TWM604177U - Immediate dental implant surgery guiding device - Google Patents

Immediate dental implant surgery guiding device Download PDF

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TWM604177U
TWM604177U TW109201379U TW109201379U TWM604177U TW M604177 U TWM604177 U TW M604177U TW 109201379 U TW109201379 U TW 109201379U TW 109201379 U TW109201379 U TW 109201379U TW M604177 U TWM604177 U TW M604177U
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sphere
seat body
perforation
dental implant
implant
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TW109201379U
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Chinese (zh)
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劉昭麟
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劉昭麟
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Abstract

本新型為有關於一種立即式牙科植牙手術導引裝置,主要結構包括一座體、一容置空間、一球體、一穿孔、及一調整件。藉上述結構,當牙醫師將座體放入患者口中缺牙處,以膠體固定後拍攝電腦斷層,經牙醫師診斷評估,即可控制調整件以帶動球體於容置空間中移動,藉以改變球體中穿孔之角度及位置,進而令牙醫師得以將植牙鑽針沿著球體中穿孔所形成之預設路徑鑽入,以利後續使用不同尺寸的鑽針對骨內植入路徑進行擴大,與置入植體等動作。藉此達到安全準確定位、立即方便、節省時間,同時節省成本之效果,並且可有效降低植牙醫療糾紛的產生。 The present invention relates to an immediate dental implant surgery guide device. The main structure includes a base, an accommodating space, a sphere, a perforation, and an adjustment piece. With the above structure, when the dentist puts the seat body into the missing teeth of the patient’s mouth, fixes it with a gel and takes the computer tomography. After the dentist’s diagnosis and evaluation, the adjustment member can be controlled to drive the sphere to move in the accommodating space, thereby changing the sphere The angle and position of the middle perforation allow the dentist to drill the implant drill needle along the preset path formed by the perforation in the sphere, so as to facilitate subsequent use of drills of different sizes to expand the intraosseous implant path, and Move into the implant. This achieves safe and accurate positioning, immediate convenience, time-saving, and cost-saving effects, and can effectively reduce the occurrence of dental implant medical disputes.

Description

立即式牙科植牙手術導引裝置 Immediate dental implant surgery guide device

本新型為提供一種立即式牙科植牙手術導引裝置,尤指一種得以安全準確定位、立即方便、節省時間,同時節省成本的立即式牙科植牙手術導引裝置。 The present invention provides an immediate dental implant surgery guide device, in particular to an immediate dental implant surgery guide device that can be safely and accurately positioned, is immediately convenient, saves time, and saves costs.

按,植牙,是一門以人工牙根安裝假牙以彌補缺齒的牙齒修復技術。人工牙根又稱為植體,植體會透過手術置入於缺牙位置的齒槽骨內,植體用作代替自然牙的牙根成為安裝牙冠的根基,待病人的齒槽骨與植體骨整合完成後,就可以在植體上安裝假牙冠。通過人工牙根安裝假牙不但可提供接近自然牙的咬合力,而且舒適性及美觀性都較傳統活動假牙及牙橋為佳,植牙後如果能夠保持口腔清潔衛生,並且定期接受牙科檢查,在維護良好的情況下,植牙是可以長期使用,因此成為重要的缺牙修復方法。 Press, dental implant, is a dental restoration technique that uses artificial roots to install dentures to make up for missing teeth. Artificial tooth roots are also called implants. The implants will be surgically placed in the alveolar bone at the missing teeth. The implants are used to replace the natural tooth roots as the foundation for the crown to be installed. The patient’s alveolar bone and implant bone After the integration is complete, the crown can be installed on the implant. Installing dentures through artificial tooth roots can not only provide occlusal force close to natural teeth, but also have better comfort and aesthetics than traditional movable dentures and bridges. If you can maintain oral hygiene after implantation, and receive regular dental inspections, you can In good conditions, dental implants can be used for a long time, and therefore become an important method of restoration of missing teeth.

習用的植牙方式,係以直接翻瓣或不翻瓣的方式將鑽針鑽入骨頭,取得植入路徑後再鎖入植體。然而其中卻隱藏著風險及危險性,有機率對患者造成嚴重傷害,甚至衍生醫療糾紛。而後則衍生出使用導引板配合電腦斷層之植牙方法,此種方法展現了高安全性之特點,上述導引板又分診斷用導引板及手術用導引板。傳統上欲使用此方法,首先須複製出屬於患者之齒模,接著於齒模中缺牙處,使用蠟材雕塑出填補空位之牙齒,此時,再次以藻膠與石膏等材料複製出患者之新齒模,符合患者形狀並且無缺牙之齒模即形成,再來將一薄型塑膠板設於該無缺牙之齒模上,接著利用加熱真空壓縮的方式,將塑膠板貼附於齒模表面上,修整完畢後,於患者缺牙之位置處再黏貼鉛片,以成為電腦斷層之定位板。藉此,即可將塑膠板匹配於患者之牙齒上,此時的齒模形狀的塑膠板即為近似透明的「維持器」。 The conventional dental implant method is to drill the drill into the bone with or without flap, and then lock the implant into the implant after obtaining the implant path. However, there are hidden risks and dangers, and there is a chance that it will cause serious harm to patients and even cause medical disputes. Later, a method of implanting a tooth using a guide plate combined with computer tomography was derived. This method shows the characteristics of high safety. The above-mentioned guide plate is divided into a guide plate for diagnosis and a guide plate for surgery. Traditionally, in order to use this method, the patient's tooth mold must be copied first, and then the missing teeth in the tooth mold must be sculpted with wax to fill the vacant teeth. At this time, the patient is copied again with materials such as algin and plaster. The new tooth mold conforms to the shape of the patient and has no missing teeth. A thin plastic plate is placed on the tooth mold without missing teeth. Then the plastic plate is attached to the tooth mold by heating and vacuum compression. On the surface, after trimming, paste a lead sheet on the patient's missing teeth to become a positioning board for CT. In this way, the plastic plate can be matched to the patient's teeth, and the plastic plate in the shape of the tooth mold at this time is an approximately transparent "retainer".

