如下: By the above description and setting, it is obvious that the present invention mainly has the following advantages and effects, which are detailed as follows one by one:
1.本發明透過將口腔斷層影像及三維口腔影像,依據牙齒型態資訊以對合形成口腔數位模型,使呈現該牙齒型態資訊、齒槽骨型態資訊及牙肉型態資訊之相對關係,藉可利於透過電腦或醫師以精確的分析及規劃植牙鑽孔路徑;並可對應佈建鑽孔模板,而於後續對齒模鑽孔之路徑校準,即可透過將鑽孔模板安裝於齒模,以精確的於齒模鑽設植牙時所需之孔洞,並可正確的安裝植牙引導套件並據以製得植牙導板,使後續之植牙手術時,令手機可透過植牙引導套件引導而可完全依據前述規劃之植牙鑽孔路徑而對應的於患者牙床鑽孔,使提升植牙手術之精確性者。 1. The present invention forms a digital model of the oral cavity by combining oral tomographic images and three-dimensional oral images based on tooth type information, so as to present the relative relationship between the tooth type information, alveolar bone type information, and gum type information , it can also be beneficial to accurately analyze and plan the drilling path of the dental implant through the computer or the doctor; and the corresponding drilling template can be deployed, and the subsequent calibration of the drilling path of the tooth model can be done by installing the drilling template on the Dental model, to accurately drill the holes required for dental implants in the dental model, and can correctly install the dental implant guide kit and make a dental implant guide plate, so that the mobile phone can pass through the subsequent dental implant surgery The implant guide kit can guide and drill holes in the patient's gums completely according to the implant drilling path planned above, so as to improve the accuracy of the implant surgery.
2.本發明透過定位部件將導引套筒及定位軸進行連接,藉使其之間可呈一體式之設置,藉以於製作植牙導板時,可予確實穩固導引套筒及定位軸整體之方向及位置,並於植牙導板製成後,僅須透過牙科工具對定位部件及連結部件稍加削切,即可將定位軸移除,藉以利於後續手術之鑽孔流程,藉可提升於植牙導板時之便利性及精確性,以提升植牙手術之精確度者。 2. The present invention connects the guide sleeve and the positioning shaft through the positioning parts, so that they can be set in one piece, so that the guide sleeve and the positioning shaft can be firmly stabilized when making the implant guide plate The overall direction and position, and after the implant guide plate is made, the positioning shaft can be removed only by slightly cutting the positioning part and the connecting part with dental tools, so as to facilitate the drilling process of the subsequent operation. It can improve the convenience and accuracy of the dental implant guide to improve the accuracy of the dental implant surgery.
1:鑽孔模板 1: Drilling template
11:連接部 11: Connecting part
12:導接部 12: Leading part
121:導引槽 121: guide groove
122:導引孔 122: Guide hole
2:齒模 2: Tooth mold
21:孔洞 21: hole
3:檢查模型 3: Check the model
31:校準孔 31: Calibration hole
4:引導套件 4: Boot Kit
41:導引套筒 41: Guide sleeve
411:開口 411: opening
412:導槽 412: guide groove
413:承接部 413: Undertake Department
415:定位元件 415: positioning element
42:定位軸 42: Positioning axis
421:定位部 421: Positioning Department
422:軸桿 422: shaft
423:承接元件 423: Accepting components
424:連結部件 424: link parts
43:定位部件 43: Positioning parts
5:光敏樹脂 5: Photosensitive resin
6:手機 6: mobile phone
61:導引臂 61: Guide arm
62:導座 62: guide seat
63:鑽頭 63: drill bit
7:牙槽骨 7: Alveolar bone
71:槽孔 71: slot
P:植牙鑽孔路徑 P: implant drilling path
S001-S005:步驟 S001-S005: Steps
第1圖係本發明之流程圖。 Fig. 1 is a flowchart of the present invention.
第2圖係本發明製得鑽孔模板之立體示意圖。 Fig. 2 is a three-dimensional schematic view of the drilling template prepared by the present invention.
第3圖係本發明將鑽孔模板置於齒模之剖視示意圖。 Fig. 3 is a schematic cross-sectional view of placing the drilling template on the tooth mold in the present invention.
