WO2018012735A1 - Guiding apparatus for implant procedure - Google Patents

Guiding apparatus for implant procedure Download PDF

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Publication number
WO2018012735A1
WO2018012735A1 PCT/KR2017/005605 KR2017005605W WO2018012735A1 WO 2018012735 A1 WO2018012735 A1 WO 2018012735A1 KR 2017005605 W KR2017005605 W KR 2017005605W WO 2018012735 A1 WO2018012735 A1 WO 2018012735A1
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WO
WIPO (PCT)
Prior art keywords
support
opening
guide
guide hole
implant
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PCT/KR2017/005605
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French (fr)
Korean (ko)
Inventor
한바울
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오스템임플란트 주식회사
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Publication of WO2018012735A1 publication Critical patent/WO2018012735A1/en

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    • 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
    • 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
    • A61C7/00Orthodontics, i.e. obtaining or maintaining the desired position of teeth, e.g. by straightening, evening, regulating, separating, or by correcting malocclusions
    • A61C7/08Mouthpiece-type retainers or positioners, e.g. for both the lower and upper arch
    • 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
    • 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
    • A61C8/0089Implanting tools or instruments

Definitions

  • the present invention relates to an implant guide device, and more particularly to an implant guide device having a shape in which the side of the guide hole is opened to the gingival portion for improving the convenience of the procedure.
  • Implant is a prosthesis used to replace a badly damaged tooth.
  • An artificial root made of a special metal (usually titanium or titanium alloy) is implanted in the alveolar bone and entangled with the alveolar bone tissue.
  • the alveolar bone is exposed by first dissecting the gingiva (gum) of the patient to be implanted. Next, the position of the implant to be inserted among the exposed alveolar bone is determined, and a hole for implantation is formed by deleting a portion of the alveolar bone using a drilling tool such as a drill device at the position. Thereafter, an implant including a fixture and an abutment is placed in the formed hole, and the implant installation is completed by covering the gingival part.
  • a drilling tool such as a drill device
  • the problem to be solved by the present invention is to provide an implant procedure guide apparatus that can prevent the gingival identification becomes difficult by the guide apparatus for the procedure.
  • Implant procedure guide device for achieving the above object is a support member surrounding the narrowing surface, tongue and occlusal surface of the tooth, formed to protrude from the occlusal surface, the guide member having a circular cross-sectional guide hole And an open part which is cut to expose the narrow side of the guide member, and the open part may include a gingiva opening part which is extended from the opening part and cut so that a part of the gingiva is exposed to the outside.
  • the guide hole may be disposed coaxially with the puncture portion of the alveolar bone from the occlusal surface.
  • the inner diameter of the guide hole may be larger than the inner diameter of the perforated portion of the alveolar bone.
  • the inner diameter of the guide hole may be formed such that the inner circumferential surface of the guide hole and the outer circumferential surface of the head portion of the drill apparatus are in surface contact.
  • the guide hole may be disposed to correspond to each of the perforations, and may be formed such that the lingual sides of the plurality of guide holes are integrally connected.
  • It may further include a connecting bar connected across the opening of the support.
  • connection bar may be formed to connect the ends of the gingiva opening of the support with each other.
  • connection bar may further include a fastening member through which the support is coupled to be fixed to the gingiva and the alveolar bone.
  • the support may be formed to cover the entire upper or lower teeth.
  • the support may further include a fastening member through which the support is coupled to be fixed to the gingiva and the alveolar bone.
  • the diameter of the guide hole may be greater than the separation distance of the opening.
  • the implant guide device improves the convenience of the procedure through securing the field of view when entering the drill device by opening the side of the guide member to the gingival portion, and through the opening and the gingival opening during the drill operation Procedures can also be improved by ensuring smooth running.
  • FIG. 1 is a perspective view showing an implant guide device according to an embodiment of the present invention.
  • FIG. 2 illustrates a cross-sectional view of the inner diameter and the opening of the guide hole of FIG. 1.
  • Figure 3 is a perspective view of the implant guide device according to another embodiment of the present invention.
  • FIG. 1 is a perspective view showing an implant procedure guide apparatus according to an embodiment of the present invention
  • Figure 2 shows a cross-sectional view of the inner diameter and the opening of the guide hole of FIG.
  • the implant guide device may include a support 100, a guide member 110 and the opening 112a.
  • Support 100 may be formed to surround the buccal, lingual and occlusal of the tooth.
  • the support 100 may be manufactured by heating a transparent thermoplastic resin by an omni bag.
  • the material of the support 100 may be formed of not only a transparent resin, but also fiber reinforced plastics or carbon fibers.
  • As the reinforcing material of the fiber reinforced plastic, glass fiber, carbon fiber or Kevlar may be used.
  • a separate fastening member 120 may be penetrated through a position adjacent to the perforation part 1 of the support 100 so that the support 100 may be firmly fixed to the gingiva.
  • the fastening member 120 may pass through the support 100 and the end of the fastening member 120 may be coupled by penetrating the gingiva 1a and the alveolar bone. At this time, the end of the fastening member 120 may be screwed to the gingiva and alveolar bone by forming a thread on a portion of the outer peripheral surface.
  • the support 100 is shown in a shape formed to cover the entire lower jaw, the support 100 may be formed to cover the entire maxillary or part, or the entire lower jaw or part, depending on the number or position of the dental prosthesis placement. It may be so limited. In other words, the support 100 may be formed so as to surround only some of the corresponding teeth in case some of the teeth are lost in addition to the shape surrounding the entire teeth.
  • the support 100 is lip-sided. It may be formed to cover a labial surface, a lingual surface, which is a facing surface, and a proximal surface or a contact surface, which is a surface where two teeth meet. .
  • the support 100 has a buccal surface that is a face toward the cheek, a lingual surface that is a face toward the tongue, and It may be formed so as to cover a contact surface that is a surface where the two teeth abut.
  • the contact surface may mean an occlusal surface or a mastication surface when the teeth (upper teeth-lower teeth) facing each other when closing the mouth are in contact with each other.
