WO2016137077A1 - Ensemble d'appareil de guidage de chirurgie d'implant et procédé d'utilisation associé - Google Patents

Ensemble d'appareil de guidage de chirurgie d'implant et procédé d'utilisation associé Download PDF

Info

Publication number
WO2016137077A1
WO2016137077A1 PCT/KR2015/010377 KR2015010377W WO2016137077A1 WO 2016137077 A1 WO2016137077 A1 WO 2016137077A1 KR 2015010377 W KR2015010377 W KR 2015010377W WO 2016137077 A1 WO2016137077 A1 WO 2016137077A1
Authority
WO
WIPO (PCT)
Prior art keywords
guide
fixture
implant
rotation
opening
Prior art date
Application number
PCT/KR2015/010377
Other languages
English (en)
Korean (ko)
Inventor
공태현
최규옥
Original Assignee
오스템임플란트 주식회사
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 오스템임플란트 주식회사 filed Critical 오스템임플란트 주식회사
Publication of WO2016137077A1 publication Critical patent/WO2016137077A1/fr

Links

Images

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C8/00—Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools
    • A61C8/0089—Implanting tools or instruments
    • A61C8/009—Implanting tools or instruments for selecting the right implanting element, e.g. templates
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C13/00—Dental prostheses; Making same
    • A61C13/34—Making or working of models, e.g. preliminary castings, trial dentures; Dowel pins [4]
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/17—Guides or aligning means for drills, mills, pins or wires
    • A61B17/1739—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body
    • A61B17/176—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body for the jaw
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C1/00—Dental machines for boring or cutting ; General features of dental machines or apparatus, e.g. hand-piece design
    • A61C1/08—Machine parts specially adapted for dentistry
    • A61C1/082—Positioning or guiding, e.g. of drills
    • A61C1/084—Positioning or guiding, e.g. of drills of implanting tools