第4圖係本發明檢查模型之立體示意圖。 Figure 4 is a three-dimensional schematic view of the inspection model of the present invention.
第5圖係基於第3圖於鑽孔模板置入檢查模型之剖視示意圖。 Figure 5 is a schematic cross-sectional view of placing the inspection model in the drilling template based on Figure 3.
第6圖係本發明於齒模鑽設對應於植牙鑽孔路徑之孔洞之剖視示意圖。 Fig. 6 is a schematic cross-sectional view of the present invention to drill holes corresponding to the implant drilling path in the dental model.
第7圖係本發明引導套件之立體示意圖。 Fig. 7 is a three-dimensional schematic view of the guide set of the present invention.
第8圖係本發明於齒模孔洞處裝設引導套件之剖視示意圖。 Fig. 8 is a schematic sectional view of the installation of the guide sleeve at the hole of the tooth mold according to the present invention.
第9圖係基於第8圖設置光敏樹脂之剖視示意圖。 Fig. 9 is a schematic cross-sectional view of setting the photosensitive resin based on Fig. 8 .
第10圖係基於第9圖,將光敏樹脂連同引導套件取出之立體示意圖。 Fig. 10 is based on Fig. 9, a three-dimensional schematic diagram of taking out the photosensitive resin together with the guide set.
第11圖係本發明移除定位軸後,製成植牙導板之立體示意圖。 Fig. 11 is a three-dimensional schematic view of the dental implant guide plate made after removing the positioning shaft according to the present invention.
第12圖係本發明之植牙導板安裝於患者口腔欲進行植牙位置之剖視示意圖。 Fig. 12 is a schematic cross-sectional view of the dental implant guide plate of the present invention installed in the patient's oral cavity where dental implantation is to be performed.
第13圖係本發明導引套筒及手機之立體示意圖。 Fig. 13 is a three-dimensional schematic diagram of the guide sleeve and the mobile phone of the present invention.
第14圖係本發明透過導引套筒導引手機於患者牙槽骨施術鑽孔之剖視示意圖。 Fig. 14 is a cross-sectional schematic diagram of the present invention guiding the mobile phone to drill holes in the patient's alveolar bone through the guide sleeve.
第15圖係基於第14圖施術完成後之剖視示意圖。 Figure 15 is a schematic cross-sectional view based on Figure 14 after the operation is completed.
關於吾等發明人之技術手段,茲舉數種較佳實施例配合圖式於下文進行詳細說明,俾供 鈞上深入了解並認同本發明。 With regard to the technical means of our inventors, several preferred embodiments will be described in detail below in conjunction with the drawings, so as to provide an in-depth understanding and approval of the present invention.
請先參閱第1圖所示,本發明係一種基於植牙路徑規劃之鑽孔模板建置及其校準方法,及其一體式植牙引導套件配置方法,其中,該基於植牙路徑規劃之鑽孔模板1建置方法之步驟包含:
Please refer to Figure 1 first, the present invention is a drilling template construction and calibration method based on implant path planning, and an integrated dental implant guide set configuration method, wherein the drill template based on implant path planning The steps of the
S001:透過斷層掃描以獲取一包含牙齒型態資訊及齒槽骨型態資訊之口腔斷層影像;斷層掃描通常係透過數位電腦斷層(Computerized Tomography,CT),藉以精確呈現患者口腔內之牙齒型態資訊及齒槽骨型態資訊,其中,牙齒型態資訊包含牙齒之具體位置、方向、形狀等牙齒之資訊,而齒槽骨型態資訊則包含牙齒下方齒槽骨之具體形狀、位置、密度等資訊,其皆可由三維之口腔斷層影像精確呈現。 S001: Obtain an oral tomography image including tooth shape information and alveolar bone shape information through tomography; tomography usually uses digital computerized tomography (Computerized Tomography, CT) to accurately present the tooth shape in the patient's oral cavity Information and alveolar bone type information, wherein, the tooth type information includes the specific position, direction, shape and other information of the teeth, and the alveolar bone type information includes the specific shape, position, and density of the alveolar bone below the tooth and other information, which can be accurately presented by three-dimensional oral tomographic images.
