TOOTH-BORNE GUIDE PLATE, MUCOSA-BORNE GUIDE PLATE, BONE-BORNE GUIDE PLATE, AND PREPARATION AND APPLICATION METHODS THEREFOR
20230181294 · 2023-06-15
Assignee
Inventors
Cpc classification
A61C9/004
HUMAN NECESSITIES
A61C13/0004
HUMAN NECESSITIES
B33Y80/00
PERFORMING OPERATIONS; TRANSPORTING
A61C8/009
HUMAN NECESSITIES
International classification
Abstract
The present invention relates to a tooth-borne guide plate, a mucosa-borne guide plate, a bone-borne guide plate, and preparation and application methods therefor. The method for preparing a tooth-borne guide plate comprises: a) bonding a radiopaque material to teeth, bonding the radiopaque material to the gingival mucosa or/and bonding the radiopaque material to other anatomical features; b) performing CBCT photography, and acquiring CBCT data with radiopaque material information; c) acquiring oral cavity surface STL data with radiopaque material information; d) matching the CBCT data with the STL data; e) determining the positions of an implant and a retention pin; f) generating a base guide plate; g) generating an in-place guide plate; h) generating an implant guide plate; and i) generating a repair guide plate. By means of the tooth-borne guide plate, the mucosa-borne guide plate, the bone-borne guide plate, and the preparation and application methods therefor provided in the present invention, the precision and success rate of data matching can be improved, thereby improving the patient's comfort, reducing the number of subsequent visits, and reducing clinical medical costs.
Claims
1. A preparation method of tooth-borne guide plate, wherein the method comprises the following steps: a) bonding a radiopaque material onto teeth, bonding the radiopaque material onto the gingival mucosa membrane or/and bonding the radiopaque material to other anatomical features; b) performing CBCT photography to acquire CBCT data with radiopaque material information; c) acquiring oral cavity surface STL data with radiopaque material information; d) matching the CBCT data with the STL data; e) determining the positions of an implant and a retention pin: according to the matching information of the CBCT data and STL data, obtaining the pre-aligned tooth position and jawbone position, then determining the positions of the implant and retention pin according to the pre-aligned tooth position and jawbone position; f) generating a base guide plate: determining the positions of the retention pin sleeve and in-place plane according to the positions of the implant and retention pin, combining the retention pin sleeve and in-place plane as a whole body to obtain a base guide plate with the retention pin sleeve; g) generating in-place guide plate; i. generating in-place guide plate main body portion according to the STL data; according to the positions of the retention pin sleeve and in-place plane of the base guide plate, determining the positions of the retention pin sleeve buckle and tongue side in-place plane of in-place guide plate; such that the retention pin sleeve buckle of in-place guide plate is matched with the retention pin sleeve of the base guide plate, and such that the tongue side in-place plane of in-place guide plate is matched with in-place plane of the base guide plate; iii, connecting in-place guide plate main body part with the retention pin sleeve buckle and tongue side in-place plane to form a whole body so as to generate in-place guide plate; h) generating an implant guide plate: i. determining the positions of the retention pin sleeve buckle and tongue side in-place plane of the implant guide plate according to the positions of the retention pin sleeve and in-place plane of the base guide plate; such that the retention pin sleeve buckle of the implant guide plate is matched with the retention pin sleeve of the base guide plate, and such that the tongue side in-place plane of the implant guide plate is matched with in-place plane of the base guide plate; ii. designing implant sleeve and connecting rod for implant guide plate; iii. connecting the retention pin sleeve buckle, the tongue side in-place plane, the implant sleeve and connecting rod as a whole so as to generate implant guide plate; i) generating a repair guide plate: i. matching information according to the CBCT data and STL data, performing virtual tooth alignment to obtain a prosthesis; ii. selecting a temporary abutment according to the selected implant, and temporary abutment penetrates the prosthesis; iii. determining the positions of the retention pin sleeve buckle and tongue side in-place plane of the repair guide plate according to the positions of the retention pin sleeve and in-place plane of the base guide plate; such that the retention pin sleeve buckle of the repair guide plate is matched with the retention pin sleeve of the base guide plate, and such that the tongue side in-place plane of the repair guide plate is matched with in-place plane of the base guide plate; iv. designing the connecting rod of the repair guide plate, connecting the prosthesis, the retention pin sleeve buckle, the tongue side in-place plane and connecting rod of the repair guide plate as a whole body so as to generate the repair guide plate.
2. The preparation method of dental support type guide plate according to claim 1, wherein further comprising step j): the step f), g), h) and i) generated in the substrate guide plate; the guide plate, planting guide plate and repairing guide output and for 3 D printing.
3. The preparation method of dental support type guide plate according to claim 1, wherein Other anatomical features include nasal crest, mucosal turning, bone protrusion, tongue protuberance.
