201000078 九、發明說明： 【發明所屬之技術領域】 特別是指一種 本發明是關於一種導引板之製作方法 植牙手術導引板之製作方法。 【先前技術】 傳統的人工植牙手術在手術過程中，病患易有出企、 腫脹、疼痛等現象產生1 了避免前述現象的發生，目前藉 由精準的頭部電腦斷層掃m電腦軟體診斷的作法 . 經可以不需開刀⑽夠透視骨㈣立體模型，以及重要神經 的走向，同時牙醫能夠針對病患骨質環境進行評估，以及牙 齒對咬優劣情形進行判斷，因此可以在電腦上模擬手術植入 人工植體，確保在植牙手術中避開重要的神經及血管，大大 的提升了手術的安全性’對患者及醫師都有較佳的保障。 然而，這些植牙手術前的植牙規劃需要靠斷層掃瞒來 建立口腔模型，再由牙醫依據專業的醫學考量來做植牙規割 〇 。但是由牙醫所完成的植牙關結果，欲將其轉移到手術中 - 執行卻是困難的，因為牙醫根據斷層掃瞄的資料，而完成植 牙規触，其資料可能都是虛擬的®面資料或是數位資料， 牙醫並沒有辦法依據這些資訊精準地在病患口腔中執行手術 。一般的作法是請牙科技師製作手術導引板，但是牙科技師 也會遇到與牙醫一樣的問題，無法精準地將植牙手術前所執 行的植牙規劃資料精準地呈現在手術導引板上。而最差的做 法是經過反覆的斷層掃瞄修正後所製成，其製作過程不僅曠 曰廢時，同時也提高其製作成本β 201000078 參閱圖1，中華民國第G93121438號發明專利宰 種植牙手術導引板之製作方法包含下列步驟： 配合參閱圖2，步驟101是於-齒模14内塗覆矽膠， 並覆置於患者的上顎或下顎牙齦10，待凝固後，： 一具有患者口腔齒模形狀的導引板丨卜 于 Ο ❹ 步驟102是取得牙齒之3D數位模型幾何數據，並利用 電腦分析以取得植牙所需鑽孔深度、位置及角度等數據。 步驟103是鎮設導引孔12，根據所取得之數據，处八 一移動平台來調整該導引板u的位置及角度，並於該料 板11預定位置分鑽設多數個導引孔12。201000078 IX. Description of the invention: [Technical field to which the invention pertains] In particular, the invention relates to a method for manufacturing a guide plate. [Prior Art] Traditional artificial dental implant surgery during the operation process, the patient is prone to problems such as swell, swelling, pain, etc. 1 to avoid the occurrence of the above phenomenon, currently through accurate head computer tomography m computer software diagnosis The practice can be done without the need to open the knife (10) to see through the bone (four) three-dimensional model, as well as the direction of the important nerves, while the dentist can assess the patient's bone environment, as well as the teeth to judge the pros and cons, so you can simulate surgery on the computer Incorporating artificial implants ensures that important nerves and blood vessels are avoided during dental implant surgery, which greatly enhances the safety of surgery'. It is better for patients and physicians. However, the dental implant planning before these dental implants requires a tomographic broom to create an oral model, which is then used by dentists to perform dental implants based on professional medical considerations. However, the results of the dental implants performed by the dentist are intended to be transferred to the surgery - it is difficult to perform, because the dentist completes the dental implant according to the data of the tomographic scan, and the data may be virtual Or digital information, dentists have no way to accurately perform surgery in the patient's mouth based on this information. The general practice is to ask the dental technician to make a surgical guide plate, but the dental technician will also encounter the same problem as the dentist. It is impossible to accurately present the dental implant planning data performed before the dental implant surgery on the surgical guide plate. . The worst practice is that it is made after repeated tomographic correction, and its production process is not only decadent, but also increases its production cost. β 201000078 See Figure 1, China's Republic of China No. G93121438 