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WO2018228482A1 - Positioning and guiding assembly for dental implant - Google Patents

Positioning and guiding assembly for dental implant Download PDF

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Publication number
WO2018228482A1
WO2018228482A1 PCT/CN2018/091290 CN2018091290W WO2018228482A1 WO 2018228482 A1 WO2018228482 A1 WO 2018228482A1 CN 2018091290 W CN2018091290 W CN 2018091290W WO 2018228482 A1 WO2018228482 A1 WO 2018228482A1
Authority
WO
WIPO (PCT)
Prior art keywords
assembly
component
positioning
guiding
dental implant
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
PCT/CN2018/091290
Other languages
French (fr)
Chinese (zh)
Inventor
王鸿烈
田方俊
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Bhz Biotech Co Ltd
Original Assignee
Bhz Biotech Co Ltd
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Priority claimed from CN201710454511.4A external-priority patent/CN107184285A/en
Application filed by Bhz Biotech Co Ltd filed Critical Bhz Biotech Co Ltd
Publication of WO2018228482A1 publication Critical patent/WO2018228482A1/en
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C8/00Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools
    • A61C8/0089Implanting tools or instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/16Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
    • A61B17/17Guides or aligning means for drills, mills, pins or wires
    • A61B17/1703Guides or aligning means for drills, mills, pins or wires using imaging means, e.g. by X-rays
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/16Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
    • A61B17/17Guides or aligning means for drills, mills, pins or wires
    • A61B17/1739Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C19/00Dental auxiliary appliances
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C19/00Dental auxiliary appliances
    • A61C19/04Measuring instruments specially adapted for dentistry
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C8/00Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C8/00Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools
    • A61C8/0089Implanting tools or instruments
    • A61C8/009Implanting tools or instruments for selecting the right implanting element, e.g. templates

