WO2019124846A1 - Dispositif de guidage de chirurgie d'implant dentaire, et système et procédé de fabrication de dispositif de guidage de chirurgie d'implant dentaire - Google Patents

Dispositif de guidage de chirurgie d'implant dentaire, et système et procédé de fabrication de dispositif de guidage de chirurgie d'implant dentaire Download PDF

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Publication number
WO2019124846A1
WO2019124846A1 PCT/KR2018/015651 KR2018015651W WO2019124846A1 WO 2019124846 A1 WO2019124846 A1 WO 2019124846A1 KR 2018015651 W KR2018015651 W KR 2018015651W WO 2019124846 A1 WO2019124846 A1 WO 2019124846A1
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WIPO (PCT)
Prior art keywords
image data
stereoscopic image
patient
unit
data
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PCT/KR2018/015651
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English (en)
Korean (ko)
Inventor
김종철
박광범
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주식회사 키스톤
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Publication of WO2019124846A1 publication Critical patent/WO2019124846A1/fr

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    • 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
    • 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
    • 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
    • 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C9/00—Impression cups, i.e. impression trays; Impression methods
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C9/00—Impression cups, i.e. impression trays; Impression methods
    • A61C9/004—Means or methods for taking digitized impressions
    • A61C9/0046—Data acquisition means or methods

Definitions

  • the present invention relates to a dental implant guide apparatus, a dental implant guide apparatus manufacturing system, and a manufacturing method thereof, and more particularly, to a dental implant guide apparatus, An implant treatment guide device, a manufacturing system for manufacturing the dental implant guide device, and a manufacturing method thereof.
  • a dental implant is a substitute that restores when the original tissue is lost, but in dentists it refers to a series of procedures for implanting an artificial tooth.
  • a tooth fixture made of titanium or the like, which has no rejection to the human body, is planted in the alveolar bone that has exited the tooth, and then the artificial tooth is fixed to restore the function of the tooth .
  • the surrounding teeth and bones are damaged over time, but the implants do not injure the surrounding dental tissue, and they have the same function and shape as the natural teeth, but do not have cavities. Therefore, they can be used semi-permanently.
  • the artificial tooth procedure (also referred to as an implant or implant procedure) varies depending on the type of fixture, but after a predetermined drill is used to puncture the fixation position, the fixture is placed on the alveolar bone to perform an artificial fusion to the bone, After the abutments are combined, it is common to finish the abutment with a final prosthesis.
  • Dental implants enhance the function of dentures in single-tooth restorations, as well as in partial and total toothless patients, improve the aesthetic aspects of dental prosthesis restoration, and further dissipate excessive stresses on the surrounding supporting bone tissue It helps to stabilize the dentition as well as sikim.
  • a method of acquiring stereoscopic image data by capturing an image of a mouth area of a subject by using a computed tomography (CT) apparatus is used to acquire data on the mouth area of the subject.
  • CT computed tomography
  • CT data obtained from the computed tomography (CT) apparatus has advantages in that it can accurately grasp the shape of the bones of the patient, and it is difficult to grasp the shape of the gums accurately and various types of restorations And the image may be distorted by the implant.
  • the dental implant guide prepared according to the result of the post-mock procedure is delivered to the practitioner (dentist) in the mock procedure, the tooth plaster bone guide and the dental implant guide are manufactured. It takes one week or more than 10 days, (Patient) is disadvantageously inconvenient.
  • Another object of the present invention is to provide a dental implant guide device manufacturing system and a method of manufacturing the dental implant guide device that can dramatically shorten the manufacturing time of the dental implant guide device.
  • a method of treating a subject comprising: a frame unit disposed inside an oral cavity of a subject and detachably coupled to the oral cavity internal structure of the subject; And a patient-machined guide unit having a guide hole for guiding the drill, and a patient-customized machining part coupled to the frame unit, the guide hole being machined so as to be disposed in an entry path of the drill on a predetermined treatment plan
  • a dental implant procedure guide device may be provided.
  • the frame unit comprises: an outer body portion bent in an arc shape corresponding to the teeth of the subject; An inner body part bent into an arc shape corresponding to the teeth of the subject and being disposed at a predetermined distance from the outer body part; A connecting body portion connecting the outer body portion and the inner body portion; And an engaging portion provided on the outer body portion and the inner body portion, the engaging portion for the guide unit to which the patient fitting type guide unit is coupled.
  • connection body portion includes: an inner vertical body portion connected to the inner body portion; An outer vertical body connected to the outer body; And a lateral body portion connecting the inner vertical body portion and the outer vertical body portion.
  • the lower end of the horizontal body portion may be provided with a recessed groove recessed toward the upper end of the horizontal body portion.
  • the coupling unit for the guide unit may include a plurality of coupling protrusions protruding from the outer body and the inner body, and the plurality of coupling protrusions may be spaced apart from each other by a predetermined distance have.
  • the frame unit may be provided with a radiopaque material.
  • the patient-customized guide unit may include a guide body portion connected to the frame unit, the guide hole formed therein, and a patient-customized machining portion provided at a lower end thereof.