Definitions

  • the present invention relates to a set of implant surgical guide apparatus and an implant placement method using the same, and more particularly, an implant made to smoothly form an implant procedure ball using a guide part even at a short distance between the jaw distance, and to determine the rotation position of the fixture.
  • a surgical guide device set and an implant placement method using the same are particularly, an implant made to smoothly form an implant procedure ball using a guide part even at a short distance between the jaw distance, and to determine the rotation position of the fixture.
  • Implants In dentistry, implantation refers to the implantation of artificial teeth after removal of problematic or missing teeth. Implants have the advantage of being able to repair only the missing parts without removing the natural teeth that are in contact.
  • Such implants can be used semi-permanently because they have the same function or shape as natural teeth and do not cause tooth decay.
  • the operator uses an exclusive drill to form the implant procedure ball in the alveolar bone at the position where the implant is to be installed.
  • the fixture is coupled to the implant ball to osseointegration the alveolar bone and the fixture.
  • the fixture is configured to support a prosthesis having an artificial tooth shape.
  • Such a fixture is configured to be inserted into the implant surgery hole formed in the alveolar bone, preferably made of a material that does not show a rejection reaction with the human body.
  • the abutment is coupled to the fixture while the alveolar bone and the fixture are bone fused.
  • the direction and depth of the implant procedure ball may vary according to various factors such as the dental condition of the patient, the location of the tooth where the implant procedure is performed, and the alveolar bone condition of the patient.
  • a guide part for guiding the movement of the drill may be used, but there is a problem in that the guide part cannot be used when the implant is placed at a position where the jaw distance is short, such as molars. . That is, since the position of the molars is short between the jaw distance, it is difficult to enter the drill into the guide part, and thus there is a difficulty in forming the implant procedure ball.
  • the implant surgical guide device set configured to determine the rotation position of the fixture and using the same It is to provide a method for implant placement.
  • an embodiment of the present invention drill device for forming an implant procedure ball in the alveolar bone; And a guide device for guiding movement of the drill device and having a guide part for selectively controlling a depth and a direction of the implant procedure ball and a tooth frame fixing part for supporting and fixing the guide part. It is possible to provide an implant surgical guide device set which is selectively separated from the body to form an insertion space to form an insertion space to enable side entry of the drill apparatus.
  • One embodiment of the present invention is a fixture that is inserted and fixed to the implant procedure ball; And a mount assembly inserted through the guide part and having a rotation adjusting part for grasping the rotation state of the fixture, wherein the guide part is rotated to face the opening and designate a rotation position of the mount assembly.
  • Implant surgery guide apparatus is formed to adjust the rotation position of the fixture is formed by adjusting the reference groove is formed so that the side of the rotation adjustment unit parallel to the imaginary line connecting the inner diameter side edge of the guide portion formed by the rotation reference groove Can provide a set.
  • the opening portion is spaced apart from the body portion, it can be coupled to the connection member.
  • connection member may be provided on both sides of the opening.
  • connection member may be provided on the lower surface of the opening.
  • the body portion is formed with a receiving groove
  • the opening may be formed with a protrusion corresponding to the receiving groove
  • the length of the body portion may be formed longer than the length of the opening.
  • the mount assembly is provided with a first screw thread at one end is mounted screw screwed to the fixture; And a mount body having one end of the mount screw penetrated therein, the mount body having an outer diameter corresponding to the inner diameter of the guide unit and inserted into the guide unit, wherein the first thread is inserted through the through hole. Can be screwed with the fixture.
  • the mount screw, the insertion bar is inserted into the through hole;
  • the first screw thread provided at one end of the insertion bar;
  • a head portion provided at the other end of the insertion bar and having a larger diameter than the through hole;
  • an O-ring portion provided in a spaced space of the head forming a pair.
  • the top surface of the head is formed with a polygonal groove
  • the first driver is bound to the polygonal groove may provide a rotational force to the mount screw.
  • the mount body, the second driver is coupled, the driver fastening portion for transmitting the rotational force provided from the second driver to the fixture;
  • a rotation adjusting unit provided at a lower portion of the driver fastening part and configured to have a regular polygon in cross section and grasp the rotation position of the fixture;
  • a body part provided below the rotation adjusting part and having an outer diameter corresponding to the inner diameter of the guide part, the lower part having a truncated cone shape;
  • Fixture support is provided on the lower portion of the body to form the same regular polygon as the rotation control unit, each side is formed in the same direction as the side of the rotation control unit, the size of the circumscribed circle is smaller than the rotation control unit; Can be.
  • the fixture has a shape corresponding to the fixture support portion and the support portion fixing groove is formed is inserted into the fixture fixing portion is formed, the lower portion of the support portion fixing groove coupled to the first screw thread 2 threads are provided, the outer side may be provided with a third thread coupled to the alveolar bone.
