CN115645093A - Digital planting repair method and device and computer readable storage medium - Google Patents
Digital planting repair method and device and computer readable storage medium Download PDFInfo
- Publication number
- CN115645093A CN115645093A CN202211302247.XA CN202211302247A CN115645093A CN 115645093 A CN115645093 A CN 115645093A CN 202211302247 A CN202211302247 A CN 202211302247A CN 115645093 A CN115645093 A CN 115645093A
- Authority
- CN
- China
- Prior art keywords
- digital model
- digital
- model
- abutment
- crown
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Granted
Links
Images
Landscapes
- Dental Prosthetics (AREA)
Abstract
Description
技术领域technical field
本申请涉及牙科设备制作技术领域,更具体地说,是涉及一种数字化种植修复方法、装置及计算机可读存储介质。The present application relates to the technical field of dental equipment manufacturing, and more specifically, relates to a digital implant restoration method, device and computer-readable storage medium.
背景技术Background technique
种植牙齿也叫人工种植牙,并不是真的种上自然牙齿,而是通过医学方式,将与人体骨质兼容性高的纯钛金属经过精密的设计,制造成类似牙根的圆柱体或其他形状,以外科小手术的方式植入缺牙区的牙槽骨内,经过1~3个月后,当人工牙根与牙槽骨密合后,再在人工牙根上制作烤瓷牙冠。种植牙可以获得与天然牙功能、结构以及美观效果十分相似的修复效果,已经成为越来越多缺牙患者的首选修复方式。因不具破坏性,种植牙已被口腔医学界公认为缺牙的首选修复方式。Dental implants are also called artificial dental implants. They are not really planted with natural teeth, but through medical methods, pure titanium metal with high compatibility with human bone is precisely designed and manufactured into cylinders or other shapes similar to tooth roots. , implanted in the alveolar bone of the edentulous area by a minor surgical operation, and after 1 to 3 months, when the artificial tooth root and the alveolar bone are tightly bonded, a porcelain crown is made on the artificial tooth root. Dental implants can achieve a restoration effect that is very similar to natural teeth in terms of function, structure, and aesthetics, and have become the preferred restoration method for more and more patients with missing teeth. Because it is not destructive, dental implants have been recognized by the stomatological profession as the preferred restoration method for missing teeth.
现有技术中,种植牙包括种植体、种植基台和种植牙冠等部分,种植体打入患者的牙槽骨内,种植基台固定设置于种植体上,而种植牙冠则固定套设于种植基台上。通过种植体、种植基台和种植牙冠组成的种植牙整体,能够对患者口腔内的缺失牙进行修复,从而代替缺失牙实现口腔美观和咀嚼食物的功能。In the prior art, a dental implant includes an implant, an implant abutment, and an implant crown. on the planting platform. The whole dental implant composed of implant, implant abutment and implant crown can restore the missing teeth in the patient's oral cavity, thereby replacing the missing teeth to realize the beauty of the oral cavity and the function of chewing food.
每个患者的口腔内部情况都不一样,因此,只有装上与之相匹配的种植牙,才能起到很好的修复效果,否则不仅无法有效修复,更严重的还会导致对其他健康牙齿造成损伤。因此,在实施种植牙手术前,需要根据患者的口腔内部情况,预先制作对应的种植体、种植基台和种植牙冠。The internal condition of each patient's mouth is different. Therefore, only by installing matching dental implants can a good restoration effect be achieved. damage. Therefore, before the implementation of dental implant surgery, it is necessary to pre-fabricate the corresponding implant, implant abutment and implant crown according to the internal condition of the patient's oral cavity.
例如,现有技术中通过倒模石膏进行制作模型,其需要进行磨底、加底座、上颌架、选基台以及研磨基台等流程。可见,其操作流程步骤繁琐,跨部门工序需要经过多个步骤,流程耗时长;倒模时石膏的流动和震动机会造成替代体松动走位的隐患造成的植体移位的偏差,而导致影响种植修复失败。For example, in the prior art, the model is made by pouring plaster, which requires the processes of bottom grinding, base addition, maxillary frame, abutment selection, and abutment grinding. It can be seen that the operation process steps are cumbersome, and the cross-departmental process needs to go through multiple steps, and the process takes a long time; the flow and vibration of the gypsum during the casting will cause the hidden danger of the replacement body to loosen and move, resulting in the deviation of the implant displacement, which will affect the quality of the implant. Implant restoration failed.
因此,现有技术需要进一步优化制作模型。Therefore, the prior art needs to further optimize the production model.
发明内容Contents of the invention
本申请的目的在于提供一种数字化种植修复方法、装置及计算机可读存储介质,具有提升种植牙上部修复牙冠精度以及制作效率。The purpose of the present application is to provide a digital implant restoration method, device and computer-readable storage medium, which can improve the precision and production efficiency of the restoration crown on the upper part of the implant.
为实现上述目的,本申请采用的技术方案是:In order to achieve the above object, the technical scheme adopted by the application is:
本申请提供一种数字化种植修复方法,其中,方法包括以下步骤:The application provides a digital implant repair method, wherein the method includes the following steps:
扫描种植印模,获取患者口腔扫描数据,其中种植印模上预先形成有患者的口内形状;Scan the implant impression to obtain the patient's oral scan data, in which the shape of the patient's mouth is pre-formed on the implant impression;
将患者口腔扫描数据导入到设计软件,生成石膏扫描数字模型;Import the patient's oral scan data into the design software to generate a plaster scan digital model;
根据种植印模上的替代体的型号,调取设计软件中数据库的数据,并调整生成个性化基台数字模型;According to the model of the substitute on the implant impression, the data in the database in the design software is retrieved and adjusted to generate a personalized digital model of the abutment;
基于个性化基台数字模型而编辑得到牙冠数字模型,牙冠数字模型根据不同的种植修复方式而匹配不同的调整参数,以使牙冠数字模型与个性化基台数字模型相匹配,其中调整参数至少包括:黏着剂参数、额外黏着剂参数、到边缘线距离、平滑距离、车针半径和车针补偿间距;The digital model of the crown is edited based on the digital model of the personalized abutment, and the digital model of the crown is matched with different adjustment parameters according to different implant restoration methods, so that the digital model of the crown matches the digital model of the personalized abutment. The parameters include at least: adhesive parameters, additional adhesive parameters, distance to edge line, smoothing distance, bur radius and bur compensation spacing;
结合个性化基台数字模型以及缺失牙的牙冠数字模型,编辑石膏扫描数字模型,从而得到口腔数字模型;Combining the digital model of the personalized abutment and the digital model of the crown of the missing tooth, edit the digital model of the plaster scan to obtain the digital model of the oral cavity;
将个性化基台数字模型、牙冠数字模型以及口腔数字模型进行加工,形成个性化基台、牙冠以及口腔模型。Process personalized abutment digital models, crown digital models and oral cavity digital models to form personalized abutment, dental crown and oral cavity models.
在一种实施方式中,所述扫描种植印模,获取患者口腔扫描数据,其中种植印模上预先形成有患者的口内形状的步骤包括:In one embodiment, the scanning of the implant impression to obtain the scan data of the patient's oral cavity, wherein the step of pre-forming the patient's intraoral shape on the implant impression includes:
把转移杆装配在患者口腔内的种植体上,通过种植印模采集患者口腔三维数据,使得转移杆固定在种植印模上;Assemble the transfer rod on the implant in the patient's oral cavity, and collect the three-dimensional data of the patient's oral cavity through the implant impression, so that the transfer rod is fixed on the implant impression;
取出患者口腔内的种植印模,并在种植印模上的转移杆复位替代体,通过替代体模拟种植体;Take out the implant impression in the patient's mouth, and reset the analog on the transfer rod on the implant impression, and simulate the implant through the analog;
通过口腔三维扫描仪扫描种植印模,获取种植印模扫描数据。The implant impression is scanned by the oral three-dimensional scanner to obtain the scanning data of the implant impression.
在一种实施方式中,所述根据种植印模上的替代体的型号,调取设计软件中数据库中的数据,并调整生成个性化基台数字模型的步骤包括:In one embodiment, the step of calling the data in the database in the design software according to the model of the analog on the implant impression, and adjusting and generating the personalized abutment digital model includes:
根据种植印模上的替代体的型号在替代体数据库中选取相对应的替代体数字模型;Select the corresponding analog digital model in the analog database according to the model of the analog on the implant impression;
将替代体数字模型插入石膏扫描数字模型的缺失牙的参考点位置;Insert the analog digital model into the reference point position of the missing tooth of the plaster scanned digital model;
根据替代体数字模型所对应的种植体型号数据库,获取种植体型号数据库内的模型数据,并对应生成预设基台三维数据模型;Obtain the model data in the implant model database according to the implant model database corresponding to the analog digital model, and correspondingly generate a three-dimensional data model of the preset abutment;
根据缺失牙的外形参数对预设基台三维数据模型进行设计,并根据对侧牙三维数据,对预设基台三维数据模型的高度进行设计,并形成个性化基台数字模型,其中外形参数包括:牙龈轮廓、穿龈高度、袖口形态、颌间距离以及种植体植入方向。Design the 3D data model of the preset abutment according to the shape parameters of the missing teeth, and design the height of the 3D data model of the preset abutment according to the 3D data of the contralateral teeth, and form a personalized digital model of the abutment, among which the shape parameters Including: gingival contour, gingival height, cuff shape, interjaw distance and implant placement direction.