Definitions

  • the present invention relates to a positioning guide assembly, and more particularly to a dental implant positioning guide assembly.
  • Dental implant surgery is a method of repairing the missing teeth based on the lower half of the implant implanted in the bone tissue to support and fix the upper part of the implant. Since the function, structure and aesthetic effect of implants are very similar to those of natural teeth, dental implant surgery has become the preferred method of repair for more and more patients with missing teeth.
  • the dentist Before implanting the implant, the dentist needs to drill a dental implant hole in the alveolar bone to accommodate the implant by implant surgery. The dentist needs to use a reamer from small to large to slowly prepare the implant hole. A slight deviation will lead to the failure of the implant surgery and the expected repair effect. Implantation holes with incorrect position, angle and depth will damage potential danger areas such as adjacent teeth, nerves, and superior sinus. It will also increase bone resorption around the implant, disappearance of gingival papilla, mucosal atrophy around the implant, and failure of implant surgery. Probability.
  • the traditional method of implant surgery is to analyze and formulate the relationship between the bones around the implanted area displayed by the dental X-ray film.
  • the dentist can only infer the three-dimensional anatomical relationship through the two-dimensional image in the actual clinical operation. At the time, all operations can only be carried out by the experience of the dentist, and the original plan may not be implemented accurately.
  • the ideal implant placement position (the position of the implant hole) is located at least 2 mm from the buccal side and 1 to 3 mm from the tip of the neck (Cemento-enamel junction; CEJ). At least 1.5 to 2 mm from the adjacent teeth, the three-dimensional placement of the implants (buccal, near telecentric, apical coronal) is critical to the success and aesthetics of implant implantation.
  • the full-mouth scanning guide plate includes a guiding hole for guiding the dentist, which is required to be completed in 3D printing, so that different guide plates will be customized according to the needs of each patient, and printed out.
  • the guide holes cannot be replaced, so that it is not possible to mass-produce a general-purpose specification, which is inconvenient for the dentist to use. Also because of the customized relationship, there will be problems of excessive cost.
  • the problem with the prior art is that the current implant surgery has the problem of low implant precision and difficulty in completing the production quickly by the dental chair, and the digital 3D print guide of the full-mouth scan has a single missing tooth. And many missing teeth need to print full guides, can not mass-produce common specifications, high cost and long waiting time.
  • a primary object of the present invention is to provide a dental implant positioning guide assembly.
  • the present invention solves the problems of the prior art, and the necessary technical means is to provide a dental implant positioning guide assembly for a surgical performer to drill at least one of the alveolar bones in one of the patients' mouths.
  • An implant hole and includes a positioning rod, a convex positioning component, a concave engaging component, a linking component and at least two guiding components.
  • the positioning rod is inserted into a bore drilled in advance in an oral cavity model of the patient.
  • the protruding positioning component defines a through hole corresponding to the positioning rod for being sleeved on the positioning rod.
  • the female snap-fit assembly is positionally mountable to the raised positioning assembly.
  • the link assembly is secured to one side of the female snap-fit assembly and has an oral contact surface that conforms to the oral contour of one of the patient for engaging the oral contour.
  • Any one of the guiding components is positionally assembled to the concave engaging component, and each guiding component is provided with a notch, and a curved guiding surface is formed at the notch for the operator to receive the curved type At least one implant hole is drilled by the guiding surface.
  • the surgical performer fixes the linking component to the concave engaging component, and replaces the protruding positioning component and the positioning rod into the guiding component.
  • the link assembly, the concave engaging component and the corresponding guiding component are finally placed in the oral cavity of the patient, and the oral contour is engaged by the linking component to guide the drilling of at least one dental implant hole.
  • the positioning rod in the dental implant positioning guide assembly has an upper half and a lower half, and the upper half is a trapezoidal cylinder.
  • the lower half is a cylinder, the upper half is thicker than the lower half, and the upper half is a thick and thin trapezoidal cylinder.
  • the upper half has a circular cross section and a longitudinal section with a trapezoidal shape.
  • one of the auxiliary technical means derived from the present invention is that the convex positioning component in the dental implant positioning guide assembly has an engaging groove on each side thereof.
  • one of the auxiliary technical means derived from the present invention is to position the concave engagement component in the dental implant positioning guide assembly with two engaging projections on one side of the link assembly.
  • the two engaging protrusions are used for fixing the engaging grooves of the protruding positioning component.
  • an auxiliary technical means derived by the present invention is to make the two sides of the guiding component in the dental implant positioning guiding assembly have an assembly groove, and the assembly groove is used.
  • the two snap-fit bumps of the female snap-fit assembly are positionably assembled.
  • the guiding assembly in the dental implant positioning guiding assembly is four guiding assemblies, and the four guiding guides are provided.
  • the curved radius of the curved guiding surface of the assembly is 2.2 mm, 2.8 mm, 3.5 mm and 4.2 mm, respectively.
  • an auxiliary technical means derived from the present invention is that the link assembly in the dental implant positioning guide assembly is composed of a light-curing material and is fixed by a light curing method.
  • the snap fit component is composed of a light-curing material and is fixed by a light curing method.
  • an auxiliary technical means derived from the present invention is to make the link assembly and the concave engagement component in the dental implant positioning guide assembly integrally formed by 3D printing. .
  • an auxiliary technical means derived from the present invention is to fix the link assembly in the dental implant positioning guide assembly by means of hot-melt fixing of the concave engagement assembly.
  • an auxiliary technical means derived from the present invention is to fasten the link assembly in the dental implant positioning guide assembly and engage the concave engagement component.
  • an auxiliary technical means derived from the present invention is to position the positioning rod, the protruding positioning component, the concave engaging component, the linking component and the guiding component in the dental implant positioning guiding assembly. They are all made by 3D printing.
  • an auxiliary technical means derived from the present invention is to position the positioning rod, the protruding positioning component, the concave engaging component, the linking component and the guiding component in the dental implant positioning guiding assembly. They are all made by pottery casting.
  • the dental implant positioning guide assembly provided by the present invention can provide a complete preoperative information of the dental implant surgery, including the buccal and lingual side, the near telecentricity, the direction and the angle, and the dental chair.
  • a solution for designing and developing dental implant guides can be completed.
  • the dentist gets the best position of the implant to reduce the chance of implant complications in the future, greatly improving the flexibility of clinical practice and cost-effective.
  • a clear principle and specification of the dental implant positioning point is established, and the ideal position and implantation angle of the dental implant hole are finally obtained, thereby reducing the surgical trauma, shortening the operation time, reducing the clinical dental implant failure rate and the probability of dental implant complications.
  • the positioning of the dental implant positioning guide assembly provided by the invention is conspicuous, easy to distinguish, and more accurate in positioning.
  • the three interconnected components are easy to insert and fix, and the position and angle can be flexibly adjusted.
  • the guide assembly is designed to meet the radius of the implant drill and has a guiding function, and the implant drill can be placed from the side. Therefore, the patient's mouth does not need to be large, which can relieve the patient's mouth in the prior art. Great discomfort.
  • the guiding component accurately simplifies the implantation position (implantation hole) of the implant, and also simplifies the original complicated dental implant guide plate making process, improves the work efficiency, and allows the position of the implant to be fixed and fixed. Orientation, improve the success rate of implant surgery, and also greatly save the time for the dentist to perform surgery.
  • the inner concave engaging component and the protruding positioning component and the positioning rod can be positioned in a positional manner, and the concave engaging component can also be positioned and assembled with the guiding component, and the disassembly is convenient, and can be disassembled in the patient's mouth.
  • the guide assembly adopts the curvature radius of the different curved guide faces, and the concave engagement component can be selectively positionably assembled, and the implant guide plate can be removed from the patient's mouth repeatedly without being repeated.
  • the guide assembly is conveniently replaced, and the dental chair guide plate is fixed compared to the prior art.
  • the dental guide plate is repeatedly removed from the patient's mouth, and the semi-circle inside the snap ring is removed to replace the card.
  • the radius of the ring, the invention can save the operation time, and is more convenient for the dentist to operate.
  • FIG. 1 is a perspective view showing a dental implant positioning guide assembly according to a preferred embodiment of the present invention
  • FIG. 2 is a schematic view showing the assembly of a positioning rod and a protrusion positioning assembly of a dental implant positioning guide assembly according to a preferred embodiment of the present invention
  • Figure 3 is a cross-sectional view showing A-A of the second figure
  • FIG. 4 is a top plan view showing a projection positioning assembly and a guide assembly of a dental implant positioning guide assembly according to a preferred embodiment of the present invention
  • 5 to 5F are views showing a state of use of a preferred embodiment of the present invention.
  • FIG. 1 is a perspective view showing a dental implant positioning guide assembly according to a preferred embodiment of the present invention
  • FIG. 2 is a view showing a dental implant provided by a preferred embodiment of the present invention
  • FIG. 3 is a cross-sectional view showing the A-A of FIG. 2, showing the assembly of the positioning rod and the positioning assembly of the positioning guide assembly;
  • a dental implant positioning guide assembly 100 includes a positioning rod 1, a projection positioning assembly 2, a concave engagement assembly 3, a link assembly 4 and four guide assemblies 5, 5a.
  • the positioning rod 1, the protruding positioning component 2, the concave engaging component 3, the guiding components 5, 5a, 5b and 5c are all made by 3D printing, but not This is limited to, and can also be made by ceramic casting.
  • the positioning bar 1 has an upper half 11 and a lower half 12, the upper half 11 is a trapezoidal cylinder, the lower half 12 is a cylinder, and the upper half 11 is thicker overall than the lower half 12. More precisely, the upper half 11 is a trapezoidal cylinder which is thick and thick, and the upper half 11 has a circular cross section, the longitudinal section is a trapezoid, and the cross section is circular from top to bottom. It grows bigger in order.
  • the protrusion positioning assembly 2 defines a through hole 21, and the through hole 21 cooperates with the upper half 11 of the positioning rod 1 so that the protrusion positioning assembly 2 is detachably sleeved on the positioning rod 1.
  • the protrusion positioning assembly 2 is further provided with at least two engaging recesses 22 (only one of which is shown) for mutual connection with the concave engaging component 3.
  • the number of the engaging recesses 22 is two, which are respectively opened on both sides of the protruding positioning assembly 2.
  • the convex positioning assembly 2 is sleeved on the positioning rod 1 for a surgical performer (dentist) to take a reference axis X1 as an axis, along an inverse
  • the clock direction C1 is rotated or in a clockwise direction C2, wherein the reference axis X1 extends over the center of each cross section of the upper half 11, so that the center position of the upper half 11 and the center position of the through hole 21 can be simultaneously passed. .
  • the inner recessed engaging component 3 has two engaging projections 31 (only one of which is shown), and is assembled to the engaging recess 22 of the protruding positioning component 2 by the engaging projection 31. Since the engaging projection 31 and the engaging recess 22 are tightly assembled and fitted with the concave and convex portions, the concave engaging component 3 can be assembled in the positioning positioning assembly 2 in a positional manner, and the positional relationship between the two does not cause relative movement. Ensure the accuracy of positioning.
  • the other side of the concave engaging component 3 relative to the protruding positioning component 2 is used for fixing the linking component 4, and after the linking component 4 and the protruding positioning component 2 are in a fixed state, the linking component 4 and the protruding positioning component 2 The positional relationship between the two will not cause relative movement, which ensures the accuracy of positioning.
  • the link component 4 is a photosensitive resin, but is not limited thereto.
  • the photosensitive resin is composed of a photosensitive prepolymer, a reactive diluent and a photosensitizer.
  • the photosensitive resin has plasticity, and when irradiated by ultraviolet light of a specific wavelength (250 nm to 380 nm), polymerization reaction becomes solid to complete curing.
  • the link assembly 4 may not be made of a photosensitive resin, and the recessed snap-fit assembly 3 may be fixed by hot melt, or the inner snap-fit assembly 3 may be snapped by assembly. More preferably, the link assembly 4 and the recessed engagement unit 3 are integrally molded with each other by means of 3D printing.
  • the difference between the guiding components 5, 5a, 5b and 5c is the difference in the radius of curvature.
  • the following is exemplified by the guiding component 5: the guiding component 5 is provided with a notch G (shown in FIG. 4), and a notch G is formed.
  • the curved guiding surface 51 is provided with an assembly groove 52 (only one of which is shown) on both sides, the curved guiding surface 51 has a curvature diameter R, and the curvature radius is 2.2 mm, which is the curvature.
  • Half of the diameter R, the radius of curvature is consistent with the radius of curvature of the drill bit of at least one implant, so that the surgeon can push the implant drill against the curved guide surface 51 and guide it by the curved guide surface 51.
  • the drill hole is provided with an implant hole, and the purpose of assembling the groove 52 is that the guide assembly 5 can replace the protrusion positioning assembly 2 and can be assembled in the position of the concave engagement assembly 3 during the actual operation of the
  • the remaining guiding members 5a, 5b and 5c each have a curvature diameter and a curved guiding surface, and an assembly groove is formed on each side, and the radius of curvature of the guiding assembly 5a needs to be additionally described. It is 2.8 mm, the radius of curvature of the guide member 5b is 3.5 mm, and the radius of curvature of the guide member 5c is 4.2 mm. However, it is not limited to this. The surgeon or manufacturer can make changes based on the patient's statistics to see if there is a need to open other more suitable specifications.
  • FIG. 4 is a top plan view showing the protruding positioning assembly and the guiding assembly of the dental implant positioning guide assembly according to the preferred embodiment of the present invention.
  • the protrusion positioning assembly 2 has a through hole 21, two engaging grooves 22 and a reference distance D1.
  • the guiding assembly 5 has a notch G, a curved guiding surface 51, a second assembly groove 52 and a reference distance. D2.
  • the reference axis X1 passes through the center position of the through hole 21, and defines a reference axis X2 and a reference axis X3 respectively passing through the center of the two engaging grooves 22, and the reference axes X1, X2 and X3 are parallel to each other, and the reference distance D1 is It is the distance between the reference axis X1 and the center of the engagement groove 22.
  • the reference axis X4 passes through the center of curvature of the curved guiding surface 51, and defines a reference axis X5 and a reference axis X6 respectively passing through the center of the second assembling groove 52, and the reference axes X4, X5 and X6 are mutually connected.
  • the reference distance D2 is the distance between the reference axis X4 and the center of the assembly groove 22.
  • the reference distance D1 is equal to the reference distance D2.
  • the guiding members 5a, 5b and 5c also have reference distances equal to the above reference distances D1 and D2, respectively.
  • the protruding positioning assembly 2 further has a locking connecting arm 23, and the guiding assembly 5 further has an assembly connecting arm 53.
  • the engagement link arm 23 refers to a portion in which the reference axis X2 is connected to X3 or more
  • the assembly link arm 53 refers to a portion in which the reference axis X5 and X6 are connected or more.
  • the position of the 2 and the joint of the protruding positioning component 2 and the concave engaging component 3 form a force arm, and the point of application is the surgical performer.
  • the hand holds the position of the raised positioning assembly 2, the fulcrum being the junction of the raised positioning assembly 2 and the female snap-fit assembly 3.
  • Producing a moment by the force applied by the surgeon will make it easier for the surgeon to link the projection positioning assembly 2 to the concave engagement assembly 3 or from the inside without the engagement of the engagement arm 23.
  • the female snap assembly 3 is removed.
  • assembling the link arm 53 also makes it easier for the surgeon to assemble the guide assembly 5 to the inner snap-fit assembly 3 or to detach the guide assembly 5 from the inner snap-fit assembly 3.
  • FIG. 5 to FIG. 5F are diagrams showing the use state of the preferred embodiment of the present invention.
  • a patient's oral panorama and Periapical film are pre-photographed, and one of the patient's oral models 6 is prepared.
  • the oral model 6 includes a alveolar bone 61 and at least two teeth 62 (pattern Only one of them is marked, and has a missing area NA, and a surgical performer pre-drills a bore 611 in the missing area NA.
  • the missing tooth region NA lacks one tooth 62, so only one drill hole 611 needs to be drilled.
  • the bore 611 is defined and marked on the oral model 6 based on a rule of at least 2 mm from the buccal side, 1 to 3 mm from the tip of the neck (CEJ) and at least 1.5 to 2 mm from the adjacent tooth.
  • a suitable implant design location is at least 2 mm in the buccal bone and at least 1.5 to 2 mm from the adjacent tooth (or 3 mm from the adjacent implant).
  • the aperture size of the bore 611 is referred to the aperture size of the lower half 12 of the positioning rod 1, and in the present embodiment, the surgical performer drills the bore 611 using a round drill No. 8.
  • the surgical performer inserts the lower half 12 of the positioning rod 1 into the bore 611, and checks the position and angle of the positioning rod 1 according to the patient's oral panorama and the apex.
  • a cutting tool is used to open a low concave space around the positioning rod 1 to prevent a dental liquid glue 7 from overflowing, and the positioning rod 1 is taken out, and a small amount of dental liquid glue 7 is injected into the drilling hole 611, and then the positioning rod is placed.
  • 1 Insert the drill hole 611 and fix the positioning rod 1 by the dental liquid glue 7.
  • the surgical performer sets the protruding positioning component 2 on the positioning rod 1 , because the protruding positioning component 2 is rotatably sleeved on the positioning rod 1 (as shown in FIG. 2 ),
  • the surgeon can rotate to the most suitable angle according to the position of the missing tooth area NA, thereby improving the convenience of the surgeon. For example, if the missing tooth area NA is at the front teeth, the convex positioning component 2 is facing the surgery.
  • the performer if the missing area NA is at the posterior teeth, can rotate the angle to an angle suitable for the surgeon to drill the implant hole.
  • the surgical performer can positionally fix the engaging protrusion 31 of the concave engaging component 3 to the engaging recess 22 of the protruding positioning component 2, and fix the linking component 4 to the concave engaging component.
  • 3 is opposite to the other side of the projection positioning assembly 2. Since the inner concave engaging component 3 is positionally assembled to the convex positioning component 2, no relative movement between the inner concave engaging component 3 and the convex positioning component 2 is formed after assembly, and the linking component 4 is The inner locking engagement assembly 3 is fixed, so that the relative movement between the link assembly 4 and the inner engagement assembly 3 does not occur.
  • the link assembly 4 has an oral contact surface that conforms to the oral contour of one of the patients, and the oral contour represents at least one of the teeth 62 (tooth contour), the alveolar bone 61, the hard palate contour, and the gum contour. Or a combination thereof, when placed in one of the mouths 6a of the patient, can be fixed to at least one of the actual teeth 62a, the alveolar bones 61a, the hard palate and the gums of the patient, and the above various characteristics can be enhanced The accuracy of the dental hole.
  • the oral contact surface is on the side that is in contact with the patient's oral contour, so the figure cannot be labeled.
  • the link assembly 4 is fixed to the concave engagement assembly 3 and covers at least two teeth 62 and a portion of the alveolar bone 61, and then is irradiated with light of a specific wavelength to achieve a curing effect and solidify into Link component 4a.
  • the surgical performer removes the link assembly 4a, the concave engagement assembly 3, the convex positioning assembly 2 and the positioning rod 1 from the oral model 6, and according to the patient's requirements, the self-guide assemblies 5, 5a, 5b and 5c
  • One of the selections can be assembled to the concave engagement component 3 in a positional manner, and then placed in the oral cavity 6a of the patient to perform the drilling of the dental implant hole, and also because the reference distance of the guiding component and the reference distance of the convex positioning component 2 D1 (shown in Figure 4) is equal, therefore, the position of the oral cavity 6a drilled by the curved guiding surface of the guiding assembly to the surgical performer corresponds to the position of the positioning hole 1 inserted into the drilling hole 611 of the oral cavity model 6.
  • the surgical implementer selects the guiding component 5b, the guiding component 5b is used for drilling the dental implant hole of the small molar, and the guiding component 5 is suitable for the lower front tooth and the side front tooth, the guiding component.
  • 5a is suitable for upper incisors, canines and median incisors, and guide assembly 5c is suitable for large molars.
  • the surgeon can use the step-by-step drilling method to drill the implant hole from small to large.
  • the dentist will first drill using the guide assembly 5.
  • An implant hole, and then the guide hole assembly 5a is used to drill the implant hole, which is similar to the concept of reaming, and finally the guide assembly 5b is used to drill the implant hole which finally meets the patient's needs.
  • the guiding component 5a the guiding component 5 needs to be used first, and then the guiding component 5a is used; if the guiding component 5c is to be used, the guiding component 5 and the guiding component 5a need to be used sequentially. With the guiding assembly 5b, finally, the guiding assembly 5c is used.
  • the use of step-by-step drilling can avoid direct drilling of holes with larger radii, which will cause errors due to large vibrations, and can improve the accuracy of the implant holes.
  • the oral cavity model 6 is made in accordance with the oral cavity 6a, so that the alveolar bone 61 of the oral cavity model 6 corresponds to one of the alveolar bone 61a of the actual oral cavity 6a, and at least two teeth 62 of the oral cavity model 6 correspond to the actual At least two teeth 62a of the oral cavity 6a, and the missing tooth region NA of the oral cavity model 6 corresponds to the missing tooth region NAa of the actual oral cavity 6a. Therefore, the link assembly 4a having the oral contact surface conforming to the oral contour of the oral cavity model 6 can be accurately engaged with the teeth 62a and the alveolar bone 61a in the oral cavity 6a after being placed in the oral cavity 6a of the patient, without Relative movements result in inaccurate positioning.
  • the preferred embodiment is exemplified by a single missing tooth, but not limited thereto.
  • the dental implant positioning guide assembly 1 provided by the present invention can also be used for multiple dental implant surgery.
  • the positioning of the dental implant positioning guide assembly is more convenient and more precise, and the three mutually positionally assembled components are easy to insert and remove, and the position and angle can be flexibly adjusted.
  • the design of the guiding component not only conforms to the radius of the dental drill, but also allows the dental drill to be placed into the drilled value hole from the side, so that the patient does not need to open the mouth, which can relieve the patient's discomfort.
  • the guiding component accurately simplifies the implant placement position (implantation hole) and simplifies the original complicated dental implant guide plate making process, improves the working efficiency, and allows the implant to be fixed and fixed. Orientation, improve the success rate of implant surgery, and also greatly save the time for the dentist to perform surgery.
  • the digital dental implant guiding plate technology utilizes a computer to observe and measure the humerus in the morphological aspect and take into consideration the post-repair and other factors to determine the position of the dental implant hole. Further, the 3D guide plate model file is generated to perform full-port scanning 3D printing, which causes the problem that a single missing tooth and a plurality of missing teeth need to print the full auxiliary guide plate, can not mass-produce common specifications, and has high cost and long waiting time.
  • the structure of the guiding plate snap ring of the guiding plate is the whole circle, and during the operation of the dentist, the scale of the dental drill is blocked by the guiding plate ring, so the dentist cannot accurately Controlling the depth of the dental implant drilling device; in the dental implant positioning guiding assembly provided by the present invention, the guiding component is provided with a notch, and the guiding component structure is semicircular or slightly longer at both ends and resembles a horseshoe
  • the structure of the type not only achieves the guiding function, but also allows the surgeon (ie, the dentist) to clearly see the scale of the dental drill to achieve a precise and deep effect. Another effect is that the patient does not need to have a large mouth to drill, which can greatly relieve the discomfort of the patient in the prior art.
  • the guide plate also has a complicated process, and the dentist replaces a guide plate with a diameter matching the diameter of the implant drill for each tooth drill of a different diameter. That is to say, each patient needs to make at least four guiding plates, and needs to be placed, removed, and replaced multiple times during the dental implant surgery.
  • the dental implant positioning guide assembly provided by the present invention, at least two guiding members having different radii of curvature are positionally assembled to the concave engaging assembly, and assembly or disassembly is convenient, and each patient Only need to make a guiding plate (the link assembly is fixed to the concave locking component), and during the dental implant surgery, the surgeon (dentist) only needs to replace the guiding component, not only does not need to put multiple times Ingress, removal and replacement also result in lower cost, higher efficiency and a simpler surgical procedure.

