PREPARATION GUIDE FOR A DENTAL PREPARATION
20250345154 ยท 2025-11-13
Inventors
Cpc classification
B33Y50/00
PERFORMING OPERATIONS; TRANSPORTING
A61C8/009
HUMAN NECESSITIES
G16H20/40
PHYSICS
A61C8/001
HUMAN NECESSITIES
A61B2034/107
HUMAN NECESSITIES
B22F10/28
PERFORMING OPERATIONS; TRANSPORTING
A61C13/0004
HUMAN NECESSITIES
B22F10/80
PERFORMING OPERATIONS; TRANSPORTING
A61B2034/108
HUMAN NECESSITIES
A61C9/0053
HUMAN NECESSITIES
A61B2034/105
HUMAN NECESSITIES
International classification
A61C8/00
HUMAN NECESSITIES
Abstract
The invention relates to a method for generating a three-dimensional digital guide model of a physical preparation guide for a dental preparation of a patient's jaw. A three-dimensional digital jaw model and a definition of tooth positions is received. The tooth positions comprise one or more target tooth positions for one or more artificial teeth. The three-dimensional digital jaw model is overlaid with a three-dimensional digital corrugated surface. The overlaying comprises adjusting a waveform of the corrugation with local minima and maxima, such that the local minima are arranged at the positions of the teeth, while the local maxima are arranged between the positions of the teeth. The three-dimensional digital guide model is generated using the three-dimensional digital corrugated surface with the adjusted waveform.
Claims
1. A method for generating a three-dimensional digital guide model of a physical preparation guide for a dental preparation of a patient's jaw, the method comprising: receiving a three-dimensional digital jaw model of the patient's jaw, receiving a definition of tooth positions of a set of teeth comprising a plurality of teeth, the tooth positions comprising one or more target tooth positions for one or more artificial teeth comprised by the set of teeth, generating a three-dimensional digital corrugated surface, the corrugation of the three-dimensional digital corrugated surface being defined by a waveform comprising local minima and maxima, the three-dimensional digital corrugated surface extending along a reference plane extending perpendicular to a longitudinal direction of the teeth, with the corrugation extending in the longitudinal direction, overlaying the three-dimensional digital jaw model with the three-dimensional digital corrugated surface, the overlaying comprising adjusting the waveform using the tooth positions, such that the local minima of the waveform are arranged at the positions of the teeth, while the local maxima of the waveform are arranged between the positions of the teeth, generating the three-dimensional digital guide model of the physical preparation guide using the three-dimensional digital corrugated surface with the adjusted waveform and the three-dimensional digital jaw model, providing data for controlling a manufacturing of the physical preparation guide, the data defining the three-dimensional digital guide model as a template for the physical preparation guide.
2. The method of claim 1, the minima being formed by first straight lines of a first constant height extending in oral direction parallel to the reference plane through the target positions of the teeth, the maxima being formed by second straight lines of a second constant height extending in oral direction parallel to the reference plane between the target positions of the teeth.
3. The method of claim 1, the three-dimensional digital guide model having a form of a splint being configured to be arranged on a jaw structure defined by the received three-dimensional digital jaw model with an inner surface of the splint being defined as a negative of an outer surface of the jaw structure.
4. The method of claim 3, the physical preparation guide defining a target contour line of the dental preparation, the splint comprising a cutout in an occlusal section of the splint with a contour line of the cutout being defined by an intersection line, which is defined by the intersection of the three-dimensional digital jaw model overlaid with the three-dimensional digital corrugated surface with the adjusted waveform.
5. The method of claim 4, the jaw structure defined by the received three-dimensional digital jaw model representing a jawbone of the patient to be prepared.
6. The method of claim 5, the physical preparation guide being a bone reduction guide with the target contour line being a contour line of an occlusal surface of a jawbone of the patient to be achieved by the dental preparation comprising a bone reduction.
7. The method of claim 5, the physical preparation guide being a bone reconstruction guide with the target contour line being a contour line of an occlusal surface of a jawbone of the patient to be achieved by the dental preparation comprising a bone reconstruction.
8. The method of claim 3, the three-dimensional digital jaw model comprising scan data the patient's jaw.
9. The methos of claim 8, the scan data comprising one or more of the following: CBCT scan data, CT scan data.
10. The method of claim 4, the jaw structure defined by the received three-dimensional digital jaw model being a gingiva of the patient to be prepared, the physical preparation guide being a gingiva shaping guide with the target contour line being an occlusal contour line of the gingiva of the patient to be achieved by the dental preparation comprising a shaping of the gingiva of the patient.
11. The method of claim 3, the physical preparation guide being a drilling guide comprising first through holes defining positions of drilling holes to be drilled into the jawbone of the patient for implants, the occlusal section of the splint having an inner surface being defined as a negative of the three-dimensional digital corrugated surface with the adjusted waveform, the method further comprising: receiving definitions of the positions of the drilling holes, the generating of the three-dimensional digital guide model comprising defining the first through holes using the definitions of the positions of the drilling holes.
12. The method of claim 1, the method further comprising: defining positions of one or more second through holes to be comprised by the three-dimensional digital guide model, the second through holes being configured for receiving fastening means for fastening the physical guide model to the patient's jaw, the definitions of the positions of the second through holes being used for the generating of the three-dimensional digital guide model comprising the one or more second through holes.
13. The method of claim 1, all teeth comprised by the set of teeth being artificial teeth, all tooth positions received being target positions of the artificial teeth of the set of teeth.
14. The method of claim 13, the set of teeth comprising a full dental arch of artificial teeth.
15. The method of claim 1, the method further comprising manufacturing of the physical preparation guide using the data provided for controlling the manufacturing with the manufactured physical preparation guide being a physical copy of the template defined by the provided data.
16. A computer program product for generating a three-dimensional digital guide model of a physical preparation guide for a dental preparation of a patient's jaw, the computer program product comprising a non-transitory computer readable storage medium having program instructions embodied therewith, the program instructions being executable by a processor of a computer device to cause the computer device to: receive a three-dimensional digital jaw model of the patient's jaw, receive a definition of tooth positions of a set of teeth comprising a plurality of teeth, the tooth positions comprising one or more target tooth positions for one or more artificial teeth comprised by the set of teeth, generate a three-dimensional digital corrugated surface, the corrugation of the three-dimensional digital corrugated surface being defined by a waveform comprising local minima and maxima, the three-dimensional digital corrugated surface extending along a reference plane extending perpendicular to a longitudinal direction of the teeth, with the corrugation extending in the longitudinal direction, overlay the three-dimensional digital jaw model with the three-dimensional digital corrugated surface, the overlaying comprising adjusting the waveform using the tooth positions, such that the local minima of the waveform are arranged at the positions of the teeth, while the local maxima of the waveform are arranged between the positions of the teeth, generate the three-dimensional digital guide model of the physical preparation guide using the three-dimensional digital corrugated surface with the adjusted waveform and the three-dimensional digital jaw model, provide data for controlling a manufacturing of the physical preparation guide, the data defining the three-dimensional digital guide model as a template for the physical preparation guide.