再來,令患者戴上如維持器樣式之診斷用導引板並且拍攝電腦斷層,而電腦中即會顯示患者的口部以及所標記之缺牙位置,此外,亦可在診斷用導引板上鑽孔並置入一X光不透性材料,而拍攝電腦斷層後即可得到預設植入路徑之定位標記。 Next, let the patient wear a diagnostic guide plate like a maintainer and take a computer tomography. The computer will display the patient’s mouth and the marked missing tooth position. In addition, it can also be used on the diagnostic guide plate Drill a hole and insert an X-ray opaque material, and after the computer tomography is taken, the positioning mark of the preset implant path can be obtained.

待電腦斷層完成拍攝後,部分牙醫診所會將電腦斷層資料與患者齒模一併寄送至牙醫技工所。現今牙醫數位化時代,部分診所設置的口腔掃描機,可以直接將患者口腔狀況予以掃描,並搭配電腦斷層檔案,傳送至數位化技工所,便可直接進行手術用導引板的製作。而目前的技工所則會利用3D列印之方式,列印出手術用導引板,當牙醫診所收到手術用導引板後,才得以對患者開始進行植牙手術,將植體依靠該導引板,以正確的角度及位置植入患者口中缺牙之位置處。 After the CT is completed, some dental clinics will send the CT data and the patient's dental model to the dental laboratory. In today's digital age of dentists, the oral scanners installed in some clinics can directly scan the patient's oral condition, and send it to the digital laboratory with computer tomography files, and then directly make the guide plate for surgery. The current laboratories will use 3D printing to print out the surgical guide plate. After the dentist receives the surgical guide plate, the patient can start the dental implant operation. The guide plate is implanted at the position of the missing tooth in the patient's mouth at the correct angle and position.

然上述習用植牙手術過程,存在下列問題與缺失尚待改進: However, the above-mentioned conventional dental implant surgery process has the following problems and deficiencies that need to be improved:

第一,委託技工所進行傳統或數位的診斷用或手術用導引板之製作,需花費較高成本與往來時間。 First, commissioning a laboratory to manufacture traditional or digital diagnostic or surgical guide plates requires high costs and communication time.

第二,電腦斷層評估、雕蠟、重複印模、真空壓縮製作如維持器樣式之診斷用導引板等手術前預備工作因操作過程繁雜冗長,使患者在看診後需等待一定的時間才能夠正式進行手術。 Second, pre-surgery preparations such as computer tomography, wax carving, repeated impressions, and vacuum compression production such as the guide plate for diagnosis in the maintainer style. Due to the complicated and lengthy operation process, patients have to wait a certain period of time after seeing the doctor. Able to formally undergo surgery.

第三,部分牙醫師為了貪圖方便,而不願使用上述診斷用及手術用導引板,因此增加了患者植牙手術之風險。 Thirdly, some dentists are unwilling to use the aforementioned guide plates for diagnosis and surgery for convenience, which increases the risk of dental implant surgery for patients.

第四,雖然牙醫數位化是世界趨勢,但目前牙醫數位化之器材設備價格昂貴且操作複雜,須訓練專業人員操作電腦、設備、及專業軟體。礙於人力、物力、或財力等因素,並非所有診所與牙醫師皆可立即進入完全數位化。 Fourth, although the digitalization of dentists is a global trend, the current digitalized equipment for dentists is expensive and complicated to operate. Professionals must be trained to operate computers, equipment, and professional software. Due to factors such as manpower, material resources, or financial resources, not all clinics and dentists can immediately enter full digitalization.

是以,要如何解決上述習用之問題與缺失,即為本新型之申請人與從事此行業之相關廠商所亟欲研究改善之方向所在者。 Therefore, how to solve the above-mentioned conventional problems and deficiencies is the direction that the applicants of this new model and related manufacturers engaged in this industry urgently want to study and improve.

故,本新型之申請人有鑑於上述缺失,乃蒐集相關資料,經由多方評估及考量,並以從事於此行業累積之多年經驗,經由不斷試作及修改,始設計出此種得以安全準確定位、立即方便、節省時間,同時節省成本的立即式牙科植牙手術導引裝置。 Therefore, in view of the above-mentioned deficiencies, the applicant of the present model has collected relevant information, evaluated and considered by multiple parties, and has accumulated years of experience in this industry, through continuous trials and modifications, to design such a safe and accurate positioning, Immediately convenient, time-saving, and cost-saving immediate dental implant surgery guide device.