  • the patient fitting type guide unit further includes a flange portion protruding from an upper end of the guide body portion and provided with a through hole communicating with the guide hole, wherein the through hole has a shape having an inner diameter larger than that of the guide hole As shown in FIG.
  • a three-dimensional image information acquiring apparatus for acquiring three-dimensional image information about a diameter region of a subject in a state where a frame unit is coupled to an oral internal structure of a subject.
  • Dimensional image information from the three-dimensional image information acquiring device, and the guide hole of the patient-customized guide unit is positioned in the entrance path of the drill on the operation plan determined through the three-
  • a data processing device for deriving machining data for a patient-customized machining portion of the machining-type guide unit;
  • a processing device that receives the machining data from the data processing device and processes the patient-customized machining part in accordance with the machining data, can be provided for the dental implant procedure guide device manufacturing system.
  • the apparatus for acquiring three-dimensional image information includes a first image information acquiring unit for acquiring first stereoscopic image data for an oral cavity region of the subject; And a second image information acquisition unit for acquiring second stereoscopic image data for the mouth region of the subject, wherein the data processing apparatus further comprises a second stereoscopic image acquiring unit for acquiring the first stereoscopic image data from the frame unit
  • the pre-matching step is performed to pre-match pre-matching on the basis of the coordinates of the pre- the first stereoscopic image data and the second stereoscopic image data are precisely matched to the first stereoscopic image data in the integrated stereoscopic image data.
  • the data processing apparatus includes an input unit for receiving information from a user; An operation unit that receives the first and second stereoscopic image data and generates integrated stereoscopic image data, and calculates the processed data; And a display unit electrically connected to the operation unit and visually displaying the integrated stereoscopic image data and the patient-customized guide unit.
  • the arithmetic unit may divide the display area of the display unit into a plurality of divided areas, and output different plane images of the pre-matched integrated stereoscopic image data to the plurality of divided areas And a state in which the second stereoscopic image data is matched to the first stereoscopic image data in the respective divided regions through the input unit.
  • the calculation unit overlaps the data of the three-dimensional image information and the data of the patient-customized guide unit in a state in which a guide hole of the patient-customized guide unit is positioned in an entrance route of the drill on the treatment plan, It is possible to display a portion where the data of the patient-customized guide unit and the three-dimensional image information overlap.
  • the guide hole of the patient-customized guide unit is to be positioned in the entrance path of the drill on the treatment plan determined through the three-dimensional image information on the caliber region of the patient,
  • a machining step of machining the patient-customized machining part in accordance with the machining data is provided.
  • the acquiring of the three-dimensional image information comprises: acquiring first stereoscopic image data for the oral cavity region of the subject; A second image information acquiring step of acquiring second stereoscopic image data for an oral cavity region of the subject; And generating an integrated stereoscopic image data by matching the first stereoscopic image data and the second stereoscopic image data to generate integrated stereoscopic image data, wherein the step of generating the integrated stereoscopic image data comprises: The first stereoscopic image data is pre-matched with the first stereoscopic image data on the basis of the coordinates to generate pre-matched integrated stereoscopic image data, step; And an accurate matching step of precision-matching the second stereoscopic image data to the first stereoscopic image data in the pre-matched integrated stereoscopic image data, A display area of a provided screen is divided into a plurality of divided areas and different plane images of the pre-matched integrated stereoscopic image data are arranged in the plurality of divided areas; And correcting the second stereoscopic image data to
  • the plurality of segmented regions include a first region in which the planar image is cut out of the pre-matched integrated stereoscopic image data by a first axis and a second axis intersecting the first axis; A second region in which a plane image is shown cut in a third axis intersecting the second axis and the second axis at a position of a first movement point displayed in the first region; A third region in which a plane image cut by the first axis and the third axis is shown at the position of the first movement point; A fourth region in which a plane image cut by the second axis and the third axis is shown at a position of a second movement point displayed in the first region; A fifth region in which a planar image cut by the first axis and the third axis is shown at a position of a second moving point displayed in the first region; And a sixth region in which a plane image cut in the second axis and the third axis is shown at the position of the third movement point displayed
  • the step of deriving the machining data may include a step of obtaining a portion where the data of the three-dimensional image information and the data of the patient-customized guide unit are overlapped with each other in a state in which the guide hole of the patient- Calculating redundant portions; And an overlapped portion displaying step of displaying a portion where the data of the patient-customized guide unit and the three-dimensional image information overlap with each other.
  • a patient handling type guide unit having a guide hole for guiding a drill, and a patient-specific machining portion coupled to the frame unit, wherein the guide hole is machined so as to be disposed in an entrance path of the drill on a predetermined treatment plan
  • a dental implant procedure guide device capable of shortening the time required for producing the dental implant procedure guide device.
  • the three-dimensional image information is received from the three-dimensional image information acquiring device, and the guide hole of the patient-customized guide unit is positioned on the entrance path of the drill on the treatment plan determined through the three-
  • the data processing device for deriving the processing data for the patient-customized processing part of the patient-customized type guide unit and the processing device for processing the patient-customized processing part in accordance with the processing data enables the production time of the dental implant- It is possible to provide a dental implant guide apparatus manufacturing system and a method of manufacturing the same.