invention patent slicing dental implant surgery The manufacturing method of the guiding plate comprises the following steps: Referring to FIG. 2, step 101 is to apply silicone in the tooth mold 14 and cover the upper or lower jaw 10 of the patient. After solidification, one has a patient's oral tooth. The mold-shaped guide plate is Ο ❹ ❹ Step 102 is to obtain the geometric data of the 3D digital model of the tooth, and use computer analysis to obtain the drilling depth, position and angle required for the implant. Step 103 is to set up the guiding hole 12, according to the obtained data, adjust the position and angle of the guiding plate u according to the moving platform, and drill a plurality of guiding holes 12 at predetermined positions of the material plate 11. .
步驟刚是將多數個中空套環13分別置入該等導引U 孔中形成-具有套環的導引板12成品，以供植牙時導引鑽 孔用。 雖然該專利案的製作方法能配合3D數位模 對該導引座進行加工，再於預定位置安裝套環而製出該導^ 板，但實際上仍存有下列缺失： 該專利案是先根據患者口腔的齒模製出導引板U，再 透過所拍攝的3D數位影像進行植牙規晝，並將植牙規晝後 的結果透過—加工機具反應到該導引#11，及對該導引板 Η進行鑽孔與安裝套環13。由於根據3D數位影像所完成 牙規其資料多為塵擬的圖面資料或是數位資料，較不 易精準地呈現在該導引& 11，必須經過反覆地掃描修正才 能製得較精準正確的導？丨板u，使該現有的製作方法所製 成的導Μ 11精確度較低，而具有製作效率相對較差及製 6 201000078 作成本較高的缺失。 【發明内容】 牙規劃的資料實體化種能夠準確地將植 植牙手術導5丨板之製作;1能省時省卫與降低製作成本的 驟：於是’本發明植牙手術導引板之製作方法包含下列步 Ο ❹ lit扞葙& 、 奴蚵層饵钿所取得3D立體模型 ,，以取得—具有植牙規劃資料的數位模型； 膏模7取得口腔模型’翻製患者口腔形狀，作成-實體石 ㈣實體石膏模型定位，將步驟⑼所製得的實體石膏 核型固定至一實體加工治具上； 、,)掃描，對固定後的該實體石膏模型與實體加工治具 進仃掃描’仵到一數位石膏模型與一數位加工治具； (v)植牙規晝資料定位，將步驟⑴植牙規劃後的數位模 型與步驟㈣的數位石膏模型進行特徵定位，使該數位石膏 模型上具有植牙規劃資料； —(V!)加工定位，藉由加工軟體，設定使該數位加工治具 疋位到實體加工機的加工位置，並使該數位石膏模型隨 該數位加工治具定位於加工位置處; (VII)加工，將該實體加工治具與實體石膏模型一起置於 步驟（VI)中的加工位置，並對該實體石膏模型進行鑽孔加工 ’以在該實體石膏模型上呈現出植牙規劃資料； 201000078 (VIII) 裝置辅助插置件，分別於該實體石膏模型的鑽孔 加工處裝置辅助插置件；及 (IX) 製得一手術導引板，採用熱可塑性材料透過翻模成 型與真空成型的其中一製作法，在具有辅助插置件的該實 體石膏模型上成型出一手術導引板，該手術導引板具有一 與該實體石膏模型表面結構相互補對應的下表面，及多數 個分別對應該等輔助插置件的位置呈貫穿的導引孔。 本發明的有益效果在於1藉由製作與患者口腔形狀相 . 冑應的實體石膏模型，使數位模型所取得的植牙規劃資料 能直接對應地轉移到該實體石膏模型上，再透過具有植牙 規劃資料的該實體石膏模型直接製作出該手術導=板，藉 此，能使牙醫植牙規劃的資料更準確地呈現在手術導引^ 上，並能減少反覆修正的步驟，而具有能省時省工 製作成本的優點。 /、 【實施方式】 ❹ 纟發明植牙手術導引板之製作方法的前述以及其 #内容、特點與功效’在以下配合參考圖式的數個較 施例的詳細說明中，將可清楚地明白。 參閱圖3,本發明植牙手術導引板之製作方法 — 較佳實施例包含下列步驟： 步驟201是植牙規劃，利用牙醫師對患 描後所取得3D立體模型進行植牙規劃，並取得及^立^掃 有植牙規劃資料的數位模型，如附件—所示， —具 植牙規劃資料的數位模型影像。 、有該 201000078 步驟202疋取得口腔模型，翻製患者口腔形狀，作成 如圖7所示的—實體石膏模型2。 ,參閱圖8，步驟203是實體石膏模型定位，將步驟202 製得的該實體石膏模型2以-選自下列群組中的固定方 式固定至-實體加卫治具3上：螺設、卡設及喪設。 步驟204是掃描，對固定後的該實體石膏模型2與實 Ο ❹ 、 進行知描，就能得到如附件二所示的一數位 加工/D具（圖（a))與—數位石膏模型（圖（匕)）。 /步驟2〇5是植牙規晝資料定位，將步驟201植牙規劃 後的數位拉型（附件一）與步驟綱的數位石膏模型（附件二 圖⑽進行特徵定位，使該數位石膏模型上具有植牙規劃資 二: ' 牛ffi(c)) ’並整合為如附件二圖⑷所示的數位模型 影像。 步驟206是加工定位，參閲圖9,藉由一加工軟體設 ;使該數位加工治具3定位到-實體加工機4的加工位置 ΐ膏附件二圖⑷所示的具有植牙規劃資料的該數位 ::良隨該數位加工治具而定位於該加工位置處 ’根據該數位石膏模型上的 旲尘上的植牙規劃資料 體石膏_ 2 出對。亥實 ,^ 在本實施例中，所用的該實體 加工機4較佳為五軸加工機。 步驟207是加工，將該眘辦4 们一h f實體加工治具3與實體石膏槿 —起置於步驟裏中的實體加工機4的加工位置，並 以該貫體加工機4(五軸加工機彳椒 並 模型2 n 機)根據加工路徑對該實體石膏 核主2進行錢孔加工，以精進认+ ^ a 乂精準地在該實體石膏模型2上呈 9 201000078 現出植牙規劃資料。 步驟208是裝置輔助插置件，參閱圖1〇與圖14，分別 於該實體石膏模型2的鎮孔2G加工處對應裝置多數個輔助 插置件5。該等輔助插置件5為插銷型式，並各具有一插置 於該實體石膏模型2的鑽孔20内的身部51，及一與該身部 51相連接且露出該錢孔2〇外的頭部52，且該身部51是呈 部分位於該鑽孔20内而外露出一預定長度的狀態。 ❹ ★參閱圖11與圖13,步驟209是製得一手術導引板6, β玄第一較佳實施例是採用熱可塑性材料透過翻模成型法， 在具有辅助插置件5的該實體石膏模型2上成型出該手術 導引板6,且該手術導引板6具有一與該實體石膏模型2表 面結構相互補對應的下表面，及多數個分別對應該等輔助 插置件5的位置呈貫穿的導引孔6〇 » 其中’該翻模成型法實質上又可分為依序進行的包覆 、脫螺灌模與脫模三個子步驟，以下分別就這三個子步驟 的内容說明： (1)參閱圖11’進行包覆時，是提供一易受熱熔融的第 一包覆材包覆於該實體石膏模型2,並完全包覆該等輔助插 置件5,且該第一包覆材是與該等辅助插置件5的頂端呈平 整對齊的狀態，進而形成一與該手術導引板6(見圖13)的成 品相對應的蠟型7，接著，如圖12所示，再取一熔點高於 該第一包覆材的熔點的第二包覆材100包覆住該犧型7。在 此使用臘作為第一包覆材，另使用熔點較第一包覆材為高 之矽膠作為第二包覆材1〇〇。 10 201000078 ⑺進行脫壤灌模時’是待該第二包覆材ι〇〇乾硬後， 加熱使該躐型7受熱炫出（較佳是使用熱蒸氣溶出•而於 該第二包覆材100與該實體石膏模型2間形成一空腔，再 於該空腔灌入一牙科用i首·备丄占 脂作為該填充材。㈣ ⑺參取模時’是待該牙㈣ 燥成型後，撥開該第二包覆材1〇〇，再分別取出該 置件5與該實體石膏模型2,就能如圖13所 填 〇材上形成多數個導引孔60,進而製得且右^ 真充 .該手術導引板6。 $而製得具有植牙規劃資料的 成型後的該手術導引板6會再經打磨、拋光處理，以 形成光滑的表面。 也π〜理，以 步驟210是裝置套環8，提供多數個 術導引板6的厚度相同〜實質上與該手 圖…且該等套環8各/右/ 13'圖14與 ❹：徑相同的上環部。，及-與該等辅助插置件5= _外徑相㈣下環部82，當料辅則 身。^ ::等導引孔6”，是以該等套環 == 6〇中，就能製得符合牙醫師植 置=導弓I孔 。其中，所料套環8較佳為金屬^的 成品 值得說明的是，該等辅助插置件 如，該頭部52的外徑~及 尺寸及大小，例 醫師使用的植牙系絲 °的外徑C)2,可配合牙 環部81 M M 訂製，該等金屬套環8的上、下 、外搜則是設計成與該等輔助插置件5的頭部 11 201000078 52、身部51的外徑相同’以對應地插置人該等輔助插置件 5取出後所留下的導引孔6〇 +。此外，該等輔助插置件$ 的長度Η是配合其固定於該實體石膏模型2内所需長声 植牙規劃的植牙深度而決定。 a 兩尽發明一第二較佳實施例 爷閱團 ------〜^ 吵π —权佳貫 施例的步驟則〜步驟3〇7與該第—較佳實施例的步驟2〇1〜 步驟207(見圖2)完全相同，故不再贅述，參閱目16，其主The step is to place a plurality of hollow collars 13 into the guide U-holes respectively to form a finished guide plate 12 having a collar for guiding the drill holes during implanting. Although the manufacturing method of the patent can cooperate with the 3D digital mold to process the guide seat, and then install the collar at a predetermined position to manufacture the guide plate, there are actually the following defects: The patent case is based on The tooth mold of the patient's mouth is used to form a guiding plate U, and then the dental implant is guided through the captured 3D digital image, and the result of the dental implant is transmitted through the processing tool to the guiding #11, and The guide plate Η performs drilling and mounting of the collar 13 . Since the data of the toothbrush according to the 3D digital image is mostly dusty surface data or digital data, it is not easy to accurately present in the guide & 11, and must be repeatedly scanned and corrected to obtain a more accurate and correct guide? The seesaw u makes the guide 11 made by the existing manufacturing method less precise, and has a relatively low production efficiency and a high cost of the 201000078. [Summary of the Invention] The materialized material of the dental plan can accurately produce the 5th plate of the implanted tooth surgery; 1 can save time and save the labor and reduce the production cost: then the 'induction of the dental implant guide plate The production method comprises the following steps: ❹ lit捍葙&, the slave layer bait 取得 to obtain a 3D three-dimensional model, to obtain a digital model with dental implant planning data; the plaster model 7 obtains the oral model 'revolving the patient's oral shape, The solid plaster (4) solid plaster model is positioned, and the solid gypsum karyotype obtained in the step (9) is fixed to a solid processing jig; and, scanning, the