CN106725946B - A kind of method for prefabricating of Dental implant surgery provisional prosthesis - Google Patents
A kind of method for prefabricating of Dental implant surgery provisional prosthesis Download PDFInfo
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- CN106725946B CN106725946B CN201611254389.8A CN201611254389A CN106725946B CN 106725946 B CN106725946 B CN 106725946B CN 201611254389 A CN201611254389 A CN 201611254389A CN 106725946 B CN106725946 B CN 106725946B
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- gingival
- temporary restoration
- alveolar bone
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- 238000000034 method Methods 0.000 title claims abstract description 29
- 239000004053 dental implant Substances 0.000 title claims abstract description 22
- 238000001356 surgical procedure Methods 0.000 title claims abstract description 20
- 239000011505 plaster Substances 0.000 claims abstract description 19
- 239000007943 implant Substances 0.000 claims abstract description 18
- 238000009417 prefabrication Methods 0.000 claims abstract 6
- 210000000988 bone and bone Anatomy 0.000 claims description 52
- 238000013461 design Methods 0.000 claims description 22
- 238000007408 cone-beam computed tomography Methods 0.000 claims description 8
- 239000011664 nicotinic acid Substances 0.000 claims description 4
- 230000003239 periodontal effect Effects 0.000 claims description 3
- 230000008197 oral dentition Effects 0.000 claims 3
- 210000004195 gingiva Anatomy 0.000 claims 1
- 229910052602 gypsum Inorganic materials 0.000 abstract description 9
- 239000010440 gypsum Substances 0.000 abstract description 9
- 210000000214 mouth Anatomy 0.000 description 9
- 230000008859 change Effects 0.000 description 8
- 238000004519 manufacturing process Methods 0.000 description 8
- 230000008439 repair process Effects 0.000 description 6
- 230000006378 damage Effects 0.000 description 5
- 238000002513 implantation Methods 0.000 description 5
- 230000035876 healing Effects 0.000 description 4
- 210000003456 pulmonary alveoli Anatomy 0.000 description 4
- 241000337665 Phatnoma Species 0.000 description 3
- 230000001010 compromised effect Effects 0.000 description 3
- 238000005516 engineering process Methods 0.000 description 3
- 230000004048 modification Effects 0.000 description 3
- 238000012986 modification Methods 0.000 description 3
- RVTZCBVAJQQJTK-UHFFFAOYSA-N oxygen(2-);zirconium(4+) Chemical compound [O-2].[O-2].[Zr+4] RVTZCBVAJQQJTK-UHFFFAOYSA-N 0.000 description 3
- 230000002980 postoperative effect Effects 0.000 description 3
- 238000011084 recovery Methods 0.000 description 3
- 229910001928 zirconium oxide Inorganic materials 0.000 description 3
- 210000000981 epithelium Anatomy 0.000 description 2
- 229910052500 inorganic mineral Inorganic materials 0.000 description 2
- 239000000463 material Substances 0.000 description 2
- 229910052751 metal Inorganic materials 0.000 description 2
- 239000002184 metal Substances 0.000 description 2
- 239000011707 mineral Substances 0.000 description 2
- 230000010412 perfusion Effects 0.000 description 2
- 230000035479 physiological effects, processes and functions Effects 0.000 description 2
- 229910052573 porcelain Inorganic materials 0.000 description 2
- 238000010882 preoperative diagnosis Methods 0.000 description 2
- 210000001519 tissue Anatomy 0.000 description 2
- 206010043183 Teething Diseases 0.000 description 1
- 239000011365 complex material Substances 0.000 description 1
- 238000011161 development Methods 0.000 description 1
- 230000018109 developmental process Effects 0.000 description 1
- 201000005562 gingival recession Diseases 0.000 description 1
- 230000001939 inductive effect Effects 0.000 description 1
- 238000009434 installation Methods 0.000 description 1
- 238000009940 knitting Methods 0.000 description 1
- 230000003902 lesion Effects 0.000 description 1
- 238000005259 measurement Methods 0.000 description 1
- 230000008569 process Effects 0.000 description 1
- 230000009467 reduction Effects 0.000 description 1
- 238000004088 simulation Methods 0.000 description 1
- 238000002560 therapeutic procedure Methods 0.000 description 1
- 230000036346 tooth eruption Effects 0.000 description 1
- 238000012800 visualization Methods 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C13/00—Dental prostheses; Making same
- A61C13/0003—Making bridge-work, inlays, implants or the like
- A61C13/0004—Computer-assisted sizing or machining of dental prostheses