在一种实施方式中,所述基于个性化基台数字模型而编辑得到牙冠数字模型的步骤包括:In one embodiment, the step of editing the digital model of the dental crown based on the personalized abutment digital model includes:
根据个性化基台数字模型设计缺失牙的牙冠的解剖形态数据,其中解剖形态数据至少包括:牙弓弧度、颌曲线、对侧同名牙大小比例、颌平面;Design the anatomical shape data of the crown of the missing tooth based on the personalized abutment digital model, where the anatomical shape data include at least: arch curvature, jaw curve, size ratio of the opposite tooth with the same name, and jaw plane;
根据牙冠的解剖形态数据生成牙冠数字模型,使得牙冠数字模型与个性化基台数字模型的牙龈轮廓、穿龈高度、袖口形态相匹配。The digital crown model is generated according to the anatomical shape data of the crown, so that the digital model of the crown matches the gingival contour, gingival penetration height, and cuff shape of the personalized abutment digital model.
在一种实施方式中,所述结合个性化基台数字模型以及缺失牙的牙冠数字模型,编辑口腔数字模型的步骤包括:In one embodiment, the step of editing the digital model of the oral cavity in combination with the digital model of the personalized abutment and the digital model of the crown of the missing tooth includes:
根据个性化基台数字模型以及牙冠数字模型对石膏扫描数字模型进行修改,将石膏扫描数字模型的多余部位修剪,保留咬颌平面数字模型的完整牙列、腭皱襞、系带以及粘膜皱襞;According to the digital model of the personalized abutment and the digital model of the crown, the plaster scanning digital model is modified, the redundant parts of the plaster scanning digital model are trimmed, and the complete dentition, palatal folds, frenulum and mucosal folds of the digital model of the occlusal plane are preserved;
对修剪后的石膏扫描数字模型添加颌架标签;Add jaw frame labels to trimmed plaster scan digital models;
根据石膏扫描数字模型、个性化基台数字模型以及牙冠数字模型的形态,编辑口腔数字模型上的牙龈的大小、方向和位置。Edit the size, direction and position of the gums on the oral digital model according to the shape of the plaster scanned digital model, personalized abutment digital model and crown digital model.
在一种实施方式中,所述将个性化基台数字模、牙冠数字模型以及口腔数字模型进行加工,形成个性化基台、牙冠以及口腔模型的步骤包括:In one embodiment, the step of processing the personalized abutment digital model, the dental crown digital model and the oral cavity digital model to form the personalized abutment, the dental crown and the oral cavity model includes:
将个性化基台数字模型的数据传输至对应的切削设备,以使切削设备对基台毛坯进行切削,形成个性化基台;Transfer the data of the personalized abutment digital model to the corresponding cutting equipment, so that the cutting equipment can cut the abutment blank to form a personalized abutment;
将牙冠数字模型的数据传输至对应的切削设备,以使切削设备对牙冠毛坯进行切削并进行烧结,形成牙冠;The data of the digital model of the crown is transmitted to the corresponding cutting equipment, so that the cutting equipment can cut and sinter the crown blank to form the crown;
将口腔数字模型的数据传输至打印设备进行3D打印,得到口腔模型。The data of the oral cavity digital model is transmitted to the printing device for 3D printing to obtain the oral cavity model.
在一种实施方式中,所述将个性化基台数字模型的数据传输至对应的切削设备,以使切削设备对基台毛坯进行切削,形成个性化基台的步骤包括:In one embodiment, the step of transmitting the data of the personalized digital model of the abutment to the corresponding cutting equipment, so that the cutting equipment can cut the abutment blank, and the step of forming the personalized abutment includes:
切削设备采用4套刀具依次对基台毛坯进行研磨,以使基台的表面达到0.01的间隙差异;其中T1号刀具的半径=1.5mm,T2号刀具的半径=1.0mm,T3号刀具的半径=0.75mm,T4号刀具的半径=0.5mm,The cutting equipment uses 4 sets of cutters to grind the abutment blank in turn, so that the surface of the abutment can reach a gap difference of 0.01; the radius of the T1 cutter = 1.5mm, the radius of the T2 cutter = 1.0mm, and the radius of the T3 cutter =0.75mm, the radius of tool T4=0.5mm,
所述将牙冠数字模型的数据传输至对应的切削设备,以使切削设备对牙冠毛坯进行切削并进行烧结,形成牙冠的步骤包括:The step of transmitting the data of the digital model of the dental crown to the corresponding cutting equipment, so that the cutting equipment cuts and sinters the blank of the dental crown, and the step of forming the dental crown includes:
切削设备采用3套刀具依次对牙冠毛坯进行粗磨、修整以及细磨精修,其中粗磨形态采用1号刀具的半径为0.75mm,修整牙冠形态采用2号刀具的半径为0.5mm,细磨精修牙花副沟采用3号刀具的最小半径为0.3mm。The cutting equipment uses 3 sets of cutters to carry out rough grinding, trimming and fine grinding and finishing on the crown blank in turn. Among them, the rough grinding form uses the No. 1 tool with a radius of 0.75mm, and the crown shape uses the No. 2 tool with a radius of 0.5mm. The minimum radius of No. 3 cutter is 0.3mm for fine grinding and fine repairing of the auxiliary ditch.
此外,为了实现上述目的,本申请还提供一种装置,其中,装置包括存储器、处理器以及加工设备,存储器上存储有数字化种植修复程序,数字化种植修复程序在处理器上运行,而实现如上所述的数字化种植修复方法,加工设备用于加工出个性化基台、牙冠以及口腔模型。In addition, in order to achieve the above object, the present application also provides a device, wherein the device includes a memory, a processor and a processing device, the digital implant restoration program is stored in the memory, and the digital implant restoration program runs on the processor to realize the above-mentioned According to the digital implant restoration method described above, the processing equipment is used to process personalized abutments, crowns and oral models.
此外,为了实现上述目的,本申请还提供一种计算机可读存储介质,其中,所述计算机可读存储介质存储有数字化种植修复程序,所述数字化种植修复程序被处理器执行时实现如上所述的数字化种植修复方法的步骤。In addition, in order to achieve the above object, the present application also provides a computer-readable storage medium, wherein the computer-readable storage medium stores a digital implant restoration program, and when the digital implant restoration program is executed by a processor, the above-mentioned The steps of the digital implant restoration method.
有益效果:与现有技术相比,本申请提供的一种数字化种植修复方法、装置及计算机可读存储介质,通过种植印模获取患者口腔的三维数据,根据患者口腔三维数据生成口腔数字模型并设计个性化基台数字模型;基于个性化基台数字模型编辑牙冠数字模型;将个性化基台数字模型、牙冠数字模型以及口腔模型进行加工,形成实物化的个性化基台、牙冠以及口腔模型。本申请通过数字化的性化基台数字模型、牙冠数字模型以及口腔数字模型进行精确设计匹配,之后根据这些数字化模型直接生产出与数字化模型相对应的实物,从而保证实物之间也能进行精确匹配,能够进一步优化制作模型,提高个性化基台和牙冠设计的精度,简化生产工艺,提高生产效率,节省生产成本。Beneficial effects: Compared with the prior art, the present application provides a digital implant restoration method, device and computer-readable storage medium. The three-dimensional data of the patient's oral cavity is obtained through the implant impression, and the oral digital model is generated according to the three-dimensional data of the patient's oral cavity. Design a personalized abutment digital model; edit the digital crown model based on the personalized abutment digital model; process the personalized abutment digital model, crown digital model and oral model to form a materialized personalized abutment and crown and oral models. This application carries out accurate design and matching through the digitized personalized abutment digital model, dental crown digital model and oral cavity digital model, and then directly produces the real object corresponding to the digital model according to these digital models, so as to ensure that the real objects can also be accurately matched. Matching can further optimize the production model, improve the accuracy of personalized abutment and crown design, simplify the production process, improve production efficiency, and save production costs.
附图说明Description of drawings
为了更清楚地说明本申请实施例中的技术方案,下面将对实施例或现有技术描述中所需要使用的附图作简单地介绍,显而易见地,下面描述中的附图仅仅是本申请的一些实施例,对于本领域普通技术人员来讲,在不付出创造性劳动的前提下,还可以根据这些附图获得其他的附图。In order to more clearly illustrate the technical solutions in the embodiments of the present application, the accompanying drawings that need to be used in the descriptions of the embodiments or the prior art will be briefly introduced below. Obviously, the accompanying drawings in the following description are only for the present application For some embodiments, those of ordinary skill in the art can also obtain other drawings based on these drawings without any creative effort.
