阅读说明：本技术 一种适用于全口种植手术的全程数字化组合导板 (Whole-course digital combined guide plate suitable for whole-mouth planting operation ) 是由 徐光宙 李岩 杨驰 张志愿 于 2021-07-26 设计创作，主要内容包括：本发明提供一种适用于全口种植手术的全程数字化组合导板,包括一数字化定位导板、一数字化截骨导板、一数字化终末导板和定位钉,还包括通过与所述数字化截骨导板连接固位的数字化临时牙。本发明定位导板与截骨导板为组合栓道式连接,定位钉全程不用取出,整个过程在最初定位完成后,后续均不用重新进行导板定位,保证了数字化指导种植手术的准确性,同时能够实现临时牙的即刻佩戴,很大程度上节省了手术时间。(The invention provides a whole-course digital combined guide plate suitable 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 positioning nails, and further comprises digital temporary teeth which are connected with the digital bone cutting guide plate for positioning. The positioning guide plate and the osteotomy guide plate are connected in a combined key way mode, the positioning nail does not need to be taken out in the whole process, and the guide plate positioning does not need to be carried out again in the follow-up process after the initial positioning is finished in the whole process, so that the accuracy of the digital guidance implant operation is ensured, the temporary tooth can be worn immediately, and the operation time is saved to a great extent.)

1. The full-process digital combined guide plate suitable for the full-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 full-range digital combined guide plate suitable for the full-mouth implant operation is characterized in that the digital bone cutting guide plate (2) is of a one-piece structure, and a positioning hole (21) and a retention groove (22) are formed in the digital bone cutting guide plate (2).

3. The full-stroke digital combined guide plate suitable for the full-mouth implant surgery as claimed in claim 2, wherein 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.

4. The full-range digital combined guide plate suitable for the full-range planting operation is characterized in that the digital positioning guide plate (1) is of 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.

5. The full-stroke digital combined guide plate suitable for the full-mouth implant operation is characterized in that a plurality of first retaining columns (14) are arranged on the inner side of the first retaining anode (12), and the digital positioning guide plate (1) is connected to the digital osteotomy guide plate (2) through the first retaining columns (14); the inner side surface of the first retention anode (14) is arranged to fit the digital osteotomy guide plate (2).

6. The full-stroke digital combined guide plate suitable for the full-mouth implant operation according to claim 5, wherein the retention groove (22) is matched with the shape of the first retention column (14), and the first retention column (14) can be inserted into the retention groove (22).

7. The full-stroke digital combined guide plate suitable for the full-mouth implant operation is characterized by further comprising a digital temporary tooth (5), wherein the digital temporary tooth (5) is detachably connected with the digital osteotomy guide plate (2) in a combined key way mode.

8. The full-stroke digital combined guide plate suitable for the full-mouth implant operation according to the claim 7, wherein the digital temporary tooth (5) is a one-piece structure comprising a temporary crown (51), a temporary crown connector (52) and a third retention anode (53); the temporary dental crown (51) is provided with a plurality of implant holes (511) corresponding to the implants; the third retention anode (53) is provided with a plurality of third retention columns (531) matched with the retention grooves (22) of the digital osteotomy guide plate (2), and the third retention columns (531) can be inserted into the retention grooves (22).

9. The full-stroke digital combined guide plate suitable for the full-mouth implant operation is characterized in that the digital end guide plate (3) is of 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 implants; a plurality of second retention columns (302) matched with the retention grooves (22) are arranged on the second retention anodes (32), and the second retention columns (302) can be inserted into the retention grooves (22).

10. The full-stroke digital combined guide plate suitable for the full-mouth implant operation according to any one of the claims 2, 4, 8 or 9, characterized in that in the digital positioning guide plate (1), the first retention anode (12) is provided with a first key way penetrating through the first retention column (14); the digital bone cutting guide plate (2) is provided with a second embolism passage which penetrates through the retention groove (22); a third bolt way penetrating through the second fixing column (302) is arranged on the digital final guide plate (3); and a fourth key way penetrating through the third fixing column (531) is arranged on the digital temporary tooth (5).

