TWM567081U - Dental implant positioning and guiding assembly - Google Patents

Dental implant positioning and guiding assembly Download PDF

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TWM567081U
TWM567081U TW107207733U TW107207733U TWM567081U TW M567081 U TWM567081 U TW M567081U TW 107207733 U TW107207733 U TW 107207733U TW 107207733 U TW107207733 U TW 107207733U TW M567081 U TWM567081 U TW M567081U
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Taiwan
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positioning
guiding
dental implant
engaging
guide assembly
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TW107207733U
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Chinese (zh)
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王鴻烈
戴俊
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四川鴻政博恩口腔科技有限公司
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Abstract

一種牙科植體定位導引組件,包含:一定位棒、一凸起定位元件、一內凹卡合元件、一連結元件與複數個導引元件。定位棒係用以插設於一預先在一患者之一口腔模型內所鑽出之鑽孔。凸起定位元件係開設有一對應定位棒之穿孔,用以套設於定位棒。內凹卡合元件係可定位性地組裝於凸起定位元件。連結元件係固接內凹卡合元件之一側,並具有一與該患者之一口腔輪廓相吻合之口腔接觸面,用以卡合該腔輪廓。導引元件中之任一者係可定位性地組裝於內凹卡合元件,且導引元件開設有一缺口,並在缺口處形成一曲型導引面,以導引手術執行者鑽設一植牙孔。 A dental implant positioning guide assembly comprises: a positioning rod, a convex positioning element, a concave engaging element, a connecting element and a plurality of guiding elements. The positioning rod is inserted into a bore drilled in advance in a dental model of one of the patients. The protruding positioning component defines a through hole corresponding to the positioning rod for being sleeved on the positioning rod. The female snap-fit element is positionally mountable to the raised positioning element. The connecting element is secured to one side of the female snap-fit element and has an oral contact surface that conforms to the oral contour of one of the patient for engaging the contour of the cavity. Any one of the guiding elements is positionally assembled to the concave engaging element, and the guiding element defines a notch, and a curved guiding surface is formed at the notch to guide the surgical performer to drill a Implants.

Description

牙科植體定位導引組件 Dental implant positioning guide assembly

本創作係有關於一種定位導引組件,尤其是指一種牙科植體定位導引組件。 The present invention relates to a positioning guide assembly, and more particularly to a dental implant positioning guide assembly.

植牙手術是一種以植入骨組織內的植體下半部結構為基礎來支撐與固位植體上半部的缺牙修復方式。由於植牙技術的植體的功能、結構、美觀效果與天然牙十分相似,故植牙手術已成為越來越多缺牙患者的首選修復方式。在植入植體之前,牙科醫師需要通過植牙手術在一齒槽骨上鑽開一用以容納植體的植牙孔。牙醫師需要由小到大使用擴孔鑽來慢慢備製植牙孔,稍有偏差都會導致植牙手術的失敗而達不到預期的修復效果。位置、角度與深度錯誤的植牙孔都會傷害到鄰牙、神經、上顎竇等潛在危險區,也會增加植體周圍邊緣骨吸收、牙齦乳頭消失、植體周圍黏膜萎縮與植牙手術失敗的機率。 Dental implant surgery is a method of repairing the missing teeth based on the lower half of the implant implanted in the bone tissue to support and fix the upper part of the implant. Since the function, structure and aesthetic effect of implants are very similar to those of natural teeth, dental implant surgery has become the preferred method of repair for more and more patients with missing teeth. Before implanting the implant, the dentist needs to drill a dental implant hole in the alveolar bone to accommodate the implant by implant surgery. The dentist needs to use a reamer from small to large to slowly prepare the implant hole. A slight deviation will lead to the failure of the implant surgery and the expected repair effect. Implantation holes with incorrect position, angle and depth will damage potential danger areas such as adjacent teeth, nerves, and superior sinus. It will also increase bone resorption around the implant, disappearance of gingival papilla, mucosal atrophy around the implant, and failure of implant surgery. Probability.

植牙手術的傳統方法是牙醫師透過口腔X光片顯示的植牙區域周圍骨頭關係來分析並制定方案,牙醫師只能間接透過二維圖像來推測三維解剖結構關係,在實際臨床手術時,所有的操作只能靠牙醫師的經驗進行,原先制定的方案不一定能精確的實施。雖然 目前也出現數位化植牙導板技術,即利用電腦對頷骨進行形態學方面的觀察、測量與兼顧後期修復等諸多因素進行綜合考慮,生成三維導板模型文件進行全口掃描3D列印,但是設計、列印製作週期長、單顆缺牙和多顆缺牙皆需要列印全口掃描的導板、成本昂貴與等待時間過長等問題,導致患者往往無法接受,在臨床推廣使用上有一定的難度。由於設計軟體培訓週期較長、對口腔醫療機構的硬體設備要求較高,基本上需要送到外部加工單位製造生產,無法在牙醫診所直接進行,故在臨床使用時,牙醫師需要修改、調整方案與外部加工單位溝通極不便利。 The traditional method of implant surgery is to analyze and formulate the relationship between the bones around the implanted area displayed by the dental X-ray film. The dentist can only infer the three-dimensional anatomical relationship through the two-dimensional image in the actual clinical operation. All operations can only be carried out by the experience of the dentist. The original plan may not be implemented accurately. although At present, there is also a digital dental implant guide technology, which uses a computer to observe and measure the humerus in terms of morphology, and take into account the post-repair and other factors to generate a three-dimensional guide plate model file for full-port scanning 3D printing. However, the design, long print cycle, single missing teeth and multiple missing teeth need to print the full-scan scanning guide, which is expensive and the waiting time is too long, which makes the patient often unacceptable. There are certain difficulties. Due to the long training period of the design software and the high requirements for the hardware equipment of the oral medical institution, it is basically required to be sent to an external processing unit for manufacturing and cannot be directly carried out in the dental clinic. Therefore, the dentist needs to modify and adjust it during clinical use. It is extremely inconvenient to communicate with the external processing unit.

此外,華人張口度普遍偏小,使用上述全口掃描的數位化3D列印導板存在著在患者口內操作空間較小的問題,尤其是後牙區域更是難以植入,大幅的增加了植牙手術的難度。根據植牙手術領域現有文獻可知,理想的植體植入位置(植牙孔位置)是位於距離頰側至少2毫米、距離牙頸部(Cemento-enamel junction;CEJ)頂端1至3毫米與距離鄰牙至少1.5至2毫米,三個維度的植牙孔位置(頰舌側、近遠心、頂端冠狀面)對於植體植入的成功機率和美學至關重要。 In addition, the Chinese mouth is generally too small, and the digitalized 3D printing guide using the above-mentioned full-mouth scanning has a problem of small operation space in the patient's mouth, especially the posterior region is more difficult to implant, and the number is greatly increased. The difficulty of implant surgery. According to the existing literature in the field of implant surgery, the ideal implant placement position (the position of the implant hole) is located at least 2 mm from the buccal side and 1 to 3 mm from the tip of the neck (Cemento-enamel junction; CEJ). The adjacent teeth are at least 1.5 to 2 mm, and the three-dimensional implant hole position (buccal lingual, near telecentric, apical coronal) is critical for the success and aesthetics of implant implantation.

而且,先前技術中,全口掃描的導板包含用以導引牙醫師的導引孔,需在3D列印時一併完成,因此將依據每一位患者的需求客制化不同的導板,列印出來的導引孔也無法進行替換,故無法大量製造通用的規格,造成牙醫師在使用上的不便利性。也因為客制化的 關係,會有成本過高的問題。 Moreover, in the prior art, the full-scan scanning guide plate includes a guiding hole for guiding the dentist, which needs to be completed in 3D printing, so different guiding plates will be customized according to the needs of each patient. The printed guide holes cannot be replaced, so that it is impossible to manufacture a general-purpose specification in a large amount, which is inconvenient for the dentist to use. Also because of customization Relationships have problems with excessive costs.