本新型之主要目的在於:透過調整件控制設於容置空間中之球體,以使球體中之穿孔能夠移動至正確的角度及位置處,並量測出穿孔頂端至牙齦的空間高度,便可計算出鑽入骨頭至預定位置所需使用之鑽針長度。移除調整件後,牙醫師即可將植牙鑽針沿著穿孔鑽入,產生精確之植入路徑以利後續將植體置入,上述結構係將診斷用及手術用之導引板彼此結合,進而達到立即方便、省時省成本且確保手術準確安全性之效果。 The main purpose of the present invention is to control the sphere set in the accommodating space through the adjusting member, so that the perforation in the sphere can be moved to the correct angle and position, and the space height from the tip of the perforation to the gum can be measured. Calculate the length of the drill bit required to drill into the bone to the predetermined position. After removing the adjustment piece, the dentist can drill the implant drill needle along the perforation to generate a precise implant path to facilitate subsequent implant placement. The above structure combines the guide plates for diagnosis and surgery. Combine, and then achieve the effect of immediate convenience, time saving and cost saving and ensuring the accuracy and safety of the operation.

為達上述目的,本新型之主要結構包括:一座體,座體中具有一容置空間,容置空間中設有一球體,球體上具有一穿孔,穿孔中部分穿設有一調整件,座體之兩側處設有複數球體定位件,且球體定位件由座體外側貫穿進入容置空間中並抵觸於球體上,而座體上還設有至少一座體定位件。上述調整件係為一X光無法穿透之材質,而座體、球體、球體定位件及座體定位件均可受X光穿透。 In order to achieve the above-mentioned purpose, the main structure of the present invention includes: a seat body with an accommodating space in the accommodating space, a sphere in the accommodating space, a perforation on the sphere, and an adjustment part through the perforation. A plurality of sphere positioning parts are arranged on both sides, and the sphere positioning parts penetrate into the accommodating space from the outside of the seat body and abut against the sphere, and the seat body is also provided with at least one body positioning part. The above-mentioned adjusting member is made of a material that cannot be penetrated by X-rays, and the base, sphere, sphere positioning member and base positioning member can all be penetrated by X-ray.

透過上述結構,當牙醫師欲對缺牙患者進行植牙時,可先將座體放置於患者口中欲植牙之位置處,並且令座體上之座體定位件倚靠於鄰側的牙齒上,先利用一膠體對座體定位件進行初步固定,再來將一印模材塗佈覆蓋於座體定位件與鄰側牙齒上,等待至印模材凝固後,即可對患者口部進行電腦斷層掃描,以判斷是否需要對球體中之穿孔進行位置及角度上之調整。 Through the above structure, when the dentist wants to implant the teeth of a patient with missing teeth, he can first place the seat in the mouth of the patient where he wants to implant the tooth, and make the seat positioning member on the seat lean on the adjacent teeth , First use a glue to initially fix the seat positioning piece, and then apply an impression material to cover the seat positioning piece and adjacent teeth, wait until the impression material is solidified, and then perform the mouth Computed tomography to determine whether it is necessary to adjust the position and angle of the perforation in the sphere.

當電腦斷層評估結果為需要進行調整,則控制抵觸於球體上之球體定位件,使球體定位件移動遠離球體,而球體即不再受限,因此,牙醫師即可操控部分穿設於穿孔中之調整件,藉以調整球體之位置及角度,進而改變球體中穿孔之位置及角度。當調整完畢後,則讓球體調整件如上述方式反向移動,重新抵觸於球體上,藉以對球體限位,而此時球體係固定於調整過後正確之位置處,並可經由調整件上之刻度量測出穿孔頂端至牙齦的空間高度,便可計 算出鑽入骨頭至預定位置所需使用之鑽針長度。最後,只需將調整件由穿孔中取出,牙醫師即可將一植牙鑽針順著穿孔之方向,鑽入患者口部缺牙處之齒槽骨中,因而取得正確精準的植入方向與深度。藉此,不僅節省了一連串製造齒模、診斷用導引板、手術用導引板之成本,亦節省了植牙手術前預備工作所耗費的大量時間,同時亦不需立即添購現階段昂貴之數位化機器及操作人員的訓練設置,進而達到安全準確定位、立即方便、省時省成本之效果。 When the computed tomography result shows that adjustment is needed, control the sphere positioning member that is against the sphere to move the sphere positioning member away from the sphere, and the sphere is no longer restricted. Therefore, the dentist can manipulate the part to penetrate the perforation The adjustment piece is used to adjust the position and angle of the sphere, thereby changing the position and angle of the perforation in the sphere. After the adjustment is completed, the sphere adjustment piece is moved in the reverse direction as described above, and it is again against the sphere to limit the position of the sphere. At this time, the sphere system is fixed at the correct position after adjustment and can be moved through the adjustment piece. The scale measures the height of the space from the tip of the perforation to the gum, and then Calculate the length of the drill bit required to drill into the bone to the predetermined position. Finally, simply remove the adjustment piece from the perforation, and the dentist can drill an implant drill needle along the direction of the perforation into the alveolar bone at the missing teeth of the patient’s mouth, thus obtaining the correct and precise implant direction And depth. This not only saves a series of costs for manufacturing tooth molds, diagnostic guides, and surgical guides, but also saves a lot of time for preparations before implant surgery. At the same time, there is no need for immediate purchases at this stage. The training settings of digital machines and operators can achieve safe and accurate positioning, immediate convenience, time-saving and cost-saving effects.