  • the guide member 110 may include a guide hole 112 protruding from the support 100, protruding from the occlusal surface, and having a circular cross section. At this time, when the support member 100 is installed in the upper jaw, the guide member 110 may protrude downward, or when the support member 100 is installed in the lower jaw, the guide member 110 may protrude upward. have.
  • At least one guide hole 112 may be formed according to the number of holes to be implanted. That is, the guide holes 112 may be formed in plural to be disposed coaxially with the puncturing portion 1 of the alveolar bone. As described above, when a plurality of guide holes 112 are formed, the guide holes 112 may be disposed to correspond to the respective perforation sites 1, and the lingual sides of the plurality of guide holes 112 may be integrally connected along the teeth. Can be.
  • the guide hole 112 may be in contact with the outer circumferential surface of the drill head 11 to support the rotation of the punching member 12 while the outer circumferential surface of the drill head 11 of the drill apparatus 10 is in surface contact. It can be formed to have an inner diameter.
  • the cross-sectional shape of the guide hole 112 corresponds to the cross-sectional shape of the drill head 11 such that the inner circumferential surface of the guide hole 112 contacts the outer circumferential surface of the drill head 11.
  • the inner diameter D1 of the 112 is formed to be larger than the inner separation distance D2 of the opening 112a of the guide member 110, so that the drill head 11 is drilled in the state in contact with the inner circumferential surface of the guide hole 112.
  • the vibration of the device 10 ensures that the perforated member 12 is firmly held away from the perforated region 1.
  • the center of the cylinder of the guide hole 112 is disposed coaxially with the center of the cylinder of the drill head 11, and the separation distance of the open width of the opening 112a opened in a direction away from the center is a guide hole ( It may be formed smaller than the diameter of (112).
  • the inner diameter of the guide hole 112 is larger than the inner diameter of the drilled portion 1 of the alveolar bone because the inner diameter of the guide hole 112 is formed to be the same as or larger than the outer diameter of the drill head 11 having a larger diameter than the drilling member 12 of the drill apparatus 10. Of course it is formed.
  • the opening 112a is cut so that the narrow surface side of the guide member 110 is exposed, but the pair of open ends 112b of the opening 112a have a rotation center C along the longitudinal direction of the guide hole 112.
  • the angle R may be formed at approximately 110 ° to 140 °.
  • the angle R is the minimum angle that can support the outer circumferential surface of the drill head 11 so as not to be separated through the opening 112a and the minimum angle that the user of the drill apparatus can visually check the entire drilled portion 1 visually. It can be set within a range.
  • the angle R may be set to 120 degrees to 130 degrees.
  • the opening 112a may be cut to a size such that a part of the narrow side of the guide member 110 is exposed so that the user can secure a view of the perforation part 1 through the opening 112a.
  • the drilling member 12 of the drill device 10 is movable through the opening 112a in the process of moving to position the drilling portion 1, interference by the guide member 110 may be prevented. .
  • the opening portion 112a further includes a gingival opening portion 100a which is extended from the opening portion 112a to further expose the narrow side of the support 100 so that a portion of the gingiva 1a is cut out to be exposed to the outside. can do.
  • the gingiva opening 100a extends in the direction of the gingiva from the opening 112a, and is gingival even if the user looks at a position lower than the end of the guide member 110 regardless of the position and distance of the patient. Visually confirming the gingival portion 1a through the opening portion 100a enables the operation.
  • Figure 3 is a perspective view of the implant guide device according to another embodiment of the present invention.
  • the implant guide device according to another embodiment of the present invention may further include a connection bar 130 connected across the gingiva opening 100a of the support 100.
  • the connecting bar 130 is formed across the gingiva opening 100a of the support 100, and the ends of the gingiva opening 100a are connected to each other. There is a difference in that, since the other configurations are the same, overlapping description is omitted.
  • connection bar 130 may be formed in order to.
  • a separate fastening member 140 penetrates and couples to the connection bar 130, and the fastening member 140 penetrates the gingiva 1a and the alveolar bone, thereby ensuring higher durability.
  • the connection bar 130 may be formed integrally with the support 100 or may be separately coupled to the support 100 by separate fastening protrusions (not shown) or fastening grooves (not shown) at both ends of the connection bar 130. It can be formed to.
  • the fastening member 140 may be coupled at a position close to the perforation part 1, it may have an advantage in terms of securing durability.
  • the implant guide device improves the convenience of the procedure through securing the field of view when entering the drill device by opening the side of the guide member to the gingival portion, and openings 112a during the drill operation. And through the gingiva opening (100a) can be made smooth smooth water can also improve the safety of the procedure. In addition, it is possible to give the operator a sense of security through securing the field of view to be drilled in the alveolar bone, including the gingival.

Abstract

The present invention provides a guiding apparatus for an implant procedure, comprising: a support surrounding a buccal surface, a lingual surface, and an occlusal surface of a tooth; a guide member formed to protrude from the occlusal surface and having a guide hole that has a circular cross section; and an open part cut to expose a buccal surface side of the guide member, wherein the open part includes a gingiva opening part extending from the open part and cut to expose a part of a gingiva portion to the exterior.

Description

임플란트 시술 가이드 장치Implant Procedure Guide Device
본 발명은 임플란트 시술 가이드 장치에 관한 것으로서, 보다 상세하게는 시술 편의성 향상을 위해 가이드 홀의 측면을 치은부까지 개방시킨 형상을 갖는 임플란트 시술 가이드 장치에 관한 것이다.The present invention relates to an implant guide device, and more particularly to an implant guide device having a shape in which the side of the guide hole is opened to the gingival portion for improving the convenience of the procedure.
임플란트(implant)란 심하게 손상된 치아를 대신하기 위하여 사용되는 보철물로서, 치아가 빠진 부분에 특수금속(주로 티타늄이나 티타늄합금)으로 만들어진 인공치근을 치조골에 이식하여 치조골 조직과 엉겨 붙게 하여 고정시킨 후, 이것을 이용하여 인공치아를 형성함으로써 본래 자신의 치아와 거의 같은 감각을 가지고 일상 생활을 영위할 수 있도록 하는 치과적인 시술방법 또는 이와 같이 시술된 인공치아 자체를 통칭하는 것이다.Implant is a prosthesis used to replace a badly damaged tooth. An artificial root made of a special metal (usually titanium or titanium alloy) is implanted in the alveolar bone and entangled with the alveolar bone tissue. By using the artificial tooth to form a dental treatment method that allows you to live daily life with a sense almost the same as the original one of their own teeth or the artificial tooth itself as described above.