S002:擷取一包含牙齒型態資訊及牙肉型態資訊之三維口腔影像;其中,對於三維口腔影像之擷取,在一實施例中,係可透過口腔掃描機掃描患者之口腔以獲取之,在其他實施例中,亦可透過傳統方式製得之口腔石膏模型(齒模2),以藉由一3D掃描裝置透過三維掃描以建立該三維口腔影像;而所獲取之三維口腔影像,係包含患者口腔內之牙齒型態資訊及牙肉型態資訊,其中,牙齒型態資訊可知悉者,係包含所露出牙齒之位置、形狀等具體牙齒資訊,而牙肉型態資訊則包含口腔內所露出牙肉之位置、形狀等資訊。 S002: Capture a 3D oral image including tooth shape information and gum shape information; wherein, for the extraction of the 3D oral image, in one embodiment, it can be obtained by scanning the patient's mouth with a dental scanner , in other embodiments, the oral plaster model (tooth model 2) obtained in a traditional way can also be used to establish the three-dimensional oral image through three-dimensional scanning by a 3D scanning device; and the obtained three-dimensional oral image is Contains information on the tooth type and gum type in the patient's oral cavity. Among them, if the tooth type information can be known, it includes specific tooth information such as the position and shape of the exposed teeth, and the gum type information includes information on the teeth in the oral cavity. Information such as the position and shape of the exposed gum.
S003:由前述者,係可將所述口腔斷層影像及三維口腔影像輸入至一電腦內,而如前述者,由於口腔斷層影像及三維口腔影像皆具有牙齒型態資訊,其皆包含牙齒之具體形狀及位置,故透過使電腦經載入後,透過應用程式執行一程序,藉以將口腔斷層影像及三維口腔影像依據牙齒型態資訊以對合形成一口腔數位模型,使口腔數位模型可具體呈現該牙齒型態資訊、齒槽骨型態資訊及牙肉型態資訊之相對關係。 S003: Based on the foregoing, the oral tomographic image and the three-dimensional oral image can be input into a computer, and as described above, since the oral tomographic image and the three-dimensional oral image both have tooth shape information, they both contain the specific information of the teeth Shape and position, so after the computer is loaded, a program is executed through the application program, so as to combine the oral tomographic image and the three-dimensional oral image according to the tooth shape information to form a digital model of the oral cavity, so that the digital model of the oral cavity can be presented in detail The relative relationship among the tooth type information, the alveolar bone type information and the gum type information.
S004:續前所述,即可透過該口腔數位模型,以透過電腦軟體自動,或經由醫師專業判斷,以於該電腦應用程式中,依據齒槽骨型態資訊及牙肉型態資訊規劃植牙鑽孔路徑P。 S004: Continuing from the foregoing, the digital model of the oral cavity can be used to automatically plan the implant based on the alveolar bone type information and the gum type information in the computer application program through the computer software, or through the professional judgment of the physician. Dental drilling path P.