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  • Oral & Maxillofacial Surgery (AREA)
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  • Dental Prosthetics (AREA)

Abstract

A positioning and guiding assembly (100) for a dental implant, comprising: a positioning rod (1), a male positioning component (2), a female snap-fit component (3), a connection component (4), and at least two guiding components (5, 5a, 5b, 5c). The positioning rod (1) is adapted to be inserted into a hole (611) drilled in advance in an oral model (6) of a patient. The male positioning component (2) is provided with a through hole (21) which corresponds to the positioning rod (1) and is adapted to be sleeved on the positioning rod (1). The female snap-fit component (3) is positionably assembled to the male positioning component (2). The connection component (4) is fixedly connected to one side of the female snap-fit component (3), and is provided with an oral contact surface that matches the contour of the oral cavity of the patient for being fit to the contour of the oral cavity. Any of the guiding components (5, 5a, 5b, 5c) is positionably assembled to the female snap-fit component (3), and each of the guiding components (5, 5a, 5b, 5c) is provided with a notch (G). A curved guiding surface (51) is formed at the notch (G) to guide a surgeon to drill a hole for a dental implant.

Description

牙科植体定位导引组件Dental implant positioning guide assembly 技术领域Technical field

本发明系有关于一种定位导引组件,尤其是指一种牙科植体定位导引组件。The present invention relates to a positioning guide assembly, and more particularly to a dental implant positioning guide assembly.

背景技术Background technique

植牙手术是一种以植入骨组织内的植体下半部结构为基础来支撑与固位植体上半部的缺牙修复方式。由于植牙技术的植体的功能、结构、美观效果与天然牙十分相似,故植牙手术已成为越来越多缺牙患者的首选修复方式。在植入植体之前,牙科医师需要通过植牙手术在一齿槽骨上钻开一用以容纳植体的植牙孔。牙医师需要由小到大使用扩孔钻来慢慢备制植牙孔,稍有偏差都会导致植牙手术的失败而达不到预期的修复效果。位置、角度与深度错误的植牙孔都会伤害到邻牙、神经、上颚窦等潜在危险区,也会增加植体周围边缘骨吸收、牙龈乳头消失、植体周围黏膜萎缩与植牙手术失败的机率。Dental implant surgery is a method of repairing the missing teeth based on the lower half of the implant implanted in the bone tissue to support and fix the upper part of the implant. Since the function, structure and aesthetic effect of implants are very similar to those of natural teeth, dental implant surgery has become the preferred method of repair for more and more patients with missing teeth. Before implanting the implant, the dentist needs to drill a dental implant hole in the alveolar bone to accommodate the implant by implant surgery. The dentist needs to use a reamer from small to large to slowly prepare the implant hole. A slight deviation will lead to the failure of the implant surgery and the expected repair effect. Implantation holes with incorrect position, angle and depth will damage potential danger areas such as adjacent teeth, nerves, and superior sinus. It will also increase bone resorption around the implant, disappearance of gingival papilla, mucosal atrophy around the implant, and failure of implant surgery. Probability.

植牙手术的传统方法是牙医师透过口腔X光片显示的植牙区域周围骨头关系来分析并制定方案,牙医师只能间接透过二维图像来推测三维解剖结构关系,在实际临床手术时,所有的操作只能靠牙医师的经验进行,原先制定的方案不一定能精确的实施。虽然目前也出现数字化植牙导板技术,即利用计算机对颔骨进行形态学方面的观察、测量与兼顾后期修复等诸多因素进行综合考虑,生成三维导板模型文件进行全口扫描3D打印,但是设计、打印制作周期长、单颗缺牙和多颗缺牙皆需要打印全口扫描的导板、成本昂贵与等待时间过长等问题,导致患者往往无法接受,在临床推广使用上有一定的难度。由于设计软件培训周期较长、对口腔医疗机构的硬设备要求较高,基本上需要送到外部加工单位制造生产,无法在牙医诊所直接进行,故在临床使用时,牙医师需要修改、调整方案与外部加工单位沟通极不便利。The traditional method of implant surgery is to analyze and formulate the relationship between the bones around the implanted area displayed by the dental X-ray film. The dentist can only infer the three-dimensional anatomical relationship through the two-dimensional image in the actual clinical operation. At the time, all operations can only be carried out by the experience of the dentist, and the original plan may not be implemented accurately. Although digital dental implant guide technology has also appeared, that is, the use of computer to observe the morphological aspects of the humerus, measurement and take into account the post-repair and other factors for comprehensive consideration, generate a three-dimensional guide model file for full-port scanning 3D printing, but design, Long print production cycle, single missing teeth and multiple missing teeth need to print full-mouth scanning guides, expensive and long waiting time, which makes patients often unacceptable, and has certain difficulty in clinical promotion. Due to the long training cycle of the design software and the high requirements for the hard equipment of the oral medical institution, it is basically required to be sent to an external processing unit for manufacturing and cannot be directly carried out in the dental clinic. Therefore, the dentist needs to modify and adjust the program during clinical use. It is extremely inconvenient to communicate with external processing units.

此外,华人张口度普遍偏小,使用上述全口扫描的数字化3D打印导板存在着在患者口内操作空间较小的问题,尤其是后牙区域更是难以植入,大幅的增加了植牙手术的难度。根据植牙手术领域现有文献可知,理想的植体植入位置(植牙孔位置)是位于距离颊侧至少2毫米、距离牙颈部(Cemento-enamel junction;CEJ)顶端1至3毫米与距离邻牙至少1.5至2毫米的位置,三个维度的植牙孔位置(颊舌侧、近远心、顶端冠状面)对于植体植入的成功机率和美学至关重要。In addition, Chinese mouth-to-mouth is generally too small, and the digital 3D printing guides using the full-mouth scanning described above have a problem of small operating space in the patient's mouth, especially in the posterior region, which is difficult to implant, and greatly increases the dental implant operation. Difficulty. According to the existing literature in the field of implant surgery, the ideal implant placement position (the position of the implant hole) is located at least 2 mm from the buccal side and 1 to 3 mm from the tip of the neck (Cemento-enamel junction; CEJ). At least 1.5 to 2 mm from the adjacent teeth, the three-dimensional placement of the implants (buccal, near telecentric, apical coronal) is critical to the success and aesthetics of implant implantation.