4. The preparation method of dental support type guide plate according to claim 1, wherein on the tooth, at least 4 point bonding resistance material on the gingival mucosa or/and other anatomical features.
5. The preparation method of dental support type guide plate according to claim 1, wherein the method for obtaining the oral surface STL data with the impedance material information comprises: a) taking the oral impression; the blocking material will leave the mark on the corresponding position of the impression material; after the mould is hard to be printed, the blocking material is reset to the impression; using the oral surface scanning device to scan the oral cavity impression; namely, obtaining STL data with the blocking material information; b) or using oral surface scanning device to directly scan in the oral cavity; obtaining STL data with anti-reflection material information; c) or bonding the barrier material at the thickest and thinnest part of the oral mucosa, then displaying the bone in the CBCT data according to CBCT; tooth information and suspended resistance material information; because the suspension of the impedance material is adhered on the soft tissue, by analyzing the impedance material and bone relation, it can analyze the relationship and thickness of the bone and mucosa, so as to obtain soft tissue information, finally obtaining STL data.
6. The preparation method of dental support type guide plate according to claim 1, wherein the matching of the CBCT data with the STL data includes: integrating the CBCT data and STL data, taking the information of the blocking material as the matching basis, by adjusting the tooth tissue information in the CBCT data and STL data, finally matching the jaw bone information, tooth tissue information, soft tissue information.
7. The preparation method of dental support type guide plate according to claim 1, wherein the prosthesis is a repair dentition.
8. A dental support type guide plate prepared by the preparation method of dental support type guide plate according to claim 1, wherein the dental support type guide plate comprises: a substrate guide plate, a planting guide plate, a repairing guide plate and a positioning guide plate; a fixing nail sleeve and a locating plane are arranged on the substrate guide plate; the planting guide plate is provided with an implant sleeve, a fixing nail sleeve buckle and a tongue side locating plane; the fixing nail sleeve is buckled on the fixing nail sleeve so that the planting guide plate is connected with the substrate guide plate; the tongue side locating plane of the planting guide plate is matched with the locating plane of the substrate guide plate; a fixing nail sleeve buckle and a tongue side locating plane are arranged on the repairing guide plate; the fixing nail sleeve is buckled on the fixing nail sleeve so that the repairing guide plate is connected with the substrate guide plate; the tongue side locating plane of the repairing guide plate is matched with the locating plane of the substrate guide plate; the locating guide plate is provided with a fixing nail sleeve buckle and a tongue side locating plane; the tongue side locating plane is matched with the locating plane of the substrate guide plate; the fixing nail sleeve is buckled on the fixing nail sleeve so that the positioning guide plate is connected with the substrate guide plate.
9. The dental support guide plate according to claim 8, wherein the planting guide plate, repairing guide plate and locating guide plate are respectively provided with a connecting rod; the connecting rod is connected with the fixing nail sleeve buckle; wherein the repairing guide plate is provided with a repairing body; the repairing body is connected with the tongue side locating plane and fixing nail sleeve buckle; when the repairing body is finally planted, grinding the tongue side locating plane, fixing nail sleeve buckle and connecting rod; the dental support guide plate further comprising: an implant; implanting the implant through the implant sleeve; the implant is connected with a temporary base; the temporary base is bonded with the repairing body on the repairing guide plate.
10. (canceled)
11. (canceled)
12. (canceled)
13. A preparation method of mucosal support type guide plate, wherein the method comprises the following steps: a) the blocking material is adhered on the oral mucosa, the blocking material is adhered on the dental arch mucous membrane or/and blocking material is adhered on the dental embankment; b) carrying out CBCT shooting; obtaining CBCT data with anti-reflection material information; c) obtaining the oral surface STL data with the anti-reflection material information; d) matching CBCT data with STL data; e) determining the implant and retention pin position: according to the CBCT data and STL data matching information, obtaining the pre-tooth position and jaw position, then according to the pre-tooth position and jaw position, determining the implant and position of the fixing nail; f) generating a substrate guide: determining the position of the fixing nail sleeve and positioning plane according to the implant and fixing nail position; combining the fixing nail sleeve and positioning plane into a whole body; obtaining the substrate guide plate with the fixing nail sleeve; g) generating a planting guide plate: i. determining the position of the fixing nail sleeve buckle and tongue side position plane of the planting guide plate according to the position of the fixing nail sleeve and positioning plane of the base guide plate; the fixing nail sleeve buckle of the planting guide plate is matched with the fixing nail sleeve of the substrate guide plate; the tongue side of the planting guide plate is matched with the locating plane of the substrate guide plate; ii, designing implant sleeve and connecting rod for planting guide plate; iii, the fixing nail sleeve buckle, tongue side locating plane; the implant sleeve and connecting rod are connected as a whole, generating planting guide plate; h) generating a repair guide plate: i. matching information according to CBCT data and STL data; performing virtual tooth arranging to obtain a prosthesis; ii. selecting a temporary abutment according to the selected implant, and temporary abutment penetrates the prosthesis; determining the position of the fixing nail sleeve buckle and tongue side position plane of the repairing guide plate according to the position of the fixing nail sleeve and locating plane of the substrate guide plate; the fixing nail sleeve buckle of the repairing guide plate is matched with the fixing nail sleeve of the substrate guide plate; the tongue side of the repairing guide plate is matched with the locating plane of the substrate guide plate; iv. designing the connecting rod of the repairing guide plate; connecting the repairing body of the repairing guide plate, the fixing nail sleeve buckle, the tongue side locating plane and connecting rod into a whole body; generating the repairing guide plate.
