201222302 六、發明說明： 【發明所屬之技術領域】 剛本發明是有關於—種應用電腦辅助排牙的全口活動假牙 製法，特別是有關於-種利用電腦模擬排牙，並可輸出 模具，以供製造假牙之方法。 【先前技術·】 [0002] 全口活動假牙，其係供全口缺牙，並且無法製作固定假 牙之患者所使用。 ❹ [0003] 目前活動假牙的製作步驟如下： _] 1、檢查：檢查患者口腔與病史紀錄，並進行χ光檢查， 再針對患者口腔製作參考模型。 闺2、印模：使用參考模型，製作石膏主模，再使用石膏主 模製作咬合蠟堤。 [0006] 3、試戴咬合蠟堤與面弓移轉：患者會先試戴咬合蠟堤， ： . ；. ：ϊ »·... ： 以決定未來製出之假牙於患者口腔中之高度與位置，待 〇 完成試戴咬合學堤後，患者需戴上面弓以便記錄上顎與 顱底的關係，並留下咬合記錄，之後依此面弓及咬合記 錄將上、下顎主模固定於咬合器，再於咬合器處置入樹 脂牙。 [0007] 4、試戴蠟製假牙：步驟3完成後，患者會試戴此步驟所 製出之假牙’經患者確認並完成必要之咬合調整後，再 進行假牙包埋、去蠟、壓入壓克力樹脂、煮聚、拆模、 修整抛光與技工重置等程序，修正咬合。 [0008] 5、裝戴完成假牙：假牙經上述之步驟4後，患者可裝戴 099140984 表單編號A0101 第3頁/共22頁 099: 201222302 此假牙，並再次進行咬合調整，若患者於裝戴過程中， 無任何問題或不適，則病患可離去。 [0009] 6、追蹤回診：患者經過一段時期的裝戴假牙，須定期回 到裝設其假牙之醫院或診所回診。 [0010] 如上所述，其為目前全口假牙之製作步驟，但其仍有缺 陷所在，首先，面弓移轉，其係用於上顎與顱底關係之 記錄，以變轉移至咬合器，作為排牙之使用，然面弓之 使用往往需要取決於牙醫師技巧之熟練度與患者當時之 舒適感，故所得出之記錄往往具有極大的誤差值，易造 成曰後裝戴有全口假牙之患者的不適感；另外，如步驟3 至4所述之程序，其需要大量的人工方能進行，並且最主 要係依靠牙醫師所提供之有限的臨床資料及技師的經驗 值，以完成活動假牙的製作，其皆取決於人為主觀判斷 ，故前述若有一個環節誤判，則會導致製作出之全口假 牙不符患者之期待，或者造成患者的不適感；綜合前述 ，目前全口假牙之製作步驟仍有改進空間。 【發明内容】 [0011] 有鑑於上述習知技藝之問題，本發明之目的就是在提供 一種應用電腦辅助排牙的全口活動假牙製法，以解決排 牙時之人為誤判，並可減少技工之排牙工作，而提升全 口活動假牙製作品質及患者之舒適感。 [0012] 本發明係提出一種應用電腦輔助排牙的全口活動假牙製 法，其包括有： [0013] A、檢查：操作者（牙醫師）檢查患者口腔與病史紀錄， 099140984 表單編號A0101 第4頁/共22頁 0992071320-0 201222302 [0014] '、進行光檢查，再針對患者口腔製作參考模型； Ρ製主拉.操作者根據患者之牙床狀態及參考模型， 製作石膏主模，+ ^ 1史用石膏主模製作上、下顎之咬合蠟 堤； [0015] [0016] Ο [0017] 取付乂。。己錄.操作者參考患者意見修整咬合壤堤， 並經患者裝戴咬錢堤，以取得咬合記錄； D標Z⑤上-步驟之咬錢堤的點線面資料處加上 於X光片成像之錢，患者裝戴咬合蠛堤，進行X光昭射 ，以使記號得以顯像於X光片； 、 E、斷層掃描.患者戴著該咬合壤堤，並進行牙科 層掃描，以取得患者的咬錢堤及σ腔周圍 胳斷 關節區之3D立體影像； 、顆顎 酬]卜影㈣理：时合❿是*_模具絲之3]> 資料，利用電腦影像過濾技術，以定位假牙景 1 及資訊； 卜的空f ο [0019] G、蚊虛擬咬合器:其係虛擬下料動，並輪八 咬合器中 至虛糙 [0020] Η、設定虛擬咬合器與咬合犧堤結合之影像：分 顎咬合蝶堤之開上、 至虛擬咬合器的運動軌跡模式，其係使得下_的，套月 堤可做基本下顆運動及側方運動； 、父合畔 [0021] 099140984 I、選用人工牙齒：操作者於一 八丄才歯型態資 擇牙齒的雜及聽，或麵作者選擇所指〜 曰义的牙齒 表單編號A0101 第5頁/共22頁201222302 VI. Description of the invention: [Technical field to which the invention pertains] The invention has been described in the context of a full-port movable denture method for applying computer-assisted tooth discharge, in particular, to use a computer to simulate tooth discharge and to output a mold. For the method of making dentures. [Prior Art·] [0002] Full-mouth active dentures are used for patients who have full mouth missing teeth and cannot make fixed dentures. ❹ [0003] The current steps for making active dentures are as follows: _] 1. Inspection: Check the patient's oral and medical history records, and perform a calender examination, and then make a reference model for the patient's mouth.闺 2, impression: use the reference model to make the main mold of gypsum, and then use the main mold of plaster to make the bite wax embankment. [0006] 3, try to wear the bite wax embankment and face bow transfer: the patient will try to wear the bite wax embankment first, : . ;. :ϊ »·... : to determine the height of the future made denture in the patient's mouth With the position, after the trial is completed, the patient needs to wear the upper bow to record the relationship between the upper jaw and the skull base, and leave the occlusion record. Then, the upper and lower jaw main molds are fixed to the occlusion according to the face bow and the occlusion record. And then dispose of the resin teeth in the articulator. [0007] 4, try to wear wax dentures: after the completion of step 3, the patient will try to wear the dentures produced in this step. After