CN106037966A - Dental restoration CAD (computer aided design)/metal 3D automatic processing method - Google Patents
Dental restoration CAD (computer aided design)/metal 3D automatic processing method Download PDFInfo
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- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61C13/00—Dental prostheses; Making same
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- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
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- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C13/00—Dental prostheses; Making same
- A61C13/0003—Making bridge-work, inlays, implants or the like
- A61C13/0004—Computer-assisted sizing or machining of dental prostheses
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- A61C13/0003—Making bridge-work, inlays, implants or the like
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- A61C13/0018—Production methods using laser
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- A—HUMAN NECESSITIES
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- A61C13/00—Dental prostheses; Making same
- A61C13/0003—Making bridge-work, inlays, implants or the like
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Abstract
本发明公开了一种全新的口腔修复体自动化加工方法,该方法采用光学扫描和计算机辅助设计系统、CAD辅助系统和选择性激光熔覆机组成的复合系统加工口腔修复体,该方法将现有的口腔CAD系统与金属3D打印技术相结合,达到快速个性化制作金属口腔修复体,可以改变传统的种植体及其上部结构的制作方式,由数控切削加工变为金属3D打印加工,加工效率极大提高,还可以实现个性化制作,必要时还可以和数控切削辅助加工两种加工方式有机结合起来,各取所长,达到金属3D打印与数控切削的完美结合,颠覆原有的种植体及其上部结构的制作方式。
The invention discloses a brand-new automatic processing method for oral prosthesis. The method adopts a composite system composed of optical scanning, computer-aided design system, CAD auxiliary system and selective laser cladding machine to process oral prosthesis. The combination of advanced oral CAD system and metal 3D printing technology can achieve rapid and individualized production of metal dental restorations, which can change the traditional production method of implants and their superstructures, from CNC cutting to metal 3D printing, with extremely high processing efficiency. Greatly improved, it can also realize personalized production. If necessary, it can also be organically combined with the two processing methods of CNC cutting auxiliary processing. How its superstructure is made.
Description
技术领域technical field
本发明属于口腔修复体技术领域,具体涉及一种新的口腔修复体CAD/金属3D自动化加工方法,该方法将现有的口腔CAD系统与金属3D打印技术相结合,达到快速个性化制作金属口腔修复体。The invention belongs to the technical field of oral restorations, and in particular relates to a new CAD/metal 3D automatic processing method for oral restorations. The method combines the existing oral CAD system with metal 3D printing technology to achieve rapid and personalized metal oral cavity manufacturing. Restoration.
背景技术Background technique
计算机辅助设计(Computer aided design,CAD)与计算机辅助制作(Computeraided manufacture,CAM)技术,融合了数学、光学、电子学、计算机图像识别与处理、自动控制与自动化加工等多学科的知识与技术,在20世纪70年代被广泛应用于工业自动化和航空航天领域。1983年,法国Duret研制的第一台牙科CAD/CAM系统样机在法国问世;1985年在法国国际牙医学术会议上Duret教授利用该设备制作出首个后牙瓷全冠体并成功地用于患者口腔,使得CAD/CAM用于口腔医学领域成为现实。在进入上世纪90年代后,随着现代光电子技术、计算机技术图像分析处理技术等的进一步发展,越来越多的牙科CAD/CAM系统问世。目前,已有10余种CAD/CAM系统问世,可制作嵌体、贴面、全冠、部分冠、固定桥、种植体桥架等。而在可摘局部义齿及全口义齿仍处于研究阶段,并没有成熟的系统。口腔CAD/CAM系统通常由数据采集(数字化印模)、计算机辅助设计(CAD)、计算机辅助制作(CAM)三部分子系统组成。一门新兴的口腔修复技术开始形成,CAD/CAM系统使口腔修复学跨入了现代高科技领域。Computer-aided design (CAD) and computer-aided manufacture (CAM) technologies integrate multidisciplinary knowledge and technologies such as mathematics, optics, electronics, computer image recognition and processing, automatic control and automatic processing, etc. It was widely used in industrial automation and aerospace in the 1970s. In 1983, the first dental CAD/CAM system prototype developed by France Duret came out in France; in 1985, at the French International Dental Academic Conference, Professor Duret used this equipment to produce the first posterior porcelain crown and successfully used it on patients Stomatology, making the use of CAD/CAM in the field of stomatology a reality. After entering the 1990s, with the further development of modern optoelectronic technology, computer technology, image analysis and processing technology, more and more dental CAD/CAM systems came out. At present, more than 10 kinds of CAD/CAM systems have come out, which can make inlays, veneers, full crowns, partial crowns, fixed bridges, implant bridges, etc. However, removable partial dentures and complete dentures are still in the research stage, and there is no mature system. Dental CAD/CAM system usually consists of three subsystems: data acquisition (digital impression), computer-aided design (CAD), and computer-aided production (CAM). A new technology of oral restoration began to take shape, and the CAD/CAM system brought the restoration of oral cavity into the modern high-tech field.
1、主要CAD/CAM系统1. Main CAD/CAM system
目前商业化的口腔CAD/CAM系统中,数控铣床是重要的组成部分之一。修复体加工采用数控铣床控制铣削方式,用以切除多余材料,以获得符合形状、尺寸和表面粗糙度要求的修复体。该技术本质上属于去材制作范畴,即本领域所称的“减法”。In the current commercial dental CAD/CAM system, CNC milling machine is one of the important components. The machining of the prosthesis is controlled by a CNC milling machine to remove excess material to obtain a prosthesis that meets the requirements of shape, size and surface roughness. This technology essentially belongs to the category of material removal, which is called "subtraction" in this field.