而且,先前技术中,全口扫描的导板包含用以导引牙医师的导引孔,需在3D打印时一并完成,因此将依据每一位患者的需求定制化不同的导板,打印出来的导引孔也无法进行替换,故无法大量制造通用的规格,造成牙医师在使用上的不便利性。也因为定制化的关系,会有成本过高的问题。Moreover, in the prior art, the full-mouth scanning guide plate includes a guiding hole for guiding the dentist, which is required to be completed in 3D printing, so that different guide plates will be customized according to the needs of each patient, and printed out. The guide holes cannot be replaced, so that it is not possible to mass-produce a general-purpose specification, which is inconvenient for the dentist to use. Also because of the customized relationship, there will be problems of excessive cost.

综上所述,先前技术存在的问题是:目前植牙手术存在植入精度较低、难以在牙科椅旁快速全部完成制作的问题,而全口扫描的数字化3D打印导板 又存在单颗缺牙和多颗缺牙均需要打印全副导板、无法大量制造通用的规格、成本高昂与等待时间过长等问题。In summary, the problem with the prior art is that the current implant surgery has the problem of low implant precision and difficulty in completing the production quickly by the dental chair, and the digital 3D print guide of the full-mouth scan has a single missing tooth. And many missing teeth need to print full guides, can not mass-produce common specifications, high cost and long waiting time.

发明内容Summary of the invention

有鉴于在先前技术中,植牙手术存在植入精度较低、无法在牙科椅旁快速全部完成制作的问题,而全口扫描的数字化3D打印导板又存在着单颗缺牙和多颗缺牙均需要打印全副导板、需要定制化无法大量制造通用的规格、成本高昂与等待时间过长等问题。本发明的主要目的系提供一种牙科植体定位导引组件。In view of the prior art, the dental implant surgery has the problem of low implant precision and can not be completed completely by the dental chair, and the full-scan digital 3D print guide has a single missing tooth and multiple missing teeth. Both need to print the full auxiliary guide, need to be customized, can not mass-produce common specifications, high cost and long waiting time. A primary object of the present invention is to provide a dental implant positioning guide assembly.

本发明为解决先前技术之问题,所采用之必要技术手段为提供一种牙科植体定位导引组件,系用以供一手术执行者在一患者之一口腔内之一齿槽骨钻设至少一植牙孔,并包含一定位棒、一凸起定位组件、一内凹卡合组件、一链接组件与至少两个导引组件。The present invention solves the problems of the prior art, and the necessary technical means is to provide a dental implant positioning guide assembly for a surgical performer to drill at least one of the alveolar bones in one of the patients' mouths. An implant hole and includes a positioning rod, a convex positioning component, a concave engaging component, a linking component and at least two guiding components.

定位棒系用以插设于一预先在该患者之一口腔模型内所钻出之钻孔。凸起定位组件系开设有一对应定位棒之穿孔,用以套设于定位棒。内凹卡合组件系可定位性地组装于凸起定位组件。链接组件系固接内凹卡合组件之一侧,并具有一与该患者之一口腔轮廓相吻合之口腔接触面,用以卡合口腔轮廓。导引组件之任一者系可定位性地组装于内凹卡合组件,且每一导引组件开设有一缺口,并在缺口处形成一曲型导引面,以供手术执行者受曲型导引面所导引而钻设至少一植牙孔。The positioning rod is inserted into a bore drilled in advance in an oral cavity model of the patient. The protruding positioning component defines a through hole corresponding to the positioning rod for being sleeved on the positioning rod. The female snap-fit assembly is positionally mountable to the raised positioning assembly. The link assembly is secured to one side of the female snap-fit assembly and has an oral contact surface that conforms to the oral contour of one of the patient for engaging the oral contour. Any one of the guiding components is positionally assembled to the concave engaging component, and each guiding component is provided with a notch, and a curved guiding surface is formed at the notch for the operator to receive the curved type At least one implant hole is drilled by the guiding surface.

其中,在内凹卡合组件可定位性地组装于凸起定位组件后,手术执行者系将链接组件固接内凹卡合组件,并将凸起定位组件与定位棒置换成导引组件中之一者,最后将链接组件、内凹卡合组件与相应导引组件放入患者之口腔内,并藉由链接组件卡合口腔轮廓以导引钻设至少一植牙孔。Wherein, after the inner concave engaging component is positionally assembled to the convex positioning component, the surgical performer fixes the linking component to the concave engaging component, and replaces the protruding positioning component and the positioning rod into the guiding component. In one case, the link assembly, the concave engaging component and the corresponding guiding component are finally placed in the oral cavity of the patient, and the oral contour is engaged by the linking component to guide the drilling of at least one dental implant hole.

在上述必要技术手段的基础下,本发明所衍生之一附属技术手段为使牙科植体定位导引组件中之定位棒,系具有一上半部与一下半部,上半部系一梯形圆柱,下半部系一圆柱,上半部系比下半部粗,上半部系一上细下粗的梯形圆柱,上半部的横截面系一圆形且纵截面系一梯形。On the basis of the above-mentioned necessary technical means, one of the auxiliary technical means derived from the present invention is that the positioning rod in the dental implant positioning guide assembly has an upper half and a lower half, and the upper half is a trapezoidal cylinder. The lower half is a cylinder, the upper half is thicker than the lower half, and the upper half is a thick and thin trapezoidal cylinder. The upper half has a circular cross section and a longitudinal section with a trapezoidal shape.

在上述必要技术手段的基础下,本发明所衍生之一附属技术手段为使牙科植体定位导引组件中之凸起定位组件,其两侧各具有一卡合凹槽。On the basis of the above-mentioned necessary technical means, one of the auxiliary technical means derived from the present invention is that the convex positioning component in the dental implant positioning guide assembly has an engaging groove on each side thereof.

在上述必要技术手段的基础下,本发明所衍生之一附属技术手段为使牙科植体定位导引组件中之内凹卡合组件,其相对于链接组件之一侧系具有二卡合凸块,上述二卡合凸块系用以固接凸起定位组件之卡合凹槽。Based on the above-mentioned necessary technical means, one of the auxiliary technical means derived from the present invention is to position the concave engagement component in the dental implant positioning guide assembly with two engaging projections on one side of the link assembly. The two engaging protrusions are used for fixing the engaging grooves of the protruding positioning component.

在上述必要技术手段的基础下,本发明所衍生之一附属技术手段为使牙科植体定位导引组件中之导引组件的两侧,系各具有一组装凹槽,且组装凹槽系用以可定位性地组装于内凹卡合组件之二卡合凸块。On the basis of the above-mentioned necessary technical means, an auxiliary technical means derived by the present invention is to make the two sides of the guiding component in the dental implant positioning guiding assembly have an assembly groove, and the assembly groove is used. The two snap-fit bumps of the female snap-fit assembly are positionably assembled.

在上述必要技术手段的基础下,本发明所衍生之一附属技术手段为使牙科植体定位导引组件中之导引组件,为四个上述之导引组件,且该四个上述之导引组件之曲型导引面之曲率半径分别为2.2毫米、2.8毫米、3.5毫米与4.2毫米。On the basis of the above-mentioned necessary technical means, one of the auxiliary technical means derived from the present invention is that the guiding assembly in the dental implant positioning guiding assembly is four guiding assemblies, and the four guiding guides are provided. The curved radius of the curved guiding surface of the assembly is 2.2 mm, 2.8 mm, 3.5 mm and 4.2 mm, respectively.

在上述必要技术手段的基础下,本发明所衍生之一附属技术手段为使牙科植体定位导引组件中之链接组件,系由一光固化材质所组成,并利用光固化方式固接内凹卡合组件。On the basis of the above-mentioned necessary technical means, an auxiliary technical means derived from the present invention is that the link assembly in the dental implant positioning guide assembly is composed of a light-curing material and is fixed by a light curing method. The snap fit component.

在上述必要技术手段的基础下,本发明所衍生之一附属技术手段为使牙科植体定位导引组件中之链接组件与内凹卡合组件,系利用3D打印方式而使彼此一体化地成型。On the basis of the above-mentioned necessary technical means, an auxiliary technical means derived from the present invention is to make the link assembly and the concave engagement component in the dental implant positioning guide assembly integrally formed by 3D printing. .

在上述必要技术手段的基础下,本发明所衍生之一附属技术手段为使牙科植体定位导引组件中之链接组件,系利用热熔方式固接内凹卡合组件。On the basis of the above-mentioned necessary technical means, an auxiliary technical means derived from the present invention is to fix the link assembly in the dental implant positioning guide assembly by means of hot-melt fixing of the concave engagement assembly.

在上述必要技术手段的基础下,本发明所衍生之一附属技术手段为使牙科植体定位导引组件中之链接组件,系卡接内凹卡合组件。On the basis of the above-mentioned necessary technical means, an auxiliary technical means derived from the present invention is to fasten the link assembly in the dental implant positioning guide assembly and engage the concave engagement component.

在上述必要技术手段的基础下,本发明所衍生之一附属技术手段为使牙科植体定位导引组件中之定位棒、凸起定位组件、内凹卡合组件、链接组件与导引组件,皆系利用3D打印方式制作。On the basis of the above-mentioned necessary technical means, an auxiliary technical means derived from the present invention is to position the positioning rod, the protruding positioning component, the concave engaging component, the linking component and the guiding component in the dental implant positioning guiding assembly. They are all made by 3D printing.

在上述必要技术手段的基础下,本发明所衍生之一附属技术手段为使牙科植体定位导引组件中之定位棒、凸起定位组件、内凹卡合组件、链接组件与导引组件,皆系利用陶模铸造制作。On the basis of the above-mentioned necessary technical means, an auxiliary technical means derived from the present invention is to position the positioning rod, the protruding positioning component, the concave engaging component, the linking component and the guiding component in the dental implant positioning guiding assembly. They are all made by pottery casting.

承上所述,本发明所提供之牙科植体定位导引组件可以提供牙医师完整的植牙手术术前讯息,包括颊舌侧、近远心、方向与角度等,以及在牙科椅旁即可完成设计制作植牙导引板的解决方案。牙医师获得最佳植牙孔位置从而降低未来可能发生的植牙并发症机率,大幅地提升了临床实际操作的灵活性且成本经济实惠。同时制定一个明确的植牙孔定位点原则和规范,最终获得理想的植牙孔位置和植入角度,从而减少手术创伤、缩短手术时间与减少临床植牙失败率以及植牙并发症的机率。As described above, the dental implant positioning guide assembly provided by the present invention can provide a complete preoperative information of the dental implant surgery, including the buccal and lingual side, the near telecentricity, the direction and the angle, and the dental chair. A solution for designing and developing dental implant guides can be completed. The dentist gets the best position of the implant to reduce the chance of implant complications in the future, greatly improving the flexibility of clinical practice and cost-effective. At the same time, a clear principle and specification of the dental implant positioning point is established, and the ideal position and implantation angle of the dental implant hole are finally obtained, thereby reducing the surgical trauma, shortening the operation time, reducing the clinical dental implant failure rate and the probability of dental implant complications.