이러한 임플란트는 틀니, 브릿지 등을 이용한 시술 방법과 비교할 때, 시술이 필요한 치아를 제외한 주변의 치아에 손상을 주지 않고, 수명이 길며, 자연치아에 매우 유사하다는 등의 장점이 있어서 최근 크게 각광받고 있다.These implants have recently gained much attention as they have advantages such as long life and very similar to natural teeth, without damaging the surrounding teeth except for the teeth that need to be treated, compared to the methods using dentures and bridges. .
상기와 같은 임플란트의 시술방법에 대하여 간략히 설명하면, 우선 임플란트를 시술할 환자의 치은부(잇몸)를 절개하여 치조골을 노출시킨다. 이어서, 노출된 치조골 중 임플란트를 삽입할 위치를 결정하고, 상기 위치에 드릴 장치와 같은 천공 도구를 사용하여 치조골의 일부분을 삭제함으로써 임플란트를 식립할 구멍을 형성한다. 이후, 형성된 구멍에 픽스처(fixture)와 어버트먼트(abutment)를 포함하는 임플란트를 식립하고, 치은부를 덮음으로써 임플란트 설치가 완료된다.Briefly describing the method of implantation, the alveolar bone is exposed by first dissecting the gingiva (gum) of the patient to be implanted. Next, the position of the implant to be inserted among the exposed alveolar bone is determined, and a hole for implantation is formed by deleting a portion of the alveolar bone using a drilling tool such as a drill device at the position. Thereafter, an implant including a fixture and an abutment is placed in the formed hole, and the implant installation is completed by covering the gingival part.
통상적으로 임플란트 시술시 치은부를 절개하여 치조골을 노출시킨 후 그 위에 직접 드릴 등을 이용하여 천공을 하는 경우, 천공 작업을 수행할 정확한 위치 및 방향을 정확하게 파악하기 곤란하므로 통상적으로 별도의 시술용 가이드 장치를 사용하게 된다.In general, when implanting the gingival portion to expose the alveolar bone during the implantation procedure and then drill directly using the drill, it is difficult to pinpoint the exact position and direction to perform the drilling operation, so it is usually a separate surgical guide device Will be used.
그런데, 종래의 시술용 가이드 장치의 경우 측면부가 개방되어 있지 않기 때문에 수직으로 돌출되어 있는 가이드 홀의 높이로 인해 구치부와 같이 환자의 악간 거리가 충분하지 않을 시 시술용 드릴 장치의 진입이 불가능하다는 문제점이 존재한다.However, in the case of the conventional surgical guide device because the side portion is not open because of the height of the guide hole protruding vertically, it is impossible to enter the surgical drill device when the distance between the jaw is not sufficient, such as the posterior part. exist.
특허문헌Patent Literature
한국등록특허 10-1092905호(2011. 12. 12. 공고)Korean Patent Registration No. 10-1092905 (August 12, 2011)
이에, 본 발명이 해결하고자 하는 과제는 시술용 가이드 장치에 의해 치은부 확인이 곤란해지는 것을 방지할 수 있는 임플란트 시술 가이드 장치를 제공하는데 있다.Accordingly, the problem to be solved by the present invention is to provide an implant procedure guide apparatus that can prevent the gingival identification becomes difficult by the guide apparatus for the procedure.
본 발명의 과제들은 이상에서 언급한 기술적 과제로 제한되지 않으며, 언급되지 않은 또 다른 기술적 과제들은 아래의 기재로부터 본 발명이 속하는 기술분야에서 통상의 지식을 가진 자에게 명확하게 이해될 수 있을 것이다.The objects of the present invention are not limited to the above-mentioned technical problems, and other technical problems not mentioned will be clearly understood by those skilled in the art from the following description.
상기 과제를 달성하기 위한 본 발명의 일 실시예에 따른 임플란트 시술 가이드 장치는 치아의 협면, 설면 및 교합면을 감싸는 지지대, 상기 교합면으로부터 돌출되도록 형성되고, 횡단면이 원형인 가이드 홀을 갖는 가이드 부재 및 상기 가이드 부재의 협면측이 노출되도록 절개되는 개방부를 포함하고, 상기 개방부는 상기 개방부로부터 연장되어 치은부의 일부가 외부로 드러나도록 절개되는 치은 개방부를 포함할 수 있다.Implant procedure guide device according to an embodiment of the present invention for achieving the above object is a support member surrounding the narrowing surface, tongue and occlusal surface of the tooth, formed to protrude from the occlusal surface, the guide member having a circular cross-sectional guide hole And an open part which is cut to expose the narrow side of the guide member, and the open part may include a gingiva opening part which is extended from the opening part and cut so that a part of the gingiva is exposed to the outside.
상기 가이드 홀은 상기 교합면으로부터 치조골의 천공 부위와 동축 상에 배치될 수 있다.The guide hole may be disposed coaxially with the puncture portion of the alveolar bone from the occlusal surface.
상기 가이드 홀의 내경은 상기 치조골의 천공 부위의 내경보다 크게 형성될 수 있다.The inner diameter of the guide hole may be larger than the inner diameter of the perforated portion of the alveolar bone.
상기 가이드 홀의 내경은 상기 가이드 홀의 내주면과 드릴 장치의 헤드부의 외주면이 면접촉하는 크기로 형성될 수 있다.The inner diameter of the guide hole may be formed such that the inner circumferential surface of the guide hole and the outer circumferential surface of the head portion of the drill apparatus are in surface contact.
상기 가이드 홀은 상기 각각의 천공 부위에 대응되도록 배치되되 복수의 가이드 홀의 설측이 일체로 연결되도록 형성될 수 있다.The guide hole may be disposed to correspond to each of the perforations, and may be formed such that the lingual sides of the plurality of guide holes are integrally connected.
상기 지지대의 개방부를 가로질러 연결되는 연결 바를 더 포함할 수 있다.It may further include a connecting bar connected across the opening of the support.