fixed gypsum model and the solid processing jig are fixed. Scanning 'to a digital plaster model and a digital processing tool; (v) Locating the data of the dental implant, and positioning the digital model after step (1) implant planning and the digital plaster model of step (4) to make the digital plaster The model has dental implant planning data; —(V!) machining positioning, by processing the software, setting the processing tool to the processing position of the solid processing machine, and making the digital plaster model The digital processing fixture is positioned at the processing position; (VII) processing, placing the solid processing fixture together with the solid plaster model in the processing position in step (VI), and drilling the solid plaster model to The dental implant planning material is presented on the solid plaster model; 201000078 (VIII) device auxiliary inserts, respectively, for auxiliary inserts in the drilling processing of the solid plaster model; and (IX) a surgical guide plate is prepared Forming a surgical guiding plate on the solid plaster model having the auxiliary insert by using one of the manufacturing methods of the thermoplastic material through the overmolding and vacuum forming, the surgical guiding plate having a physical plaster model The surface structure complements the corresponding lower surface, and a plurality of guiding holes respectively corresponding to the positions of the auxiliary inserts. The invention has the beneficial effects that: by making a solid plaster model corresponding to the shape of the patient's mouth, the dental implant planning data obtained by the digital model can be directly transferred to the solid plaster model, and then through the implanted tooth. The physical plaster model of the planning data directly produces the surgical guide plate, thereby enabling the dental implant planning data to be more accurately presented on the surgical guide, and the step of repeating the correction can be reduced, and the energy can be saved. The advantage of saving labor costs. /, [Embodiment] The above-mentioned and its contents, features and effects of the method for manufacturing the implanted dental guide plate are described in the following detailed description of several embodiments with reference to the drawings. understand. Referring to Fig. 3, a method for manufacturing a dental implant guiding plate of the present invention - the preferred embodiment comprises the following steps: Step 201 is a dental implant planning, using a dentist to perform a dental implant planning on a 3D stereoscopic model obtained after the drawing, and obtain And the digital model of the dental implant planning data, as shown in the attachment, is a digital model image with dental implant planning data. The 20100078 step 202疋 obtains the oral cavity model and reshapes the patient's oral cavity to form a solid plaster model 2 as shown in FIG. Referring to FIG. 8, step 203 is a