17. A computer device for generating a three-dimensional digital guide model of a physical preparation guide for a dental preparation of a patient's jaw, the computer device comprising a processor and a memory storing program instructions executable by the processor, execution of the program instructions by the processor causing the computer device to: receive a three-dimensional digital jaw model of the patient's jaw, receive a definition of tooth positions of a set of teeth comprising a plurality of teeth, the tooth positions comprising one or more target tooth positions for one or more artificial teeth comprised by the set of teeth, generate a three-dimensional digital corrugated surface, the corrugation of the three-dimensional digital corrugated surface being defined by a waveform comprising local minima and maxima, the three-dimensional digital corrugated surface extending along a reference plane extending perpendicular to a longitudinal direction of the teeth, with the corrugation extending in the longitudinal direction, overlay the three-dimensional digital jaw model with the three-dimensional digital corrugated surface, the overlaying comprising adjusting the waveform using the tooth positions, such that the local minima of the waveform are arranged at the positions of the teeth, while the local maxima of the waveform are arranged between the positions of the teeth, generate the three-dimensional digital guide model of the physical preparation guide using the three-dimensional digital corrugated surface with the adjusted waveform and the three-dimensional digital jaw model, provide data for controlling a manufacturing of the physical preparation guide, the data defining the three-dimensional digital guide model as a template for the physical preparation guide.
18. A manufacturing system comprising the computer device of claim 17, the manufacturing system further comprising one or more manufacturing devices configured to manufacture the physical guide model, execution of the program instructions by the processor further causing the computer device to control the one or more manufacturing devices to manufacture the physical guide model using the data provided for controlling the manufacturing with the manufactured physical preparation guide being a physical copy of the template defined by the data provided.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
[0102] In the following, examples are described in greater detail making reference to the drawings in which:
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DETAILED DESCRIPTION
[0125] In the following, similar elements are denoted by the same reference numerals. Elements which have been discussed previously will not necessarily be discussed in later figures if the function is equivalent.
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[0127] In
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[0129] The corrugations of the three-dimensional digital corrugated surfaces 120 are each defined by a waveform comprising local minima 122 and maxima 124. Each of the three-dimensional digital corrugated surfaces 120 extends along a reference plane 126 extending perpendicular to a longitudinal direction 128 of the teeth of the respective jaw. The longitudinal direction 128 may, e.g., be an averaged direction. It may, e.g., be a direction of properly arranged artificial teeth, i.e., a target direction of the artificial teeth. The longitudinal direction 128 may, e.g., be a direction perpendicular to an occlusal plane. In this case, the reference plane 126 may be provided by the occlusal plane.
[0130] The corrugations of the three-dimensional digital corrugated surfaces 120 extend in the longitudinal direction 128. The overlaid three-dimensional digital corrugated surfaces 120 are each adjusted, such that the local minima 122 are arranged at the positions of the teeth and the local maxima 124 are arranged between the positions 102 of the teeth.
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[0132] The local minima 122 are formed by first straight lines 130 of a first constant height h.sub.1. The first straight lines 130 extend in oral direction 134 parallel to the reference plane 126 through the target positions 102 of the teeth. The local maxima 124 are formed by second straight lines 132 of a second constant height h.sub.2. The difference in height between the second constant height h.sub.1 and the first constant height h.sub.1 is h. The second straight lines 132 extend in oral direction 134 parallel to the reference plane 126 between the target positions 102 of the teeth. The first and second straight lines 130, 132, when extending in oral direction, may, e.g., be arranged perpendicular to the tooth arch indicated in
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[0135] The planned positions of the implants 150 are arranged within the intersection of the three-dimensional digital corrugated surface 120 with the three-dimensional digital jaw model 100. The planned position of the fastening means 152 is arranged in apical direction below the intersection of the three-dimensional digital corrugated surface 120 with the three-dimensional digital jaw model 100.
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[0137] The splint formed by the three-dimensional digital guide model 170 comprises a cutout 174 in an occlusal section 176 of the splint. A contour line 172 of the cutout 174 of the three-dimensional digital guide model 170 defines a target contour line of a dental preparation to be applied to the jawbone, in order to prepare it for receiving the implant-supported bridge. The contour line 172 of the cutout 174 is defined by an intersection line, which is defined by the intersection of the three-dimensional digital jaw model 100 overlaid with the three-dimensional digital corrugated surface 120 as shown, e.g., in
[0138] The three-dimensional digital guide model 170 is, e.g., a model of a bone reduction guide. The bone reduction guide defines by the contour line 172 the target contour line of the preparation. The target contour line is a contour line of an occlusal surface of the jawbone of the patient to be achieved by the dental preparation comprising a bone reduction. A preparation of the jawbone using the contour line 172 of the bone reduction guide as a guidance defining the target contour line of the preparation may result in a preparation surface 106 of the jawbone as shown in
[0139] For generating the three-dimensional digital guide model 170 of the physical preparation guide, the three-dimensional digital jaw model 100 and the three-dimensional digital corrugated surface 120 with the adjusted waveform may be used. For example, a splint with a reception 179 for receiving the fastening means 152 may be arranged on the three-dimensional digital jaw model 100 shown in
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[0141] The implant-supported bridge 180 comprises a plurality of artificial teeth 104. In case of
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[0144] The three-dimensional digital guide model 170 has a form of a splint. An inner surface of the splint may be defined as a negative of an outer surface of a jaw, on which the splint is to be arranged. The splint comprises a cutout 174 in an occlusal section 176 of the splint. A contour line 172 of the cutout 174 of the three-dimensional digital guide model 170 defines a target contour line of a dental preparation to be applied to the jawbone, in order to prepare it for receiving, e.g., an implant-supported bridge. The target contour line is a contour line of an occlusal surface of the jawbone of the patient to be achieved by the dental preparation comprising a bone reduction.
