阅读说明：本技术 一种植牙用手术导板及其制造方法 (One tooth-implanting surgical guide and its manufacturing method ) 是由 秦建洲 王同峰 于 2019-08-21 设计创作，主要内容包括：本发明公开了一种植牙用手术导板,包括导板本体,导板本体上开设有预留种植孔,预留种植孔的内部插设有金属套管,金属套管的底部黏贴在预留种植孔的内部,在缺牙位点区排列人工牙以人工牙袷面中心点在导板本体上开设钻孔,导板本体的底部两侧一体成型有与牙齿卡合的卡环；本方案,导板结构简单,方便进行植牙用手术,通过钻孔、开设预留种植孔、安装金属套管、弯制卡环、CT扫描、修改确定等步骤,临床中就可以完成简易导板制作,降低了制作成本投入,减少了制作时间,CBCT辅助制作的简易种植导板依靠模型矢状面切开与CBCT精确数据测量后模型上导板空间轴向纠正,种植手术的安全性和准确性有了极大的提高。(The invention discloses a tooth-implanting surgical guides, including guide plate ontology, reserved implantation hole is offered on guide plate ontology, the inside of reserved implantation hole is inserted with metal sleeve, it pastes in the inside of reserved implantation hole the bottom of metal sleeve, in agomphosis site, area arrangemant of artificial tooth face central point of being made rich with artificial tooth opens up drilling on guide plate ontology, and the two sides of the bottom of guide plate ontology are integrally formed with the snap ring engaged with tooth；This programme, guide plate structure is simple, facilitate and plant tooth operation, by drilling, open up reserved implantation hole, installation metal sleeve, bending clasp, CT scan, modification determine, simple guide plate production can be completed in clinic, reduce the production cost investment, reduce Production Time, the simple plantation guide plate of CBCT auxiliary production cuts by model sagittal plane and axially corrects with model upper guide plate space after the measurement of CBCT precise information, and the safety of implant operation and accuracy are greatly improved.)

1. a tooth-implanting surgical guide, including guide plate ontology, it is characterised in that: offer reserved plantation on the guide plate ontology Hole, the inside of the reserved implantation hole are inserted with metal sleeve, and the bottom of the metal sleeve is pasted in the reserved implantation hole Inside, open up drilling on the guide plate ontology in agomphosis site area arrangemant of artificial tooth face central point of making rich with artificial tooth, it is described The two sides of the bottom of guide plate ontology are integrally formed with the snap ring engaged with tooth.

2. a kind of manufacturing method described in claim 1 for planting tooth surgical guide, it is characterised in that: specifically include following step It is rapid:

S1, open up drilling: first visit takes patient's research model, makes simple tooth-implanting guide plate using photocuring cast material, is lacking Tooth site area arrangemant of artificial tooth makes rich face central point as boring point using artificial tooth, drill point angle reference adjacent teeth axial drilling to gypsum Model surface 0.5mm, and label is imprinted as with drilling on plaster cast and carries out cheek-tongue direction and middle-distant direction agomphosis site alveolus DATA REASONING at ridge determines the three-dimensional axial direction of planting body simulation implantation and marks；

S2, it opens up reserved implantation hole: then cutting plaster cast perpendicular to jaw plane sagittal along marker site, mark point is extended To sagittal cut face, using axial direction at sagittal plane center as standard, in conjunction with drilling in artificial tooth surface projection, further measure and repair Angle of striking is displanted, makes to repair axially positioned at ideal position, opens up reserved implantation hole；

S3, installation metal sleeve: reserving implantation hole in former silicon rubber cavity block and cut out metal sleeve space, with the reset of without hindrance model For standard, bonded after the plaster cast of incision is reset to silicone rubber impression；

S4, bending clasp: it is remained in model and bends two groups of snap rings on tooth position；

S5, CT scan: by the guide plate tentatively completed band human patient mouth, scanning, high-frequency direct-current using CBCT machine, and tube voltage 90~ 120kV, focus size 0.3mm, minimum pixel size 0.16mm, analyze determine ideal plantation site, site area gum thickness with Planting body model requires to analyze implantation site according to three-dimensional space position using NNT software with bone regeneration around implant bone amount Measurement, determines planting body model and length, and software simulates Implant in ideal spatial position, with the friendship of Dicom3.0 format Offer image processing is provided, plantation site axle position, Coronal, sagittal image are obtained；

S6, modification determine: analyzing simulation implant information, with reference to the final artificial tooth stress Analysis of Axial of implant, modification is true Fixed final quasi- implantation spatial position, and save image after data difference measures between metal sleeve on image；Ginseng Metal sleeve three-dimensional position is corrected on mouth external model according to the image of preservation, metal sleeve is adjusted to scheduled position Refine disinfection is carried out afterwards.

3. the manufacturing method of tooth-implanting surgical guide according to claim 2, it is characterised in that: the reserved plantation Diameter 2.05mm is assigned in hole, and length is the metal sleeve of dangerous gum distance+0.5mm, and metal sleeve penetrates guide plate in model 0. 5mm can leave the clearly marking on position corresponding with gum after in place in mouth, provide implantation not turn over valve implanted prosthetics It is convenient.

Technical field

The invention belongs to dentistry fields, and in particular to a tooth-implanting surgical guide, the invention further relates to one kind Plant the manufacturing method of tooth surgical guide.

Background technique

With the development of science and technology with the raising of people's economic level, implant denture is because maintenance support effect is ideal, beauty The advantages that comfortable, to adjacent teeth fanout free region is seen, how the prefered method for being increasingly becoming defect of dentition and deletion patients' oral restoration reaches Axially to optimal reparation, and optimal surgical implantation direction is taken into account, is the difficult point in current plantation, and plantation treatment long term The key of success or failure.

