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TW202108087A - Customized osteotome for tooth auto-transplantation, analog of donor tooth, and method for making the analog - Google Patents

Customized osteotome for tooth auto-transplantation, analog of donor tooth, and method for making the analog Download PDF

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TW202108087A
TW202108087A TW108130534A TW108130534A TW202108087A TW 202108087 A TW202108087 A TW 202108087A TW 108130534 A TW108130534 A TW 108130534A TW 108130534 A TW108130534 A TW 108130534A TW 202108087 A TW202108087 A TW 202108087A
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tooth
grip
root
simulated body
coupling structure
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TW108130534A
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Chinese (zh)
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TWI805830B (en
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徐世勳
陳敏嘉
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徐世勳
陳敏嘉
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Abstract

A customized osteotome for tooth auto-transplantation surgery comprises an analog of donor tooth and a handle. The analog has the same appearance as a donor tooth and includes a root portion and a crown portion; in addition, a first connecting structure is furnished at the crown portion. A front end of the handle is furnished with a second connecting structure which is connectable with the first connecting structure of the crown portion. When the handle and the analog are connected by means of the first and second connecting structures, the root portion of the analog acts as the osteotome tip of customized osteotome for drilling a socket (i.e., recipient socket) corresponding to the contour of the root portion at the alveolar bone (i.e., the edentulous ridge of recipient area). Therefore, the recipient socket can be formed at the edentulous ridge of recipient area by using the root portion of analog before extracting the donor tooth, such that the recipient socket is perfect fit with the root of donor tooth. Not only the Extra-Alveolar Time (EAT) is shortened, but also the degree of damage to the Periodontal Ligament (PDL) of the root of donor tooth is reduced, so as to improve the chances of successful tooth auto-transplantation surgery.

Description

自體牙齒移植的骨鑿器及其模擬體與模擬體的製法 Osteotome for autologous tooth transplantation and its simulating body and manufacturing method of simulating body

本發明係相關於一種自體牙齒移植的骨鑿器及模擬體與模擬體的製法,尤指一種適用於在牙齒自體移植(Tooth Auto-Transplantation;簡稱TAT)手術過程中,藉由一具有與捐贈齒相同外型的模擬體來進行受贈區之植入座開鑿的骨鑿器,以及該模擬體的結構與製法。 The present invention is related to an osteotome for autologous tooth transplantation and a method for manufacturing a simulated body and a simulated body, especially a method suitable for tooth auto-transplantation (Tooth Auto-Transplantation; TAT) surgery. An osteotome with the same appearance as the donated tooth to excavate the implant seat in the donation area, as well as the structure and manufacturing method of the simulated body.

牙齒自體移植(Tooth Auto-Transplantation;簡稱TAT)是一種涉及從口腔具有缺牙的患者口中提取位於口腔其他位置的健康牙齒(例如臼齒或智齒;簡稱為捐贈齒Donor Tooth)並自體移植到其口腔缺牙處(亦稱為受贈區)的齒脊上的手術技術,它被認為是替換缺失牙齒的可行技術之一。為了確保捐贈齒在被移植到受贈區的齒脊上後其牙根能順利地癒合與康復,捐贈齒的牙根表面是否能保留住健康且可存活的牙周韌帶(Periodontal Ligament;簡稱PDL)是最重要的因素。因此,除了在提取及植入捐贈齒的過程應盡量避免損傷牙根表面的牙周韌帶、或將牙周韌帶的損傷最小化之外,更需要盡可能縮短自提取捐贈齒起至將捐贈齒植入受贈區這整個過程的時間,也就是捐贈齒的牙根被暴露於外界的時間(Extra-Alveolar Time;簡稱EAT)。一般來說,這段過程的EAT時間應短於15分鐘為宜,否則將會增加捐贈齒移植到受贈區後無法順利癒合與康復的風險。 Tooth Auto-Transplantation (TAT) involves the extraction of healthy teeth (such as molars or wisdom teeth; referred to as Donor Tooth) located in other parts of the oral cavity from the mouth of patients with missing teeth and autotransplanting them to The surgical technique on the ridge of the missing teeth (also known as the donation area) is considered to be one of the feasible techniques for replacing missing teeth. In order to ensure that the roots of the donated tooth can heal and heal smoothly after being transplanted to the ridge of the recipient area, whether the root surface of the donated tooth can retain a healthy and viable periodontal ligament (PDL) is the most important thing. Important factor. Therefore, in addition to the process of extracting and implanting the donor tooth, it is necessary to avoid damaging the periodontal ligament on the root surface or minimize the periodontal ligament damage. It is also necessary to shorten the period from the extraction of the donated tooth to the implantation of the donated tooth as much as possible. The entire process of entering the donation area is the time during which the root of the donated tooth is exposed to the outside world (Extra-Alveolar Time; EAT for short). Generally speaking, the EAT time of this process should be shorter than 15 minutes, otherwise it will increase the risk of the donor tooth being transplanted to the recipient area and unable to heal and recover smoothly.

傳統的牙齒自體移植手術,需仰賴臨床醫師在拔取捐贈齒後,再依據臨床醫師本身觀看捐贈齒的牙根外型的目測結果,在受贈區的 齒脊上以現有的牙科工具鑿出符合捐贈齒的牙根外型的植入座(Recipient Socket,簡稱RS)。顯然地,此過程會大幅增加EAT時間,提高TAT手術失敗的風險。後來,有人研發出藉由例如照X光片或其他方式預先獲得捐贈齒的牙根外型的影像,讓臨床醫師可以在尚未提取捐贈齒之前,就先以現有的牙科工具在受贈區的齒脊上鑿出大致上約略符合捐贈齒的牙根外型的植入座,以期在提取捐贈齒後能盡量縮短將捐贈齒的牙根植入受贈區的植入座的時間。然而,由於用來進行鑽鑿的現有牙科工具的外型不可能符合捐贈齒的牙根外型,其所鑿出的植入座的外型輪廓,也勢必和實際的捐贈齒牙根外型有所差異;所以,當臨床醫師嘗試將提取出之捐贈齒的牙根植入受贈區的植入座的過程中,不僅無法避免捐贈齒的牙根與不符合之植入座之間的碰撞擠壓而造成牙周韌帶損傷,也需要額外的EAT時間讓臨床醫師對植入座的外型進行微調(例如局部細鑿或補牙粉)以便能正確符合捐贈齒的牙根外型。此外,依據現有的TAT技術,並無法預先檢測捐贈齒的尺寸與牙根外型是否適合被移植到受贈區,倘若在完成受贈區的植入座的製作、以及提取捐贈齒的步驟後,才發現捐贈齒與受贈區的尺寸或外型不合適時,將會浪費掉受贈區的植入座與捐贈齒。所以,現有的牙齒自體移植手術技術仍有進一步改良的空間。 Traditional tooth autotransplantation requires the clinician to extract the donated tooth, and then based on the clinician’s own visual observation of the root shape of the donated tooth. Existing dental tools are used on the tooth spine to chisel a Recipient Socket (RS) that conforms to the shape of the root of the donated tooth. Obviously, this process will greatly increase the EAT time and increase the risk of failure of the TAT operation. Later, someone developed an image of the root shape of the donated tooth by taking X-rays or other methods, allowing clinicians to use existing dental tools on the ridge of the donation area before extracting the donated tooth. An implant that roughly conforms to the shape of the root of the donated tooth is cut out, in order to shorten the time for implanting the root of the donated tooth into the implant of the donation area after extracting the donated tooth. However, because the shape of the existing dental tools used for drilling cannot match the shape of the root of the donated tooth, the shape of the implant seat that is chiseled out will inevitably be different from the shape of the actual root of the donated tooth. Difference; therefore, when the clinician tries to implant the extracted root of the donated tooth into the implant seat in the donation area, it is not only unavoidable to avoid collision and compression between the root of the donated tooth and the non-compliant implant seat. Periodontal ligament damage also requires extra EAT time for clinicians to fine-tune the shape of the implant (for example, local fine chiseling or filling powder) so as to correctly conform to the root shape of the donated tooth. In addition, according to the existing TAT technology, it is not possible to pre-detect whether the size of the donated tooth and the shape of the root are suitable for transplantation to the donation area. If the implantation of the donation area is completed, and the steps of extracting the donation tooth, it is discovered If the size or shape of the donated tooth and the donation area is not appropriate, the implant seat and the donation tooth in the donation area will be wasted. Therefore, there is still room for further improvement of the existing tooth autotransplantation technique.