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[0149] The three-dimensional digital guide model 170 has a form of a splint, which is configured to be arranged on a three-dimensional digital jaw model. An inner surface of the splint is defined as a negative of an outer surface of the three-dimensional digital jaw model, on which the three-dimensional digital guide model 170 is to be arranged.
[0150] The splint formed by the three-dimensional digital guide model 170 comprises a cutout 174 in an occlusal section 176 of the splint. A contour line 172 of the cutout 174 of the three-dimensional digital guide model 170 defines the target contour line of the bone reconstruction.
[0151] The contour line 172 of the cutout 174 may be defined by an intersection line, which is defined by the intersection of the splint with a three-dimensional digital corrugated surface as the one, e.g., shown in
[0152] A preparation of the jawbone using the contour line 172 of the bone reconstruction guide as a guidance defining the target contour line of the reconstruction may result in a reconstructed occlusal surface of the jawbone with the form of three-dimensional digital corrugated surface.
[0153] The three-dimensional digital guide model 170 may comprise a reception 179 for receiving the fastening means 152. The fastening means 152 is configured for fastening the physical preparation guide defined by the three-dimensional digital guide model 170 to a jawbone.
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[0155] The three-dimensional digital guide model 170 has a form of a splint, which is configured to be arranged on a three-dimensional digital jaw model. The received three-dimensional digital jaw model may define the jaw structure in form of the gingiva. An inner surface of the splint is defined as a negative of an outer surface of the three-dimensional digital jaw model, on which the three-dimensional digital guide model 170 is to be arranged.
[0156] The splint formed by the three-dimensional digital guide model 170 comprises a cutout 174 in an occlusal section 176 of the splint. A contour line 172 of the cutout 174 of the three-dimensional digital guide model 170 defines the target contour line for the gingiva shaping. The target contour line is an occlusal contour line of the gingiva of the patient to be achieved by the dental preparation, i.e., the shaping of the gingiva in case of the gingiva shaping guide.
[0157] The contour line 172 of the cutout 174 may be defined by an intersection line, which is defined by the intersection of the splint with a three-dimensional digital corrugated surface as the one, e.g., shown in
[0158] The three-dimensional digital guide model 170 may comprise a reception 179 for receiving the fastening means 152. The fastening means 152 is configured for fastening the physical preparation guide defined by the three-dimensional digital guide model 170 to a jawbone.
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[0160] In block 206, a three-dimensional digital corrugated surface is generated. The corrugation of the three-dimensional digital corrugated surface is defined by a waveform comprising local minima and maxima. The three-dimensional digital corrugated surface extends along a reference plane extending perpendicular to a longitudinal direction of the teeth, while the corrugation extends in the longitudinal direction.
[0161] The minima, e.g., are formed by first straight lines of a first constant height extending in oral direction parallel to the reference plane through the target positions of the teeth. The maxima, e.g., are formed by second straight lines of a second constant height extending in oral direction parallel to the reference plane between the target positions of the teeth.
[0162] In block 208, the three-dimensional digital jaw model is overlaid with the three-dimensional digital corrugated surface. The overlaying comprises adjusting the waveform using the tooth positions, such that the local minima of the waveform are arranged at the positions of the teeth, while the local maxima of the waveform are arranged between the positions of the teeth. For example, the overlaying comprising a graphically overlaying the three-dimensional digital jaw model with the three-dimensional digital corrugated surface.
[0163] In block 212, definitions of positions of fastening holes are received. The fastening holes are configured for receiving fastening means for fastening the physical guide model to the patient's jaw. The definitions of the fastening holes ae defining positions of one or more through holes to be comprised by the three-dimensional digital guide model. The second holes are configured for receiving fastening means for fastening the physical guide model to the patient's jaw.
[0164] In block 214, the three-dimensional digital guide model of the physical preparation guide is generated using the three-dimensional digital corrugated surface with the adjusted waveform and the three-dimensional digital jaw model. For example, the three-dimensional digital guide model has a form of a splint being configured to be arranged on a jaw structure defined by the received three-dimensional digital jaw model with an inner surface of the splint being defined as a negative of an outer surface of the jaw structure. The generating of the three-dimensional digital guide model further comprises defining the through holes using the definitions of the positions of the fastening holes received in block 214.
[0165] For example, the physical preparation guide defines a target contour line of the dental preparation. The splint comprises a cutout in an occlusal section of the splint with a contour line of the cutout being defined by an intersection line, which is defined by the intersection of the three-dimensional digital jaw model overlaid with the three-dimensional digital corrugated surface with the adjusted waveform.
[0166] For example, the jaw structure defined by the received three-dimensional digital jaw model comprises a representation of a jawbone of the patient to be prepared. For example, the three-dimensional digital jaw model comprises scan data of the jawbone of the patient, e.g., CBCT scan data and/or CT scan data.
[0167] For example, the jaw structure defined by the received three-dimensional digital jaw model comprises a representation of intraoral issue of the patient comprising the gingiva of the patient. For example, the three-dimensional digital jaw model, e.g., comprises optical scan data of the intraoral issue of the patient comprising the gingiva of the patient. The optical scan data may, e.g., comprise intraoral optical scan data or optical scan data from a scan of a classical mold/impression of the intraoral issue of the patient.
[0168] For example, the physical preparation guide is a bone reduction guide and the target contour line is a contour line of an occlusal surface of a jawbone of the patient to be achieved by the dental preparation comprising a bone reduction. The bone reduction, e.g., comprises removing bone material from the jawbone.
[0169] For example, the physical preparation guide is a bone reconstruction guide and the target contour line is a contour line of an occlusal surface of a jawbone of the patient to be achieved by the dental preparation comprising a bone reconstruction. The bone reconstruction, e.g., comprises adding reconstruction material to the jawbone.
[0170] For example, the jaw structure defined by the received three-dimensional digital jaw model is a gingiva of the patient to be prepared. The physical preparation guide, e.g., is a gingiva shaping guide and the target contour line is an occlusal contour line of the gingiva of the patient to be achieved by the dental preparation comprising a shaping of the gingiva of the patient. The shaping of the gingiva, e.g., comprises removing gingiva material from the gingiva. For example, the three-dimensional digital jaw model comprises optical scan data of the gingiva of the patient.
[0171] In block 216, data for controlling a manufacturing of the physical preparation guide is provided. The data defines the three-dimensional digital guide model as a template for the physical preparation guide.