1.1 Cerec系统1.1 Cerec system
Cerec系统由德国西门子公司(SIEMENS)牙科部,即现在的德国西诺德(SIRONA)牙科设备有限公司开发并逐步得到完善。其产品系列包括有CerecⅠ、CerecⅡ和CerecⅢ以及Cerec in Lab。CerecⅢ是2000年诞生的CerecⅢ系统,该系统基于Windows平台,切削系统与图象采集系统各自独立工作,软件系统也有了极大的提高,使得该CerecⅢ系统可以制作嵌体、高嵌体、贴面、部分冠和全冠。但是CerecⅢ软件系统也只能在平面上进行设计,很难显示修复体的整体形态。2003年3月在美国亚特兰大的Hinman牙科大会上Cerec 3D系统首次展出,它在设计修复体时可引入了多维视角,可以从三维的角度直观评价修复体以及基牙的形态。Cerec 3D软件系统加入了FrameWork等3D设计软件,实现了全瓷固定桥的修复。2002年Sirona公司推出了Cerec in Lab系统,是专门为技工室所设计的,它使用激光扫描系统收集牙颌数据,修复体制作速度更快,适用范围更广,并且可以使用更高强度的二氧化铝、二氧化锆陶瓷材料。The Cerec system was developed and gradually perfected by the Dental Department of Siemens AG (SIEMENS), which is now the German SIRONA Dental Equipment Co., Ltd. Its product series include CerecⅠ, CerecⅡ and CerecⅢ and Cerec in Lab. CerecⅢ is a CerecⅢ system born in 2000. This system is based on the Windows platform. The cutting system and the image acquisition system work independently. The software system has also been greatly improved, so that the CerecⅢ system can make inlays, onlays and veneers , Partial and Full Crowns. However, the CerecⅢ software system can only be designed on a plane, and it is difficult to display the overall shape of the restoration. In March 2003, the Cerec 3D system was exhibited for the first time at the Hinman Dental Conference in Atlanta, USA. It can introduce multi-dimensional perspectives when designing restorations, and can intuitively evaluate the shape of restorations and abutment teeth from a three-dimensional perspective. The Cerec 3D software system has added 3D design software such as FrameWork to realize the restoration of all-ceramic fixed bridges. In 2002, Sirona launched the Cerec in Lab system, which is specially designed for laboratories. It uses a laser scanning system to collect dental and jaw data. The restoration is made faster, has a wider range of applications, and can use higher-strength secondary Alumina, zirconia ceramic materials.
1.2 Celay系统1.2 Celay system
Celay系统由苏黎世牙学院设计并于1990年在慕尼黑第一次展出,现由瑞士Mikroma公司生产。该系统不是完全意义上CAD/CAM系统,其原理类似于一个小型钥匙复制机,由两部分组成,接触式传感器和微型铣床,传感头“读”出在口内或代型上制作的具有一定硬度的蜡或树脂修复体表面外形数据,并将数据同时传递到铣床上,同步加工出瓷修复体。该系统组成简单,自动化程度很低。工作时,必须先在口内或者代型上制作一个临时修复体,作为获取数据的信息源。Celay系统主要利用二氧化铝可切削陶瓷加工具有牙合面形态的嵌体或高嵌体,还可以加工全冠或固定桥的基底冠。The Celay system was designed by the Zurich School of Dentistry and exhibited for the first time in Munich in 1990, and is now produced by the Swiss company Mikroma. This system is not a CAD/CAM system in the full sense. Its principle is similar to a small key duplicating machine. It consists of two parts, a contact sensor and a micro milling machine. Hardness wax or resin restoration surface shape data, and the data is transmitted to the milling machine at the same time, and the porcelain restoration is processed synchronously. The system is simple in composition and low in automation. When working, a temporary restoration must be made in the mouth or on the model as an information source for obtaining data. The Celay system mainly uses alumina machinable ceramics to process inlays or onlays with occlusal surface shapes, and can also process full crowns or base crowns of fixed bridges.
1.3 Procera系统1.3 Procera system
Procera系统为瑞典系统,由Nobel Biocare公司于1993年推向市场。现在,该系统利用Procera Piccolo或者更加先进的Procera Forte扫描仪收集牙颌模型上数据,医师通过Procera Lofrwore 2.0软件对修复体进行设计,完毕后将数据通过互联网传送至Procera系统指定的4个生产中心(Stockholm,Sweden;Fair Lawn,NJ,USA;Karlskoga,Sweden;Tokyo,Japan)进行修复体的加工。加工中心可根据医师要求直接加工成最终的氧化锆、氧化铝全瓷冠桥,也可只加工成氧化锆、氧化铝基底待邮回后再进行表面饰瓷。Procera系统除可以用于制作天然牙牙冠外,还可以用于种植领域。Procera系统可以切削制作纯钛或氧化锆的单牙基台,其可以对基台的高度、角度和边缘线的形态外形进行个性化设计;Procera系统还可以切削制作纯钛或氧化锆的种植桥,其最多可以提供14个单位的种植桥,拥有极好的生物相容性、卓越的强度和美学效果。The Procera system is a Swedish system that was introduced to the market by Nobel Biocare in 1993. Now, the system uses the Procera Piccolo or the more advanced Procera Forte scanner to collect data on the dental model, and the physician uses the Procera Lofrwore 2.0 software to design the restoration. After completion, the data is sent to the 4 production centers designated by the Procera system through the Internet (Stockholm, Sweden; Fair Lawn, NJ, USA; Karlskoga, Sweden; Tokyo, Japan) for machining of the restorations. The processing center can directly process the final zirconia and alumina all-ceramic crowns and bridges according to the doctor's requirements, or only process the zirconia and alumina substrates to be mailed back and then be decorated with porcelain on the surface. The Procera system can not only be used to make natural tooth crowns, but also can be used in the field of implantology. The Procera system can cut and make single tooth abutments of pure titanium or zirconia, which can personalize the shape and shape of the height, angle and edge line of the abutment; the Procera system can also cut and make implant bridges of pure titanium or zirconia , which can provide up to 14 units of implant bridges, has excellent biocompatibility, excellent strength and aesthetic effects.