本发明所提供之牙科植体定位导引组件的定位醒目、容易分辨、定位更精确,三个相互连接的组件插拔和固定非常便捷,且可灵活地调整位置和角度。导引组件的设计既符合植牙钻的半径大小具有导引功能,又可使植牙钻从侧边放入,因此,患者的嘴巴不用张很大,可舒缓先前技术中患者需将嘴巴张很大的不适感。导引组件在精准确定植体的植入位置(植牙孔)的同时也简化了原本复杂的植牙导引板制作程序,提高了工作效率,让植体植入的位置定点、定深与定向,提高植牙手术的成功率,亦大幅地节省牙医师进行手术的时间。The positioning of the dental implant positioning guide assembly provided by the invention is conspicuous, easy to distinguish, and more accurate in positioning. The three interconnected components are easy to insert and fix, and the position and angle can be flexibly adjusted. The guide assembly is designed to meet the radius of the implant drill and has a guiding function, and the implant drill can be placed from the side. Therefore, the patient's mouth does not need to be large, which can relieve the patient's mouth in the prior art. Great discomfort. The guiding component accurately simplifies the implantation position (implantation hole) of the implant, and also simplifies the original complicated dental implant guide plate making process, improves the work efficiency, and allows the position of the implant to be fixed and fixed. Orientation, improve the success rate of implant surgery, and also greatly save the time for the dentist to perform surgery.

内凹卡合组件和凸起定位组件、定位棒之间均可定位性地组接,内凹卡合组件亦与导引组件可定位性地组接,且拆卸方便,可以在患者口内随意拆卸组件。采用不同曲型导引面之曲率半径的导引组件,并且跟内凹卡合组件系可选择性地可定位性地组装,不需要反复地自患者口内取下植牙导引板就可以非常方便地替换导引组件,相较于先前技术的牙科椅旁植牙导引板都是固定的,需要从患者口内反复地取下植牙导引板、拆卸卡环内部的半圆片来更换卡环的半径,本发明可以节约手术时间,且更方便牙医师操作。The inner concave engaging component and the protruding positioning component and the positioning rod can be positioned in a positional manner, and the concave engaging component can also be positioned and assembled with the guiding component, and the disassembly is convenient, and can be disassembled in the patient's mouth. Component. The guide assembly adopts the curvature radius of the different curved guide faces, and the concave engagement component can be selectively positionably assembled, and the implant guide plate can be removed from the patient's mouth repeatedly without being repeated. The guide assembly is conveniently replaced, and the dental chair guide plate is fixed compared to the prior art. The dental guide plate is repeatedly removed from the patient's mouth, and the semi-circle inside the snap ring is removed to replace the card. The radius of the ring, the invention can save the operation time, and is more convenient for the dentist to operate.

附图说明DRAWINGS

图1系显示本发明较佳实施例所提供之牙科植体定位导引组件之立体示意图;1 is a perspective view showing a dental implant positioning guide assembly according to a preferred embodiment of the present invention;

图2系显示本发明较佳实施例所提供之牙科植体定位导引组件之定位棒与凸起定位组件之组装示意图;2 is a schematic view showing the assembly of a positioning rod and a protrusion positioning assembly of a dental implant positioning guide assembly according to a preferred embodiment of the present invention;

图3系显示第二图之A─A剖面图;Figure 3 is a cross-sectional view showing A-A of the second figure;

图4系显示本发明较佳实施例所提供之牙科植体定位导引组件之凸起定位组件与导引组件之俯视图;以及4 is a top plan view showing a projection positioning assembly and a guide assembly of a dental implant positioning guide assembly according to a preferred embodiment of the present invention;

图5至图5F系显示本发明较佳实施例之使用状态图。5 to 5F are views showing a state of use of a preferred embodiment of the present invention.

符号说明:Symbol Description:

100                    牙科植体定位导引组件100 dental implant positioning guide assembly

1                      定位棒1 positioning rod

11                     上半部11 upper half

12                     下半部12 lower half

2                      凸起定位组件2 raised positioning components

21                     穿孔21 perforation

22                     卡合凹槽22 snap groove

23                     卡合连结臂23 snap link arm

3                      内凹卡合组件3 recessed snap-in assembly

31                     卡合凸块31 snap-on bumps

4、4a                  链接组件4, 4a link component

5、5a、5b、5c          导引组件5, 5a, 5b, 5c guide assembly

51                     曲型导引面51 curved guide surface

52                     组装凹槽52 assembly groove

53                     组装连结臂53 assembly link arm

6                      口腔模型6 oral model

6a                     口腔6a oral cavity

61、61a                齿槽骨61, 61a alveolar bone

611                    钻孔611 drilling

62、62a                牙齿62, 62a teeth

7                      牙科液体胶7 dental liquid glue

C1                     逆时钟方向C1 counterclockwise direction

C2                     顺时钟方向C2 clockwise

D1、D2                 参考距离D1, D2 reference distance

G                      缺口G gap

NA、NAa                缺牙区域NA, NAa missing area

R                      曲率直径R curvature diameter

X1、X2、X3、X4、X5、   参考轴X1, X2, X3, X4, X5, reference axis

X6X6

具体实施例Specific embodiment

请参阅图1至图3,其中,图1系显示本发明较佳实施例所提供之牙科植体定位导引组件之立体示意图;图2系显示本发明较佳实施例所提供之牙科植体定位导引组件之定位棒与凸起定位组件之组装示意图;以及,图3系显示图2之A─A剖面图。如图所示,一种牙科植体定位导引组件100,包含一定位棒1、一凸起定位组件2、一内凹卡合组件3、一链接组件4与四个导引组件5、5a、5b与5c,在本实施例中,定位棒1、凸起定位组件2、内凹卡合组件3、导引组件5、5a、5b与5c皆为3D打印方式制作而成,但不以此为限,也可采用陶模铸造方式制作而成。1 to 3, wherein FIG. 1 is a perspective view showing a dental implant positioning guide assembly according to a preferred embodiment of the present invention; and FIG. 2 is a view showing a dental implant provided by a preferred embodiment of the present invention. FIG. 3 is a cross-sectional view showing the A-A of FIG. 2, showing the assembly of the positioning rod and the positioning assembly of the positioning guide assembly; As shown, a dental implant positioning guide assembly 100 includes a positioning rod 1, a projection positioning assembly 2, a concave engagement assembly 3, a link assembly 4 and four guide assemblies 5, 5a. 5b and 5c, in this embodiment, the positioning rod 1, the protruding positioning component 2, the concave engaging component 3, the guiding components 5, 5a, 5b and 5c are all made by 3D printing, but not This is limited to, and can also be made by ceramic casting.

定位棒1系具有一上半部11和一下半部12,上半部11是一个梯形圆柱,下半部12是一个圆柱,上半部11整体较下半部12粗。更精确的说,上半部11是一个上细下粗的梯形圆柱,且上半部11的横截面是一个圆形,纵截面则是一个梯形,而横截面的圆形系由上至下依序变大。The positioning bar 1 has an upper half 11 and a lower half 12, the upper half 11 is a trapezoidal cylinder, the lower half 12 is a cylinder, and the upper half 11 is thicker overall than the lower half 12. More precisely, the upper half 11 is a trapezoidal cylinder which is thick and thick, and the upper half 11 has a circular cross section, the longitudinal section is a trapezoid, and the cross section is circular from top to bottom. It grows bigger in order.

凸起定位组件2开设有一穿孔21,穿孔21与定位棒1的上半部11相配合,使得凸起定位组件2可拆卸地套设于定位棒1。此外,凸起定位组件2更开设有至少两个卡合凹槽22(图式仅标示其中一者),用以与内凹卡合组件3相互链接。在本实施例中,卡合凹槽22的数量为两个,分别开设于凸起定位组件2的两侧。因为定位棒1的上半部11为梯形圆柱的关系,凸起定位组件2套设于定位棒1后,可供一手术执行者(牙医师)以一参考轴X1为轴心,沿一逆时钟方向C1或沿一顺时钟方向C2旋转,其中,参考轴X1系上半部11每一个横截面的圆心的连接延伸,故可同时穿过上半部11的中心位置与穿孔21的中心位置。The protrusion positioning assembly 2 defines a through hole 21, and the through hole 21 cooperates with the upper half 11 of the positioning rod 1 so that the protrusion positioning assembly 2 is detachably sleeved on the positioning rod 1. In addition, the protrusion positioning assembly 2 is further provided with at least two engaging recesses 22 (only one of which is shown) for mutual connection with the concave engaging component 3. In this embodiment, the number of the engaging recesses 22 is two, which are respectively opened on both sides of the protruding positioning assembly 2. Because the upper half 11 of the positioning rod 1 is in the shape of a trapezoidal cylinder, the convex positioning assembly 2 is sleeved on the positioning rod 1 for a surgical performer (dentist) to take a reference axis X1 as an axis, along an inverse The clock direction C1 is rotated or in a clockwise direction C2, wherein the reference axis X1 extends over the center of each cross section of the upper half 11, so that the center position of the upper half 11 and the center position of the through hole 21 can be simultaneously passed. .

内凹卡合组件3,系具有二卡合凸块31(图式仅标示其中一者),并利用卡合凸块31可定位性地组装于凸起定位组件2的卡合凹槽22,因卡合凸块31与卡合凹槽22为凹凸紧密组装配合,故内凹卡合组件3可定位性地组装于凸起定位组件2后,两者的位置关系不会产生相对移动,可确保定位的精准性。内凹卡合组件3相对于凸起定位组件2的另一侧系用以固接链接组件4,当链接组件4与凸起定位组件2形成固接状态后,链接组件4与凸起定位组件2两者的位置关系亦不会产生相对移动,可确保定位的精准性。The inner recessed engaging component 3 has two engaging projections 31 (only one of which is shown), and is assembled to the engaging recess 22 of the protruding positioning component 2 by the engaging projection 31. Since the engaging projection 31 and the engaging recess 22 are tightly assembled and fitted with the concave and convex portions, the concave engaging component 3 can be assembled in the positioning positioning assembly 2 in a positional manner, and the positional relationship between the two does not cause relative movement. Ensure the accuracy of positioning. The other side of the concave engaging component 3 relative to the protruding positioning component 2 is used for fixing the linking component 4, and after the linking component 4 and the protruding positioning component 2 are in a fixed state, the linking component 4 and the protruding positioning component 2 The positional relationship between the two will not cause relative movement, which ensures the accuracy of positioning.

