WO2012004282A1 - Verfahren und spannvorrichtung zur herstellung einer zahnmedizinischen bohrschalone - Google Patents

Verfahren und spannvorrichtung zur herstellung einer zahnmedizinischen bohrschalone Download PDF

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Publication number
WO2012004282A1
WO2012004282A1 PCT/EP2011/061353 EP2011061353W WO2012004282A1 WO 2012004282 A1 WO2012004282 A1 WO 2012004282A1 EP 2011061353 W EP2011061353 W EP 2011061353W WO 2012004282 A1 WO2012004282 A1 WO 2012004282A1
Authority
WO
WIPO (PCT)
Prior art keywords
blank
guide bore
drilling template
drilling
template
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
PCT/EP2011/061353
Other languages
German (de)
English (en)
French (fr)
Inventor
Reinhard Pieper
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Sirona Dental Systems GmbH
Original Assignee
Sirona Dental Systems GmbH
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Sirona Dental Systems GmbH filed Critical Sirona Dental Systems GmbH
Priority to CA2803537A priority Critical patent/CA2803537C/en
Priority to KR1020137003051A priority patent/KR101780189B1/ko
Priority to EP11741416.9A priority patent/EP2590591B1/de
Priority to US13/701,233 priority patent/US9378308B2/en
Priority to BR112013000400-2A priority patent/BR112013000400B1/pt
Priority to JP2013517369A priority patent/JP5917505B2/ja
Publication of WO2012004282A1 publication Critical patent/WO2012004282A1/de
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C1/00Dental machines for boring or cutting ; General features of dental machines or apparatus, e.g. hand-piece design
    • A61C1/08Machine parts specially adapted for dentistry
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C1/00Dental machines for boring or cutting ; General features of dental machines or apparatus, e.g. hand-piece design
    • A61C1/08Machine parts specially adapted for dentistry
    • A61C1/082Positioning or guiding, e.g. of drills
    • A61C1/084Positioning or guiding, e.g. of drills of implanting tools
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C13/00Dental prostheses; Making same
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C13/00Dental prostheses; Making same
    • A61C13/0003Making bridge-work, inlays, implants or the like
    • A61C13/0004Computer-assisted sizing or machining of dental prostheses
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C13/00Dental prostheses; Making same
    • A61C13/12Tools for fastening artificial teeth; Holders, clamps, or stands for artificial teeth
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C3/00Dental tools or instruments
    • A61C3/02Tooth drilling or cutting instruments; Instruments acting like a sandblast machine
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C8/00Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools
    • GPHYSICS
    • G06COMPUTING OR CALCULATING; COUNTING
    • G06FELECTRIC DIGITAL DATA PROCESSING
    • G06F30/00Computer-aided design [CAD]
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C13/00Dental prostheses; Making same
    • A61C13/0003Making bridge-work, inlays, implants or the like
    • A61C13/0022Blanks or green, unfinished dental restoration parts

Definitions

  • the invention relates to a method for producing a dental surgical template having a guide bore and a bearing surface, wherein a virtual SD drill template model of the surgical template with a virtual guide bore along a guide bore axis and with a virtual support surface is present.
  • a situation model is made of plaster
  • a plastic splint is deep-drawn on the sensation model prepared second plaster model sawed with a view to the ge ⁇ planned implant position that measured bone profile transferred and set an implant axis.
  • a wax-up of the planned restoration is prepared model on the original of situation.
  • the new art ⁇ fuel rail is transmitted to the situation model.
  • the implant position and the implant axis determined is marked on the situation model and medium means of a parallelometer with a pilot drill of the Boh ⁇ tion performed.
  • a titanium pin is inserted into the hole.
  • a new plastic rail is deep-drawn over the titanium pin inserted in the model.
  • the plastic rail is removed from the model and the Ti ⁇ tanstruct by a shorter pin titanium replaced.
  • the plastic splint is placed on the previously manufactured model with the bone profile drawn in and the implant axis is checked. If necessary, the position and direction of the hole can still be corrected.
  • a titanium pin with a Abstu ⁇ tion is inserted into the hole and any existing Un ⁇ ter4.000e blocked with plaster, wax or plastic.
  • About the titanium pin with gradation a new art ⁇ rail is deep drawn.