상기 연결 바는 상기 지지대의 치은 개방부의 끝단을 서로 연결하도록 형성될 수 있다.The connection bar may be formed to connect the ends of the gingiva opening of the support with each other.
상기 연결 바에는 상기 지지대가 치은부 및 치조골에 고정되도록 관통 결합되는 체결 부재를 더 포함할 수 있다.The connection bar may further include a fastening member through which the support is coupled to be fixed to the gingiva and the alveolar bone.
상기 지지대는 상악 또는 하악의 치열 전체를 덮도록 형성될 수 있다.The support may be formed to cover the entire upper or lower teeth.
상기 지지대에는 상기 지지대가 치은부 및 치조골에 고정되도록 관통 결합되는 체결 부재를 더 포함할 수 있다.The support may further include a fastening member through which the support is coupled to be fixed to the gingiva and the alveolar bone.
상기 가이드 홀의 직경은 상기 개방부의 이격 거리보다 크게 형성될 수 있다.The diameter of the guide hole may be greater than the separation distance of the opening.
기타 실시예들의 구체적인 사항들은 상세한 설명 및 도면들에 포함되어 있다.Specific details of other embodiments are included in the detailed description and the drawings.
본 발명의 실시예들에 의하면 적어도 다음과 같은 효과가 있다.According to embodiments of the present invention has at least the following effects.
즉, 본 발명의 실시예들에 따른 임플란트 시술 가이드 장치는 가이드 부재의 측면부를 치은부까지 개방시킴으로써 드릴 장치의 진입 시 시야 확보를 통해 시술 편의성을 증진시키고, 드릴 작업 시 개방부 및 치은 개방부를 통해서 원활한 주수가 이루어질 수 있도록 하여 시술 안전성 또한 증진시킬 수 있다.That is, the implant guide device according to the embodiments of the present invention improves the convenience of the procedure through securing the field of view when entering the drill device by opening the side of the guide member to the gingival portion, and through the opening and the gingival opening during the drill operation Procedures can also be improved by ensuring smooth running.
또한, 치은부를 비롯한 치조골에 드릴링이 되는 부위의 시야 확보를 통해 시술자의 심적 안정감을 줄 수 있다In addition, it is possible to give the operator a sense of security through securing the field of view that is drilled in the alveolar bone including the gingival area.
본 발명에 따른 효과는 이상에서 예시된 내용에 의해 제한되지 않으며, 더욱 다양한 효과들이 본 명세서 내에 포함되어 있다.The effects according to the present invention are not limited by the contents exemplified above, and more various effects are included in the present specification.
도 1은 본 발명의 일 실시예에 따른 임플란트 시술 가이드 장치를 도시한 사시도이다.1 is a perspective view showing an implant guide device according to an embodiment of the present invention.
도 2는 도 1의 가이드 홀의 내경과 개구부의 횡단면도를 도시한 것이다.FIG. 2 illustrates a cross-sectional view of the inner diameter and the opening of the guide hole of FIG. 1.
도 3은 본 발명의 다른 실시예에 따른 임플란트 시술 가이드 장치를 도시한 사시도이다.Figure 3 is a perspective view of the implant guide device according to another embodiment of the present invention.
본 발명의 이점 및 특징, 그리고 그것들을 달성하는 방법은 첨부되는 도면과 함께 상세하게 후술되어 있는 실시예들을 참조하면 명확해질 것이다. 그러나 본 발명은 이하에서 개시되는 실시예들에 한정되는 것이 아니라 서로 다른 다양한 형태로 구현될 수 있으며, 단지 본 실시예들은 본 발명의 개시가 완전하도록 하고, 본 발명이 속하는 기술분야에서 통상의 지식을 가진 자에게 발명의 범주를 완전하게 알려주기 위해 제공되는 것이며, 본 발명은 청구항의 범주에 의해 정의될 뿐이다. Advantages and features of the present invention and methods for achieving them will be apparent with reference to the embodiments described below in detail with the accompanying drawings. However, the present invention is not limited to the embodiments disclosed below, but can be implemented in various different forms, and only the embodiments make the disclosure of the present invention complete, and the general knowledge in the art to which the present invention belongs. It is provided to fully inform the person having the scope of the invention, which is defined only by the scope of the claims.
본 명세서에서 사용된 용어는 실시예들을 설명하기 위한 것이며 본 발명을 제한하고자 하는 것은 아니다. 본 명세서에서, 단수형은 문구에서 특별히 언급하지 않는 한 복수형도 포함한다. 명세서에서 사용되는 포함한다(comprises) 및/또는 포함하는(comprising)은 언급된 구성요소, 단계, 동작 및/또는 소자 이외의 하나 이상의 다른 구성요소, 단계, 동작 및/또는 소자의 존재 또는 추가를 배제하지 않는 의미로 사용한다. 그리고, "및/또는"은 언급된 아이템들의 각각 및 하나 이상의 모든 조합을 포함한다.The terminology used herein is for the purpose of describing particular embodiments only and is not intended to be limiting of the invention. In this specification, the singular also includes the plural unless specifically stated otherwise in the phrase. As used herein, including and / or comprising includes the presence or addition of one or more other components, steps, operations and / or elements other than the components, steps, operations and / or elements mentioned. Use in the sense that does not exclude. And “and / or” includes each and all combinations of one or more of the items mentioned.
또한, 본 명세서에서 기술하는 실시예들은 본 발명의 이상적인 예시도인 단면도 및/또는 개략도들을 참고하여 설명될 것이다. 따라서, 제조 기술 및/또는 허용 오차 등에 의해 예시도의 형태가 변형될 수 있다. 따라서, 본 발명의 실시예들은 도시된 특정 형태로 제한되는 것이 아니라 제조 공정에 따라 생성되는 형태의 변화도 포함하는 것이다. 또한 본 발명에 도시된 각 도면에 있어서 각 구성 요소들은 설명의 편의를 고려하여 다소 확대 또는 축소되어 도시된 것일 수 있다. 명세서 전체에 걸쳐 동일 참조 부호는 동일 구성 요소를 지칭한다.In addition, the embodiments described herein will be described with reference to cross-sectional and / or schematic views, which are ideal illustrations of the invention. Accordingly, shapes of the exemplary views may be modified by manufacturing techniques and / or tolerances. Accordingly, the embodiments of the present invention are not limited to the specific forms shown, but also include variations in forms generated by the manufacturing process. In addition, each component in each drawing shown in the present invention may be shown to be somewhat enlarged or reduced in view of the convenience of description. Like reference numerals refer to like elements throughout.