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C13/00—Dental prostheses; Making same
- A61C13/0001—In-situ dentures; Trial or temporary dentures
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C8/00—Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools
- A61C8/0048—Connecting the upper structure to the implant, e.g. bridging bars
- A61C8/005—Connecting devices for joining an upper structure with an implant member, e.g. spacers
Landscapes
- Health & Medical Sciences (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Dentistry (AREA)
- Epidemiology (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Dental Prosthetics (AREA)
- Dental Preparations (AREA)
Abstract
一种牙种植手术用临时修复体的预制方法，制作石膏工作模型、获取患者颌骨CT数据，配准石膏模型与颌骨CT数据，设计临时修复体，确定种植的位置和种植体规格，制作牙种植手术时使用的种植导板，控制种植体植入的准确位置。使用临时修复体的方法，使用牙种植手术用临时修复体的预制方法，最终修复体的形态与临时修复体的穿牙龈形态完全一致。使用临时修复体的方法，在口内直接磨改临时修复体成为最终修复体的基台。本发明具有无需在种植创面开放时取模，能够最大程度保护牙龈的优点。A prefabrication method for a temporary restoration for dental implant surgery, which includes making a plaster working model, acquiring CT data of a patient's jaw, registering the gypsum model with the CT data of the jaw, designing a temporary restoration, determining the position of the implant and the specifications of the implant, and producing An implant guide used in dental implant surgery to control the exact position of implant placement. The method of using the temporary restoration and the prefabrication method of the temporary restoration for dental implant surgery, the shape of the final restoration is exactly the same as the gingival shape of the temporary restoration. Using the temporary restoration method, the temporary restoration is directly ground in the mouth to become the abutment of the final restoration. The present invention has the advantage of not needing to take the mold when the implant wound is opened, and can protect the gums to the greatest extent.
Description
Technical field
Invention is related to department of stomatology tooth-implanting medical instruments field, especially a kind of that provisional prosthesis is made before tooth implantation
The method for inducing gum form to reduce gingival lesions.
Background technique
The continuous development of CAD/CAM technology, through in entire Dental implantion therapeutic process, including preoperative diagnosis
Design, Guan Qiao production when reparation；The technology has quickly visualization, accurate feature.Dental implantion technical know-how is in the past few years sent out
Exhibition rapidly, from initial knitting cannot be interfered to can a certain range of planting body fine motion bone that does not influence planting body be cured
Close, from gum under heal into wear gum healing develop to immediate implant Immediate prosthesis in recent years.
Reparation after conventional scheme plantation generally requires the production until carrying out dummy after the completion of synosteosis again, needs 5-
6 physician office visits.Including preoperative diagnosis, operation, postoperative further consultation, secondary operation, modulus type, production dummy.In the process,
Gum needs to have damage gum to modifying three times by two.It especially needs to carry out temporary crown in aesthstic area to mould tooth
The treatment procedure of gum can be plucked repeatedly and wear provisional prosthesis even base station, stick the destruction that will cause repeatedly to gingival epithelium.Have
Scholar uses in art and installs base station, and completes the scheme of the production of provisional prosthesis, no longer needs to pluck when last repair
Base station is worn, this avoid the epithelium attachments on avulsion base station, cause the damage of gum so that gingival recession, but still need to pluck
Modification temporary crown is worn, there is also disturbances to gum: learning use and make working model in art, pre-production CAD/CAM's
Dummy is directly connected to permanent base station and permanent dummy, simplifies program when the second phase opening gum.This scheme
The operation for needing to carry out the planting body second phase increases the wound of operation.There is scholar to position planting body, art using preoperative production guide plate
Modulus is preced at the middle permanent base station of installation, zirconium oxide bottom hat, postoperative bottom, makes provisional prosthesis, but postoperative gingival edge change in location
Original bottom hat is just uncoordinated afterwards, especially premolar teeth and labial teeth aesthetics region.