S005:據此,即可依據該齒槽骨型態資訊、牙肉型態資訊及該植牙鑽孔路徑P以佈建一具有對應於該植牙鑽孔路徑P之導引槽121的鑽孔模板1,如第2圖所示者;而鑽孔模板1之建置,在一具體之實施例中,係可於該電腦中,依據該齒槽骨型態資訊、牙肉型態資訊及該植牙鑽孔路徑以透過電腦軟體自動繪製,或透過手動方式進行設計,藉以產出一鑽孔模板影像,而鑽孔模板影像係可為一3D之模型檔案,藉可透過鑽孔模板影像以建置該鑽孔模板1,而在一實施例中,係可透過將該鑽孔模板影像輸入至一3D列印機,以藉由3D列印方式建置該鑽孔模板1。
S005: Accordingly, according to the alveolar bone type information, the gum type information and the implant drilling path P, a drill with a
而就鑽孔模板1之結構配置而言,係如第2圖所示者,該鑽孔模板1係具有一連接部11,且於該連接部11連接設置有一導接部12,該連接部11係對應於該牙齒型態資訊或該牙肉型態資訊之至少一部分者,而該導接部12係設有該導引槽121,並於該導引槽121底端設有一對應於該植牙鑽孔路徑P之導引孔122。
As far as the structural configuration of the
藉此,如第3圖所示,醫師係可透過將鑽孔模板1直接置於齒模2,並可藉由一鑽孔裝置(圖未繪示),以透過導引槽121之導引,並朝導引孔122指引之齒模2進行鑽孔形成孔洞21,藉使於齒模2鑽設形成之孔洞21可完全符合前述規劃之植牙鑽孔路徑P,藉以於後續進行植牙導板之施作可更加精確,藉可提升植牙手術之精確度。
Thereby, as shown in FIG. 3 , the physician can place the
為驗證孔洞21與前述規劃之植牙鑽孔路徑P是否相符,故本發明更進一步提供一種植牙路徑校準方法,其係將前述所製得之鑽孔模板1,對應配置於齒模2上;並如第4圖及第5圖所示,將一具有校準孔31之檢查模型3,置於該鑽孔模板1之導引槽121內,以透過該校準孔31校準及驗證該植牙鑽孔路徑P;而可知悉者,檢查模型3在一實施例中係可為對應鑽孔裝置之外輪廓,且其校準孔31則係對應於該鑽孔裝置上所配置鑽針之位置,而使用者係可藉由將檢查模型3置於導引槽121內,以進行植牙鑽孔路徑P之驗證,而後,如第6圖所示及如前所述者,直接的或將檢查模型3取出後,透過鑽孔裝置受該鑽孔模板1之導引槽121進行引導,以於該齒模2鑽設對應於該植牙鑽孔路徑P之孔洞21。
In order to verify whether the
而如前述,本發明所提供之方法,係可準確的於齒模2上鑽設對應於經妥善規劃之植牙鑽孔路徑P的孔洞21,而係即可透過習知方式進行植牙導板之製作;而於本發明中,係更進一步提供一種基於光固化成型植牙引導套件4之配置方法,其係基於前述於齒模2鑽設之孔洞21中,對應配置一引導套件4,而引導套件4之設置,係如第7圖所示者,其具有一導引套筒41,該導引套筒41係略呈管狀設置,並於頂端形成一開口411,且導引套筒41側緣切設有對應連通於該開口411之導槽412;該導槽412底端具有一承接部413,且該導引套筒41設有一定位軸42,該定位軸42設有一定位部421及一軸桿422,該定位部421係對應
套接於該導引套筒41內,且該軸桿422係可對應穿伸於該導引套筒41底端,並如第8圖所示者,該軸桿422係用以對應組接於該齒模2之孔洞21,且該導引套筒41與該定位部421間設有至少一定位部件43,而其一端係連接於該導引套筒41內,另端則係連接並對應定位該定位軸42,具體而言,所述定位部件43係呈條狀設置,且所述定位部件43於相對該導引套筒41一端係連結於該定位部421之側緣,惟其僅係舉例說明,並不以此作為限定;而藉定位部件43之配置藉使定位軸42與導引套筒41間呈一體式設置;此外,為利於定位軸42與導引套筒41間之配置,故在一實施例中,該導引套筒41係略呈圓管狀設置,而該定位部421係呈對應圓柱狀設置,藉以利於其之間的組設及成型;而在一較佳之實施例中,為利於設置在齒模2時,對於引導套件4整體角度之配置,以及後續鑽孔之便利性,故在一較佳之實施例中,軸桿更徑向設置有一承接元件423,其係可呈圓盤狀設置,且該承接元件423頂端與該導引套筒41之底端間,更設有至少一連結部件424,藉以支撐該承接元件423;藉此,於引導套件4置於齒模2時,係透過承接元件423抵於齒模2,藉以利於對引導套件4整體導引方向之調整。
As mentioned above, the method provided by the present invention can accurately drill
而後,即可如第9圖及第10圖所示,透過配置一光敏樹脂5,以連接於該導引套筒41外緣及該齒模2,用以調校及定位該導引套筒41之位置;其中,就光敏樹脂5係得受光照而固化,而就光敏樹脂5之光照固化而言,主要係透過光敏材質透過特定之光波長照射(如:紫外光)後,即可令光敏樹脂5因質變而固化,而其材質及固化方式係屬習知技術,故在此不予贅述;此外,由於光敏樹脂5具有黏度及可塑性,故可透過塑形之方式,以貼覆於導引套筒41,並可附著於齒模2,藉以界定出導引套筒41與齒模2與周遭輪廓間之相對關係,且於其過程中,如前述者,由於定位軸42及導引套筒41間係呈一體式設置,因此
當進行光敏樹脂5對導引套筒41外緣及齒模2之附著,以調校及定位該導引套筒41之位置時,定位軸42及導引套筒41間將不會產生晃動或分離之情事,故可確保導引套筒41之導引方向可確實的受定位軸42插組於孔洞21而定位,並且可對應於前所規劃之植牙鑽孔路徑P;而為利於提升光敏樹脂5與導引套筒41間之附著能力,故在一較佳之實施例中,係可於導引套筒41外緣配置有至少一定位元件415,在一實施例中,所述定位元件415係呈凸弧狀設置且定位元件415係具複數設置,並陣列配置於該導引套筒41外緣,藉使光敏樹脂5塑形之過程中,可更易於黏附導引套筒41。