  • the fixture is a movement guide portion of the shape corresponding to the truncated cone of the body portion is formed can guide the fixture support to the support fixing groove.
  • One embodiment of the present invention comprises the steps of fixing the guide device to the teeth; Moving the drill device along the length direction of the guide part provided in the guide device, and forming an implant procedure ball in the alveolar bone; And coupling the fixture to the implant surgical hole by inserting the mount assembly through the guide part, wherein the drill apparatus includes the opening part formed by separating the opening part provided from the guide part from the body part. It is possible to enter the side of the guide portion, the mount assembly is rotated to parallel the side of the rotation adjustment portion and the imaginary line segment connecting the inner diameter side edge of the guide portion formed by the rotation reference groove formed in the guide portion is implanted It is possible to provide an implant placement method that adjusts the rotational position.
  • the guide device is provided with an opening that is selectively separated from the body portion can enter the drill into the guide device in a direction that does not match the implant placement direction.
  • the operator when implanting the implant in the same position as the molars difficult to enter the drill device, the operator can easily enter the drill into the guide portion through the insertion space formed by separating the opening from the body portion.
  • the rotation reference groove is formed in the guide portion can accurately control the rotation position of the fixture. Therefore, in coupling the abutment and the artificial tooth to the fixture fixed to the alveolar bone, the artificial tooth can be prevented from being placed in a distorted state.
  • FIG. 1 is a state diagram used in the implant surgical guide device set according to the first embodiment of the present invention.
  • FIG 2 is an exemplary view showing a state of use of the guide unit according to the first embodiment of the present invention.
  • FIG 3 is a front view of the guide unit according to the first embodiment of the present invention.
  • FIG. 4 is a cross-sectional view taken along line A-A of FIG. 2 and illustrates an example in which the opening is separated.
  • FIG. 5 is a perspective view of a guide unit according to a second embodiment of the present invention.
  • FIG. 6 is a front view of a guide unit according to a second embodiment of the present invention.
  • FIG. 7 is a cross-sectional view taken along line B-B in FIG. 5 and shows an example in which the opening is separated.
  • FIG. 8 is an exploded perspective view of a guide unit according to a third embodiment of the present invention.
  • FIG 9 is an assembled state diagram of the mount assembly according to the present invention.
  • FIG. 10 is an exploded perspective view of the mount assembly according to the present invention.
  • FIG. 11 is a perspective view of a fixture according to the present invention.
  • FIG. 12 is an exemplary view showing a mount assembly to which a fixture inserted into a guide unit according to the present invention is coupled.
  • FIG. 13 is a flow chart showing an implant placement method according to the present invention.
  • the implant surgical guide device set 1000 may include a drill device 100 and a guide device 200.
  • the implant surgical guide device set 1000 is provided with a guide device 200 to enable the operator to form the implant procedure ball in the alveolar bone (not shown) by using the drill device 100 to an accurate position and depth.
  • the drill device 100 is configured to form an implant procedure ball in the alveolar bone
  • the drill device 100 may include a power transmission shaft 110, the engaging portion 120, the drill head 130 and the drill 140. have. That is, the rotational force generated from the power unit 150 is transmitted to the power transmission shaft 110, the rotational force transmitted to the power transmission shaft 110 is transmitted to the drill 140 integrally with the power transmission shaft 110 , Drill 140 is to form an implant procedure ball in the alveolar bone.
  • the power unit 150 may be a motor.
  • the drill apparatus 100 moves along the guide portion 300 provided in the guide apparatus 200 to form an implant procedure ball in the alveolar bone.
  • the guide portion 300 is formed with a stepped portion 301 for restraining the movement of the drill device 100, it is made to selectively control the depth and direction of the implant procedure ball formed in the alveolar bone.
  • the guide device 200 may include a guide part 300 and a tooth frame fixing part 240.
  • the guide part 300 supported and fixed to the tooth frame fixing part 240 may be made of one, or may be made of two, three, four or the like. That is, the number of the guide parts 300 is not limited to a specific number, but may be various numbers. In addition, when the guide unit 300 is made of two or more, the guide unit 300 may be provided to be adjacent to each other, may be provided to be spaced apart from each other, such as the position of the guide unit 300 is implant placement The location may vary depending on the location.
  • the guide part 300 is selectively adjusted according to various factors such as the dental condition of the patient, the position of the tooth where the implant procedure is performed, the alveolar bone condition of the patient.
  • the patient to be implanted to accurately determine the dental state through computed tomography (CT, CT), and determine the direction and depth of the implant procedure ball according to the identified dental condition.
  • CT computed tomography
  • the guide device 200 is manufactured based on the information obtained through the computed tomography.
  • the dental cast fixing part 240 may be manufactured in the form of the lower or upper teeth for all teeth except the lower teeth or upper teeth to be implanted. That is, the tooth frame fixing part 240 forms a shape corresponding to the intaglio shape with respect to the tooth of the embossed form, is made to be covered and fixed to the tooth.
  • the tooth frame fixing part 240 is manufactured in the form of a lower needle when the patient is performing the implant only on the lower teeth, and when the implant is only performed on the upper teeth, it is manufactured in the upper needle form.