图1为本申请的实施例一的一种数字化种植修复方法的较佳实施例的流程图;Fig. 1 is a flow chart of a preferred embodiment of a digital implant restoration method according to Embodiment 1 of the present application;
图2为本申请的实施例一的一种数字化种植修复系统的主要步骤的工艺流程原理图;FIG. 2 is a schematic diagram of the process flow of the main steps of a digital implant restoration system according to Embodiment 1 of the present application;
图3为本申请的实施例二的一种装置的较佳实施例的运行示意图;FIG. 3 is a schematic diagram of the operation of a preferred embodiment of a device according to Embodiment 2 of the present application;
图4为本申请实施例一中在种植印模上复位替代体的示意图;Fig. 4 is a schematic diagram of resetting the prosthesis on the implant impression in Example 1 of the present application;
图5为本申请实施例一中的扫描种植印模的示意图;FIG. 5 is a schematic diagram of a scanning implant impression in Embodiment 1 of the present application;
图6为本申请实施例一中的获取相邻牙的三维数据的示意图;FIG. 6 is a schematic diagram of obtaining three-dimensional data of adjacent teeth in Embodiment 1 of the present application;
图7为本申请实施例一中的设置替代体的示意图;FIG. 7 is a schematic diagram of a replacement body in Embodiment 1 of the present application;
图8为本申请实施例一中的获取完整牙列的数据的示意图;FIG. 8 is a schematic diagram of obtaining data of a complete dentition in Embodiment 1 of the present application;
图9为本申请实施例一中的匹配基台的示意图;FIG. 9 is a schematic diagram of a matching base station in Embodiment 1 of the present application;
图10为本申请实施例一中的设计基台的示意图;Fig. 10 is a schematic diagram of the designed abutment in Embodiment 1 of the present application;
图11为本申请实施例一中的个性化基台的效果图;Fig. 11 is an effect diagram of the personalized abutment in Embodiment 1 of the present application;
图12为本申请实施例一中的设置咬颌平面的示意图;Fig. 12 is a schematic diagram of setting the occlusal plane in Embodiment 1 of the present application;
图13为本申请实施例一中的修剪模型的示意图;FIG. 13 is a schematic diagram of a pruning model in Embodiment 1 of the present application;
图14为本申请实施例一中的添加标签的示意图;;Figure 14 is a schematic diagram of labeling in Embodiment 1 of the present application;
图15为本申请实施例一中的生成口腔模型的示意图;Fig. 15 is a schematic diagram of generating an oral cavity model in Embodiment 1 of the present application;
图16为本申请实施例一中的编辑口腔模型的效果图;Fig. 16 is an effect diagram of the edited oral cavity model in Embodiment 1 of the present application;
图17为本申请实施例一中的编辑模型与基台的效果图;Fig. 17 is an effect diagram of the editing model and abutment in Embodiment 1 of the present application;
图18为本申请实施例一中的设计牙冠的示意图;Fig. 18 is a schematic diagram of a designed dental crown in Example 1 of the present application;
图19为本申请实施例一中的编辑牙龈的示意图。Fig. 19 is a schematic diagram of the edited gingiva in Example 1 of the present application.
具体实施方式Detailed ways
为了使本申请所要解决的技术问题、技术方案及有益效果更加清楚明白,以下结合附图及实施例,对本申请进行进一步详细说明。应当理解,此处所描述的具体实施例仅用以解释本申请,并不用于限定本申请。In order to make the technical problems, technical solutions and beneficial effects to be solved by the present application clearer, the present application will be further described in detail below in conjunction with the accompanying drawings and embodiments. It should be understood that the specific embodiments described here are only used to explain the present application, not to limit the present application.
实施例一Embodiment one
本申请较佳实施例所述的数字化种植修复方法,如图1、图2所示,该数字化种植修复方法包括以下步骤:The digital implant repair method described in the preferred embodiment of the present application, as shown in Figure 1 and Figure 2, the digital implant repair method includes the following steps:
S100、扫描种植印模,获取患者口腔扫描数据,其中种植印模上预先形成有患者的口内形状。S100. Scanning the implant impression to obtain the scan data of the patient's oral cavity, wherein the implant impression is pre-formed with the shape of the patient's mouth.
具体的,通过种植印模获取患者口腔的三维数据,例如,先用种植印模采集患者口腔的形状,之后可以通过扫描种植印模,从而获取患者口腔三维数据,之后口内扫描仪可以将患者口腔三维数据通过无线网络上传到系统,便于系统的后续调用。Specifically, the three-dimensional data of the patient's oral cavity is obtained through the implant impression. For example, the shape of the patient's oral cavity is first collected with the implant impression, and then the three-dimensional data of the patient's oral cavity can be obtained by scanning the implant impression. After that, the intraoral scanner can scan the patient's oral cavity. The 3D data is uploaded to the system through the wireless network, which is convenient for the subsequent calling of the system.
步骤S100具体包括以下步骤:Step S100 specifically includes the following steps:
S110、把转移杆装配在患者口腔内的种植体上,通过种植印模采集患者口腔三维数据,使得转移杆固定在种植印模上。S110. Assemble the transfer rod on the implant in the patient's oral cavity, and collect the three-dimensional data of the patient's oral cavity through the implant impression, so that the transfer rod is fixed on the implant impression.
S120、取出患者口腔内的种植印模,并在种植印模上的转移杆复位替代体,通过替代体模拟种植体。S120. Take out the implant impression in the patient's oral cavity, and reset the substitute on the transfer rod on the implant impression, and simulate the implant through the substitute.
S130、通过口腔三维扫描仪扫描种植印模,获取种植印模扫描数据。S130. Scan the impression of the implant with a three-dimensional oral scanner, and obtain scanning data of the impression of the implant.
具体的,为了能获得患者口内余留牙列情况、种植体或基台的三维位置,应根据患者的具体情况,选择合适的种植印模技术来获取患者口内精确的种植印模。把转移杆装配在种植体上,将种植印模置入患者口腔进行采集,通过种植印模采集患者口腔内的外形形状特征,转移杆连同固定螺丝一起随种植印模带出口腔外(如图4所示);然后在种植印模内安装替代体,使替代体通过固定螺丝固定在转移杆上,实现在种植印模上的转移杆复位替代体;通过3Shape口腔三维扫描仪扫描种植印模(如图5所示),获取种植印模扫描数据;通过3Shape口腔三维扫描仪将种植印模扫描数据还原成石膏扫描数据形态,进而获取通过种植印模获取患者口腔内的三维数据,其中,患者口腔三维数据至少包括相邻牙的三维数据(如图6所示)、替代体的形态及坐标数据(如图7所示)、完整的牙列的数据(如图8所示)。例如,通过3shape仓扫描种植印模后,软件会自动法相翻转数据,使种植印模扫描数据还原成石膏模型扫描数据的形态。使用扫描仪对种植印模进行扫描的步骤之前,需要在种植印模工作区及替代体上涂抹扫描粉,防止在扫描过程中因替代体表面对光的反射出现替代体模糊不清的现象;在扫描过程中需要对印模工作区进行补扫以保证扫描的准确性;通过扫描种植印模,扫描软件会将种植印模的外形形态参数转换成数字化的工作模型三维数据。Specifically, in order to obtain the remaining dentition in the patient's mouth and the three-dimensional position of the implant or abutment, an appropriate implant impression technique should be selected according to the patient's specific conditions to obtain an accurate implant impression in the patient's mouth. Assemble the transfer rod on the implant, put the implant impression into the patient's mouth for collection, and collect the shape and shape characteristics of the patient's oral cavity through the implant impression. 4); then install the analog in the implant impression, fix the analog on the transfer rod through the fixing screws, and realize the reset of the transfer rod on the implant impression; scan the implant impression by 3Shape oral three-dimensional scanner (As shown in Figure 5), obtain the scan data of the implant impression; use the 3Shape oral 3D scanner to restore the scan data of the implant impression to the form of plaster scan data, and then obtain the three-dimensional data in the patient's oral cavity obtained through the implant impression, wherein, The three-dimensional data of the patient's oral cavity at least include the three-dimensional data of adjacent teeth (as shown in Figure 6), the shape and coordinate data of the analog body (as shown in Figure 7), and the data of the complete dentition (as shown in Figure 8). For example, after scanning the implant impression through the 3shape warehouse, the software will automatically reverse the data, so that the scanned data of the implant impression can be restored to the shape of the plaster model scan data. Before using the scanner to scan the implant impression, it is necessary to apply scanning powder on the implant impression work area and the analog to prevent the analog from being blurred due to the reflection of the surface of the analog during the scanning process; During the scanning process, it is necessary to scan the impression working area to ensure the accuracy of the scan; by scanning the implant impression, the scanning software will convert the shape parameters of the implant impression into digital three-dimensional data of the working model.
步骤S200、将患者口腔扫描数据导入到设计软件,生成石膏扫描数字模型。Step S200, importing the scan data of the patient's oral cavity into the design software to generate a plaster scan digital model.