11. The omnirange digital combined guide plate suitable for the omnirange implant surgery of claim 10, wherein the diameters of the first, second, third and fourth emboli are the same; and utilizing a bolt body matched with the diameter of the second bolt way to fix the digital positioning guide plate (1) and the digital bone cutting guide plate (2), fix the digital bone cutting guide plate (2) and the digital end guide plate (3), and fix the digital temporary tooth (5) and the digital bone cutting guide plate (2).

Technical Field

The invention relates to the technical field of oral instruments, in particular to a full-process digital combined guide plate suitable 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 is expected to realize 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. The digital guide plate of current full mouthful planting mainly has two aspects's problem: firstly, the positioning guide plate, the bone cutting guide plate and the planting guide plate which are used for full-mouth digital planting at present are three independent guide plates, after the positioning guide plate is used for preparing the positioning hole, the problem that the guide plate cannot be completely positioned often occurs when the bone cutting guide plate and the implanting guide plate are installed, the conversion in the operation process wastes a long time, and particularly, after the positioning guide plate is positioned, the positioning hole is prepared and positioned by the positioning nail, when the osteotomy guide plate is replaced, the retention nails are taken out firstly and then are positioned by the retention nails based on the last positioning holes, and when the implantation guide plate is replaced, it is also necessary to take out the fixture first and then perform positioning using the fixture based on the last positioning hole, exchange between the guide plate and the guide plate, meanwhile, four positioning nails are difficult to be completely and simultaneously in place in four directions, so that a long time is wasted in the operation process, and the accuracy of implant implantation is difficult to ensure.

Disclosure of Invention

Aiming at the situation, in order to make up for the defects of the prior art, the invention provides the whole-process digital combined guide plate suitable for the whole-mouth implant operation.

The technical scheme for solving the problems is as follows:

the invention provides a whole-course digital combined guide plate suitable 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 of the invention, the full-range digital combined guide plate suitable for the full-mouth implant surgery further comprises digital temporary teeth, and the digital temporary teeth are fixedly connected with the digital osteotomy guide plate in a way of a combined bolt.

In some embodiments of the present invention, the digital positioning guide is a one-piece structure, and includes 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.

In some embodiments of the invention, 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; the inner side surface of the first retention anode is configured to fit the digital bone cutting guide plate.

In some embodiments of the invention, 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 of the invention, 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 of the present invention, 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 of the present invention, 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 of the present invention, the second retention anode is provided with a plurality of second retention posts matching with the retention grooves, and the second retention posts can be inserted into the retention grooves.

In some embodiments of the invention, 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 of the invention, 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 some embodiments of the present invention, the digital temporary tooth is a one-piece structure including a temporary crown, a temporary crown connector, and a third retention anode; a plurality of implant holes corresponding to the implants are arranged below the temporary dental crowns; the third retention anode is provided with a plurality of third retention columns matched with the retention grooves, and the third retention columns can be inserted into the retention grooves.

In some embodiments of the invention, the digital temporary tooth is provided with a fourth key way penetrating through the third fixing column, and the diameter of the fourth key way is the same as that of the second key way; and fixing the digital temporary tooth with the digital bone cutting guide plate by using a bolt body matched with the diameter of the second bolt channel.

Compared with the prior art, the invention has the following beneficial effects:

1. the whole-course digital guide plate suitable for whole-mouth implantation is used for guiding the implantation of an implant through a step-type digital positioning guide plate, a digital bone cutting guide plate and a digital final guide plate, different guide plates are connected in a way of a key way, and after the first guide plate is positioned in the whole course, the second positioning is not needed in the follow-up process, so that the operation time is saved, the accuracy of the implantation of the implant is ensured, and the whole-course digital guided implantation is really realized.