綜上所述,先前技術存在的問題是:目前植牙手術存在植入精度較低、難以在牙科椅旁快速全部完成製作的問題,而全口掃描的數位化3D列印導板又存在單顆缺牙和多顆缺牙均需要列印全副導板、無法大量製造通用的規格、成本高昂與等待時間過長等問題。 In summary, the problem with the prior art is that the current dental implant surgery has the problem of low implant precision and difficulty in completing the production quickly by the dental chair, and the digital scanning 3D printing guide of the full-mouth scanning has a single Both missing teeth and multiple missing teeth require printing full guides, large-scale manufacturing of general specifications, high cost, and long waiting times.

有鑒於在先前技術中,植牙手術存在植入精度較低、無法在牙科椅旁快速全部完成製作的問題,而全口掃描的數位化3D列印導板又存在著單顆缺牙和多顆缺牙均需要列印全副導板、需要客制化無法大量製造通用的規格、成本高昂與等待時間過長等問題。本創作之一主要目的係提供一種牙科植體定位導引組件。 In view of the prior art, the dental implant surgery has the problem of low implant precision and can not be completed completely by the dental chair, and the digital scanning 3D printing guide of the full-mouth scanning has a single missing tooth and more All the missing teeth need to print the full guide, need to be customized, can not be manufactured in large quantities, the cost is high, and the waiting time is too long. One of the main purposes of this creation is to provide a dental implant positioning guide assembly.

本創作為解決先前技術之問題,所採用之必要技術手段為提供一種牙科植體定位導引組件,係用以供一手術執行者在一患者之一口腔內之一齒槽骨鑽設至少一植牙孔,並包含一定位棒、一凸起定位元件、一內凹卡合元件、一連結元件與複數個導引元件。 The present invention is directed to solving the problems of the prior art, and the necessary technical means is to provide a dental implant positioning guide assembly for a surgeon to drill at least one of the alveolar bones in one of the patients' mouths. The dental implant has a positioning rod, a convex positioning element, a concave engaging element, a connecting element and a plurality of guiding elements.

定位棒係用以插設於一預先在該患者之一口腔模型內所鑽出之鑽孔。凸起定位元件係開設有一對應定位棒之穿孔,用以套設於定位棒。內凹卡合元件係可定位性地組裝於凸起定位元件。連結元件係固接內凹卡合元件之一側,並具有一與該患者之一口腔輪廓相吻合之口腔接觸面,用以卡合口腔輪廓。導引元件之任 一者係可定位性地組裝於內凹卡合元件,且每一導引元件開設有一缺口,並在缺口處形成一曲型導引面,以供手術執行者受曲型導引面所導引而鑽設至少一植牙孔。 The positioning rod is inserted into a bore drilled in advance in an oral cavity model of the patient. The protruding positioning component defines a through hole corresponding to the positioning rod for being sleeved on the positioning rod. The female snap-fit element is positionally mountable to the raised positioning element. The attachment element is secured to one side of the concave engagement element and has an oral contact surface that conforms to the oral contour of one of the patient for engaging the oral contour. Guide element One is positionally assembled to the concave engaging element, and each guiding element has a notch formed therein, and a curved guiding surface is formed at the notch for guiding the operator to the curved guiding surface. At least one implant hole is drilled.

其中,在內凹卡合元件可定位性地組裝於凸起定位元件後,手術執行者係將連結元件固接內凹卡合元件,並將凸起定位元件與定位棒置換成導引元件中之一者,最後將連結元件、內凹卡合元件與導引元件中之該者放入患者之口腔內,並藉由連結元件卡合口腔輪廓以導引鑽設至少一植牙孔。 Wherein, after the inner concave engaging element is positionally assembled to the convex positioning component, the surgical performer fixes the connecting component to the concave engaging component, and replaces the protruding positioning component and the positioning rod into the guiding component. In one case, the connecting element, the concave engaging element and the guiding element are finally placed in the oral cavity of the patient, and the oral contour is engaged by the connecting element to guide the drilling of at least one implant hole.

在上述必要技術手段的基礎下,本創作所衍生之一附屬技術手段為使牙科植體定位導引組件中之定位棒,係具有一上半部與一下半部,上半部係一梯形圓柱,下半部係一圓柱,上半部係比下半部粗,上半部係一上細下粗的梯形圓柱,上半部的橫截面係一圓形且縱截面係一梯形。 Based on the above-mentioned necessary technical means, one of the subsidiary technical means derived from the present invention is to position the rod in the dental implant positioning guide assembly, which has an upper half and a lower half, and the upper half is a trapezoidal cylinder. The lower half is a cylinder, the upper half is thicker than the lower half, and the upper half is a thick and thin trapezoidal cylinder. The upper half has a circular cross section and a longitudinal section with a trapezoidal shape.

在上述必要技術手段的基礎下,本創作所衍生之一附屬技術手段為使牙科植體定位導引組件中之凸起定位元件,其兩側各具有一卡合凹槽。 On the basis of the above-mentioned necessary technical means, one of the subsidiary technical means derived from the present invention is to make the convex positioning component in the dental implant positioning guide assembly have an engaging groove on each side thereof.

在上述必要技術手段的基礎下,本創作所衍生之一附屬技術手段為使牙科植體定位導引組件中之內凹卡合元件,其相對於連結元件之一側係具有二卡合凸塊,上述二卡合凸塊係用以固接凸起定位元件之卡合凹槽。 On the basis of the above-mentioned necessary technical means, one of the subsidiary technical means derived from the present invention is to position the concave engaging element in the dental implant positioning guide assembly, which has two engaging projections on one side of the connecting element. The two engaging protrusions are used for fixing the engaging grooves of the protruding positioning elements.

在上述必要技術手段的基礎下,本創作所衍生之一附屬技術手段為使牙科植體定位導引組件中之 導引元件的兩側,係各具有一組裝凹槽,且組裝凹槽係用以可定位性地組裝於內凹卡合元件之二卡合凸塊。 Based on the above-mentioned necessary technical means, one of the subsidiary technical means derived from the creation is to locate the dental implant positioning guide assembly. The two sides of the guiding element each have an assembly groove, and the assembly groove is configured to be positionally assembled to the two engaging protrusions of the concave engaging element.

在上述必要技術手段的基礎下,本創作所衍生之一附屬技術手段為使牙科植體定位導引組件中之導引元件,為四個上述之導引元件,且該四個上述之導引元件之曲型導引面之曲率半徑分別為2.2毫米、2.8毫米、3.5毫米與4.2毫米。 On the basis of the above-mentioned necessary technical means, one of the auxiliary technical means derived from the present invention is to guide the guiding elements in the dental implant positioning guide assembly into four guiding elements, and the four guiding guides mentioned above The curved radius of the curved guiding surface of the element is 2.2 mm, 2.8 mm, 3.5 mm and 4.2 mm, respectively.

在上述必要技術手段的基礎下,本創作所衍生之一附屬技術手段為使牙科植體定位導引組件中之連結元件,係由一光固化材質所組成,並利用光固化方式固接內凹卡合元件。 On the basis of the above-mentioned necessary technical means, one of the subsidiary technical means derived from the present invention is to make the connecting component in the dental implant positioning guiding component, which is composed of a light curing material, and is fixed by a light curing method. Engagement component.

在上述必要技術手段的基礎下,本創作所衍生之一附屬技術手段為使牙科植體定位導引組件中之連結元件與內凹卡合元件,係利用3D列印方式而使彼此一體化地成型。 On the basis of the above-mentioned necessary technical means, one of the auxiliary technical means derived from the present invention is to make the connecting element and the concave engaging element in the dental implant positioning guide assembly be integrated with each other by means of 3D printing. forming.