具体的,将种植印模的扫描数据导入到3Shape设计软件,从而可以在软件的显示界面中看到种植印模的虚拟形态。而为表现出患者口腔的实际情况,需要通过软件直接生成与种植印模的虚拟形态相匹配的石膏扫描数字模型。即石膏扫描数字模型就是患者口腔的具体形态,其通过软件内的匹配关系直接生成。(例如种植印模的虚拟形态的内轮廓,对应生成石膏扫描数字模型的外轮廓,该过程也称为法相翻转数据)这样可以直观的通过电脑等工具将患者口腔内的形态虚拟化。Specifically, the scanned data of the implant impression is imported into the 3Shape design software, so that the virtual form of the implant impression can be seen in the display interface of the software. In order to show the actual situation of the patient's oral cavity, it is necessary to directly generate a plaster scan digital model that matches the virtual shape of the implant impression through the software. That is, the plaster scanning digital model is the specific shape of the patient's oral cavity, which is directly generated through the matching relationship in the software. (For example, the inner contour of the virtual shape of the implant impression corresponds to the outer contour of the digital model of the plaster scan. This process is also called legal phase reversal data.) In this way, the shape of the patient's oral cavity can be intuitively virtualized through tools such as computers.
步骤S300、根据种植印模上的替代体的型号,调取设计软件中数据库中的数据,并调整生成个性化基台数字模型。Step S300, according to the model of the analog on the implant impression, retrieve the data in the database in the design software, and adjust and generate a personalized digital model of the abutment.
具体的,根据种植印模上选择的替代体型号在替代体数据库中选取相对应的替代体模型进行匹配,并复位匹配到口腔的数字模型的植体位置,调取了替代体对应的种植体型号数据库,生成对应数据库已创建的胚件-虚拟基台(虚拟基台包含植体接口、基台的倾斜角度、基台直径、基台接口的直径大小与莫式锥度、螺丝通道的倾斜角度等参数)。该虚拟基台为预设基台三维数据模型,其可以是软件自带的标准模型,也可以是用户后续修改后保存的基台三维数据模型。Specifically, according to the model of the substitute selected on the implant impression, the corresponding substitute model is selected in the substitute database for matching, and the position of the implant matched to the digital model of the oral cavity is reset, and the implant corresponding to the substitute is retrieved. Model database, generate the blanks that have been created in the corresponding database-virtual abutment (the virtual abutment includes the implant interface, the inclination angle of the abutment, the diameter of the abutment, the diameter of the abutment interface and the Morse taper, and the inclination angle of the screw channel and other parameters). The virtual abutment is a preset three-dimensional data model of the abutment, which can be a standard model provided by the software, or a three-dimensional data model of the abutment saved after subsequent modification by the user.
其中,步骤S300包括以下步骤:Wherein, step S300 includes the following steps:
S305、建立替代体数据库,使得替代体型号与预设基台三维数据模型一一对应。S305 , establishing a database of the substitute body, so that the model of the substitute body corresponds to the three-dimensional data model of the preset abutment one by one.
S310、根据种植印模上的替代体的型号在替代体数据库中选取相对应的替代体数字模型;S310. Select the corresponding digital model of the substitute in the substitute database according to the model of the substitute on the implant impression;
S320、将替代体数字模型插入石膏扫描数字模型的缺失牙的参考点位置;S320, inserting the analog digital model into the reference point position of the missing tooth of the plaster scanning digital model;
S330、根据替代体数字模型所对应的种植体型号数据库,获取种植体型号数据库内的模型数据,并对应生成预设基台三维数据模型;S330. Obtain the model data in the implant model database according to the implant model database corresponding to the analog digital model, and correspondingly generate a three-dimensional data model of the preset abutment;
S340、根据缺失牙的外形参数对预设基台三维数据模型进行设计,并根据对侧牙三维数据,对预设基台三维数据模型的高度进行设计,并形成个性化基台数字模型,其中外形参数包括:牙龈轮廓、穿龈高度、袖口形态、颌间距离以及种植体植入方向。S340. Design the preset three-dimensional data model of the abutment according to the shape parameters of the missing teeth, and design the height of the preset three-dimensional data model of the abutment according to the three-dimensional data of the contralateral teeth, and form a personalized digital model of the abutment, wherein Shape parameters include: gingival contour, transgingival height, cuff shape, intermaxillary distance, and implant placement orientation.
具体的,根据扫描数据形态的缺失牙选择对应的替代体,上述可知替代体的型号,之后在数据库中选择对应的替代体数字模型;将替代体数字模型插入石膏扫描数据形态的缺失牙的参考点位置,之后根据替代体匹配对应的基台(如图9所示);根据缺失牙牙龈三维数据确定需要形成的基台的牙龈轮廓、穿龈高度以及袖口形态,根据对侧牙三维数据,对预设基台三维数据模型的高度(颌间距离)进行个性化设计(如图10所示);牙龈轮廓、穿龈高度、袖口形态、颌间距离以及种植体植入方向,生成个性化基台数字模型(如图11所示)。以替代体的参考点为基准点,对个性化基台数字模型进行位置调整。如上所述,过3shape扫描种植印模后,软件会自动法相翻转数据,使种植印模扫描数据还原成石膏扫描数字模型的形态,通过患者口腔三维数据可以选择相适应的替代体,在石膏扫描数据形态上,将替代体插入缺失牙的参考点位置,之后根据替代体匹配对应的基台,根据缺失牙牙龈三维数据确定基台的牙龈轮廓、穿龈高度以及袖口形态,根据对侧牙三维数据,对标准的基台数字模型进行高度个性化设计。并结合牙龈轮廓、穿龈高度、袖口形态、颌间距离以及种植体植入方向,生成个性化基台数字模型。之后以替代体的参考点为基准点,对个性化基台三维数据进行位置调整。Specifically, select the corresponding substitute according to the missing tooth in the scan data form, the model of the substitute is known above, and then select the corresponding digital model of the substitute in the database; insert the digital model of the substitute into the reference of the missing tooth in the plaster scan data form Point position, and then match the corresponding abutment according to the analog (as shown in Figure 9); determine the gingival contour, gingival penetration height and cuff shape of the abutment to be formed according to the three-dimensional data of the missing tooth gingiva, and according to the three-dimensional data of the contralateral tooth, Personalize the height (intermaxillary distance) of the preset abutment 3D data model (as shown in Figure 10); gingival contour, gingival penetration height, cuff shape, intermaxillary distance and implant placement direction, generate personalized The digital model of the abutment (as shown in Figure 11). Adjust the position of the personalized abutment digital model with the reference point of the analog as the reference point. As mentioned above, after scanning the implant impression with 3shape, the software will automatically reverse the data, so that the scanned data of the implant impression can be restored to the shape of the digital model of the plaster scan. Through the three-dimensional data of the patient's oral cavity, a suitable substitute can be selected. In terms of data morphology, insert the analog into the reference point position of the missing tooth, and then match the corresponding abutment according to the analog, determine the gingival contour, gingival penetration height and cuff shape of the abutment according to the 3D data of the missing tooth gingiva, and determine the data for highly individual design of standard abutment digital models. Combined with gingival contour, gingival height, cuff shape, intermaxillary distance and implant placement direction, a personalized abutment digital model is generated. After that, the position of the three-dimensional data of the personalized abutment is adjusted with the reference point of the analog as the reference point.
还需要根据临床的要求选择个性化基台数字模型的颈部边缘是位于龈下、还是与牙龈平齐而在基台的顶部设计出V型槽,最后设计出符合患者实际情况的个性化基台数字模型。It is also necessary to choose whether the neck edge of the personalized abutment digital model is located under the gingiva or flush with the gums according to clinical requirements, and a V-shaped groove is designed on the top of the abutment, and finally a personalized abutment that meets the actual situation of the patient is designed. digital model.
还可以包括另外的步骤:S350、将个性化基台数字模型,存入到设计软件中数据库中,形成新的个性化基台三维数据模型,并将牙龈轮廓、穿龈高度以及袖口形态的外形参数作为匹配元素,在下次设计时进行自动匹配。It may also include another step: S350, storing the digital model of the personalized abutment into the database of the design software to form a new three-dimensional data model of the personalized abutment, and storing the contour of the gingiva, the height of the gingival penetration and the shape of the cuff Parameters are used as matching elements for automatic matching in the next design.
具体过程中,当下次导入患者口腔扫描数据后,在步骤S330和步骤S340之前,还可以通过导入的导入患者口腔扫描数据(例如对侧牙三维数据),以牙龈轮廓、穿龈高度以及袖口形态的外形参数作为匹配元素在数据库中进行匹配查找,找到相差最小的预存的个性化基台三维数据模型,将该模型直接导出到软件的显示界面。之后再执行步骤S340。可以大大降低编辑的任务量,提高效率。In the specific process, when the patient's oral scan data is imported next time, before step S330 and step S340, the imported patient's oral scan data (such as the three-dimensional data of the contralateral teeth) can also be imported, with the gingival contour, gingival penetration height and cuff shape. The shape parameters of the abutment are matched and searched in the database as matching elements, and the pre-stored personalized abutment 3D data model with the smallest difference is found, and the model is directly exported to the display interface of the software. Then step S340 is executed. It can greatly reduce the workload of editing and improve efficiency.