the patient confirms and completes the necessary bite adjustment, the denture is embedded, dewaxed, pressed and pressed. Correction of the bite by procedures such as cree resin, boiling, demoulding, dressing and polishing, and mechanic reset. [0008] 5, the completion of the denture: the denture after the above step 4, the patient can wear 099140984 Form No. A0101 Page 3 / Total 22 pages 099: 201222302 This denture, and again the occlusion adjustment, if the patient is wearing During the process, the patient can leave without any problems or discomfort. [0009] 6. Follow-up visit: After a period of wearing a denture, the patient must return to the hospital or clinic where the denture is installed. [0010] As described above, it is a production step of the full-mouth denture, but there are still defects. First, the face bow is transferred, which is used for recording the relationship between the upper jaw and the skull base, and is transferred to the articulator. As the use of teeth, the use of the face bow often depends on the proficiency of the dentist's skill and the patient's comfort at that time. Therefore, the records obtained often have great error values, and it is easy to cause full dentures after the sputum. The discomfort of the patient; in addition, the procedures described in steps 3 to 4 require a large amount of manual work, and the most important thing is to rely on the limited clinical data provided by the dentist and the experience of the technician to complete the activity. The production of dentures depends on the subjective judgment of the person. Therefore, if a link is misjudged, it will lead to the production of the full-mouth dentures that do not meet the patient's expectations, or cause the patient's discomfort; comprehensively, the current production of full-mouth dentures. There is still room for improvement in the steps. SUMMARY OF THE INVENTION [0011] In view of the above-mentioned problems of the prior art, the object of the present invention is to provide a full-port movable denture manufacturing method using computer-assisted tooth dislocation, to solve the human error in the teething, and to reduce the number of technicians. Excavation work, and improve the quality of the full-mouth activity denture production and patient comfort. [0012] The present invention provides a full-mouth movable prosthesis method using computer-assisted tooth discharge, which includes: [0013] A, inspection: operator (dentist) examines the patient's oral and medical history record, 099140984 Form No. A0101 No. 4 Page / Total 22 pages 0992071320-0 201222302 [0014] ', light inspection, and then make a reference model for the patient's mouth; Ρ master pull. Operators according to the patient's gum state and reference model, make a plaster master, + ^ 1 The ash bite of the upper and lower jaws is made by using the master mold of the gypsum; [0015] [0017] 乂 [0017] . The operator has reviewed the patient's opinion to trim the bite of the earth bank, and the patient wears the bite bank to obtain the bite record. The D-point Z5-step-to-step bite surface data is added to the X-ray film. The money, the patient wears a bite embankment, X-ray shot, so that the mark can be imaged on the X-ray film; E, tomography. The patient wears the bite loam and scans the dental layer to