이하, 본 발명의 실시예들에 의하여 임플란트 시술 가이드 장치를 설명하기 위한 도면들을 참고하여 본 발명에 대하여 설명하도록 한다.Hereinafter, the present invention will be described with reference to the drawings for explaining the implant guide device according to the embodiments of the present invention.
도 1은 본 발명의 일 실시예에 따른 임플란트 시술 가이드 장치를 도시한 사시도이고, 도 2는 도 1의 가이드 홀의 내경과 개구부의 횡단면도를 도시한 것이다.1 is a perspective view showing an implant procedure guide apparatus according to an embodiment of the present invention, Figure 2 shows a cross-sectional view of the inner diameter and the opening of the guide hole of FIG.
도 1 및 도 2에 도시한 바와 같이 본 발명의 일 실시예에 따른 임플란트 시술 가이드 장치는 지지대(100), 가이드 부재(110) 및 개방부(112a)를 포함할 수 있다.As shown in Figure 1 and 2, the implant guide device according to an embodiment of the present invention may include a support 100, a guide member 110 and the opening 112a.
지지대(100)는 치아의 협측(buccal), 설측(lingual) 및 교합측(occlusal)을 감싸도록 형성될 수 있다. 지지대(100)는 투명한 열가소성 수지가 옴니백에 의해 가열되어 제조될 수 있다. 여기서, 지지대(100)의 재질은 투명한 재질의 수지뿐만 아니라, 섬유강화플라스틱(fiber reinforced plastics) 또는 탄소 섬유로 형성될 수도 있다. 상기 섬유강화플라스틱의 보강재료는 유리섬유나 탄소섬유 또는 케블라(Kevlar) 등이 사용될 수 있다. Support 100 may be formed to surround the buccal, lingual and occlusal of the tooth. The support 100 may be manufactured by heating a transparent thermoplastic resin by an omni bag. Here, the material of the support 100 may be formed of not only a transparent resin, but also fiber reinforced plastics or carbon fibers. As the reinforcing material of the fiber reinforced plastic, glass fiber, carbon fiber or Kevlar may be used.
또한, 지지대(100)가 치은부에 견고하게 고정될 수 있도록 지지대(100)의 천공 부위(1)와 근접한 위치에 별도의 체결 부재(120)가 관통 결합될 수 있다. 본 실시예에서 구체적으로 도시하고 있지 않지만, 체결 부재(120)가 지지대(100)를 관통함과 동시에 체결 부재(120)의 단부가 치은부(1a) 및 치조골에 관통됨으로써 결합될 수 있다. 이때, 체결 부재(120)의 단부에는 일부 외주면에 나사산이 형성됨으로써 치은부 및 치조골에 나사 결합될 수 있다.In addition, a separate fastening member 120 may be penetrated through a position adjacent to the perforation part 1 of the support 100 so that the support 100 may be firmly fixed to the gingiva. Although not specifically illustrated in the present embodiment, the fastening member 120 may pass through the support 100 and the end of the fastening member 120 may be coupled by penetrating the gingiva 1a and the alveolar bone. At this time, the end of the fastening member 120 may be screwed to the gingiva and alveolar bone by forming a thread on a portion of the outer peripheral surface.
본 실시예에서 지지대(100)가 하악 전체를 덮도록 형성되는 형상으로 도시되고 있으나, 지지대(100)는 치아 보철물 식립 개수 또는 위치에 따라 상악 전체 또는 일부, 또는 하악 전체 또는 일부를 덮도록 형성될 수 있으므로 이에 한정되지 않는다. 다시 말해, 지지대(100)는 전체 치열을 감싸는 형상 외에도 치열 중 일부가 상실된 경우에는 일부 해당 치열만 감싸도록 형성될 수도 있다.In this embodiment, the support 100 is shown in a shape formed to cover the entire lower jaw, the support 100 may be formed to cover the entire maxillary or part, or the entire lower jaw or part, depending on the number or position of the dental prosthesis placement. It may be so limited. In other words, the support 100 may be formed so as to surround only some of the corresponding teeth in case some of the teeth are lost in addition to the shape surrounding the entire teeth.
또한, 하악에서 어금니 부분에 가이드 부재(110)가 형성되는 형상이 도시되어 있으나, 치아 보철물의 식립이 요구되는 위치가 전치부(前齒部, anterior region)인 경우, 지지대(100)는 입술쪽을 향한 면인 순면(脣面, labial surface), 설면(舌面, lingual surface) 및 두 치아가 맞닿는 면인 인접면(隣接面, proximal surface) 또는 접촉면(接觸面, contact surface)을 덮도록 형성될 수 있다.In addition, although the shape in which the guide member 110 is formed at the molar portion at the lower jaw is shown, when the position where the dental prosthesis is required to be placed is an anterior region, the support 100 is lip-sided. It may be formed to cover a labial surface, a lingual surface, which is a facing surface, and a proximal surface or a contact surface, which is a surface where two teeth meet. .
아울러, 구치부(臼齒部, posterior region)에 치아 보철물이 식립되어야 하는 경우, 지지대(100)는 뺨쪽을 향한 면인 협면(頰面, buccal surface), 혀쪽을 향한 면인 설면(舌面, lingual surface) 및 두 치아가 맞닿는 면인 접촉면(接觸面, contact surface)을 덮도록 형성될 수 있다. 상기 접촉면은 입을 다물 때 마주보는 치아(윗니-아랫니)끼리 맞닿는 면인 경우 교합면(咬合面, occlusal surface) 또는 저작연(mastication surface)을 의미할 수 있다.In addition, when the dental prosthesis is to be placed in the posterior region, the support 100 has a buccal surface that is a face toward the cheek, a lingual surface that is a face toward the tongue, and It may be formed so as to cover a contact surface that is a surface where the two teeth abut. The contact surface may mean an occlusal surface or a mastication surface when the teeth (upper teeth-lower teeth) facing each other when closing the mouth are in contact with each other.