physical plaster model positioning, and the solid plaster model 2 obtained in step 202 is fixed to the entity-fixing fixture 3 by a fixing method selected from the group consisting of: screw setting, card Design and funeral. Step 204 is scanning, and the fixed physical plaster model 2 and the actual 石膏 、 are described, and a digital processing/D tool (Fig. (a)) and a digital plaster model as shown in Annex 2 can be obtained. Figure (匕)). /Step 2〇5 is the positioning of the dental implant data, and the digital pull type (Attachment 1) and the digital plaster model of the step (Fig. 2 (10) are characterized to be positioned on the digital plaster model. It has a dental implant plan II: '牛ffi(c))' and is integrated into a digital model image as shown in Figure 2 (4) of Annex II. Step 206 is processing positioning, referring to FIG. 9, by a processing software setting; positioning the digital processing fixture 3 to the processing position of the physical processing machine 4, and the dental implant planning data shown in the second drawing (4) The digit:: is located at the processing position along with the digital processing jig 'according to the dental implant planning data on the digital plaster model _ 2 pairs. In the present embodiment, the solid processing machine 4 used is preferably a five-axis processing machine. Step 207 is processing, and the processing unit 3 and the solid plasterboard are placed in the processing position of the solid processing machine 4 in the step, and the processing machine 4 (five-axis processing) is used. Machine pick-up and model 2 n machine) According to the processing path, the solid gypsum core 2 is subjected to the money hole processing, and the raw material planning data is accurately displayed on the solid plaster model 2 by 9 000 000 000. Step 208 is a device-assisted interposer. Referring to Figures 1A and 14, respectively, a plurality of auxiliary interposing members 5 are corresponding to the device at the perforation 2G of the solid plaster model 2. The auxiliary inserts 5 are of the plug type and each have a body 51 inserted into the borehole 20 of the solid plaster cast 2, and a body 51 is connected to the body 51 and the money hole is exposed. The head 52 is in a state in which the body portion 51 is partially exposed in the borehole 20 and exposed to a predetermined length. ❹ Referring to FIG. 11 and FIG. 13, step 209 is to prepare a surgical guiding plate 6, and the first preferred embodiment of the first embodiment is a thermoplastic molding material through a through-molding method, and the entity having the auxiliary inserting member 5 The surgical guide plate 6 is formed on the plaster cast 2, and the surgical guide plate 6 has a lower surface corresponding to the surface structure of the solid plaster cast 2, and a plurality of corresponding auxiliary inserts 5 respectively The guide hole 6 is inserted through the position. The 'the overmolding method can be divided into three sub-steps