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[0173] Blocks 202 to 216 of
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[0175] For example, the jaw structure defined by the received three-dimensional digital jaw model comprises a representation of intraoral issue of the patient comprising the gingiva of the patient. For example, the three-dimensional digital jaw model, e.g., comprises optical scan data of the intraoral issue of the patient comprising the gingiva of the patient. The optical scan data may, e.g., comprise intraoral optical scan data or optical scan data from a scan of a classical mold/impression of the intraoral issue of the patient.
[0176] In block 204, a definition of tooth positions of a set of teeth comprising a plurality of teeth is received. The tooth positions comprise one or more target tooth positions for one or more artificial teeth comprised by the set of teeth. For example, all teeth comprised by the set of teeth are artificial teeth and all tooth positions received are target positions of the artificial teeth of the set of teeth. For example, the set of teeth comprises one or more artificial teeth as well one or more natural teeth. For example, the set of teeth comprises a full dental arch. For example, the full dental arch is a full dental arch of artificial teeth. For example, the full dental arch comprises one or more artificial teeth as well as one or more natural teeth. For example, the set of teeth comprises a partial dental arch. For example, the partial dental arch is a partial dental arch of artificial teeth. For example, the partial dental comprises one or more artificial teeth as well as one or more natural teeth.
[0177] In block 206, a three-dimensional digital corrugated surface is generated. The corrugation of the three-dimensional digital corrugated surface is defined by a waveform comprising local minima and maxima. The three-dimensional digital corrugated surface extends along a reference plane extending perpendicular to a longitudinal direction of the teeth, while the corrugation extends in the longitudinal direction.
[0178] The minima, e.g., are formed by first straight lines of a first constant height extending in oral direction parallel to the reference plane through the target positions of the teeth. The maxima, e.g., are formed by second straight lines of a second constant height extending in oral direction parallel to the reference plane between the target positions of the teeth.
[0179] In block 208, the three-dimensional digital jaw model is overlaid with the three-dimensional digital corrugated surface. The overlaying comprises adjusting the waveform using the tooth positions, such that the local minima of the waveform are arranged at the positions of the teeth, while the local maxima of the waveform are arranged between the positions of the teeth. For example, the overlaying comprising a graphically overlaying the three-dimensional digital jaw model with the three-dimensional digital corrugated surface.
[0180] In block 210, definitions of the positions of drilling holes to be drilled into the jawbone of the patient for implants are received.
[0181] In block 212, definitions of positions of fastening holes are received. The fastening holes are configured for receiving fastening means for fastening the physical guide model to the patient's jaw. The definitions of the fastening holes ae defining positions of one or more second through holes to be comprised by the three-dimensional digital guide model. The second through holes are configured for receiving fastening means for fastening the physical guide model to the patient's jaw.
[0182] In block 214, the three-dimensional digital guide model of the physical preparation guide is generated using the three-dimensional digital corrugated surface with the adjusted waveform and the three-dimensional digital jaw model. The three-dimensional digital guide model has a form of a splint being configured to be arranged on a jaw structure defined by the received three-dimensional digital jaw model with an inner surface of the splint being defined as a negative of an outer surface of the jaw structure. For example, the physical preparation guide being generated is a drilling guide, which comprises first through holes defining positions of drilling holes to be drilled into the jawbone of the patient for implants. The occlusal section of the splint, e.g., has an inner surface defined as a negative of the three-dimensional digital corrugated surface with the adjusted waveform. The generating of the three-dimensional digital guide model comprises defining the first through holes using the definitions of the positions of the drilling holes received in block 212. The generating of the three-dimensional digital guide model further comprises defining the second through holes using the definitions of the positions of the fastening holes received in block 214.
[0183] In block 216, data for controlling a manufacturing of the physical preparation guide is provided. The data defines the three-dimensional digital guide model as a template for the physical preparation guide.
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[0185] Blocks 202 to 216 of
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[0187] In block 222, the physical preparation guide is manufactured using the data for controlling the manufacturing received in block 220. The manufactured physical preparation guide is a physical copy of the template defined by the provided data. For example, the manufactured physical preparation guide is one of the following: a bone reduction guide, a bone reconstruction guide, a gingiva shaping guide, or a drilling guide.
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[0190] Computer device 10 may comprise a variety of computer device readable storage media. Such media may be any available storage media accessible by computer device 10, and include both volatile and non-volatile storage media, removable and non-removable storage media.
[0191] A system memory 28 may include computer device readable storage media in the form of volatile memory, such as random-access memory (RAM) 30 and/or cache memory 32. Computer device 10 may further include other removable/non-removable, volatile/non-volatile computer device storage media. For example, storage system 34 may be provided for reading from and writing to a non-removable, non-volatile magnetic media also referred to as a hard drive. For example, a magnetic disk drive for reading from and writing to a removable, non-volatile magnetic disk, e.g., a floppy disk, and an optical disk drive for reading from or writing to a removable, non-volatile optical disk such as a CD-ROM, DVD-ROM or other optical storage media may be provided. In such instances, each storage medium may be connected to bus 18 by one or more data media interfaces. Memory 28 may, e.g., include a three-dimensional digital jaw model of the patient's jaw. The three-dimensional digital guide model may define a jaw structure, on which a preparation guide is to be arranged. The jaw structure may, e.g., be a jawbone and/or a gingiva to be prepared. The three-dimensional digital jaw model may, e.g., represent a jawbone and/or a gingiva of the patient to be prepared. The three-dimensional digital jaw model may comprise scan data the patient's jaw. For example, the scan data may comprise CBCT scan data or CT scan data.
[0192] Memory 28 may, e.g., include scan data of a patient's mouth. The scan data may, e.g., comprise CBCT scan data or CT scan data of the patient's mouth. The scan data may provide information about the patent's jawbone. The scan data may, e.g., comprise optical scan data of the patient's mouth. The optical scan data may, e.g., comprise intraoral optical scan data or optical scan data from a scan of a classical mold/impression, e.g., providing information about the surface structure of the patient's intraoral tissue comprising teeth and the gingiva.
[0193] Memory 28 may, e.g., include a definition of tooth positions of a set of teeth comprising a plurality of teeth, the tooth positions comprising one or more target tooth positions for one or more artificial teeth comprised by the set of teeth.
[0194] Memory 28 may, e.g., include a three-dimensional digital corrugated surface. The three-dimensional digital corrugated surface may be generated using the computer device 10. The corrugation of the three-dimensional digital corrugated surface may be defined by a waveform comprising local minima and maxima. The three-dimensional digital corrugated surface may extend along a reference plane extending perpendicular to a longitudinal direction of the teeth, with the corrugation extending in the longitudinal direction.