緣此,本發明之主要目的係在提供一種自體牙齒移植的骨鑿器及其模擬體與該模擬體的製法,藉由製作出符合捐贈齒及其牙根外型的一堅硬材質的模擬體後,再將該模擬體的一牙根部直接當作一鑿子尖端來使用,以便在人體的齒槽骨處(亦即,受贈區的齒脊)鑿出一符合該牙根部外型輪廓的凹穴(亦即,植入座)。藉此,在提取捐贈齒之前便可使用該模擬體的牙根部預先在受贈區製作植入座,使得該植入座外型可以正確地符合捐贈齒的牙根外型;不僅可以縮短EAT時間,也能降低捐贈齒牙根表面上的牙周韌帶被損傷的程度,進而提高自體牙齒移植手術的捐贈齒在被移植到受贈區後可以順利癒合與康復的機會。 For this reason, the main purpose of the present invention is to provide an osteotome for autologous tooth transplantation and its simulant body and a method for manufacturing the simulant body, by making a hard material simulant body that conforms to the shape of the donated tooth and its root. Later, a root of the simulated body is directly used as a chisel tip, so as to chisel out a recess in the alveolar bone of the human body (that is, the ridge of the donation area) that conforms to the outline of the root. Acupuncture point (ie, implant seat). In this way, the root of the simulated body can be used to make an implant in the donation area before the donation tooth is extracted, so that the shape of the implant can correctly conform to the root shape of the donation tooth; not only can the EAT time be shortened, but also It can also reduce the degree of damage to the periodontal ligament on the root surface of the donated tooth, thereby increasing the chance of smooth healing and recovery of the donated tooth in the autologous tooth transplant operation after being transplanted to the donation area.

本發明之另一目的係在提供一種自體牙齒移植的裝置及模 擬體,可在進行自體牙齒移植手術之前先以電腦模擬捐贈齒被移植至受贈區後的狀態,預先檢測捐贈齒的尺寸與牙根外型是否適合被移植到受贈區,避免執行無效的自體牙齒移植手術。 Another object of the present invention is to provide a device and mold for autologous tooth transplantation For phantoms, you can simulate the state of the donated tooth after being transplanted to the donation area with a computer before performing the autogenous tooth transplant operation, and check in advance whether the size of the donated tooth and the shape of the root are suitable for being transplanted to the donation area, so as to avoid performing invalid self-transplantation. Body tooth transplant surgery.

為達上述目的,本發明提供一種自體牙齒移植的骨鑿器及模擬體,適用於一人體的自體牙齒移植手術操作,其包括:一模擬體及一握桿。模擬體是以堅硬材質構成且具有一牙齒的外型,其包括有一牙根部及一牙冠部;並且,於該牙冠部設有一第一結合結構。握桿為一桿狀結構,且具有包括:位於該握桿一前端的一第二結合結構、位於該握桿一後端的一握柄、以及連接於該第二結合結構與該握柄之間的一桿體。該握桿的該第二結合結構和該模擬體的該第一結合結構兩者可以可拆卸的方式結合固定;並且,當該握桿與該模擬體兩者藉由該第二結合結構與該第一結合結構結合固定成一體時,該模擬體的該牙根部是做為一鑿子尖端用於在一人體的齒槽骨處鑿出一符合該牙根部外型輪廓的凹穴。 To achieve the above objective, the present invention provides an osteotome and a simulated body for autologous tooth transplantation, which is suitable for the operation of autologous tooth transplantation of a human body, and includes: a simulated body and a grip rod. The simulation body is made of hard materials and has a tooth shape, which includes a tooth root and a tooth crown; and a first coupling structure is provided on the tooth crown. The grip is a rod-shaped structure and includes: a second coupling structure located at a front end of the grip, a handle located at a rear end of the grip, and connected between the second coupling structure and the grip Of a rod. Both the second coupling structure of the grip and the first coupling structure of the simulation body can be combined and fixed in a detachable manner; and, when both the grip and the simulation body are connected to the second combination structure by the second combination structure and the simulation body When the first connecting structure is combined and fixed into one body, the tooth root of the simulated body is used as a chisel tip for chiseling a cavity in the alveolar bone of a human body that conforms to the contour of the tooth root.

於一實施例中,該第一結合結構與該第二結合結構的兩者其中之一是突出的螺栓、另一是內凹的螺母,使該第一結合結構與該第二結合結構兩者可以相互螺合鎖固。 In one embodiment, one of the first coupling structure and the second coupling structure is a protruding bolt and the other is a concave nut, so that the first coupling structure and the second coupling structure are both It can be screwed and locked to each other.

於一實施例中,骨鑿器更包括一超音波震動機,連接於該握桿;該超音波震動機可使位於該握桿之該前端的該模擬體產生超音波震動,以促進該模擬體的該牙根部在人體的齒槽骨處鑿出符合該牙根部外型輪廓的該凹穴的操作。 In one embodiment, the osteotome further includes an ultrasonic vibration machine connected to the grip rod; the ultrasonic vibration machine can generate ultrasonic vibrations on the analog body located at the front end of the grip rod to facilitate the simulation The operation of the tooth root of the body to chisel the cavity in the alveolar bone of the human body that conforms to the contour of the tooth root.

於一實施例中,該模擬體是由金屬材質構成;且該模擬體是由下列步驟所製成:取得一捐贈齒的外型的一3D影像;藉由電腦模擬操作,將該捐贈齒之該3D影像分離出來並移植到一受贈區,以檢查自體牙齒移植手術的可行性;依據該捐贈齒的該3D影像來製作該模擬體,且於該模擬體的該牙冠部設有該第一結合結構;以及將該模擬體消毒;其中,所述製作該模擬體的方式是以下其中之一:以3D金屬列印機來製作該模擬體、以CNC加工機來製作該模擬體。 In one embodiment, the simulated body is made of metal material; and the simulated body is made by the following steps: obtain a 3D image of the appearance of a donated tooth; The 3D image is separated and transplanted to a donation area to check the feasibility of autologous tooth transplantation; the simulation body is made according to the 3D image of the donated tooth, and the dental crown of the simulation body is provided with the The first combination structure; and the disinfection of the simulated body; wherein the method of making the simulated body is one of the following: the simulated body is made by a 3D metal printer, and the simulated body is made by a CNC processing machine.