가이드 부재(110)는 지지대(100)로부터 돌출되되, 상기 교합면으로부터 돌출되도록 형성되고, 횡단면이 원형인 가이드 홀(112)을 구비할 수 있다. 이때, 지지대(100)가 상악에 설치되는 형상인 경우 가이드 부재(110)가 하측으로 돌출되거나, 지지대(100)가 하악에 설치되는 형상인 경우 가이드 부재(110)가 상측으로 돌출되도록 형성될 수 있다.The guide member 110 may include a guide hole 112 protruding from the support 100, protruding from the occlusal surface, and having a circular cross section. At this time, when the support member 100 is installed in the upper jaw, the guide member 110 may protrude downward, or when the support member 100 is installed in the lower jaw, the guide member 110 may protrude upward. have.
또한, 가이드 홀(112)은 식립하고자 하는 천공 개수에 따라 적어도 하나 이상 형성될 수 있다. 즉 가이드 홀(112)은 치조골의 천공 부위(1)와 동축 상에 각각 배치되도록 복수개 형성될 수 있다. 이와 같이 가이드 홀(112)이 복수개 형성되는 경우 가이드 홀(112)은 각각의 천공 부위(1)에 대응되도록 배치되되, 복수의 가이드 홀(112)의 설측이 치열을 따라 일체로 연결되도록 형성될 수 있다.In addition, at least one guide hole 112 may be formed according to the number of holes to be implanted. That is, the guide holes 112 may be formed in plural to be disposed coaxially with the puncturing portion 1 of the alveolar bone. As described above, when a plurality of guide holes 112 are formed, the guide holes 112 may be disposed to correspond to the respective perforation sites 1, and the lingual sides of the plurality of guide holes 112 may be integrally connected along the teeth. Can be.
그리고, 가이드 홀(112)은 드릴 장치(10)의 드릴 헤드(11)의 외주면이 면접촉된 상태로 천공 부재(12)의 회전을 지지할 수 있도록 드릴 헤드(11)의 외주면에 접촉될 수 있는 내경을 갖도록 형성될 수 있다.In addition, the guide hole 112 may be in contact with the outer circumferential surface of the drill head 11 to support the rotation of the punching member 12 while the outer circumferential surface of the drill head 11 of the drill apparatus 10 is in surface contact. It can be formed to have an inner diameter.
이때, 도 2에 도시한 바와 같이 가이드 홀(112)의 내주면이 드릴 헤드(11)의 외주면에 접촉되도록 가이드 홀(112)의 단면 형상이 드릴 헤드(11)의 횡단면 형상에 대응되되, 가이드 홀(112)의 내경(D1)이 가이드 부재(110)의 개방부(112a)의 내측 이격 거리(D2)보다 크게 형성됨으로써 드릴 헤드(11)가 가이드 홀(112)의 내주면에 접촉된 상태에서는 드릴 장치(10)의 진동에 의해 천공 부재(12)가 천공 부위(1)로부터 벗어나지 않도록 견고하게 지지하게 된다. 즉, 가이드 홀(112)의 원기둥 중심이 드릴 헤드(11)의 원기둥 중심과 동축 상에 배치되고, 이러한 중심으로부터 멀어지는 방향으로 개구된 개방부(112a)의 개방된 폭의 이격 거리가 가이드 홀(112)의 직경보다 작게 형성될 수 있다.In this case, as shown in FIG. 2, the cross-sectional shape of the guide hole 112 corresponds to the cross-sectional shape of the drill head 11 such that the inner circumferential surface of the guide hole 112 contacts the outer circumferential surface of the drill head 11. The inner diameter D1 of the 112 is formed to be larger than the inner separation distance D2 of the opening 112a of the guide member 110, so that the drill head 11 is drilled in the state in contact with the inner circumferential surface of the guide hole 112. The vibration of the device 10 ensures that the perforated member 12 is firmly held away from the perforated region 1. That is, the center of the cylinder of the guide hole 112 is disposed coaxially with the center of the cylinder of the drill head 11, and the separation distance of the open width of the opening 112a opened in a direction away from the center is a guide hole ( It may be formed smaller than the diameter of (112).
아울러, 가이드 홀(112)의 내경은 드릴 장치(10)의 천공 부재(12)보다 큰 직경을 갖는 드릴 헤드(11)의 외경과 동일하거나 크게 형성되므로 치조골의 천공 부위(1)의 내경보다 크게 형성되는 것은 물론이다.In addition, the inner diameter of the guide hole 112 is larger than the inner diameter of the drilled portion 1 of the alveolar bone because the inner diameter of the guide hole 112 is formed to be the same as or larger than the outer diameter of the drill head 11 having a larger diameter than the drilling member 12 of the drill apparatus 10. Of course it is formed.
한편, 개방부(112a)는 가이드 부재(110)의 협면측이 노출되도록 절개되되 개방부(112a)의 한 쌍의 개방 단부(112b)가 가이드 홀(112)의 길이 방향을 따른 회전 중심(C)과 이루는 각도(R)가 대략 110˚ 내지 140˚로 형성될 수 있다. 여기서, 각도 R은 드릴 헤드(11)의 외주면이 개방부(112a)를 통해 이탈되지 않도록 지지할 수 있는 최소 각도 및 드릴 장치 사용자가 각각의 천공 부위(1) 전체를 육안으로 확인할 수 있는 최소 각도 범위 내에서 설정될 수 있다. 바람직하게, 각도 R은 120˚ 내지 130˚ 로 설정될 수 있다.On the other hand, the opening 112a is cut so that the narrow surface side of the guide member 110 is exposed, but the pair of open ends 112b of the opening 112a have a rotation center C along the longitudinal direction of the guide hole 112. ) And the angle R may be formed at approximately 110 ° to 140 °. Here, the angle R is the minimum angle that can support the outer circumferential surface of the drill head 11 so as not to be separated through the opening 112a and the minimum angle that the user of the drill apparatus can visually check the entire drilled portion 1 visually. It can be set within a range. Preferably, the angle R may be set to 120 degrees to 130 degrees.