  • the tooth frame fixing part 240 is manufactured in the lower and upper needle shape respectively.
  • the dental cast fixing part 240 shown in FIG. 1A is a form that can be fitted to all lower teeth except the lower teeth to be implanted, and is shown in FIG.
  • the dental cast fixing part 240 is inserted into only a part of the lower teeth to be implanted.
  • the operator may selectively adjust the size of the dental cast fixing part 240 according to the dental condition of the patient.
  • the tooth frame fixing part 240 is configured to support and fix the guide part 300, to form a shape corresponding to each tooth except only the lower teeth or upper teeth to be implanted, it is made to fit on each tooth.
  • the dental cast fixing part 240 shown in FIG. 1 illustrates a dental cast fixing part 240 having a lower nipple shape as an example.
  • the tooth frame fixing part 240 is manufactured in a customized form to fit the individual teeth of the patient through computed tomography. Therefore, the tooth frame fixing part 240 forms a shape that corresponds exactly to the teeth of the patient and stably fixes the guide part 300.
  • the tooth frame fixing part 240 may be made integral with the guide part 300, the guide part 300 may be made to be detachable from the tooth frame fixing part 240, of course.
  • FIG. 2 is an exemplary view showing a state of use of the guide unit according to the first embodiment of the present invention
  • FIG. 3 is a front view of the guide unit according to the first embodiment of the present invention
  • FIG. 4 is an AA sectional view of FIG. It is an exemplary view showing a state in which the parts are separated.
  • Members referred to by the same reference numerals as the members shown in Figure 1 have the same configuration and function, detailed description of each of them will be omitted.
  • the guide part 300 may further include an open part 320.
  • the opening 320 is formed extending along the circumference of the body 310.
  • the opening 320 may form a space portion 311 and a body portion 310 and may be supported by the body portion 310 by the connection member 312. At this time, when the operator applies a predetermined force or more to the opening portion 320, the connection member 312 is made so that the opening portion 320 is easily separated from the body portion 310.
  • connection member 312 provided on both sides of the opening 320 is twisted. It is made to be disconnected from the body portion (310). That is, a space 311 is formed between the opening 320 and the body 310 so that the opening 320 can be easily separated from the body 310.
  • the opening 320 may be used by the operator without removing or removing as necessary.
  • the length of the opening part 320 is made shorter than the length of the body part 310 to prevent the body part 310 is completely disconnected when the opening part 320 is separated from the body part 310. .
  • the opening part 320 When the opening part 320 is separated from the body part 310, the opening part 320 forms an insertion space part 330.
  • the insertion space 330 allows the drill 140 to easily enter from the outside.
  • the drill 140 in guiding the drill 140 of the drill device 100 to the inside of the guide part 300 to form an implant procedure ball, the drill 140 enters the implant placement direction from one end of the body part 310. Without this, the drill 140 may enter the side surface of the guide 300 through the insertion space 330.
  • the operator inserts the drill 140 of the drill apparatus 100 by separating the opening 320 from the body 310.
  • the space 330 can be easily entered into the guide 300.
  • the operator can smoothly form the implant procedure even in a state where the patient does not greatly open the mouth. That is, the operator may perform the implant procedure in a state in which the opening 320 is selectively separated according to the implant placement position. Therefore, it is possible to enhance the patient's convenience in the implant procedure and lower the difficulty of the procedure.
  • the opening portion 320 is to be torn off from the body portion 310, as described above, the patient during the implant procedure Of course, it can also enhance the convenience of.
  • the rotation reference groove 302 is formed in the guide portion 300.
  • the rotation reference groove 302 is positioned to face the opening 320 to set the rotation position reference of the fixture 800 (see FIG. 13) to be placed in the alveolar bone.
  • FIG. 5 is a perspective view of a guide unit according to a second embodiment of the present invention
  • FIG. 6 is a front view of the guide unit according to a second embodiment of the present invention
  • FIG. 7 is a sectional view taken along line BB of FIG. An illustration is shown.
  • Members referred to by the same reference numerals as the members shown in Figure 1 have the same configuration and function, detailed description of each of them will be omitted.
  • the guide portion 300 ′ shown in FIGS. 5 to 7 only has a difference in the position where the guide portion 300 and the connecting member shown in FIGS. 2 to 4 are provided.
  • connection member 312 ′ of FIG. 6 is provided at the bottom surface of the opening 320.
  • the operator applies a predetermined force or more to the upper end of the opening part 320, thereby breaking the connection member 312 ′ from being broken from the body part 310.
  • the opening 320 may be used by the operator without removing or removing as necessary.
  • the connecting members 312 and 312 ′ connecting the body 310 and the opening 320 are not limited to the positions of both sides or the bottom of the opening 320, and may be further provided at various positions. Of course.
  • FIG. 8 is an exploded perspective view of a guide unit according to a third embodiment of the present invention.
  • Members referred to by the same reference numerals as the members shown in Figure 1 have the same configuration and function, detailed description of each of them will be omitted.
  • the opening part 420 provided in the guide part 400 extends along the circumference of the body part 410.
  • Protruding portion 421 is formed in the opening portion 420, and a receiving groove 411 corresponding to the protruding portion 421 is formed in the body portion 410 such that the opening portion 420 is selectively formed from the body portion 410. Can be separated.