藉由上述技術,可針對習用植牙手術過程所存在之需花費高成本委託製作齒模、手術前預備工作繁雜使操作過程冗長、牙醫數位化器材設備昂貴、及部分牙醫師不願使用手術導引板而增加了手術風險的問題點加以突破,以有效降低發生醫療糾紛之可能性,達到上述優點之實用進步性。 With the above technology, it is possible to commission the production of dental molds for the high cost of the conventional dental implant surgery process, the complicated pre-surgery preparation work makes the operation process lengthy, the dentist’s digital equipment is expensive, and some dentists are unwilling to use surgical guides. The problem points that increase the risk of surgery can be broken through by introducing the board to effectively reduce the possibility of medical disputes and achieve the practical advancement of the above advantages.

1、1a、1b、1c:座體 1, 1a, 1b, 1c: seat body

11:容置空間 11: Housing space

12:球體定位件 12: Sphere positioning piece

13、13a、13b、13c:座體定位件 13, 13a, 13b, 13c: seat positioning parts

131c:定位肋 131c: positioning rib

14a:固定元件 14a: fixed element

2、2c:球體 2, 2c: sphere

21:穿孔 21: Piercing

3、3c:調整件 3. 3c: adjustment parts

4:印模材 4: impression material

5:植牙鑽針 5: Dental implant drill

6b:填空隔板 6b: Fill in the blanks

7c:量測件 7c: Measuring part

第一圖 係為本新型較佳實施例之立體圖。 The first figure is a perspective view of a preferred embodiment of the new model.

第二圖 係為本新型較佳實施例之分解圖。 The second figure is an exploded view of the preferred embodiment of the new model.

第三圖 係為本新型較佳實施例之塗佈示意圖。 The third figure is a schematic diagram of the coating of the preferred embodiment of the new type.

第四圖 係為本新型較佳實施例之拆卸示意圖(一)。 The fourth figure is a schematic diagram (1) of disassembly of the preferred embodiment of the new invention.

第五圖 係為本新型較佳實施例之拆卸示意圖(二)。 The fifth figure is a schematic diagram (2) of disassembly of the preferred embodiment of the new invention.

第六圖 係為本新型較佳實施例之角度調整示意圖。 The sixth figure is a schematic diagram of the angle adjustment of the preferred embodiment of the new type.

第七圖 係為本新型較佳實施例之前後調整示意圖(一)。 The seventh figure is a schematic diagram (1) of adjustment before and after the preferred embodiment of the new type.

第八圖 係為本新型較佳實施例之前後調整示意圖(二)。 The eighth figure is a schematic diagram (2) of before and after adjustment of the preferred embodiment of the new type.

第九圖 係為本新型較佳實施例之左右調整示意圖。 The ninth figure is a schematic diagram of left and right adjustment of the preferred embodiment of the new type.

第十圖 係為本新型較佳實施例之植入示意圖。 The tenth figure is the implantation diagram of the preferred embodiment of the new type.

第十一圖 係為本新型再一較佳實施例之穩固示意圖。 The eleventh figure is a stable schematic diagram of another preferred embodiment of the present invention.

第十二圖 係為本新型又一較佳實施例之穩固示意圖。 Figure 12 is a stable schematic diagram of another preferred embodiment of the present invention.

第十三圖 係為本新型另一較佳實施例之裝設示意圖。 Figure 13 is a schematic diagram of the installation of another preferred embodiment of the new model.

為達成上述目的及功效,本新型所採用之技術手段及構造,茲繪圖就本新型較佳實施例詳加說明其特徵與功能如下,俾利完全了解。 In order to achieve the above-mentioned purpose and effect, the technical means and structure adopted by the present invention are drawn to illustrate the characteristics and functions of the preferred embodiment of the present invention in detail as follows, so as to fully understand.

請參閱第一圖及第二圖所示,係為本新型較佳實施例之立體圖及分解圖,由圖中可清楚看出本新型包括: Please refer to the first and second figures, which are the three-dimensional and exploded views of the preferred embodiment of the present invention. From the figures, it can be clearly seen that the present invention includes:

一座體1,該座體1中具有一容置空間11; A base 1 with an accommodating space 11 therein;

一球體2,該球體2設於該容置空間11中,且該球體2上具有一穿孔21; A sphere 2, the sphere 2 is set in the accommodating space 11, and the sphere 2 has a perforation 21;

一調整件3,該調整件3部分穿設於該穿孔21中; An adjustment member 3, which is partially penetrated in the perforation 21;

複數球體定位件12,各該球體定位件12分別設於該座體1之兩側處,且由該座體1之外側貫穿進入該容置空間11中並抵觸於該球體2上;及 A plurality of sphere positioning members 12, each of the sphere positioning members 12 is respectively disposed on both sides of the seat body 1, and penetrates into the accommodating space 11 from the outer side of the seat body 1 and abuts against the sphere 2; and

至少一座體定位件13,該座體定位件13設於該座體1上。 At least a seat positioning member 13 is provided on the seat 1.

本實施例中,球體定位件12以螺絲為例且其數量為三個,座體1以弧狀態樣為例,調整件3以具有刻度之棒狀體為例,且調整件3係為X光無法穿透之材質,而座體1、球體2、球體定位件12及座體定位件13均可受X光穿透,座體定位件13以可滑動於座體1中之桿體為例。 In this embodiment, the sphere positioning member 12 takes screws as an example and the number is three, the seat body 1 is in an arc state as an example, the adjustment member 3 is an example of a rod with a scale, and the adjustment member 3 is X A material that cannot be penetrated by light, and the seat body 1, the sphere 2, the sphere positioning member 12, and the seat body positioning member 13 can be penetrated by X-rays. The seat body positioning member 13 is a rod that can slide in the seat body 1 example.