1.4 Cercon系统1.4 Cercon system
Cercon系统通过Cercon Eye Scanner 3维激光扫描牙颌模型上数据,传输给Cercon Art CAD部分对修复体进行设计,然后将设计好的信息传递给Cercon Brain部分对修复体进行切削加工或者将信息通过互联网传递到位于York的制作中心对修复体进行加工制作。因此对于一些小型牙科诊所或者技工中心可以仅购买Cercon系统的Cercon ArtCAD部分(已经包含了Cercon Eye Scanner扫描仪),从而降低成本。Cercon Art CAD可以对修复体边缘、合面进行精细的设计。Cercon系统以二氧化锆结构陶瓷为加工对象,可制作桩核、种植体基台、全冠和固定桥。The Cercon system uses the Cercon Eye Scanner 3D laser to scan the data on the dental model, transmits it to the Cercon Art CAD part to design the restoration, and then transmits the designed information to the Cercon Brain part to cut the restoration or pass the information through the Internet Transfer to the production center in York for processing and production of the restoration. Therefore, for some small dental clinics or technical centers, you can only purchase the Cercon ArtCAD part of the Cercon system (which already includes the Cercon Eye Scanner scanner), thereby reducing costs. Cercon Art CAD can finely design the edges and joints of the restoration. The Cercon system uses zirconia structural ceramics as the processing object, and can produce post cores, implant abutments, full crowns and fixed bridges.
1.5 Lava系统1.5 Lava system
Lava系统由美国3M公司于2002年推出,由Lava Scan、Lava CAD、Lava Form、LavaTherm等部分组成。首先利用非接触式3D光扫描系统收集牙颌模型上数据,医师利用LavaDesign 4.0软件进行修复体设计,完成后首先通过切削预烧结的二氧化锆瓷块获得基底冠,平均每单位牙冠需要35分钟。切削完成后对牙冠基底冠进行完全烧结,再在其表面加饰面瓷。对照Vita比色系统,Lava二氧化锆基底冠有7种颜色选择,饰面瓷有16种颜色选择,因此Lava系统制作的修复体拥有最接近天然牙的色泽和透光性,该系统主要适用于适于单冠和前后牙3~4单位固定桥的修复。The Lava system was launched by 3M Company of the United States in 2002 and consists of Lava Scan, Lava CAD, Lava Form, LavaTherm and other parts. First, a non-contact 3D optical scanning system is used to collect data on the dental model. The doctor uses LavaDesign 4.0 software to design the restoration. After completion, the base crown is first obtained by cutting the pre-sintered zirconia ceramic block. On average, each unit crown needs 35 minute. After the cutting is completed, the crown base crown is completely sintered, and then the veneer porcelain is added on its surface. Compared with the Vita colorimetric system, Lava zirconia-based crowns have 7 color options, and veneer porcelain has 16 color options, so the restorations made by the Lava system have the color and light transmittance closest to natural teeth. This system is mainly suitable for It is suitable for the restoration of single crown and 3-4 unit fixed bridges of anterior and posterior teeth.
1.6 Everest系统1.6 Everest system
Everest系统统由德国Kavo公司于2002年推向市场。该系统由Everest scan,Everest engine,Everest therm,Everest elements四个构件组成。首先由Everest scan数据扫描系统(使用CCD相机)采集牙颌模型上数据,操作者利用ENERGY CAD软件对修复体进行3维设计,然后CAM部分在X、Y、Z、A、B五个轴上进行切削加工修复体。因此Everest系统制作的修复体具有良好的加工精度以及清晰的解剖结构。Everest系统可加工的材料非常广泛,包括氧化锆、氧化铝、纯钛、玻璃陶瓷、金、树脂等,可制作种植体、贴面、嵌体、高嵌体、单冠和固定桥。The Everest system was introduced to the market in 2002 by the German company Kavo. The system consists of four components: Everest scan, Everest engine, Everest therm, and Everest elements. First, the Everest scan data scanning system (using a CCD camera) collects the data on the dental model, and the operator uses ENERGY CAD software to design the restoration in 3D, and then the CAM part is arranged on the five axes of X, Y, Z, A, and B. Machining the restoration. Therefore, the restorations made by the Everest system have good machining accuracy and clear anatomical structure. The Everest system can process a wide range of materials, including zirconia, alumina, pure titanium, glass ceramics, gold, resin, etc., and can be used to make implants, veneers, inlays, onlays, single crowns and fixed bridges.
1.7 开放式系统1.7 Open System
开放式系统是近年来市场上出现的“组装”型CAD/CAM系统,其数据采集系统、CAD系统、CAM系统可由不同的公司制作后组装形成。目前市场上比较成熟的开放式系统有两种方案:The open system is an "assembled" CAD/CAM system that has appeared on the market in recent years. Its data acquisition system, CAD system, and CAM system can be assembled by different companies. There are two options for relatively mature open systems on the market:
1)3Shape牙科专用扫描仪+CAD软件+德国数控车床,其可以加工所有品牌的氧化锆、塑料,不受品牌的限制;1) 3Shape dental scanner + CAD software + German CNC lathe, which can process all brands of zirconia and plastics, without brand restrictions;
2)3Shape牙科专用扫描仪+CAD软件+美国3D system蜡型机,在制作完蜡型后可以包埋铸造金属也可以进行全瓷冠的制作。2) 3Shape dental scanner + CAD software + American 3D system wax-up machine, after making the wax-up, you can embed casting metal or make all-ceramic crowns.