of coating, de-spinning and demoulding in sequence. The contents of the three sub-steps are respectively described below. Description: (1) When the coating is carried out with reference to Fig. 11', a first cladding material which is easily melted by heat is coated on the solid plaster model 2, and the auxiliary inserts 5 are completely covered, and the first A covering material is in a state of being flatly aligned with the top end of the auxiliary inserting member 5, thereby forming a wax pattern 7 corresponding to the finished product of the surgical guiding plate 6 (see Fig. 13), and then, as shown in Fig. 12. As shown, a second cladding material 100 having a melting point higher than the melting point of the first cladding material is taken over Sacrifice type 7. Here, wax is used as the first cladding material, and tantalum rubber having a higher melting point than the first cladding material is used as the second cladding material. 10 201000078 (7) When performing the soil-removal filling method, it is to be heated and the heat-dissipating of the 躐-type 7 is preferably performed after the second covering material is dry and hard (preferably using hot steam to dissolve out) A material is formed between the material 100 and the solid plaster model 2, and a dental i-head is prepared as the filling material in the cavity. (4) (7) When the mold is taken, the tooth is to be dried (4). , the second covering material 1 拨 is pulled out, and the placing member 5 and the solid plaster model 2 are respectively taken out, so that a plurality of guiding holes 60 are formed on the coffin filled in FIG. 13 , thereby obtaining and right ^ 真充. The surgical guide plate 6. The molded guide plate 6 which has been formed with the dental implant planning data will be polished and polished to form a smooth surface. Step 210 is a device collar 8 that provides the same thickness of the majority of the guide plates 6 - substantially identical to the hand pattern ... and the collars 8 / right / 13' Figure 14 and the same diameter of the upper ring portion. , and - with the auxiliary insert 5 = _ outer diameter phase (four) lower ring portion 82, when the material is auxiliary body ^ ^ :: and other guide holes 6", in the collar == 6 ,, Can be made in accordance with the dentist's implant = guide bow I hole. Among them, the material of the collar 8 is preferably a metal product. It is worth noting that the auxiliary inserts, for example, the outer diameter of the head 52 The size and size, the outer diameter of the dental implant wire used by the physician, C) 2, can be customized with the tooth ring portion 81 MM. The upper, lower and outer search of the metal collar 8 are designed and matched. The head 11 of the auxiliary insert 5 is 201000078 52, and the outer diameter of the body 51 is the same 'to correspondingly insert the guide hole 6〇+ left by the auxiliary insert 5 after being taken out. The length 辅助 of the auxiliary insert $ is determined in accordance with the depth of the implant for the long-sense implant planning that is fixed in the solid plaster model 2. a two-in-one invention, a second preferred embodiment, a loyal group--- ---~^ 吵 — 权 权 权 权 权 权 权 权 权 权 权 权 权 权 权 权 权 权 权 权 权 权 权 权 权 权 权 权 权 〜 〜 〜 〜 〜 〜 〜 〜 〜 , , , , , , See item 16, the main