개방부(112a)는 가이드 부재(110)의 협면측 일부가 노출됨으로써 사용자가 개방부(112a)를 통해 천공 부위(1)에 대한 시야 확보가 가능한 크기로 절개될 수 있다. 또한, 드릴 장치(10)의 천공 부재(12)를 천공 부위(1)로 위치하기 위해 이동시키는 과정에서 개방부(112a)를 통해 이동 가능하므로 가이드 부재(110)에 의한 간섭이 방지될 수 있다.The opening 112a may be cut to a size such that a part of the narrow side of the guide member 110 is exposed so that the user can secure a view of the perforation part 1 through the opening 112a. In addition, since the drilling member 12 of the drill device 10 is movable through the opening 112a in the process of moving to position the drilling portion 1, interference by the guide member 110 may be prevented. .
아울러, 개방부(112a)는 지지대(100)의 협면측이 더욱 노출되도록 개방부(112a)로부터 연장되어 치은부(1a)의 일부가 외부로 드러나도록 절개되는 치은 개방부(100a)를 더 포함할 수 있다. 치은 개방부(100a)는 개방부(112a)로부터 치은부 방향으로 연장되어 절개되는 부분으로서, 사용자가 시술 환자의 위치 및 거리에 관계없이 가이드 부재(110)의 끝단보다 더 낮은 위치에서 바라보더라도 치은 개방부(100a)를 통해 치은부(1a)를 육안으로 확인하며 작업이 가능해진다.In addition, the opening portion 112a further includes a gingival opening portion 100a which is extended from the opening portion 112a to further expose the narrow side of the support 100 so that a portion of the gingiva 1a is cut out to be exposed to the outside. can do. The gingiva opening 100a extends in the direction of the gingiva from the opening 112a, and is gingival even if the user looks at a position lower than the end of the guide member 110 regardless of the position and distance of the patient. Visually confirming the gingival portion 1a through the opening portion 100a enables the operation.
도 3은 본 발명의 다른 실시예에 따른 임플란트 시술 가이드 장치를 도시한 사시도이다. 도 3에 도시한 바와 같이 본 발명의 다른 실시예에 따른 임플란트 시술 가이드 장치는 지지대(100)의 치은 개방부(100a)를 가로질러 연결되는 연결 바(130)를 더 포함할 수 있다.Figure 3 is a perspective view of the implant guide device according to another embodiment of the present invention. As shown in FIG. 3, the implant guide device according to another embodiment of the present invention may further include a connection bar 130 connected across the gingiva opening 100a of the support 100.
도 3의 구성을 도 1의 구성과 비교하여 보면, 지지대(100)의 치은 개방부(100a)를 가로질러 연결 바(130)가 형성되되, 치은 개방부(100a)의 끝단을 서로 연결하도록 형성되는 점에서 차이가 있고, 그 외의 구성은 동일하므로 중복되는 설명은 생략한다.When comparing the configuration of FIG. 3 with the configuration of FIG. 1, the connecting bar 130 is formed across the gingiva opening 100a of the support 100, and the ends of the gingiva opening 100a are connected to each other. There is a difference in that, since the other configurations are the same, overlapping description is omitted.
치은 개방부(100a)가 가이드 부재(110)의 개방부(112a)로부터 연장되어 절개된 부분이므로 종래와 같이 지지대(100)가 치은부 전체를 덮도록 설치되는 구조에 비하여 내구성이 저하되는 것을 방지하기 위하여 연결 바(130)가 형성될 수 있다. 이에 더하여, 연결 바(130)에는 별도의 체결 부재(140)가 관통 결합하고, 체결 부재(140)가 치은부(1a) 및 치조골에 관통됨으로써 보다 높은 내구성을 확보할 수 있게 된다. 이때, 연결 바(130)는 지지대(100)와 일체로 성형되거나 연결 바(130)의 양단에 별도의 체결 돌기(미도시) 또는 체결 홈(미도시)에 의해 지지대(100)와 분리 결합 가능하도록 형성될 수 있다.Since the gingiva opening 100a extends from the opening 112a of the guide member 110 and is cut away, durability of the gingiva 100a is prevented from being lowered compared to the structure in which the support 100 is installed to cover the entire gingiva. Connection bar 130 may be formed in order to. In addition, a separate fastening member 140 penetrates and couples to the connection bar 130, and the fastening member 140 penetrates the gingiva 1a and the alveolar bone, thereby ensuring higher durability. In this case, the connection bar 130 may be formed integrally with the support 100 or may be separately coupled to the support 100 by separate fastening protrusions (not shown) or fastening grooves (not shown) at both ends of the connection bar 130. It can be formed to.
이와 같이 천공 부위(1)에 근접한 위치에서 체결 부재(140)가 결합될 수 있으므로 내구성 확보 측면에서 잇점을 가질 수 있게 된다.As such, since the fastening member 140 may be coupled at a position close to the perforation part 1, it may have an advantage in terms of securing durability.
전술한 바와 같이 본 발명의 일 실시예에 따른 임플란트 시술 가이드 장치는 가이드 부재의 측면부를 치은부까지 개방시킴으로써 드릴 장치의 진입 시 시야 확보를 통해 시술 편의성을 증진시키고, 드릴 작업 시 개방부(112a) 및 치은 개방부(100a)를 통해서 원활한 주수가 이루어질 수 있도록 하여 시술 안전성 또한 증진시킬 수 있다. 또한, 치은부를 비롯한 치조골에 드릴링이 되는 부위의 시야 확보를 통해 시술자의 심적 안정감을 줄 수 있다.As described above, the implant guide device according to the embodiment of the present invention improves the convenience of the procedure through securing the field of view when entering the drill device by opening the side of the guide member to the gingival portion, and openings 112a during the drill operation. And through the gingiva opening (100a) can be made smooth smooth water can also improve the safety of the procedure. In addition, it is possible to give the operator a sense of security through securing the field of view to be drilled in the alveolar bone, including the gingival.
