200906371 七、指定代表圖： (一） 本案指定代表圖為：第（十一）圖。 (二) 本代表圖之元件符號簡單說明： 1. 硬化後加成性砍膠印模材additional silicon impression material after setting. 2. 基本測量單位 basic measured unit. 3. 疋位立體網狀結構物 p0siti〇ning screen platform. 4. 矯正植體 orthodontic implant。 5. 可拆式導引套筒閉合時remova]3ie gUiding tube , in closed stage. 6. 可拆式導引套筒柄 handle of removable guiding tube 7. X光持片器在印模材上的記號marks 〇f X-ray holder in silicon impression material. 8. 矯正植體的鏍絲起子screw driver for orthodontic implant. 八、本案若有化學式時，請揭示最能顯示發明特徵的化學式· 益 九、發明說明： 【發明所屬之技術領域】 200906371 本發明技術是_牙_正觀如何在患者口腔中及 X光片對照之下，直接看出兩牙之間有多少空間 (interdental space)，以及決定植體欲植入位置，_ 旦決定出位置’在導引套筒弓丨導下，使植體進入骨頭方 向以直角方式正確_達所要的位置。不會因為患者的 ^姿^醫生操作位置視角不同而有所誤差。 【先如技4标】 奴辭醉，綠Α失敗原因之一 上χ光的t二^乃傳統定位方法是個粗略估計值加 亩後利用平行法χ光照射估計大約的位置 夂先以鑽子預鑽。如（圖十五）（圖二十一） ^ίΓΪ*4β Ϊ"ί ί^"11^01111"1^8 in Pontic t|^46I，,4_24.Dn^ 【先前技術缺點】200906371 VII. Designated representative map: (1) The representative representative of the case is: (11). (2) The symbol of the symbol of this representative figure is briefly described: 1. The additional silicon impression material after setting. 2. The basic measurement unit. 3. The three-dimensional network structure p0siti〇 Ning screen platform. 4. Correct the implant orthodontic implant. 5. Removable guide sleeve when closed remova]3ie gUiding tube , in closed stage. 6. detachable guide sleeve handle handle of removable guiding tube 7. X-ray holder on the impression material mark Marks 〇f X-ray holder in silicon impression material. 8. Correct the implant's screw driver for orthodontic implant. 8. If there is a chemical formula in this case, please reveal the chemical formula that best shows the characteristics of the invention. [Technical field of invention] 200906371 The technology of the present invention is how to directly see the interdental space between the two teeth and determine the implant in the patient's mouth and under the X-ray control. To implant the position, _ to determine the position 'under the guide sleeve bow guide, so that the implant enters the bone direction at right angles to the correct position. There will be no errors due to the patient's position. [Before the technique 4 standard] The slave is drunk, one of the reasons for the failure of the green scorpion is the t-two of the twilight. The traditional positioning method is a rough estimate. After the acre, the parallel method is used to estimate the approximate position. Pre-drilled. For example (Fig. 15) (Fig. 21) ^ίΓΪ*4β Ϊ"ί ί^"11^01111"1^8 in Pontic t|^46I,,4_24.Dn^ [Previous technical disadvantages]
C 正確f量度馬上親在x光片及患者口腔中互相 一^距離’只能用估計值去決稍& 一不好或是固定不好則必須重來，不符 理想’第-次的方向與第二次 四.當決定好位置，植人的枝相騎醫師 ii人躺ί診療椅上的角度及視線的方向而有所誤差。 石t恭位置珊’但植人方向不對而傷到牙根。、 •本么明因固定位在牙齒咬合面，可讓病患上下牙齒在 200906371 咬合狀態下實施預鑽(pre_drill)或直接植入植體，如 果植入3-4mm深有傷及牙根，病患會有不同的感覺， 讓醫生有所因應。 【發明内容】 •本發明乃基於傳統的診斷方式無法立即確定兩牙之 間空間（interdental space)多少可供值入植體，因 此採用具有基本測量單位的立體網狀結構物置於兩 牙齒之間。 二^專統的黃銅線無科學可重覆性，一旦取下，第二次的 頁銅線位置必然與第一次不同，本發明將立體網狀結 構物固定在牙齒咬合面上，可自診斷石膏模 (Diagnostic Model)轉移到患者口腔中，可重覆性的 一置入、取下，符合科學的可重覆性。 二·固定立體網狀結構物的材料在未硬化以前，就可以把 將來要採用的X光平行照射法的X光持片器 (x-ray holder)在材料上做記號將來患者接受χ光攝 影時’其方向是確保平行的。 四旦蚁好健雜置，本㈣具冑與基本測量單位 同或整倍數的基本測量單位尺寸的套筒譬如基本 測里單位為〇. 7mm小格，找到欲植入位置，如果骨頭 太硬要?鑽(pre-dr i 11)制不可拆式*引套筒直怪 〇. 5mm高約4-5mm置於方格上預鑽。如果骨頭不硬，可 用，1· 2mm自攻式植體（self_threading㈣她）， 此時可以將整個固定物自患者口腔取下，切出一個 1 士4ramxl. 4腦1的正方體，即兩倍基本測量單位，再利用 =1. 2mro可拆式導引套筒做引導，直接植入植體。 5直怪與鑽子(drill)或植體(implant)的直怪有相差 於套筒具有金屬厚度，因此可很精確穩定地置於立 體、，，罔狀結構物内不會有鬆動的疑慮，而且套筒末端為 200906371 C】病患的躺姿及二===方 網狀結構物，譬如本測量位的立體 Γ. 