和其他CAD/CAM系统相比,开放式系统的优点在于:能加工的材料更加广泛,制作成本也更加低廉。Compared with other CAD/CAM systems, the advantage of the open system is that the materials that can be processed are more extensive and the production cost is lower.
2、增材制造的CAD/CAM系统2. CAD/CAM system for additive manufacturing
上述数控车床无法切削具有复杂结构(如带有中空结构)的修复体以及切削过程中造成材料的浪费等成为口腔修复先进制造技术中急需解决的关键问题。快速成型技术,简称RP或RPM技术(Rapid Prototyping/Rapid Prototyping Manufacturing),是20世纪80年代末发展起来的一项先进制造技术。该技术将计算机辅助设计(CAD),计算机辅助制造(CAM),计算机数字控制(CNC),精密伺服驱动,激光和材料科学等先进科学集于一体,采取离散-叠层堆积的思想,基本构思是:任何三维零件都可以看作是许多二维平面轮廓沿某一坐标方相叠加而成。但RP技术不能直接制作金属修复体以满足口腔修复的需要。20世纪90年代末由RP技术和激光涂覆技术相结合建立的快速制造技术(Rapid Manufacturing,RM)采用预置铺粉或者同步送粉的方式由激光将粉末材料逐层熔覆堆积得到三维实体零件。其制作的成形件具有优秀理化性能,且不受复杂结构的限制。RP技术和RM技术从本质上说均属于增材制作,即“加法”。高勃于2003年申请了“口腔金属修复体的激光立体成形方法”中国发明专利,2005年获得授权,ZL03134316.3。目前,金属修复体的3D打印成型主流为SLM(selective laser melting)和EBM(Electron Beam Melting)方法,前者主要打印制作钴铬合金冠桥、冠桥基底或者可摘局部义齿支架,后者主要用于金属植入体的制作。The inability of the above-mentioned CNC lathe to cut restorations with complex structures (such as hollow structures) and the waste of materials during the cutting process have become key problems that need to be solved urgently in the advanced manufacturing technology of dental restorations. Rapid prototyping technology, referred to as RP or RPM technology (Rapid Prototyping/Rapid Prototyping Manufacturing), is an advanced manufacturing technology developed in the late 1980s. This technology integrates advanced sciences such as computer-aided design (CAD), computer-aided manufacturing (CAM), computer numerical control (CNC), precision servo drive, laser and material science, and adopts the idea of discrete-layer stacking, the basic idea Yes: Any three-dimensional part can be regarded as a superposition of many two-dimensional plane contours along a certain coordinate direction. However, RP technology cannot directly make metal restorations to meet the needs of oral restoration. In the late 1990s, the rapid manufacturing technology (Rapid Manufacturing, RM) established by the combination of RP technology and laser coating technology adopts the method of preset powder spreading or synchronous powder feeding, and the laser cladding and accumulating powder materials layer by layer to obtain a three-dimensional entity Component. The formed parts produced by it have excellent physical and chemical properties and are not limited by complex structures. Both RP technology and RM technology belong to additive production in essence, that is, "addition". In 2003, Gao Bo applied for the Chinese invention patent of "Laser Stereoscopic Forming Method for Oral Metal Restoration", which was authorized in 2005, ZL03134316.3. At present, the mainstream methods of 3D printing for metal restorations are SLM (selective laser melting) and EBM (Electron Beam Melting). for the fabrication of metal implants.
2.1 在固定修复中的应用2.1 Application in fixed restoration
2004年Bennett采用基于SLM技术的MCP Realizer设备分别制作了钴铬合金和不锈钢材料的基底冠、固定冠和固定桥,制作后的牙冠外型良好。2005年,法国学者Nadine应用自己研发的Phenix SLM系统设计并制作了镍铬合金的基底冠,制成的基底冠外形、精度均良好,熔覆烤瓷后,制作的烤瓷牙冠具有非常好的颜色匹配性和边缘适合性。In 2004, Bennett used the MCP Realizer equipment based on SLM technology to make cobalt-chromium alloy and stainless steel base crowns, fixed crowns and fixed bridges respectively. The crowns were in good shape. In 2005, French scholar Nadine applied the Phenix SLM system developed by himself to design and manufacture a nickel-chromium alloy base crown. Color matching and edge fit.
2.2 在可摘局部义齿中的应用2.2 Application in removable partial dentures
2006年Williams等通过CAD/CAM技术在SLM Realizer 2机器上制作了可摘局部义齿的钴铬合金支架。国内吴琳等初步实现了对肯氏Ⅱ类牙列缺损模型的计算机辅助设计,并用激光快速成形机加工出可摘局部义齿支架的树脂铸型。2009年诸森阳等对肯氏Ⅰ类牙列缺损可摘局部义齿支架进行了计算机辅助设计与制作。In 2006, Williams et al. made cobalt-chromium alloy brackets for removable partial dentures on the SLM Realizer 2 machine through CAD/CAM technology. In China, Wu Lin and others initially realized the computer-aided design of Ken's class II dentition defect model, and used laser rapid prototyping to process the resin mold of the removable partial denture bracket. In 2009, Zhu Senyang et al. carried out computer-aided design and fabrication of removable partial denture brackets for Ken's Class I dentition defects.
2.3 在全口义齿中的应用2.3 Application in complete dentures
全口义齿形态复杂,且组成义齿的材料多样,全口义齿CAD/CAM研究相对滞后。中国人民解放军第四军医大学高勃等通过Surfacer软件,设计出上颌半口金属基托义齿,并利用激光立体成形技术初步加工出上半口基托。2008、2009年,中国人民解放军第四军医大学高勃发表了激光快速成形制作全口义齿上颌纯钛基板的论著Lasers Med Sci(2010)25:309–315,Rapid Prototyping Journal Volume15·Number2·2009·133~136,并对其适合性进行了研究,临床测试结果显示其制作精度有待提高。The shape of complete dentures is complex, and the materials that make up dentures are diverse, and the research on CAD/CAM of complete dentures is relatively lagging behind. Gao Bo from the Fourth Military Medical University of the Chinese People's Liberation Army designed the upper half metal base denture through the Surfacer software, and used the laser three-dimensional forming technology to preliminarily process the upper half base. In 2008 and 2009, Gao Bo of the Fourth Military Medical University of the Chinese People's Liberation Army published a treatise on laser rapid prototyping for the manufacture of full dentures with maxillary pure titanium substrates. 133 to 136, and its suitability has been studied, and the clinical test results show that its production accuracy needs to be improved.