  • FIG. 1 is a view showing a frame unit of a dental implant guide apparatus according to an embodiment of the present invention.
  • FIG. 1 is a plan view of Fig.
  • FIG. 3 is a cross-sectional view taken along the line A-A in Fig.
  • Fig. 4 is a view showing a patient-machined guide unit coupled to the frame unit of Fig. 1.
  • Fig. 4 is a view showing a patient-machined guide unit coupled to the frame unit of Fig. 1.
  • FIG. 5 is a cross-sectional view taken along the line B-B in Fig.
  • Fig. 6 is a view showing a state where the patient-fit machining portion of the patient-machined guide unit of Fig. 5 is machined by the machining apparatus.
  • FIG. 7 is a cross-sectional view taken along the line C-C of Fig.
  • Fig. 8 is a view showing a state in which the patient-customized guide unit of Fig. 6 is coupled to the frame unit.
  • FIG. 9 is a view showing a dental implant guide apparatus manufacturing system for manufacturing the dental implant guide apparatus of FIG. 8.
  • FIG. 9 is a view showing a dental implant guide apparatus manufacturing system for manufacturing the dental implant guide apparatus of FIG. 8.
  • FIGS. 10 and 11 are views showing screens displayed when the integrated stereoscopic image data is generated in the display unit of FIG.
  • FIG. 12 is a view showing a method of manufacturing a dental implant procedure guide device performed in the dental implant procedure guide device manufacturing system of FIG. 8.
  • FIG. 12 is a view showing a method of manufacturing a dental implant procedure guide device performed in the dental implant procedure guide device manufacturing system of FIG. 8.
  • FIG. 1 is a plan view of FIG. 1, which is a sectional view taken along the line AA of FIG. 2 of FIG. 3, and FIG. 4 is a plan view of the frame unit of the dental implant guide apparatus of FIG. Fig. 5 is a cross-sectional view taken along line BB of Fig. 4, and Fig. 6 is a cross-sectional view of the patient-customized guide unit of Fig. 6 is a cross-sectional view taken along line CC in Fig. 6, and Fig. 8 is a view showing a state in which the patient-fit type guide unit of Fig. 6 is coupled to the frame unit FIG. 9 is a view showing a dental implant guide apparatus manufacturing system for manufacturing the dental implant guide apparatus of FIG. 8, and FIGS.
  • FIG. 10 and 11 are views for displaying the combined stereoscopic image data on the display unit of FIG. screen
  • Figure 12 is a view a method for manufacturing a dental implant operation guide device is performed in the dental implant operation guide device for a production system of Figure 8 is shown.
  • 10 and 11 the illustration of the frame unit is omitted for convenience of illustration.
  • the system for manufacturing a dental implant guide apparatus according to the present embodiment can dramatically shorten the manufacturing time of the dental implant guide apparatus compared to the conventional art.
  • a dental implant guide apparatus includes a frame unit 210 disposed inside a mouth of a patient (patient) and detachably coupled to an oral internal structure of a patient, And a patient-customized machining portion 222 in which a guide hole 221a for guiding the drill is formed and which is coupled to the frame unit 210 and in which the guide hole 221a is machined so as to be disposed in the entry path of the drill on the predetermined treatment plan And a patient-customized guide unit 220 provided with the patient-processed type guide unit.
  • the frame unit 210 is disposed inside the mouth of the subject.
  • the frame unit 210 is detachably coupled to the oral cavity internal structure of the subject.
  • the oral internal structure may be a short implant for temporary placement in the oral cavity of the subject when the subject's teeth or the subject is completely edentulous.
  • the frame unit 210 is joined to the oral cavity structure by a dental adhesive (not shown).
  • the frame unit 210 includes an outer body portion 211 bent in an arc shape corresponding to the dentition of a subject to be examined, an inner body portion 212 bent in an arc shape and spaced apart from the outer body portion 211 by a predetermined distance and a connecting body portion 213 connecting the outer body portion 211 and the inner body portion 212 And a coupling unit 214 for a guide unit which is provided on the outer body 211 and the inner body 212 and to which the patient-machining type guide unit 220 is coupled.
  • the outer body portion 211 and the inner body portion 212 are provided in a long bar shape.
  • the outer body portion 211 and the inner body portion 212 are provided with a coupling portion 214 for a guide unit, as shown in detail in Figs. 1 and 2.
  • connection body portion 213 connects the outer body portion 211 and the inner body portion 212 with each other.
  • the connection body portion 213 includes an inner vertical body portion 213a connected to the inner body portion 212 and an outer vertical body portion 213c connected to the outer body portion 211.
  • a lateral body portion 213c connecting the inner vertical body portion 213a and the outer vertical body portion 213b.
  • the lower end of the horizontal body portion 213c is provided with a recessed groove 213d recessed toward the upper end of the horizontal body portion 213c.
  • the recessed groove 213d is a portion to which a dental adhesive (not shown) is detachably attached to detachably attach the frame unit 210 to the oral internal structure.
  • the dental adhesive (not shown) has a solid shape and a shape similar to that of gum (shape when chewing chew from the mouth is spit).