Then, as shown in Fig. 9 and Fig. 10, a
而如前述者,光敏樹脂5將導引套筒41充分定位後,即可透過初步之光照固化,並如第10圖所示者,將光敏樹脂5連同引導套件4整體取出,再次經由充分的光照處理,使其可全面固化,而不再可受力塑形,而此時係需將定位軸42予以移除,故使用者可透過牙科高速手機搭配細長型鑽石磨針的幫助,以對所述定位元件415及連結部件424進行破壞,使解除定位軸42與導引套筒41間之定位關係,藉以利於將定位軸42整體移除,如第11圖所示,並據以形成植牙導板。
As mentioned above, after the
後續,即可如第12圖所示,將前述製成之植牙導板對應置於患者口腔對應於前述齒模2之位置上,此時之導引套筒41軸向所指向之位置,即為患者牙槽骨7於植牙時應對應鑽孔之位置,亦將等同於前述所規劃之植牙鑽孔路徑P,而後,如第13圖及第14圖所示者,即可透過適配於導引套筒41之手機6進行鑽孔,具體而言,手機6係設置有一導引臂61,該導引臂61末端設有一導座62,該導座62底端設有一鑽頭63,該導座62係對應於套接於該導引套筒41內,由於如前述者,該導引套筒41係略呈圓管狀設置,故導座62亦係呈對應之圓柱狀設
置,且可知悉者,導座62之外徑係對應於導引套筒41之內徑,使導座62僅可軸向的位移於導引套筒41,而對於導座62底部之限位,則係透過承接部413之設置,使其導引臂61底端係可對應靠置於承接部413,且該鑽頭63係可對應穿伸於該導引套筒41底部以進行對牙槽骨7進行鑽孔形成槽孔71;而該導引臂61係對應於該導槽412,藉使該手機6可透過該導引臂61通過該導槽412之導引而沿該導引套筒41之軸向方向位移;而導槽412橫向之寬度係可等於或略大於導引臂61之徑長,以利於醫師調整操作手機6進行鑽孔之手勢,並於導槽412寬度大於導引臂61之徑長時,可允許醫師可沿垂直於導引套筒41之旋轉方向上略微的轉動手機6,以提升醫師於施術鑽孔時之便利性,而由於其於前述旋轉方向上之旋轉時,導座62仍係對應的限位於導引套筒41內,故不會對鑽孔產生任何偏移之情事;而經施術鑽孔後,將如第15圖所示,此時即可予以將植牙導板移除,並可進行後續之植牙流程。
Subsequently, as shown in FIG. 12, the implant guide plate made above can be placed in the patient's oral cavity corresponding to the position of the
藉此,本發明透過將口腔斷層影像及三維口腔影像,依據牙齒型態資訊以對合形成口腔數位模型,使呈現該牙齒型態資訊、齒槽骨型態資訊及牙肉型態資訊之相對關係,藉可利於透過電腦或醫師以精確的分析及規劃植牙鑽孔路徑P,並藉由對應佈建鑽孔模板1,使對於齒模2之鑽孔可符合所規劃之植牙鑽孔路徑P,且再配合本發明一體式之引導套件4的設置,使可正確的安裝植牙引導套件4並據以製得植牙導板,並使後續之植牙手術時,令手機6可透過植牙引導套件4引導而可完全依據前述規劃之植牙鑽孔路徑P而對應的於患者牙床鑽孔,藉可提升植牙手術之精確性者。
In this way, the present invention forms a digital model of the oral cavity by combining oral tomographic images and three-dimensional oral images based on tooth type information, so as to present the relative information of the tooth type information, alveolar bone type information, and gum type information. relationship, it is also beneficial to accurately analyze and plan the implant drilling path P through the computer or the doctor, and by correspondingly deploying the
綜上所述,本發明所揭露之技術手段確能有效解決習知等問題,並達致預期之目的與功效,且申請前未見諸於刊物、未曾公開使用且具長遠進 步性,誠屬專利法所稱之發明無誤,爰依法提出申請,懇祈 鈞上惠予詳審並賜准發明專利,至感德馨。 In summary, the technical means disclosed in the present invention can effectively solve the conventional problems and achieve the expected purpose and effect, and it has not been published in publications before application, has not been publicly used, and has long-term progress I sincerely believe that the invention as called by the patent law is correct. I would like to file an application according to the law. I sincerely pray that Junshang Hui will give you a detailed review and grant the invention patent. I am very grateful to Dexin.