obtain the patient's 3D stereoscopic image of the broken joint and the broken joint area around the σ cavity; 颚 颚] 卜影 (4): ❿合❿ is *_模具丝之3]> Information, using computer image filtering technology to locate the denture Scene 1 and information; Bu's empty f ο [0019] G, mosquito virtual articulator: its virtual feeding, and the eight-bite to the virtual rough [0020] Η, set the virtual articulator combined with the bite Image: the trajectory of the occlusal dam, the trajectory of the virtual articulator, which makes the lower _, the moon levee can do the basic lower movement and the side movement; 父合畔[0021] 099140984 I. Use artificial teeth: the operator chooses the teeth in the shape of one or eight Listen to, or select the surface of the teeth within the meaning of justice - said sheet number A0101 Page 5 / Total 22
OftQo 201222302 號； [0022] [0023] [0024] [0025] [0026] J、設定人工牙齒的咬合：於前牙或後牙的咬合方式可依 照臨床上常用的咬合方式，由電腦進行排列，再由操作 者依咬合需求做細微調整及修正； κ、排牙：當操作者選定人工牙齒的形狀及顏色或型號後 ，電腦程式會於虛擬的咬合蠟堤完成牙齒的排列；以及 L '成型：輸出上、下半模的陰模，下半模係提供假牙貼 近牙床黏膜表面的形態，上半模係具有假牙之凹痕的陰 杈，將上述排牙過程中所選定之假牙置入凹痕中，並於 陰模内面塗有分離劑，再將假牙基底壓克力樹脂填入該 陰模中’加歷所填入之m克力樹脂，而後進行假牙煮聚 脫模、研磨及拋光等程序，以完成全口假牙之製作。 承上所述，依本發明之應用電腦輔助排牙的全口活動假 牙製法，其可具有一或多個下述優點： (Π電腦模擬排牙，其係可減少技工室排牙的工作並 能結合虛擬咬合器’重現活動假牙的咬合關係進而使 其透過設計之咬合模式設計人工假牙咬合。(2)更可透過虛擬咬合器的下顎運動模擬，分析動態咬 合的狀態。 [0027] (3 )並可使用電腦輔助加技術或快速成形機輸出可供 排牙之陰模，以利假牙之製作。 [0028] 099140984 [實施方式】 請參閱第1圖，其係為本發明之應用電腦輔助排牙的全口 活動假牙製法之示意圖。圖中，該應用電腦輔助排 表單編號A0101 第6頁/共22頁 j 09920713 201222302 全口活動假牙製法之步驟包含如下： [0029] A、檢查：操作者（牙醫師）檢查患者口腔與病史紀錄， 並進行X光檢查，再針對患者口腔製作參考模型。請參閱 第6至8圖，其係本發明之虛擬咬合蠟堤之示意圖。如第6 及7圖所示’於製作參考模型時，其係分別製作上虛擬陰 模3及下虛擬陰模4，如第8圖所示，將上虛擬陰模3及下 虛擬陰模4組合’以進行下一步驟。 [0030] 〇 B、印製主模：操作者根據患者之牙床狀態及參考模型， 其係為上一步驟所組合之上虛擬陰模3及下虛擬陰模4， . . . ... ... : .. 以製作石膏主模，再使用石膏主模製作上、下顎之咬合 蠟堤（Wax rim)。 Ί [0031] c、取得咬合記錄：操作者參考患者意尾修整咬合蠟堤， 並經患者裝戴咬合蠟堤，以取得咬合記錄（Bite Fe_ gistration) ’該咬合記錄為垂直咬合高度（Vertical dimension of occliision) 及中心咬合位置 （ Centric relation ’簡稱CIO ’操作者亦須於咬合蠟 堤上收集有關下列資料：咬合面（〇cclusal plane，其 係利用咬合線（Camper’ sline)決定）、前齒長度及 位置、前牙的嘴唇支撐（Lip Support)及上下唇微笑 位置、臉形中線（Midline of the face)、水平線（ 平行於兩瞳·孔連線（Horizontal line parallel to interpupillary line)、於咬合蠟堤標出嘴角位置（ Month angle poision，提供上顎六個前牙總寬度選擇 的參考）、脊線（Ridge line)位置與齒列（Denti-tion)排牙範圍（其係提供口内及舌的精準表面（Buc一 099140984 表單編號A0101 第7頁/共22頁 0992071320-0 201222302 cal and lingual polished surface))，以及該 咬合記錄。 [0032] 請參閱第2圖所示，其係為本發明之取得垂直咬合高度之 示意圖。如圖所示，於患者的鼻尖，以及下巴對應鼻尖 位置處分別標示有記號1，將患者口中之咬合蠟堤2對應 記號1之位置，以決定垂直咬合高度。 [0033] 請參閱第3圖所示，其係為本發明之取得中心咬合位置及 水平線之示意圖。如圖所示，以記號1為基準，取得臉型 正中線2 0，以決定患者之中心咬合位置；另以患者之雙 瞳孔連線為基準，以決定水平線21，該水平線21係為咬 合面之基準。 [0034] 請參閱第4圖所示，其為本發明之取得上下唇微笑位置之 示意圖。如圖所示，於咬合蠟堤2標示出雙橫向平行線22 ，以取得上下唇微笑位置，以及可作為前牙長度的選擇 參考。 [0035] 請參閱第5圖所示，其為本發明之取得嘴角位置之示意圖 。如圖所示，於咬合蠟堤2之適當位置處標示出雙縱向平 行線23，以取得嘴角位置，以提供上顎六個前牙總寬度 選擇的參考。 [0036] D、標記：於具有上述資料之咬合蠟堤，並於其點線面資 料處加上可於X光片成像之記號（Radiopaque marker )，患者裝戴此咬合蠟堤，進行X光照射，以使該記號得 以顯像於X光片。 [0037] E、斷層掃描：患者戴著咬合蠟堤，並進行牙科電腦斷層 099140984 表單編號A0101 第8頁/共22頁 0992071320-0 201222302 [0038] 掃描（Dental CT)，以取得患者的咬合蠟堤及口腔周 圍組織與顳顎關節區之3D立體影像。 F、影像處理：將咬合蠟堤及一模具底板（Baseplate) 之3D立體影像的資料，利用電腦影像過濾技術，以定位 假牙製作的空間及資訊，該資訊係如步驟C所述之資料， 並進一步包括有外耳道（External acoustic meatus )、顳顎關節頭（Condylar head)位置及嘴唇的位置 〇 0 [0039] G、設定虛擬咬合器：其係虛擬下顎運動，並輸入至虛擬 咬合器中，而操作者可有兩種設定種類，一為半調節咬 合器，其係虛擬下顎運動並模仿半調節器功能，而且可 設定顳顎關節引導（Condy lar Guidance )、切齒引導 (incisal guidance)及顳顎關節斜度（Condylar inclination)等角度；另一為個人化虛擬咬合器，其 係利用下顎運動軌跡記錄裝置，將患者之下顎方式記錄 並輸入至虛擬咬合器中，以達到個人化虛擬咬合器，並 Ο 可依患者特性設定顳顎關節引導、切齒引導及顳顎關節 斜度等角度。 [0040] Η、設定虛擬咬合器與咬合蠟堤結合之影像：分開上、下 顎咬合蠟堤之3D影像，定出顳顎關節頭的位置，並套用 至虛擬咬合器的運動軌跡模式，其係使得下顎的咬合蠟 堤可做基本下顎運動及侧方運動。 [0041] 同時亦要設定以下的資訊：設定可運動的3D下顎影像體 、運動的軸、轴的運動軌道、定出下顎的限定運動領域 099140984 表單編號Α0101 第9頁/共22頁 0992071320-0 201222302 、了顎影像體的各項生理性運動模擬，其係包括轉動、 移動、旋轉，而且各項運動的肌肉牽扯之運動邏輯性及 規律性，以及上、下影像須設定為上、下顎分開移動， 並且影像設定為硬組織，並且不可穿越侵犯，方可排出 咬合關係。 [0042] [0043] [0044] [0045] 基本下顎運動係包括：小範圍開閉口的枢點運動（Hinge mQvement)、張口度加大時顳顎關節向前滑出（Tem_ P〇r〇mandibular joint’TMJ)、下顎前突至前牙（ edge~t〇-edge position)、側方運動，下顎向左或右 之工作運動（working movement)，對侧顳顎關節之 非工作運動（TMJ non-working movement)及前突至 側方運動之間的中間地帶的咬合關係。 1、選用人工牙齒：操作者於一人工牙齒型態資料庫，選 擇牙齒的形狀及顏色，或者操作者選擇所指定的牙齒型 號。 .. ' ：：：： ... 該人工牙齒型態資料庫，莫％先將使用之樹脂牙齒進行 牙科電腦斷層掃描，再做3D影像處理，以單顆牙齒的實 體影像儲存於一資料庫中，以便於排牙時可使用。 J'設定、工牙齒的咬合：於前牙或後牙的咬合方式可依 照臨床上常用的咬合方式，由電腦進行排列，再由操作 者依咬合需求做細微調整及修正。 K、排牙：當操作者選定人工牙齒的形狀及顏色或型號後 ’電腦程式會於虛擬的咬合蠟堤完成彎曲平面的調整， 並於虛擬咬合蠟堤所預設之點線面抓出以下資料：中線 099140984 表單編號A0101 第10頁/共22頁 0992071320-0 [0046] 201222302 [0047] [0048] Ο [0049] ο [0050] 、水平線、上下唇位置線、嘴角位置、咬合平面及上、 下顎齒槽頂線。 並依步驟I及J的設定，電腦進行牙齒排列的規劃，並計 算出各牙齒的排列位置及角度，提供給操作者作為咬合 調整的參考。 當電腦完成牙齒排列後，則進行動態咬合分析，此分析 可結合虛擬咬合器的下顎運動，以計算處於上、下顎於 不同運動階段的咬合點位置，並將動態的咬合點分布位 置，以指定顏色顯示，同時亦可顯示原來的正中咬合咬 點。動態模擬下顎運動包括有步驟Η所述之基本下顎運動 。若動態咬合分析後發現無法達到原先規劃之咬合模式 ，則應跳出警示，告知操作者目前咬合狀況，該咬合模 式可為全面平衡咬合（Fully balanced occlusion) 及舌側接觸咬合（Lingualized occlusion)。 而當牙齒排列後，則完成牙齦成形的規劃，而牙齦成形 應不超出原始咬合蠟堤的體積範圍，若超出該範圍，則 應顯示超界警示顏色，或者離邊界範圍過近，導致厚度 小於1 mm時，則牙齦顯色應為不同顏色，以作為警示。 L、成型：先將包埋模具（Flask)的内部做3D掃描，該 影像係用於配合電腦輔助加工技術（Computer-aided machining，CAM)或快速成形機（Rapid prototyping) 輸出壓合假牙基底壓克力樹脂所需要的陰模之用。 電腦輔助加工技術或快速成形機會輸出上、下半模的陰 模，以供置入包埋模具中，下半模係提供假牙貼近牙床 099140984 表單編號A0101 第11頁/共22頁 0992071320-0 [0051] 201222302 黏膜表面的形態，上半模係具有假牙之凹痕的陰模，將 上述排牙過程中所選定之假牙置入該凹痕中，並於陰模 内面塗有分離劑，再將假牙基底壓克力樹脂填入陰模中 ，加壓所填入之壓克力樹脂，而後進行假牙煮聚、脫模 、研磨及抛光等程序’以完成全口假牙之製作。 [0052] 以上所述僅為舉例性，而非為限制性者。任何未脫離本 發明之精神與範疇，而對其進行之等效修改或變更，均 應包含於後附之申請專利範圍中。 【圖式簡單說明】 [0053] 第1圖係為本發明之應用電腦輔助排牙的全口活動假牙製 法之示意圖； 第2圖係本發明之取得垂直咬合高度之示意圖； 第3圖係本發明之取得中心咬合位置及水平線之示意圖； 第4圖係本發明之取得上下唇微笑位置之示意圖； 第5圖係本發明之取得嘴角位置之示意圖。 第6圖係本發明之上虛體陰模之立體示意圖。 第7圖係本發明之下虛體陰模之立體示意圖。 第8圖係本發明之上虛體陰模及下虛體陰模組合之立體示 意圖。 【主要元件符號說明】[0024] [0024] [00] [0026] J, set the engagement of artificial teeth: the occlusion of the anterior or posterior teeth can be arranged by the computer according to the commonly used occlusion method in clinical practice. Then the operator makes minor adjustments and corrections according to the occlusion requirements; κ, teeth: When the operator selects the shape and color or model of the artificial teeth, the computer program will complete the arrangement of the teeth on the virtual occlusion wax dam; and L 'forming : The female mold of the upper and lower molds is output, and the lower mold system provides the form of the denture attached to the surface of the gum bed of the gum, and the upper mold has the dent of the denture of the denture, and the denture selected in the above-mentioned tooth excavation is placed into the concave mold. In the mark, the inner surface of the female mold is coated with a separating agent, and then the denture base acrylic resin is filled into the female mold to 'add the m-gram resin filled in, and then the denture is cooked, demolded, polished and polished. And other procedures to complete the production of full-mouth dentures. According to the present invention, the full-port movable denture manufacturing method using the