S400、基于个性化基台数字模型而编辑得到牙冠数字模型,牙冠数字模型根据不同的种植修复方式而匹配不同的调整参数,以使牙冠数字模型与个性化基台数字模型相匹配,其中调整参数至少包括:黏着剂参数、额外黏着剂参数、到边缘线距离、平滑距离、车针半径和车针补偿间距。S400. The digital model of the crown is edited based on the digital model of the personalized abutment, and the digital model of the crown is matched with different adjustment parameters according to different implant restoration methods, so that the digital model of the crown matches the digital model of the personalized abutment, The adjustment parameters at least include: adhesive parameters, additional adhesive parameters, distance to edge line, smoothing distance, bur radius and bur compensation distance.
具体的,基于个性化基台数字模型编辑得到牙冠数字模型(如图18所示),完成个性化基台的设计后,接下来需要同步设计上部修复体,进行牙冠的解剖形态的设计,在考虑牙弓弧度、颌曲线、覆颌覆盖、对侧同名牙大小比例、颌平面等因素下完成牙冠的解剖形态设计,设计出的牙冠需要满足邻接、咬合、边缘、形态和颜色等标准。不同的种植修复方式(种植全瓷冠/桥、种植烤瓷冠/桥、种植全锆冠/桥)需要设置不同的调整参数,调整参数具体包括:黏着剂参数、额外黏着剂参数、到边缘线的距离、平滑距离、车针半径和车针补偿间距。最后根据种植修复方式选择是否在牙冠颌面开孔(螺丝固位需要开孔,粘接固位不需要开孔)。针对不同的材料,其调整参数如下表:Specifically, the digital model of the crown is obtained based on the digital model of the personalized abutment (as shown in Figure 18). After the design of the personalized abutment is completed, the upper restoration needs to be designed simultaneously to design the anatomical shape of the crown. , taking into account factors such as arch curvature, jaw curve, overjaw coverage, contralateral homonymous tooth size ratio, jaw plane and other factors to complete the anatomical shape design of the crown. The designed crown needs to meet the adjacency, occlusion, edge, shape and color and other standards. Different implant restoration methods (implant all-ceramic crown/bridge, implant porcelain crown/bridge, implant all-zirconium crown/bridge) need to set different adjustment parameters, and the adjustment parameters specifically include: adhesive parameters, additional adhesive parameters, to the edge Line distance, smoothing distance, bur radius and bur compensation spacing. Finally, choose whether to make holes in the crown and maxillofacial surface according to the implant restoration method (holes are required for screw retention, and no holes are required for bonding retention). For different materials, the adjustment parameters are as follows:
不同种植修复方式的牙冠数字模型的调整参数的数值表Numerical table of the adjustment parameters of the crown digital model of different implant restoration methods
根据上表中的不同的种植修复方式而设置的牙冠数字模型的调整参数,所得还原设计时的虚拟数据对应基台的1:1大小的烧结后结晶的牙冠。其是进行牙冠数字模型设计时的最佳取值。其可以保证种植上部的牙冠与基台的精密装配。使牙冠与基台完整吻合并实现优良的复位衔接。According to the adjustment parameters of the crown digital model set according to the different implant restoration methods in the above table, the obtained virtual data during the restoration design corresponds to the 1:1 size of the sintered and crystallized crown of the abutment. It is the best value when designing the digital model of the dental crown. It can ensure the precise assembly of the crown and abutment on the upper part of the implant. Make the crown and the abutment fit completely and achieve excellent reduction and connection.
其中,步骤S400包括以下步骤:Wherein, step S400 includes the following steps:
S410、根据个性化基台数字模型设计缺失牙的牙冠的解剖形态数据,其中解剖形态数据至少包括:牙弓弧度、颌曲线、对侧同名牙大小比例、颌平面;S410. Design the anatomical shape data of the crown of the missing tooth according to the personalized abutment digital model, wherein the anatomical shape data at least include: dental arch curvature, jaw curve, size ratio of the opposite tooth with the same name, and jaw plane;
S420、根据牙冠的解剖形态数据生成牙冠数字模型,使得牙冠数字模型与个性化基台数字模型的牙龈轮廓、穿龈高度、袖口形态相匹配。S420. Generate a digital crown model according to the anatomical form data of the crown, so that the digital crown model matches the gingival contour, gingival penetration height, and cuff shape of the personalized abutment digital model.
具体的,在石膏扫描数字模型上,根据个性化基台数字模型设计缺失牙的牙冠的解剖形态数据三维数据,解剖形态数据三维数据至少包括:牙弓弧度、颌曲线、对侧同名牙大小比例、颌平面。使得牙冠的解剖形态数据三维数据与个性化基台数字模型的牙龈轮廓、穿龈高度、袖口形态相匹配。以个性化基台数字模型为基准,将缺失牙牙冠三维数据实例化生成缺失牙牙冠数字模型。之后,结合患者口腔三维数据、个性化基台数字模型以及缺失牙牙冠数字模型编辑口腔模型。Specifically, on the plaster scanning digital model, design the three-dimensional data of the anatomical shape data of the crown of the missing tooth according to the personalized digital model of the abutment. The three-dimensional data of the anatomical shape data include at least: arch curvature, jaw curve, and the size of the opposite tooth Proportion, maxillary plane. The three-dimensional data of the anatomical shape data of the crown can be matched with the gingival contour, gingival penetration height, and cuff shape of the personalized abutment digital model. Based on the personalized abutment digital model, the three-dimensional data of the missing tooth crown is instantiated to generate a digital model of the missing tooth crown. Afterwards, the oral model is edited by combining the three-dimensional data of the patient's oral cavity, the digital model of the personalized abutment, and the digital model of the crown of the missing tooth.
S500、结合个性化基台数字模型以及缺失牙的牙冠数字模型,编辑石膏扫描数字模型,从而得到口腔数字模型。S500. Combining the personalized abutment digital model and the digital model of the crown of the missing tooth, edit the digital model of the plaster scan to obtain the digital model of the oral cavity.
在设计个性化基台数字模型以及缺失牙牙冠数字模型之后,根据患者口腔三维数据在石膏扫描数字模型上设置咬颌平面模型,之后,修剪咬颌平面模型,对咬颌平面模型的多余部位修剪,保留咬颌平面模型的完整牙列、腭皱襞、系带以及粘膜皱襞,之后对咬颌平面模型添加颌架标签,根据石膏扫描数字模型、个性化基台数字模型以及缺失牙的牙冠数字模型而编辑牙龈,根据石膏扫描数字模型以及牙龈可视化生成口腔数字模型,图16为其中生成口腔数字模型的效果图,牙龈上替代体孔洞与个性化基台数字模型及牙冠数字模型相适配(如图17及图18所示)。After designing the personalized abutment digital model and the digital model of the missing tooth crown, the occlusal plane model is set on the plaster scanning digital model according to the patient's oral three-dimensional data, and then the occlusal plane model is trimmed, and the redundant parts of the occlusal plane model are trimmed , retain the complete dentition, palatal folds, frenulum, and mucosal folds of the occlusal plane model, then add jaw frame labels to the occlusal plane model, scan digital models based on plaster, personalized abutment digital models, and crown numbers of missing teeth Edit the gingiva for the model, and generate a digital model of the oral cavity based on the digital model of the plaster scan and the visualization of the gingiva. Figure 16 is the rendering of the digital model of the oral cavity generated. (As shown in Figure 17 and Figure 18).
步骤S500具体包括:Step S500 specifically includes:
S510、根据个性化基台数字模型以及牙冠数字模型对石膏扫描数字模型进行修改,将石膏扫描数字模型的多余部位修剪,保留石膏扫描数字模型的完整牙列、腭皱襞、系带以及粘膜皱襞。S510. Modify the plaster scan digital model according to the personalized abutment digital model and the crown digital model, trim redundant parts of the plaster scan digital model, and retain the complete dentition, palatal folds, frenulum, and mucosal folds of the plaster scan digital model .
具体的,根据患者口腔三维数据、个性化基台数字模型以及缺失牙的牙冠数字模型在石膏扫描数字模型上设置咬颌平面模型(如图12所示);修剪咬颌平面模型,对咬颌平面模型的多余部位修剪,保留咬颌平面模型的完整牙列、腭皱襞、系带以及粘膜皱襞(如图13所示);Specifically, according to the three-dimensional data of the patient's oral cavity, the personalized digital model of the abutment, and the digital model of the crown of the missing tooth, the occlusal plane model (as shown in Figure 12) is set on the plaster scanning digital model; the occlusal plane model is trimmed, and the bite The redundant parts of the maxillary plane model were trimmed, and the complete dentition, palatal folds, frenulum and mucosal folds of the occlusal plane model were preserved (as shown in Figure 13);
S520、对修剪后的石膏扫描数字模型添加颌架标签。S520. Add a jaw frame label to the trimmed plaster scanned digital model.