在上述必要技術手段的基礎下,本創作所衍生之一附屬技術手段為使牙科植體定位導引組件中之連結元件,係利用熱熔方式固接內凹卡合元件。 Based on the above-mentioned necessary technical means, an auxiliary technical means derived from the present invention is to fix the connecting elements in the dental implant positioning guide assembly by means of hot-melt fixing of the concave engaging elements.

在上述必要技術手段的基礎下,本創作所衍生之一附屬技術手段為使牙科植體定位導引組件中之連結元件,係卡接內凹卡合元件。 On the basis of the above-mentioned necessary technical means, one of the subsidiary technical means derived from the present invention is to engage the concave engaging elements in the dental implant positioning guide assembly.

在上述必要技術手段的基礎下,本創作所衍生之一附屬技術手段為使牙科植體定位導引組件中之定位棒、凸起定位元件、內凹卡合元件、連結元件與導引元件,皆係利用3D列印方式製作。 Based on the above-mentioned necessary technical means, one of the auxiliary technical means derived from the present invention is to position the positioning rod, the convex positioning element, the concave engaging element, the connecting element and the guiding element in the dental implant positioning guiding assembly. They are all produced by 3D printing.

在上述必要技術手段的基礎下,本創作所衍生之一附屬技術手段為使牙科植體定位導引組件中之定位棒、凸起定位元件、內凹卡合元件、連結元件與導引元件,皆係利用陶模鑄造製作。 Based on the above-mentioned necessary technical means, one of the auxiliary technical means derived from the present invention is to position the positioning rod, the convex positioning element, the concave engaging element, the connecting element and the guiding element in the dental implant positioning guiding assembly. They are all made by pottery casting.

承上所述,本創作所提供之牙科植體定位導引組件可以提供牙醫師完整的植牙手術術前訊息,包括頰舌側、近遠心、方向與角度等,以及在牙科椅旁即可完成設計製作植牙導引板的解決方案。牙醫師獲得最佳植牙孔位置從而降低未來可能發生的植牙併發症機率,大幅地提升了臨床實際操作的靈活性且成本經濟實惠。同時制定一個明確的植牙孔定位點原則和規範,最終獲得理想的植牙孔位置和植入角度,從而減少手術創傷、縮短手術時間與減少臨床植牙失敗率以及植牙併發症的機率。 As mentioned above, the dental implant positioning guide provided by the creation can provide the dentist with a complete pre-operative information on the dental implant, including the buccal and lingual side, the near telecentricity, the direction and the angle, and the dental chair. Completed the solution for designing and implanting dental implant guides. The dentist gets the best position of the implant to reduce the chance of implant complications in the future, greatly improving the flexibility of clinical practice and cost-effective. At the same time, a clear principle and specification of the dental implant positioning point is established, and the ideal position and implantation angle of the dental implant hole are finally obtained, thereby reducing the surgical trauma, shortening the operation time, reducing the clinical dental implant failure rate and the probability of dental implant complications.

本創作所提供之牙科植體定位導引組件的定位醒目、容易分辨、定位更精確,三個相互連接的元件插拔和固定非常便捷,且可靈活地調整位置和角度。導引元件的設計既符合植牙鑽的半徑大小具有導引功能,又可使植牙鑽可從側邊放入,因此,患者的嘴巴不用張很大,可舒緩先前技術中患者需將嘴巴張很大的不適感。導引元件在精準確定植體的植入位置(植牙孔)的同時也簡化了原本複雜的植牙導引板製作程序,提高了工作效率,讓植體植入的位置定點、定深與定向,提高植牙手術的成功率,亦大幅地節省牙醫師進行手術的時間。 The positioning of the dental implant positioning guide assembly provided by the present invention is conspicuous, easy to distinguish, and more precise in positioning. The three interconnected components are easy to insert and fix, and the position and angle can be flexibly adjusted. The guiding element is designed to have a guiding function in accordance with the radius of the dental drill, and the dental implant can be placed from the side. Therefore, the patient's mouth does not need to be large, which can relieve the patient's mouth in the prior art. A lot of discomfort. The guiding component accurately simplifies the implantation position (implantation hole) of the implant, and also simplifies the original complicated dental implant guide plate making process, improves the work efficiency, and allows the position of the implant to be fixed and fixed. Orientation, improve the success rate of implant surgery, and also greatly save the time for the dentist to perform surgery.

內凹卡合元件和凸起定位元件、定位棒係一一可定位性地組接,內凹卡合元件亦與導引元件可定位性地組接,且拆卸方便,可以在患者口內隨意拆卸元件。採用不同曲型導引面之曲率半徑的導引元件,並且跟內凹卡合元件係可選擇性地可定位性地組裝,不需要反覆地自患者口內取下植牙導引板就可以非常方便地替換導引元件,相較於先前技術的牙科椅旁植牙導引板都是固定的,需要從患者口內反覆地取下植牙導引板、拆卸卡環內部的半圓片來更換卡環的半徑,本創作可以節約手術時間,且更方便牙醫師操作。 The concave engaging element and the protruding positioning element and the positioning rod are assembled in a positional manner, and the concave engaging element is also positionably connected with the guiding element, and is convenient to be disassembled, and can be randomly placed in the patient's mouth. Remove the components. The guiding element adopting the curvature radius of the different curved guiding surface, and the concave engaging element can be selectively positionably assembled, and the dental implant guiding plate can be removed from the patient mouth without repeated It is very convenient to replace the guiding element, which is fixed compared to the prior art dental chair side dental guide plate. It is necessary to repeatedly remove the dental implant guiding plate from the patient's mouth and remove the semi-circular piece inside the snap ring. By changing the radius of the snap ring, this creation can save the operation time and is more convenient for the dentist to operate.

100‧‧‧牙科植體定位導引組件 100‧‧‧ Dental implant positioning guide assembly

1‧‧‧定位棒 1‧‧‧Locating rod

11‧‧‧上半部 11‧‧‧ upper half

12‧‧‧下半部 12‧‧‧ Lower half

2‧‧‧凸起定位元件 2‧‧‧Bumping positioning elements

21‧‧‧穿孔 21‧‧‧Perforation

22‧‧‧卡合凹槽 22‧‧‧ engaging groove

23‧‧‧卡合連結臂 23‧‧‧Clamping link arm

3‧‧‧內凹卡合元件 3‧‧‧Inner recessed components

31‧‧‧卡合凸塊 31‧‧‧Clamping bumps

4、4a‧‧‧連結元件 4, 4a‧‧‧ linkage components

5、5a、5b、5c‧‧‧導引元件 5, 5a, 5b, 5c‧‧‧ guiding elements

51‧‧‧曲型導引面 51‧‧‧ Curved guide surface

52‧‧‧組裝凹槽 52‧‧‧Assembling the groove

53‧‧‧組裝連結臂 53‧‧‧Assembled link arm

6‧‧‧口腔模型 6‧‧‧ oral model

6a‧‧‧口腔 6a‧‧‧ oral

61、61a‧‧‧齒槽骨 61, 61a‧‧‧ alveolar bone

611‧‧‧鑽孔 611‧‧‧Drilling

62、62a‧‧‧牙齒 62, 62a‧‧‧ teeth

7‧‧‧牙科液體膠 7‧‧‧Dental liquid glue

C1‧‧‧逆時鐘方向 C1‧‧‧Counterclock direction

C2‧‧‧順時鐘方向 C2‧‧‧ clockwise direction

D1、D2‧‧‧參考距離 D1, D2‧‧‧ reference distance

G‧‧‧缺口 G‧‧‧ gap

NA、NAa‧‧‧缺牙區域 NA, NAa‧‧‧ missing areas

R‧‧‧曲率直徑 R‧‧‧ curvature diameter

X1、X2、X3、X4、X5、X6‧‧‧參考軸 X1, X2, X3, X4, X5, X6‧‧‧ reference axes

第一圖係顯示本創作較佳實施例所提供之牙科植體定位導引組件之立體示意圖;第二圖係顯示本創作較佳實施例所提供之牙科植體定位導引組件之定位棒與凸起定位元件之組裝示意圖;第三圖係顯示第二圖之A-A剖面圖;第四圖係顯示本創作較佳實施例所提供之牙科植體定位導引組件之凸起定位元件與導引元件之俯視圖;以及第五圖至第五F圖係顯示本創作較佳實施例之使用狀態圖。 The first figure shows a perspective view of the dental implant positioning guide assembly provided by the preferred embodiment of the present invention; the second figure shows the positioning rod of the dental implant positioning guide assembly provided by the preferred embodiment of the present invention. A schematic view of the assembly of the raised positioning elements; the third drawing shows the AA cross-sectional view of the second drawing; and the fourth figure shows the convex positioning elements and guiding of the dental implant positioning guiding assembly provided by the preferred embodiment of the present invention. A top view of the components; and fifth through fifth F shows a state of use of the preferred embodiment of the present invention.