在本实施例中,链接组件4系一光敏树脂,但不以此为限。光敏树脂由光敏预聚体、活性稀释剂与光敏剂组成,一般状态下光敏树脂具可塑性,在经由特定波长的紫外光(250nm至380nm)照射下,会引起聚合反应变成固体完成固化。在其他实施例中,链接组件4也可以不采用光敏树脂,可利用热熔方式固接内凹卡合组件3、也可以利用组装的方式卡接内凹卡合组件3。更佳者,链接组件4与内凹卡合组件3系利用3D打印的方式,而使彼此一体化地成型。In this embodiment, the link component 4 is a photosensitive resin, but is not limited thereto. The photosensitive resin is composed of a photosensitive prepolymer, a reactive diluent and a photosensitizer. In general, the photosensitive resin has plasticity, and when irradiated by ultraviolet light of a specific wavelength (250 nm to 380 nm), polymerization reaction becomes solid to complete curing. In other embodiments, the link assembly 4 may not be made of a photosensitive resin, and the recessed snap-fit assembly 3 may be fixed by hot melt, or the inner snap-fit assembly 3 may be snapped by assembly. More preferably, the link assembly 4 and the recessed engagement unit 3 are integrally molded with each other by means of 3D printing.

导引组件5、5a、5b与5c的差异在于曲率半径的不同,以下以导引组件5举例说明:导引组件5系开设有一缺口G(标示于图4),并在缺口G处形成一曲型导引面51,并在两侧各开设有一个组装凹槽52(图式仅标示其中一 者),曲型导引面51具有一曲率直径R,而曲率半径为2.2毫米即为曲率直径R的一半,曲率半径系和至少一植牙钻的钻头曲率半径相符合,因此,手术执行者可将植牙钻抵靠曲型导引面51,并藉由曲型导引面51导引钻设出一植牙孔,而组装凹槽52的目的为在手术实际操作过程中导引组件5可替换凸起定位组件2且可定位性地组装于内凹卡合组件3。The difference between the guiding components 5, 5a, 5b and 5c is the difference in the radius of curvature. The following is exemplified by the guiding component 5: the guiding component 5 is provided with a notch G (shown in FIG. 4), and a notch G is formed. The curved guiding surface 51 is provided with an assembly groove 52 (only one of which is shown) on both sides, the curved guiding surface 51 has a curvature diameter R, and the curvature radius is 2.2 mm, which is the curvature. Half of the diameter R, the radius of curvature is consistent with the radius of curvature of the drill bit of at least one implant, so that the surgeon can push the implant drill against the curved guide surface 51 and guide it by the curved guide surface 51. The drill hole is provided with an implant hole, and the purpose of assembling the groove 52 is that the guide assembly 5 can replace the protrusion positioning assembly 2 and can be assembled in the position of the concave engagement assembly 3 during the actual operation of the operation.

同理,其余导引组件5a、5b与5c亦各具有一曲率直径与一曲型导引面,且两侧各开设有一个组装凹槽,需要额外说明的是,导引组件5a的曲率半径为2.8毫米、导引组件5b的曲率半径为3.5毫米以及导引组件5c的曲率半径为4.2毫米。但不以此为限,手术执行者或是制造商可依据患者的统计数据作修改,看是否有需要开设其他更适合的规格。Similarly, the remaining guiding members 5a, 5b and 5c each have a curvature diameter and a curved guiding surface, and an assembly groove is formed on each side, and the radius of curvature of the guiding assembly 5a needs to be additionally described. It is 2.8 mm, the radius of curvature of the guide member 5b is 3.5 mm, and the radius of curvature of the guide member 5c is 4.2 mm. However, it is not limited to this. The surgeon or manufacturer can make changes based on the patient's statistics to see if there is a need to open other more suitable specifications.

请参阅图4,图4系显示本发明较佳实施例所提供之牙科植体定位导引组件之凸起定位组件与导引组件之俯视图。如图所示,凸起定位组件2具有穿孔21、二卡合凹槽22与一参考距离D1,导引组件5具有缺口G、曲型导引面51、二组装凹槽52与一参考距离D2。Please refer to FIG. 4. FIG. 4 is a top plan view showing the protruding positioning assembly and the guiding assembly of the dental implant positioning guide assembly according to the preferred embodiment of the present invention. As shown, the protrusion positioning assembly 2 has a through hole 21, two engaging grooves 22 and a reference distance D1. The guiding assembly 5 has a notch G, a curved guiding surface 51, a second assembly groove 52 and a reference distance. D2.

参考轴X1系通过穿孔21的中心位置,并定义一参考轴X2与一参考轴X3分别通过二卡合凹槽22的圆心,参考轴X1、X2与X3之间相互平行,而参考距离D1则为参考轴X1到卡合凹槽22的圆心之间的距离。同理;参考轴X4系通过曲型导引面51的曲率中心位置,并定义一参考轴X5与一参考轴X6分别通过二组装凹槽52的圆心,参考轴X4、X5与X6之间相互平行,而参考距离D2则为参考轴X4到组装凹槽22的圆心之间的距离。其中,参考距离D1与参考距离D2相等。而导引组件5a、5b与5c亦分别具有与上述参考距离D1与D2相等之参考距离。The reference axis X1 passes through the center position of the through hole 21, and defines a reference axis X2 and a reference axis X3 respectively passing through the center of the two engaging grooves 22, and the reference axes X1, X2 and X3 are parallel to each other, and the reference distance D1 is It is the distance between the reference axis X1 and the center of the engagement groove 22. Similarly, the reference axis X4 passes through the center of curvature of the curved guiding surface 51, and defines a reference axis X5 and a reference axis X6 respectively passing through the center of the second assembling groove 52, and the reference axes X4, X5 and X6 are mutually connected. Parallel, and the reference distance D2 is the distance between the reference axis X4 and the center of the assembly groove 22. Wherein, the reference distance D1 is equal to the reference distance D2. The guiding members 5a, 5b and 5c also have reference distances equal to the above reference distances D1 and D2, respectively.

此外,凸起定位组件2更具有一卡合连结臂23,而导引组件5更具有一组装连结臂53。卡合连结臂23系指参考轴X2与X3连线以上的部分,而组装连结臂53系指参考轴X5与X6连线以上的部分。卡合连结臂23的好处在于当手术执行者要将凸起定位组件2链接至内凹卡合组件3或自内凹卡合组件3拆卸时,手术执行者的手分别握住凸起定位组件2的位置以及凸起定位组件2与内凹卡合组件3的相链接处(即卡合凹槽22与卡合凸块31相连结处)时会形成一力臂,施力点为手术执行者的手握住凸起定位组件2的位置,支点为凸起定位组件2与内凹卡合组件3的相链接处。藉由手术执行者的施力产生一力矩,会使得手术执行者,相较于没有卡合连结臂23的情况下,较容易将凸起定位组件2链接至内凹卡合组件3或自内凹卡合组件3拆卸。同理,组装连结臂53亦可以使手术执行者较容易将导引组件5组装于内凹卡合组件3或将导引组件5自内凹卡合组件3拆卸。In addition, the protruding positioning assembly 2 further has a locking connecting arm 23, and the guiding assembly 5 further has an assembly connecting arm 53. The engagement link arm 23 refers to a portion in which the reference axis X2 is connected to X3 or more, and the assembly link arm 53 refers to a portion in which the reference axis X5 and X6 are connected or more. The advantage of the snap-fit arm 23 is that when the surgeon performs the link positioning assembly 2 to or from the female snap-fit assembly 3, the operator's hand holds the raised positioning component, respectively. The position of the 2 and the joint of the protruding positioning component 2 and the concave engaging component 3 (ie, the engaging groove 22 and the engaging projection 31 are joined) form a force arm, and the point of application is the surgical performer. The hand holds the position of the raised positioning assembly 2, the fulcrum being the junction of the raised positioning assembly 2 and the female snap-fit assembly 3. Producing a moment by the force applied by the surgeon will make it easier for the surgeon to link the projection positioning assembly 2 to the concave engagement assembly 3 or from the inside without the engagement of the engagement arm 23. The female snap assembly 3 is removed. Similarly, assembling the link arm 53 also makes it easier for the surgeon to assemble the guide assembly 5 to the inner snap-fit assembly 3 or to detach the guide assembly 5 from the inner snap-fit assembly 3.

请一并参阅图1、图5至图5F,图5至图5F系显示本发明较佳实施例之使用状态图。如图所示,系预先拍摄一患者之口腔全景片与根尖片(Periapical Film),并制作患者之一口腔模型6,口腔模型6包含一齿槽骨61与至少两个牙齿62(图式仅标示其中一者),并具有一缺牙区域NA,一手术执行者系预先在缺牙区域NA钻设一钻孔611。在本实施例中,缺牙区域NA系缺少一 颗牙齿62故仅需钻设一钻孔611,若缺牙区域NA系缺少多颗牙齿62就需要钻设相对应的多个钻孔611。钻孔611是依据距离颊侧至少2毫米、距离牙颈部(CEJ)顶端1至3毫米与距离邻牙至少1.5至2毫米的规则,在口腔模型6上确定并且标记好最佳位置。而适当的植入设计位置系在颊侧骨内至少2毫米、距离邻牙至少1.5至2毫米(或距离相邻植体3毫米)。此外,钻孔611的孔径大小系参照定位棒1之下半部12的孔径大小,在本实施例中,手术执行者系利用8号圆钻钻设钻孔611。Please refer to FIG. 1 and FIG. 5 to FIG. 5F together. FIG. 5 to FIG. 5F are diagrams showing the use state of the preferred embodiment of the present invention. As shown in the figure, a patient's oral panorama and Periapical film are pre-photographed, and one of the patient's oral models 6 is prepared. The oral model 6 includes a alveolar bone 61 and at least two teeth 62 (pattern Only one of them is marked, and has a missing area NA, and a surgical performer pre-drills a bore 611 in the missing area NA. In the present embodiment, the missing tooth region NA lacks one tooth 62, so only one drill hole 611 needs to be drilled. If the missing tooth region NA system lacks a plurality of teeth 62, it is necessary to drill a corresponding plurality of drill holes 611. The bore 611 is defined and marked on the oral model 6 based on a rule of at least 2 mm from the buccal side, 1 to 3 mm from the tip of the neck (CEJ) and at least 1.5 to 2 mm from the adjacent tooth. A suitable implant design location is at least 2 mm in the buccal bone and at least 1.5 to 2 mm from the adjacent tooth (or 3 mm from the adjacent implant). Further, the aperture size of the bore 611 is referred to the aperture size of the lower half 12 of the positioning rod 1, and in the present embodiment, the surgical performer drills the bore 611 using a round drill No. 8.