  • the denting groove 213d of this embodiment is a dental adhesive (not shown) So that the dental adhesive (not shown) adheres well to the frame unit 210.
  • the engaging portion 214 for the guide unit is provided on the outer body portion 211 and the inner body portion 212 and is coupled to the patient-machined type guide unit 220.
  • the engaging portion 214 for the guide unit includes an outer body portion 211 and a plurality of engaging protrusions 215 protruding from the inner body portion 212. These plurality of engaging projections 215 are spaced apart from each other by a predetermined distance, as shown in detail in Figs.
  • the frame unit 210 is provided with a radiopaque material so that it can be recognized by the first image information obtaining unit 110, which will be described later.
  • the first image information obtaining unit 110 will be described later for convenience of explanation.
  • the patient-customized guide unit 220 is processed by a processing apparatus (not shown) to be described later and is coupled to the frame unit 210.
  • the patient-customized guide unit 220 is provided with a guide hole 221a for guiding the drill during the implant procedure.
  • the patient-fit type guide unit 220 includes a guide body 221 connected to the frame unit 210 and having a guide hole 221a and a guide body 221 formed at a lower end of the guide body 221 A patient-customized machining portion 222 which is machined so that the guide hole 221a is arranged so as to be placed in the path of entry of the drill on the predetermined treatment plan and a guide hole 221a which is protruded from the upper end of the guide body 221 and which is communicated with the guide hole 221a And a flange portion 223 provided with a through hole 223a.
  • the guide hole 221a guides the entry direction of the drill for cutting the alveolar bone during the implant procedure.
  • the guide hole 221a is formed in the imaginary transverse center axis of the guide body portion 221.
  • the guide groove 221a is formed on the imaginary transverse center axis of the guide body portion 221, G of the guide body portion 221, the insertion direction of the drill can be adjusted to the imaginary lateral center of the guide body portion 221, It must be perpendicular to the axis G.
  • the direction of entry of the drill into the treatment plan has various angles according to the peripheral teeth direction and the alveolar bone state of the patient,
  • the portion 222 is cut so as to be inclined obliquely with respect to the hypothetical transverse center axis G of the guide body portion 221.
  • the inclination angle of the guide body portion 221 of the patient-customized machining portion 222 with respect to the hypothetical transverse center axis G may be variously changed according to the entering direction of the drill determined in the operation plan.
  • the machining apparatus (not shown) is provided with a machining apparatus (not shown) for machining the patient-customized machining unit 222, which will be described later, Thereby forming a groove 222a.
  • the flange portion 223 protrudes from the upper end of the guide body portion 221.
  • the flange portion 223 is provided with a through hole 223a communicating with the guide hole 221a.
  • the through hole 223a is provided in a shape having a larger inner diameter than the guide hole 221a.
  • the through hole 223a of the present embodiment is provided in a shape having an inner diameter larger than that of the guide hole 221a so that the user can easily drill in a direction in which the drill enters in advance before the drill enters the guide hole 221a .
  • the dental implant guide apparatus is configured to guide the patient-customized machining portion 222 to the imaginary lateral side of the guide body portion 221 in order to place the guide hole 221a in the entrance path of the drill on the predetermined plan of operation Since it is completed when it is connected to the frame unit 210 after cutting so as to be inclined obliquely with respect to the central axis G, the manufacturing time is drastically shortened as compared with the conventional case.
  • the patient-customized processing unit 222 of the patient-customized guide unit 220 can be operated in the state where the frame unit 210 and the patient-customized guide unit 220 are provided to the practitioner (dentist) Since the dental implant guide apparatus is completed only by machining into the frame unit 210 in accordance with the plan by a processing apparatus (not shown), there is an advantage that a one-day implant treatment can be performed.
  • Such a dental implant procedure guide apparatus is manufactured by the dental implant procedure guide apparatus manufacturing system of this embodiment.
  • a three-dimensional image information acquisition device 110, 120 for acquiring three-dimensional image information about the aperture area of the subject's person while the frame unit 210 is coupled to the internal structure, And the guide hole 221a of the patient-customized guide unit 220 is positioned on the entrance path of the drill on the treatment plan determined through the three-dimensional image information.
  • a data processing apparatus 130 for deriving processing data for the patient-customized processing section 222, Forwarding received and a processing unit (not shown) for processing the patient-specific processing section 222 according to the processing data.
  • the three-dimensional image information obtaining apparatuses 110 and 120 acquire three-dimensional image information about the aperture region of the subject while the frame unit 210 is coupled to the intraoral structure of the subject.
  • the three-dimensional image information acquisition apparatuses 110 and 120 include a first image information acquisition unit 110 for acquiring first stereoscopic image data for an oral cavity region of a subject under the condition that the frame unit 210 is coupled to the intraoral structure of the subject, And a second image information acquiring unit 120 for acquiring second stereoscopic image data for the oral cavity region of the subject in a state where the frame unit 210 is coupled to the oral cavity internal structure of the subject.