3、传统CAD/CAM在临床应用中的局限和发展方向3. Limitation and development direction of traditional CAD/CAM in clinical application
CAD/CAM技术在口腔领域的应用大大提高了修复效率,缩短了患者治疗周期,减少了患者的痛苦并且降低了技师的劳动强度,使得口腔修复学取得了革命性的发展。但在临床应用过程中还存在以下问题:目前CAD/CAM系统主要应用于固定修复领域,而在可摘局部义齿以及全口义齿中没有应用的主要原因是CAD/CAM系统的切削加工固有的局限性,不单造成材料的浪费,也使得制作的修复体种类单一,不能切削加工复合材料的修复体。The application of CAD/CAM technology in the field of oral cavity has greatly improved the restoration efficiency, shortened the treatment cycle of patients, reduced the pain of patients and reduced the labor intensity of technicians, which has made a revolutionary development in prosthodontics. However, there are still the following problems in the clinical application process: At present, CAD/CAM systems are mainly used in the field of fixed restorations, but not in removable partial dentures and complete dentures. The main reason is the inherent limitations of CAD/CAM systems in cutting. This not only leads to waste of materials, but also makes the types of prosthetics produced single, and composite prosthetics cannot be machined.
综上所述,如果能将金属3D打印技术替代传统CAD/CAM系统的切削制造技术,姑且称之为口腔CAD/金属3D打印系统,将能更好地拓展口腔修复体制作的适应证和修复体质量。To sum up, if the metal 3D printing technology can replace the cutting manufacturing technology of the traditional CAD/CAM system, let’s call it the dental CAD/metal 3D printing system, it will be able to better expand the indications and restoration of dental restorations. body mass.
发明内容Contents of the invention
针对上述现有技术存在的缺陷或不足,本发明的目的在于,提供一种新的口腔修复体加工方法,该方法将现有的口腔CAD系统与金属3D打印技术相结合,达到快速个性化制作金属口腔修复体。In view of the defects or deficiencies in the above-mentioned prior art, the purpose of the present invention is to provide a new oral restoration processing method, which combines the existing oral CAD system with metal 3D printing technology to achieve rapid and personalized production Metal dental restorations.
为了实现上述任务,本发明采取如下的技术解决方案:In order to realize above-mentioned task, the present invention takes following technical solution:
一种口腔修复体CAD/金属3D自动化加工方法,其特征在于,该方法采用光学扫描和计算机辅助设计系统、CAD辅助系统和选择性激光熔覆机组成的复合系统加工口腔修复体,具体包括下列步骤:A CAD/metal 3D automatic processing method for dental restorations, characterized in that the method adopts a composite system composed of optical scanning, computer-aided design system, CAD auxiliary system and selective laser cladding machine to process oral restorations, specifically including the following step:
步骤一,常规完成患者口内或者口外石膏模型的三维外形扫描并建立与口腔缺牙情况一致的数据模型;Step 1. Routinely complete the three-dimensional shape scanning of the patient's intraoral or extraoral plaster model and establish a data model consistent with the tooth loss in the oral cavity;
步骤二,根据口腔修复体的设计原则,采用CAD辅助系统完口腔成修复体的构型设计与制作,输出数据格式为选择性激光熔覆机兼容的STL格式;Step 2: According to the design principle of the oral restoration, the CAD auxiliary system is used to complete the configuration design and production of the oral restoration, and the output data format is the STL format compatible with the selective laser cladding machine;
步骤三,选择性激光熔覆机以SLM成型的金属粉末材料,将步骤二得到的口腔修复体CAD三维数据模型,离散成二维平面数据,按照预设的顺序进行二维平面轮廓数据加工,逐层累加,熔覆堆积金属粉末材料成型,得到金属口腔修复体。Step 3: The selective laser cladding machine uses the metal powder material formed by SLM to discretize the CAD three-dimensional data model of the oral restoration obtained in step two into two-dimensional plane data, and process the two-dimensional plane profile data according to the preset order. Accumulate layer by layer, cladding and accumulating metal powder materials are formed to obtain metal dental restorations.
步骤四,在金属口腔修复体上烤塑或者烤瓷,完成口腔修复体的制作。Step 4, baking plastic or porcelain on the metal dental prosthesis to complete the production of the dental prosthesis.
其中步骤三中所述的选择性激光熔覆机熔覆堆积金属粉末材料成型是在真空惰性气体加工仓内,将金属粉末材料铺于金属基板上,单层铺粉厚度为依据不同金属粉末材料的特性和加工精度而定,具体成型步骤如下:Among them, the selective laser cladding machine cladding accumulation metal powder material forming described in step 3 is to spread the metal powder material on the metal substrate in the vacuum inert gas processing chamber, and the thickness of a single layer of powder is based on different metal powder materials Depending on the characteristics and processing accuracy, the specific molding steps are as follows:
(1)将金属粉末置于粉床之上,升温至合适的温度;(1) Put the metal powder on the powder bed and heat up to a suitable temperature;
(2)步骤(1)结束后激光光束按照二维平面轮廓将金属粉末熔覆成形;(2) After the step (1) is completed, the laser beam clads and shapes the metal powder according to the two-dimensional plane profile;
(3)步骤(2)结束后,进行第二次铺粉,用刮板将粉床表面刮平,然后重新按照步骤(1)、步骤(2)顺序进行新一层的单道熔覆成型;经反复铺粉,单道熔覆成型后,去除未曾熔覆的粉末和支撑结构,即可得到金属口腔修复体。(3) After the step (2) is finished, carry out the second powder spreading, scrape the surface of the powder bed with a scraper, and then follow the sequence of steps (1) and (2) to carry out a new layer of single-pass cladding molding ; After repeated powder spreading and single-pass cladding molding, the unclad powder and supporting structure can be removed to obtain the metal oral restoration.