  • After removal of the titanium pin gradation with a occlusal opening is cut in the art ⁇ fuel rail or ground and a Bohrhül ⁇ se with edge is inserted into the plastic rail.
  • the plastic splint is ground or cut in the region of the implantation site .
  • a drill sleeve can be slipped over the titanium pin and the four of the rig can be fixed with plastic or gypsum.
  • a plastic rail is deep-drawn over the drill sleeve and the drill hole ground free for receiving the pilot drill.
  • DE 199 52 962 Al discloses a method for creating a drilling aid for a tooth implant, said first X-ray image of the jaw and then a three- dimensional optical measurement of the visible surface of the Kie ⁇ fers and the teeth is performed.
  • the measurement records from the radiograph and the three-dimensional optical Recording are correlated with each other.
  • a template is planned and generated, which rests on the adjacent teeth and thereby the exact hole of the implant guide hole is made possible.
  • the implant Based on the X-ray data, the implant can be determined and positioned in a known manner.
  • an implantant aid in the form of a drilling template can be used
  • CAD / CAM unit are ground.
  • a CAD / CAM machine is able to produce the drilling template with the negative of the occlusal surfaces and a guide run for the drill.
  • a stop is transmitted to the drilling template, which determines the drilling depth.
  • WO 99/32045 discloses a method of making a dental drilling aid for implants. First, a pine image with respect to an impression surface is modeled a three-dimensional computer image under Ver ⁇ application. Thereafter, the location and depth of the drilled holes are determined and a set of implant borehole coordinates are fed to a computerized manufacturing machine. By means of a pre ⁇ ziionstechnikmaschines is in the drill body for each of the previously injected downhole coordinate sets a Bohr Resultssso- ekel prepared with a corresponding to the determined based on the Kie ⁇ ferabites borehole position and borehole orientation.
  • a disadvantage of this method is that the masters ⁇ th CAD / CAM machines are limited in their degrees of freedom and Solutions- particular skewed to each other ⁇ arranged holes are not feasible. Therefore, the production of surgical guides by means of a CAD / CAM Machine only possible for limited indications.
  • the manufacture of the drilling template either pods individually in the laboratory or by prior CAD / CAM design center, for example, using a hexa-, whose construction allows a mobility of the to bear ⁇ beitenden object in all six degrees of freedom takes place, and by means of a parallelometer for performing vertical drilling.
  • CT-DVT stencils, bite plates and jaw models made of gypsum are usually used for central production. These are mounted on the consuming decor with dark ⁇ ended Hexapod and set a plurality of measurement points using. This process is very complicated and therefore error-prone.
  • the object of this invention is to provide a method and an apparatus which enables the production of any drilling template with skewed drilling axes using a conventional manufacturing machine with limited degrees of freedom.
  • the subject invention is a method for producing a dental surgical template from a blank having a guide bore and a support surface, wherein a virtual 3D Bohrschablonenmodell the Bohrschab ⁇ lone with a virtual guide bore along a guide bore axis and a virtual support surface is present.
  • the virtuel ⁇ le 3D Bohrschablonenmodell is virtually arranged within a blank SD model of the blank to bring out the Bohrschab ⁇ lone according to the shape and location of the virtual SD Bohrschablonenmodells within the 3D model blank from the blank.
  • the boring template is removed prior to working out the blank computer-assisted virtual fürivesstel ⁇ le the guide bore axis determined on an outer side of the SD blank model.
  • a label is then attached to the passage point through ⁇ the guide bore axis on the outside of the blank.
  • a point of passage of the guide bore axis is first determined on an outer side of the virtual 3D Bohrschablonenmodells and subsequently during and after the elaboration of the drilling template from the raw ling at the passage point on the outside of the drilling ⁇ template A marking.
  • the produced dental drill template can be any drilling template, like a worn by the adjacent teeth drilling template for minimally invasive surgery so-as one carried by the jaw bone drilling template for so-called "open-flap" surgery.
  • the Bohrschab ⁇ lone can both pilot holes and be made for insertion of Einsteckhülsen.
  • the guide bore is used to guide a drill to perform the planned implant bore for insertion of an implant as calculated in implant planning.
  • the drill can be a so-called pilot drill.
  • the guide bore can be configured so that a drill sleeve can be set in the guide bore, with the inner surface of the drill sleeve serving to guide the drill.