10‧‧‧患者 10‧‧‧Patient

11‧‧‧受贈區 11‧‧‧Recipient area

12‧‧‧捐贈齒 12‧‧‧Donated tooth

121‧‧‧牙冠 121‧‧‧Dental Crown

122‧‧‧牙根 122‧‧‧tooth root

18‧‧‧原先位置 18‧‧‧Original location

19‧‧‧縫線 19‧‧‧Suture

20、20a‧‧‧模擬體 20, 20a‧‧‧Analog

21‧‧‧牙冠部 21‧‧‧Crown

22‧‧‧牙根部 22‧‧‧tooth root

23、23a‧‧‧第一結合結構 23, 23a‧‧‧First binding structure

30、30a‧‧‧握桿 30, 30a‧‧‧Grip

31‧‧‧握柄 31‧‧‧Grip

32‧‧‧桿體 32‧‧‧Pole body

321‧‧‧彎折部 321‧‧‧Bending part

33、33a‧‧‧第二結合結構 33, 33a‧‧‧Second combination structure

391‧‧‧連接線 391‧‧‧Connecting line

392‧‧‧超音波震動機 392‧‧‧Ultrasonic vibration machine

41-46‧‧‧步驟 41-46‧‧‧Step

圖一為典型一欲進行自體牙齒移植手術的患者的牙齒的實施例示意圖。 Fig. 1 is a schematic diagram of a typical example of the teeth of a patient who wants to undergo an autologous tooth transplant operation.

圖二為本發明自體牙齒移植的骨鑿器的一實施例示意圖。 Figure 2 is a schematic diagram of an embodiment of the osteotome for autologous tooth transplantation of the present invention.

圖三為本發明自體牙齒移植的骨鑿器的握桿與模擬體兩者結合時的實施例示意圖。 Fig. 3 is a schematic diagram of an embodiment of the present invention when the grip of the osteotome for autologous tooth transplantation is combined with the simulated body.

圖四為本發明自體牙齒移植的骨鑿器的另一實施例示意圖。 Figure 4 is a schematic diagram of another embodiment of the osteotome for autologous tooth transplantation of the present invention.

圖五為本發明自體牙齒移植的骨鑿器的再一實施例示意圖。 Figure 5 is a schematic diagram of another embodiment of the osteotome for autologous tooth transplantation of the present invention.

圖六為本發明自體牙齒移植的骨鑿器,其在將捐贈齒移植到受贈區後的實施例示意圖。 Figure 6 is a schematic diagram of an embodiment of the osteotome for autologous tooth transplantation of the present invention after transplanting the donated tooth to the donation area.

圖七為製造本發明骨鑿器的模擬體以及使用該骨鑿器來進行自體牙齒移植手術的一實施例流程圖。 Fig. 7 is a flowchart of an embodiment of manufacturing a simulated body of the osteotome of the present invention and using the osteotome to perform an autologous tooth transplant operation.

為了能更清楚地描述本發明所提出之自體牙齒移植的骨鑿器及其模擬體與模擬體的製法,以下將配合圖式詳細說明之。 In order to more clearly describe the osteotome for autologous tooth transplantation proposed by the present invention and its simulated body and the manufacturing method of the simulated body, it will be described in detail below in conjunction with the drawings.

本發明之自體牙齒移植的骨鑿器,主要是適用於自體牙齒移植手術,其包括一模擬體及一握桿。該模擬體具有與一捐贈齒相同的外型且包括一牙根部及一牙冠部;並且,於該牙冠部設有一第一結合結構。於該握桿的前端設有一第二結合結構,其可和該模擬體的該第一結合結構兩者結合固定。並且,當該握桿與該模擬體兩者藉由該第一及第二結合結構結合後,該模擬體的該牙根部是做為一鑿子尖端用於在齒槽骨(亦即,受贈區的齒脊)處鑿出一符合該牙根部外型輪廓的凹穴(亦即,植入座)。藉此,在提取捐贈齒之前便可使用該模擬體的牙根部預先在受贈區製作植入座,使該植入座外型可以正確地符合捐贈齒的牙根外型;不僅可以縮短捐贈齒牙根暴露於外界的時間,也能降低捐贈齒牙根表面上的牙周韌帶被損傷的程度,進而提高自體牙齒移植手術的捐贈齒在被移植到受贈區後可以順利癒合與康復的機會。 The osteotome for autologous tooth transplantation of the present invention is mainly suitable for autologous tooth transplantation operations, and includes a simulated body and a grip rod. The simulated body has the same appearance as a donated tooth and includes a root portion and a crown portion; and a first coupling structure is provided on the crown portion. A second coupling structure is provided at the front end of the grip rod, which can be combined and fixed with the first coupling structure of the simulation body. And, when the grip and the simulated body are combined by the first and second coupling structures, the root of the simulated body is used as a chisel tip for the alveolar bone (that is, the donation area). A cavity (that is, an implant seat) conforming to the contour of the root of the tooth is chiseled out at the ridge of the tooth. In this way, the root of the simulated body can be used to make an implant in the donation area before the donation tooth is extracted, so that the shape of the implant can correctly conform to the root shape of the donation tooth; not only can the root of the donation tooth be shortened Exposure to the outside world can also reduce the degree of damage to the periodontal ligament on the root surface of the donated tooth, thereby increasing the chance of smooth healing and recovery of the donated tooth in the autologous tooth transplant operation after being transplanted to the donation area.

如圖一所示,為典型一欲進行自體牙齒移植手術的患者的牙齒的實施例示意圖。患者10因前排牙齒有缺牙處(亦稱為受贈區11)而較不美觀也易妨礙咬食功能,故可將患者口腔後側較不影響美觀且相對較無功能的牙齒(例如臼齒或智齒;簡稱為捐贈齒12 Donor Tooth)藉由自體牙齒移植(Tooth Auto-Transplantation;簡稱TAT)手術移植到受贈區11。由於是使用患者10自己的活牙齒進行移植,所以移植後不會產生組織排斥或吸收的缺點,捐贈齒12牙根122表面的牙周韌帶(Periodontal Ligament;簡稱PDL)在移植到口腔受贈區11後仍可以繼續存活保持牙齒健康。 As shown in Figure 1, it is a schematic diagram of a typical example of the teeth of a patient who wants to undergo autologous tooth transplantation. The patient 10 has a lack of teeth in the front teeth (also referred to as the donation area 11), which is less beautiful and easily hinders the bite function. Therefore, the back of the patient's oral cavity can be less aesthetically affected and relatively non-functional teeth (such as molars). Or wisdom tooth; Donor Tooth for short) is transplanted to the donation area 11 through Tooth Auto-Transplantation (TAT) surgery. Because patient 10’s own living teeth are used for transplantation, there will be no defects of tissue rejection or absorption after transplantation. Periodontal ligament (PDL) on the surface of the root 122 of the donor tooth 12 is transplanted to the oral donation area 11. Can continue to survive and keep teeth healthy.