computer-assisted tooth arrangement according to the present invention may have one or more of the following advantages: (ΠComputer simulation of the teeth, which can reduce the work of the technician's teeth and It can be combined with the virtual articulator to reproduce the occlusal relationship of the movable denture and then design the artificial denture occlusion through the design of the occlusion mode. (2) The dynamic occlusion state can be analyzed through the squat motion simulation of the virtual articulator. [0027] 3) Computer-assisted technology or rapid prototyping machine can be used to output the female mold for the teeth to facilitate the manufacture of the denture. [0028] 099140984 [Embodiment] Please refer to FIG. 1 , which is an application computer of the present invention. Schematic diagram of the full-mouth movable prosthesis method for auxiliary teeth. In the figure, the application computer-aided row form number A0101 Page 6 of 22 j 09920713 201222302 The steps of the full-mouth movable denture method include the following: [0029] A, check: The operator (dentist) examines the patient's oral and medical history records and performs an X-ray examination to create a reference model for the patient's mouth. See Figures 6 through 8 for the virtual bite of the present invention. Schematic diagram of the wax embankment. As shown in Figures 6 and 7, when the reference model is produced, the virtual female mold 3 and the lower virtual female mold 4 are respectively produced. As shown in Fig. 8, the upper virtual female mold 3 is The lower virtual female mold 4 is combined to perform the next step. [0030] 〇B, printing the main mold: the operator according to the state of the patient's gums and the reference model, which is the virtual female mold 3 combined with the previous step The lower virtual mold 4, . . . ... : :.. To make the main mold of the plaster, and then use the main mold of the plaster to make the upper and lower occlusal wax dams (Wax rim). 003 [0031] c, obtain the occlusion Record: The operator refers to the patient's tail to trim the occlusion wax dam and the patient wears the occlusal wax dam to obtain the Bite Fe_ gistration. The occlusion record is the vertical dimension of occliision and the central occlusion position ( The Centric relation 'CIO' operator must also collect the following information on the bite wax dam: the occlusion surface (which is determined by the Camper's line), the length and position of the front teeth, and the lips of the front teeth. Support (Lip Support) and Lower lip smile position, Midline of the face, horizontal line (parallel to the horizontal line parallel to interpupillary line, at the corner of the occlusal wax embankment (Month angle poision, provide the last six Reference for the total width of the anterior teeth), Ridge line position and Denti-tion range (which provides the precise surface of the mouth and tongue (Buc-099140984 Form No. A0101 Page 7 of 22 pages 0992071320-0 201222302 cal and lingual polished surface)), and the bite record. [0032] Please refer to FIG. 2, which is a schematic diagram of the vertical bite height obtained in the present invention. As shown in the figure, at the tip of the patient's nose and at the position of the chin corresponding to the tip of the nose, a mark 1 is marked, and