Summary of the invention
The purpose of the present invention is to provide a kind of production that can be simple and fast to plant provisional prosthesis, can induce gum
It obtains after meeting the form of physiological requirement, reducing gum wound and provisional prosthesis and can be adjust and reform in mouth directly as permanent
The method for prefabricating of the Dental implant surgery provisional prosthesis of dummy base station.
A kind of method for prefabricating of Dental implant surgery provisional prosthesis, comprising the following steps:
1) former for the upper jaw oral cavity denture for, taking patient preoperative and the former of lower jaw oral cavity denture；Lower tooth stings on record
Conjunction relationship；The feminine gender of patient oral cavity denture is turned over into perfusion into plaster cast；By upper jaw plaster cast and lower jaw plaster cast according to
Occluding relation aligns to form gypsum work mould type；Working model represents the true contraposition between the intraoral tooth of patient, gum
Relationship；Patient CBCT obtains the jawbone CT data of patient；
2) gypsum work mould type, is scanned, digitlization gypsum work mould type is obtained, by digitlization plaster cast and jawbone CT number
According to being registrated, formed digital operation model after registration (will such as digitize the tooth of gypsum work mould type and the tooth in CT data into
Row registration)；
3), on digital operation model after registration, faced according to the gum form Design of upper lower tooth occluding relation and adjacent teeth
When dummy, provisional prosthesis is used to mould following gum form, the design requirement of provisional prosthesis are as follows: meet gum form
Coordinate with adjacent teeth and gingival margin to the distance between alveolar bone meets biological width, the gum form of wearing of provisional prosthesis is
The gum nest form of the tooth position natural teeth；
4) gum form, is worn according to provisional prosthesis, the biological width between gingival margin form and gum alveolar bone
The form of planting body absconsio is designed, determines position and the planting body specification of plantation；
5) the plantation guide plate used when, making Dental implant surgery, the accurate location of control planting body implantation.
Further, in step 1), the natural teeth that CBCT acquisition growing area and growing area close on is used as plantation guide plate design
CT data.What CBCT was acquired is the relationship between alveolar bone and tooth, that is, the relationship of sclerous tissues；Plaster cast expression is outer
Shape profile, two model denss in dente are shared, so can build after plaster cast and the matching of the tooth of jawbone CT data are overlapped
These external spatial relations between inherent alveolar bone of vertical tooth, gum.
Further, in step 3), the method that designs provisional prosthesis are as follows: separate teething on digital operation model after registration
The position form of gum and alveolar bone；The alveolus Bones morphology of growing area is digitized according to adjacent healthy periodontal alveolus Bones morphology
It is bionical to simulate gradual change, Bionic Design goes out the form of crown margin, and the form of crown margin determines the form of the following gum；Foundation is faced
When dummy tooth body structure outline and gum form out；Growing area alveolar bone and virtual provisional prosthesis are matched,
The distance of artificial tooth gingival edge to alveolar bone meets biological width.