2. According to the invention, the full 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 trimming of the implanted bone and the implantation of the implant in the whole process, and finally the bone cutting guide plate is used as the retention guide plate and is connected with the retained digital temporary teeth in a way of a plug way, so that the pre-formed temporary teeth can be worn immediately, the scheme of implantation and whole-process digitization by taking restoration as guidance is really realized, and the ideal tooth restoration effect is finally obtained.

Drawings

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

FIG. 2 is a schematic structural diagram of a 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 of the present invention.

FIG. 5 is a schematic structural diagram of the digital end guide according to 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 view of the structure of the digital osteotomy guide and the digital final guide combined embolus type connection.

FIG. 8 is a schematic side view of a first anode retainer of the digital locating guide of the present invention.

Fig. 9 is a first schematic structural diagram of a digital temporary tooth according to the present invention.

Fig. 10 is a second schematic structural diagram of the digital temporary tooth according to the present invention.

FIG. 11 is a first schematic view of the digital osteotomy guide and the digital temporary dental combination embolus type connection structure of the present invention.

FIG. 12 is a second schematic view of the digital osteotomy guide and the digital temporary dental combination embolus type connection structure of the present invention.

FIG. 13 is a connection diagram of the combination of the digital positioning guide and the digital bone cutting guide according to the embodiment of the present invention.

FIG. 14 is a view of the digital locating guide of the present invention removed to leave a digital osteotomy guide.

FIG. 15 is a diagram of a digital osteotomy guide and digital end guide guided implant implantation in accordance with an embodiment of the present invention.

FIG. 16 is a diagram of a digital bone cutting guide and a digital temporary tooth immediate restoration according to an embodiment of the present invention.

The labels in the figure are: 1-a digital positioning guide plate; 2-a digital bone cutting guide plate; 3-a digital end guide plate; 4-positioning the nail; 5-digital temporary teeth; 11-a positioning sleeve; 12-a first retained anode; 13-a linker; 14-a first retention post; 121-a first retention anode extension; 21-positioning holes; 22-a retention groove; 31-planting guide plate body; 32-a second retained anode; 33-a terminal guide connector; 301-planting holes; 302-a second retention post; 303-a second retained anode extension; 51-temporary crowns; 52-temporary crown connection; 53-a third retained anode; 511-implant hole; 531-third retention column; 532-third retained anode extension.

Detailed Description

The embodiments of the present invention are described below with reference to specific embodiments, and other advantages and effects of the present invention will be easily understood by those skilled in the art from the disclosure of the present specification. The invention is capable of other and different embodiments and of being practiced or of being carried out in various ways, and its several details are capable of modification in various respects, all without departing from the spirit and scope of the present invention.

The embodiment of the invention provides a combined key way type whole-course digital guide plate for a whole-mouth implant operation, and referring to fig. 1 to 10, the combined key way type whole-course digital guide plate comprises a digital positioning guide plate 1, a digital bone cutting guide plate 2, a digital terminal guide plate 3 and a positioning nail 4; referring to fig. 6, the digital positioning guide 1 is in combined-keyway connection with the digital bone cutting guide 2, and the digital bone cutting guide 2 is fixed to a target position through the digital positioning guide 1 and is fixed to the target position by the positioning nails 4 as shown in fig. 4; as shown in fig. 7, the digital bone cutting guide 2 is connected with the digital end guide 3 in a combined way, and the digital end guide 3 is fixed at the planting site of the implant through the digital bone cutting guide 2 and determines the planting direction.

In a preferred embodiment, the combined embolus-type full-stroke digital guide plate for the full-mouth implant operation further comprises a digital temporary tooth 5; as shown in fig. 11, after the implant is implanted and the digital end guide 3 is removed, the digital temporary tooth 5 is immediately worn by using the digital osteotomy guide 2 as a retention plate and combining with the digital osteotomy guide 2 to fix the digital osteotomy guide by means of a keyhole-type connection.