the bite wax bank 2 in the patient's mouth is corresponding to the position of the mark 1 to determine the vertical bite height. [0033] Please refer to FIG. 3, which is a schematic diagram of the center biting position and horizontal line of the present invention. As shown in the figure, taking the marker 1 as the reference, the face center line 20 is obtained to determine the center of the patient's occlusion position; and the patient's double pupil line is used as a reference to determine the horizontal line 21, which is the occlusal surface. Benchmark. [0034] Please refer to FIG. 4, which is a schematic view of the position of the upper and lower lips smiling according to the present invention. As shown, the double transverse parallel line 22 is marked on the bite wax bank 2 to obtain the upper and lower lip smile positions, and can be used as a selection reference for the length of the front teeth. [0035] Please refer to FIG. 5, which is a schematic diagram of the position of the corner of the mouth obtained in the present invention. As shown, a double longitudinal parallel line 23 is marked at the appropriate location of the occlusion wax bank 2 to obtain the angular position of the mouth to provide a reference for the selection of the total width of the six anterior teeth of the upper jaw. [0036] D, mark: in the bite wax bank with the above information, and add a mark (Radiopaque marker) that can be imaged on the X-ray film at the point and line data, the patient wears the bite wax bank to perform X-ray Irradiation so that the mark is imaged on the X-ray film. [0037] E, tomography: the patient wears a bite wax embankment and performs a dental computed tomography 099140984 Form No. A0101 Page 8 of 22 0992071320-0 201222302 [0038] Scanning (Dental CT) to obtain the patient's occlusal wax 3D stereoscopic image of the embankment and the surrounding tissue and the ankle joint area. F. Image processing: the data of the 3D stereo image of the bite wax bank and a base plate is utilized, and the computer image filtering technology is used to locate the space and information produced by the denture, the information is as described in step C, and Further includes an external acoustic meatus, a Condylar head position, and a lip position 〇0 [0039] G, setting a virtual articulator: it is a virtual jaw movement, and is input into the virtual articulator, and The operator can have two types of settings, one is a semi-adjusting articulator, which is a virtual lower jaw movement and mimics the semi-regulator function, and can be set for Condy lar Guidance, incisal guidance and 颞颚Condylar inclination is equal angle; the other is a personalized virtual articulator, which uses the squat trajectory recording device to record and input the patient's lower jaw to the virtual articulator to achieve a personalized virtual articulator. ΟAnkle joint guidance, incisor guidance and ankle inclination can be set according to the patient's characteristics. [0040] Η, setting the virtual articulator and the occlusal wax embankment combined image: separating the upper and lower occlusion occlusion of the 3D image of the dam, determining the position of the ankle joint, and applying the trajectory pattern to the virtual articulator, the system The occlusal wax dam of the lower jaw can be used for