Further, in step 4), when designing the form of planting body absconsio, judge whether the bone amount of alveolar bone is sufficient, in bone
Absconsio form is planted in amendment as needed in the case that amount is sufficient；According to the shape of adjacent teeth in the case where the Bone mineral change of alveolar bone
The design that state and gingival margin form are compromised.The form that dummy goes out gum also will be the form for meeting physiological requirement, significantly
Go out gum form better than traditional circle, plantation absconsio form is by designer according to adjacent teeth and opposite side Homonym teeth and the agomphosis position
The intrinsic physiology rule design of tooth body neck form.
A method of it using provisional prosthesis: using the method for prefabricating of Dental implant surgery provisional prosthesis, finally repairing
The form of complex and the form of provisional prosthesis are completely the same.Therefore, the gum profile of wearing of final dummy exactly matches.Gum
After healing, provisional prosthesis is removed, provisional prosthesis is replaced with final dummy, does not change the form of gum.
Personalized provisional prosthesis height can be reduced in the case where dental implants stability is inadequate, adjust and reform into individual character
The cover screw fixture cover of change prevents unstable planting body from loosening due to by being engaged and being influenced.When planting body stability (ISQ) is lower than 70,
Then dental implants stability is not enough to support provisional prosthesis.It thus needs using above-mentioned recovery scenario.Certain patient needs more
It is also required to when repair complex material using above-mentioned recovery scenario.
A method of using provisional prosthesis: provisional prosthesis be made of high-strength material (such as zirconium oxide, full porcelain,
Or metal etc.), tooth implantation is completed, after the completion of gum healing, and directly mill changes provisional prosthesis as final dummy in mouth
Base station, then by final dummy be bonded in provisional prosthesis mill change after base station on, complete repair.Do not have to remove in this way to face
When dummy, there is no secondary damage to gum.Final dummy can use the final dummy of the prior art.
A method of it using provisional prosthesis: being made using the method for prefabricating of Dental implant surgery provisional prosthesis final
Dummy, the gum form of final dummy and the gum form of provisional prosthesis are completely the same.It is insufficient in planting body stability
When supporting provisional prosthesis, reduction provisional prosthesis is adjust and reform, provisional prosthesis modification is become into personalized planting body and is healed
Cap.This method is applicable to the case where removing provisional prosthesis.
The invention has the advantages that: the present invention is for realizing one step recovery scenario of tooth-implanting (STF, start to final).
Before Dental implant surgery, according to the dummy that Digitization modelling is adapted to edentulous region alveolar bone and gum, planting body,
When designing Plant plane, the design of dummy is taken into account, so as to avoid dummy is made in Dental implant surgery, without planting
The modulus when surface of a wound opens is planted, gum can be utmostly protected.
Specific embodiment
Embodiment 1
A kind of production method of Dental implant surgery provisional prosthesis, comprising the following steps:
1) former for the upper jaw oral cavity denture for, taking patient preoperative and the former of lower jaw oral cavity denture；Lower tooth stings on record
Conjunction relationship；The feminine gender of patient oral cavity denture is turned over into perfusion into plaster cast；By upper jaw plaster cast and lower jaw plaster cast according to
Occluding relation aligns to form gypsum work mould type；Working model represents the true contraposition between the intraoral tooth of patient, gum
Relationship；Patient CBCT obtains the jawbone CT data of patient；
2) gypsum work mould type, is scanned, digitlization gypsum work mould type is obtained, by digitlization plaster cast and jawbone CT number
According to being registrated, formed digital operation model after registration (will such as digitize the tooth of gypsum work mould type and the tooth in CT data into
Row registration)；
3), on digital operation model after registration, faced according to the gum form Design of upper lower tooth occluding relation and adjacent teeth
When dummy, provisional prosthesis is used to mould following gum form, the design requirement of provisional prosthesis are as follows: meet gum form
Coordinate with adjacent teeth and gingival margin to the distance between alveolar bone meets biological width, the gum form of wearing of provisional prosthesis is
The gum nest form of the tooth position natural teeth；Biological width is defined according to textbook, usually 3mm or so.