藉由上述之說明,已可了解本技術之結構,而依據這個結構之對應配合,即可達到節省時間,同時節省成本之效果,而詳細之解說將於下述說明。 Through the above description, we can understand the structure of this technology, and according to the corresponding cooperation of this structure, the effect of saving time and cost can be achieved. The detailed explanation will be explained in the following.

再請同時配合參閱第一圖至第十圖所示,係為本新型較佳實施例之立體圖至植入示意圖,藉由上述構件組構時,由圖中可清楚看出,當缺牙患者欲進行植牙手術時,牙醫師會先將座體1放置於患者口中欲植牙之缺牙處,此時在座體定位件13上塗佈一膠體,膠體以光固化樹脂為例,光固化樹脂是通過特定波長之藍光照射引發固化的複合樹脂,藉以將座體定位件13暫時初步黏合於左右鄰牙上。座體1上之座體定位件13係倚靠在缺牙處左右兩側之牙齒上,接著將一印模材4塗佈於座體定位件13與鄰側牙齒上,印模材4以塑土(Putty)為例,但不予以設限。待至印模材4凝固後,其內側即會形成符合患 者牙齒形狀之凹凸態樣,藉以牢固的設於左右鄰牙上,同時也因其固化後仍具相當程度的彈性,因此,可重複的由左右鄰牙上套入或取下。 Please also refer to the first to tenth figures, which are the three-dimensional view to the implantation diagram of the preferred embodiment of the new model. When the above-mentioned components are assembled, it can be clearly seen from the figure that when a patient lacks teeth To perform dental implant surgery, the dentist will first place the seat body 1 on the missing tooth in the patient’s mouth. At this time, apply a colloid on the seat body positioning part 13. The colloid is light-cured resin, for example, light-cured The resin is a composite resin that is cured by irradiation with a specific wavelength of blue light, so as to temporarily bond the seat positioning member 13 to the left and right adjacent teeth. The seat positioner 13 on the seat body 1 rests on the teeth on the left and right sides of the missing teeth, and then an impression material 4 is coated on the seat body positioner 13 and the adjacent teeth. The impression material 4 is molded Putty is an example, but there is no limit. After the impression material 4 is solidified, the inner side will form The concavity and convexity of the tooth shape can be firmly set on the left and right adjacent teeth. At the same time, it still has a considerable degree of elasticity after curing. Therefore, it can be repeatedly inserted or removed from the left and right adjacent teeth.

再來,牙醫師會對患者進行口部的電腦斷層掃描,並且透過分析掃描結果,評估是否要對穿孔21之位置及角度進行調整,若須進行調整,牙醫師會將已塗佈印模材4之座體1由患者口中取出,而設於座體1上並受光固化樹脂暫時黏合於鄰牙上之座體定位件13則會連帶受取下,接著即可對球體2上之穿孔21進行角度及位置上之調整。 Next, the dentist will perform a computerized tomography scan of the patient’s mouth and analyze the scan results to evaluate whether to adjust the position and angle of the perforation 21. If adjustment is required, the dentist will apply the impression material. The seat body 1 of 4 is taken out from the mouth of the patient, and the seat body positioning member 13 which is set on the seat body 1 and is temporarily bonded to the adjacent teeth by the light-cured resin will be removed together, and then the perforation 21 on the sphere 2 can be carried out. Adjustment of angle and position.

當欲調整時,需先將抵觸於球體2上之球體定位件12拆卸離開球體2,以使球體2不再受球體定位件12之限位,接著牙醫師會控制部分穿設於穿孔21上之調整件3,開始對球體2進行位置與角度上之調整,透過調整件3之結構,能夠帶動球體2於容置空間11中移動,如第八圖及第九圖,係以球體2向內側平行移動1mm為例,並且還可透過調整件3令球體2如第七圖所示於容置空間11中旋轉,使球體2改變角度,進而令球體2中之穿孔21改變角度。 When you want to adjust, you need to remove the sphere positioning member 12 that is against the sphere 2 away from the sphere 2, so that the sphere 2 is no longer restricted by the sphere positioning member 12, and then the dentist will control the part to penetrate the hole 21 The adjusting part 3 starts to adjust the position and angle of the sphere 2. The structure of the adjusting part 3 can drive the sphere 2 to move in the accommodating space 11. As shown in the eighth and ninth figures, the sphere 2 is directed The inner side is moved in parallel by 1mm as an example, and the sphere 2 can be rotated in the accommodating space 11 as shown in the seventh figure through the adjustment member 3, so that the sphere 2 can change the angle, and then the perforation 21 in the sphere 2 can change the angle.