二用來x光平行法照射的x光片持片器 -（麵Γ Ξ i )在咖上用錯筆劃好以定位置。 二.2 =石夕膠印模材，將其調整後將網子固定在牙 =平方式置於印模材上，在 (圖5;)’轉移到病患口中其位置也不會變如（圖三） 四H固=物轉移到患者口中，照一張平行法X光片 ϊΐί 決定那個點最適合於植體植人之點如（圖 五八圖六） 五· 覺，技術不純熟則可使不可拆的導引套筒預 鑽如（圖十二)再取下立體網狀結構物切成一個 1.4raraxl.4mm的正方形網狀格子如（圖七）（圖八） (圖九），利用可拆式植牙套筒置於網狀物上把直怪 1. 2mm的植體，順著套筒植入植體如（圖十一），等植 體進入3-4_時、拿掉可拆式套筒，將植體整入 牙床骨中。 六.（1)如果醫生覺得自己技術純熟，植人方向—定正確， 可直接從基本單位的方格中直接鑽入直怪〇. 5刪的 200906371 鑽子（drill)(如圖十三）然後將整個結構物取下 再植入1. 2麵的植體。 (2)如果商生要直接使用自攻式植體（沈1卜也rea(^ng implant)直怪1. 2麵那就在選擇植牙的中心點切 成一個1，4mmxl，4mm的正方網狀格子如（圖七） 七 、(圖八）（圖九），然後植入植體如（圖十）。 ^亡所舉之例子基本測量單位為〇. 7_，僅為一實 ，，已，凡熟悉本案技藝之人仕依本案精神範 域纽變化或修飾如肢其基本測量單位，或修 物的形狀’皆應涵蓋在以下本 利 乾圍内。 【圖式簡單說明】 (第一圖）基本測量單蝴峨立聽構物，以 軚壤貼在移斷石實模型下頷第—大白齒二 小臼齒之間的頰側牙齦上。 /、 (第二圖膠印模材將網狀立體結構物固 疋在牙齒^父合面上。 (第三圖巧示，加成性的石夕膠印模材未硬化(咖㈣以 (第四H J 持片器做平行法Χ光照射定位。 ίΞΪ印模材硬化後，拿掉Χ光持以所留下 (第五圖）表^取下此結構物轉飢冑、者 X光平行法的照射。 &甲仍此保持 ίΐϊΙΖί，以牙科__^_ :腔 200906371 圖）表示直接使用自攻式續正植體(self_threading lmplant)，從定位的格子鑽入矯正植體。 、弟十一圖）表示以可拆式的導引套賴助續正植體以直 角方式進入定位方格。 (第十一圖）表示以不可拆式導引套筒引導鑽子(办⑴） 以直角方式進入定位方格。 十二圖）表示直接從定位方格以鑽子(drill)鑽入。 f g十四圖）表示傳統以黃銅線綁在兩牙齒之間定位方式。 十五圖）表示傳統上植入矯正植體是以選擇在黃銅線 V ^ 旁大約估計值的方式植入。 十六圖）表示不可拆式導引套筒的側面圖及正面圖。 (f十七圖）表示可拆式導引套筒閉合時正面圖。 (第十八圖）表示可拆式導引套筒閉合時側面圖。 (第十九圖）表示可拆式導引套筒打開時側面圖。 (第二十圖）表示翻拍參考資料：日毅書局出版 microimplants in orthodontic 中譯本第 46 頁，（圖4-24)及第50頁（圖4-34)。 (第二十一圖）表示傳統黃銅線定位在實際人體下頷骨，然 , 後照X光的測量實際情形。 【主要元件符號說明】 1. 加成性石夕膠印模材additional silicon impression material. 2. 基本測量單位 basic measured unit. 3. 定位立體網狀結構物positioning screen platform. 4. 矯正植體 orth〇dontic implant。 5. 可拆式導引套筒閉合時removable guiding tube in closed stage. 200906371 6. 可拆式導引套筒柄handle of removable guiding tube 7. x光持片器在印模材上的記號marks 〇f x-ray holder in impression material. &橋正植體的録絲起子screw drivei* for orthodontic implant. 9. 有基本測量單位的立體網狀結構物在x光片上 實際影像。 10. 固定用軟腊（stick wax) 11· x 光持片器 x—ray holder. 12. x 光底片 x-ray fiim 13. 加成性；δ夕膠印模材未硬化前additi〇nai siHcon Impression material before setting. 14. χ 光導引器 x-ray cone guide. 15. 鑽針 diamond bur. 16. 牙科用手機handpiece. 17. 一個基本測量單位的方格（two basic measured unit). 18·不可拆式導引套筒fixed guiding tube. 19.不可拆式導引套筒把柄handie 〇f fixed guiding tube. 2〇.鑽子(drill)。 21.黃銅線 brass wire. 22·鑛齒狀環狀切割 circular end with saw-like cutting edge 23.可拆式導引套筒開啟removabe guiding tube in open stage. 11C Correct f measure immediately in the x-ray film and the patient's mouth, one distance ^ can only use the estimated value to decide slightly & a bad or fixed bad must be repeated, does not meet the ideal 'first-order direction And the second time. 4. When the position is decided, the angle of the implanted doctor and the direction of the line of sight are different. Stone t Gong location Shan' but the direction of the implant is wrong and hurt the roots. • The reason is that the fixed position on the occlusal surface of the tooth allows the patient to perform pre-drilling (pre_drill) or implant directly into the implant in the 200906371 occlusion state. If the implant is 3-4mm deep, the root is damaged. The patient will have a different feeling and let the doctor respond. SUMMARY OF THE INVENTION The present invention is based on a conventional diagnostic method in which it is not possible to immediately determine how much interdental space is available for implantation into the implant, so that a three-dimensional network structure having a basic unit of measurement is placed between the two teeth. The brass wire of the second system is not scientifically reproducible. Once removed, the position of the second copper wire must be different from the first time. The present invention fixes the three-dimensional mesh structure on the tooth occlusal surface. The Diagnostic Model is transferred to the patient's mouth and can be placed and removed in a repetitive manner, consistent with scientific reproducibility. 