[0195] The three-dimensional digital corrugated surface included by the memory 28 may be adjusted using the tooth positions. The adjusting may be executed using the computer device 10. The waveform defining the three-dimensional digital corrugated surface may be adjusted using the tooth positions, such that the local minima of the waveform are arranged at the positions of the teeth, while the local maxima of the waveform are arranged between the positions of the teeth. Alternatively, the memory 28 may, e.g., include in addition to a non-adjusted three-dimensional digital corrugated surface an adjusted three-dimensional digital corrugated surface. The non-adjusted three-dimensional digital corrugated surface an adjusted three-dimensional digital corrugated surface may be generated using the computer device 10.
[0196] Memory 28 may, e.g., include one or more three-dimensional digital guide models of one or more physical preparation guides. The three-dimensional digital guide models may be generated using the three-dimensional digital corrugated surface with the adjusted waveform and the three-dimensional digital jaw model. For the generating of the one or more three-dimensional digital guide models, the computer device 10 may be used.
[0197] Memory 28 may, e.g., include data for controlling a manufacturing of the physical preparation guide. The data defining the three-dimensional digital guide model as a template for the physical preparation guide. The data for controlling a manufacturing of the physical preparation guide may be provided using the computer device 10.
[0198] Memory 28 may, e.g., include a three-dimensional digital restoration model of a dental restoration to be arranged at the patient's prepared jaw. To prepare the patient's jaw, the one or more preparation guides defined by the one or more three-dimensional digital guide model may be generated. The dental restoration may, e.g., an implant supported artificial tooth. For example, the dental restoration may be an implant supported crown. The dental restoration may, e.g., an implant supported set of artificial teeth. For example, the dental restoration may be an implant supported crown. The three-dimensional digital restoration model may, e.g., be generated using the computer device 10. Memory 28 may, e.g., include a digital tooth library providing a plurality of three-dimensional digital library tooth models. This digital tooth library may be used for providing the three-dimensional models of the artificial tooth of the three-dimensional digital restoration model.
[0199] Program 40 may have a set of one or more program modules 42 and by way of example be stored in memory 28. The program modules 42 may comprise an operating system, one or more application programs, other program modules, and/or program data. Each of these program modules 42, i.e., the operating system, the one or more application programs, the other program modules, and/or the program data or some combination thereof, may include an implementation of a networking environment. One or more of the program modules 42 may be configured for executing a method for generating the three-dimensional digital guide model of the physical preparation guide for the dental preparation of the patient's jaw. One or more of the program modules 42 may be configured for controlling a manufacturing of the physical preparation guide. One or more of the program modules 42 may, e.g., be configured for executing one or more of the methods of
[0200] Computer device 10 may further communicate with one or more external devices 14 such as a keyboard, a pointing device, like a mouse, and a display 24 enabling a user to interact with computer device 10. Such communication can occur via input/output (I/O) interfaces 22. Computer device 10 may further communicate with one or more networks such as a local area network (LAN), a general wide area network (WAN), and/or a public network, like the Internet, via network adapter 20. Network adapter 20 may communicate with other components of computer device 10 via bus 18. It should be understood that although not shown, other hardware and/or software components could be used in conjunction with computer device 10.
[0201] The computer device 10 shown in
[0202] The three-dimensional digital jaw model is overlaid with the three-dimensional digital corrugated surface. The overlaying comprises adjusting the waveform using the tooth positions, such that the local minima of the waveform are arranged at the positions of the teeth, while the local maxima of the waveform are arranged between the positions of the teeth. The three-dimensional digital guide model of the physical preparation guide is generated using the three-dimensional digital corrugated surface with the adjusted waveform and the three-dimensional digital jaw model. Data for controlling a manufacturing of the physical preparation guide is provided. The data defines the three-dimensional digital guide model as a template for the physical preparation guide.
[0203] The computer device 10 shown in
[0204]
[0205] The computer device 10 may further comprise one or more input devices, like a keyboard 58 and a mouse 56, enabling a user to interact with the computer device 10. Furthermore, the computer device 10 may comprise one or more output devices, like a display 24 providing a graphical user interface 50 with control elements 52, e.g., GUI elements, enabling the user to control the generating of the three-dimensional digital guide model of the physical preparation guide for the dental preparation of the patient's jaw. The computer device 10 may further comprise an exemplary scanner 59 configured for scanning a patient's mouth. The scanner 59 may, e.g., comprise an CT or CBCT scanning system. The scanner 59 may, e.g., comprise an optical scanner configured for scanning, e.g., a patient's oral cavity, an imprint of a patient's oral cavity and/or a positive of a patient's oral cavity generated using an imprint.
[0206]
[0207] The manufacturing system 11 may comprise the computer device 10 of
[0208] For example, the manufacturing system 11 may comprise a manufacturing device in form of a machining device 70 controlled by the computer device 10. The machining device 70 may be configured to machining a blank 76 using one or more machining tools 72. The blank 76 of raw material 78, may be provided using one or more holding devices 74 and cut into a desired shape and size of the element to be manufactured, e.g., a physical guide models 184. The machining tool 72 may, e.g., be a milling tool.
[0209] For example, the manufacturing system 11 may comprise a manufacturing device in form of a three-dimensional (3D) printing device 60. The 3D printing device 60 may be controlled by the computer device 10 and configured to print an element to be manufactured, e.g., a physical guide models 184. The 3D printing device 60 may comprise a printing element 62 configured to generate the respective element, like the physical guide model 184, layer by layer. The printing element 62 may, e.g., comprise a nozzle configured for distributing printing material.
[0210] In case the element to be manufactured using the 3D printing device 60 is made using metal, the 3D printing device 60 may, e.g., be configured for executing selective laser sintering, laser melting or electron beam melting. Selective laser sintering uses a laser for sintering a powdered material, aiming the laser automatically at points in space defined by a three-dimensional digital model of the element to be printed. The laser energy may result in a local sintering of the powdered material, binding the material together to create a solid structure. For example, the printing element 62 of the 3D printing device 60 may comprise a laser and/or a distributing device for distributing the powdered material. In case of laser melting, the laser is used for locally melting the powdered material, binding the material together to create a solid structure. Selective electron beam melting uses an electron beam for melting a powdered material, aiming the electron beam automatically at points in space defined by a three-dimensional digital model of the element to be printed. The beam energy may result in a local melting of the powdered material, binding the material together to create a solid structure. For example, the printing element 62 of the 3D printing device 60 may comprise an electron beam emitter and/or a distributing device for distributing the powdered material.