In some embodiments, as shown in fig. 1, the digital positioning guide plate 1 is a one-piece structure, and includes 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 2 to the target position. The position sleeve 11 is prefabricated according to the digital information of gathering and forms, can match completely with the molar or wisdom tooth that correspond in the patient's oral cavity, and the location is accurate, wears comfortablely. The connecting body 13 is connected with the positioning sleeve 11 and the first retention anode 12, plays a role in supporting the digital positioning guide plate 1 and is convenient to use; the shape of the connecting body 13 is not limited, and the connecting body can realize corresponding functions, preferably has a shape of a T, and the two transverse ends of the connecting body are respectively connected with the two ends of the positioning sleeve 11 and longitudinally connected with the first retention anode 12.

In some embodiments, as shown in fig. 2, the inner side of the first retention anode 12 is provided with a plurality of first retention posts 14, and the digital positioning guide 1 is connected to the digital osteotomy guide 2 through the first retention posts 14. The shape of the corresponding part of the first retention anode 12 and the prefabricated bone cutting guide plate 2 is matched, so that the first retention anode can be completely attached to the prefabricated bone cutting guide plate 2, when the digital positioning guide plate 1 is put into the oral cavity of a patient through the guiding of the positioning sleeve 11, the digital bone cutting guide plate 2 is also guided to the accurate position and then fixed through the positioning nail 4, and the accuracy of the whole planting process is guaranteed.

In some embodiments, as shown in fig. 3, the digital osteotomy guide 2 is a one-piece structure, and the digital osteotomy guide 2 is provided with a positioning hole 21 and a retention groove 22.

In some embodiments, as shown in fig. 4, the positioning nail 4 is matched with the positioning hole 21, so that the positioning nail 4 extends into the positioning hole 21 to fix the digital bone cutting guide 2; the inner side of the digital bone cutting guide plate 2 is matched with the alveolar bone so as to be attached to the alveolar bone, and the digital bone cutting guide plate 2 is favorably fixed.

In some embodiments, the retention groove 22 matches the shape of the first retention post 14, and the first retention post 14 is insertable into the retention groove 22.

In some embodiments, as shown in fig. 5, the digital end guide 3 is a one-piece structure including a planting guide 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 the planting positions and the planting directions of the implant. In some preferred embodiments, the digital end guide 3 further comprises an end guide connecting body 33, which connects the two ends and the middle of the planting guide body 31 and serves to support the digital end guide 3; preferably, the planting guide plate body is T-shaped, and the two transverse ends of the planting guide plate body are respectively connected with the two ends of the planting guide plate body 31 and are longitudinally connected with the middle part of the planting guide plate body.

In some embodiments, as shown in fig. 5, the second retention anode 32 is provided with a plurality of second retention posts 302 matching with the retention grooves 22, and the second retention posts 302 can be inserted into the retention grooves 22; to connect the digital end guide 3 to the digital osteotomy guide 2.

In some embodiments, in the digital positioning guide plate 1, the first retention anode 12 is provided with a first key way penetrating through the first retention column 14; the digital bone cutting guide plate 2 is provided with a second embolism passage which penetrates through the retention groove 22; in the digital end guide 3, a third key way penetrating through the second retention post 302 is arranged on the second retention anode 32.

The second passage extending through the retention groove 22 may extend through the labial and lingual walls of the retention groove 22 as shown in fig. 4.

In some embodiments, 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 fix the digital bone cutting guide plate 2 and the digital end guide plate 3.

In some embodiments, the first retained anode 12 is identical in structure to the second retained anode 32. In some embodiments, the number of retention grooves 22 is, for example, but not limited to, 4; suitably, the number of the first retaining columns 14 and the second retaining columns 302 is also 4.

In some embodiments, the digitized temporary teeth 5 are prepared by recording the mandibular movement trajectory and occlusion information of the patient before the operation by a full-time digitization technique.

In some embodiments, as shown in fig. 9 and 10, the digital temporary tooth 5 is a one-piece structure including a temporary crown 51, a temporary crown connector 52, and a third retention anode 53; the temporary dental crown 51 is provided with a plurality of implant holes 511 corresponding to the implants; the third retention anode 53 is provided with a plurality of third retention posts 531 matching with the retention grooves 22, and the third retention posts 531 can be inserted into the retention grooves 22. The temporary crown connection body 52 is at least one, connects the temporary crown 51 and the third retention anode 53, and functions to support the external shape of the digital temporary tooth 5.