  • implant planning an X-ray image of the jaw and a three-dimensional optical measurement of the visible surface of jaw and teeth can be USAGE ⁇ det to rela- tively to the jaw virtually set the type of implant and the implant length. In particular, the exact location, the relative angle to the jaw and the depth of the individual holes for inserting the implants planned.
  • a virtual 3D drilling template model of the boring template is then planned which has virtual guide bores and a virtual support surface, wherein the support surface is preferably shaped as a negative counterpart to the surface of the neighboring teeth.
  • the planned 3D surgical template model of the surgical template is the starting point of the present inventive method.
  • the virtual 3D drill template model is placed virtually within the blank SD template of a blank. This can to a monitor and a mouse he ⁇ ⁇ follow means of a computer, the user can use within the 3D model blank virtual tools for rotating and moving the 3D Bohrschablonenmodells. After placing the 3D Bohrschablonenmodells the position data can be submit ⁇ stores.
  • Ceramics or plastic are used, which is large enough in size to work out the drilling template forth ⁇ .
  • the blank can be any geometric basic shape in its dimensions, wherein it contains no patient-related elements, such as an impression of the patient's teeth.
  • the Bohrscschreibe is worked out by means of a Fer ⁇ actuating device which may be a conventional CAD / CAM device with limited degrees of freedom.
  • a Fer ⁇ actuating device which may be a conventional CAD / CAM device with limited degrees of freedom.
  • one or more passages of the guide bore axis on the outside of the 3D blank model or on the outside of the virtual 3D Bohrschablonenmodells be ⁇ true. This can be computer-aided automatically by the user at the end of the planning process, for example, by means of a virtual switch ⁇ triggers this function.
  • the position data of the passage points relative to the blank can be stored and forwarded to the production device.
  • one or more markings are applied to one or more points of passage of the guide bore axis either on the outside of the blank or on the outside of the drilling template. If, according to a first exemplary embodiment, the bores are first carried out and only then is the drilling template removed from the blank, the markings are applied to the outer surface of the blank. If after the second,sbei ⁇ game of the method, first the drilling template is machined from the Roh ⁇ ling and only then the investigatingsboh- ments are performed, the markers are attached to the outer surface of the drilling template.
  • the markings can be designed in any shape.
  • the advantage of the inventive method is that the holes are produced as planned in a separate drilling device from the manufacturing device.
  • Drilling device may be a conventional parallelometer.
  • the planned guide holes are made from the markings by means of the drilling device by clamping either the blank or the finished template into the drilling device so that the axis of a drill of the drilling device coincides with the intended guide bore axis between the two marks.
  • the inventive method allows easy and fast therewith, a drilling template by any forth ⁇ conventional manufacturing apparatus and a boring apparatus to manufacture directly into the dentist's office. This makes it no longer necessary to produce the drilling template based on planning data in a central laboratory.
  • the blank can be clamped and measured before working out the drilling template in a manufacturing device.
  • the position and orientation relative to the manufacturing device is determined and then in a further step, a tool of the manufacturing device, such as a milling tool, so controlled that the outer surface of the drilling template according to the planning data from the clamped blank is milled out.
  • a tool of the manufacturing device such as a milling tool
  • the planned guide bore can be produced from the blank before the drilling template is worked out.
  • One enters put through ⁇ the guide bore axis can computerized virtually be determined on an outside of the 3D model blank before working out the drilling template from the blank.
  • the blank can be clamped and measured in the next step in the manufacturing device.
  • a marking is then made at the point of passage of the guide bore axis on the outside of the blank.
  • the blank is removed from the manufacturing device. Thereafter, the marked blank is clamped in a clamping device, wherein the blank is fixed in its position by means of a fixing device.
  • the jig is then removed and the ge ⁇ planned guide bore is carried out by means of a drilling device at the attached label.
  • the guide bore is first performed on the blank and only in the second step, the drilling template from the blank forth ⁇ worked, so that the guide hole is arranged at the planned location and with the planned orientation in the drilling template. It is also possible to produce a plurality of guide bores . In the case of several guide bores, the steps of clamping the blank into the clamping device, fixing by means of the fixing device, removal from the clamping device and the
  • Execution of the guide hole can be repeated by means of the drilling device for each guide bore.
  • the marking can be attached to the passage point of the guide bore axis in the form of a recess by means of the manufacturing device.