basic squat movement and side movement. [0041] At the same time, the following information should also be set: setting the movable 3D jaw image body, the axis of motion, the motion track of the axis, and the defined motion field of the lower jaw. 099140984 Form No. 1010101 Page 9 / Total 22 Page 0992071320-0 201222302, the physiological motion simulation of the 颚 image body, including the rotation, movement, rotation, and the movement logic and regularity of the muscle involvement of each movement, and the upper and lower images must be set to separate from the upper and lower jaws. Move, and the image is set to a hard tissue, and the intrusion cannot be traversed before the occlusion relationship can be discharged. [0044] [0045] The basic squat exercise system includes: a pivotal movement of a small-range opening and closing mouth (Hinge mQvement), and an ankle joint slides forward when the mouth opening degree is increased (Tem_P〇r〇mandibular) Joint'TMJ), anterior anterior to anterior teeth (edge~t〇-edge position), lateral movement, leftward or right chin movement, working movement, contralateral ankle joint non-working movement (TMJ non -working movement) and the occlusion of the intermediate zone between the forward and lateral motions. 1. Use artificial teeth: The operator selects the shape and color of the teeth in an artificial dental type database, or the operator selects the specified tooth model. .. ' :::: ... The artificial tooth type database, the first use of the resin teeth for dental computed tomography, and then 3D image processing, the physical image of a single tooth is stored in a database In order to facilitate the use of teeth. J' setting, occlusion of the teeth: The occlusion of the anterior or posterior teeth can be arranged by the computer according to the commonly used occlusion method in the clinic, and then the operator can make minor adjustments and corrections according to the occlusion requirements. K, row teeth: When the operator selects the shape and color or model of the artificial tooth, the computer program will adjust the bending plane on the virtual bite wax embankment, and grab the following points on the point line preset by the virtual bite wax bank. Information: Centerline 099140984 Form No. A0101 Page 10/Total 22 Page 0992071320-0 [0046] [0049] 00 [0050] 、 [0050] horizontal line, upper and lower lip position line, mouth angle position, occlusal plane and Upper and lower gingival groove top line. According to the settings of steps I and J, the computer performs the planning of the arrangement of the teeth, and calculates the arrangement position and angle of each tooth, and provides the operator with a reference for the adjustment of the bite. When the computer completes the tooth alignment, a dynamic occlusion analysis is performed. This analysis can be combined with the squat movement of the virtual articulator to calculate the position of the occlusal point in the upper and lower squats at different stages of motion, and the dynamic occlusal point is distributed to specify The color is displayed, and the original mid-bite bite can also be displayed. The dynamic simulation of the lower jaw movement includes the basic jaw movement described in steps Η. If the dynamic occlusion analysis reveals that the previously planned occlusion