請參閱圖二,為本發明自體牙齒移植的骨鑿器的一實施例示意圖。為了提高自體牙齒移植手術的成功率,本發明揭露一種自體牙齒移植的骨鑿器,可在提取捐贈齒12之前便預先在受贈區11的齒脊上很方便且快速地鑿出一個精確符合捐贈齒12的牙根122外型輪廓與尺寸的植入座(Recipient Socket,簡稱RS)。該骨鑿器包括:一模擬體20以及一握桿30。該模擬體20是以堅硬材質構成,例如但不侷限於硬度高於受贈區11齒脊硬度的金屬材質(例如但不侷限於:醫療用不鏽鋼304或316)。模擬體20的外型輪廓與尺寸是符合牙齒也就是捐贈齒12的外型輪廓與尺寸,且包括有一牙冠部21及一牙根部22;並且於該牙冠部21的頂面設有一第一結合結構23。該模擬體20的牙冠部21與牙根部22的外型輪廓與尺寸是分別對應於如圖一所示捐贈齒12的牙冠121與牙根122。握桿30為一細長桿狀結構,其材質為金屬為較佳,且具有包括:位於該握桿30一前端的一第二結合結構33、位於該握桿30一後端的一握柄31、以及連接於該第二結合結構33與該握柄31之間的一桿體32。於本實施例中,握桿30的總長度可介於8-25cm之間,桿體32的直徑介於0.3-1cm之間。於握柄31的外表面可選擇性地設置有防滑凹凸表面以提高握持的穩定性。在桿體32中段或較近前端的區域設計有一彎折部321,使得桿體32前端部與後端部兩者的延伸方向不位在同一軸線上,這樣的桿體32彎折結構可以讓臨床醫師較方便地執行位於口腔上顎或是較內側的受贈區11的植入座鑽鑿操作。可以理解的是,這桿體32彎折部321的彎折程度及設置位置,可以依據受贈區位置的需求而改變設計;又或者,可以預先製作數個具有不同程度彎折部321的握桿30備用,以便臨床醫師可以依據不同患者進行自體牙齒移植手術時的實際需求來選用不同握桿 30。 Please refer to Figure 2, which is a schematic diagram of an embodiment of the osteotome for autologous tooth transplantation of the present invention. In order to improve the success rate of autologous tooth transplantation, the present invention discloses an osteotome for autologous tooth transplantation, which can easily and quickly chisel out an accurate tooth on the ridge of the donation area 11 before the donation tooth 12 is extracted. An implant socket (Recipient Socket, RS for short) that conforms to the contour and size of the tooth root 122 of the donated tooth 12. The osteotome includes: a simulation body 20 and a holding rod 30. The simulation body 20 is made of a hard material, such as but not limited to a metal material having a hardness higher than that of the tooth ridge of the donation area 11 (for example, but not limited to: medical stainless steel 304 or 316). The outline and size of the simulated body 20 conform to the outline and size of the tooth, that is, the donation tooth 12, and it includes a crown portion 21 and a root portion 22; and a crown portion 21 is provided on the top surface of the crown portion 21. A combined structure 23. The outline and size of the crown portion 21 and the root portion 22 of the simulated body 20 correspond to the crown 121 and the root 122 of the donated tooth 12 as shown in FIG. 1, respectively. The grip 30 is a slender rod-shaped structure, the material of which is preferably metal, and it has a second coupling structure 33 at a front end of the grip 30, a grip 31 at a rear end of the grip 30, And a rod 32 connected between the second coupling structure 33 and the handle 31. In this embodiment, the total length of the grip rod 30 may be between 8-25 cm, and the diameter of the rod body 32 may be between 0.3-1 cm. The outer surface of the handle 31 can be optionally provided with a non-slip uneven surface to improve the stability of the grip. A bending part 321 is designed in the middle section of the rod body 32 or the area near the front end, so that the extension direction of the front end and the rear end of the rod body 32 are not on the same axis. Such a bending structure of the rod body 32 can allow It is more convenient for the clinician to perform the drilling operation of the implant seat located in the upper jaw of the oral cavity or the inner side of the donation area 11. It is understandable that the degree of bending and the setting position of the bending portion 321 of the rod body 32 can be changed according to the requirements of the location of the donation area; or, several grips with different degrees of bending portions 321 can be made in advance. 30 spare, so that clinicians can choose different grips according to the actual needs of different patients during autologous tooth transplantation 30.

於本發明中,該握桿30的該第二結合結構33和該模擬體20的該第一結合結構23兩者可以可拆卸的方式結合固定;舉例來說,該第一結合結構23與該第二結合結構33的兩者其中之一是突出的螺栓、另一是內凹的螺母,使該第一結合結構23與該第二結合結構33兩者可以相互螺合鎖固以及拆解。於本實施例中,設於模擬體20上的第一結合結構23是螺母、且設於握桿30前端的第二結合結構33是螺栓。如圖三所示,為本發明自體牙齒移植的骨鑿器的握桿與模擬體兩者結合時的實施例示意圖。當該握桿30與該模擬體20兩者藉由該第二結合結構33與該第一結合結構23結合固定成一體時,該模擬體20的該牙根部22是做為一鑿子尖端用於在受贈區11的齒脊處鑿出一符合該牙根部外型輪廓的凹穴(植入座)。換言之,於本發明中,用於鑿出植入座的工具就是和捐贈齒12的牙根部122具有相同外型輪廓與尺寸的該模擬體的牙根部。所以,當欲進行自體牙齒移植手術時,臨床醫師可在提取捐贈齒12之前,便操作骨鑿器並使用該模擬體的該牙根部做為鑿子尖端預先在受贈區11的齒脊上很方便且快速地鑿出一個精確符合捐贈齒12的牙根122外型輪廓與尺寸的植入座。不僅可以縮短捐贈齒12的牙根122被暴露於外界的時間(EAT),也能降低捐贈齒牙根表面上的牙周韌帶被損傷的程度,進而提高自體牙齒移植手術的捐贈齒12在被移植到受贈區11後可以順利癒合與康復的機會,大幅改善習知技術的種種缺失。 In the present invention, the second coupling structure 33 of the grip 30 and the first coupling structure 23 of the simulation body 20 can be combined and fixed in a detachable manner; for example, the first coupling structure 23 and the first coupling structure 23 One of the two second coupling structures 33 is a protruding bolt and the other is a concave nut, so that the first coupling structure 23 and the second coupling structure 33 can be screwed, locked and disassembled with each other. In this embodiment, the first coupling structure 23 provided on the simulation body 20 is a nut, and the second coupling structure 33 provided at the front end of the grip 30 is a bolt. As shown in Figure 3, it is a schematic diagram of an embodiment of the present invention when the grip of the osteotome for autologous tooth transplantation is combined with the simulated body. When the grip 30 and the simulation body 20 are combined and fixed into one body by the second connection structure 33 and the first connection structure 23, the root portion 22 of the simulation body 20 is used as a chisel tip for A cavity (implant seat) conforming to the contour of the tooth root is chiseled at the tooth ridge of the donation area 11. In other words, in the present invention, the tool used to chisel out the implant is the root portion of the simulated body that has the same outline and size as the root portion 122 of the donated tooth 12. Therefore, when an autologous tooth transplant operation is to be performed, the clinician can operate the osteotome before extracting the donated tooth 12 and use the root of the simulated body as the tip of the chisel to be placed on the ridge of the donation area 11 in advance. An implant seat that accurately conforms to the contour and size of the tooth root 122 of the donated tooth 12 is conveniently and quickly chiseled out. It can not only shorten the exposure time (EAT) of the root 122 of the donated tooth 12, but also reduce the degree of damage to the periodontal ligament on the surface of the donated tooth root, thereby improving the transplantation of the donated tooth 12 during autologous tooth transplantation. After arriving at the donation area 11, there will be opportunities for smooth healing and recovery, which will greatly improve the various deficiencies of conventional technologies.