2. The material of the fixed three-dimensional network structure can be marked on the material by X-ray parallel irradiation X-ray holder (X-ray holder) to be used in the future. When 'the direction is to ensure parallel. The four-denier ants are well-mixed, and the (four) 譬 is the same as the basic measurement unit or the multiple measurement of the basic measurement unit size of the sleeve. For example, the basic unit is 〇. 7mm small grid, find the position to be implanted, if the bone is too hard To drill (pre-dr i 11) system non-removable * lead sleeve straight strange. 5mm high about 4-5mm placed on the square pre-drilled. If the bone is not hard, available, 1 · 2mm self-tapping implant (self_threading (four) her), at this time the entire fixation can be removed from the patient's mouth, cut out a 1 士 4ramxl. 4 brain 1 square, that is twice the basic The unit of measurement is then used to guide the implant directly into the implant using a 1.2 m detachable guide sleeve. 5 Straight blame and drill (implant) straight blame is different from the sleeve has a metal thickness, so it can be placed accurately and stably in the three-dimensional,, 罔-like structure without loose doubts And the end of the sleeve is 200906371 C] the patient's lying position and two === square mesh structure, such as the stereoscopic Γ of the measurement position. Two x-ray film holder for x-ray parallel method-( Γ Γ i ) Use the wrong stroke on the coffee to set the position. II.2 = Shi Xi offset printing material, after adjusting it, the net is fixed in the tooth = flat way on the impression material, and its position will not change when it is transferred to the patient's mouth (Fig. 5;) Figure 3) Four H solid = object transferred to the patient's mouth, according to a parallel method X-ray film ϊΐ ί Determine the point that is most suitable for implants in the plant such as (Figure 5-8 Figure 6) The non-removable guiding sleeve can be pre-drilled as shown in Fig. 12, and then the three-dimensional mesh structure is cut into a square mesh lattice of 1.4raraxl.4mm (Fig. 7) (Fig. 9) (Fig. 9) , using a detachable implant sleeve placed on the mesh to straighten the 1.2 mm implant, implant the implant along the sleeve (Figure 11), etc., when the implant enters 3-4_, Remove the detachable sleeve and insert the implant into the bone of the gum. 6. (1) If the doctor feels that he is skilled in the technique and the direction of the implant is correct, he can directly drill straight into the square of the basic unit. 5 deleted 200906371 drill (drill) (Figure 13) The entire structure was then removed and implanted into the 1.2-sided implant. (2) If the students want to use the self-tapping implant directly (Shen 1 Bu also rea (^ng implant) straight strange 1. 