Combined-bolt-channel type full-range digital guide plate for full-mouth planting operation

文档序号:1010828 发布日期:2020-10-27 浏览:11次 中文

阅读说明:本技术 一种用于全口种植手术的组合栓道式全程数字化导板 (Combined-bolt-channel type full-range digital guide plate for full-mouth planting operation ) 是由 徐光宙 李岩 杨驰 张志愿 李如华 于 2020-07-27 设计创作,主要内容包括:本发明公开了一种用于全口种植手术的组合栓道式全程数字化导板,所述组合栓道式全程数字化导板包括数字化定位导板、数字化截骨导板、数字化终末导板和定位钉;所述定位导板与所述截骨导板为组合栓道式连接,所述截骨导板通过所述定位导板固定至目标位置,并利用所述定位钉固定于所述目标位置;所述截骨导板与所述终末导板为组合栓道式连接,所述终末导板通过所述截骨导板固定在种植体的种植位点,并确定种植方向。本发明的用于全口种植手术的组合栓道式全程数字化导板,包括数字化定位导板、数字化截骨导板和数字化终末导板,导板之间组合栓道式连接,在全口种植手术中,全程不用进行重新定位,很大程度节省了时间,精确指导种植体植入。(The invention discloses a combined key way type whole-process digital guide plate for a whole-mouth implant operation, which comprises a digital positioning guide plate, a digital bone cutting guide plate, a digital terminal guide plate and a positioning nail; the positioning guide plate is connected with the bone cutting guide plate in a combined bolt way, and the bone cutting guide plate is fixed to a target position through the positioning guide plate and is fixed to the target position by the positioning nail; the bone cutting guide plate is connected with the terminal guide plate in a combined bolt way mode, the terminal guide plate is fixed on an implantation site of an implant through the bone cutting guide plate, and the implantation direction is determined. The combined key way type whole-process digital guide plate for the whole-mouth implant operation comprises a digital positioning guide plate, a digital bone cutting guide plate and a digital terminal guide plate, wherein the guide plates are connected in a combined key way mode.)

1. A combined embolus way type whole-course digital guide plate for a whole-mouth implant operation is characterized by comprising a digital positioning guide plate (1), a digital bone cutting guide plate (2), a digital terminal guide plate (3) and positioning nails (4);

the digital positioning guide plate (1) is connected with the digital bone cutting guide plate (2) in a combined key way, and the digital bone cutting guide plate (2) is fixed to a target position through the digital positioning guide plate (1) and is fixed to the target position by using the positioning nails (4); the digital bone cutting guide plate (2) is connected with the digital end guide plate (3) in a combined bolt way mode, and the digital end guide plate (3) is fixed on an implantation site of an implant through the digital bone cutting guide plate (2) and determines the implantation direction.

2. The combined embolus-type full-stroke digital guide plate for full-mouth implant operation according to claim 1, wherein the digital positioning guide plate (1) is a one-piece structure and comprises a positioning sleeve (11), a first retention anode (12) and a connecting body (13); the structure of the locating sleeve (11) is matched with molar or wisdom tooth to guide the digital bone cutting guide plate (2) to the target position.

3. The combined embolus-type full-stroke digital guide plate for full-mouth implant operation according to claim 2, characterized in that the inner side of the first retention anode (12) is provided with a plurality of first retention columns (14), and the digital positioning guide plate (1) is connected to the digital osteotomy guide plate (2) through the first retention columns (14).

4. The combined embolus-type full-stroke digital guide plate for the full-mouth implant operation according to any one of claims 1-3, wherein the digital osteotomy guide plate (2) is of an integrated structure, and a positioning hole (21) and a retention groove (22) are arranged on the digital osteotomy guide plate (2).

5. The combined keyway full-stroke digital guide plate for the full-mouth implant surgery according to claim 4, characterized in that the positioning nails (4) are matched with the positioning holes (21), so that the positioning nails (4) extend into the positioning holes (21) to fix the digital osteotomy guide plate (2);

the inner side of the digital bone cutting guide plate (2) is matched with the alveolar bone to be attached to the alveolar bone, so that the digital bone cutting guide plate (2) is fixed.