要差別在於步驟308裝置辅助插置件9時，所用的輔助插 置件9各具有相套合的-插銷91與-套環92，因此，當於 步驟309以如同前述㈣2〇9所述的翻模成型法製作:手 術導引板6(見® 13)時，待該牙科轉充材乾燥成型並撥開 該第二包覆材刚（見圖12)後，是直接取㈣等辅助插置件 9的插銷91，該等套環92則與該填充材相結合而留置在該 等導引孔60(見圖13)内，因此，能夠直接製得已安裝有套 環”並具有植牙規畫資料的該手術導引板6成品。接著， 同樣可再對成型後的該手術導引&6進行打磨、拋光處理 :形成-光滑表面。在該第二較佳實施例中，該插鎖91的 身。外徑實質上是等於該套環92的上、下環部921、 ^的孔徑，而呈能套合在該套環％内的設計，此外，該 套環92的尺寸是配合牙醫師的植 的長度同樣是配合牙醫師的植”牙=和及該插銷91 ，而女 才糸統與所規劃的植牙深度 =預定長度是突伸出該套環92的下環部922,並能 定位在該實體騎模型 使该輔助插置件9能獲得定位。 12 201000078 參閱圖5,為本發明一第三較佳 施例的步驟4〇1〜步驟彻與該第：’:第三較佳實 步：(見圖™，故不再贅，^ ^驟_製作該手術導引板時，是採用真空成型法，且 :過|空成型機加熱使—塑膠原料變軟，並磨覆在如 圖10所示的具有該等辅助插置件5的實體巧模型2表面 ΟThe difference is in the step 308 when the device assists the interposing member 9, the auxiliary interposing members 9 each having a nested-plug 91 and a collar 92, and therefore, in step 309, as described in the aforementioned (4) 2, 9 Through the molding process: when the surgical guide plate 6 (see ® 13) is dry and formed, and the second covering material is just opened (see Figure 12), it is directly taken (four) and the like. The latch 91 of the member 9 is combined with the filler to be retained in the guide holes 60 (see FIG. 13), so that the collar can be directly prepared and has a planting The surgical guide plate 6 of the dental profile data is finished. Then, the formed surgical guide & 6 can be polished and polished to form a smooth surface. In the second preferred embodiment, The body of the latch 91 has an outer diameter substantially equal to the diameter of the upper and lower ring portions 921, ^ of the collar 92, and is designed to be fit within the collar, and further, the collar 92 The size is matched with the length of the dentist's implant, which is also in line with the dentist's implant "tooth = and the latch 91, and the female implant and the planned implant Depth = the predetermined length is the lower ring portion 922 that protrudes from the collar 92 and can be positioned in the solid ride model to enable positioning of the auxiliary insert 9. 12 201000078 Referring to FIG. 5, step 4 〇 1 to step of the third preferred embodiment of the present invention and the first: ': third preferred embodiment: (see FIG. TM, so no longer 赘, ^ ^ _ When the surgical guide plate is produced, a vacuum forming method is employed, and: the over-air molding machine heats the plastic material to soften, and grinds the entity having the auxiliary inserts 5 as shown in FIG. Skillful model 2 surface Ο