이상 첨부된 도면을 참조하여 본 발명의 실시예들을 설명하였지만, 본 발명이 속하는 기술분야에서 통상의 지식을 가진 자는 본 발명의 그 기술적 사상이나 필수적인 특징을 변경하지 않고서 다른 구체적인 형태로 실시될 수 있다는 것을 이해할 수 있을 것이다. 그러므로 이상에서 기술한 실시예들은 모든 면에서 예시적인 것이며 한정적이 아닌 것으로 이해해야만 한다. 본 발명의 범위는 상기 상세한 설명보다는 후술하는 특허청구의 범위에 의하여 나타내어지며, 특허청구의 범위의 의미 및 범위 그리고 그 균등 개념으로부터 도출되는 모든 변경 또는 변형된 형태가 본 발명의 범위에 포함되는 것으로 해석되어야 한다.Although the embodiments of the present invention have been described above with reference to the accompanying drawings, those skilled in the art to which the present invention pertains may be embodied in other specific forms without changing the technical spirit or essential features of the present invention. I can understand that. Therefore, it should be understood that the embodiments described above are exemplary in all respects and not restrictive. The scope of the present invention is indicated by the scope of the following claims rather than the detailed description, and all changes or modifications derived from the meaning and scope of the claims and the equivalent concept are included in the scope of the present invention. Should be interpreted.
부호의 설명Explanation of the sign
1: 천공 부위1: perforation area
1a: 치은부1a: gingiva
10: 드릴 장치10: drill device
11: 드릴 헤드11: drill head
12: 천공 부재12: perforation member
100: 지지대100: support
110: 가이드 부재110: guide member
112: 가이드 홀112: guide hole
112a: 개방부112a: opening

Claims (11)

  1. 치아의 협면, 설면 및 교합면을 감싸는 지지대;A support surrounding the buccal, lingual and occlusal surfaces of the tooth;
    상기 교합면으로부터 돌출되도록 형성되고, 횡단면이 원형인 가이드 홀을 갖는 가이드 부재; 및A guide member protruding from the occlusal surface and having a guide hole having a circular cross section; And
    상기 가이드 부재의 협면측이 노출되도록 절개되는 개방부를 포함하고,It includes an opening which is cut so that the narrow side of the guide member is exposed,
    상기 개방부는 상기 개방부로부터 연장되어 치은부의 일부가 외부로 드러나도록 절개되는 치은 개방부를 포함하는 임플란트 시술 가이드 장치.And the opening includes a gingival opening which extends from the opening and is cut so that a portion of the gingiva is exposed to the outside.
  2. 제1항에 있어서,The method of claim 1,
    상기 가이드 홀은 상기 교합면으로부터 치조골의 천공 부위와 동축 상에 배치되는 것을 특징으로 하는 임플란트 시술 가이드 장치.And the guide hole is disposed coaxially with the puncture portion of the alveolar bone from the occlusal surface.
  3. 제2항에 있어서,The method of claim 2,
    상기 가이드 홀의 내경은 상기 치조골의 천공 부위의 내경보다 크게 형성되는 것을 특징으로 하는 임플란트 시술 가이드 장치.The inner diameter of the guide hole is implant guide device, characterized in that formed larger than the inner diameter of the perforated portion of the alveolar bone.
  4. 제2항에 있어서,The method of claim 2,
    상기 가이드 홀의 내경은 상기 가이드 홀의 내주면과 드릴 장치의 헤드부의 외주면이 면접촉하는 크기로 형성되는 것을 특징으로 하는 임플란트 시술 가이드 장치.The inner diameter of the guide hole is implant guide device, characterized in that the inner circumferential surface of the guide hole and the outer circumferential surface of the head portion of the drill device is formed in a surface contact.
  5. 제2항에 있어서,The method of claim 2,
    상기 가이드 홀은 상기 각각의 천공 부위에 대응되도록 배치되되 복수의 가이드 홀의 설측이 일체로 연결되도록 형성되는 것을 특징으로 하는 임플란트 시술 가이드 장치.The guide hole is disposed so as to correspond to each of the perforated portion implant guide device, characterized in that the lingual side of the plurality of guide holes are formed integrally connected.
  6. 제1항에 있어서,The method of claim 1,
    상기 지지대의 개방부를 가로질러 연결되는 연결 바를 더 포함하는 것을 특징으로 하는 임플란트 시술 가이드 장치.And a connection bar connected across the opening of the support.
  7. 제6항에 있어서,The method of claim 6,
    상기 연결 바는 상기 지지대의 치은 개방부의 끝단을 서로 연결하도록 형성되는 것을 특징으로 하는 임플란트 시술 가이드 장치.The connecting bar is an implant guide device characterized in that it is formed to connect the ends of the gingiva opening of the support with each other.
  8. 제7항에 있어서,The method of claim 7, wherein
    상기 연결 바에는 상기 지지대가 치은부 및 치조골에 고정되도록 관통 결합되는 체결 부재를 더 포함하는 것을 특징으로 하는 임플란트 시술 가이드 장치.The connecting bar further comprises a fastening member which is coupled to the support so that the support is fixed to the gingiva and alveolar bone.
  9. 제1항에 있어서,The method of claim 1,
    상기 지지대는 상악 또는 하악의 치열 전체를 덮도록 형성되는 것을 특징으로 하는 임플란트 시술 가이드 장치.The support is implant guide device, characterized in that formed to cover the entire upper or lower teeth.
  10. 제1항에 있어서,The method of claim 1,
    상기 지지대에는 상기 지지대가 치은부 및 치조골에 고정되도록 관통 결합되는 체결 부재를 더 포함하는 것을 특징으로 하는 임플란트 시술 가이드 장치.The support is implant guide device, characterized in that the support further comprises a fastening member through which the support is fixed to the gingiva and alveolar bone.
  11. 제1항에 있어서,The method of claim 1,
    상기 가이드 홀의 직경은 상기 개방부의 이격 거리보다 크게 형성되는 것을 특징으로 하는 임플란트 시술 가이드 장치.The guide hole of the implant procedure, characterized in that the diameter of the guide hole is formed larger than the separation distance of the opening.
PCT/KR2017/005605 2016-07-14 2017-05-30 Guiding apparatus for implant procedure WO2018012735A1 (en)

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