14. The preparation method of mucosa supporting guide plate according to claim 13, wherein further comprising step i): the step f), g) and h) generating the substrate guide plate, planting guide plate and repairing guide output and performing the 3 D printing
15. The preparation method of mucosa supporting guide plate according to claim 13, wherein on the oral mucosa, at least 4 point bonding resistance material on the dental arch mucosa or/and on the dental dyke.
16. The preparation method of mucosa supporting guide plate according to claim 13, wherein the method for obtaining the oral surface STL data with the impedance material information comprises: a) taking the oral cavity impression; the blocking material will leave the mark on the corresponding position of the impression material; after the mould is hard to be printed, copying the blocking material to the impression; using the oral surface scanning device to scan the oral impression; obtaining the STL data with the information of the blocking material; b) or using oral surface scanning device to directly scan in the oral cavity; obtaining STL data with anti-reflection material information; c) or bonding the barrier material at the thickest and thinnest part of the oral mucosa; then according to CBCT, the CBCT data displays the bone and suspended barrier material information; because the suspended barrier material is adhered on the soft tissue, by analyzing the barrier material and bone relation, the relation and thickness of the bone and mucosa can be analyzed; so as to obtain soft tissue information, finally obtaining STL data.
17. The preparation method of mucosa supporting guide plate according to claim 13, wherein the matching of the CBCT data with the STL data includes: integrating the CBCT data and STL data, taking the information of the blocking material as the matching basis, by adjusting the tissue information in the CBCT data and STL data, finally matching the jaw bone information and soft tissue information.
18. The preparation method of mucosa supporting guide plate according to claim 13, wherein the prosthesis is a repair dentition.
19. A mucosal support type guide plate prepared by the preparation method of the mucosal support type guide plate according to claim 13, wherein the mucosal support type guide late comprises: a substrate guide plate, a planting guide plate and a repairing guide plate; a fixing nail sleeve and a locating plane are arranged on the substrate guide plate; the planting guide plate is provided with an implant sleeve, a fixing nail sleeve buckle and a tongue side locating plane; the fixing nail sleeve is buckled on the fixing nail sleeve so that the planting guide plate is connected with the substrate guide plate; the tongue side locating plane of the planting guide plate is matched with the locating plane of the substrate guide plate; a fixing nail sleeve buckle and a tongue side locating plane are arranged on the repairing guide plate; the fixing nail sleeve is buckled on the fixing nail sleeve so that the repairing guide plate is connected with the substrate guide plate; the tongue side locating plane of the repairing guide plate is matched with the locating plane of the substrate guide plate.
20. The mucosal support type guide plate according to claim 19, wherein the planting guide plate and repairing guide plate are respectively provided with a connecting rod; the connecting rod is connected with the fixing nail sleeve buckle; wherein the repairing guide plate is provided with a repairing body; the repairing body is connected with the tongue side locating plane and fixing nail sleeve buckle; when the repairing body is finally planted, grinding the tongue side locating plane, fixing nail sleeve buckle and connecting rod; the mucosal support type guide plate further comprising: an implant; implanting the implant through the implant sleeve; the implant is connected with a temporary base; the temporary base is bonded with the repairing body on the repairing guide plate.
21. (canceled)
22. (canceled)
23. (canceled)
24. A preparation method of bone supporting guide plate, wherein the method comprises the following steps: a) shooting CBCT to the jaw bone to obtain CBCT data; b) determining the position of the implant and retention pin: obtaining the pre-tooth position and jaw position according to the obtained CBCT data; then according to the pre-tooth position and jaw position, determining the implant and position of the fixing nail; c) generating a substrate guide plate; determining the position of the fixing nail sleeve and positioning plane according to the implant and fixing nail position; combining the fixing nail sleeve and positioning plane into a whole body; obtaining the substrate guide plate with the fixing nail sleeve; d) generating a planting guide plate: i. determining the position of the fixing nail sleeve buckle and tongue side position plane of the planting guide plate according to the position of the fixing nail sleeve and positioning plane of the base guide plate; the fixing nail sleeve buckle of the planting guide plate is matched with the fixing nail sleeve of the substrate guide plate; the tongue side of the planting guide plate is matched with the locating plane of the substrate guide plate; iith, designing implant sleeve and connecting rod for planting guide plate; iii, the fixing nail sleeve buckle, tongue side locating plane; the implant sleeve and connecting rod are connected as a whole, generating planting guide plate; e) generating a repair guide plate: i. matching information according to CBCT data and STL data; performing virtual tooth arranging to obtain a prosthesis; ii. selecting a temporary abutment according to the selected implant, and temporary abutment penetrates the prosthesis; determining the position of the fixing nail sleeve buckle and tongue side position plane of the repairing guide plate according to the position of the fixing nail sleeve and locating plane of the substrate guide plate; the fixing nail sleeve buckle of the repairing guide plate is matched with the fixing nail sleeve of the substrate guide plate; the tongue side of the repairing guide plate is matched with the locating plane of the substrate guide plate; designing the connecting rod of the repairing guide plate; the repairing body of the repairing guide plate, fixing nail sleeve buckle; the tongue side locating plane and connecting rod are connected as a whole, generating repairing guide plate.