具体的,对修剪石膏扫描数字模型后所得到的咬颌平面模型添加颌架标签(如图14所示);Specifically, a jaw frame label is added to the occlusal plane model obtained after trimming the plaster and scanning the digital model (as shown in FIG. 14 );
S530、根据石膏扫描数字模型、个性化基台数字模型以及牙冠数字模型的形态,编辑石膏扫描数字模型上的牙龈的大小、方向和位置。S530. Edit the size, direction and position of the gingiva on the plaster scanned digital model according to the shape of the plaster scanned digital model, the personalized abutment digital model and the dental crown digital model.
具体的,根据石膏扫描数字模型、个性化基台数字模型以及缺失牙牙冠数字模型编辑牙龈(如图19所示);根据患者口腔三维数据以及牙龈可视化生成口腔数字模型(如图15所示)。Specifically, the gingiva is edited according to the plaster scanning digital model, the personalized abutment digital model and the missing tooth crown digital model (as shown in Figure 19); the oral digital model is generated according to the patient's oral three-dimensional data and gingival visualization (as shown in Figure 15) .
S600、将个性化基台数字模型、牙冠数字模型以及口腔数字模型进行加工,形成个性化基台、牙冠以及口腔模型。S600. Process personalized abutment digital models, dental crown digital models and oral cavity digital models to form personalized abutment, dental crown and oral cavity models.
具体的,将个性化基台数字模型、牙冠以及口腔模型通过不同的加工方式生产出来,形成个性化基台数字模型、牙冠以及口腔模型实物。例如,将个性化基台数字模型、牙冠数字模型以及口腔模型形成加工数据,之后根据加工数据加工打印,得到个性化基台、牙冠、口腔模型实物。Specifically, the personalized abutment digital model, the crown and the oral cavity model are produced through different processing methods to form the personalized abutment digital model, the dental crown and the oral cavity model in kind. For example, the personalized abutment digital model, crown digital model and oral cavity model are formed into processing data, and then processed and printed according to the processing data to obtain the personalized abutment, dental crown and oral cavity model.
步骤S600具体包括:Step S600 specifically includes:
步骤S610、将个性化基台数字模型的数据传输至对应的切削设备,以使切削设备对基台毛坯进行切削,形成个性化基台。Step S610, transmitting the data of the digital model of the personalized abutment to the corresponding cutting equipment, so that the cutting equipment can cut the blank of the abutment to form the personalized abutment.
个性化基台是在标准的成品基台上进行加工得到。在等待成品基台购买期间同步进行牙冠切削,口腔模型实物的3D打印。成品基台送达后,调取已完成个性化基台数字模型的数据进行加工,使成品基台加工后与个性化基台数字模型的外形一致,最终完成精密装配,进而提升种植上部的牙冠精度以及制作效率。避免了传统灌注石膏工作模型、研磨基台、调整牙冠邻接和咬合的步骤,降低了成本,提高了工作效率,且该方法对义齿生产制作流程具有指导意义,使义齿制作流程更具标准化。Personalized abutments are processed on standard finished abutments. While waiting for the finished abutment to be purchased, crown cutting and 3D printing of the oral cavity model are carried out simultaneously. After the finished abutment is delivered, the data of the completed digital model of the personalized abutment is retrieved for processing, so that the finished abutment is processed to be consistent with the shape of the digital model of the personalized abutment, and the precision assembly is finally completed, thereby improving the tooth quality of the upper part of the implant. Crown precision and production efficiency. It avoids the traditional steps of pouring plaster working model, grinding abutment, and adjusting crown abutment and occlusal, which reduces the cost and improves work efficiency, and this method has guiding significance for the production process of dentures, making the production process of dentures more standardized.
本实施例中对成品基台进行加工的切削设备采用4套刀具依次对基台毛坯进行研磨,以使基台的表面达到0.01的间隙差异;其中T1号刀具的半径=1.5mm,T2号刀具的半径=1.0mm,T3号刀具的半径=0.75mm,T4号刀具的半径=0.5mm。采用对该加工刀具进行策略执行,对成品基台表面的精加工达到0.01的间隙差异,保证形成的个性化基台的外形与设计的数据的一致性好。In this embodiment, the cutting equipment for processing the finished abutment adopts 4 sets of cutting tools to grind the abutment blank in sequence, so that the surface of the abutment can reach a gap difference of 0.01; wherein the radius of the T1 tool is 1.5mm, and the T2 tool The radius of the tool = 1.0mm, the radius of the T3 tool = 0.75mm, and the radius of the T4 tool = 0.5mm. Using the strategy execution of the processing tool, the finish machining of the surface of the finished abutment reaches a gap difference of 0.01, ensuring that the shape of the formed personalized abutment is consistent with the design data.
步骤S620、将牙冠数字模型的数据传输至对应的切削设备,以使切削设备对牙冠毛坯进行切削并进行烧结,形成牙冠。Step S620, transmitting the data of the digital model of the dental crown to the corresponding cutting equipment, so that the cutting equipment can cut and sinter the blank of the dental crown to form the dental crown.
本实施例中对牙冠毛坯进行加工的切削设备采用3套刀具依次对牙冠毛坯进行粗磨、修整以及细磨,其中粗磨形态采用采用1号刀具的半径为0.75mm,修整牙冠形态采用2号刀具的半径为0.5mm,细磨精修牙花副沟采用3号刀具的最小半径为0.3mm。以上根据排版方式来选择测试验证刀具的直径大小和刀路来走心切削基台,设定了4套刀具进行对成品基台精密的研磨,半径大小依次选择切削的顺序为:T1号=1.5mm,T2号=1.0mm,T3号=0.75mm,T4号=0.5mm。根据加工的策略执行,对基台表面的精加工达到0.01的间隙差异体现。解决了现有技术对刀具的对于夹具不同:个性化基台使用的夹具一般使用正夹或者双夹的方式来固定钛柱,但这两种方式都以支撑杆的方式固定导致颌面受损。In this embodiment, the cutting equipment for processing the crown blank adopts 3 sets of cutters to carry out rough grinding, trimming and fine grinding on the crown blank in sequence, wherein the rough grinding form adopts No. 1 tool with a radius of 0.75mm, and the crown shape The radius of the No. 2 cutter is 0.5mm, and the minimum radius of the No. 3 cutter is 0.3mm for the fine grinding and fine repair of the auxiliary groove. According to the typesetting method above, the diameter and tool path of the testing and verification tool are selected to cut the abutment centeringly, and 4 sets of tools are set for precise grinding of the finished abutment. The cutting order of radius selection is: T1 number = 1.5 mm, T2 size = 1.0mm, T3 size = 0.75mm, T4 size = 0.5mm. According to the execution of the machining strategy, the finish machining of the surface of the abutment achieves a gap difference of 0.01. It solves the difference between the tool and the jig in the prior art: the jig used for the personalized abutment generally uses a positive clamp or a double clamp to fix the titanium column, but both of these two ways are fixed by a support rod, resulting in damage to the maxillofacial surface .
根据切削牙冠,冠内的车针补偿角度进行数据的扩建增补,所得关键牙冠的冠内部的选择1号刀具半径为0.75mm的车针进行粗磨,2号刀具半径0.5mm进行修整,再选择3号最小半径车针为0.3mm进行细磨。从而将冠内部的刀路完整走切精细。According to the cutting crown and the compensation angle of the bur in the crown, the data is expanded and supplemented. For the inside of the crown of the key crown, the No. 1 tool with a radius of 0.75mm is selected for rough grinding, and the No. 2 tool with a radius of 0.5mm is used for trimming. Then select No. 3 bur with the smallest radius of 0.3mm for fine grinding. In this way, the knife path inside the crown is completely cut and finely cut.
切削机的参数模板、配合设备机床的车针、夹具以达到高精度切削要求,从而达到种植上部修复冠烧结后能满足种植上部修复冠与成品基台的精密装配起到关键作用。加工参数模板要求如下表:The parameter template of the cutting machine, the bur and the fixture of the equipment machine tool are used to achieve high-precision cutting requirements, so as to meet the precision assembly of the implant upper restoration crown and the finished abutment after sintering. The processing parameter template requirements are as follows:
加工参数模板要求表Processing parameter template requirement table
步骤S630、将口腔数字模型的数据传输至打印设备进行3D打印,得到口腔模型。Step S630, transmitting the data of the oral cavity digital model to the printing device for 3D printing to obtain the oral cavity model.
以上过程中,根据基台与修复体的松紧、边缘的密合性、抗旋判定的标准,机切削完成的成品基台与现工艺流程研磨基台后扫描-设计-切削对比;机切削一体成型精度更高,密合更好,符合生产的要求。切削后基台与冠装配就位后在模型上咬合与邻接也与设计时一致,未出现偏转的现象。本实施例中所形成的基台以及牙冠,得出各种品系材料的种植上部修复冠与成品基台的精密装置,吻合密贴的达到良好就位效果,满足基台、牙冠和模型同步完成的检验标准。具体效果数据如下表:In the above process, according to the criteria of the tightness of the abutment and the restoration, the tightness of the edge, and the judgment of anti-rotation, the finished abutment completed by machine cutting is compared with the current process of grinding the abutment after scanning-design-cutting; machine-cutting is integrated The molding precision is higher, and the tightness is better, which meets the production requirements. After cutting, the occlusal and adjoining of the abutment and the crown on the model were also consistent with the design, and there was no deflection phenomenon. The abutments and crowns formed in this example are precision devices for implant upper restoration crowns and finished abutments of various strains of materials, which are closely fitted to achieve a good in-position effect and meet the requirements of abutments, crowns and models. Synchronous completion test criteria. The specific effect data is as follows:
基台、牙冠和模型同步完成的检验结果Inspection results of abutments, crowns and models completed simultaneously
最后,将产品打磨抛光,清洗处理完成成品。Finally, the product is polished and cleaned to complete the finished product.