請參閱第一圖至第三圖,其中,第一圖係 顯示本創作較佳實施例所提供之牙科植體定位導引組件之立體示意圖;第二圖係顯示本創作較佳實施例所提供之牙科植體定位導引組件之定位棒與凸起定位元件之組裝示意圖;以及,第三圖係顯示第二圖之A-A剖面圖。如圖所示,一種牙科植體定位導引組件100,包含一定位棒1、一凸起定位元件2、一內凹卡合元件3、一連結元件4與四個導引元件5、5a、5b與5c,在本實施例中,定位棒1、凸起定位元件2、內凹卡合元件3、導引元件5、5a、5b與5c皆為3D列印方式製作而成,但不以此為限,也可採用陶模鑄造方式製作而成。 Please refer to the first to third figures, wherein the first picture is A perspective view of a dental implant positioning guide assembly provided by the preferred embodiment of the present invention is shown; the second figure shows the positioning rod and the convex positioning member of the dental implant positioning guide assembly provided by the preferred embodiment of the present invention. A schematic view of the assembly; and, in the third diagram, a cross-sectional view of the AA of the second figure. As shown, a dental implant positioning guide assembly 100 includes a positioning rod 1, a raised positioning element 2, a concave engaging element 3, a connecting element 4 and four guiding elements 5, 5a, 5b and 5c, in this embodiment, the positioning rod 1, the convex positioning element 2, the concave engaging element 3, the guiding elements 5, 5a, 5b and 5c are all made by 3D printing, but not This is limited to, and can also be made by ceramic casting.

定位棒1係具有一上半部11和一下半部12,上半部11是一個梯形圓柱,下半部12是一個圓柱,上半部11整體較下半部12粗。更精確的說,上半部11是一個上細下粗的梯形圓柱,且上半部11的橫截面是一個圓形,縱截面則是一個梯形,而橫截面的圓形係由上至下依序變大。 The positioning bar 1 has an upper half 11 and a lower half 12, the upper half 11 is a trapezoidal cylinder, the lower half 12 is a cylinder, and the upper half 11 is thicker overall than the lower half 12. More precisely, the upper half 11 is a trapezoidal cylinder which is thick and thick, and the upper half 11 has a circular cross section, the longitudinal section is a trapezoid, and the cross section is circular from top to bottom. It grows bigger in order.

凸起定位元件2開設有一穿孔21,穿孔21與定位棒1的上半部11相符合,使得凸起定位元件2可拆卸地套設於定位棒1。此外,凸起定位元件2更開設有複數個卡合凹槽22(圖式僅標示其中一者),用以與內凹卡合元件3相互連結。在本實施例中,卡合凹槽22的數量為兩個,分別開設於凸起定位元件2的兩側。因為定位棒1的上半部11為梯形圓柱的關係,凸起定位元件2套設於定位棒1後,可供一手術執行者(牙醫師)以一參考軸X1為軸心,沿一逆時鐘方向C1或沿一順時鐘方向C2旋 轉,其中,參考軸X1係上半部11每一個橫截面的圓心的連線延伸,故可同時穿過上半部11的中心位置與穿孔21的中心位置。 The raised positioning element 2 defines a perforation 21 which conforms to the upper half 11 of the positioning rod 1 such that the raised positioning element 2 is detachably sleeved on the positioning rod 1. In addition, the protruding positioning member 2 is further provided with a plurality of engaging recesses 22 (only one of which is shown) for mutually coupling with the female engaging elements 3. In this embodiment, the number of the engaging recesses 22 is two, which are respectively opened on both sides of the protruding positioning component 2. Because the upper half 11 of the positioning rod 1 is in the shape of a trapezoidal cylinder, the convex positioning element 2 is sleeved on the positioning rod 1 for a surgical performer (dentist) to take a reference axis X1 as an axis, along an inverse Clock direction C1 or a clockwise C2 Turning, wherein the reference axis X1 extends over the line connecting the center of each cross section of the upper half 11, so that the center position of the upper half 11 and the center position of the through hole 21 can be simultaneously passed.

內凹卡合元件3,係具有二卡合凸塊31(圖式僅標示其中一者),並利用卡合凸塊31可定位性地組裝於凸起定位元件2的卡合凹槽22,因卡合凸塊31與卡合凹槽22為凹凸緊密組裝配合,故內凹卡合元件3可定位性地組裝於凸起定位元件2後,兩者的位置關係不會產生相對移動,可確保定位的精準性。內凹卡合元件3相對於凸起定位元件2的另一側係用以固接連結元件4,當連結元件4與凸起定位元件2形成固接狀態後,連結元件4與凸起定位元件2兩者的位置關係亦不會產生相對移動,可確保定位的精準性。 The inner engaging member 3 has two engaging projections 31 (only one of which is shown), and is assembled to the engaging recess 22 of the protruding positioning member 2 by the engaging projection 31. Since the engaging protrusion 31 and the engaging recess 22 are tightly assembled and fitted with the concave and convex portions, the concave engaging element 3 can be positioned and assembled to the protruding positioning element 2, and the positional relationship between the two does not cause relative movement. Ensure the accuracy of positioning. The other side of the concave engaging element 3 with respect to the convex positioning element 2 is used to fix the connecting element 4. When the connecting element 4 and the protruding positioning element 2 are in a fixed state, the connecting element 4 and the protruding positioning element 2 The positional relationship between the two will not cause relative movement, which ensures the accuracy of positioning.

在本實施例中,連結元件4係一光敏樹脂,但不以此為限。光敏樹脂由光敏預聚體、活性稀釋劑與光敏劑組成,一般狀態下光敏樹脂具可塑性,在經由特定波長的紫外光(250nm至380nm)照射下,會引起聚合反應變成固體完成固化。在其他實施例中,連結元件4也可以不採用光敏樹脂,可利用熱熔方式固接內凹卡合元件3、也可以利用組裝的方式卡接內凹卡合元件3。更佳者,連結元件4與內凹卡合元件3係利用3D列印的方式,而使彼此一體化地成型。 In this embodiment, the connecting member 4 is a photosensitive resin, but is not limited thereto. The photosensitive resin is composed of a photosensitive prepolymer, a reactive diluent and a photosensitizer. In general, the photosensitive resin has plasticity, and when irradiated by ultraviolet light of a specific wavelength (250 nm to 380 nm), polymerization reaction becomes solid to complete curing. In other embodiments, the connecting member 4 may not be made of a photosensitive resin, and the concave engaging element 3 may be fixed by hot melt, or the inner engaging element 3 may be engaged by assembly. More preferably, the connecting member 4 and the concave engaging member 3 are integrally molded with each other by means of 3D printing.