25. The preparation method of bone supporting guide plate according to claim 24, wherein further comprising step f): the step c), d) and e) generated in the substrate guide plate, planting guide plate and repairing guide output and for 3 D printing.
26. The preparation method of bone supporting guide plate according to claim 24, wherein the prosthesis is a repair dentition.
27. A bone-supporting guide plate prepared by the preparation method of bone-supporting guide plate according to claim 24, wherein the bone-supporting guide plate comprises: a substrate guide plate, a planting guide plate and a repairing guide plate; a fixing nail sleeve and a locating plane are arranged on the substrate guide plate; the planting guide plate is provided with an implant sleeve, a fixing nail sleeve buckle and a tongue side locating plane; the fixing nail sleeve is buckled on the fixing nail sleeve so that the planting guide plate is connected with the substrate guide plate; the tongue side locating plane of the planting guide plate is matched with the locating plane of the substrate guide plate; a fixing nail sleeve buckle and a tongue side locating plane are arranged on the repairing guide plate; the fixing nail sleeve is buckled on the fixing nail sleeve so that the repairing guide plate is connected with the substrate guide plate; the tongue side locating plane of the repairing guide plate is matched with the locating plane of the substrate guide plate.
28. The bone supporting guide plate according to claim 27, wherein the planting guide plate and repairing guide plate are respectively provided with a connecting rod; the connecting rod is connected with the fixing nail sleeve buckle; wherein the repairing guide plate is provided with a repairing body; the repairing body is connected with the tongue side locating plane and fixing nail sleeve buckle; when the repairing body is finally planted, grinding the tongue side locating plane, fixing nail sleeve buckle and connecting rod; the bone support guide plate further comprising: an implant; implanting the implant through the implant sleeve; the implant is connected with a temporary base; the temporary base is bonded with the repairing body on the repairing guide plate.
29. (canceled)
30. (canceled)
31. (canceled)
Description
DESCRIPTION OF PICTURES
[0014] The present invention will be further described in detail with reference to the accompanying drawings and specific embodiments.
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[0062] In the picture: 1 is a barrier material; 2 is mark rubberized fabric; 3 is cutting line; 4 is tooth; 5 is CBCT, 6 is oral surface scanning device; 7 is another oral surface scanning device; 8 is jaw bone; 9 is soft tissue; 10 is substrate guide plate; 11 is fixing nail sleeve; 12 is locating plane; 13 is the guide plate; 14 is fixing nail sleeve buckle; 15 is tongue side locating plane; 16 is planting guide plate; 17 is implant sleeve; 18 is connecting rod; 19 is repairing guide plate; 20 is jaw bone; 21 is temporary base.
SPECIFIC IMPLEMENTATION EXAMPLES
Example 1
[0063] As shown in
Example 2
[0064] As shown in
a) the blocking material 1 is adhered on the tooth 4 (as shown in
b) carrying out CBCT shooting; obtaining CBCT data with the blocking material information (as shown in
c) obtaining the oral surface STL data with impedance material information, the method comprising:
i. taking the oral impression; the blocking material will leave the mark on the corresponding position of the impression material; after the impression material is hard, the blocking material is reset to the impression; using the oral surface scanning device 6 to scan the oral impression; namely, obtaining STL data with the blocking material information (as shown in
ii. or using an oral surface scanning device 7 to scan directly within the oral cavity, obtaining STL data with the information of the blocking material (as shown in
iii. bonding a barrier material at the thickest and thinnest part of the oral mucosa, and then displaying the bone in the CBCT data at this time, according to CBCT; tooth information and suspended resistance material information; because the suspension of the impedance material is adhered on the soft tissue, by analyzing the impedance material and bone relation, it can analyze the relationship and thickness of the bone and mucosa, so as to obtain soft tissue information, finally obtaining STL data.