4) gum form, is worn according to provisional prosthesis, the biological width between gingival margin form and gum alveolar bone
The form of planting body absconsio is designed, determines position and the planting body specification of plantation；
5) the plantation guide plate used when, making Dental implant surgery, the accurate location of control planting body implantation.
In step 1), the natural teeth that CBCT acquisition growing area and growing area close on is as plantation guide plate design CT data.
What CBCT was acquired is the relationship between alveolar bone and tooth, that is, the relationship of sclerous tissues；Plaster cast expression is appearance profile,
Two model denss in dente are shared, so can establish tooth, tooth after plaster cast and the matching of the tooth of jawbone CT data are overlapped
These external spatial relations between inherent alveolar bone of gum.
In step 3), the method that designs provisional prosthesis are as follows: isolate gum and tooth on digital operation model after registration
The position form of slot bone；The alveolus Bones morphology of growing area carries out digitized simulation gradually according to adjacent healthy periodontal alveolus Bones morphology
Become bionical, Bionic Design goes out the form of crown margin, and the form of crown margin determines the form of the following gum；Establish interim repair
The tooth body structure outline of body and out gum form；Growing area alveolar bone and virtual provisional prosthesis are matched, dental prosthesis
The distance of gum edge to alveolar bone meets biological width.
In step 4), when designing the form of planting body absconsio, judge whether the bone amount of alveolar bone is sufficient, sufficient in bone amount
In the case of as needed amendment plantation absconsio form；According to the form and gum of adjacent teeth in the case where the Bone mineral change of alveolar bone
The design that edge form is compromised.Since when provisional prosthesis is when meeting adjacent teeth coordination and biological width, provisional prosthesis
The gum form that goes out just determine, thus need to derive the form of alveolar bone according to the form for going out gum of provisional prosthesis
With the position of planting body, if just needing to abrade part alveolar bone in the case that alveolar bone is more, that is, alveolar bone is relatively high
Top, to be matched with provisional prosthesis.If phatnoma bone height not enough if the form Design that needs temporarily to repair carry out it is appropriate
Association reduces gingival edge to cooperate phatnoma bone height or bone grafting and increases phatnoma bone height.It is briefly exactly provisional prosthesis
To coordinate between alveolar bone, meet biological width.Even if being compromised according to the form and gingival margin form of adjacent teeth
Design, the form that dummy goes out gum also will be the form for meeting physiological requirement, is significantly better than traditional circle and goes out gum shape
State, plantation absconsio form is by designer according to adjacent teeth and opposite side Homonym teeth and the intrinsic physiology of the agomphosis position tooth body neck form
Learn rule design.
Embodiment 2
A method of using provisional prosthesis: provisional prosthesis be made of high-strength material (such as zirconium oxide, full porcelain,
Or metal etc.), tooth implantation is completed, after the completion of gum healing, and directly mill changes provisional prosthesis as final dummy in mouth
Base station, then by final dummy be bonded in provisional prosthesis mill change after base station on, complete repair.Do not have to remove in this way to face
When dummy, there is no secondary damage to gum.Final dummy can use the final dummy of the prior art.
Embodiment 3
A method of it using provisional prosthesis: being made using the method for prefabricating of Dental implant surgery provisional prosthesis final
Dummy, the gum form of final dummy and the gum form of provisional prosthesis are completely the same.
This method is applicable to the case where removing provisional prosthesis.Then when planting body stable measurement value is less than 70
Think that the stability of planting body is not enough to support provisional prosthesis, provisional prosthesis modification is become into personalized planting body and is healed
Cap.
Content described in this specification embodiment is only enumerating to the way of realization of present inventive concept, guarantor of the invention
Shield range should not be construed as being limited to the specific forms stated in the embodiments, and protection scope of the present invention is also and in this field skill
Art personnel conceive according to the present invention it is conceivable that equivalent technologies mean.