所述的步骤二中进一步包括:CAD辅助系统在口腔修复体计算机辅助设计时,将金属支架与人工牙连接处设计利于增进金瓷结合或者烤塑结合的固位结构,这些固位结构包括固位微珠、固位微球、或者增大粘接面积的蜂窝状结构。Said step 2 further includes: during the computer-aided design of the dental restoration, the CAD-assisted system designs a retention structure at the joint between the metal bracket and the artificial tooth that is conducive to promoting metal-ceramic bonding or baking-plastic bonding, and these retention structures include Position microbeads, retaining microspheres, or honeycomb structures that increase the bonding area.
所述的口腔修复体包括:The oral restorations include:
(1)、个性化的桩核、冠桥、烤瓷冠桥基底、可摘局部义齿支架或全口义齿基托;或者(1), personalized post and core, crown bridge, porcelain crown and bridge base, removable partial denture framework or complete denture base; or
(2)、个性化种植体、种植体上部结构的桥架、个性化基台。(2) Individualized implants, bridges for implant superstructures, and individualized abutments.
本发明的口腔修复体CAD/金属3D自动化加工方法,创新之处在于:The innovation of the oral restoration CAD/metal 3D automatic processing method of the present invention lies in:
1、改变传统的种植体及其上部结构的制作方式,由数控切削加工变为金属3D打印加工,加工效率极大提高,还可以实现个性化制作,必要时还可以和数控切削辅助加工两种加工方式有机结合起来,各取所长,达到金属3D打印与数控切削的完美结合,颠覆原有的种植体及其上部结构的制作方式。1. Change the traditional manufacturing method of the implant and its upper structure, from CNC cutting to metal 3D printing processing, which greatly improves the processing efficiency, and can also realize personalized production. If necessary, it can also be combined with CNC cutting auxiliary processing. The processing methods are organically combined, and each takes its own advantages to achieve the perfect combination of metal 3D printing and CNC cutting, subverting the original production method of implants and their superstructures.
2、在种植体3D打印过程中,可掺入适量的银离子粉末,达到既抗菌,又不影响骨结合的目的。2. During the 3D printing process of the implant, an appropriate amount of silver ion powder can be mixed to achieve the purpose of antibacterial without affecting osseointegration.
3、在CAD设计时,将金属支架与人工牙连接处设计特殊的利于增进金瓷结合或者烤塑结合的固位结构:如固位微珠、固位微球、或者增大粘接面积的蜂窝状结构等,通过金属3D打印制作出符合设计要求的金属支架特殊结构,从而在金属支架烤塑或者烤瓷的同时,提高塑料或陶瓷与金属支架的结合力,降低陶瓷或者塑料的破损率,利于口腔修复体长期稳定地行使正常功能。3. In CAD design, design a special retention structure at the connection between the metal bracket and the artificial tooth, which is conducive to promoting metal-ceramic bonding or baking-plastic bonding: such as retention microbeads, retention microspheres, or increase the bonding area Honeycomb structure, etc., through metal 3D printing to produce a special structure of metal brackets that meet the design requirements, so as to improve the bonding force between plastic or ceramics and metal brackets while baking plastic or ceramics on metal brackets, and reduce the damage rate of ceramics or plastics , which is conducive to the long-term and stable normal function of the oral restoration.
4、采用本发明方法中的光学扫描和计算机辅助设计系统、CAD辅助系统、选择性激光熔覆机组成的复合系统,可安放在流动交通工具上,例如车、船,相当于一个流动的义齿数字化加工厂。4. The composite system composed of optical scanning, computer-aided design system, CAD auxiliary system and selective laser cladding machine in the method of the present invention can be placed on a mobile vehicle, such as a car or a boat, which is equivalent to a mobile denture Digital processing factory.
附图说明Description of drawings
图1是本发明采用的光学扫描和计算机辅助设计系统、CAD辅助系统、选择性激光熔覆机组成的复合系统结构框图;Fig. 1 is the composite system block diagram that the optical scanning that the present invention adopts and computer-aided design system, CAD auxiliary system, selective laser cladding machine form;
图2是以可摘局部义齿TC4支架为例制备的金属口腔修复体结构图;Figure 2 is a structure diagram of a metal oral restoration prepared by taking the removable partial denture TC4 bracket as an example;
图3是修复体金属支架与陶瓷或者塑料连接处特殊结构的形式图片;Figure 3 is a formal picture of the special structure at the connection between the metal bracket of the restoration and the ceramic or plastic;
图4是金属3D打印完成的可摘局部义齿TC4金属支架图片;Figure 4 is a picture of the removable partial denture TC4 metal bracket completed by metal 3D printing;
图5是可摘局部义齿TC4金属支架局部特殊结构展示图片;Figure 5 is a display picture of the partial special structure of the removable partial denture TC4 metal bracket;
图6是可摘局部义齿TC4金属支粘贴架烤瓷或者烤塑照片;Fig. 6 is a photo of porcelain or plastic baked on removable partial denture TC4 metal support frame;
以下结合附图和实施例对本发明作进一步的详细说明。The present invention will be further described in detail below in conjunction with the accompanying drawings and embodiments.