  • the first image information obtaining unit 110 includes a computerized tomography (CT) apparatus, and the first stereoscopic image data of the present embodiment means a stereoscopic image implemented using a plurality of sectional images
  • CT computerized tomography
  • the scope of the present invention is not limited thereto, and various stereoscopic image acquisition apparatuses such as a magnetic resonance imaging apparatus can be used as the first image information acquisition unit 110 of the present embodiment.
  • the first stereoscopic image data obtained by the first image information acquiring unit 110 includes bone shapes of the facial bone, alveolar bone, etc. of the subject.
  • the first stereoscopic image data includes shape information of the frame unit 210.
  • the second image information obtaining unit 120 includes an oral scanner that scans the inside of the subject's mouth three-dimensionally to acquire second stereoscopic image data.
  • the second image information obtaining unit 120 of the present embodiment includes stereolithography (STL) data, and the stereolithography (STL) data may have an ASCII or binary format.
  • STL stereolithography
  • STL stereolithography
  • the data processing apparatus 130 is connected to the first image information acquiring unit 110 and the second image information acquiring unit 120 to receive the first and second stereoscopic image data.
  • the data processor 130 generates the integrated stereoscopic image data by matching the received first stereoscopic image data and the second stereoscopic image data.
  • the second image information obtaining unit 120 obtains the second stereoscopic image data for the oral cavity region of the subject while the frame unit 210 is coupled to the oral cavity internal structure of the subject,
  • the image data also includes the shape information of the frame unit 210.
  • the data processing apparatus 130 generates the integrated stereoscopic image data by matching the first stereoscopic image data and the second stereoscopic image data based on the coordinates of the frame unit 210.
  • the data processing apparatus 130 includes an input unit 131 for receiving information from a user, an operation unit 132 for receiving first stereoscopic image data and second stereoscopic image data and generating integrated stereoscopic image data, And a display unit 133 electrically connected to the display unit 132 for visually displaying the integrated stereoscopic image data.
  • the input unit 131 is electrically connected to the operation unit 132, receives control information from the user, and transmits the control information to the operation unit 132.
  • the operation unit 132 receives the first and second stereoscopic image data and generates the integrated stereoscopic image data and visually displays the combined stereoscopic image data on the display unit 133.
  • the generation of the integrated stereoscopic image data is performed by the organic linkage of the input unit 131, the display unit 133, and the operation unit 132.
  • the first stereoscopic image data obtained from the first image information acquiring unit 110 such as a computed tomography (CT) mechanism has an advantage of being able to accurately grasp the shape of the bones of the patient, etc., There is a problem that images can be distorted by various types of restorations and implants.
  • CT computed tomography
  • the second stereoscopic image data acquired by the oral scanner for three-dimensionally scanning the inside of the subject's mouth contains highly accurate information about the external structure of the subject's teeth and gums.
  • the matching of the first and second stereoscopic image data is performed by pre-matching the second stereoscopic image data to the first stereoscopic image data based on the coordinates of the frame unit 210
  • the coordinates of the frame unit 210 of the first stereoscopic image data and the coordinates of the second stereoscopic image data are compared with each other.
  • the first stereoscopic image data is pre-matched with the first stereoscopic image data based on the coordinate of the frame unit 210 and the pre-matched stereoscopic image data is pre- .
  • the first image information acquiring unit 110 and the second image information acquiring unit 120 acquire three-dimensional image information about the aperture region of the subject's person in a state where the frame unit 210 is coupled to the intraoral structure of the subject,
  • the frame unit 210 is displayed on both the first stereoscopic image data and the second stereoscopic image data. Accordingly, the second stereoscopic image data is matched to the first stereoscopic image data by the control signal through the input unit 131 of the user matching the frame unit 210.
  • the pre-matching integrated stereoscopic image data that has undergone the pre-alignment step has a matched state although the degree of matching is not perfect.
  • the second stereoscopic image data is precisely matched to the first stereoscopic image data in the pre-matched integrated stereoscopic image data in a substantially matched state.
  • the display region of the screen provided to the user through the display unit 133 is divided into a plurality of divided regions, and different plane images of the pre-matched integrated stereoscopic image data are divided into a plurality of Wherein the first stereoscopic image data is corrected to be matched with the second stereoscopic image data in each of the divided regions.
  • a screen as shown in Figs. 10 to 11 is provided to the user on the screen of the display unit 133.
  • Fig. A plurality of divided areas D1, D2, D3, D4, D5, and D6 are displayed on the screen provided to the user through the display unit 133 in the precise matching step.
  • Different plane images of the pre-matched integrated stereoscopic image data are arranged in the plurality of divided areas D1, D2, D3, D4, D5, and D6.
  • the plane images displayed on the plurality of divided areas D1, D2, D3, D4, D5, and D6 can be distinguished from the first stereoscopic image data and the second stereoscopic image data (for example, The appearance lines of the data and the second stereoscopic image data are expressed in different colors) so that the user can visually recognize the matching.
  • the display region of the screen provided to the user through the display unit 133 in the precise matching step in this embodiment is divided into the first to sixth divided regions D1, D2, D3, D4, D5, and D6.
  • the first divided area D1 is a plane image of the pre-matched integrated stereoscopic image data, and corresponds to the operation screen of the user.