  • the opening portion 420 is formed with a receiving groove, the body portion 410 of course may be formed with a protrusion.
  • the operator pulls the opening portion 420 in the longitudinal direction of the guide portion 400 to pull the opening portion 420 from the body portion 410. Can be completely separated.
  • the length of the opening portion 420 is made shorter than the length of the body portion 410 to prevent the body portion 410 is completely disconnected when separating the opening portion 420 from the body portion 410. .
  • FIG. 9 is an assembly state of the mount assembly according to the invention
  • Figure 10 is an exploded perspective view of the mount assembly according to the invention
  • Figure 11 is a perspective view of the fixture according to the invention
  • Figure 12 is a guide portion according to the invention This is an exemplary view showing a mount assembly in which an inserted fixture is combined.
  • the implant surgical guide device set 1000 may further include a mount assembly 700 and a fixture 800.
  • the mount assembly 700 and the fixture 800 are used after forming the implant procedure ball in the alveolar bone using the drill apparatus 100.
  • the mount assembly 700 is configured to couple the fixture 800 to the implant procedure.
  • the mount assembly 700 may include a mount screw 500 and a mount body 600.
  • mount screw 500 An end of the mount screw 500 is screwed into the fixture 800, and the mount screw 500 includes an insertion bar 510, a first thread 520, a head 530, and an o-ring 540. It will be included.
  • Insertion bar 510 forms a cylindrical shape and forms the length of the mounting screw 500.
  • the insertion bar 510 is made to be inserted into the through hole 601 formed in the mount body 600, the first thread 520 provided at one end of the insertion bar 510 is the inside of the fixture 800
  • the second screw thread 810 and the screw coupling may be formed.
  • the head 530 is provided at the other end of the insertion bar 510.
  • the head 530 is formed to be larger than the diameter of the through-hole 601 so that the hook occurs in a state where the insertion bar 510 is inserted into the through-hole 601. That is, the insertion bar 510 is inserted into the through-hole 601 when the head 530 is in contact with the mount body 600 in the process of moving forward in the state coupled to the fixture 800, the insertion bar Forward movement of 510 may be constrained.
  • the head 530 is not limited to a circular shape but may be made in various forms such as polygons.
  • a polygonal groove 531 is formed on an upper surface of the head 530, and a first driver (not shown) is engaged inside the polygonal groove 531. That is, the first driver rotates the mount screw 500 forward or reverse in the state of being bound to the polygon groove 531.
  • the forward rotation refers to the twisting rotation in the right direction for the coupling of the first screw thread 520 and the second screw thread 810, the reverse rotation to separate the first screw thread 520 and the second screw thread 810. Refers to the rotation of the release in the left direction.
  • the first screw thread 520 and the second screw thread 810 are left screws, the directions of forward rotation and reverse rotation are reversed.
  • the O-ring portion 540 is provided in the spaced space of the head 530 forming a pair of spaced space. The role of the O-ring unit 540 will be described later.
  • the mount body 600 is formed so that the through-hole 601 is formed so that one end of the mounting screw 500 is inserted through, and has an outer diameter corresponding to the inner diameter of the guide portion 300 in the guide portion 300 It is made to be insertable.
  • the mount body 600 may include a driver fastening part 610, a rotation adjusting part 620, a body part 630, and a fixture support part 640.
  • a second driver (not shown) is coupled to the outer surface of the driver fastening part 610 so that the mount body 600 may rotate according to the rotation of the second driver. That is, the rotational force transmitted to the driver fastening unit 610 through the second driver is finally transferred to the fixture 800 so that the fixture 800 is rotated and can be inserted and fixed in the implant procedure ball formed in the alveolar bone.
  • the second driver is configured to be coupled to the driver fastening part 610 in a state in which the head part 530 and the driver fastening part 610 are wrapped.
  • the O-ring portion 540 is elastically deformed and in close contact with the inner surface of the second driver. Therefore, the second driver bound to the driver fastening part 610 is loose and can be prevented from being easily separated from the driver fastening part 610.
  • the driver fastening part 610 is made of an octagonal cross-sectional shape
  • the rotation adjustment unit 620 is made of a hexagon
  • the fixture support 640 is also made of a hexagon, but the driver fastening unit 610, rotation adjustment unit
  • the 620 and the fixture support 640 may be formed of various regular polygons.
  • the rotation adjustment unit 620 and the fixture support unit 640 is made of a regular polygon having only the same number of sides, the only difference in the size of the circumscribed circle, each side is necessarily positioned to face the same direction.
  • the rotation adjusting unit 620 is provided below the driver fastening unit 610.
  • the rotation adjusting unit 620 is a configuration for grasping the rotation state of the mount assembly 700, and finally is a configuration for grasping the rotation state of the fixture 800. Such a portion where each side 621 of the rotation control unit 620 meets may be formed round.
  • the first screw thread 520 is assembled with a rigid screw thread by twisting with the second screw thread 810 formed in the fixture 800.
  • the mount assembly 700 of the form is implanted by inserting the fixture 800 into the pre-formed implant procedure while receiving the guide of the guide 300 in a state inserted into the guide 300.
  • the operator controls the rotation position of the fixture 800 by adjusting the rotation reference groove 302 and the rotation adjustment unit 620 that are opposite to the opening 320 and formed in the body 310. That is, any one side 621 of the rotation adjustment unit 620 made of a regular polygon rotates in parallel with an imaginary line segment s connecting the inner diameter side edge of the guide unit 300 formed by the rotation reference groove 302. The adjustment unit 620 is rotated to adjust the rotation position of the fixture 800.