惟以上所述者,僅為本發明之數種較佳實施例,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書內容所作之等效變化與修飾,皆應仍屬本發明專利涵蓋之範圍內。 However, the above are only several preferred embodiments of the present invention, and should not limit the scope of the present invention, that is, all equivalent changes and modifications made according to the patent scope of the present invention and the content of the description of the invention are all Should still belong to the scope covered by the patent of the present invention.
S001-S005:步驟 S001-S005: Steps
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TW111126726A TWI809982B (en) | 2022-07-15 | 2022-07-15 | Construction of drilling template and its calibration method based on dental implant path planning, and configuration method of one-piece implant guide kit |
US18/056,849 US20230355357A1 (en) | 2022-05-05 | 2022-11-18 | One-piece dental implant guide pack based on photocuring molding |
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Citations (5)
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TW201034634A (en) * | 2009-03-19 | 2010-10-01 | Pou Yu Biotechnology Co Ltd | Production method of dental implant surgical guide |
WO2011059899A1 (en) * | 2009-11-11 | 2011-05-19 | Hdg Systems, Llc. | Surgical guides |
US20160045280A1 (en) * | 2012-07-27 | 2016-02-18 | Guided Surgery Solutions, Llc | Multi-layer surgical guide |
EP3518813B1 (en) * | 2016-09-27 | 2020-09-09 | Dentsply Implants NV | Force-closure or form-closure positioning of surgical templates for guided implant dentistry |
CN114028010A (en) * | 2021-09-17 | 2022-02-11 | 杭州数也医疗科技有限公司 | Method for manufacturing dental implant guide plate and guide plate manufactured by method |
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TW201034634A (en) * | 2009-03-19 | 2010-10-01 | Pou Yu Biotechnology Co Ltd | Production method of dental implant surgical guide |
WO2011059899A1 (en) * | 2009-11-11 | 2011-05-19 | Hdg Systems, Llc. | Surgical guides |
US20160045280A1 (en) * | 2012-07-27 | 2016-02-18 | Guided Surgery Solutions, Llc | Multi-layer surgical guide |
EP3518813B1 (en) * | 2016-09-27 | 2020-09-09 | Dentsply Implants NV | Force-closure or form-closure positioning of surgical templates for guided implant dentistry |
CN114028010A (en) * | 2021-09-17 | 2022-02-11 | 杭州数也医疗科技有限公司 | Method for manufacturing dental implant guide plate and guide plate manufactured by method |
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