具体实施方式detailed description
参见图1,本发明给出一种新的口腔修复体加工方法,该方法采用光学扫描和计算机辅助设计系统、CAD辅助系统和选择性激光熔覆机组成的复合系统加工口腔修复体。该复合系统包括三部分,第一部分为光学扫描和计算机辅助设计系统,用以完成口腔修复体的数字化模型的采集;第二部分为口腔修复体的CAD辅助系统,以完成口腔修复体构型的计算机辅助设计。第三部分为小型化的选择性激光熔覆机,该选择性激光熔覆机充当了金属3D打印的角色,将设计完成的口腔修复体的CAD数据用金属粉末熔覆堆积成型。具体包括下列步骤:Referring to Fig. 1, the present invention provides a new oral restoration processing method, which uses a composite system composed of optical scanning, computer-aided design system, CAD auxiliary system and selective laser cladding machine to process oral restoration. The composite system consists of three parts. The first part is the optical scanning and computer-aided design system, which is used to complete the acquisition of the digital model of the oral restoration; the second part is the CAD auxiliary system of the oral restoration, which is used to complete the configuration of the oral restoration. Computer Aided Design. The third part is the miniaturized selective laser cladding machine, which plays the role of metal 3D printing, and builds up the CAD data of the designed oral restoration with metal powder cladding. Specifically include the following steps:
步骤一,常规完成患者口内或者口外石膏模型的三维外形扫描并建立与口腔缺牙情况一致的数据模型;Step 1. Routinely complete the three-dimensional shape scanning of the patient's intraoral or extraoral plaster model and establish a data model consistent with the tooth loss in the oral cavity;
步骤二,根据口腔修复体的设计原则,采用CAD辅助系统完口腔成修复体的构型设计与制作,输出数据格式为选择性激光熔覆机兼容的STL格式;Step 2: According to the design principle of the oral restoration, the CAD auxiliary system is used to complete the configuration design and production of the oral restoration, and the output data format is the STL format compatible with the selective laser cladding machine;
步骤三,选择性激光熔覆机以SLM成型的金属粉末材料,将步骤二得到的口腔修复体CAD三维数据模型,离散成二维平面数据,按照预设的顺序进行二维平面轮廓数据加工,逐层累加,熔覆堆积金属粉末材料成型,得到金属口腔修复体;Step 3: The selective laser cladding machine uses the metal powder material formed by SLM to discretize the CAD three-dimensional data model of the oral restoration obtained in step two into two-dimensional plane data, and process the two-dimensional plane profile data according to the preset order. Accumulate layer by layer, cladding and accumulating metal powder materials are formed to obtain metal dental restorations;
步骤四,在金属口腔修复体上烤塑或者烤瓷,完成口腔修复体的制作。Step 4, baking plastic or porcelain on the metal dental prosthesis to complete the production of the dental prosthesis.
上述金属口腔修复体包括:1、个性化的金属桩核、金属冠桥、烤瓷冠桥基底、可摘局部义齿金属支架、全口义齿金属基托;The metal dental restorations mentioned above include: 1. Personalized metal posts and cores, metal crowns and bridges, porcelain crowns and bridges bases, metal brackets for removable partial dentures, and metal bases for complete dentures;
2、个性化种植体、种植体上部结构的桥架、个性化基台等;2. Personalized implants, bridges for implant superstructures, personalized abutments, etc.;
所述步骤二中进一步包括:CAD辅助系统在口腔修复体计算机辅助设计时,将金属支架与人工牙连接处设计利于增进金瓷结合或者烤塑结合的固位结构,这些固位结构包括固位微珠、固位微球、或者增大粘接面积的蜂窝状结构,以增加陶瓷或者塑料与金属支架的结合力。Said step 2 further includes: during the computer-aided design of the dental prosthesis, the CAD-assisted system designs a retention structure at the joint between the metal bracket and the artificial tooth, which is conducive to promoting metal-ceramic bonding or baking-plastic bonding, and these retention structures include retention structures Microbeads, retaining microspheres, or a honeycomb structure that increases the bonding area to increase the bonding force between ceramics or plastics and metal stents.
以下是发明人给出的一种口腔修复体中较为复杂的可摘局部义齿的制作的详细全过程:The following is the detailed whole process of making a relatively complicated removable partial denture in an oral restoration given by the inventor:
1、材料与设备1. Materials and equipment
1.1 SLM所需材料及设备1.1 Materials and equipment required for SLM
选择性激光熔覆机(EOSINT M280,EOS公司,德国);Selective laser cladding machine (EOSINT M280, EOS company, Germany);
TC4粉末,球形粉,粒径15-53微米(卡本特公司,美国);TC4 powder, spherical powder, particle diameter 15-53 micron (Carpenter company, the U.S.);
光学扫描和计算机辅助设计系统(DWOS,Dental Wings公司,加拿大)。Optical scanning and computer-aided design system (DWOS, Dental Wings Inc., Canada).
1.2 其他材料与设备1.2 Other materials and equipment
康特“水魔方”硅橡胶印模材(康特齿科集团,瑞士);Conte "Water Cube" silicone rubber impression material (Conte Dental Group, Switzerland);
超硬石膏(湖北贝诺齿科材料有限公司)。Superhard gypsum (Hubei Beinuo Dental Materials Co., Ltd.).
1.3 病例选择和基牙预备1.3 Case selection and abutment preparation
选取以男性患者,年龄56岁,左上颌前磨牙和第一磨牙缺失,不能行种植和固定义齿修复,自愿行传统的维他灵金属支架式可摘局部义齿修复。A 56-year-old male patient with missing left maxillary premolars and first molars was unable to receive implants and fixed dentures. He voluntarily underwent traditional metal-supported removable partial dentures.