But traditional plant tooth surgical guide leads to essence using manual measurement and the reserved implantation hole designed, drilling etc. It is poor to spend, and therapeutic effect is poor, causes to plant the safety performed the operation and accuracy is poor, and manufacture cumbersome.

Summary of the invention

The purpose of the present invention is to provide a tooth-implanting surgical guide and its manufacturing methods, to solve above-mentioned background technique The problem of middle proposition.

To achieve the above object, the invention provides the following technical scheme: a tooth-implanting surgical guide, including guide plate sheet Body offers reserved implantation hole on the guide plate ontology, and the inside of the reserved implantation hole is inserted with metal sleeve, the metal The bottom of casing is pasted in the inside of the reserved implantation hole, and in agomphosis site, area arrangemant of artificial tooth is made rich face central point with artificial tooth Drilling is opened up on the guide plate ontology, the two sides of the bottom of the guide plate ontology are integrally formed with the snap ring engaged with tooth.

The present invention also provides the manufacturing methods of a tooth-implanting surgical guide, specifically includes the following steps:

S1, open up drilling: first visit takes patient's research model, makes simple tooth-implanting guide plate using photocuring cast material, is lacking Tooth site area arrangemant of artificial tooth makes rich face central point as boring point using artificial tooth, drill point angle reference adjacent teeth axial drilling to gypsum Model surface 0.5mm, and label is imprinted as with drilling on plaster cast and carries out cheek-tongue direction and middle-distant direction agomphosis site alveolus DATA REASONING at ridge determines the three-dimensional axial direction of planting body simulation implantation and marks；

S2, it opens up reserved implantation hole: then cutting plaster cast perpendicular to jaw plane sagittal along marker site, mark point is extended To sagittal cut face, using axial direction at sagittal plane center as standard, in conjunction with drilling in artificial tooth surface projection, further measure and repair Angle of striking is displanted, makes to repair axially positioned at ideal position, opens up reserved implantation hole；

S3, installation metal sleeve: reserving implantation hole in former silicon rubber cavity block and cut out metal sleeve space, with the reset of without hindrance model For standard, bonded after the plaster cast of incision is reset to silicone rubber impression；

S4, bending clasp: it is remained in model and bends two groups of snap rings on tooth position；

S5, CT scan: by the guide plate tentatively completed band human patient mouth, scanning, high-frequency direct-current using CBCT machine, and tube voltage 90~ 120kV, focus size 0.3mm, minimum pixel size 0.16mm, analyze determine ideal plantation site, site area gum thickness with Planting body model requires to analyze implantation site according to three-dimensional space position using NNT software with bone regeneration around implant bone amount Measurement, determines planting body model and length, and software simulates Implant in ideal spatial position, with the friendship of Dicom3.0 format Offer image processing is provided, plantation site axle position, Coronal, sagittal image are obtained；

S6, modification determine: analyzing simulation implant information, with reference to the final artificial tooth stress Analysis of Axial of implant, modification is true Fixed final quasi- implantation spatial position, and save image after data difference measures between metal sleeve on image；Ginseng Metal sleeve three-dimensional position is corrected on mouth external model according to the image of preservation, metal sleeve is adjusted to scheduled position Refine disinfection is carried out afterwards.

Preferably, the reserved implantation hole assigns diameter 2.05mm, and length is the metal sleeve of dangerous gum distance+0.5mm, gold Category casing, which penetrates guide plate, can leave the clearly marking on position corresponding with gum after in place in 0.5mm in model, mouth, Implantation convenience is provided not turn over valve implanted prosthetics.

Tooth-implanting surgical guide provided by the invention and its manufacturing method, have the advantage that

1, this programme, guide plate structure is simple, facilitates and plant tooth operation, by drilling, opening up reserved implantation hole, installation metal Casing, bending clasp, CT scan, modification determine, simple guide plate production can be completed in clinic, reduces and is fabricated to This investment, reduces Production Time, and the simple plantation guide plate of CBCT auxiliary production cuts accurate with CBCT by model sagittal plane Model upper guide plate space is axially corrected after DATA REASONING, and the safety of implant operation and accuracy are greatly improved；

2, the simple tooth-implanting guide plate under CBCT auxiliary can satisfy conventional case plantation three-dimensional position and more accurately require, and make It is common to make material clinic, large scale equipment is not needed in manufacturing process, simple guide plate production can be completed in clinic, reduces system Make cost input, reduces Production Time；

3, the simple plantation guide plate of CBCT auxiliary production is by model after the incision of model sagittal plane and the measurement of CBCT precise information Guide plate space is axially corrected, and the design requirement to implantation position can be accurately reached.Production initial stage, what model was produced Integrality is particularly important with accuracy；

4, the production of guide plate applies data quantization, and simple tooth-implanting guide plate is made to improve precision, although guide plate is not achieved completely Ideal accurate plant people's effect, but for empirical plantation, the safety of implant operation and accuracy have greatly It improves.

Detailed description of the invention

Fig. 1 is the structural diagram of the present invention.

In figure: 1, guide plate ontology；2, implantation hole is reserved；3, metal sleeve；4, it drills；5, snap ring.

Specific embodiment

Following will be combined with the drawings in the embodiments of the present invention, and technical solution in the embodiment of the present invention carries out clear, complete Site preparation description, it is clear that described embodiments are only a part of the embodiments of the present invention, instead of all the embodiments.It is based on Embodiment in the present invention, it is obtained by those of ordinary skill in the art without making creative efforts every other Embodiment shall fall within the protection scope of the present invention.