6. The combined embolus-type full-stroke digital guide plate for full-mouth implant surgery as claimed in claim 4, characterized in that the retention groove (22) matches the shape of the first retention post (14), the first retention post (14) being insertable into the retention groove (22).

7. The combined embolus-type full-stroke digital guide plate for full-mouth implant operation according to claim 4, wherein the digital end guide plate (3) is a one-piece structure and comprises an implant guide plate body (31) and a second retention anode (32); a plurality of planting holes (301) are arranged on the planting guide plate body (31); the planting holes (301) correspond to planting positions and planting directions of the implant.

8. The combined embolus-type full-stroke digital guide plate for the full-mouth implant operation as claimed in claim 7, wherein a plurality of second retaining columns (302) matched with the retaining grooves (22) are arranged on the second retaining anode (32), and the second retaining columns (302) can be inserted into the retaining grooves (22).

9. The combined embolus-type full-stroke digital guide plate for full-mouth implant operation according to claim 4, characterized in that in the digital positioning guide plate (1), a first embolus which penetrates through the first retaining column (14) is arranged on the first retaining anode (12); the digital bone cutting guide plate (2) is provided with a second embolism passage which penetrates through the retention groove (22); and a third bolt way penetrating through the second fixing column (302) is arranged on the digital final guide plate (3).

10. The combined embolus-type full-stroke digital guide plate for full-mouth implant surgery of claim 9 wherein the diameters of the first, second and third emboli are the same; and a bolt body matched with the diameter of the second bolt way is utilized to fix the digital positioning guide plate (1) and the digital bone cutting guide plate (2) and the digital end guide plate (3).

Technical Field

The invention relates to the technical field of oral instruments, in particular to a combined-embolus-channel-type full-range digital guide plate for a full-mouth implant operation.

Background

The quality of life of the old is greatly damaged by the full-mouth toothless or serious dentition deletion, the mental health is ensured, the problem that the patient without the tooth jaw can not eat food normally can be effectively and fundamentally solved by the scheme of immediate restoration by full-mouth immediate planting, and the quality of life of the tooth jaw is improved efficiently and to a great extent. Traditional planting mainly relies on doctor's experience accumulation, and the direction of planting the body can't be controlled accurately to the art of art person in the art, and this will increase the risk of the adjacent important structure of operation in-process damage, can make later stage prosthetic degree of difficulty increase even. The digital technology utilizes preoperative CT data to design and plan, analyzes the bone mass, the bone density and the position away from an important anatomical structure of an implant part, selects a proper implant site, designs the implant direction of the implant according to relevant occlusion parameters, and then realizes accurate guidance on the implant of the implant.

At present, the whole-course digital guide plate guidance whole-mouth planting process is not realized in the world. And the digital guide plate for full-mouth planting has two problems at present: 1. the digital guide plate is designed without considering the problem of trimming the alveolar bone plane at present, and a patient without a jaw basically has the phenomenon that the alveolar bone plane is not matched with a combined curve, so that if the alveolar bone is not subjected to plane trimming before an implantation operation, the normal combined curve is difficult to recover during implantation repair; if the resultant curve is abnormal, various complications such as temporomandibular joint disorder and the like can be caused; 2. the current positioning guide plate and the planting guide plate are two independent guide plates, and after the positioning guide plate is used for positioning hole preparation, the problem that the guide plate cannot be completely positioned during installation of the planting guide plate often occurs.

Therefore, it is highly desirable to provide a combined-keyhole-type full-process digital guide plate for a full-mouth implant operation, which does not need to be positioned for the second time after the guide plate is positioned for the first time in the whole implant process, thereby saving the time of the implant operation and ensuring the accuracy of implant implantation.