Claims (4)
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| CN201611254389.8A CN106725946B (en) | 2016-12-30 | 2016-12-30 | A kind of method for prefabricating of Dental implant surgery provisional prosthesis |
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| CN201611254389.8A CN106725946B (en) | 2016-12-30 | 2016-12-30 | A kind of method for prefabricating of Dental implant surgery provisional prosthesis |
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| CN106725946B true CN106725946B (en) | 2019-01-15 |
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Families Citing this family (13)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN107773318B (en) * | 2017-09-27 | 2020-07-07 | 爱迪特（秦皇岛）科技股份有限公司 | Design method, system, device and readable storage medium for dental prosthesis |
| DE102018102568A1 (en) | 2018-02-06 | 2019-08-08 | Karl Leibinger Medizintechnik Gmbh & Co. Kg | Implant with radially extended post to support structure, soft tissue displacement system, manufacturing process and planning process for manufacturing an implant |
| CN109009511B (en) * | 2018-06-21 | 2021-05-25 | 四川大学 | Three-dimensional analysis tooth preparation guide plate manufacturing method based on 3D printing and use method |
| CN109124805B (en) * | 2018-07-13 | 2021-02-26 | 四川大学 | Method for manufacturing digital mirror CAD/CAM temporary tooth |
| CN109528328B (en) * | 2018-09-29 | 2020-09-22 | 诺一迈尔（苏州）医学科技有限公司 | Guide bone shaping device |
| CN110786947B (en) * | 2018-12-21 | 2021-06-18 | 上海欧叶齿科技术有限公司 | Preparation process of false tooth with immediate load bearing |
| CN110353834A (en) * | 2019-07-02 | 2019-10-22 | 北京大学口腔医学院 | A kind of preparation method of the full porcelain planting body of zirconium oxide |
| CN111728719B (en) * | 2020-07-02 | 2022-02-18 | 上海交通大学医学院附属第九人民医院 | Personalized abutment-crown integrated temporary prosthesis and preparation method and application thereof |
| CN112043437A (en) * | 2020-10-12 | 2020-12-08 | 上海欧叶齿科技术有限公司 | Temporary tooth prefabricating method |
| CN112690921B (en) * | 2020-12-21 | 2021-10-22 | 北京圣爱吉友和义齿制作有限公司 | Method for manufacturing immediate dental implant |
| CN113397736B (en) * | 2021-06-17 | 2022-02-01 | 四川大学 | Fixing device for temporary planting repair, composite structure and manufacturing method |
| CN113648095A (en) * | 2021-08-23 | 2021-11-16 | 上海陈信医疗器械有限公司 | Method for manufacturing tooth aesthetic surgery circular cutting guide plate |
| CN115798728B (en) * | 2023-01-30 | 2023-05-23 | 天津医科大学口腔医院 | Tooth preparation digital model design method based on computer assistance |
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| CN102599981A (en) * | 2012-04-01 | 2012-07-25 | 安敬滨 | Digital processing system of personalized components in dental implantation and processing method thereof |
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| CN102438545B (en) * | 2009-03-20 | 2015-06-17 | 3形状股份有限公司 | System and method for effective planning, visualization, and optimization of dental restorations |
| JP6423273B2 (en) * | 2011-11-28 | 2018-11-14 | ３シェイプ アー／エス | Dental preparation guide |
| US20140080092A1 (en) * | 2012-09-14 | 2014-03-20 | Biomet 3I, Llc | Temporary dental prosthesis for use in developing final dental prosthesis |
| JP6153934B2 (en) * | 2012-09-18 | 2017-06-28 | 株式会社ジーシー | How to make temporary prosthesis |
| US10192320B2 (en) * | 2013-03-15 | 2019-01-29 | Demetrios S. Meletiou, JR. | Dental method of smile design |
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| CN102599981A (en) * | 2012-04-01 | 2012-07-25 | 安敬滨 | Digital processing system of personalized components in dental implantation and processing method thereof |
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