  • the rotation adjusting part 620 is selectively selected such that the side 621 of the rotation adjusting part 620 and the virtual line segment s are parallel to each other. By rotating, the rotation position of the fixture 800 may be accurately specified.
  • the operator does not adjust the rotation position of the fixture 800 according to the operator's experience, but directly checks with the eyes such that the side 621 of the rotation adjusting unit 620 and the virtual line segment s are parallel to each other.
  • the rotational position of the fixture 800 can be accurately specified.
  • the artificial tooth can be prevented from being placed in a distorted state. That is, artificial teeth can be neatly placed.
  • the body portion 630 is provided on the lower portion of the rotation adjusting portion 620 and has an outer diameter corresponding to the inner diameter of the guide portion 300. That is, when the mount assembly 700 moves along the guide part 300, the body part 630 guides the movement path of the mount assembly 700.
  • the lower portion of the body portion 630 has a truncated conical shape so that the fixture support 640 is smoothly inserted into the support fixing groove 820.
  • the fixture support part 640 is provided below the body part 630.
  • the fixture support part 640 is made of a regular polygon in cross section, but is made of the same regular polygon as the rotation adjusting unit 620. That is, if the rotation adjustment unit 620 is a hexagon, the fixture support unit 640 is also made of a hexagon. However, the rotation adjustment unit 620 and the fixture support unit 640 differ only in the size of the circumscribed circle. At this time, the circumscribed circle size of the fixture support unit 640 is smaller than the circumscribed circle size of the rotation adjusting unit 620.
  • the fixture support part 640 is inserted into and fixed in the support part fixing groove 820 formed in the fixture 800 to transmit the rotational force transmitted to the driver fastening part 610 to the fixture 800. That is, the support fixing groove 820 has a shape corresponding to the outer shape of the fixture support part 640 so that the rotational force of the mount body 600 can be smoothly transmitted to the fixture 800.
  • a second thread 810 may be formed inside the fixture 800 so that the first thread 520 of the mount screw 500 may be coupled with the first thread 520.
  • the second thread 810 is located below the support fixing groove 820.
  • a third thread 830 is formed outside the fixture 800.
  • first screw thread 520, the second screw thread 810 and the third screw thread 830 are made to be the same direction of rotation, the first screw thread 520, the second screw thread 810 described in the embodiment And the third thread 830 is in the form of a right screw.
  • the fixture 800 has a movement guide 840 formed to smoothly guide the fixture support 640 to the support fixing groove 820. That is, the movement guide part 840 forms a shape corresponding to the truncated cone of the body part 630 and supports the fixture support part 640 in the process of coupling the first thread 520 and the second thread 810. 820). That is, the movement guide 840 is inclined between one end of the body portion 630 and the support fixing groove 820 so that the fixture support 640 is smoothly guided to the support fixing groove 820. Accordingly, the fixture support 640 may be naturally inserted into the support fixing groove 820 when the first thread 520 and the second thread 810 are coupled to each other.
  • the first thread 520 of the mounting screw 500 is first inserted through the through-hole 601.
  • the fixture support part 640 is inserted and fixed to the support fixing groove 820. That is, the fixture supporter 640 may be guided to be inserted and fixed to the support fixing groove 820 by the movement guide 840 formed in the fixture 800.
  • the mount screw 500 is rotated to firmly couple the first screw thread 520 and the second screw thread 810. That is, the mount screw 500, the mount body 600, and the fixture 800 form a single mass that is firmly coupled.
  • the mount assembly 700 to which the fixture 800 is coupled is inserted into the guide part 300 to implant the fixture 800 in the implant procedure.
  • FIG. 13 is a flow chart showing an implant placement method according to the present invention.
  • the guide device 200 manufactured according to the patient's dental condition is fixed to the patient's teeth. At this time, the guide device 200 is made so that the guide portion (300, 300 ', 400) is positioned in the place where the implant is to be placed. (S100)
  • the implant device is formed in the alveolar bone in a state in which the drill apparatus 100 is inserted into the guide parts 300, 300 ′ and 400.
  • the operator selectively separates the openings 320 and 420 provided in the guide parts 300, 300 ′ and 400 according to the working conditions, and drills the drill apparatus 100 into the guide parts 300, 300 ′ and 400. ) Can be easily entered.
  • fixture assembly 800 is inserted into the guide assembly 300, 300 ′, 400 through the assembled assembly assembly 700, and the fixture 800 is coupled to the implant procedure. (S300)
  • the rotation position of the fixture 800 may be accurately designated.
  • the mount assembly 700 of the assembled state is separated.
  • the first driver is reversely rotated to separate the screw coupling of the first screw thread 520 and the second screw thread 810. .
  • the mount body 600 may be rotated together in the process of separating the first screw thread 520 and the second screw thread 810 by rotating the first driver in reverse, a separate fixing device (not shown) is used.
  • the mounting screw 500 may be separated from the fixture 800 by rotating the first driver in a state in which the driver fastening unit 610 is fixed. In this state in which the mounting screw 500 is separated from the fixture 800, the mount body 600 may be easily separated.
  • the abutment (not shown) is coupled to the fixture while the alveolar bone and the fixture are osseointegrated. At this time, the fixture and the abutment may be screwed.
  • the artificial teeth are combined to cover the abutment to finish the implant placement.