实施例二Embodiment two
如图3所示,为了实现上述目的,本申请还提供一种装置,所述装置包括处理器10、存储器20、显示器30以及加工设备。图3仅示出了装置的部分组件,但是应理解的是,并不要求实施所有示出的组件,可以替代的实施更多或者更少的组件。As shown in FIG. 3 , in order to achieve the above purpose, the present application also provides an apparatus, which includes a
所述存储器20在一些实施例中可以是所述装置的内部存储单元,例如装置的硬盘或内存。所述存储器20在另一些实施例中也可以是所述装置的外部存储设备,例如所述装置上配备的插接式硬盘,智能存储卡(Smart Media Card,SMC),安全数字(SecureDigital,SD)卡,闪存卡(Flash Card)等。进一步地,所述存储器20还可以既包括所述装置的内部存储单元也包括外部存储设备。所述存储器20用于存储安装于所述装置的应用软件及各类数据,例如所述安装装置的程序代码等。所述存储器20还可以用于暂时地存储已经输出或者将要输出的数据。在一实施例中,存储器20上存储有数字化种植修复程序40,该数字化种植修复程序40可被处理器10所执行,从而实现本申请中数字化种植修复方法。The
所述处理器10在一些实施例中可以是一中央处理器(Central Processing Unit,CPU),微处理器或其他数据处理芯片,用于运行所述存储器20中存储的程序代码或处理数据,例如执行所述数字化种植修复方法等。The
所述显示器30在一些实施例中可以是LED显示器、液晶显示器、触控式液晶显示器以及OLED(Organic Light-Emitting Diode,有机发光二极管)触摸器等。所述显示器30用于显示在所述装置的信息以及用于显示可视化的用户界面。所述装置的部件10-30通过系统总线相互通信。In some embodiments, the
在一实施例中,当处理器10执行所述存储器20中数字化种植修复程序40时实现以下步骤:In one embodiment, when the
扫描种植印模,获取患者口腔扫描数据,其中种植印模上预先形成有患者的口内形状;将患者口腔扫描数据导入到设计软件,生成石膏扫描数字模型;Scan the impression of the implant to obtain the patient's oral scan data, in which the shape of the patient's mouth is pre-formed on the implant impression; import the patient's oral scan data into the design software to generate a digital model of the plaster scan;
根据种植印模上的替代体的型号,调取设计软件中数据库中的数据,并调整生成个性化基台数字模型;According to the model of the substitute on the implant impression, the data in the database in the design software is retrieved and adjusted to generate a personalized digital model of the abutment;
基于个性化基台数字模型而编辑得到牙冠数字模型,牙冠数字模型根据不同的种植修复方式而匹配不同的调整参数,以使牙冠数字模型与个性化基台数字模型相匹配,其中调整参数至少包括:黏着剂参数、额外黏着剂参数、到边缘线距离、平滑距离、车针半径和车针补偿间距;The digital model of the crown is edited based on the digital model of the personalized abutment, and the digital model of the crown is matched with different adjustment parameters according to different implant restoration methods, so that the digital model of the crown matches the digital model of the personalized abutment. The parameters include at least: adhesive parameters, additional adhesive parameters, distance to edge line, smoothing distance, bur radius and bur compensation spacing;
结合个性化基台数字模型以及缺失牙的牙冠数字模型,编辑石膏扫描数字模型,从而得到口腔数字模型;Combining the digital model of the personalized abutment and the digital model of the crown of the missing tooth, edit the digital model of the plaster scan to obtain the digital model of the oral cavity;
将个性化基台数字模型、牙冠数字模型以及口腔数字模型进行加工,形成个性化基台、牙冠以及口腔模型。Process personalized abutment digital models, crown digital models and oral cavity digital models to form personalized abutment, dental crown and oral cavity models.
实施例三Embodiment three
本申请还提供一种计算机可读存储介质,其中,所述计算机可读存储介质存储有数字化种植修复的优化程序,所述数字化种植修复的优化程序被处理器执行时实现如上所述的数字化种植修复的优化方法的步骤。The present application also provides a computer-readable storage medium, wherein the computer-readable storage medium stores an optimization program for digital implant restoration, and when the optimization program for digital implant restoration is executed by a processor, the above-mentioned digital implant restoration can be realized. The steps of the optimization method for repair.
综上所述,本申请提出了一种数字化种植修复方法、装置及计算机可读存储介质,本申请的方案可以在等待成品基台购买期间同步进行牙冠切削,口腔模型实物的3D打印。成品基台送达后,调取已完成个性化基台数字模型的数据进行加工,使成品基台加工后与个性化基台数字模型的外形一致,最终完成精密装配,进而提升种植上部的牙冠精度以及制作效率。避免了传统灌注石膏工作模型、研磨基台、调整牙冠邻接和咬合的步骤,降低了成本,提高了工作效率,且该方法对义齿生产制作流程具有指导意义,使义齿制作流程更具标准化。在员工选择基台型号后,直接匹配开发的对应基台型号工具包进行成品基台可切削设计以及上部冠设计。设计时需要测试调整基台的参数,目前已完成对成品基台的肩台半径、顶部圆角半径等参数的测试,根据基台参数,调整测试合适的黏着剂间隙、额外间隙、到边缘线的距离、平滑距离等参数,不断调整切削机的参数模板、车针、夹具以达到高精度切削要求。在等待成品基台购买期间同步进行冠桥切削,模型3D打印。成品基台送达后,调取已完成个性化设计的成品基台数据进行加工基台,最终完成精密装配,进而提升种植上部修复冠精度以及制作效率,至此可以完成基台、牙冠、模型同步加工完成的工艺流程,避免了传统灌注石膏工作模型、研磨基台、调整牙冠邻接和咬合的步骤,降低了成本,提高了工作效率,且该方法对义齿生产制作流程具有指导意义,使义齿制作流程更具标准化。In summary, this application proposes a digital implant restoration method, device, and computer-readable storage medium. The solution of this application can simultaneously perform crown cutting and 3D printing of oral cavity models while waiting for the purchase of finished abutments. After the finished abutment is delivered, the data of the completed digital model of the personalized abutment is retrieved for processing, so that the finished abutment is processed to be consistent with the shape of the digital model of the personalized abutment, and the precision assembly is finally completed, thereby improving the tooth quality of the upper part of the implant. Crown precision and production efficiency. It avoids the traditional steps of pouring plaster working model, grinding abutment, and adjusting crown abutment and occlusal, which reduces the cost and improves work efficiency, and this method has guiding significance for the production process of dentures, making the production process of dentures more standardized. After the employee selects the abutment model, directly match the developed corresponding abutment model toolkit to carry out the machinable design of the finished abutment and the design of the upper crown. During the design, it is necessary to test and adjust the parameters of the abutment. At present, the test of the parameters such as the shoulder radius and the top fillet radius of the finished abutment has been completed. According to the parameters of the abutment, adjust and test the appropriate adhesive gap, extra gap, and edge line The distance, smoothing distance and other parameters, and constantly adjust the parameter template, bur, and fixture of the cutting machine to meet the high-precision cutting requirements. While waiting for the finished abutment to be purchased, crown and bridge cutting is performed simultaneously, and the model is 3D printed. After the finished abutment is delivered, the data of the finished abutment that has completed the personalized design is retrieved to process the abutment, and the precision assembly is finally completed, thereby improving the accuracy and production efficiency of the upper restoration crown of the implant. At this point, the abutment, crown, and model can be completed The process of synchronous processing avoids the traditional steps of pouring gypsum working model, grinding abutment, and adjusting crown abutment and occlusal, which reduces the cost and improves work efficiency, and this method has guiding significance for the production process of dentures. The denture manufacturing process is more standardized.
以上所述仅为本申请的较佳实施例而已,并不用以限制本申请,凡在本申请的精神和原则之内所作的任何修改、等同替换和改进等,均应包含在本申请的保护范围之内。The above descriptions are only preferred embodiments of the application, and are not intended to limit the application. Any modifications, equivalent replacements and improvements made within the spirit and principles of the application should be included in the protection of the application. within range.