[0211] For example, the three-dimensional digital restoration model may be used as a positive to define a negative of the physical guide model 184 in form of a negative three-dimensional digital guide model. The negative three-dimensional digital guide model may be used to manufacture, e.g., using machining device 70 or 3D printing device 60, a casting matrix. The casting matrix may be configured for casting the physical guide model 184 by inserting casting material into the casting matrix and curing the inserted casting material.
[0212] The physical guide model 184 may, e.g., be a bone reduction guide as depicted in
[0213] While the invention has been illustrated and described in detail in the drawings and foregoing description, such illustration and description are to be considered illustrative or exemplary and not restrictive; the invention is not limited to the disclosed embodiments.
[0214] Other variations to the disclosed embodiments can be understood and effected by those skilled in the art in practicing the claimed invention, from a study of the drawings, the disclosure, and the appended claims. In the claims, the word comprising does not exclude other elements or steps, and the indefinite article a or an does not exclude a plurality. The mere fact that certain measures are recited in mutually different dependent claims does not indicate that a combination of these measured cannot be used to advantage. Any reference signs in the claims should not be construed as limiting the scope.
[0215] A single processor or other unit may fulfill the functions of several items recited in the claims. A computer program may be stored/distributed on a suitable medium, such as an optical storage medium or a solid-state medium supplied together with or as part of other hardware, but may also be distributed in other forms, such as via the Internet or other wired or wireless telecommunication systems.
[0216] As will be appreciated by one skilled in the art, aspects of the present invention may be embodied as an apparatus, method, computer program or computer program product. Accordingly, aspects of the present invention may take the form of an entirely hardware embodiment, an entirely software embodiment (including firmware, resident software, micro-code, etc.) or an embodiment combining software and hardware aspects that may all generally be referred to herein as a circuit, module or system. Furthermore, aspects of the present invention may take the form of a computer program product embodied in one or more computer readable medium(s) having computer executable code embodied thereon. A computer program comprises the computer executable code or program instructions.
[0217] Any combination of one or more computer readable medium(s) may be utilized. The computer readable medium may be a computer readable signal medium or a computer readable storage medium. A computer-readable storage medium as used herein encompasses any tangible storage medium which may store instructions which are executable by a processor of a computing device, also referred to as a processing unit. The computer-readable storage medium may be referred to as a computer-readable non-transitory storage medium. The computer-readable storage medium may also be referred to as a tangible computer readable medium. For example, a computer-readable storage medium may also be able to store data which is able to be accessed by the processor of the computing device. Examples of computer-readable storage media include, but are not limited to: a floppy disk, a magnetic hard disk drive, a solid-state hard disk, flash memory, a USB thumb drive, Random Access Memory (RAM), Read Only Memory (ROM), an optical disk, a magneto-optical disk, and the register file of the processor. Examples of optical disks include Compact Disks (CD) and Digital Versatile Disks (DVD), for example CD-ROM, CD-RW, CD-R, DVD-ROM, DVD-RW, or DVD-R disks. A further example of an optical disk may be a Blu-ray disk. The term computer readable-storage medium also refers to various types of recording media capable of being accessed by the computer device via a network or communication link. For example, a data may be retrieved over a modem, over the internet, or over a local area network. Computer executable code embodied on a computer readable medium may be transmitted using any appropriate medium, including but not limited to wireless, wireline, optical fiber cable, RF, etc., or any suitable combination of the foregoing.
[0218] A computer readable signal medium may include a propagated data signal with computer executable code embodied therein, for example, in baseband or as part of a carrier wave. Such a propagated signal may take any of a variety of forms, including, but not limited to, electro-magnetic, optical, or any suitable combination thereof. A computer readable signal medium may be any computer readable medium that is not a computer readable storage medium and that can communicate, propagate, or transport a program for use by or in connection with an instruction execution system, apparatus, or device.
[0219] Computer memory or memory is an example of a computer-readable storage medium. Computer memory is any memory which is directly accessible to a processor. Computer storage or storage is a further example of a computer-readable storage medium. Computer storage is any non-volatile computer-readable storage medium. For example, computer storage may also be computer memory or vice versa.
[0220] A processor or processing unit as used herein encompasses an electronic component which is able to execute a program or machine executable instruction or computer executable code. References to the computing device comprising a processor should be interpreted as possibly containing more than one processor or processing core. The processor may for instance be a multi-core processor. A processor may also refer to a collection of processors within a single computer device or distributed amongst multiple computer devices. The term computing device should also be interpreted to possibly refer to a collection or network of computing devices each comprising a processor or processors. The computer executable code may be executed by multiple processors that may be within the same computing device or which may even be distributed across multiple computing devices.
[0221] Computer executable code may comprise machine executable instructions or a program which causes a processor to perform an aspect of the present invention. Computer executable code for carrying out operations for aspects of the present invention may be written in any combination of one or more programming languages, including an object-oriented programming language such as Java, Smalltalk, C++ or the like and conventional procedural programming languages, such as the C programming language or similar programming languages and compiled into machine executable instructions. In some instances, the computer executable code may be in the form of a high-level language or in a pre-compiled form and be used in conjunction with an interpreter which generates the machine executable instructions on the fly.
[0222] The computer executable code may execute entirely on the user's computer, partly on the user's computer, as a stand-alone software package, partly on the user's computer and partly on a remote computer or entirely on the remote computer or server. In the latter scenario, the remote computer may be connected to the user's computer through any type of network, including a local area network (LAN) or a wide area network (WAN), or the connection may be made to an external computer (for example, through the Internet using an Internet Service Provider).
[0223] Generally, the program instructions can be executed on one processor or on several processors. In the case of multiple processors, they can be distributed over several different entities like clients, servers etc. Each processor could execute a portion of the instructions intended for that entity. Thus, when referring to a system or process involving multiple entities, the computer program or program instructions are understood to be adapted to be executed by a processor associated or related to the respective entity.