  • the first divided area is an image obtained by cutting the pre-matched integrated stereoscopic image data in the X-Y axis plane.
  • the second to sixth divided areas D2, D3, D4, D5, and D6 are changed.
  • an image cut in the Y-Z axis plane at the position of the first movement point M1 of the first division area D1 is displayed.
  • an image cut in the X-Z axis plane at the position of the first movement point M1 of the first divisional area D1 is displayed.
  • the images of the second and third divisional regions D2 and D3 are arranged at the positions of the first movement point M1 shifted in accordance with the movement of the first movement point M1 of the first divisional D1. Plane image.
  • the image of the first divisional area cut in the Y-Z axis plane at the position of the second movement point M2 of (D1) is displayed.
  • the fifth divisional area D5 an image cut in the X-Z axis plane at the position of the second movement point M2 of the first divisional area D1 is displayed.
  • the images of the fourth and fifth divisional regions D4 and D5 are shifted in the direction of the second shifting point M2 shifted in accordance with the movement of the second shifting point M2 of the first dividing region D1 Plane image.
  • An image cut in the Y-Z axis plane at the position of the third movement point M3 of the first divisional area D1 is displayed in the sixth divisional area D6.
  • the image of the sixth divisional area D6 is changed to a plane image at the position of the third moving point M3 shifted in accordance with the movement of the third movement point M3 of the first divisional area D1.
  • the images of the second through sixth divided areas D2, D3, D4, D5, and D6 are affected by the operation of the user through the input unit 131.
  • the images such as the position and attitude of the second stereoscopic image data displayed on the second to sixth divided areas D2, D3, D4, D5, and D6 can be changed by the user's operation.
  • the user moves the first to third movement points M1, M2, and M3 and obtains the first stereoscopic image data and the second stereoscopic image data in the plane image of the pre-
  • the first stereoscopic image data and the second stereoscopic image data are precisely matched by checking whether the stereoscopic image data is matched and moving the second stereoscopic image data relative to the first stereoscopic image data through the input unit 131.
  • planar images displayed on the first through sixth divided areas D1, D2, D3, D4, D5, and D6 are represented by colors different from each other in appearance, and the first stereoscopic image data and the second stereoscopic image Since the data can be distinguished, the user can precisely match the second stereoscopic image data by clicking and dragging the second stereoscopic image data through the input unit 131 such as a mouse.
  • the operation unit 132 superimposes the first stereoscopic image data on the second stereoscopic image data, and substitutes the second stereoscopic image data for the second stereoscopic image data for the second stereoscopic image data Thereby generating final integrated stereoscopic image data.
  • a procedure plan is established through the integrated stereoscopic image data. That is, the position of the fixture (nidusa) to be placed on the client is determined. At this time, the user can determine the position of the fixture (not shown) by superimposing a virtual fixture (not shown) to be placed on the physician at various positions of the integrated stereoscopic image data displayed on the display unit 133.
  • the entry direction (entry angle) of the drill for cutting the alveolar bone is determined for placement of the fixture.
  • the data processing device 130 derives the machining data of the patient-customized machining portion 222 in which the guide hole 221a is positioned in the drill entry path on the treatment plan.
  • the calculation unit 132 calculates a portion where the integrated stereoscopic image data and the data of the patient-customized guide unit 220 overlap. That is, as shown in FIG. 8, the part where the patient-customized guide unit 220 overlaps with the gum of the subject, the alveolar bone and the frame unit 210, etc., in order to place the patient-customized guide unit 220 is calculated.
  • the operation unit 132 visualizes the portion where the patient-customized guide unit 220 overlaps with the gum of the patient, alveolar bone, and the frame unit 210 through the display unit 133 and provides the visualized to the user.
  • a machining apparatus receives machining data from the data processing apparatus 130.
  • This processing device processes the patient-customized processing part 222 according to the processing data.
  • the machining apparatus may include a milling machine.
  • FIG. 1 a processing method of the dental implant guide apparatus according to the present embodiment will be described with reference to FIGS. 1 to 12.
  • the method of processing a dental implant guide apparatus is a method of acquiring three-dimensional image information for acquiring three-dimensional image information about a diameter region of a person to be examined with a frame unit 210 coupled to an intraoral structure of a patient, (Step S110), and a patient alignment (step S110) in which the guide hole 221a of the patient-customized guide unit 220 is to be positioned on the entrance route of the drill on the treatment plan determined through the three- A machining data deriving step S120 for deriving machining data for the patient-customized machining part 222 of the machining-type guide unit 220; a machining step S130 for machining the patient-custom machining part 222 according to the machining data; .
  • the three-dimensional image information acquisition step S110 the three-dimensional image information about the aperture region of the subject is acquired while the frame unit 210 is coupled to the oral internal structure of the subject.
  • the 3D image information acquisition step (S110) includes a first image information acquisition step of acquiring first stereoscopic image data of the mouth area of the subject and a second image information acquisition step of acquiring second stereoscopic image data of the mouth area of the subject And an integrated stereoscopic image data generation step of generating integrated stereoscopic image data by matching the first stereoscopic image data and the second stereoscopic image data.