以下所述的本發明自體牙齒移植的骨鑿器的其他實施例中,由於大部分的元件是相同或近似於前述實施例,所以,相同或近似的元件將給予相同的名稱與編號,且不再贅述其細節。 In other embodiments of the osteotome for autologous tooth transplantation of the present invention described below, since most of the components are the same or similar to the previous embodiments, the same or similar components will be given the same names and numbers, and I won't repeat the details.

請參閱圖四,為本發明自體牙齒移植的骨鑿器的另一實施例示意圖。於本實施例中,本發明骨鑿器一樣包括模擬體20a及握桿30a,其與圖二所示之實施例的唯一不同點在於,於圖四所示的實施例中,設置於該模擬體20a之牙冠部21頂面上的第一結合結構23a是螺栓、而設置於該握桿30a前端的第二結合結構33a則是可供與第一結合結構23a相互鎖合的螺母。 Please refer to Figure 4, which is a schematic diagram of another embodiment of the osteotome for autologous tooth transplantation of the present invention. In this embodiment, the osteotome of the present invention also includes a simulation body 20a and a grip 30a. The only difference from the embodiment shown in FIG. 2 is that, in the embodiment shown in FIG. The first coupling structure 23a on the top surface of the crown 21 of the body 20a is a bolt, and the second coupling structure 33a provided at the front end of the grip 30a is a nut that can be interlocked with the first coupling structure 23a.

請參閱圖五,為本發明自體牙齒移植的骨鑿器的再一實施例示意圖。於本實施例中,本發明的骨鑿器更包括一超音波震動機392(或壓電震動機),其藉由一連接線391連接於該握桿30。該超音波震動機392可 使結合於握桿30前端的該模擬體20產生超音波震動,以促進該模擬體20的該牙根部22在患者人體口腔內受贈區的齒槽骨處鑿出符合該牙根部22外型輪廓的該凹穴(植入座)的操作。 Please refer to FIG. 5, which is a schematic diagram of another embodiment of the osteotome for autologous tooth transplantation according to the present invention. In this embodiment, the osteotome of the present invention further includes an ultrasonic vibrator 392 (or piezoelectric vibrator), which is connected to the grip 30 by a connecting wire 391. The ultrasonic vibration machine 392 can The simulation body 20 combined with the front end of the grip 30 is made to generate ultrasonic vibrations to promote the tooth root 22 of the simulation body 20 to gouge out at the alveolar bone of the donation area in the patient's oral cavity to conform to the contour of the tooth root 22 The operation of the cavity (implant seat).

請參閱圖六,為本發明自體牙齒移植的骨鑿器,其在將捐贈齒移植到受贈區後的實施例示意圖。如圖所示,一旦完成在受贈區鑿出植入座的操作之後,臨床醫師即可進行將捐贈齒12自其原先位置18提取出、並移植到受贈區之植入座的操作。之後,再使用縫線19以習知的縫合技術將捐贈齒12定位於受贈區,完成自體牙齒移植手術的操作,無需任何其他夾板裝置來固定捐贈齒12。等受贈區附近組織及捐贈齒12牙根部122表面的牙周韌帶過一段日子(例如一週左右)大致癒合後再將縫線拆除,並進行移植牙齒的牙髓治療。大體上來說,於手術後四週左右可完成牙髓治療,然後在手術後三個月左右完成假體治療。於本發明中,由於植入座的外型輪廓與尺寸本來就已正確符合捐贈齒12之牙根部122的外型輪廓與尺寸,因此,不僅可以大幅縮短捐贈齒12的牙根122被暴露於外界的時間(EAT),也能降低捐贈齒12牙根表面上的牙周韌帶被損傷的程度,進而提高自體牙齒移植手術的捐贈齒12在被移植到受贈區11後可以順利癒合與康復的機會。 Please refer to Figure 6, which is a schematic diagram of an embodiment of the osteotome for autologous tooth transplantation of the present invention after transplanting the donated tooth to the donation area. As shown in the figure, once the operation of chiseling out the implant seat in the donation area is completed, the clinician can extract the donated tooth 12 from its original position 18 and transplant it to the implant seat in the donation area. After that, the suture 19 is used to position the donated tooth 12 in the donation area with the conventional suture technique, and the operation of the autologous tooth transplantation operation is completed, without any other splint device to fix the donated tooth 12. After a period of time (for example, a week or so) of the tissues near the recipient area and the periodontal ligament on the surface of the tooth root 122 of the donor tooth 12, the sutures are removed, and endodontic treatment of the transplanted tooth is performed. Generally speaking, the endodontic treatment can be completed about four weeks after the operation, and then the prosthesis treatment can be completed about three months after the operation. In the present invention, since the contour and size of the implant seat already correctly conform to the contour and size of the root portion 122 of the donated tooth 12, it can not only greatly shorten the exposure of the root 122 of the donated tooth 12 to the outside world. The time (EAT) can also reduce the degree of damage to the periodontal ligament on the root surface of the donated tooth 12, thereby increasing the chance of the donor tooth 12 for autologous tooth transplantation to heal and recover after being transplanted to the donation area 11. .