Disclosure of Invention

The invention aims to provide a combined key way type whole-process digital guide plate for a whole-mouth implant operation, which comprises a digital positioning guide plate, a digital bone cutting guide plate and a digital terminal guide plate, wherein the guide plates are connected in a combined key way mode, the guide plates do not need to be repositioned in the whole process, the time is saved to a great extent, and the implant implantation is guided more accurately.

In order to achieve the purpose, the invention adopts the following technical scheme.

The invention provides a combined key way type whole-process digital guide plate for a whole-mouth implant operation, which comprises a digital positioning guide plate, a digital bone cutting guide plate, a digital terminal guide plate and a positioning nail, wherein the digital positioning guide plate is arranged on the digital terminal guide plate;

the digital positioning guide plate is connected with the digital bone cutting guide plate in a combined key way, and the digital bone cutting guide plate is fixed to a target position through the digital positioning guide plate and is fixed to the target position through the positioning nail; the digital bone cutting guide plate is connected with the digital end guide plate in a combined bolt way mode, and the digital end guide plate is fixed on an implantation site of an implant through the digital bone cutting guide plate and determines the implantation direction.

In some embodiments, the digital positioning guide plate is a one-piece structure and comprises a positioning sleeve, a first retention anode and a connecting body; the structure of the locating sleeve is matched with molar or wisdom tooth to guide the digital bone cutting guide plate to the target position. The connector can increase the strength of the digital positioning guide plate and prevent the guide plate from being broken.

In some embodiments, the inner side of the first retention anode is provided with a plurality of first retention columns, and the digital positioning guide plate is connected to the digital bone cutting guide plate through the first retention columns.

In some embodiments, the digital bone cutting guide is a one-piece structure, and the digital bone cutting guide is provided with a positioning hole and a retention groove.

In some embodiments, the positioning nail is matched with the positioning hole, so that the positioning nail extends into the positioning hole to fix the digital bone cutting guide plate; the inner side of the digital bone cutting guide plate is matched with the alveolar bone to be attached to the alveolar bone, and the digital bone cutting guide plate is fixed.

In some embodiments, the retention groove matches a shape of the first retention post, and the first retention post is insertable into the retention groove.

In some embodiments, the digital end guide is a one-piece structure comprising a planting guide body and a second retention anode; a plurality of planting holes are formed in the planting guide plate body; the planting hole corresponds to the planting site and the planting direction of the implant.

In some embodiments, the second retention anode is provided with a plurality of second retention columns matched with the retention grooves, and the second retention columns can be inserted into the retention grooves; to connect the digitized end guide to the digitized osteotomy guide.

In some embodiments, in the digital positioning guide plate, the first retention anode is provided with a first key way penetrating through the first retention column; the digital bone cutting guide plate is provided with a second embolism passage penetrating through the retention groove; and a third bolt way penetrating through the second fixing column is arranged on the digital final guide plate.

In some embodiments, the diameters of the first, second, and third emboli are the same; and utilizing a bolt body matched with the diameter of the second bolt channel to fix the digital positioning guide plate and the digital bone cutting guide plate and the digital terminal guide plate.

In the combined bolt way type whole-course digital guide plate, the digital positioning guide plate is detachably connected with the digital bone cutting guide plate; the digital bone cutting guide plate is detachably connected with the digital end guide plate.

The indications of the whole-course digital guide plate of the invention comprise: 1. guiding the implant operation with sufficient total bone mass; 2. the total bone mass is insufficient, such as: the maxillary sinus floor bone quantity is insufficient, the mandibular premolar and the alveolar bone in the molar area are insufficient, the neural tube is closer to the alveolar crest, and the wing-penetrating isocline implant is required to be guided by the implant operation under the above conditions; 3. after loss of the full-mouth dentition, osteotomy is required for the bone plane height to be inconsistent with the resultant curve.