[0224] A user interface as used herein is an interface which allows a user or operator to interact with a computer or computer device. A user interface may also be referred to as a human interface device. A user interface may provide information or data to the operator and/or receive information or data from the operator. A user interface may enable input from an operator to be received by the computer and may provide output to the user from the computer. In other words, the user interface may allow an operator to control or manipulate a computer and the interface may allow the computer to indicate the effects of the operator's control or manipulation. The display of data or information on a display or a graphical user interface is an example of providing information to an operator. The receiving of data through a keyboard, mouse, trackball, touchpad, pointing stick, graphics tablet, joystick, gamepad, webcam, headset, gear sticks, steering wheel, pedals, wired glove, dance pad, remote control, one or more switches, one or more buttons, and accelerometer are all examples of user interface components which enable the receiving of information or data from an operator.
[0225] A GUI element is a data object some of which's attributes specify the shape, layout and/or behavior of an area displayed on a graphical user interface, e.g., a screen. A GUI element can be a standard GUI element such as a button, a text box, a tab, an icon, a text field, a pane, a check-box item or item group or the like. A GUI element can likewise be an image, an alphanumeric character or any combination thereof. At least some of the properties of the displayed GUI elements depend on the data value aggregated on the group of data object said GUI element represents.
[0226] Aspects of the present invention are described with reference to flowchart illustrations and/or block diagrams of methods, apparatus (systems) and computer program products. It will be understood that each block or a portion of the blocks of the flowchart, illustrations, and/or block diagrams, can be implemented by computer program instructions in form of computer executable code when applicable. It is further understood that, when not mutually exclusive, combinations of blocks in different flowcharts, illustrations, and/or block diagrams may be combined. These computer program instructions may be provided to a processor of a general-purpose computer, special-purpose computer, or other programmable data processing apparatus to produce a machine, such that the instructions, which execute via the processor of the computer or other programmable data processing apparatus, create means for implementing the functions/acts specified in the flowchart and/or block diagram block or blocks.
[0227] These computer program instructions may also be stored in a computer readable medium that can direct a computer, other programmable data processing apparatus, or other devices to function in a particular manner, such that the instructions stored in the computer readable medium produce an article of manufacture including instructions which implement the function/act specified in the flowchart and/or block diagram block or blocks.
[0228] The computer program instructions may also be loaded onto a computer, other programmable data processing apparatus, or other devices to cause a series of operational steps to be performed on the computer, other programmable apparatus or other devices to produce a computer-implemented process such that the instructions which execute on the computer or other programmable apparatus provide processes for implementing the functions/acts specified in the flowchart and/or block diagram block or blocks.
[0229] Although the invention may have been described in reference to specific examples, it should be understood that the invention is not limited to these examples only and that many variations of these examples may be readily envisioned by the skilled person after having read the present disclosure. The invention may thus further be described without limitation by the following examples.
[0230] 1. A method for generating a three-dimensional digital guide model of a physical preparation guide for a dental preparation of a patient's jaw, [0231] the method comprising: [0232] receiving a three-dimensional digital jaw model of the patient's jaw, [0233] receiving a definition of tooth positions of a set of teeth comprising a plurality of teeth, the tooth positions comprising one or more target tooth positions for one or more artificial teeth comprised by the set of teeth, [0234] generating a three-dimensional digital corrugated surface, the corrugation of the three-dimensional digital corrugated surface being defined by a waveform comprising local minima and maxima, the three-dimensional digital corrugated surface extending along a reference plane extending perpendicular to a longitudinal direction of the teeth, with the corrugation extending in the longitudinal direction, [0235] overlaying the three-dimensional digital jaw model with the three-dimensional digital corrugated surface, the overlaying comprising adjusting the waveform using the tooth positions, such that the local minima of the waveform are arranged at the positions of the teeth, while the local maxima of the waveform are arranged between the positions of the teeth, [0236] generating the three-dimensional digital guide model of the physical preparation guide using the three-dimensional digital corrugated surface with the adjusted waveform and the three-dimensional digital jaw model, [0237] providing data for controlling a manufacturing of the physical preparation guide, the data defining the three-dimensional digital guide model as a template for the physical preparation guide.
[0238] 2. The method of feature combination 1, the minima being formed by first straight lines of a first constant height extending in oral direction parallel to the reference plane through the target positions of the teeth, the maxima being formed by second straight lines of a second constant height extending in oral direction parallel to the reference plane between the target positions of the teeth.
[0239] 3. The method of any of the previous feature combinations, the three-dimensional digital guide model having a form of a splint being configured to be arranged on a jaw structure defined by the received three-dimensional digital jaw model with an inner surface of the splint being defined as a negative of an outer surface of the jaw structure.
[0240] 4. The method of feature combination 3, the physical preparation guide defining a target contour line of the dental preparation, the splint comprising a cutout in an occlusal section of the splint with a contour line of the cutout being defined by an intersection line, which is defined by the intersection of the three-dimensional digital jaw model overlaid with the three-dimensional digital corrugated surface with the adjusted waveform.
[0241] 5. The method of feature combination 4, the jaw structure defined by the received three-dimensional digital jaw model representing a jawbone of the patient to be prepared.
[0242] 6. The method of feature combination 5, the physical preparation guide being a bone reduction guide with the target contour line being a contour line of an occlusal surface of a jawbone of the patient to be achieved by the dental preparation comprising a bone reduction.
[0243] 7. The method of feature combination 5, the physical preparation guide being a bone reconstruction guide with the target contour line being a contour line of an occlusal surface of a jawbone of the patient to be achieved by the dental preparation comprising a bone reconstruction.
[0244] 8. The method of any of the previous feature combinations 3 to 7, the three-dimensional digital jaw model comprising scan data the patient's jaw.
[0245] 9. The methos of feature combination 8, the scan data comprising one or more of the following: CBCT scan data, CT scan data.
[0246] 10. The method of feature combination 4, the jaw structure defined by the received three-dimensional digital jaw model being a gingiva of the patient to be prepared, [0247] the physical preparation guide being a gingiva shaping guide with the target contour line being an occlusal contour line of the gingiva of the patient to be achieved by the dental preparation comprising a shaping of the gingiva of the patient.
[0248] 11. The method of feature combination 3, the physical preparation guide being a drilling guide comprising first through holes defining positions of drilling holes to be drilled into the jawbone of the patient for implants, [0249] the occlusal section of the splint having an inner surface being defined as a negative of the three-dimensional digital corrugated surface with the adjusted waveform, [0250] the method further comprising: [0251] receiving definitions of the positions of the drilling holes, [0252] the generating of the three-dimensional digital guide model comprising defining the first through holes using the definitions of the positions of the drilling holes.