Claims (10)
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202211302247.XA CN115645093B (en) | 2022-10-24 | 2022-10-24 | A digital planting restoration method, device, and computer-readable storage medium |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202211302247.XA CN115645093B (en) | 2022-10-24 | 2022-10-24 | A digital planting restoration method, device, and computer-readable storage medium |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN115645093A true CN115645093A (en) | 2023-01-31 |
| CN115645093B CN115645093B (en) | 2025-12-12 |
Family
ID=84991349
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN202211302247.XA Active CN115645093B (en) | 2022-10-24 | 2022-10-24 | A digital planting restoration method, device, and computer-readable storage medium |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN115645093B (en) |
Cited By (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN115944416A (en) * | 2023-02-20 | 2023-04-11 | 极限人工智能有限公司 | Auxiliary determination method, system, medium and electronic equipment for oral implant plan |
| CN116138908A (en) * | 2023-02-07 | 2023-05-23 | 深圳市德钰医疗器械有限公司 | Dental implant abutment modeling method and dental implant abutment |
| CN116394077A (en) * | 2023-03-24 | 2023-07-07 | 江苏柯润玺医疗科技发展有限公司 | Personalized abutment precision manufacturing process |
| CN118097034A (en) * | 2024-04-24 | 2024-05-28 | 先临三维科技股份有限公司 | Data processing method, device, equipment and medium for dental implants |
| CN120680724A (en) * | 2025-06-19 | 2025-09-23 | 江苏万疆高科技有限公司 | Device and method for batch printing of dental crowns for implant abutments |
Citations (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20090319068A1 (en) * | 2004-02-06 | 2009-12-24 | Sager Robert D | System and method for mass custom manufacturing of dental crowns and crown components |
| US20150202027A1 (en) * | 2012-07-23 | 2015-07-23 | Eped Inc. | Method for digital archiving and manufacturing of dental prosthetics and prosthesis, and teaching and training for same |
| CN107019570A (en) * | 2017-04-13 | 2017-08-08 | 江苏福隆数齿科技有限公司 | Digital implementation is repaired in plantation by a kind of oral cavity chair |
| CN109276332A (en) * | 2018-09-12 | 2019-01-29 | 深圳市康泰健牙科器材有限公司 | Method and system for making an oral model |
| CN110251253A (en) * | 2019-06-21 | 2019-09-20 | 深圳市康泰健牙科器材有限公司 | A kind of digitlization plantation base station choosing method and system |
| CN113425436A (en) * | 2021-06-22 | 2021-09-24 | 浙江大学医学院附属第一医院 | Method for reducing formation of residual binder in bonding retention implant repair process |
-
2022
- 2022-10-24 CN CN202211302247.XA patent/CN115645093B/en active Active
Patent Citations (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20090319068A1 (en) * | 2004-02-06 | 2009-12-24 | Sager Robert D | System and method for mass custom manufacturing of dental crowns and crown components |
| US20150202027A1 (en) * | 2012-07-23 | 2015-07-23 | Eped Inc. | Method for digital archiving and manufacturing of dental prosthetics and prosthesis, and teaching and training for same |
| CN107019570A (en) * | 2017-04-13 | 2017-08-08 | 江苏福隆数齿科技有限公司 | Digital implementation is repaired in plantation by a kind of oral cavity chair |
| CN109276332A (en) * | 2018-09-12 | 2019-01-29 | 深圳市康泰健牙科器材有限公司 | Method and system for making an oral model |
| CN110251253A (en) * | 2019-06-21 | 2019-09-20 | 深圳市康泰健牙科器材有限公司 | A kind of digitlization plantation base station choosing method and system |
| CN113425436A (en) * | 2021-06-22 | 2021-09-24 | 浙江大学医学院附属第一医院 | Method for reducing formation of residual binder in bonding retention implant repair process |
Non-Patent Citations (2)
| Title |
|---|
| XU, XX等: "A digitally designed and 3D printed individual tooth tray for taking subgingival impression of complete crown preparation", JOURNAL OF DENTAL SCIENCES, vol. 16, no. 4, 31 October 2021 (2021-10-31), pages 1335 - 1338 * |
| 王瑶等: "螺丝固位一体化基台冠在后牙单冠种植修复中的应用", 北京口腔医学, vol. 27, no. 1, 31 December 2019 (2019-12-31), pages 28 - 31 * |
Cited By (10)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN116138908A (en) * | 2023-02-07 | 2023-05-23 | 深圳市德钰医疗器械有限公司 | Dental implant abutment modeling method and dental implant abutment |
| CN116138908B (en) * | 2023-02-07 | 2023-08-22 | 深圳市德钰医疗器械有限公司 | Dental implant abutment modeling method and dental implant abutment |
| CN115944416A (en) * | 2023-02-20 | 2023-04-11 | 极限人工智能有限公司 | Auxiliary determination method, system, medium and electronic equipment for oral implant plan |
| CN115944416B (en) * | 2023-02-20 | 2023-06-27 | 极限人工智能有限公司 | Auxiliary determination method, system, medium and electronic equipment for oral implantation scheme |
| CN116394077A (en) * | 2023-03-24 | 2023-07-07 | 江苏柯润玺医疗科技发展有限公司 | Personalized abutment precision manufacturing process |
| CN118097034A (en) * | 2024-04-24 | 2024-05-28 | 先临三维科技股份有限公司 | Data processing method, device, equipment and medium for dental implants |
| CN118097034B (en) * | 2024-04-24 | 2024-07-09 | 先临三维科技股份有限公司 | Data processing method, device, equipment and medium for dental implants |
| WO2025223525A1 (en) * | 2024-04-24 | 2025-10-30 | 先临三维科技股份有限公司 | Data processing method and apparatus for implant tooth, device, and medium |
| CN120680724A (en) * | 2025-06-19 | 2025-09-23 | 江苏万疆高科技有限公司 | Device and method for batch printing of dental crowns for implant abutments |
| CN120680724B (en) * | 2025-06-19 | 2026-02-03 | 江苏万疆高科技有限公司 | Dental crown batch printing device and method for planting abutment |
Also Published As
| Publication number | Publication date |
|---|---|
| CN115645093B (en) | 2025-12-12 |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| CN115645093B (en) | A digital planting restoration method, device, and computer-readable storage medium | |
| CN101828974B (en) | Manufacturing method of implant denture individualized positioning guide plate | |
| US10456215B2 (en) | System and method for planning a first and second dental restoration | |
| JP5873435B2 (en) | System and method for planning and / or manufacturing dental prostheses | |
| JP2020093098A (en) | Method for designing and manufacturing dental components | |
| CN109124805B (en) | Method for manufacturing digital mirror CAD/CAM temporary tooth | |
| CN110314004B (en) | Manufacturing method of digital tooth preparation and implantation combined operation guide plate and operation guide plate | |
| US11937993B2 (en) | Healing abutment system for configuring crown abutments at an implant site | |
| CN111513881B (en) | A method and system for making a prosthesis for a maxillary defect | |
| US20220168078A1 (en) | Digital dental arch database | |
| CN110314003A (en) | The production method and guidance bonding guide plate of digitlization plantation guidance bonding guide plate | |
| CN115177383B (en) | Digital full-mouth tooth arrangement method | |
| US20210236248A1 (en) | Dental restoration, method of producing it, computer program and method of restoring a tooth | |
| CN112120812B (en) | Planting bridge frame processing control method and system and storage medium | |
| KR102670152B1 (en) | Manufacturing method of uitra-thin dental prosthesis | |
| KR20140008881A (en) | Method of making customized implant abutment | |
| KR102897466B1 (en) | Method for Manufacturing Complete Denture s Using a Denture Base Library, Computing Device for Performing the Method and a Computer-readable Recording Medium therefor | |
| CN113397736B (en) | Fixing device for temporary planting repair, composite structure and manufacturing method | |
| EP3795111B1 (en) | Method of manufacturing a dental implant prosthetic kit | |
| CN111666660B (en) | A digital design and processing method for placing side ball attachments on both sides of planting poles | |
| CN115177388A (en) | Personalized base station manufacturing method, system and device based on finished base station | |
| KR20140033826A (en) | Method of fabricating customized implant abutment | |
| CN116889482A (en) | A digital-based immediate weight-bearing method and device for implantation | |
| CN119606576A (en) | A preparation method of integrated fiber post and core | |
| CN119454266A (en) | A method, device and application for generating an integrated model of an implant substitute |
Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| PB01 | Publication | ||
| PB01 | Publication | ||
| SE01 | Entry into force of request for substantive examination | ||
| SE01 | Entry into force of request for substantive examination | ||
| GR01 | Patent grant | ||
| GR01 | Patent grant | ||
| CP03 | Change of name, title or address |
Address after: 518122 11a, building 1, kangtaijian health industry building, No. 2005, Rongtian Road, Jinsha community, Kengzi street, Pingshan District, Shenzhen City, Guangdong Province Patentee after: Shenzhen Kangtaijian Medical Technology Co.,Ltd. Country or region after: China Address before: 518122 11a, building 1, kangtaijian health industry building, No. 2005, Rongtian Road, Jinsha community, Kengzi street, Pingshan District, Shenzhen City, Guangdong Province Patentee before: SHENZHEN KANGTAIJIAN DENTAL INSTRUMENT CO.,LTD. Country or region before: China |
|
| CP03 | Change of name, title or address |