d) matching the CBCT data with the STL data: integrating the CBCT data and STL data, taking the information of the blocking material as the matching basis, by adjusting the tooth tissue information in the CBCT data and STL data, finally making the jaw bone 8 information, tooth body 4 tissue information, soft tissue 9 information matching (as shown in
e) determining the implant and retention pin position: according to the CBCT data and STL data matching information, obtaining the pre-tooth position and jaw position, then according to the pre-tooth position and jaw position, determining the implant and position of the fixing nail;
f) generating a substrate guide plate 10: according to the implant and fixing nail position, determining the position of the fixing nail sleeve 11 and position plane 12, the fixing nail sleeve 11 and positioning plane 12 are combined into a whole, obtaining the fixing nail sleeve 11 of the substrate guide 10 (as shown in
g) generating the positioning guide plate 13:
i. generating a positioning guide body portion according to the STL data;
according to the position of the retention pin sleeve 11 and positioning plane 12 of the base guide plate 10, determining the position of the retention pin sleeve buckle 14 and tongue side positioning plane 15 of the positioning guide plate 13; the fixing nail sleeve buckle 14 of the positioning guide plate 13 is matched with the fixing nail sleeve 11 of the base guide plate 10; the tongue side positioning plane 15 of the positioning guide plate 13 is matched with the positioning plane 12 of the base guide plate 10;
iii. connecting the positioning guide body portion with the retention pin sleeve buckle 14 and tongue side in-position plane 15 to form an integral body, generating the positioning guide plate 13 (as shown in 13-2 13-1
h) generating the planting guide plate 16:
i. determining the position of the retention pin sleeve buckle 14 and tongue side positioning plane 15 of the planting guide plate 16 according to the position of the retention pin sleeve 11 and positioning plane 12 of the base guide plate 10; the fixing nail sleeve buckle 14 of the planting guide plate 16 is matched with the fixing nail sleeve 11 of the substrate guide plate 10; the tongue side of the planting guide plate 16 is matched with the locating plane 12 of the substrate guide plate 10;
ii. designing the implant sleeve 17 and connecting rod 18 of the planting guide plate 16;
iii. the retention pin sleeve 14, the tongue side in position plane 15, the implant sleeve 17 and connecting rod 18 are integrally connected to form a planting guide 16 (as shown in
i) generating repair guide plate 19:
i. matching information according to CBCT data and STL data; performing virtual tooth arranging to obtain a prosthesis;
ii. The temporary abutment 21 is selected according to the selected implant, and temporary abutment 21 passes through the prosthesis;
iii. determining the position of the retention pin sleeve buckle 14 and tongue side in-position plane 15 of the repair guide plate 19 according to the position of the retention pin sleeve 11 and positioning plane 12 of the base guide plate 10; the fixing nail sleeve buckle 14 of the repairing guide plate 19 is matched with the fixing nail sleeve 11 of the substrate guide plate 10; the tongue side of the repairing guide plate 19 is matched with the locating plane 12 of the substrate guide plate 10;
iv. designing the connecting rod 18 of the repairing guide plate 19; connecting the repairing body of the repairing guide plate, the fixing nail sleeve buckle 14, the tongue side locating plane 15 and connecting rod 18 as a whole; generating the repairing guide plate 19 (as shown in
further comprising step j): the step f), g), h) and i) generated in the substrate guide plate 10; the guide plate 13, planting guide plate 16 and repairing guide plate 19 output and for 3 D printing.
[0065] Preferably, the prosthesis is repairing dentition.
Example 3
[0066] As shown in
a fixing nail sleeve 11 and a locating plane 12 are arranged on the substrate guide plate 10;
the planting guide plate 16 is provided with an implant sleeve 17, a fixing nail sleeve buckle 14 and a tongue side locating plane 15; the fixing nail sleeve buckle 14 is buckled on the fixing nail sleeve 11 so that the planting guide plate 16 is connected with the substrate guide plate 10; the tongue side positioning plane 15 of the planting guide plate 16 is matched with the positioning plane 12 of the substrate guide plate 10;
the repairing guide plate 19 is provided with a fixing nail sleeve buckle 14 and a tongue side locating plane 15; the fixing nail sleeve buckle 14 is buckled on the fixing nail sleeve 11 so that the repairing guide plate 19 is connected with the substrate guide plate 10; the tongue side positioning plane 15 of the repairing guide plate 19 is matched with the positioning plane 12 of the substrate guide plate 10;
the positioning guide plate 13 is provided with a fixing nail sleeve buckle 14 and a tongue side locating plane 15; the tongue side positioning plane 15 is matched with the positioning plane 12 of the base guide plate 10; the fixing nail sleeve buckle 14 is buckled on the fixing nail sleeve 11 so that the locating guide plate 13 is connected with the substrate guide plate 10.
the planting guide plate 16, repairing guide plate 19 and guide plate 13 are respectively provided with a connecting rod 18; the connecting rod 18 is connected with the fixing nail sleeve buckle 14.
the repairing guide plate 19 is provided with a repairing body; the repairing body is connected with the tongue side locating plane 15 and fixing nail sleeve buckle 14; when the prosthesis is finally planted, grinding the tongue side locating plane 15, fixing nail sleeve buckle 14 and a connecting rod 18.
further comprising an implant; implanting the implant through the implant sleeve 17; the implant is connected with a temporary abutment 21; The temporary abutment 21 is bonded to the prosthesis on the repair guide plate 19.