[0253] 12. The method of any of the previous feature combinations, the method further comprising: [0254] defining positions of one or more second through holes to be comprised by the three-dimensional digital guide model, the second through holes being configured for receiving fastening means for fastening the physical guide model to the patient's jaw, the definitions of the positions of the second through holes being used for the generating of the three-dimensional digital guide model comprising the one or more second through holes.
[0255] 13. The method of any of the previous feature combinations, all teeth comprised by the set of teeth being artificial teeth, all tooth positions received being target positions of the artificial teeth of the set of teeth.
[0256] 14. The method of feature combination 13, the set of teeth comprising a full dental arch of artificial teeth.
[0257] 15. The method of any of the previous feature combinations, the method further comprising manufacturing of the physical preparation guide using the data provided for controlling the manufacturing with the manufactured physical preparation guide being a physical copy of the template defined by the provided data.
[0258] 16. A computer program for generating a three-dimensional digital guide model of a physical preparation guide for a dental preparation of a patient's jaw, [0259] the computer program comprising program instructions executable by a processor of a computer device to cause the computer device to: [0260] receive a three-dimensional digital jaw model of the patient's jaw, [0261] receive a definition of tooth positions of a set of teeth comprising a plurality of teeth, the tooth positions comprising one or more target tooth positions for one or more artificial teeth comprised by the set of teeth, [0262] generate a three-dimensional digital corrugated surface, the corrugation of the three-dimensional digital corrugated surface being defined by a waveform comprising local minima and maxima, the three-dimensional digital corrugated surface extending along a reference plane extending perpendicular to a longitudinal direction of the teeth, with the corrugation extending in the longitudinal direction, [0263] overlay the three-dimensional digital jaw model with the three-dimensional digital corrugated surface, the overlaying comprising adjusting the waveform using the tooth positions, such that the local minima of the waveform are arranged at the positions of the teeth, while the local maxima of the waveform are arranged between the positions of the teeth, [0264] generate the three-dimensional digital guide model of the physical preparation guide using the three-dimensional digital corrugated surface with the adjusted waveform and the three-dimensional digital jaw model, [0265] provide data for controlling a manufacturing of the physical preparation guide, the data defining the three-dimensional digital guide model as a template for the physical preparation guide.
[0266] 17. A computer program product for generating a three-dimensional digital guide model of a physical preparation guide for a dental preparation of a patient's jaw, [0267] the computer program product comprising a non-transitory computer readable storage medium having program instructions embodied therewith, the program instructions being executable by a processor of a computer device to cause the computer device to: [0268] receive a three-dimensional digital jaw model of the patient's jaw, [0269] receive a definition of tooth positions of a set of teeth comprising a plurality of teeth, the tooth positions comprising one or more target tooth positions for one or more artificial teeth comprised by the set of teeth, [0270] generate a three-dimensional digital corrugated surface, the corrugation of the three-dimensional digital corrugated surface being defined by a waveform comprising local minima and maxima, the three-dimensional digital corrugated surface extending along a reference plane extending perpendicular to a longitudinal direction of the teeth, with the corrugation extending in the longitudinal direction, [0271] overlay the three-dimensional digital jaw model with the three-dimensional digital corrugated surface, the overlaying comprising adjusting the waveform using the tooth positions, such that the local minima of the waveform are arranged at the positions of the teeth, while the local maxima of the waveform are arranged between the positions of the teeth, [0272] generate the three-dimensional digital guide model of the physical preparation guide using the three-dimensional digital corrugated surface with the adjusted waveform and the three-dimensional digital jaw model, [0273] provide data for controlling a manufacturing of the physical preparation guide, the data defining the three-dimensional digital guide model as a template for the physical preparation guide.
[0274] 18. A computer device for generating a three-dimensional digital guide model of a physical preparation guide for a dental preparation of a patient's jaw, [0275] the computer device comprising a processor and a memory storing program instructions executable by the processor, execution of the program instructions by the processor causing the computer device to: [0276] receive a three-dimensional digital jaw model of the patient's jaw, [0277] receive a definition of tooth positions of a set of teeth comprising a plurality of teeth, the tooth positions comprising one or more target tooth positions for one or more artificial teeth comprised by the set of teeth, [0278] generate a three-dimensional digital corrugated surface, the corrugation of the three-dimensional digital corrugated surface being defined by a waveform comprising local minima and maxima, the three-dimensional digital corrugated surface extending along a reference plane extending perpendicular to a longitudinal direction of the teeth, with the corrugation extending in the longitudinal direction, [0279] overlay the three-dimensional digital jaw model with the three-dimensional digital corrugated surface, the overlaying comprising adjusting the waveform using the tooth positions, such that the local minima of the waveform are arranged at the positions of the teeth, while the local maxima of the waveform are arranged between the positions of the teeth, [0280] generate the three-dimensional digital guide model of the physical preparation guide using the three-dimensional digital corrugated surface with the adjusted waveform and the three-dimensional digital jaw model, [0281] provide data for controlling a manufacturing of the physical preparation guide, the data defining the three-dimensional digital guide model as a template for the physical preparation guide.
[0282] 19. A manufacturing system comprising the computer device of feature combination 18, the manufacturing system further comprising one or more manufacturing devices configured to manufacture the physical guide model, [0283] execution of the program instructions by the processor further causing the computer device to control the one or more manufacturing devices to manufacture the physical guide model using the data provided for controlling the manufacturing with the manufactured physical preparation guide being a physical copy of the template defined by the data provided.
TABLE-US-00001 REFERENCE SIGNS LIST 10 computer device 11 manufacturing system 14 external device 16 processing unit 18 bus 20 network adapter 22 I/O interface 24 display 28 memory 30 RAM 32 cache 34 storage system 40 program 42 program module 50 user interface 52 control elements 54 hardware device 56 keyboard 58 mouse 59 scanner 60 3D printing device 62 printing element 70 machining device 72 machining tool 74 holding device 76 blank 78 raw material 100 3D digital jaw model 102 position of tooth 104 3D digital tooth model 106 preparation surface 120 digital corrugated surfaces 122 local minimum 124 local maximum 126 reference plane 128 longitudinal direction 130 first straight line 132 second straight line 134 oral direction 136 tooth arch 150 implant 152 fastening means 170 3D digital guide model 172 contour line 173 local minimum 174 cutout 175 local maximum 176 occlusal section 180 implant-supported bridge 182 abutment 184 physical guide model 190 through hole 192 inner surface h.sub.1 first constant height h.sub.2 second constant height h height difference