待球體2調整至定位後,即可重新將球體定位件12移動至抵觸於球體2之位置處,藉以令球體2固定於正確的角度及位置上,接著即可透過印模材4之材質特性,將座體1依照原先定位放置於患者口中之缺牙處,由於印模材4已凝固成符合患者牙齒之形狀,因此在放回座體1的同時即可對座體1達到完整的定位效果,並且搭配調整後之球體2,使球體2中之穿孔21處於正確的植牙角度及植牙位置。 After the sphere 2 is adjusted to the position, the sphere positioning member 12 can be moved to the position where it is against the sphere 2, so that the sphere 2 is fixed at the correct angle and position, and then the material characteristics of the impression material 4 can be seen , Place the seat body 1 on the missing teeth in the patient’s mouth according to the original position. Since the impression material 4 has been solidified to conform to the shape of the patient’s teeth, the seat body 1 can be fully positioned when the seat body 1 is placed back Effect, and with the adjusted sphere 2, the perforation 21 in the sphere 2 is at the correct implant angle and implant position.

最後,經由調整件3上之刻度量測出穿孔21頂端至牙齦的空間高度,便可計算出鑽入骨頭至預定位置所需使用之鑽針長度。牙醫師只需將調整件3由球體2中之穿孔21抽出,再將一植牙鑽針5順著穿孔21鑽入患者之齒槽骨中,即可完成植牙手術之第一階段植入路徑之定位。藉此,則無需花長時間進行齒模的重複製造,亦無需花高成本委託技工所製作診斷用與手術用之導引板,進而達到安全準確定位、立即方便、節省時間,同時節省成本之效果。 Finally, the height of the space from the tip of the perforation 21 to the gingiva is measured by the scale on the adjusting member 3, and the length of the drill needle required to drill into the bone to the predetermined position can be calculated. The dentist only needs to extract the adjusting member 3 from the perforation 21 in the sphere 2, and then drill an implant drill needle 5 along the perforation 21 into the alveolar bone of the patient, and the first stage of implantation can be completed. Positioning of the path. Therefore, there is no need to spend a long time in the repeated manufacturing of the tooth mold, and there is no need to spend a high cost to entrust a technician to make a guide plate for diagnosis and surgery, thereby achieving safe and accurate positioning, immediate convenience, time saving, and cost saving. effect.

再請同時配合參閱第十一圖所示,係為本新型再一較佳實施例之 穩固示意圖,藉由上述構件組構時,由圖中可清楚看出,本實施例與上述實施例為大同小異,本實施例中,座體1a上設有一固定元件14a,且固定元件14a係由座體1a之外側貫穿進入座體1a內並抵觸於座體定位件13a上,固定元件14a係以螺絲為例。 Please also refer to Figure 11, which is another preferred embodiment of the new model It is a stable schematic diagram. When the above-mentioned components are assembled, it can be clearly seen from the figure that this embodiment is similar to the above-mentioned embodiment. In this embodiment, a fixing element 14a is provided on the base 1a, and the fixing element 14a is formed by The outer side of the seat body 1a penetrates into the seat body 1a and abuts on the seat body positioning member 13a, and the fixing element 14a is an example of a screw.

透過上述結構,當牙醫師將座體1a放入患者口部之缺牙處,發現座體1a與鄰側牙齒產生較大空隙時,可將上述固定元件14a由座體1a外側貫穿鑽入座體1a內,並且抵觸於座體定位件13a上,藉此,即可固定座體1a與座體定位件13a之相對位置,令座體1a無法滑動於座體定位件13a上,進而避免座體1a於空隙中產生晃動等情況發生。若於拍攝完電腦斷層後評估須往前或往後調整時,則將上述固定元件14a鬆開,即可對座體1a進行往前或往後之調整,進而將座體1a調整至較佳位置。 Through the above structure, when the dentist puts the seat body 1a into the missing teeth of the patient’s mouth and finds that there is a large gap between the seat body 1a and the adjacent teeth, the fixing element 14a can be penetrated into the seat body from the outside of the seat body 1a 1a and abut against the seat positioning member 13a, thereby fixing the relative position of the seat body 1a and the seat positioning member 13a, so that the seat body 1a cannot slide on the seat positioning member 13a, thereby avoiding the seat body 1a sloshing in the gap occurs. If the evaluation needs to be adjusted forward or backward after the computer tomography is taken, loosen the above-mentioned fixing element 14a to adjust the seat body 1a forward or backward, and then adjust the seat body 1a to a better position position.

再請同時配合參閱第十二圖所示,係為本新型又一較佳實施例之穩固示意圖,藉由上述構件組構時,由圖中可清楚看出,本實施例與上述再一較佳實施例為大同小異,本實施例中,座體定位件13b上連接有至少一填空隔板6b,且填空隔板6b係位於座體1b之側處,填空隔板6b之數量以兩個為例,但不予以設限。 Please also refer to Figure 12, which is a stable schematic view of another preferred embodiment of the new model. When the above-mentioned components are assembled, it can be clearly seen from the figure that this embodiment is compared with the above-mentioned one. The preferred embodiment is similar. In this embodiment, at least one blanking partition 6b is connected to the seat positioning member 13b, and the blanking partition 6b is located on the side of the seat 1b. The number of the blanking partitions 6b is two. Examples, but not limited.