Landscapes

  • Health & Medical Sciences (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Dentistry (AREA)
  • Veterinary Medicine (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Animal Behavior & Ethology (AREA)
  • Epidemiology (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Dental Prosthetics (AREA)
  • Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)

Abstract

L'invention concerne un ensemble d'appareil de guidage de chirurgie d'implant et un procédé d'utilisation associé, l'ensemble d'appareil de guidage de chirurgie d'implant comprenant : un appareil de forage servant à former un orifice chirurgical d'implant dans l'os alvéolaire ; et un appareil de guidage qui comporte une unité de guidage servant à guider le mouvement de l'appareil de forage et à contrôler sélectivement la profondeur et la direction de l'orifice chirurgical d'implant, et une unité de fixation de structure dentaire servant à fixer l'unité de guidage, l'unité de guidage ayant une zone d'ouverture qui est sélectivement séparée de la zone du corps constituant la forme externe et formant une zone d'espace d'insertion, ce qui permet l'introduction latérale de l'appareil de forage.
PCT/KR2015/010377 2015-02-26 2015-10-01 Ensemble d'appareil de guidage de chirurgie d'implant et procédé d'utilisation associé WO2016137077A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
KR10-2015-0027288 2015-02-26
KR1020150027288A KR101658458B1 (ko) 2015-02-26 2015-02-26 임플란트 수술 가이드 장치 세트

Publications (1)

Publication Number Publication Date
WO2016137077A1 true WO2016137077A1 (fr) 2016-09-01

Family

ID=56789549

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/KR2015/010377 WO2016137077A1 (fr) 2015-02-26 2015-10-01 Ensemble d'appareil de guidage de chirurgie d'implant et procédé d'utilisation associé

Country Status (3)

Country Link
KR (1) KR101658458B1 (fr)
TW (1) TWI566750B (fr)
WO (1) WO2016137077A1 (fr)

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108371562A (zh) * 2018-02-12 2018-08-07 佛山科学技术学院 一种牙科种植导板
CN108969131A (zh) * 2018-08-07 2018-12-11 佛山科学技术学院 一种种植牙备孔装置

Families Citing this family (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
KR102068525B1 (ko) * 2017-11-20 2020-01-21 김주식 환자 맞춤형 임플란트 어셈블리 및 이를 이용한 임플란트 방법
KR102108530B1 (ko) * 2017-11-23 2020-05-13 경북대학교 산학협력단 임플란트 핸드피스
KR101841747B1 (ko) * 2017-12-22 2018-03-23 왕제원 임플란트용 픽스쳐 식립을 위한 방향확인 핀과 가이드 탭 드릴 키트
CN110226979B (zh) * 2019-05-30 2024-04-02 杭州六维齿科医疗技术有限公司 一种带有自导航钻套的种植备孔钻系统
KR102311760B1 (ko) * 2020-04-13 2021-10-12 오스템임플란트 주식회사 임플란트 수술용 가이드 디자인 방법 및 그 장치

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
KR100611946B1 (ko) * 2006-04-27 2006-08-11 주식회사 메가젠 임플란트용 스텐트
US20090011382A1 (en) * 2007-05-25 2009-01-08 Bavar Trevor Surgical drill guide and index system
KR20100066506A (ko) * 2007-09-12 2010-06-17 이마그노시스 가부시키가이샤 임플란트 식립용 천공기구, 핸드피스, 핸드피스용 어댑터 및 서지컬 가이드
US20110306008A1 (en) * 2007-11-16 2011-12-15 Biomet 3I, Llc Components For Use With A Surgical Guide For Dental Implant Placement
KR20130016540A (ko) * 2011-08-08 2013-02-18 정충현 치과용 임플란트의 평행 식립장치 및 임플란트 평행 식립방법

Family Cites Families (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
KR101205841B1 (ko) * 2011-09-22 2012-11-28 오스템임플란트 주식회사 치과용 드릴, 드릴셋트 및 치조골의 천공방법