導引元件5、5a、5b與5c的差異在於曲率半徑的不同,以下以導引元件5舉例說明:導引元件5係開設有一缺口G(標示於第四圖),並在缺口G處形成一 曲型導引面51,並在兩側各開設有一個組裝凹槽52(圖式僅標示其中一者),曲型導引面51具有一曲率直徑R,而曲率半徑為2.2毫米即為曲率直徑R的一半,曲率半徑係和至少一植牙鑽的鑽頭曲率半徑相符合,因此,手術執行者可將植牙鑽抵靠曲型導引面51,並藉由曲型導引面51導引鑽設出一植牙孔,而組裝凹槽52的目的為在手術實際操作過程中導引元件5可替換凸起定位元件2且可定位性地組裝於內凹卡合元件3。 The difference between the guiding elements 5, 5a, 5b and 5c is the difference in the radius of curvature. The following is exemplified by the guiding element 5: the guiding element 5 is provided with a notch G (indicated in the fourth figure) and formed at the notch G. One The curved guiding surface 51 is provided with an assembly groove 52 (only one of which is shown) on both sides, the curved guiding surface 51 has a curvature diameter R, and the curvature radius is 2.2 mm, which is the curvature. Half of the diameter R, the radius of curvature is consistent with the radius of curvature of the drill bit of at least one implant, so that the surgeon can push the implant drill against the curved guide surface 51 and guide it by the curved guide surface 51. The boring is provided with an implant hole, and the purpose of assembling the groove 52 is that the guiding member 5 can replace the convex positioning member 2 and can be positioned and assembled to the concave engaging member 3 during the actual operation of the operation.

同理,其餘導引元件5a、5b與5c亦各具有一曲率直徑與一曲型導引面,且兩側各開設有一個組裝凹槽,需要額外說明的是,導引元件5a的曲率半徑為2.8毫米、導引元件5b的曲率半徑為3.5毫米以及導引元件5c的曲率半徑為4.2毫米。但不以此為限,手術執行者或是製造商可依據患者的統計數據作修改,看是否有需要開設其他更適合的規格。 Similarly, the remaining guiding elements 5a, 5b and 5c each have a curvature diameter and a curved guiding surface, and an assembly groove is formed on each side, and the radius of curvature of the guiding element 5a needs to be additionally described. It is 2.8 mm, the radius of curvature of the guiding member 5b is 3.5 mm, and the radius of curvature of the guiding member 5c is 4.2 mm. However, it is not limited to this. The surgeon or manufacturer can make changes based on the patient's statistics to see if there is a need to open other more suitable specifications.

請參閱第四圖,第四圖係顯示本創作較佳實施例所提供之牙科植體定位導引組件之凸起定位元件與導引元件之俯視圖。如圖所示,凸起定位元件2具有穿孔21、二卡合凹槽22與一參考距離D1,導引元件5具有缺口G、曲型導引面51、二組裝凹槽52與一參考距離D2。 Please refer to the fourth figure, which is a top view showing the convex positioning element and the guiding element of the dental implant positioning guide assembly provided by the preferred embodiment of the present invention. As shown, the protruding positioning member 2 has a through hole 21, two engaging grooves 22 and a reference distance D1, and the guiding member 5 has a notch G, a curved guiding surface 51, a second assembling groove 52 and a reference distance. D2.

參考軸X1係通過穿孔21的中心位置,並定義一參考軸X2與一參考軸X3分別通過二卡合凹槽22的圓心,參考軸X1、X2與X3係相互平行,而參考距離D1則為參考軸X1到二卡合凹槽22的圓心連線的距離。同理;參考軸X4係通過曲型導引面51的曲率中心位置,並 定義一參考軸X5與一參考軸X6分別通過二組裝凹槽52的圓心,參考軸X4、X5與X6係相互平行,而參考距離D2則為參考軸X4到二組裝凹槽22的圓心連線的距離。其中,參考距離D1係與參考距離D2相等。而導引元件5a、5b與5c亦分別具有與上述參考距離D1與D2相等之參考距離。 The reference axis X1 passes through the center position of the through hole 21, and defines a reference axis X2 and a reference axis X3 respectively passing through the center of the two engaging grooves 22, and the reference axes X1, X2 and X3 are parallel to each other, and the reference distance D1 is The distance from the center line of the reference axis X1 to the second engaging groove 22 is determined. Similarly, the reference axis X4 passes through the center of curvature of the curved guiding surface 51, and A reference axis X5 and a reference axis X6 are respectively defined by the center of the second assembly groove 52, the reference axes X4, X5 and X6 are parallel to each other, and the reference distance D2 is the center line of the reference axis X4 to the second assembly groove 22. the distance. Wherein, the reference distance D1 is equal to the reference distance D2. The guiding elements 5a, 5b and 5c also have reference distances equal to the reference distances D1 and D2, respectively.

此外,凸起定位元件2更具有一卡合連結臂23,而導引元件5更具有一組裝連結臂53。卡合連結臂23係指參考軸X2與X3連線以上的部分,而組裝連結臂53係指參考軸X5與X6連線以上的部分。卡合連結臂23的好處在於當手術執行者要將凸起定位元件2連結至內凹卡合元件3或自內凹卡合元件3拆卸時,手術執行者的手握住凸起定位元件2的位置與凸起定位元件2及內凹卡合元件3的相連結處(即卡合凹槽22與卡合凸塊31相連結處)會形成一力臂,施力點為手術執行者的手握住凸起定位元件2的位置,支點為凸起定位元件2與內凹卡合元件3的相連結處。藉由手術執行者的施力產生一力矩,會使得手術執行者,相較於沒有卡合連結臂23的情況下,較容易將凸起定位元件2連結至內凹卡合元件3或自內凹卡合元件3拆卸。同理,組裝連結臂53亦可以使手術執行者較容易將導引元件5組裝於內凹卡合元件3或將導引元件5自內凹卡合元件3拆卸。 Furthermore, the raised positioning element 2 has a snap-fit coupling arm 23, and the guide element 5 has an assembly link arm 53. The engagement link arm 23 refers to a portion in which the reference axis X2 is connected to X3 or more, and the assembly link arm 53 refers to a portion in which the reference axis X5 and X6 are connected or more. The advantage of the snap-fit link 23 is that when the surgeon is to attach or detach the raised positioning element 2 to or from the female snap-fit element 3, the surgical practitioner's hand holds the raised positioning element 2 The position of the joint between the position of the convex positioning element 2 and the concave engaging element 3 (ie, the engagement groove 22 and the engaging protrusion 31) forms a force arm, and the point of application is the operation of the surgeon. The position of the raised positioning element 2 is held by the hand, the fulcrum being the junction of the raised positioning element 2 and the concave engaging element 3. Producing a moment by the force applied by the surgeon will make it easier for the surgeon to connect the raised positioning element 2 to the concave engaging element 3 or the inner portion than without the engaging connecting arm 23. The recessed snap element 3 is removed. Similarly, assembling the attachment arm 53 also makes it easier for the surgeon to assemble the guide element 5 to the inner engagement element 3 or to detach the guide element 5 from the inner engagement element 3.