請參閱圖七,為製造本發明骨鑿器的模擬體以及使用該骨鑿器來進行自體牙齒移植手術的一實施例流程圖。如圖所示,本發明骨鑿器的模擬體的製法及其使用方法的一實施例是包括以下步驟: Please refer to FIG. 7, which is a flowchart of an embodiment of manufacturing a simulated body of the osteotome of the present invention and using the osteotome to perform an autologous tooth transplantation operation. As shown in the figure, an embodiment of the manufacturing method of the simulated body of the osteotome of the present invention and the using method thereof includes the following steps:

步驟31:掃描捐贈齒的外型並取得一捐贈齒的外型的一3D(Three Dimensional;三維)影像。其中,該捐贈齒的3D影像可以是藉由電腦斷層掃描機(Computed Tomography;簡稱CT)對患者口腔進行斷層掃描,以獲得患者口腔內包括受贈區與捐贈齒處的骨骼3D影像,其是以可供電腦判讀與處理的數位資訊檔的型式存在,例如但不侷限於:副檔名為”.STL”的數位資訊檔。在取得受贈區與捐贈齒處的骨骼3D影像後,即藉由電腦模擬操作,將該捐贈齒之該3D影像分離出來並移植到受贈區,以便在進行自體牙齒移植手術之前,便預先在電腦上模擬捐贈齒被移植到受贈區後的狀況,檢查自體牙齒移植手術的可行性。倘若經模擬發現捐贈齒與受贈區的尺寸不符合,可能就得進一步考慮額外施行截骨術(Osteotomy) 或甚至是放棄自體牙齒移植手術的進行,預先避免執行失敗的自體牙齒移植手術。 Step 31: Scan the appearance of the donated tooth and obtain a 3D (Three Dimensional) image of the appearance of a donated tooth. Wherein, the 3D image of the donated tooth can be a tomographic scan of the patient’s oral cavity by a Computed Tomography (CT) to obtain the bone 3D image of the patient’s oral cavity including the donated area and the donated tooth, which is based on There are types of digital information files that can be interpreted and processed by the computer, such as but not limited to: digital information files with the extension ".STL". After obtaining the 3D images of the bones in the donation area and the donated tooth, the 3D images of the donated tooth are separated and transplanted to the donation area by computer simulation, so that the 3D image of the donated tooth can be transferred to the donation area before the autologous tooth transplantation is performed. The computer simulates the condition of the donated tooth after being transplanted to the donation area to check the feasibility of autologous tooth transplantation. If the size of the donated tooth does not match the size of the donation area after simulation, it may be necessary to further consider performing an additional osteotomy (Osteotomy) Or even abandon the autologous tooth transplant operation, and avoid the execution of the failed autologous tooth transplant operation in advance.

步驟32:製造捐贈齒的模擬體。一旦藉由電腦操作分離出捐贈齒的3D影像後,便能依據該捐贈齒的該3D影像來製作該模擬體,且於該模擬體的該牙冠部設有該第一結合結構。於本實施例中,所述製作該模擬體的方式可以是以下其中之一:以習知的3D金屬列印機來製作該模擬體、以習知的CNC(Computer Numerical Control;電腦數值控制)加工機來製作該模擬體。其中,如步驟33所示,該第一結合結構可以是一體成型的方式與模擬體一起完成,或者,也可以先製作出模擬體的牙冠部與牙根部後,再另外於牙冠部頂面加工設置該第一結合結構(例如焊接螺栓或是切削出螺母)。之後,在完成設有第一結合結構的模擬體的製作後,還需將模擬體以習知方式進行消毒及其他後續處理,以供正式進行手術時使用。 Step 32: Manufacture a simulated body of the donated tooth. Once the 3D image of the donated tooth is separated by a computer operation, the simulated body can be made according to the 3D image of the donated tooth, and the first coupling structure is provided on the crown of the simulated body. In this embodiment, the method of making the simulation body can be one of the following: using a conventional 3D metal printer to produce the simulation body, using a conventional CNC (Computer Numerical Control; computer numerical control) A processing machine is used to produce the simulation body. Wherein, as shown in step 33, the first coupling structure can be formed integrally with the simulated body, or, after the crown and root of the simulated body are made, the crown and root of the simulated body can be additionally placed on the crown of the tooth. The surface processing sets the first coupling structure (for example, welding bolts or cutting nuts). After that, after the production of the simulated body provided with the first coupling structure is completed, the simulated body needs to be disinfected and other subsequent treatments in a conventional manner for the formal operation.

步驟34:將模擬體鎖合至手執器械(亦即骨鑿器)。在進行自體牙齒移植手術之前,先將本發明的握桿前端的第二結合結構鎖合於該模擬體頂面的第一結合結構,以構成如圖三所示可供醫師手持且為一體的骨鑿器。 Step 34: Lock the simulated body to the hand-held instrument (ie, osteotome). Before performing the autologous tooth transplantation operation, the second coupling structure of the front end of the grip of the present invention is locked to the first coupling structure on the top surface of the simulated body to form an integral part that can be held by the physician as shown in FIG. Osteotome.

步驟35:以模擬體對受贈區進行齒根開鑿後移開模擬體。當進行自體牙齒移植手術、且尚未提取捐贈齒之前,首先由臨床醫師手持骨鑿器的握桿,並把模擬體的該牙根部當作鑿子尖端來使用,以便在患者口腔內的受贈區齒脊部鑿出一符合該模擬體的牙根部外型輪廓的凹穴來做為植入座。由於模擬體的牙根部就是依據捐贈齒的牙根部的3D影像所製作,所以,藉由模擬體的牙根部所鑿出的植入座其內部形狀、輪廓與尺寸當然就能正確符合捐贈齒之牙根部的外型輪廓與尺寸。由於人體上顎的齒脊相對較軟,因此,當受贈區的位置是位於上顎時,臨床醫師是可以手持骨鑿器直接在受贈區開鑿出植入座;或者,也可先藉由截骨術在受贈區齒脊上先鑽一小孔後再手持骨鑿器直接在受贈區開鑿出植入座使用。然而,當受贈區的位置是位於下顎時,由於下顎骨骼的硬度相對較高,此時,於本步驟中可選擇性地搭配如圖五所示的超音波震動機來促進植入座的鑽鑿操作。在完成植入座的鑽鑿操作後,即可將模擬體取離患者口腔,使受贈區與植入座暫時暴露於外界。 Step 35: Use the simulated body to excavate the tooth root in the donated area and then remove the simulated body. When autologous tooth transplantation is performed and the donated tooth has not been extracted, the clinician first holds the grip of the osteotome and uses the root of the simulated body as the tip of the chisel for use in the donation area of the patient’s oral cavity. A cavity conforming to the contour of the root of the simulated body is chiseled out of the tooth spine to serve as an implant seat. Since the root of the simulated body is made based on the 3D image of the root of the donated tooth, the internal shape, contour and size of the implant chiseled out by the root of the simulated body can certainly fit the donated tooth correctly. The outline and size of the root of the tooth. Because the ridges of the upper jaw of the human body are relatively soft, when the location of the donated area is in the upper jaw, the clinician can hold the osteotome and directly cut out the implant seat in the donated area; or, alternatively, osteotomy can be used first Drill a small hole in the tooth ridge of the donation area, and then directly dig out the implant seat in the donation area with an osteotome. However, when the location of the donation area is in the lower jaw, since the hardness of the lower jaw bone is relatively high, in this step, an ultrasonic vibration machine as shown in Figure 5 can be optionally used to promote the drilling of the implant. Chisel operation. After completing the drilling operation of the implant base, the simulated body can be removed from the patient's mouth, so that the donated area and the implant base are temporarily exposed to the outside world.