接着,手术执行者将定位棒1的下半部12插入钻孔611,并且根据患者的口腔全景片与根尖片检查定位棒1的位置和角度。再利用一切削工具在定位棒1的周围开设出一低凹空间,用以防止一牙科液体胶7溢出,并取出定位棒1,往钻孔611注入少量牙科液体胶7,随后再将定位棒1插回钻孔611并藉由牙科液体胶7将定位棒1固定住。Next, the surgical performer inserts the lower half 12 of the positioning rod 1 into the bore 611, and checks the position and angle of the positioning rod 1 according to the patient's oral panorama and the apex. A cutting tool is used to open a low concave space around the positioning rod 1 to prevent a dental liquid glue 7 from overflowing, and the positioning rod 1 is taken out, and a small amount of dental liquid glue 7 is injected into the drilling hole 611, and then the positioning rod is placed. 1 Insert the drill hole 611 and fix the positioning rod 1 by the dental liquid glue 7.

当定位棒1固定完成后,手术执行者系将凸起定位组件2套设于定位棒1,因凸起定位组件2系可旋转地套设于定位棒1(如图2所示),因此,手术执行者可依据缺牙区域NA的所在位置,旋转至最适合的角度,提高手术执行者的使用便利性,例如:若缺牙区域NA在门牙处,即将凸起定位组件2正对手术执行者,若缺牙区域NA在后牙处,则可将角度旋转至适合手术执行者钻设植牙孔的角度。After the positioning rod 1 is fixed, the surgical performer sets the protruding positioning component 2 on the positioning rod 1 , because the protruding positioning component 2 is rotatably sleeved on the positioning rod 1 (as shown in FIG. 2 ), The surgeon can rotate to the most suitable angle according to the position of the missing tooth area NA, thereby improving the convenience of the surgeon. For example, if the missing tooth area NA is at the front teeth, the convex positioning component 2 is facing the surgery. The performer, if the missing area NA is at the posterior teeth, can rotate the angle to an angle suitable for the surgeon to drill the implant hole.

接着,手术执行者再将内凹卡合组件3之卡合凸块31可定位性地组装于凸起定位组件2之卡合凹槽22,并将链接组件4固接于内凹卡合组件3相对于凸起定位组件2之另一侧。因内凹卡合组件3系可定位性地组装于凸起定位组件2,故在组装后内凹卡合组件3与凸起定位组件2两者间不会产生相对移动,而链接组件4系固接于内凹卡合组件3,故链接组件4与内凹卡合组件3两者间也不会产生相对移动。链接组件4系具有一口腔接触面,口腔接触面系与患者之一口腔轮廓相吻合,口腔轮廓系表示牙齿62(牙齿轮廓)、齿槽骨61、硬颚轮廓与牙龈轮廓中之至少一者或其组合,用以在放入患者之一口腔6a内时,能固定于患者实际的牙齿62a、齿槽骨61a、硬颚与牙龈中之至少一者,而上述的种种特性皆可提升植牙孔的精确程度。此外,口腔接触面系与患者之口腔轮廓接触之那一侧,故图式无法标示。Then, the surgical performer can positionally fix the engaging protrusion 31 of the concave engaging component 3 to the engaging recess 22 of the protruding positioning component 2, and fix the linking component 4 to the concave engaging component. 3 is opposite to the other side of the projection positioning assembly 2. Since the inner concave engaging component 3 is positionally assembled to the convex positioning component 2, no relative movement between the inner concave engaging component 3 and the convex positioning component 2 is formed after assembly, and the linking component 4 is The inner locking engagement assembly 3 is fixed, so that the relative movement between the link assembly 4 and the inner engagement assembly 3 does not occur. The link assembly 4 has an oral contact surface that conforms to the oral contour of one of the patients, and the oral contour represents at least one of the teeth 62 (tooth contour), the alveolar bone 61, the hard palate contour, and the gum contour. Or a combination thereof, when placed in one of the mouths 6a of the patient, can be fixed to at least one of the actual teeth 62a, the alveolar bones 61a, the hard palate and the gums of the patient, and the above various characteristics can be enhanced The accuracy of the dental hole. In addition, the oral contact surface is on the side that is in contact with the patient's oral contour, so the figure cannot be labeled.

在本实施例中,链接组件4系固接内凹卡合组件3,并覆盖住至少两个牙齿62与齿槽骨61的一部分,然后经由特定波长的光照射下,达到固化效果,固化成链接组件4a。In the present embodiment, the link assembly 4 is fixed to the concave engagement assembly 3 and covers at least two teeth 62 and a portion of the alveolar bone 61, and then is irradiated with light of a specific wavelength to achieve a curing effect and solidify into Link component 4a.

最后,手术执行者系自口腔模型6取下链接组件4a、内凹卡合组件3、凸起定位组件2与定位棒1,并根据患者需求,自导引组件5、5a、5b与5c中挑选一者可定位性地组装至内凹卡合组件3,再放入患者之口腔6a即可进行植牙孔的钻设,也因为导引组件的参考距离与凸起定位组件2的参考距离D1(标示于图4)相等,因此,导引组件的曲型导引面导引手术执行者钻设的口腔6a的位置会对应到定位棒1插设于口腔模型6的钻孔611的位置,达到提升钻设植牙孔的精确性。在本实施例中,手术执行者挑选的是导引组件5b,导引 组件5b系用以钻设小臼齿的植牙孔,而导引组件5系适用下排门牙与侧门牙、导引组件5a系适用上排门牙、犬齿与正中门牙,而导引组件5c系适用于大臼齿。Finally, the surgical performer removes the link assembly 4a, the concave engagement assembly 3, the convex positioning assembly 2 and the positioning rod 1 from the oral model 6, and according to the patient's requirements, the self-guide assemblies 5, 5a, 5b and 5c One of the selections can be assembled to the concave engagement component 3 in a positional manner, and then placed in the oral cavity 6a of the patient to perform the drilling of the dental implant hole, and also because the reference distance of the guiding component and the reference distance of the convex positioning component 2 D1 (shown in Figure 4) is equal, therefore, the position of the oral cavity 6a drilled by the curved guiding surface of the guiding assembly to the surgical performer corresponds to the position of the positioning hole 1 inserted into the drilling hole 611 of the oral cavity model 6. , to improve the accuracy of drilling the implant hole. In this embodiment, the surgical implementer selects the guiding component 5b, the guiding component 5b is used for drilling the dental implant hole of the small molar, and the guiding component 5 is suitable for the lower front tooth and the side front tooth, the guiding component. 5a is suitable for upper incisors, canines and median incisors, and guide assembly 5c is suitable for large molars.

较佳者,手术执行者可采用逐级钻孔的方式,将植牙孔从小钻到大,如果需要使用导引组件5b钻设植牙孔,则牙医师会先使用导引组件5钻设一植牙孔,接着使用导引组件5a将刚刚钻设的植牙孔在钻大,类似扩孔的概念,最后才使用导引组件5b钻射出最终符合患者需求的植牙孔。同理,若需要使用导引组件5a,则需要先使用导引组件5,之后才使用导引组件5a;若要使用导引组件5c,则需要依序使用导引组件5、导引组件5a与导引组件5b,最后,才使用导引组件5c。采用逐级钻洞可避免直接钻设半径较大的孔会因产生较大的震动而造成误差,可再提升植牙孔的精确性。Preferably, the surgeon can use the step-by-step drilling method to drill the implant hole from small to large. If the guide member 5b is required to drill the implant hole, the dentist will first drill using the guide assembly 5. An implant hole, and then the guide hole assembly 5a is used to drill the implant hole, which is similar to the concept of reaming, and finally the guide assembly 5b is used to drill the implant hole which finally meets the patient's needs. Similarly, if it is necessary to use the guiding component 5a, the guiding component 5 needs to be used first, and then the guiding component 5a is used; if the guiding component 5c is to be used, the guiding component 5 and the guiding component 5a need to be used sequentially. With the guiding assembly 5b, finally, the guiding assembly 5c is used. The use of step-by-step drilling can avoid direct drilling of holes with larger radii, which will cause errors due to large vibrations, and can improve the accuracy of the implant holes.

需特别说明的是,口腔模型6系依照口腔6a制作,故口腔模型6的齿槽骨61系对应到实际口腔6a的一齿槽骨61a,口腔模型6的至少两个牙齿62系对应到实际口腔6a的至少两个牙齿62a,而口腔模型6的缺牙区域NA系对应到实际口腔6a的缺牙区域NAa。因此,具有与口腔模型6的口腔轮廓相吻合的口腔接触面之链接组件4a,再放入患者的口腔6a后能精准的卡合于口腔6a内的牙齿62a与齿槽骨61a,而不会产生相对移动导致定位不精确。It should be particularly noted that the oral cavity model 6 is made in accordance with the oral cavity 6a, so that the alveolar bone 61 of the oral cavity model 6 corresponds to one of the alveolar bone 61a of the actual oral cavity 6a, and at least two teeth 62 of the oral cavity model 6 correspond to the actual At least two teeth 62a of the oral cavity 6a, and the missing tooth region NA of the oral cavity model 6 corresponds to the missing tooth region NAa of the actual oral cavity 6a. Therefore, the link assembly 4a having the oral contact surface conforming to the oral contour of the oral cavity model 6 can be accurately engaged with the teeth 62a and the alveolar bone 61a in the oral cavity 6a after being placed in the oral cavity 6a of the patient, without Relative movements result in inaccurate positioning.

本较佳实施例系以单颗缺牙为例,但不以此为限,本发明所提供之牙科植体定位导引组件1亦可用于多颗缺牙的植牙手术。The preferred embodiment is exemplified by a single missing tooth, but not limited thereto. The dental implant positioning guide assembly 1 provided by the present invention can also be used for multiple dental implant surgery.

综上所述,本发明所提供之牙科植体定位导引组件的定位更方便且更精确,三个相互可定位性地组装的组件插拔和固定非常便捷,且可灵活地调整位置和角度。导引组件的设计既符合植牙钻的半径大小具有导引功能,又可使植牙钻从侧边放入钻设值牙孔,使得患者不用将嘴巴张很大,可以舒缓患者的不适感。导引组件在精准确定植体的植入位置(植牙孔)的同时也简化了原本复杂的植牙导引板制作程序,提高了工作效率,让植体的植入位置定点、定深与定向,提高植牙手术的成功率,亦大幅地节省牙医师进行手术的时间。In summary, the positioning of the dental implant positioning guide assembly provided by the present invention is more convenient and more precise, and the three mutually positionally assembled components are easy to insert and remove, and the position and angle can be flexibly adjusted. . The design of the guiding component not only conforms to the radius of the dental drill, but also allows the dental drill to be placed into the drilled value hole from the side, so that the patient does not need to open the mouth, which can relieve the patient's discomfort. . The guiding component accurately simplifies the implant placement position (implantation hole) and simplifies the original complicated dental implant guide plate making process, improves the working efficiency, and allows the implant to be fixed and fixed. Orientation, improve the success rate of implant surgery, and also greatly save the time for the dentist to perform surgery.