  • the mark can be attached in the form of a depression. As a result, the clamping of the blank is facilitated in the clamping device.
  • the tensioning device can have two pin tips and two markings can be attached to the blank at both passage points of the guide bore.
  • the marked blank is then clamped in the jig at the two markings between the pen nibs.
  • the recesses on the blank may be formed as a counterpart to the two pen tips. This enables a positionally accurate clamping of the blank.
  • the planned guide bore can only be produced from the blank after the drilling template has been worked out.
  • a mark is placed on a surface of the drilling template, wherein a blank holder sta ⁇ bil remains connected to the drilling template.
  • the Bohrschab ⁇ lone with the blank holder is removed from the manufacturing device.
  • the drilling template is clamped in a clamping device, wherein the blank is fixed in its position by means of a fixing device.
  • the tensioner is removed.
  • the planned guide bore is then produced at the marking.
  • the drilling template is made from the blank challenges and carried out the planned Füh ⁇ approximately drilling only in the second step.
  • the steps of clamping the drilling template into the clamping device, fixing the blank by means of the fixing device and producing the guide bore by means of the boring device are repeated for each individual guide bore.
  • the drilling template is easier to handle than a blank of larger dimensions in the implementation of the guide holes.
  • the mark can be applied to the surface of the drilling template in the form of a recess by means of the manufacturing device.
  • the tensioning device may have two pin ⁇ acute and be attached to the drilling template two marks on both the passages of the guide bore, wherein the labeled drilling template in the
  • Clamping device is clamped at the two markings between the pen tips.
  • the marks formed as a depression may be formed as a counterpart to the two pen tips.
  • the fixing device can have rubber jars and the blank can be clamped between the rubber jars.
  • the proposed guide bore can be constructed from the blank prior to machining the drilling template, wherein, prior to machining the drilling template from the blank computerized virtually a is determined by ⁇ passage point of the guide bore axis to an outer side of the 3D blank model, wherein the blank in the Manufacturing device is clamped and measured. At the point of passage of the guide bore axis on the outside of the blank, a mark is attached.
  • the blank is removed from the manufacturing device.
  • the marked blank is clamped to a blank holder in a clamping device.
  • the clamping device in this case has adjusting means for adjusting a tilt angle and a rotation angle of the blank relative to the clamping device.
  • the blank is then tilted using these adjustment means with respect to the tilt angle.
  • kels and the angle of rotation so positioned that the planned guide bore axis coincides with an axis of a tool of a drilling device for performing the planned guide bore.
  • the planned guide bore is carried out at the marking.
  • a clamping device is used with adjusting means for adjusting a tilt angle and a rotational angle of the blank.
  • the method step of fixing and removing the clamping device before the drilling operation by means of the drilling device is not necessary.
  • the clamped blank is then adjusted by means of the adjusting means in its angle of inclination and angle of rotation ent ⁇ speaking.
  • the jig can be slid under the jig so that the axis of the tool, such as a drill or a router, coincides with the guide bore axis.
  • the planned drilling through the blank is carried out precisely, without having to use a fixing device.
  • the proposed pilot hole can be made only after the elaboration of the drilling template from the blank, wherein, prior to machining the drilling template from the blank computerized virtually a point of passage of the guide bore axis on a Au ⁇ Hzseite the 3D Bohrschablonemodells is determined.
  • the blank is then clamped and measured in the manufacturing device, wherein when the drilling template is worked out of the blank, a marking is made at the point of passage on a surface of the drilling template.
  • a blank holder remains stable with the drilling template connected.
  • the drilling template with the blank holder is removed from the manufacturing device.
  • the marked drilling template is then clamped in a clamping device on the blank holder.
  • the clamping device has adjusting means for adjusting an angle of inclination and a rotational angle of the blank relative to the clamping device, wherein the blank is positioned with respect to the inclination angle and the Drehwin ⁇ angle using this adjustment means so that the planned Proceedingssboh- tion axis with an axis of a tool a Bohrvor ⁇ direction to carry out the planned guide bore Ü agrees.
  • the planned guide bore is then carried out at the marking.
  • Clamping device is clamped.
  • the adjustment means are set to the calculated pitch angle and calculate ⁇ th angle of rotation for each guide bore and the clamping device is pushed under the drilling device so that the axis of the drill bit coincides with the ceremoniessboh ⁇ approximately axially and then the ceremoniessboh ⁇ tion is performed on the label.