Example 4
[0067] A method for using the dental support type guide plate in Embodiment 3;
a) the positioning guide plate and substrate guide plate are connected together (as shown in
b) removing the redundant teeth;
c) subsequently wearing the planting guide plate 16 according to the outer surface of the fixing nail sleeve 11 of the substrate guide plate 10 and positioning plane 12, and matching the positioning plane 12 of the substrate guide plate 10 with the tongue side positioning plane 15 of the planting guide plate 16; after wearing the planting guide plate 16, implanting the implant (as shown in
d) after implanting the implant, taking off the planting guide plate 16; then installing temporary abutment 21 on the implant, and according to the substrate guide 10 of the fixing nail sleeve 11 outer surface and positioning plane 12 wearing repairing guide plate 19 (as shown in
e) after bonding, taking the temporary base and repairing guide plate 19, grinding the repairing guide plate 19 on the connecting rod 18, tongue side locating plane 15 and fixing nail sleeve buckle 14, leaving the prosthesis, and grinding the temporary abutment 21 of the upper end of the repairing guide plate;
f) taking off the substrate guide plate 10; wearing the prosthesis in the step e); fixing the temporary abutment and implant.
Example 5
[0068] As shown in
a) the blocking material 1 is adhered on the oral mucosa (as shown in
b) carrying out CBCT shooting; obtaining CBCT data with the blocking material information (as shown in
c) obtaining the oral surface STL data with impedance material information, the method comprising:
i. taking the oral impression; the blocking material will leave the mark on the corresponding position of the impression material; after the impression material is hard, the blocking material is reset to the impression; using the oral surface scanning device 6 to scan the oral impression; namely, obtaining STL data with the blocking material information (as shown in
ii. or using an oral surface scanning device 7 to scan directly within the oral cavity, obtaining STL data with the information of the blocking material (as shown in
iii. or bonding a barrier material at the thickest and thinnest part of the oral mucosa; and then displaying the bone and suspended barrier material information in the CBCT data according to CBCT; due to the suspended barrier material being adhered to the soft tissue, analyzing the barrier material and bone relationship; to analyze the relationship and thickness of the bone and mucosa, so as to obtain soft tissue information, finally obtaining STL data;
d) matching the CBCT data with the STL data: integrating the CBCT data and STL data, taking the information of the blocking material as the matching basis, by adjusting the tissue information in the CBCT data and STL data, finally making the jaw bone 8 information, soft tissue 9 information matched (as shown in
e) determining the implant and retention pin position: according to the CBCT data and STL data matching information, obtaining the pre-tooth position and jaw position, then according to the pre-tooth position and jaw position, determining the implant and position of the fixing nail;
f) generating a substrate guide plate 10: according to the implant and fixing nail position, determining the position of the fixing nail sleeve 11 and position plane 12, the fixing nail sleeve 11 and positioning plane 12 are combined into a whole, obtaining the fixing nail sleeve 11 of the substrate guide 10 (as shown in
g) generating the planting guide plate 16:
i. determining the position of the retention pin sleeve buckle 14 and tongue side positioning plane 15 of the planting guide plate 16 according to the position of the retention pin sleeve 11 and positioning plane 12 of the base guide plate 10; the fixing nail sleeve buckle 14 of the planting guide plate 16 is matched with the fixing nail sleeve 11 of the substrate guide plate 10; the tongue side of the planting guide plate 16 is matched with the locating plane 12 of the substrate guide plate 10;
ii. designing the implant sleeve 17 and connecting rod 18 of the planting guide plate 16;
iii. the retention pin sleeve 14, the tongue side in position plane 15, the implant sleeve 17 and connecting rod 18 are integrally connected to form a planting guide 16 (as shown in
h) generating repair guide plate 19:
i. matching information according to CBCT data and STL data; performing virtual tooth arranging to obtain a prosthesis;
ii. The temporary abutment 21 is selected according to the selected implant, and temporary abutment 21 passes through the prosthesis;
iii. determining the position of the retention pin sleeve buckle 14 and tongue side in-position plane 15 of the repair guide plate 19 according to the position of the retention pin sleeve 11 and positioning plane 12 of the base guide plate 10; the fixing nail sleeve buckle 14 of the repairing guide plate 19 is matched with the fixing nail sleeve 11 of the substrate guide plate 10; the tongue side of the repairing guide plate 19 is matched with the locating plane 12 of the substrate guide plate 10;
iv. designing the connecting rod 18 of the repairing guide plate 19; connecting the repairing body of the repairing guide plate, the fixing nail sleeve buckle 14, the tongue side locating plane 15 and connecting rod 18 as a whole; generating the repairing guide plate 19 (as shown in
further comprising step i): the step f), g) and h) is generated in the substrate guide plate 10, planting guide plate 16 and repairing guide plate 19 output and for 3 D printing.