請一併參閱第一圖、第五圖至第五F圖,第五圖至第五F圖係顯示本創作較佳實施例之使用狀態圖。如圖所示,係預先拍攝一患者之口腔全景片與根尖 片(Periapical Film),並製作患者之一口腔模型6,口腔模型6包含一齒槽骨61與複數個牙齒62(圖式僅標示其中一者),並具有一缺牙區域NA,一手術執行者係預先在缺牙區域NA鑽設一鑽孔611。在本實施例中,缺牙區域NA係缺少一顆牙齒62故僅需鑽設一鑽孔611,若缺牙區域NA係缺少多顆牙齒62就需要鑽設相對應的多個鑽孔611。鑽孔611是依據距離頰側至少2毫米、距離牙頸部(CEJ)頂端1至3毫米與距離鄰牙至少1.5至2毫米的規則,在口腔模型6上確定並且標記好最佳位置。而適當的植入設計位置係在頰側骨內至少2毫米、距離鄰牙至少1.5至2毫米(距離相鄰植體3毫米)。此外,鑽孔611的孔徑大小係參照定位棒1之下半部11的孔徑大小,在本實施例中,手術執行者係利用8號圓鑽鑽設鑽孔611。 Please refer to the first figure, the fifth figure to the fifth F picture together, and the fifth to fifth F pictures show the use state diagram of the preferred embodiment of the present invention. As shown in the figure, a patient's oral panorama and apex are pre-photographed. Periapical Film, and one of the patient's oral models 6 is formed. The oral cavity model 6 includes a alveolar bone 61 and a plurality of teeth 62 (only one of which is indicated in the figure), and has a missing area NA, a surgical operation A hole 611 is drilled in advance in the missing tooth area NA. In the present embodiment, the missing tooth region NA lacks one tooth 62, so only one drill hole 611 needs to be drilled. If the missing tooth region NA system lacks a plurality of teeth 62, it is necessary to drill a corresponding plurality of drill holes 611. The bore 611 is defined and marked on the oral model 6 based on a rule of at least 2 mm from the buccal side, 1 to 3 mm from the tip of the neck (CEJ) and at least 1.5 to 2 mm from the adjacent tooth. A suitable implant design position is at least 2 mm in the buccal bone and at least 1.5 to 2 mm from the adjacent tooth (3 mm from the adjacent implant). Further, the aperture size of the bore 611 is referred to the aperture size of the lower half 11 of the positioning rod 1, and in the present embodiment, the surgeon performs the drilling of the bore 611 using a circular drill No. 8.

接著,手術執行者將定位棒1的下半部11插入鑽孔611,並且根據患者的口腔全景片與根尖片檢查定位棒1的位置和角度。再利用一切削工具在定位棒1的周圍開設出一低凹空間,用以防止一牙科液體膠7溢出,並取出定位棒1,往鑽孔611注入少量牙科液體膠7,隨後再將定位棒1插回鑽孔611並藉由牙科液體膠7將定位棒1固定住。 Next, the surgeon performs the lower half 11 of the positioning rod 1 into the bore 611, and inspects the position and angle of the positioning rod 1 according to the patient's oral panorama and the apex. A cutting tool is used to open a low concave space around the positioning rod 1 to prevent a dental liquid glue 7 from overflowing, and the positioning rod 1 is taken out, and a small amount of dental liquid glue 7 is injected into the drilling hole 611, and then the positioning rod is placed. 1 Insert the drill hole 611 and fix the positioning rod 1 by the dental liquid glue 7.

當定位棒1固定完成後,手術執行者係將凸起定位元件2套設於定位棒1,因凸起定位元件2係可旋轉地套設於定位棒1(如第二圖所示),因此,手術執行者可依據缺牙區域NA的所在位置,旋轉至最適合的角度,提高手術執行者的使用便利性,例如:若缺牙區域 NA在門牙處,即將凸起定位元件2正對手術執行者,若缺牙區域NA在後牙處,則可將角度旋轉至適合手術執行者鑽設植牙孔的角度。 After the positioning rod 1 is fixed, the surgical performer sets the protruding positioning component 2 on the positioning rod 1 , and the protruding positioning component 2 is rotatably sleeved on the positioning rod 1 (as shown in the second figure). Therefore, the surgeon can rotate to the most suitable angle according to the position of the missing tooth area NA, thereby improving the convenience of the surgeon, for example, if the missing tooth area NA is at the incisor, ie, the raised positioning element 2 is facing the surgeon. If the missing area NA is at the posterior teeth, the angle can be rotated to an angle suitable for the surgeon to drill the implant.

接著,手術執行者再將內凹卡合元件3之卡合凸塊31可定位性地組裝於凸起定位元件2之卡合凹槽22,並將連結元件4固接於內凹卡合元件3相對於凸起定位元件2之另一側。因內凹卡合元件3係可定位性地組裝於凸起定位元件2,故在組裝後內凹卡合元件3與凸起定位元件2兩者間不會產生相對移動,而連結元件4係固接於內凹卡合元件3,故連結元件4與內凹卡合元件3兩者間也不會產生相對移動。連結元件4係具有一口腔接觸面,口腔接觸面係與患者之一口腔輪廓相吻合,口腔輪廓係表示牙齒62(牙齒輪廓)、齒槽骨61、硬顎輪廓與牙齦輪廓中之至少一者或其組合,用以在放入患者之一口腔6a內時,能固定於患者實際的牙齒62a、齒槽骨61a、硬顎與牙齦中之至少一者,而上述的種種特性皆可提升植牙孔的精確程度。此外,口腔接觸面係與患者之口腔輪廓接觸之那一側,故圖式無法標示。 Then, the surgical performer can positionally fix the engaging projection 31 of the concave engaging element 3 to the engaging recess 22 of the protruding positioning component 2, and fix the connecting component 4 to the concave engaging component. 3 with respect to the other side of the raised positioning element 2. Since the inner concave engaging element 3 is positionally assembled to the convex positioning element 2, no relative movement between the inner concave engaging element 3 and the convex positioning element 2 after assembly is performed, and the connecting element 4 is Since it is fixed to the concave engagement element 3, there is no relative movement between the connection element 4 and the concave engagement element 3. The connecting element 4 has an oral contact surface that conforms to the oral contour of one of the patients, and the oral contour represents at least one of the tooth 62 (tooth contour), the alveolar bone 61, the hard palate contour, and the gum contour. Or a combination thereof, when placed in one of the mouths 6a of the patient, can be fixed to at least one of the actual teeth 62a, the alveolar bones 61a, the hard palate and the gums of the patient, and the above various characteristics can be enhanced The accuracy of the dental hole. In addition, the oral contact surface is on the side that is in contact with the patient's oral contour, so the figure cannot be labeled.

在本實施例中,連結元件4係固接內凹卡合元件3,並覆蓋住複數個牙齒62與齒槽骨61的一部分,然後經由特定波長的光照射下,達到固化效果,固化成連結元件4a。 In the present embodiment, the connecting member 4 is fixed to the concave engaging member 3, and covers a plurality of teeth 62 and a part of the alveolar bone 61, and then is irradiated with light of a specific wavelength to achieve a curing effect and solidify into a joint. Element 4a.

最後,手術執行者係自口腔模型6取下連結元件4a、內凹卡合元件3、凸起定位元件2與定位棒1,並根據患者需求,自導引元件5、5a、5b與5c中挑選一者 可定位性地組裝至內凹卡合元件3,再放入患者之口腔6a即可進行植牙孔的鑽設,也因為導引元件的參考距離與凸起定位元件2的參考距離D1(標示於第四圖)相等,因此,導引元件的曲型導引面導引手術執行者鑽設的口腔6a的位置會對應到定位棒1插設於口腔模型6的鑽孔611的位置,達到提升鑽設植牙孔的精確性。在本實施例中,手術執行者係挑選導引元件5b,導引元件5b係用以鑽設小臼齒的植牙孔,而導引元件5係適用下排門牙與側門牙、導引元件5a係適用上排門牙、犬齒與正中門牙,而導引元件5c係適用於大臼齒。 Finally, the surgical performer removes the coupling element 4a, the concave engagement element 3, the convex positioning element 2 and the positioning rod 1 from the oral cavity model 6, and according to the patient's requirements, the self-guided elements 5, 5a, 5b and 5c Pick one It can be assembled to the concave engaging element 3 in a positional manner, and then placed in the oral cavity 6a of the patient to perform drilling of the dental implant hole, and also because the reference distance of the guiding element and the reference distance D1 of the convex positioning element 2 (marked The fourth figure is equal, therefore, the position of the oral cavity 6a drilled by the curved guiding surface of the guiding element to the surgical performer corresponds to the position of the positioning hole 1 inserted into the drilling hole 611 of the oral cavity model 6 Improve the accuracy of drilling the implant hole. In this embodiment, the surgical performer selects the guiding element 5b, the guiding element 5b is used to drill the dental implant hole of the small molar, and the guiding element 5 is suitable for the lower row of the front and the side incisors, the guiding element 5a The upper incisors, canines and median incisors are applied, while the guiding element 5c is suitable for large molars.