2 faces then cut the center point of the implant into a 1,4mmxl, 4mm square The mesh lattice is as shown in Fig. 7 (Fig. 7) (Fig. 8) (Fig. 9), and then implanted into the implant as shown in Fig. 10. The basic unit of measurement for the case of death is 〇. 7_, only one real, Anyone who is familiar with the skill of this case will change or modify the basic unit of measurement, such as the basic measurement unit of the limb, or the shape of the object of repair, which should be covered in the following paragraphs. [Simplified illustration] A picture) The basic measurement is a single-layered hearing structure, which is attached to the buccal gingiva between the first and the large white teeth and the small molars. The three-dimensional structure of the mesh is fixed on the surface of the teeth. (The third figure shows that the addition of the Shishi offset printing material is not hardened (Cai (4) to (the fourth HJ holder is used for parallel illumination) Positioning. After the hardening of the impression material, remove the twilight and leave it (figure 5) to remove the structure and turn the hunger and X-ray parallel method. & A still maintains ίΐϊΙΖί, to the dentistry __^_: cavity 200906371 figure) directly using the self-threading phytoplant (self_threading lmplant), drilling the correcting implant from the positioning grid. It means that the detachable guide sleeve helps the continuation of the implant into the positioning square at right angles. (Eleventh image) shows that the drill is guided by the non-detachable guiding sleeve (1) to enter the positioning at right angles. The square. Fig. 12 shows that the drill is drilled directly from the positioning square. The fg fourteen figure shows the traditional way of tying the brass wire between the two teeth. Figure 15 shows the traditional planting The implant is implanted in such a way as to be approximately estimated alongside the brass wire V^. Figure 16 shows a side view and a front view of the non-detachable guide sleeve. (f17) shows the front view of the detachable guide sleeve when it is closed. (Fig. 18) shows a side view of the detachable guide sleeve when it is closed. (Fig. 19) shows a side view of the detachable guide sleeve when it is opened. (p. 20) indicates remake reference material: The Japanese bookstore publishes microimplants in orthodontic Chinese translations on page 46, (Fig. 4-24) and page 50 (Fig. 4-34). (Twenty-first figure) shows the actual situation of the traditional brass wire positioned in the actual human body under the tibia. [Main component symbol description] 1. Additional silicon impression material. 2. Basic measurement unit. 3. Positioning the three-dimensional network structure positioning screen platform. 4. Correcting the implant orth〇dontic Implant. 5. Removable guiding tube in closed stage. 200906371 6. Detachable guide sleeve handle. Handle of removable guiding tube 7. X-ray holder on the impression mark marks 〇 f x-ray holder in impression material. & bridge thruster screw drivei* for orthodontic implant. 9. The stereoscopic network structure with basic measurement units is actually imaged on the x-ray film. 10. Stick wax for fixing 11· x-ray holder x-ray holder. 12. x-ray film x-ray fiim 13. Additive; delta-etched molding material before hardening additi〇nai siHcon Impression 14. material before setting. 14. χ light guide x-ray cone guide. 15. DIAMOND bur. 16. Dental handpiece. 17. One basic measured unit. 18. Disassembled guiding sleeve. 19. Non-removable guiding sleeve handle ief fixed guiding tube. 2〇.Drill. 21. brass wire brass wire. 22 · ore-shaped circular cutting circular end with saw-like cutting edge 23. detachable guiding sleeve to open removabe guiding tube in open stage. 11