pattern cannot be achieved, a warning should be given to inform the operator of the current occlusion condition. The occlusion mode can be Fully balanced occlusion and Lingualized occlusion. When the teeth are arranged, the planning of the gingival formation is completed, and the formation of the gingiva should not exceed the volume range of the original occlusal wax dam. If it exceeds the range, the over-warning warning color should be displayed, or the boundary range is too close, resulting in a thickness less than At 1 mm, the gums should be colored differently as a warning. L. Molding: Firstly, the inside of the embedding mold (Flask) is used for 3D scanning. The image is used for computer-aided machining (CAM) or Rapid prototyping. The use of the negative mold required for the resin. Computer-aided processing technology or rapid prototyping opportunity to output the negative mold of the upper and lower molds for placement in the embedding mold, the lower mold system provides the denture close to the gums 099140984 Form No. A0101 Page 11 / Total 22 Page 0992071320-0 [ 0051] 201222302 The shape of the mucosal surface, the upper mold part has a negative mold of the denture of the denture, the denture selected in the above-mentioned tooth excavation process is placed in the indentation, and the inner surface of the female mold is coated with a separating agent, and then The denture base acrylic resin is filled into the female mold, and the filled acrylic resin is pressurized, and then the procedures of denture polymerization, demoulding, grinding and polishing are performed to complete the production of the full-mouth denture. [0052] The foregoing is illustrative only and not limiting. Any equivalent modifications or alterations to the spirit and scope of the invention are intended to be included in the scope of the appended claims. BRIEF DESCRIPTION OF THE DRAWINGS [0053] Fig. 1 is a schematic view showing a method for manufacturing a full-port movable denture using a computer-assisted tooth arrangement according to the present invention; Fig. 2 is a schematic view showing a vertical occlusion height of the present invention; BRIEF DESCRIPTION OF THE DRAWINGS FIG. 4 is a schematic view showing the position of the upper and lower lips of the present invention; FIG. 5 is a schematic view showing the position of the corner of the mouth of the present invention. Figure 6 is a schematic perspective view of the virtual negative mold of the present invention. Figure 7 is a schematic perspective view of the virtual negative mold of the present invention. Fig. 8 is a perspective view showing the combination of the virtual female mold and the lower virtual female mold on the present invention. [Main component symbol description]
[0054] 步驟流程：A〜L 1….記號 2…..咬合蠟堤 20···.臉型正中線 21 ·.'水平線 099140984 表單編號A0101 第12頁/共22頁 0992071320-0 201222302 22···.雙橫向平行線 23….雙縱向平行線 3…上虛擬陰模 4···..下虛擬陰模 〇 ❹ 099140984 表單編號Α0101 第13頁/共22頁 0992071320-0[0054] Step flow: A~L 1....marker 2... bite wax bank 20···. face center line 21 ·.' horizontal line 099140984 form number A0101 page 12/total 22 page 0992071320-0 201222302 22· ··.Double transverse parallel lines 23....Double longitudinal parallel lines 3...On the virtual negative mold 4···..下虚阴〇❹〇❹ 099140984 Form numberΑ0101 Page 13/Total 22 pages 0992071320-0