  • a pin is provided on the raw ⁇ lingshalter which engages against rotation in a groove in the receptacle of the blank.
  • the adjustment means can be a Ver ⁇ position of the inclination angle between 0 ° and 90 ° and a Adjustment of the angle of rotation between 0 ° and 360 ° ermögli ⁇ Chen.
  • each individual guide bore ⁇ be provided with an individual numbering.
  • each planned guide bore facilitates the user to select the appropriate calculated angle of inclination and angle of rotation for the pilot hole to be made so as to prevent faulty holes.
  • the drilling template may have a stop on the guide bore, which serves to limit the depth of the bore to be performed.
  • the stop is here as a part of the drilling template from the blank ago ⁇ worked.
  • the stop is made together with the drilling template, which determines the depth of each hole to be performed.
  • a further subject of the invention is a clamping device for clamping a blank for producing a drilling template, comprising a base, a first displacement ⁇ means for adjusting an angle of inclination of the blank, a second adjusting means for adjusting a rotational ⁇ angle of the blank.
  • the blank is so positive with respect to the angle of inclination and the angle of rotation relative to the clamping device.
  • nierbar that a planned guide bore axis coincides with the axis of a tool of a drilling device for performing a guide bore.
  • the inventive method can thereby also be carried out without the use of a fixing device.
  • a first step the inclination angle and the Drehwin ⁇ kel the socket under the Bohrvorrich- by means of the adjusting means adjusted for each hole and fixed and subsequently in the second step ⁇ zd tung pushed so that the axis of the tool with the
  • Axis of the guide bore coincides. Then the drilling is carried out. These steps are repeated for each individual leadership ⁇ hole.
  • the clamping device additionally egg NEN rotary arm, a slope scale for reading off the inclination ⁇ angle, a rotary scale for reading the rotation angle, a recording of the blank holder for fixing of the blank, a fixing of the blank holder, a first nut for fixing the angle of rotation, a second Include nut for fixing the inclination angle, wherein the receptacle is formed as a counterpart to the blank holder.
  • the rotary arm on which the blank is fastened permits an adjustment of the tilt angle, the tilt angle ⁇ be read by means of the tilt scale.
  • the blank holder is fixed in a holder for receiving, which is rotatably mounted on the rotary arm for adjusting the angle of rotation.
  • the angle of rotation can be determined by means of
  • Rotation scale can be read. After the inclination angle and the rotation angle have been set, the
  • the blank holder has a pin which engages in a groove on the receptacle of the blank holder to the blank Blank holder accesses to the blank torsion fi ⁇ Xieren.
  • the adjustment means can make a Ver ⁇ position of the inclination angle between 0 ° and 90 ° and an adjustment of the rotation angle between 0 ° and 360 ° ermögli ⁇ chen.
  • FIG. 2 shows a sketch of a blank which is clamped in a tensioning device
  • FIG 3 shows a sketch of a blank with a Bohrvorrich ⁇ tion for carrying out the planned guide bore.
  • FIG. 4 shows a sketch of a blank which is clamped in an alternative clamping device
  • Fig. 5 is a sketch of a manufacturing apparatus with the
  • FIG. 1 shows a sketch of a virtual SD drilling template model 1 with four guide bores 2, 3, 4, 5 along the guide bore axes 6, 7, 8 and 9, wherein the 3D drilling template model has a virtual support surface 10, which corresponds to the shape of the teeth and a part of the Gau ⁇ men.
  • the virtual 3D drill template model is virtually arranged within a 3D blank model 11.
  • the virtual arrangement may be automatically computer-assisted or by a user using a computer screen and a mouse or keyboard.
  • the passage locations 12 and 13 of the guide bore axis 6 are determined on a virtual outer surface 14 of the blank SD model 11. There are also on the two outer surfaces 15 and 16 of the 3D template model. 1
  • Passages 17 and 18 determined.
  • the passages 19 and 20 on the outer surface 14 of the 3D blank model and the passages 21 and 22 on the two outer surfaces 15 and 16 of the 3D template model are accordingly determined.
  • the passage points are the passage points
  • the passage are ⁇ 27 and 28 on the outer surface 14 as well as the slot passing steep 29 and 30 on the two outer surfaces 15 and 16 determined.