In the invention, the combined embolus type whole-course digital guide plate for the whole-mouth planting operation is obtained by adopting a digital technology. The invention utilizes preoperative CT data to design and plan, analyzes the bone mass, the bone density and the position away from an important anatomical structure of an implant part, selects a proper implant site, designs the implant direction of the implant according to relevant occlusion parameters to obtain a combined-keyway type whole-process digital guide plate, and further realizes accurate guidance on the implant of the implant.

The combined embolus-type whole-course digital guide plate is applied to a whole-mouth implantation operation, and the digital positioning guide plate, the digital bone cutting guide plate and the digital terminal guide plate are applied in a stepped mode to guide implantation of an implant. The digital positioning guide plate and the digital terminal guide plate are respectively connected with the digital bone cutting guide plate in a combined key way mode, the digital bone cutting guide plate is positioned by the digital positioning guide plate, then the two parts connected in the key way mode are separated, the digital positioning guide plate is taken out, and the positioning nail is not required to be taken out in the whole process; the part fixed by the positioning nail is a digital bone cutting guide plate, the digital bone cutting guide plate is used for guiding bone plane trimming, and then the digital final guide plate is connected to the digital bone cutting guide plate in a way of a bolt way to implant the implant. After the initial positioning is completed, the guide plate is not required to be positioned again in the whole process, so that the operation time is saved to a great extent, and the accuracy of digitally guiding the finger-planting operation is ensured.

The invention has the beneficial effects that:

the invention discloses a combined embolus-way type whole-course digital guide plate for a whole-mouth implant operation, which mainly comprises a digital positioning guide plate, a digital bone cutting guide plate and a digital terminal guide plate (implant guide plate), wherein the digital positioning guide plate, the digital bone cutting guide plate and the digital terminal guide plate are applied in a stepped manner so as to guide the implantation of an implant. Different guide plates are connected in a way of a key way, so that the second positioning is not needed after the first guide plate positioning is completed in the whole process, the operation time is saved, and the accuracy of implant implantation is also ensured. The whole process of the implant implantation of the invention has three guide plates, thus really realizing the whole process of digital guidance implantation.

In the invention, the complete set of stepped application of the digital positioning guide plate, the digital bone cutting guide plate and the digital final guide plate can guide the plane finishing of the implanted bone and the implantation of the implant in the whole process, and finally, the tooth restoration is ideally carried out.

Drawings

In order to more clearly illustrate the technical solutions in the embodiments of the present invention, the drawings needed to be used in the description of the embodiments will be briefly introduced below, and it is obvious that the drawings in the following description are only some embodiments of the present invention, and it is obvious for those skilled in the art to obtain other drawings based on these drawings without creative efforts.

Fig. 1 is a first schematic structural diagram of the digital positioning guide plate according to the present invention.

FIG. 2 is a schematic structural diagram of the digital positioning guide plate according to the present invention.

FIG. 3 is a first schematic structural view of the digital osteotomy guide of the present invention.

FIG. 4 is a schematic structural diagram of a digital osteotomy guide plate according to the present invention.

FIG. 5 is a schematic structural diagram of the digital end guide of the present invention.

FIG. 6 is a schematic view of the digital positioning guide and the digital osteotomy guide combined with a bolted connection structure.

Fig. 7 is a schematic structural diagram of the digital osteotomy guide and the digital end guide combined embolus type connection in the invention.

Fig. 8 is a schematic side view of the first retention anode of the digital positioning guide of the present invention.

The reference numerals in the figures are respectively:

1. a digital positioning guide plate;

2. a digital bone cutting guide plate;

3. a digital final guide plate;

4. positioning nails;

11. a positioning sleeve;

12. a first retention anode;

13. a linker;

14. a first retention post;

21. positioning holes;

22. a retention groove;

31. planting a guide plate body;

32. a second retained anode;

301. planting holes;

302. a second retention post.

Detailed Description

The technical solution in the embodiments of the present invention will be clearly and completely described below with reference to the accompanying drawings in the embodiments of the present invention. It is to be understood that the described embodiments are merely exemplary of the invention, and not restrictive of the full scope of the invention. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.

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