步驟36:拔除捐贈齒並將捐贈齒移植至受贈區後縫合。一旦完成在植入座的開鑿後,臨床醫師即可進行將捐贈齒自其原先位置提取出、並移植到受贈區之植入座的操作,也就是將捐贈齒的牙根置入受贈區的植入座中。之後,再使用縫線以習知的縫合技術將捐贈齒定位於受贈區,完成自體牙齒移植手術的操作。等受贈區附近組織及捐贈齒牙根部表面的牙周韌帶過一段日子癒合後再將縫線拆除。由於植入座的外型輪廓與尺寸本來就已正確符合捐贈齒之牙根部的外型輪廓與尺寸,因此,不僅可以大幅縮短捐贈齒12的牙根122被暴露於外界的時間(EAT),也能降低捐贈齒牙根表面上的牙周韌帶被損傷的程度,進而提高自體牙齒移植手術的捐贈齒12在被移植到受贈區11後可以順利癒合與康復的機會。 Step 36: Extract the donated tooth and transplant the donated tooth to the donation area and suture it. Once the excavation in the implant seat is completed, the clinician can extract the donated tooth from its original position and transplant it to the implant seat in the donation area, that is, place the root of the donation tooth into the implant in the donation area. Seated. After that, sutures are used to position the donated tooth in the donation area with the conventional suture technique to complete the operation of the autologous tooth transplantation. After the periodontal ligament on the surface of the tissues near the recipient area and the root of the donor tooth healed over a period of time, the sutures were removed. Since the contour and size of the implant seat already correctly conforms to the contour and size of the root of the donated tooth, it can not only greatly shorten the time (EAT) that the root 122 of the donated tooth 12 is exposed to the outside world (EAT), but also It can reduce the degree of damage to the periodontal ligament on the tooth root surface of the donor tooth, thereby increasing the chance of smooth healing and recovery of the donor tooth 12 of the autologous tooth transplant operation after being transplanted to the donation area 11.

唯以上所述之實施例不應用於限制本發明之可應用範圍,本發明之保護範圍應以本發明之申請專利範圍內容所界定技術精神及其均等變化所含括之範圍為主者。即大凡依本發明申請專利範圍所做之均等變化及修飾,仍將不失本發明之要義所在,亦不脫離本發明之精神和範圍,故都應視為本發明的進一步實施狀況。 However, the above-mentioned embodiments should not be used to limit the applicable scope of the present invention, and the protection scope of the present invention should be based on the technical spirit defined by the patented scope of the present invention and the scope included in its equivalent changes. That is to say, all equal changes and modifications made in accordance with the scope of the patent application of the present invention will still not lose the essence of the present invention, nor deviate from the spirit and scope of the present invention, and therefore should be regarded as a further implementation status of the present invention.

20‧‧‧模擬體 20‧‧‧Analog

21‧‧‧牙冠部 21‧‧‧Crown

22‧‧‧牙根部 22‧‧‧tooth root

23‧‧‧第一結合結構 23‧‧‧First binding structure

30‧‧‧握桿 30‧‧‧Grip

31‧‧‧握柄 31‧‧‧Grip

32‧‧‧桿體 32‧‧‧Pole body

321‧‧‧彎折部 321‧‧‧Bending part

33‧‧‧第二結合結構 33‧‧‧Second combination structure

Claims (10)