較佳者,手術執行者可採用逐級鑽孔的方式,將植牙孔從小鑽到大,如果需要使用導引元件5b鑽設植牙孔,則牙醫師會先使用導引元件5鑽設一植牙孔,接著使用導引元件5a將剛剛鑽設的植牙孔在鑽大,類似擴孔的概念,最後才使用導引元件5b鑽射出最終符合患者需求的植牙孔。同理,若需要使用導引元件5a,則需要先使用導引元件5,之後才使用導引元件5a;若要使用導引元件5c,則需要依序使用導引元件5、導引元件5a與導引元件5b,最後,才使用導引元件5c。採用逐級鑽洞可避免直接鑽設半徑較大的孔會因產生較大的震動而造成誤差,可再提升植牙孔的精確性。 Preferably, the surgeon can use a step-by-step drilling method to drill the implant hole from small to large. If the guide member 5b is used to drill the implant hole, the dentist will first drill using the guiding member 5. An implant hole, and then the guiding element 5a is used to drill the implant hole, just like the concept of reaming, and finally the guiding element 5b is used to drill the implant hole which finally meets the patient's needs. Similarly, if it is necessary to use the guiding element 5a, the guiding element 5 needs to be used first, and then the guiding element 5a is used; if the guiding element 5c is to be used, the guiding element 5 and the guiding element 5a need to be used sequentially. With the guiding element 5b, finally, the guiding element 5c is used. The use of step-by-step drilling can avoid direct drilling of holes with larger radii, which will cause errors due to large vibrations, and can improve the accuracy of the implant holes.

需特別說明的是,口腔模型6係依照口腔6a製作,故口腔模型6的齒槽骨61係對應到實際口腔6a的一齒槽骨61a,口腔模型6的複數個牙齒62係對應到實際口腔6a的複數個牙齒62a,而口腔模型6的缺牙區域NA 係對應到實際口腔6a的缺牙區域NAa。因此,具有與口腔模型6的口腔輪廓相吻合的口腔接觸面之連結元件4a,再放入患者的口腔6a後能精準的卡合於口腔6a內的牙齒62a與齒槽骨61a,而不會產生相對移動導致定位不精確。 It should be particularly noted that the oral cavity model 6 is made according to the oral cavity 6a, so that the alveolar bone 61 of the oral cavity model 6 corresponds to a toothed bone 61a of the actual oral cavity 6a, and the plurality of dental teeth of the oral cavity model 6 corresponds to the actual oral cavity. a plurality of teeth 62a of 6a, and the missing area of the oral model 6 NA It corresponds to the missing tooth area NAa of the actual oral cavity 6a. Therefore, the connecting member 4a having the oral contact surface conforming to the oral contour of the oral cavity model 6 can be accurately engaged with the tooth 62a and the alveolar bone 61a in the oral cavity 6a after being placed in the oral cavity 6a of the patient, without Relative movements result in inaccurate positioning.

本較佳實施例係以單顆缺牙為例,但不以此為限,本創作所提供之牙科植體定位導引組件1亦可用於多顆缺牙的植牙手術。 In the preferred embodiment, a single missing tooth is taken as an example, but the invention is not limited thereto. The dental implant positioning guide assembly 1 provided by the present invention can also be used for multiple dental implant surgery.

綜上所述,本創作所提供之牙科植體定位導引組件的定位更方便且更精確,三個相互可定位性地組裝的元件插拔和固定非常便捷,且可靈活地調整位置和角度。導引元件的設計既符合植牙鑽的半徑大小具有導引功能,又可使植牙鑽從側邊放入鑽設值牙孔,使得患者不用將嘴巴張很大,可以舒緩患者的不適感。導引元件在精準確定植體的植入位置(植牙孔)的同時也簡化了原本複雜的植牙導引板製作程序,提高了工作效率,讓植體的植入位置定點、定深與定向,提高植牙手術的成功率,亦大幅地節省牙醫師進行手術的時間。 In summary, the positioning of the dental implant positioning guide assembly provided by the present invention is more convenient and more precise, and the three mutually positionally assembled components are easy to insert and remove, and the position and angle can be flexibly adjusted. . The design of the guiding element not only conforms to the radius of the dental drill, but also allows the dental drill to be placed into the drilled value hole from the side, so that the patient does not need to open the mouth, which can relieve the patient's discomfort. . The guiding component accurately simplifies the implantation position (implantation hole) of the implant, and also simplifies the original complicated dental implant guide plate making process, improves the work efficiency, and allows the implant to be fixed and fixed. Orientation, improve the success rate of implant surgery, and also greatly save the time for the dentist to perform surgery.

本創作與數位化植牙導引板相比,數位化植牙導引板技術係利用電腦對頷骨進行形態學方面的觀察和測量與兼顧後期修復等諸多因素進行綜合考量後確定植牙孔的位置,進一步生成三維導引板模型文件進行全口掃描的3D列印,造成單顆缺牙和多顆缺牙均需要列印全副導板、無法大量製造通用的規格、成本高昂與等待時間過長等問題。 Compared with the digital dental implant guide plate, the digital dental implant guide plate technology uses the computer to observe and measure the humerus and consider the post-repair and other factors to determine the implant hole. The location of the 3D guide plate model file for 3D printing of full-mouth scanning, resulting in the need to print full guide plates for single missing teeth and multiple missing teeth, the inability to mass-produce general specifications, high cost and waiting time Too long and other issues.

相較於先前技術中,導引板的導引板卡環的結構是整個圓,牙醫師在操作的過程中,植牙鑽的刻度會被導引板卡環擋住,因此,牙醫師無法精確控制植牙鑽鑽設的深度;在本創作所提供之牙科植體定位導引組件中,導引元件係開設有一缺口,導引元件結構係呈半圓形或是兩端稍長呈現類似馬蹄型的結構,不僅達到了導引的功能,也可以讓手術執行者(即牙醫師)清楚的看到植牙鑽的刻度,達到精確定深的效果。另一個功效是不用讓患者將嘴巴張很大即可進行鑽設,可以大幅舒緩先前技術中患者需將嘴巴張很大的不適感。 Compared with the prior art, the structure of the guiding plate snap ring of the guiding plate is the whole circle, and during the operation of the dentist, the scale of the dental drill is blocked by the guiding plate ring, so the dentist cannot accurately Controlling the depth of the dental implant drilling; in the dental implant positioning guide assembly provided by the present invention, the guiding component is provided with a notch, and the guiding component structure is semicircular or slightly longer at both ends. The structure of the type not only achieves the guiding function, but also allows the surgeon (ie, the dentist) to clearly see the scale of the dental drill to achieve a precise and deep effect. Another effect is that the patient does not need to open the mouth to drill, which can greatly ease the discomfort of the patient in the prior art.

相較於先前技術中,導引板也存在著流程複雜的問題,牙醫師每更換一個不同直徑的植牙鑽就要隨之更換一個與該植牙鑽直徑相匹配的孔洞的導引板,也就是說每個患者都需要製作至少四個導引板,並且在進行植牙手術的過程中需要放入、取出、更換多次。在本創作所提供之牙科植體定位導引組件中,複數個具有不同曲率半徑的導引元件係可定位性地組裝於內凹卡合元件,組裝或拆卸皆相當便利,而每個患者只需要製作一個導引板(連結元件固接內凹卡合元件),且在進行植牙手術過程中,手術執行者(牙醫師)僅需更換導引元件即可,不但不需要多次放入、取出與更換,也使得成本更低、效率更高、手術過程更簡單。 Compared with the prior art, the guide plate also has a complicated process, and the dentist replaces a guide plate with a diameter matching the diameter of the implant drill for each tooth drill of a different diameter. That is to say, each patient needs to make at least four guiding plates, and needs to be placed, removed, and replaced multiple times during the dental implant surgery. In the dental implant positioning guide assembly provided by the present invention, a plurality of guiding elements having different radii of curvature are positionally assembled to the concave engaging elements, and assembly or disassembly is quite convenient, and each patient only has It is necessary to make a guiding plate (the connecting element is fixed to the concave engaging element), and during the dental implant operation, the surgical performer (dentist) only needs to replace the guiding component, and it is not necessary to put it in multiple times. The removal and replacement also makes the cost lower, the efficiency is higher, and the surgical procedure is simpler.