本发明与数字化植牙导引板相比,数字化植牙导引板技术系利用计算机对颔骨进行形态学方面的观察和测量与兼顾后期修复等诸多因素进行综合考虑后确定植牙孔的位置,进一步生成三维导引板模型文件进行全口扫描的3D打印,造成单颗缺牙和多颗缺牙均需要打印全副导板、无法大量制造通用的规格、成本高昂与等待时间过长等问题。Compared with the digital dental implant guiding plate, the digital dental implant guiding plate technology utilizes a computer to observe and measure the humerus in the morphological aspect and take into consideration the post-repair and other factors to determine the position of the dental implant hole. Further, the 3D guide plate model file is generated to perform full-port scanning 3D printing, which causes the problem that a single missing tooth and a plurality of missing teeth need to print the full auxiliary guide plate, can not mass-produce common specifications, and has high cost and long waiting time.

相较于先前技术中,导引板的导引板卡环的结构是整个圆,牙医师在操作的过程中,植牙钻的刻度会被导引板卡环挡住,因此,牙医师无法精确控制植牙钻钻设的深度;在本发明所提供之牙科植体定位导引组件中,导引组件系开设有一缺口,导引组件结构系呈半圆形或是两端稍长呈现类似马蹄型的结构,不仅达到了导引的功能,也可以让手术执行者(即牙医师)清楚的看到植牙钻的刻度,达到精确定深的效果。另一个功效是不用让患者将嘴巴张很大即可进行钻设,可以大幅舒缓先前技术中患者需将嘴巴张很大的不适 感。Compared with the prior art, the structure of the guiding plate snap ring of the guiding plate is the whole circle, and during the operation of the dentist, the scale of the dental drill is blocked by the guiding plate ring, so the dentist cannot accurately Controlling the depth of the dental implant drilling device; in the dental implant positioning guiding assembly provided by the present invention, the guiding component is provided with a notch, and the guiding component structure is semicircular or slightly longer at both ends and resembles a horseshoe The structure of the type not only achieves the guiding function, but also allows the surgeon (ie, the dentist) to clearly see the scale of the dental drill to achieve a precise and deep effect. Another effect is that the patient does not need to have a large mouth to drill, which can greatly relieve the discomfort of the patient in the prior art.

相较于先前技术中,导引板也存在着流程复杂的问题,牙医师每更换一个不同直径的植牙钻就要随之更换一个与该植牙钻直径相匹配的孔洞的导引板,也就是说每个患者都需要制作至少四个导引板,并且在进行植牙手术的过程中需要放入、取出、更换多次。在本发明所提供之牙科植体定位导引组件中,至少两个具有不同曲率半径的导引组件系可定位性地组装于内凹卡合组件,组装或拆卸皆相当便利,而每个患者只需要制作一个导引板(链接组件固接内凹卡合组件),且在进行植牙手术过程中,手术执行者(牙医师)仅需更换导引组件即可,不但不需要多次放入、取出与更换,也使得成本更低、效率更高、手术过程更简单。Compared with the prior art, the guide plate also has a complicated process, and the dentist replaces a guide plate with a diameter matching the diameter of the implant drill for each tooth drill of a different diameter. That is to say, each patient needs to make at least four guiding plates, and needs to be placed, removed, and replaced multiple times during the dental implant surgery. In the dental implant positioning guide assembly provided by the present invention, at least two guiding members having different radii of curvature are positionally assembled to the concave engaging assembly, and assembly or disassembly is convenient, and each patient Only need to make a guiding plate (the link assembly is fixed to the concave locking component), and during the dental implant surgery, the surgeon (dentist) only needs to replace the guiding component, not only does not need to put multiple times Ingress, removal and replacement also result in lower cost, higher efficiency and a simpler surgical procedure.

藉由以上较佳具体实施例之详述,系希望能更加清楚描述本发明之特征与精神,而并非以上述所揭露的较佳具体实施例来对本发明之范畴加以限制。相反地,其目的是希望能涵盖各种改变及具相等性的安排于本发明所欲申请之专利范围的范畴内。The features and spirit of the present invention will be more apparent from the detailed description of the preferred embodiments. On the contrary, the intention is to cover various modifications and equivalents within the scope of the invention as claimed.

Claims (12)

一种牙科植体定位导引组件,系用以供一手术执行者在一患者之一口腔内之一齿槽骨钻设至少一植牙孔,其特征在于:包含:A dental implant positioning guide assembly is provided for a surgeon to drill at least one implant hole in one of the orbital cavities of one of the patients, characterized in that: 一定位棒,系用以插设于一预先在该患者之一口腔模型内所钻出之钻孔;a positioning rod for inserting a drill hole previously drilled in an oral cavity model of the patient; 一凸起定位组件,系开设有一对应该定位棒之穿孔,用以套设于该定位棒;a protruding positioning component is provided with a pair of perforations to be positioned on the rod for nesting on the positioning rod; 一内凹卡合组件,系可定位性地组装于该凸起定位组件;a female snap-fit assembly is positionally assembled to the raised positioning assembly; 一链接组件,系固接该内凹卡合组件之一侧,并具有一与该患者之一口腔轮廓相吻合之口腔接触面,用以卡合该口腔轮廓;以及a link assembly secured to one side of the female snap-fit assembly and having an oral contact surface that conforms to the oral contour of one of the patient for engaging the oral contour; 至少两个导引组件,该些导引组件之任一者系可定位性地组装于该内凹卡合组件,且每一该些导引组件开设有一缺口,并在该缺口处形成一曲型导引面,以供该手术执行者受该曲型导引面所导引而钻设该至少一植牙孔;At least two guiding components, any one of the guiding components is locably assembled to the concave engaging component, and each of the guiding components defines a notch and forms a curve at the notch a guiding surface for the surgeon to guide the at least one implant hole guided by the curved guiding surface; 其中,在该内凹卡合组件可定位性地组装于该凸起定位组件后,该手术执行者系将该链接组件固接该内凹卡合组件,并将该凸起定位组件与该定位棒置换成该些导引组件中之一者,最后将该链接组件、该内凹卡合组件与相应导引组件放入该患者之该口腔内,并藉由该链接组件卡合该口腔轮廓以导引钻设该至少一植牙孔。After the concave engagement component is positionally assembled to the convex positioning component, the surgical performer fixes the linking component to the concave engagement component, and positions the convex positioning component and the positioning component Disposing the rod into one of the guiding assemblies, and finally placing the linking assembly, the concave engaging assembly and the corresponding guiding assembly into the oral cavity of the patient, and engaging the oral contour by the linking assembly The at least one implant hole is drilled by guiding. 如权利要求1所述之牙科植体定位导引组件,其特征在于:其中,该定位棒系具有一上半部和一下半部,该上半部系一梯形圆柱,该下半部系一圆柱,该上半部系比该下半部粗,该上半部系一上细下粗的梯形圆柱,该上半部的横截面系一圆形且纵截面系一梯形。A dental implant positioning guide assembly according to claim 1, wherein the positioning rod has an upper half and a lower half, the upper half being a trapezoidal cylinder, and the lower half being a The upper half is thicker than the lower half, and the upper half is a trapezoidal cylinder which is thick and thick, and the upper half has a circular cross section and a longitudinal section of a trapezoid. 如权利要求1所述之牙科植体定位导引组件,其特征在于:其中,该凸起定位组件的两侧各具有一卡合凹槽。The dental implant positioning guide assembly of claim 1 , wherein each of the two sides of the protruding positioning assembly has an engaging recess. 如权利要求3所述之牙科植体定位导引组件,其特征在于:其中,该内凹卡合组件相对于该链接组件之一端系具有二卡合凸块,该二卡合凸块系用以分别固接该凸起定位组件的两侧之该卡合凹槽。The dental implant positioning guide assembly of claim 3, wherein the female engaging component has two engaging projections with respect to one end of the linking component, and the two engaging projections are used. To respectively fix the engaging grooves on both sides of the protruding positioning component. 如权利要求4所述之牙科植体定位导引组件,其特征在于:其中,每一该些导引组 件的两侧各具有一组装凹槽,且该些组装凹槽系用以可定位性地组装于该内凹卡合组件之该二卡合凸块。The dental implant positioning guide assembly of claim 4, wherein each of the guiding assemblies has an assembly groove on each side thereof, and the assembly grooves are used for positionability. The two engaging projections are assembled to the inner recessed engaging component. 如权利要求1所述之牙科植体定位导引组件,其特征在于:其中,该些导引组件为四个上述之导引组件,且该四个上述之导引组件之曲型导引面之曲率半径分别为2.2毫米、2.8毫米、3.5毫米与4.2毫米。The dental implant positioning guide assembly of claim 1 , wherein the guiding assemblies are four guiding assemblies, and the curved guiding surfaces of the four guiding assemblies are The radius of curvature is 2.2 mm, 2.8 mm, 3.5 mm and 4.2 mm, respectively. 如权利要求1所述之牙科植体定位导引组件,其特征在于:其中,该链接组件系由一光固化材质所组成,并利用光固化方式固接该内凹卡合组件。The dental implant positioning guide assembly of claim 1 , wherein the linking component is composed of a photocurable material and is fixed to the concave engagement component by photocuring. 如权利要求1所述之牙科植体定位导引组件,其特征在于:其中,该链接组件与该内凹卡合组件系利用3D打印方式而使彼此一体化地成型。A dental implant positioning guide assembly according to claim 1, wherein the link assembly and the concave engagement member are integrally molded with each other by means of a 3D printing method. 如权利要求1所述之牙科植体定位导引组件,其特征在于:其中,该链接组件系利用热熔方式固接该内凹卡合组件。The dental implant positioning guide assembly of claim 1 wherein the link assembly secures the female snap-fit assembly by heat fusion. 如权利要求1所述之牙科植体定位导引组件,其特征在于:其中,该链接组件系卡接该内凹卡合组件。The dental implant positioning guide assembly of claim 1 wherein the link assembly snaps into the female snap-fit assembly. 如权利要求1所述之牙科植体定位导引组件,其特征在于:其中,该定位棒、该凸起定位组件、该内凹卡合组件、该链接组件与该些导引组件系利用3D打印方式制作。The dental implant positioning guide assembly of claim 1 , wherein the positioning rod, the protruding positioning assembly, the concave engaging component, the linking component and the guiding components utilize 3D Print mode production. 如权利要求1所述之牙科植体定位导引组件,其特征在于:其中,该定位棒、该凸起定位组件、该内凹卡合组件、该链接组件与该些导引组件系利用陶模铸造制作。The dental implant positioning guide assembly of claim 1 , wherein the positioning rod, the protruding positioning assembly, the concave engaging component, the linking component and the guiding components are used Mold casting production.
PCT/CN2018/091290 2017-06-15 2018-06-14 Positioning and guiding assembly for dental implant Ceased WO2018228482A1 (en)

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