  • the first image information acquiring unit 110 acquires the first stereoscopic image data for the oral cavity region of the subject in a state where the frame unit 210 is coupled to the intraoral structure of the subject.
  • the frame unit 210 is made of a radiopaque material, so that the first stereoscopic image data includes shape information of the frame unit 210.
  • the second image information acquiring unit 120 acquires the second stereoscopic image data for the oral cavity region of the subject while the frame unit 210 is coupled to the intraoral structure of the subject.
  • the second image information acquiring unit 120 may be an oral scanner that scans the inside of the mouth, and the second stereoscopic image data includes shape information of the frame unit 210.
  • the integrated stereoscopic image data generation step the integrated stereoscopic image data in which the second stereoscopic image data is matched with the first stereoscopic image data is generated.
  • This integrated stereoscopic image data generation step may include pre-matching the second stereoscopic image data with the first stereoscopic image data based on the coordinates of the frame unit 210, matching step of precisely matching the second stereoscopic image data to the first stereoscopic image data in the pre-matched integrated stereoscopic image data, .
  • the coordinates of the frame unit 210 of the first stereoscopic image data and the coordinates of the second stereoscopic image data are compared with each other.
  • the first stereoscopic image data is pre-matched with the first stereoscopic image data based on the coordinate of the frame unit 210 and the pre-matched stereoscopic image data is pre- .
  • the first image information acquiring unit 110 and the second image information acquiring unit 120 acquire three-dimensional image information about the aperture region of the subject's person in a state where the frame unit 210 is coupled to the intraoral structure of the subject,
  • the frame unit 210 is displayed on both the first stereoscopic image data and the second stereoscopic image data. Accordingly, the second stereoscopic image data is matched to the first stereoscopic image data by the control signal through the input unit 131 of the user matching the frame unit 210.
  • the pre-matching integrated stereoscopic image data that has undergone the pre-alignment step has a matched state although the degree of matching is not perfect.
  • the second stereoscopic image data is precisely matched to the first stereoscopic image data in the pre-matched integrated stereoscopic image data in a substantially matched state.
  • the display region of the screen provided to the user through the display unit 133 is divided into a plurality of divided regions, and different plane images of the pre-matched integrated stereoscopic image data are divided into a plurality of Wherein the first stereoscopic image data is corrected to be matched with the second stereoscopic image data in each of the divided regions.
  • a screen as shown in Figs. 10 to 11 is provided to the user on the screen of the display unit 133.
  • Fig. A plurality of divided areas D1, D2, D3, D4, D5, and D6 are displayed on the screen provided to the user through the display unit 133 in the precise matching step.
  • Different plane images of the pre-matched integrated stereoscopic image data are arranged in the plurality of divided areas D1, D2, D3, D4, D5, and D6.
  • the plane images displayed on the plurality of divided areas D1, D2, D3, D4, D5, and D6 can be distinguished from the first stereoscopic image data and the second stereoscopic image data (for example, The appearance lines of the data and the second stereoscopic image data are expressed in different colors) so that the user can visually recognize the matching.
  • the display region of the screen provided to the user through the display unit 133 in the precise matching step in this embodiment is divided into the first to sixth divided regions D1, D2, D3, D4, D5, and D6.
  • the first divided area D1 is an image of the pre-matched integrated stereoscopic image data, and corresponds to the operation screen of the user.
  • the first divided area is an image obtained by cutting the pre-matched integrated stereoscopic image data in the X-Y axis plane.
  • the second to sixth divided areas D2, D3, D4, D5, and D6 are changed.
  • an image cut in the Y-Z axis plane at the position of the first movement point M1 of the first division area D1 is displayed.
  • an image cut in the X-Z axis plane at the position of the first movement point M1 of the first divisional area D1 is displayed.
  • the images of the second and third divisional regions D2 and D3 are arranged at the positions of the first movement point M1 shifted in accordance with the movement of the first movement point M1 of the first divisional D1. Plane image.
  • the image of the first divisional area cut in the Y-Z axis plane at the position of the second movement point M2 of (D1) is displayed.
  • the fifth divisional area D5 an image cut in the X-Z axis plane at the position of the second movement point M2 of the first divisional area D1 is displayed.
  • the images of the fourth and fifth divisional regions D4 and D5 are shifted in the direction of the second shifting point M2 shifted in accordance with the movement of the second shifting point M2 of the first dividing region D1 Plane image.
  • An image cut in the Y-Z axis plane at the position of the third movement point M3 of the first divisional area D1 is displayed in the sixth divisional area D6.
  • the image of the sixth divisional area D6 is changed to a plane image at the position of the third moving point M3 shifted in accordance with the movement of the third movement point M3 of the first divisional area D1.
  • the images of the second through sixth divided areas D2, D3, D4, D5, and D6 are affected by the operation of the user through the input unit 131.
  • the images such as the position and attitude of the second stereoscopic image data displayed on the second to sixth divided areas D2, D3, D4, D5, and D6 can be changed by the user's operation.