  • the determination of the passages can be carried out with computer assistance or automatically, as the Anord ⁇ voltage of the 3D Bohrschablonenmodells within the SD blank model and the guide hole axes 6, 7, 8 and 9 are known.
  • a Ferti ⁇ constriction device shown in FIGS. 5 and 6, Mar- attached.
  • the blank is, as shown in Fig. 2, ⁇ clamped in a jig and fixed in its position by means of a fixing device.
  • guide holes are made on the markings as shown in FIGS. 3 and 4 by means of a drilling device as planned.
  • the drill guide 1 'of the blank 11' is initially by means of the manufacturing ⁇ device in Fig. Worked out, whereby the passage Stel ⁇ len 17, 21, 25 and 29 on the upper outer surface 15 the drilling template 1 'and at the passage points 18, 22, 26 and 30 at the lower outer surface 16 of the drilling template 1' marks in the form of depressions are attached.
  • Fig. 2 shows a sketch of a blank 11 ', which was provided at the passage points 27, 28, 23 and 24 by means of the manufacturing apparatus of Fig. 5 and 6 with markings in the form of conical depressions. The remaining markings at the passage points 12, 19, 20 and 13 are not shown.
  • the blank 11 ' is clamped on the markings 23 and 24 between two pin tips 40 and 41 of a clamping device 42.
  • the distance between the two pen tips 40 and 41 can be changed by moving the upper pen nib 40 and fixed by means of a locking nut 55.
  • the upper pen nib 40 belongs to a continuous pin 43, which is clamped in a chuck 44 of a drilling device 45.
  • the drilling device 45 may be a conventional parallel milling device (parallelometer), which is suitable for vertical drilling.
  • the planned guide bore axis 8 coincides with a drill axis 46 of the tool of the drilling device 45 to be used.
  • the blank 11 ' is fixed in position by means of a fixing device 47.
  • the fixing device 47 has rubber jaws 48 and 49 which are elastic and, as in a screw clamp, by means of a handle 50 and the threaded screw 51 clamp the blank 11 'from both sides.
  • the fixing device has a ball joint 52 and a stand 53 in order to adjust a movable tensioning rail 54 as desired.
  • Fig. 3 the structure is to a step shows ⁇ ge, following the step in FIG. 2.
  • the Clamping device 42 of FIG. 2 was removed from the chuck 44 and replaced by a tool, namely a drill 60, wherein the blank 11 'is fixed in its position by means of the fixing device 47 and the drilling axis 46 of the tool 60 with the planned guide bore axis 8 ü - agrees.
  • the planned guide bore 4 between the markings 23 and 24 is Herge ⁇ means of the tool 60 is.
  • the remaining planned guide bores 2, 3 and 5 are made in the same way by repeating the steps of Figs. 2 and 3, namely
  • an alternative clamping device 70 is Darge ⁇ represents, comprising a base 71, a first adjusting means 72 for adjusting an inclination angle 73, namely a rotary arm 74 which is rotatable about an axis 75 and with a FestStellmutter 76 is adjustable.
  • the clamping device 70 comprises a second adjustment means for Verstel ⁇ lung of the rotation angle, the arrival by means of the rotary scale 84 is shown, wherein the adjusting means 75 has a receptacle 77 of the blank holder 78, which is rotatably arranged as an extension of the slewing arm ⁇ 74 and the angle of rotation by means of a second locking screw 79 is fixed.
  • the receptacle 77 has a pin 80 which engages in a groove on the blank holder 78 against rotation.
  • the blank holder 78 is fixed in the receptacle 77 by means of an adjusting nut drit ⁇ th 81st
  • the tilt angle is displayed on the tilt scale 82.
  • the base 71 is freely displaceable on the ground 83.
  • the tensioning device according to FIG. 4 can also be used for the alternative inventive method. be used in which in a first step, the drilling template 1 'is worked out by means of the manufacturing device of Fig. 5 and 6, wherein the upper and lower outer surface 15 and 16 of the drilling template is provided with markings as depressions, and only in the second step, the guide holes be performed on the marked drilling template.
  • the drilling template which is connected as shown in Fig. 6, with the blank holder 78 remains clamped in the receptacle 77 and the base 71 is moved so that the tool 60 touches on the corresponding o- beren mark.
  • the planned guide bore is performed by means of the tool 60.