[0069] Preferably, the prosthesis is repairing dentition.
Example 6
[0070] As shown in
a fixing nail sleeve 11 and a locating plane 12 are arranged on the substrate guide plate 10;
the planting guide plate 16 is provided with an implant sleeve 17, a fixing nail sleeve buckle 14 and a tongue side locating plane 15; the fixing nail sleeve buckle 14 is buckled on the fixing nail sleeve 11 so that the planting guide plate 16 is connected with the substrate guide plate 10; the tongue side positioning plane 15 of the planting guide plate 16 is matched with the positioning plane 12 of the substrate guide plate 10;
the repairing guide plate 19 is provided with a fixing nail sleeve buckle 14 and a tongue side locating plane 15; the fixing nail sleeve buckle 14 is buckled on the fixing nail sleeve 11 so that the repairing guide plate 19 is connected with the substrate guide plate 10; the tongue side positioning plane 15 of the repairing guide plate 19 is matched with the positioning plane 12 of the substrate guide plate 10;
the planting guide plate 16 and repairing guide plate 19 are respectively provided with a connecting rod 18; the connecting rod 18 is connected with the fixing nail sleeve buckle 14. the repairing guide plate 19 is provided with a repairing body; the repairing body is connected with the tongue side locating plane 15 and fixing nail sleeve buckle 14; when the prosthesis is finally planted, grinding the tongue side locating plane 15, fixing nail sleeve buckle 14 and a connecting rod 18.
further comprising an implant; implanting the implant through the implant sleeve 17; the implant is connected with a temporary abutment 21; The temporary abutment 21 is bonded to the prosthesis on the repair guide plate 19.
Example 7
[0071] A method of using the mucosal support type guide plate in Example 6;
a) the substrate guide 10 is worn in the patient mouth, after confirming position according to the fixing nail sleeve 11 on the fixing nail;
b) subsequently wearing the planting guide plate 16 according to the outer surface of the fixing nail sleeve 11 of the substrate guide plate 10 and positioning plane 12, and matching the positioning plane 12 of the substrate guide plate 10 with the tongue side positioning plane 15 of the planting guide plate 16; after wearing the planting guide plate 16, implanting the implant (as shown in
c) after implanting the implant, taking the planting guide plate 16; then installing temporary abutment 21 on the implant, and according to the substrate guide 10 of the fixing nail sleeve 11 outer surface and positioning plane 12 wearing repairing guide plate 19 (as shown in
d) after bonding, taking the temporary base and repairing guide plate 19, grinding the repairing guide plate 19 on the connecting rod 18, tongue side locating plane 15 and fixing nail sleeve buckle 14, leaving the prosthesis, and grinding the temporary abutment 21 of the upper end of the repairing guide plate;
e) taking off the substrate guide plate 10, wearing the prosthesis in step d), fixing the temporary abutment with the implant.
Example 8
[0072] As shown in
a) shooting CBCT to the jaw bone to obtain CBCT data;
b) determining the position of the implant and retention pin: according to the CBCT data and STL data matching information, obtaining the pre-tooth position and jaw position, then according to the pre-tooth position and jaw position, determining the implant and position of the fixing nail;
c) generating a substrate guide plate 10: according to the implant and fixing nail position, determining the position of the fixing nail sleeve 11 and position plane 12, the fixing nail sleeve 11 and positioning plane 12 are combined into a whole, obtaining the fixing nail sleeve 11 of the substrate guide 10 (as shown in
d) generating the planting guide plate 16:
i. determining the position of the retention pin sleeve buckle 14 and tongue side positioning plane 15 of the planting guide plate 16 according to the position of the retention pin sleeve 11 and positioning plane 12 of the base guide plate 10; the fixing nail sleeve buckle 14 of the planting guide plate 16 is matched with the fixing nail sleeve 11 of the substrate guide plate 10; the tongue side of the planting guide plate 16 is matched with the locating plane 12 of the substrate guide plate 10;
ii. designing the implant sleeve 17 and connecting rod 18 of the planting guide plate 16;
iii. the retention pin sleeve 14, the tongue side in position plane 15, the implant sleeve 17 and connecting rod 18 are integrally connected to form a planting guide 16 (as shown in
e) generating repair guide plate 19:
i. matching information according to CBCT data and STL data; performing virtual tooth arranging to obtain a prosthesis;
ii. The temporary abutment 21 is selected according to the selected implant, and temporary abutment 21 passes through the prosthesis;
iii. determining the position of the retention pin sleeve buckle 14 and tongue side in-position plane 15 of the repair guide plate 19 according to the position of the retention pin sleeve 11 and positioning plane 12 of the base guide plate 10; the fixing nail sleeve buckle 14 of the repairing guide plate 19 is matched with the fixing nail sleeve 11 of the substrate guide plate 10; the tongue side of the repairing guide plate 19 is matched with the locating plane 12 of the substrate guide plate 10;
iv. designing the connecting rod 18 of the repairing guide plate 19; connecting the repairing body of the repairing guide plate, the fixing nail sleeve buckle 14, the tongue side locating plane 15 and connecting rod 18 as a whole; generating the repairing guide plate 19 (as shown in
further comprising step f): the step c), d) and e) generated in the substrate guide plate 10, planting guide plate 16 and repairing guide plate 19 output and for 3 D printing.