  • the user moves the first to third movement points M1, M2, and M3 and obtains the first stereoscopic image data and the second stereoscopic image data in the plane image of the pre-
  • the first stereoscopic image data and the second stereoscopic image data are precisely matched by checking whether the stereoscopic image data is matched and moving the second stereoscopic image data relative to the first stereoscopic image data through the input unit 131.
  • planar images displayed on the first through sixth divided areas D1, D2, D3, D4, D5, and D6 are represented by colors different from each other in appearance, and the first stereoscopic image data and the second stereoscopic image Since the data can be distinguished, the user can precisely match the second stereoscopic image data by clicking and dragging the second stereoscopic image data through the input unit 131 such as a mouse.
  • the operation unit 132 superimposes the first stereoscopic image data on the second stereoscopic image data, and substitutes the second stereoscopic image data for the second stereoscopic image data for the second stereoscopic image data Thereby generating final integrated stereoscopic image data.
  • a procedure plan is established through the integrated stereoscopic image data. That is, the position of the fixture (nidusa) to be placed on the client is determined. At this time, the user can determine the position of the fixture (not shown) by superimposing a virtual fixture (not shown) to be placed on the physician at various positions of the integrated stereoscopic image data displayed on the display unit 133.
  • the entry direction (entry angle) of the drill for cutting the alveolar bone is determined for placement of the fixture.
  • the machining data of the patient-customized machining portion 222 for placing the guide hole 221a of the patient-customized guide unit 220 in the drill entry path on the treatment plan is derived .
  • the data processing device 130 derives the machining data of the patient-customized machining portion 222 for positioning the guide hole 221a in the drill entry path on the treatment plan.
  • the guide hole 221a of the patient-customized guide unit 220 is placed in the entrance path of the drill in the treatment plan, and the three- A redundant portion calculating step of calculating a portion where data of the unit 220 is overlapped with the data of the patient manipulating guide unit 220;
  • the integrated stereoscopic image data and the data of the patient-customized guide unit 220 are stored in the guide hole 221a of the patient-customized guide unit 220 in the entry path of the drill in the treatment plan
  • the overlapping area is calculated.
  • the guide hole 221a is moved in the direction of the drill
  • the patient-customized guide unit 220 is placed on the integrated stereoscopic image data in which the operation plan is displayed.
  • the calculation unit 132 calculates a portion where the integrated stereoscopic image data and the data of the patient-customized guide unit 220 overlap. That is, as shown in FIG. 8, the part where the patient-customized guide unit 220 overlaps with the gum of the subject, the alveolar bone and the frame unit 210 or the like is calculated so that the patient-customized guide unit 220 is disposed.
  • the data of the patient-customized guide unit 220 and the overlapped portion of the image-integrated stereoscopic image data are displayed. That is, a portion where the patient-customized guide unit 220 is superimposed on the gum, alveolar bone, and frame unit 210 of the subject's doctor is displayed on the display unit 133 and visually provided to the user.
  • the patient-customized processing part 222 is processed according to the processing data received from the data processing device 130.
  • a manufacturing system for a dental implant guide apparatus is a system for receiving a three-dimensional image information from a three-dimensional image information acquiring apparatus (110, 120) and subjecting the entrance path of a drill on a procedure plan determined through three- A data processing apparatus 130 for deriving processing data for the patient-customized processing unit 222 of the patient-customized guide unit 220 to be processed so that the guide hole 221a of the guide unit 220 is positioned,
  • a processing device not shown
  • the manufacturing time of the dental implant procedure guide device can be remarkably shortened compared with the conventional one.
  • the patient-customized processing unit 222 of the patient-customized guide unit 220 can be operated in the state where the frame unit 210 and the patient-customized guide unit 220 are provided to the practitioner (dentist) Since the dental implant guide apparatus is completed only by machining into the frame unit 210 in accordance with the plan by a processing apparatus (not shown), there is an advantage that a one-day implant treatment can be performed.
  • the present invention can be used in the medical industry, particularly in the dental care industry.

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  • Health & Medical Sciences (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Dentistry (AREA)
  • Epidemiology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Dental Prosthetics (AREA)

Abstract

L'invention concerne un dispositif de guidage de chirurgie d'implant dentaire. Un dispositif de guidage de chirurgie d'implant dentaire selon la présente invention comprend : une unité cadre disposée à l'intérieur d'une bouche d'un patient et couplée de façon détachable à une structure interne dans la bouche du patient; et une unité de guidage de type de traitement personnalisée pour le patient qui a un trou de guidage formé à travers celle-ci pour guider un foret, est couplée à l'unité cadre, et comprend une partie de traitement de type personnalisé pour le patient formée pour localiser le trou de guidage dans un trajet d'entrée de foret prédéterminé selon un plan de chirurgie.
PCT/KR2018/015651 2017-12-19 2018-12-11 Dispositif de guidage de chirurgie d'implant dentaire, et système et procédé de fabrication de dispositif de guidage de chirurgie d'implant dentaire WO2019124846A1 (fr)

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KR1020170175481A KR102082917B1 (ko) 2017-12-19 2017-12-19 치과용 임플란트 시술 가이드장치, 치과용 임플란트 시술 가이드장치 제작시스템 및 그 제작방법
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