  • the first adjustment means 72 and the second Verdesmit ⁇ tel 75 are designed so that the inclination angle between 0- see see and 90 ° and the rotation angle between 0 ° and 360 ° is adjustable.
  • FIG. 5 shows a sketch of a production device 90 in which the blank 11 'is clamped to the blank holder 78 in a socket 91.
  • the planned drilling template 1 ' is worked out according to the SD drilling template model 1 from FIG. 1, in which the manufacturing device is correspondingly driven by a computer.
  • the blank 11 'with Herge ⁇ presented guide holes 4 and 5, wherein the guide holes 4 and 5 after the first method
  • Fig. 6 the finished Bohrschablohne 1 'is shown with the guided through ⁇ guide bores 4 and 5 after the working out of the drilling template from the blank.
  • the drilling template ⁇ 1 ' remains with the blank holder 78 via a Connecting pin 100 is connected, which can be subsequently ground off the drill template 1 'manually.
  • the blank 1 ' in the first step, is worked out from the blank 11' with markings at points of passage of the guide bore axes, the drilling template 1 'remaining connected to the blank holder 78 via the connecting pin. Only in the second step, the labeled ⁇ drilling template is associated with the blank holder 78 is clamped in the clamping device according to Fig. 2 or Fig. 4 and the guide holes, performed as described.

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  • Health & Medical Sciences (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Dentistry (AREA)
  • Epidemiology (AREA)
  • Life Sciences & Earth Sciences (AREA)
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  • General Engineering & Computer Science (AREA)
  • General Physics & Mathematics (AREA)
  • Computer Hardware Design (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Drilling And Boring (AREA)
  • Perforating, Stamping-Out Or Severing By Means Other Than Cutting (AREA)
  • Dental Prosthetics (AREA)
  • Architecture (AREA)
  • Software Systems (AREA)
  • Dental Tools And Instruments Or Auxiliary Dental Instruments (AREA)
PCT/EP2011/061353 2010-07-06 2011-07-06 Verfahren und spannvorrichtung zur herstellung einer zahnmedizinischen bohrschalone Ceased WO2012004282A1 (de)

Priority Applications (6)

Application Number Priority Date Filing Date Title
CA2803537A CA2803537C (en) 2010-07-06 2011-07-06 Method and clamping fixture for the producing of a dental drilling template
KR1020137003051A KR101780189B1 (ko) 2010-07-06 2011-07-06 치과용 드릴링 템플릿을 제조하기 위한 방법 및 클램핑 고정구
EP11741416.9A EP2590591B1 (de) 2010-07-06 2011-07-06 Verfahren zur herstellung einer zahnmedizinischen bohrschablone
US13/701,233 US9378308B2 (en) 2010-07-06 2011-07-06 Method and clamping fixture for the producing of a dental drilling template
BR112013000400-2A BR112013000400B1 (pt) 2010-07-06 2011-07-06 Processo para a produção de um gabarito de perfuração dentário a partir de uma peça bruta
JP2013517369A JP5917505B2 (ja) 2010-07-06 2011-07-06 歯科用のドリルテンプレートの製造方法と締め付け装置

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DE102010031018.2 2010-07-06
DE102010031018A DE102010031018A1 (de) 2010-07-06 2010-07-06 Verfahren und Spannvorrichtung zur Herstellung einer zahnmedizinischen Bohrschablone

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BR (1) BR112013000400B1 (https=)
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WO2016177381A2 (en) * 2015-05-03 2016-11-10 Khorshid Heba Ezzeldin Abdelrehim A novel technique for computer aided surgical stents
JP6593180B2 (ja) * 2016-01-08 2019-10-23 株式会社デンソー 医療支援装置
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EP2590591A1 (de) 2013-05-15
EP2590591B1 (de) 2018-04-18
KR101780189B1 (ko) 2017-09-21
DE102010031018A1 (de) 2012-01-12
BR112013000400B1 (pt) 2020-01-07
CA2803537A1 (en) 2012-01-12
US20130144417A1 (en) 2013-06-06
JP5917505B2 (ja) 2016-05-18
BR112013000400A2 (pt) 2016-05-17
JP2013529997A (ja) 2013-07-25
CA2803537C (en) 2018-10-16
KR20130128364A (ko) 2013-11-26
US9378308B2 (en) 2016-06-28

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