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
KR100611946B1 (ko) * 2006-04-27 2006-08-11 주식회사 메가젠 임플란트용 스텐트
US20090011382A1 (en) * 2007-05-25 2009-01-08 Bavar Trevor Surgical drill guide and index system
KR20100066506A (ko) * 2007-09-12 2010-06-17 이마그노시스 가부시키가이샤 임플란트 식립용 천공기구, 핸드피스, 핸드피스용 어댑터 및 서지컬 가이드
US20110306008A1 (en) * 2007-11-16 2011-12-15 Biomet 3I, Llc Components For Use With A Surgical Guide For Dental Implant Placement
KR20130016540A (ko) * 2011-08-08 2013-02-18 정충현 치과용 임플란트의 평행 식립장치 및 임플란트 평행 식립방법

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108371562A (zh) * 2018-02-12 2018-08-07 佛山科学技术学院 一种牙科种植导板
CN108371562B (zh) * 2018-02-12 2023-08-08 佛山科学技术学院 一种牙科种植导板
CN108969131A (zh) * 2018-08-07 2018-12-11 佛山科学技术学院 一种种植牙备孔装置

Also Published As

Publication number Publication date
TW201630570A (zh) 2016-09-01
TWI566750B (zh) 2017-01-21
KR101658458B1 (ko) 2016-09-21
KR20160104373A (ko) 2016-09-05

Similar Documents

Publication Publication Date Title
WO2016137077A1 (fr) Ensemble d'appareil de guidage de chirurgie d'implant et procédé d'utilisation associé
WO2017146478A1 (fr) Prothèse amovible d'accouplement à un implant
WO2016137076A1 (fr) Ensemble d'appareil de guidage de chirurgie d'implant et procédé d'utilisation associé
WO2016024681A1 (fr) Foret pour implant et appareil de perçage pour implant pourvu de celui-ci
WO2013125924A1 (fr) Fixation d'implant présentant une structure d'adaptateur de corps élastique permettant de fixer une butée à la surface interne du trou de guidage
WO2016163579A1 (fr) Kit d'implant dentaire
WO2010050769A2 (fr) Ensemble douille de guidage comprenant un foret pour implants, douille intermédiaire et appareil pour un placement guidé précis d'implants utilisant ledit ensemble
WO2018117582A1 (fr) Dispositif orthodontique pour dents maxillaires
WO2010036045A2 (fr) Ensemble broche de fixation utilisé pour la fabrication d'endoprothèses permettant la pose guidée et précise d'un implant
WO2017014365A1 (fr) Kit de fabrication de fil d'arc orthodontique personnalisé et procédé de fabrication de fil d'arc orthodontique l'employant
WO2015069012A1 (fr) Endoprothèse de guidage pour implant dentaire
WO2019124887A1 (fr) Broche de confirmation de direction pour placer un implant dentaire (dispositif de fixation) pour implant et kit de taraud de guidage
WO2014175552A1 (fr) Dispositif d'induction d'extraction dentaire, dispositif d'extraction dentaire, et prothèse dentaire
WO2014196725A1 (fr) Dispositif d'injection de médicament
WO2019103294A1 (fr) Dispositif de fixation de dent artificielle
WO2021049892A1 (fr) Instrument de liaison indirecte et procédé de liaison indirecte pour appareil orthodontique
WO2020235777A2 (fr) Connecteur chirurgical pour appareil dentaire
WO2016093505A1 (fr) Dispositif de guidage de la formation de trou dans une prothèse d'implant et procédé de fabrication associé
WO2018139690A1 (fr) Extenseur palatin
WO2014058149A1 (fr) Implant palatin pour prothèse dentaire
WO2023027379A1 (fr) Prothèse amovible accouplée à un implant combinée à un accessoire de fixation/détachement de dentier
WO2010056052A2 (fr) Prothèse dentaire pour mise en place guidée et précise d'un implant
WO2010110629A2 (fr) Adaptateur pour soulever un sinus
WO2023013930A1 (fr) Système d'implant de support de paroi latérale comportant un guide de vis de support
WO2019124915A1 (fr) Appareil orthodontique

Legal Events

Date Code Title Description
121 Ep: the epo has been informed by wipo that ep was designated in this application

Ref document number: 15883465

Country of ref document: EP

Kind code of ref document: A1

NENP Non-entry into the national phase

Ref country code: DE

122 Ep: pct application non-entry in european phase

Ref document number: 15883465

Country of ref document: EP

Kind code of ref document: A1