本實施例中,填空隔板6b之功能等同於上述再一較佳實施例之固定元件,對座體1b達到定位之效果。當座體1b與鄰側牙齒產生較大空隙時,即可將填空隔板6b裝設於上述空隙處,以使填空隔板6b填滿位於座體1b與鄰側牙齒間之空隙,令座體1b無法滑動於座體定位件13b上,進而避免座體1b於空隙中產生晃動等情況發生。若於拍攝完電腦斷層後評估須往前或往後調整時,則將上述填空隔板6b取出或增加,即可調整座體1a往前或往後滑動至最佳位置。本實施例僅為舉例另一穩固座體1b之實施方式,藉以符合不同之使用情況。 In this embodiment, the function of the blanking partition 6b is equivalent to the fixing element of the above-mentioned another preferred embodiment, and achieves the effect of positioning the seat body 1b. When there is a large gap between the seat body 1b and the adjacent teeth, the filling partition 6b can be installed in the above-mentioned gap, so that the filling partition 6b fills the gap between the seat body 1b and the adjacent teeth, so that the seat The body 1b cannot slide on the seat positioning member 13b, thereby preventing the seat body 1b from shaking in the gap. If it is necessary to adjust forward or backward after the computer tomography is taken, remove or add the above-mentioned blanking partition 6b to adjust the seat body 1a to slide forward or backward to the best position. This embodiment is only an example of another implementation of the stable base 1b, so as to meet different usage conditions.

再請同時配合參閱第十三圖所示,係為本新型另一較佳實施例之裝設示意圖,藉由上述構件組構時,由圖中可清楚看出,本實施例與上述實施例為大同小異,本實施例中,座體定位件13c上具有至少一定位肋131c,定位肋131c之數量以兩個為例,但不予以設限。而座體1c上還設有一 量測件7c,量測件7c係位置對應於上述調整件3c,量測件7c為一具有量角器及刻度之套件。此外,本實施例之座體1c以長方形態樣為例,亦不予以設限。 Please also refer to Figure 13 which is a schematic diagram of the installation of another preferred embodiment of the new model. When the above components are assembled, it can be clearly seen from the figure that this embodiment and the above embodiment For similarities and minor differences, in this embodiment, the seat positioning member 13c has at least one positioning rib 131c. The number of the positioning ribs 131c is two as an example, but it is not limited. The base 1c also has a The measuring piece 7c, the measuring piece 7c is positioned corresponding to the above-mentioned adjusting piece 3c, and the measuring piece 7c is a package with a protractor and a scale. In addition, the seat body 1c of this embodiment is rectangular in shape as an example, and it is not limited.

透過上述結構,在牙醫師正控制調整件3c對球體2c進行角度及位置之調整時,可將上述量測件7c套設於座體1c上,以使牙醫師在調整時取得更加精確的數值,進而將球體2c調整至最佳之位置及角度,藉此,透過上述量測件7c,即可達到輔助量測之效果。 Through the above structure, when the dentist is controlling the adjusting element 3c to adjust the angle and position of the ball 2c, the measuring element 7c can be sleeved on the base 1c, so that the dentist can obtain more accurate values during adjustment. , And then adjust the ball 2c to the best position and angle, so that the auxiliary measurement effect can be achieved through the above-mentioned measuring element 7c.

此外,在牙醫師將座體1c放置於患者口部缺牙之位置處,並且進行印模材之塗佈作業時,即可透過上述定位肋131c之結構,增加本新型與印模材、以及本新型與牙齒之接觸面積,藉以增加齒模於拆裝時之穩定性,進而提升實施之精準度。 In addition, when the dentist places the seat body 1c at the position where the patient’s mouth is missing teeth, and performs the coating operation of the impression material, the structure of the positioning rib 131c can be used to add the new model and impression material, and The contact area between the new model and the teeth increases the stability of the tooth mold during disassembly and assembly, thereby improving the accuracy of implementation.

惟,以上所述僅為本新型之較佳實施例而已,非因此即侷限本新型之專利範圍,故舉凡運用本新型說明書及圖式內容所為之簡易修飾及等效結構變化,均應同理包含於本新型之專利範圍內,合予陳明。 However, the above descriptions are only the preferred embodiments of the present model, and are not limited to the patent scope of the present model. Therefore, all simple modifications and equivalent structural changes made by using the present model description and schematic content should be the same. It is included in the scope of the patent of this new model and is combined to Chen Ming.

是以,本新型之立即式牙科植牙手術導引裝置可改善習用之技術關鍵在於: Therefore, the new type of immediate dental implant surgery guide device can improve the technical key of conventional use:

第一,控制調整件3帶動球體2旋轉,進而將穿孔21調整至正確的位置及角度,即可進行建立植入路徑之程序,藉以省下取模、灌石膏、雕蠟及重複印模的時間,同時亦省下了委託技工所製作兩次導引板之成本,進而達到安全準確定位、立即方便、省時省成本之效果。 First, control the adjustment member 3 to drive the sphere 2 to rotate, and then adjust the perforation 21 to the correct position and angle, and then the procedure of establishing the implant path can be carried out, so as to save the mold taking, plaster casting, wax carving and repeated impressions. At the same time, it also saves the cost of entrusting a technician to make two guide plates, thereby achieving the effect of safe and accurate positioning, immediate convenience, time and cost saving.

第二,透過固定元件14a之結構穩固座體1a,進而避免座體1a於空隙中晃動,同時還可對座體1a進行細部調整。 Second, through the structure of the fixing element 14a, the seat body 1a is stabilized, thereby preventing the seat body 1a from shaking in the gap, and at the same time, the seat body 1a can be finely adjusted.

第三,透過填空隔板6b之結構穩固座體1b,進而避免座體1b於空隙中晃動,同時還可對座體1a進行細部調整。 Thirdly, the seat body 1b is stabilized through the structure of the blanking partition 6b, thereby preventing the seat body 1b from shaking in the gap, and at the same time, the seat body 1a can be fine-tuned.