In some embodiments, the digital temporary tooth 5 is provided with a fourth key way penetrating through the third retention post 531.

In some embodiments, the diameters of the first, second, third, and fourth emboli are the same; and fixing the digital temporary tooth 5 and the digital bone cutting guide 2 by using a bolt body matched with the diameter of the second bolt channel.

In some embodiments, as shown in fig. 1, 5 and 9, the first retention anode 12, the second retention anode 32 and the third retention anode are respectively provided with a first retention anode extension 121, a second retention anode extension 303 and a third retention anode extension 532, each extension is used for fitting the outer side surface of the digital osteotomy guide 2, and each extension is provided with a key way corresponding to the position and direction of the key way on the first retention column 14, the key way on the second retention column 302 and the key way on the third retention column 531. The key way type connection between the combined guide plates can be firmer and is not easy to shift through the key ways arranged on the extended parts of the retention anodes.

Examples

The clinical application of the whole-course digital combined guide plate suitable for the whole-mouth implant operation provided by the invention is as follows:

firstly, the digital positioning guide plate 1 and the digital bone cutting guide plate 2 are connected together in a way of a key way (please refer to fig. 6 and 13), and are put into the mouth of a patient, wherein the positioning sleeve 11 in the digital positioning guide plate 1 is used for being sleeved on the teeth in the mouth for positioning, the digital bone cutting guide plate 2 is moved to a target position, and the positioning nail 4 is used for penetrating through the positioning hole 21 and fixing the digital bone cutting guide plate 2 on the alveolar bone; after the positioning is finished, the key way combination between the digital positioning guide plate 1 and the digital bone cutting guide plate 2 is released, the digital positioning guide plate 1 is taken out, and the digital bone cutting guide plate 2 fixed by the positioning nails 4 is left in the oral cavity (please refer to fig. 14); then, trimming the alveolar bone according to the remaining digital bone cutting guide plate 2; after the alveolar bone is trimmed and leveled, the second retention post 302 is inserted into the retention groove 22, and the second retention anode 32 is connected with the retention groove 22 (cathode) in a way of combining with a bolt way, namely, the digital end guide 3 (implant guide) is connected to the digital bone cutting guide 2 (please refer to fig. 7 and 15), and the implant is implanted by using the implant hole 301 to prepare a hole of the final implant; thereafter, the digital end guide 3 (implant guide) is removed, the implant holes 511 on the temporary crown connection bodies 52 are in one-to-one correspondence with the implants, and then the third retention anode 53 of the digital temporary tooth 5 is inserted into the retention groove 22, and the third retention anode 53 is connected with the retention groove 22 (cathode) in a way of being combined with the embolus passage (see fig. 11 and 16), that is, the digital osteotomy guide 2 is used as a retention plate, so as to realize the immediate wearing of the digital temporary tooth 5.

In the invention, different guide plates are connected in a way of a key way, and the second positioning is not needed after the first guide plate positioning is completed in the whole process, thereby saving the operation time and ensuring the accuracy of the implant implantation. Three guide plates are used in the whole planting process, so that the whole-process digital-guided planting is realized in a real sense.

After the implantation of the invention, according to the display of CBCT (cone beam CT) after the operation, the implantation site of the implant is basically consistent with the preoperative design, thereby realizing the purpose of accurately transferring the preoperative plan to the operation, further ensuring the safety distance to the maximum extent and reducing the risk of adverse events in the operation.

The foregoing embodiments are merely illustrative of the principles and utilities of the present invention and are not intended to limit the invention. Any person skilled in the art can modify or change the above-mentioned embodiments without departing from the spirit and scope of the present invention. Accordingly, it is intended that all equivalent modifications or changes which can be made by those skilled in the art without departing from the spirit and technical spirit of the present invention be covered by the claims of the present invention.