藉由以上較佳具體實施例之詳述,係希望能更加清楚描述本創作之特徵與精神,而並非以上述所揭露的較佳具體實施例來對本新型之範疇加以限制。相 反地,其目的是希望能涵蓋各種改變及具相等性的安排於本創作所欲申請之專利範圍的範疇內。 The features and spirit of the present invention are more clearly described in the above detailed description of the preferred embodiments, and are not intended to limit the scope of the present invention. phase On the contrary, the purpose is to cover the various changes and equivalence arrangements within the scope of the patent application to which the Creative Application is intended.

Claims (12)

一種牙科植體定位導引組件,係用以供一手術執行者在一患者之一口腔內之一齒槽骨鑽設至少一植牙孔,包含:一定位棒,係用以插設於一預先在該患者之一口腔模型內所鑽出之鑽孔;一凸起定位元件,係開設有一對應該定位棒之穿孔,用以套設於該定位棒;一內凹卡合元件,係可定位性地組裝於該凸起定位元件;一連結元件,係固接該內凹卡合元件之一側,並具有一與該患者之一口腔輪廓相吻合之口腔接觸面,用以卡合該口腔輪廓;以及複數個導引元件,該些導引元件之任一者係可定位性地組裝於該內凹卡合元件,且每一該些導引元件開設有一缺口,並在該缺口處形成一曲型導引面,以供該手術執行者受該曲型導引面所導引而鑽設該至少一植牙孔;其中,在該內凹卡合元件可定位性地組裝於該凸起定位元件後,該手術執行者係將該連結元件固接該內凹卡合元件,並將該凸起定位元件與該定位棒置換成該些導引元件中之一者,最後將該連結元件、該內凹卡合元件與該些導引元件中之該者放入該患者之該口腔內,並藉由該連結元件卡合該口腔輪廓以導引鑽設該至少一植牙孔。 A dental implant positioning guide assembly is provided for a surgeon to drill at least one implant hole in one of the orbital cavities of one of the patients, comprising: a positioning rod for inserting into a a hole drilled in advance in one of the patient's oral models; a raised positioning member is provided with a pair of perforations that should be positioned on the rod for nesting on the positioning rod; a concave engaging element can be Positionably assembled to the protruding positioning member; a connecting member fixed to one side of the concave engaging member and having an oral contact surface matching the oral contour of the patient for engaging the same An oral contour; and a plurality of guiding elements, any of the guiding elements being positionally assembled to the concave engaging elements, and each of the guiding elements is provided with a notch at the notch Forming a curved guiding surface for the surgeon to guide the at least one implant hole guided by the curved guiding surface; wherein the concave engaging element is positionally assembled to the After the positioning component is raised, the surgical performer fixes the connecting component Recessing the engaging member, and replacing the protruding positioning member with the positioning rod into one of the guiding members, and finally the connecting member, the concave engaging member and the guiding member The person is placed in the oral cavity of the patient, and the oral contour is engaged by the connecting element to guide the at least one implant hole. 如申請專利範圍第1項所述之牙科植體定位導引組件,其中,該定位棒係具有一上半部和一下半部,該上半部係一梯形圓柱,該下半部係一圓柱,該上半部係比該下半部粗,該上半部係一上細下粗的梯形圓柱,該上半部的橫截面係一圓形且縱截面係一梯形。 The dental implant positioning guide assembly of claim 1, wherein the positioning rod has an upper half and a lower half, the upper half being a trapezoidal cylinder and the lower half being a cylinder The upper half is thicker than the lower half, and the upper half is a thick and thin trapezoidal cylinder having a circular cross section and a trapezoidal longitudinal section. 如申請專利範圍第1項所述之牙科植體定位導引組件,其中,該凸起定位元件的兩側各具有一卡合凹槽。 The dental implant positioning guide assembly of claim 1, wherein the convex positioning elements have an engaging groove on each side. 如申請專利範圍第3項所述之牙科植體定位導引組件,其中,該內凹卡合元件相對於該連結元件之一端係具有二卡合凸塊,該二卡合凸塊係用以分別固接該凸起定位元件的兩側之該卡合凹槽。 The dental implant positioning guide assembly of claim 3, wherein the concave engaging element has two engaging projections with respect to one end of the connecting element, and the two engaging projections are used for The engaging grooves on both sides of the protruding positioning member are respectively fixed. 如申請專利範圍第4項所述之牙科植體定位導引組件,其中,每一該些導引元件的兩側各具有一組裝凹槽,且該些組裝凹槽係用以可定位性地組裝於該內凹卡合元件之該二卡合凸塊。 The dental implant positioning guide assembly of claim 4, wherein each of the guiding elements has an assembly groove on both sides thereof, and the assembly grooves are used for positionality The two engaging projections are assembled to the concave engaging elements. 如申請專利範圍第1項所述之牙科植體定位導引組件,其中,該些導引元件為四個上述之導引元件,且該四個上述之導引元件之曲型導引面之曲率半徑分別為2.2毫米、2.8毫米、3.5毫米與4.2毫米。 The dental implant positioning guide assembly of claim 1, wherein the guiding elements are four of the guiding elements, and the curved guiding surfaces of the four guiding elements are The radii of curvature are 2.2 mm, 2.8 mm, 3.5 mm and 4.2 mm, respectively. 如申請專利範圍第1項所述之牙科植體定位導引組件,其中,該連結元件係由一光固化材質所組成,並利用光固化方式固接該內凹卡合元件。 The dental implant positioning guide assembly of claim 1, wherein the connecting element is composed of a photocurable material and is fixed to the concave engaging element by photocuring. 如申請專利範圍第1項所述之牙科植體定位導引組件,其中,該連結元件與該內凹卡合元件係利用3D列印方式而使彼此一體化地成型。 The dental implant positioning guide assembly according to claim 1, wherein the coupling element and the concave engagement element are integrally molded with each other by a 3D printing method. 如申請專利範圍第1項所述之牙科植體定位導引組件,其中,該連結元件係利用熱熔方式固接該內凹卡合元件。 The dental implant positioning guide assembly of claim 1, wherein the connecting element is fixed to the female engaging element by means of hot melt. 如申請專利範圍第1項所述之牙科植體定位導引組件,其中,該連結元件係卡接該內凹卡合元件。 The dental implant positioning guide assembly of claim 1, wherein the connecting element is engaged with the concave engaging element. 如申請專利範圍第1項所述之牙科植體定位導引組件,其中,該定位棒、該凸起定位元件、該內凹卡合元件、該連結元件與該些導引元件係利用3D列印方式製作。 The dental implant positioning guide assembly of claim 1, wherein the positioning rod, the protruding positioning element, the concave engaging element, the connecting element and the guiding element utilize a 3D column Printed production. 如申請專利範圍第1項所述之牙科植體定位導引組件,其中,該定位棒、該凸起定位元件、該內凹卡合元件、該連結元件與該些導引元件係利用陶模鑄造製作。 The dental implant positioning guide assembly of claim 1, wherein the positioning rod, the protruding positioning element, the concave engaging element, the connecting element, and the guiding element use a ceramic mold Casting production.
TW107207733U 2017-06-15 2018-06-08 Dental implant positioning and guiding assembly TWM567081U (en)

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