[0073] Preferably, the prosthesis is repairing dentition.
Example 9
[0074] As shown in
a fixing nail sleeve 11 and a locating plane 12 are arranged on the substrate guide plate 10;
the planting guide plate 16 is provided with an implant sleeve 17, a fixing nail sleeve buckle 14 and a tongue side locating plane 15; the fixing nail sleeve buckle 14 is buckled on the fixing nail sleeve 11 so that the planting guide plate 16 is connected with the substrate guide plate 10; the tongue side positioning plane 15 of the planting guide plate 16 is matched with the positioning plane 12 of the substrate guide plate 10;
the repairing guide plate 19 is provided with a fixing nail sleeve buckle 14 and a tongue side locating plane 15; the fixing nail sleeve buckle 14 is buckled on the fixing nail sleeve 11 so that the repairing guide plate 19 is connected with the substrate guide plate 10; the tongue side positioning plane 15 of the repairing guide plate 19 is matched with the positioning plane 12 of the substrate guide plate 10;
the planting guide plate 16 and repairing guide plate 19 are respectively provided with a connecting rod 18; the connecting rod 18 is connected with the fixing nail sleeve buckle 14.
the repairing guide plate 19 is provided with a repairing body; the repairing body is connected with the tongue side locating plane 15 and fixing nail sleeve buckle 14; when the prosthesis is finally planted, grinding the tongue side locating plane 15, fixing nail sleeve buckle 14 and a connecting rod 18.
further comprising an implant; implanting the implant through the implant sleeve 17; the implant is connected with a temporary abutment 21; The temporary abutment 21 is bonded to the prosthesis on the repair guide plate 19.
Example 10
[0075] A method of using the bone-supporting guide plate in Example 9;
a) flap in the patient mouth, then wearing the substrate guide 10, confirming the position according to the fixing nail sleeve 11 fixing nail, then reference position plane 12 the jaw bone operation (as shown in
b) subsequently wearing the planting guide plate 16 according to the outer surface of the fixing nail sleeve 11 of the substrate guide plate 10 and positioning plane 12, and matching the positioning plane 12 of the substrate guide plate 10 with the tongue side positioning plane 15 of the planting guide plate 16; after wearing the planting guide plate 16, implanting the implant (as shown in
c) after implanting the implant, taking the planting guide plate 16; then installing temporary abutment 21 on the implant, and according to the substrate guide 10 of the fixing nail sleeve 11 outer surface and positioning plane 12 wearing repairing guide plate 19 (as shown in
d) after bonding, taking the temporary base and repairing guide plate 19, grinding the repairing guide plate 19 on the connecting rod 18, tongue side locating plane 15 and fixing nail sleeve buckle 14, leaving the prosthesis, and grinding the temporary abutment 21 of the upper end of the repairing guide plate;
e) taking off the substrate guide plate 10, suturing the patient mucosa, wearing the prosthesis in the step d), fixing the temporary abutment 21 and implant.
[0076] The above embodiments are not intended to be exhaustive or other embodiments. The above embodiments are intended to illustrate the present invention without limiting the scope of protection of the present invention. All applications made by the present invention in the scope of the present invention fall within the scope of the present invention.
[0077] The patent specification uses example to display the invention, wherein it comprises the best mode, and making the familiar with the technical personnel of the field manufacturing and using the invention. The scope of the invention may be authorized to include the contents of the claims and specific embodiments and other embodiments of the specification. These other examples should also fall within the scope of the patent claims of the present invention, as long as they contain the technical features described in the same written language according to the claims, or they contain the technical features described with respect to a similar word-like language that is not substantially different from the claims.
[0078] All patents, patent applications, and other reference documents are hereby incorporated by reference in their entirety. However, if one term in the present application is conflicted with the term which has been incorporated in the reference, the terms of the present application are preferred.
[0079] It should be noted that “first”, “second” or similar words do not represent any order, quality or importance, but is only used to distinguish different technical features. The number of modified words used in combination is “about” to contain the values and meaning specified by the context of the context. (For example: It contains errors in the measurement of a particular number).