可摘局部义齿设计参见图2,为牙支持式的可摘局部义齿,13、17、23、27作为基牙,放置合支托,唇颊侧设计卡环,宽后腭杆为大连接体。完成临床基牙预备。The design of the removable partial denture is shown in Figure 2. It is a tooth-supported removable partial denture. 13, 17, 23, and 27 are used as abutment teeth, and the occlusal rest is placed. The clasp is designed on the lip and buccal side, and the wide posterior palatal bar is a large connector. . Complete clinical abutment preparation.
1.4 可摘局部义齿支架的计算机辅助设计和3D打印1.4 Computer-aided design and 3D printing of removable partial denture framework
制取两付患者口腔石膏模型,一付按照传统的失蜡铸造方法制作完成并给患者佩戴。另一付使光学扫描和计算机辅助设计系统获得石膏模型的数字化模型,用3shape公司的可摘局部义齿设计软件完成可摘局部义齿TC4支架的CAD设计图(图2),需要强调的是在14、15、16缺牙区设计出设计出增加结合力的特殊固位微珠结构(图3),随后以该数据在选择性激光熔覆机上进行金属3D打印,制作出可摘局部合金义齿TC4支架(图4)。可摘局部义齿TC4金属支架局部特殊结构展示图片如图5所示。打印制作参数是400W光纤激光,单层铺粉厚度为60微米,扫描路径为线性充填+外轮廓扫描。Two plaster casts of the patient's oral cavity were prepared, and one was made by the traditional lost-wax casting method and worn by the patient. Another way is to use the optical scanning and computer-aided design system to obtain the digital model of the plaster model, and use the removable partial denture design software of 3shape to complete the CAD design drawing of the removable partial denture TC4 bracket (Fig. 2). It should be emphasized that in 14 , 15, 16 The edentulous area was designed to design a special retention microbead structure to increase the bonding force (Figure 3), and then use this data to perform metal 3D printing on a selective laser cladding machine to produce a removable partial alloy denture TC4 bracket (Figure 4). Figure 5 shows the partial special structure of the removable partial denture TC4 metal bracket. The printing production parameters are 400W fiber laser, the thickness of single-layer powder coating is 60 microns, and the scanning path is linear filling + outer contour scanning.
本实施例中,选择性激光熔覆机充当了金属3D打印的角色,其熔覆堆积TC4粉末成型是在真空惰性气体加工仓内,将TC4粉末材料铺于金属基板上,单层铺粉厚度为依据不同金属粉末材料的特性和加工精度而定,具体成型步骤如下:In this embodiment, the selective laser cladding machine plays the role of metal 3D printing. Its cladding and accumulation of TC4 powder is formed in a vacuum inert gas processing chamber, and the TC4 powder material is spread on the metal substrate. According to the characteristics and processing accuracy of different metal powder materials, the specific forming steps are as follows:
(1)将金属粉末(TC4粉末)置于粉床之上,升温至合适的温度;(1) Put the metal powder (TC4 powder) on the powder bed and heat up to a suitable temperature;
(2)步骤(1)结束后激光光束按照二维平面轮廓将金属粉末熔覆成形;(2) After the step (1) is completed, the laser beam clads and shapes the metal powder according to the two-dimensional plane profile;
(3)步骤(2)结束后,进行第二次铺粉,用刮板将粉床表面刮平,然后重新按照步骤(1)、步骤(2)顺序进行新一层的单道熔覆成型;经反复铺粉,单道熔覆成型后,去除未曾熔覆的粉末和支撑结构,即可得到可摘局部合金义齿TC4支架。(3) After the step (2) is finished, carry out the second powder spreading, scrape the surface of the powder bed with a scraper, and then follow the sequence of steps (1) and (2) to carry out a new layer of single-pass cladding molding ; After repeated powder spreading and single-pass cladding molding, remove the unclad powder and supporting structure, and then obtain the removable partial alloy TC4 bracket.
1.5 可摘局部合金义齿TC4支架烤塑或烤瓷1.5 Removable partial alloy denture TC4 frame baked plastic or porcelain
在可摘局部合金义齿TC4支架与人造牙连接处特殊结构上烤塑或烤瓷,完成口腔修复体的制作(图6)。Plastic or porcelain is baked on the special structure at the connection between the removable partial alloy denture TC4 bracket and the artificial tooth to complete the production of the oral restoration (Fig. 6).
需要说明的是,以上的实施例是帮助本领域的技术人员理解本发明,本发明不限于上述实施例,按照本发明的方法,还可以对个性化的桩核、冠桥、烤瓷冠桥基底、可摘局部义齿支架或全口义齿基托;或者个性化种植体、种植体上部结构的桥架、个性化基台等各种口腔修复体的自动进行加工。在种植体3D打印过程中,可掺入适量的银离子粉末,达到既抗菌,又不影响骨结合的目的。It should be noted that the above embodiments are to help those skilled in the art to understand the present invention, the present invention is not limited to the above embodiments, according to the method of the present invention, can also be used for personalized post-core, crown and bridge, porcelain crown and bridge Base, removable partial denture bracket or complete denture base; or automatic processing of various oral restorations such as personalized implants, bridges of implant superstructures, and personalized abutments. During the implant 3D printing process, an appropriate amount of silver ion powder can be mixed to achieve the purpose of antibacterial without affecting osseointegration.
当然,本发明方法中采用的光学扫描和计算机辅助设计系统、CAD辅助系统和选择性激光熔覆机组成的复合系统,可安放在流动交通工具上,例如车、船,相当于一个流动的义齿数字化加工厂,为患者提供更便捷的服务。Of course, the composite system of optical scanning, computer-aided design system, CAD auxiliary system and selective laser cladding machine used in the method of the present invention can be placed on mobile vehicles, such as cars and boats, which is equivalent to a mobile denture Digital processing plants provide patients with more convenient services.
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