一種適用於自體牙齒移植的骨鑿器,包括:一模擬體,以堅硬材質構成且具有一牙齒的外型,其包括有一牙根部及一牙冠部;並且,於該牙冠部設有一第一結合結構;一握桿,為一桿狀結構,且具有包括:位於該握桿一前端的一第二結合結構、位於該握桿一後端的一握柄、以及連接於該第二結合結構與該握柄之間的一桿體;其中,該握桿的該第二結合結構和該模擬體的該第一結合結構兩者可以可拆卸的方式結合固定;並且,當該握桿與該模擬體兩者藉由該第二結合結構與該第一結合結構結合固定成一體時,該模擬體的該牙根部是做為一鑿子尖端用於在一人體的齒槽骨處鑿出一符合該牙根部外型輪廓的凹穴。 An osteotome suitable for autologous tooth transplantation, comprising: a simulation body, which is made of hard material and has the appearance of a tooth, which includes a root and a crown; and a crown is provided A first coupling structure; a grip rod, which is a rod-shaped structure, and has a second coupling structure located at a front end of the grip rod, a handle located at a rear end of the grip rod, and connected to the second coupling A rod body between the structure and the handle; wherein the second coupling structure of the grip rod and the first coupling structure of the analog body can be combined and fixed in a detachable manner; and, when the grip rod and When both the simulated body are combined and fixed into one body by the second bonding structure and the first bonding structure, the root portion of the simulated body is used as a chisel tip for chiseling out a tooth at the alveolar bone of a human body. A cavity that conforms to the contour of the root of the tooth. 如申請專利範圍第1項所述之適用於自體牙齒移植的骨鑿器,其中,該第一結合結構與該第二結合結構的兩者其中之一是突出的螺栓、另一是內凹的螺母,使該第一結合結構與該第二結合結構兩者可以相互螺合鎖固。 As described in the first item of the scope of patent application, the osteotome suitable for autologous tooth transplantation, wherein one of the first coupling structure and the second coupling structure is a protruding bolt, and the other is a concave The nut enables the first coupling structure and the second coupling structure to be screwed and locked to each other. 如申請專利範圍第1項所述之適用於自體牙齒移植的骨鑿器,更包括一超音波震動機,連接於該握桿;該超音波震動機可使位於該握桿之該前端的該模擬體產生超音波震動,以促進該模擬體的該牙根部在人體的齒槽骨處鑿出符合該牙根部外型輪廓的該凹穴的操作。 As described in item 1 of the scope of patent application, the osteotome suitable for autologous tooth transplantation further includes an ultrasonic vibration machine connected to the grip rod; the ultrasonic vibration machine can be located at the front end of the grip rod The simulated body generates ultrasonic vibration to promote the operation of the tooth root of the simulated body to chisel out the cavity in the alveolar bone of the human body that conforms to the outer contour of the tooth root. 如申請專利範圍第1項所述之適用於自體牙齒移植的骨鑿器,其中,該模擬體是由金屬材質構成;且該模擬體是由下列步驟所製成:取得一捐贈齒的外型的一3D影像;藉由電腦模擬操作,將該捐贈齒之該3D影像分離出來並移植到一受贈區,以檢查自體牙齒移植手術的可行性;依據該捐贈齒的該3D影像來製作該模擬體,且於該模擬體的該牙冠部設有該第一結合結構;以及將該模擬體消毒;其中,所述製作該模擬體的方式是以下其中之一:以3D金屬列印機來製作該模擬體、以CNC加工機來製作該模擬體。 As described in the first item of the scope of patent application, the osteotome suitable for autologous tooth transplantation, wherein the simulated body is made of metal material; and the simulated body is made by the following steps: obtain the outer part of a donated tooth A 3D image of the model; the 3D image of the donated tooth is separated by computer simulation and transplanted to a donation area to check the feasibility of the autologous tooth transplant operation; made according to the 3D image of the donated tooth The simulated body, and the crown of the simulated body is provided with the first coupling structure; and the simulated body is sterilized; wherein the method of making the simulated body is one of the following: printing with 3D metal The simulation body is produced by a machine, and the simulation body is produced by a CNC processing machine. 一種適用於自體牙齒移植的模擬體,該模擬體的外型是符合用於進行自體牙齒移植手術的一捐贈齒的外型,其包括:一牙根部及一牙冠部;其特徵在於:該模擬體是以金屬材質構成,於該模擬體的該牙冠部設有一第一結合結構,且該第一結合結構是以下其中之一:突出的一螺栓、內凹的一螺母。 A simulated body suitable for autologous tooth transplantation. The shape of the simulated body conforms to the shape of a donated tooth used for autologous tooth transplantation. It includes: a root portion and a crown portion; : The simulation body is made of metal material, and the crown portion of the simulation body is provided with a first coupling structure, and the first coupling structure is one of the following: a protruding bolt and a concave nut. 如申請專利範圍第5項所述之適用於自體牙齒移植的模擬體,其中,該模擬體是結合一握桿來使用以構成一骨鑿器;該握桿為一桿狀結構,且具有包括:位於該握桿一前端的一第二結合結構、位於該握桿一後端的一握柄、以及連接於該第二結合結構與該握柄之間的一桿體;其中,該握桿的該第二結合結構和該模擬體的該第一結合結構兩者可以可拆卸的方式結合固定;並且,當該握桿與該模擬體兩者藉由該第二結合結構與該第一結合結構結合固定成一體的該骨鑿器時,該模擬體的該牙根部是做為一鑿子尖端用於在一人體的齒槽骨處鑿出一符合該牙根部外型輪廓的凹穴。 As described in item 5 of the scope of patent application, the simulated body suitable for autologous tooth transplantation, wherein the simulated body is used in combination with a grip rod to form an osteotome; the grip rod is a rod-shaped structure and has It includes: a second coupling structure at a front end of the grip, a grip at a rear end of the grip, and a rod connected between the second coupling structure and the grip; wherein, the grip The second coupling structure of the simulation body and the first coupling structure of the simulation body can be combined and fixed in a detachable manner; and, when both the grip rod and the simulation body are combined with the first combination structure by the second connection structure When the structure is combined and fixed into the osteotome, the tooth root of the simulated body is used as a chisel tip for chiseling a cavity in the alveolar bone of a human body that conforms to the contour of the tooth root. 如申請專利範圍第6項所述之適用於自體牙齒移植的模擬體,該骨鑿器更包括一超音波震動機,連接於該握桿;該超音波震動機可使位於該握桿之該前端的該模擬體產生超音波震動,以促進該模擬體的該牙根部在人體的齒槽骨處鑿出符合該牙根部外型輪廓的該凹穴的操作。 As described in item 6 of the scope of the patent application, the osteotome is suitable for autologous tooth transplantation. The osteotome further includes an ultrasonic vibration machine connected to the grip rod; the ultrasonic vibration machine can be located on the grip rod The simulated body of the front end generates ultrasonic vibration to promote the operation of the tooth root of the simulated body to chisel the cavity in the alveolar bone of the human body that conforms to the contour of the tooth root. 如申請專利範圍第5項所述之適用於自體牙齒移植的模擬體,其中,該模擬體是由下列步驟所製成:取得該捐贈齒的外型的一3D影像;藉由電腦模擬操作,將該捐贈齒之該3D影像分離出來並移植到一受贈區,以檢查自體牙齒移植手術的可行性;依據該捐贈齒的該3D影像來製作該模擬體,且於該模擬體的該牙冠部設有該第一結合結構;以及將該模擬體消毒;其中,所述製作該模擬體的方式是以下其中之一:以3D金屬列印機來製作該模擬體及該第一結合結構、以CNC加工機來製作該模擬體及該第一結合結構。 As described in item 5 of the scope of patent application, the simulated body is suitable for autologous tooth transplantation, wherein the simulated body is made by the following steps: obtain a 3D image of the appearance of the donated tooth; by computer simulation operation , The 3D image of the donated tooth is separated and transplanted to a donation area to check the feasibility of autologous tooth transplantation; the simulation body is made according to the 3D image of the donation tooth, and the simulation body is The crown is provided with the first coupling structure; and the simulated body is sterilized; wherein, the method of making the simulated body is one of the following: the simulated body and the first combined body are made by a 3D metal printer Structure, the simulation body and the first combined structure are made by a CNC processing machine. 一種適用於自體牙齒移植的模擬體的製作方法,包括有: 取得自體牙齒移植手術的一捐贈齒的外型的一3D影像;藉由電腦模擬操作,將該捐贈齒之該3D影像分離出來並移植到一受贈區,以檢查自體牙齒移植手術的可行性;依據該捐贈齒的該3D影像來製作該模擬體,該模擬體具有一牙根部及一牙冠部,且於該模擬體的該牙冠部設有一第一結合結構;該第一結合結構是以下其中之一:突出的一螺栓、內凹的一螺母;以及將該模擬體消毒;其中,所述製作該模擬體的方式是以下其中之一:以3D金屬列印機來製作該模擬體及該第一結合結構、以CNC加工機來製作該模擬體及該第一結合結構。 A method for making a simulated body suitable for autologous tooth transplantation, including: Obtain a 3D image of the appearance of a donated tooth in an autologous tooth transplant operation; by computer simulation, the 3D image of the donated tooth is separated and transplanted to a recipient area to check the feasibility of the autologous tooth transplant operation性; According to the 3D image of the donated tooth to make the simulation body, the simulation body has a root and a crown, and the crown of the simulation body is provided with a first joint structure; the first joint The structure is one of the following: a protruding bolt, a recessed nut; and sterilizing the simulated body; wherein the method of making the simulated body is one of the following: using a 3D metal printer to make the simulated body The simulated body and the first combined structure are manufactured by a CNC processing machine. 如申請專利範圍第9項所述之適用於自體牙齒移植的模擬體的製作方法,其中,該模擬體是結合一握桿來使用以構成一骨鑿器;該握桿為一桿狀結構,且具有包括:位於該握桿一前端的一第二結合結構、位於該握桿一後端的一握柄、以及連接於該第二結合結構與該握柄之間的一桿體;其中,該握桿的該第二結合結構和該模擬體的該第一結合結構兩者可以可拆卸的方式結合固定;並且,當該握桿與該模擬體兩者藉由該第二結合結構與該第一結合結構結合固定成一體的該骨鑿器時,該模擬體的該牙根部是做為一鑿子尖端用於在一人體的齒槽骨處鑿出一符合該牙根部外型輪廓的凹穴。 The manufacturing method of a simulated body suitable for autologous tooth transplantation as described in item 9 of the scope of patent application, wherein the simulated body is used in conjunction with a grip rod to form an osteotome; the grip rod is a rod-shaped structure , And including: a second coupling structure located at a front end of the grip, a handle located at a rear end of the grip, and a rod body connected between the second coupling structure and the grip; wherein, Both the second coupling structure of the grip and the first coupling structure of the simulation body can be combined and fixed in a detachable manner; and, when both the grip and the simulation body are connected to the second combination structure by the second combination structure and the simulation body When the first combination structure is combined and fixed into the osteotome, the root portion of the simulated body is used as a chisel tip for chiseling a concave shape in the alveolar bone of a human body that conforms to the contour of the root portion. hole.
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