第四,透過定位肋131c之結構,提高本新型與牙齒之接觸面積,進而提升實施上之穩定性及精準度。 Fourth, through the structure of the positioning rib 131c, the contact area between the present invention and the teeth is increased, thereby improving the stability and accuracy of implementation.

第五,透過量測件7c之結構,提升調整時之精確性,令整體植牙過程得以一次到達安全的預設定位。 Fifth, through the structure of the measuring piece 7c, the accuracy of adjustment is improved, so that the entire implant process can reach a safe preset position at one time.

第六,由上所述,目前最新之牙科數位科技,係於診所內使用口腔掃描機及電腦斷層,將數位檔案傳送至數位牙科技工所,並以3D列印方式製作手術用導引板,再寄回診所使用。不僅來回寄送耗時,現階段口腔掃描機亦相當昂貴,此外,還須專業人員操作該項設備及軟體。若想於診所內設置專用技工人員及各種數位化機器設備,所需之人力、物力、及財力亦非一般牙醫診所得以負擔。因此透過本新型,即可在省時安全且方便的同時,達到與數位化牙科製作出之手術用導引板相同的功能。 Sixth, from the above, the latest dental digital technology is the use of oral scanners and computer tomography in the clinic to send digital files to the digital dental laboratory and use 3D printing to make surgical guides. Send it back to the clinic for use. Not only is it time-consuming to send back and forth, but the oral scanner is also very expensive at this stage. In addition, professionals are required to operate the equipment and software. If you want to set up dedicated technicians and various digital machinery and equipment in the clinic, the manpower, material resources, and financial resources required are beyond the burden of ordinary dentists. Therefore, the present invention can achieve the same function as the surgical guide plate made by digital dentistry while saving time, safety and convenience.

綜上所述,本新型之立即式牙科植牙手術導引裝置於使用時,為確實能達到其功效及目的,故本新型誠為一實用性優異之新型,為符合新型專利之申請要件,爰依法提出申請,盼 審委早日賜准本新型,以保障申請人之辛苦研發,倘若 鈞局審委有任何稽疑,請不吝來函指示,申請人定當竭力配合,實感德便。 In summary, the instant dental implant surgical guide device of the present invention can indeed achieve its efficacy and purpose when used. Therefore, the present invention is a new model with excellent practicability and meets the requirements of a new patent application. Yan submits an application in accordance with the law, and hopes that the review committee will approve this model as soon as possible to protect the applicant's hard research and development. If the review committee of the Bureau has any doubts, please write to us for instructions. The applicant will do our best to cooperate, and it will be convenient.

1:座體 1: seat body

11:容置空間 11: Housing space

12:球體定位件 12: Sphere positioning piece

13:座體定位件 13: Seat positioning parts

2:球體 2: sphere

21:穿孔 21: Piercing

3:調整件 3: adjustment parts

Claims (5)

一種立即式牙科植牙手術導引裝置,其主要包括: An immediate dental implant surgery guide device, which mainly includes: 一座體,該座體中具有一容置空間; A body with an accommodating space in the body; 一球體,該球體設於該容置空間中,且該球體上具有一穿孔; A sphere, the sphere is set in the accommodating space, and the sphere has a perforation; 一調整件,該調整件部分穿設於該穿孔中; An adjustment piece, the adjustment piece partially penetrates the perforation; 複數球體定位件,各該球體定位件分別設於該座體之兩側處,且由該座體之外側貫穿進入該容置空間中並抵觸於該球體上;及 A plurality of sphere positioning elements, each of which is respectively provided on both sides of the seat body, penetrates into the accommodating space from the outer side of the seat body and abuts against the sphere; and 至少一座體定位件,該座體定位件設於該座體上。 At least a seat body positioning member, the seat body positioning member is arranged on the seat body. 如申請專利範圍第1項所述之立即式牙科植牙手術導引裝置,其中該座體定位件上具有至少一定位肋。 As described in the first item of the scope of patent application, the immediate dental implant surgery guide device, wherein the seat positioning member has at least one positioning rib. 如申請專利範圍第1項所述之立即式牙科植牙手術導引裝置,其中該座體定位件上連接有至少一填空隔板,且該填空隔板位於該座體之側處。 In the immediate dental implant surgery guide device described in the first item of the scope of patent application, at least one filling partition is connected to the seat positioning member, and the filling partition is located on the side of the seat. 如申請專利範圍第1項所述之立即式牙科植牙手術導引裝置,其中該座體上設有一固定元件,該固定元件設於該座體之一側處,且該固定元件係由該座體之外側貫穿進入該座體內並抵觸於該座體定位件上。 As described in the first item of the scope of patent application, the immediate dental implant surgery guide device, wherein the base is provided with a fixing element, the fixing element is arranged on one side of the base, and the fixing element is The outer side of the seat body penetrates into the seat body and abuts on the seat body positioning member. 如申請專利範圍第1項所述之立即式牙科植牙手術導引裝置,其中該座體上設有一量測件,且該量測件係位置對應於該調整件。 As described in the first item of the scope of patent application, the immediate dental implant surgery guide device, wherein the seat body is provided with a measuring piece, and the measuring piece is positioned corresponding to the adjusting piece.
TW109201379U 2020-02-07 2020-02-07 Immediate dental implant surgery guiding device TWM604177U (en)

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