2乾燥後製得-手術㈣板初胚（圖未示），再將該手術導 引板_修整成所需的尺寸，並分別取出該等輔助插置件5 =實體石素模型2,就製得如圖13所示的具有植牙規劃 貝料的該手術導引板6，成型且修整後的該手術導引板60 同樣會經過打磨、抛光處理。 此外，參閱圖13、圖14與圖15，因為在步驟彻中 所用的輔助插置件5亦為_型式，所以㈣等輔助插置 件5取出後，也會形成該等導引孔6〇。因此，在該第三較 佳實施例中，也包含步驟41〇裝置套環8。 步驟410疋以該等中空套環8替換所取下的該等輔助 插置件5套置到該等導引孔6〇内。該等辅助插置件$與該 等套環8同樣是配合牙醫師所使用的植牙系統及植牙規劃 的植牙深度而設計成預定的尺寸與長度。 參閱圖5，為本發明一第四較佳實施例，該第四較佳實 施例的步驟501〜步驟507與該第三較佳實施例的步驟4〇1〜 步驟407(見圖4)完全相同，故不再贅述，參閱圖13與圖16 ，其主要差別在於步驟508裝置輔助插置件9時，所用的 輔助插置件9也疋各具有相套合的一插銷pi與一套環92 13 201000078 的型式，且該插銷91與該套環92的型式也是與該第二較 佳實施例中的辅助插置件9相同，於步驟5〇9也是以如該 第二較佳實施例步驟409所述的真空成型法製作該手術導 引板，待塑膠原料乾燥後就能製得該手術導引板初胚，將 該手術導引板初胚修整為所需的尺寸後，是直接取出該等 輔助插置件9的插銷91，該等套環92則與該塑膠原料相結 合而留置在該等導引孔60内。因此，能夠直接製得已安裝 有套環92並具有植牙規畫資料的該手術導引板6成品。接 著，同樣可再對成型且修整後的該手術導引板6進行打磨 、拋光處理以形成一光滑表面。 歸納上述，本發明植牙手術導引板6之製作方法可獲 致下述的功效及優點，故能達到本發明的目的： 、本發明藉由斷層掃描所取得的患者口腔3d模型進 行植牙規劃，並翻製出與該患者口腔形狀相對應的實體石 膏模型2，以將植牙規劃的結果配合數位模型直接反應到該 實體石膏模型2上，再透過對該實體石膏模型2加工使植 牙規劃的結果能實體化，加工後的該實體石膏模型2相較 於在電腦上模擬的結果，更接近患者的實際狀況，因此據 此所製出的該手術導引板6能更精準地呈現出植牙規晝的 資料，而能有效減少反覆調整修正的工序與工時，使本發 明具有能直接製作出精準度較高的手術導引板6、並能省時 省工及降低製作成本的特性。 二、該等辅助插置件5、9可配合牙醫的植牙系統與植 牙深度選用特定的尺寸與長度，使所製出的該手術導引板6 14 201000078 具有應用彈性較佳的特定。 三、當該輔助插置件9為具有相套合的插銷91與套環 92型式時，該手術導引板6成型後，可直接取出插銷91並 使該套環92直接結合在該手術導引板6上’而具有更加省 時省工的特性。 惟以上所述者’僅為本發明較佳實施例而已，當不能 以此限定本發明實施之範圍，即大凡依本發明申請專利範 圍及發明說明内容所作之簡單的等效變化與修飾，皆仍屬 本發明專利涵蓋之範圍内。 【圖式簡單說明】 圖1是中華民國第093121438號發明專利案中的—植 牙手術導引板之製作方法的一流程圖； 圖2疋一側視的局部剖面示意圖，說明配合該手術導 引板在患者的牙齦進行植牙鑽孔的情形； 圖3是本發明植牙手術導引板之製作方法一第一較佳 實施例的一流程圖； 圖4是本發明植牙手術導引板之製作方法一第二較佳 實施例的一流程圖； 圖5是本發明植牙手術導引板之製作方法一第三較佳 實施例的一流程圖； 圖6是本發明植牙手術導引板之製作方法一第四較佳 實施例的一流程圖； 圖7是一立體示意圖，說明以本發明植牙手術導引板 之製作方法所取得的一實體石膏模型； 15 201000078 圖8是一立體示意圖，說明將該實體石膏模型定位到 一實體加工治具的情形； 圖9是一立體示意圖，說明以一實體加工機對該實體 石膏模型進行加工的情形； 圖10是一立體示意圖，說明將多數個辅助插置件安裝 到該實體石膏模型的加工處的情形； Ο ❹ 圖11是-立體示意圖，說明以一第一包覆材包覆該實 體石膏模型與該等輔助插置件以形成一壤型的情形； 圖12是一立體示意圖，說明以一第二包覆材包覆住該 蠟型的情形； 圖13是—立體示意圖’說明製得-手術導引板，並安 裝有多數個套環的情形； 圖14疋一側視示意圖，說明該輔助插置件是呈插 式的情形； 圖15是-側視㈣圖’說明裝置龍手術導引板所用 的套環的型式；及 圖16疋一側視不意圖，說明該辅助插 人 的套環與插銷的情形。 附 女 J·士 ΤΤ θ 植牙規劃相關資訊的數位模型影像， 疋對患者Π腔斷層掃播所取得的3D立體模型進行植牙規 而建立的數位模型。 _ 附件一.說明將—激办Λ 數位加工>0具、一數位石膏模型及 一植牙規劃資料整人兔__ 像的示意圖。可供加工定位使用的數位模型影 16 201000078 【主要元件符號說明】 2…… •…實體石膏模型 82…·. …下環部 20 ·.·. …·鑽孔 9....... …輔助插置件 3…… •…實體加工治具 91 ···.· …插銷 5…… …·輔助插置件 911… …身部 51 ··.· …·身部 92·..·· …套環 52···· …·頭部 921… …上環部 — 6…… ----手術導引板 922… …下環部 60 ·_.· •…導引孔 D!…·. …外徑 7…… …·蠟型 〇2…·· …外徑 8…… …·套環 Η…… …長度 81 ···· •…上環部 ❹ 172 After drying, the surgical (four) plate primordial (not shown) is prepared, and then the surgical guide plate _ is trimmed to a desired size, and the auxiliary inserts 5 = solid stone model 2 are respectively taken out. The surgical guide plate 6 having the dental implant plan bead as shown in Fig. 13 is prepared, and the formed and trimmed surgical guide plate 60 is also subjected to grinding and polishing. In addition, referring to FIG. 13, FIG. 14, and FIG. 15, since the auxiliary interposing member 5 used in the step is also of the _ type, the guiding holes 6 are formed after the auxiliary interposing members 5 are removed. . Therefore, in the third preferred embodiment, the step 41 of the device collar 8 is also included. In step 410, the auxiliary inserts 5 removed by replacing the hollow collars 8 are placed in the guide holes 6A. The auxiliary inserts $ are designed to have a predetermined size and length in accordance with the dental implant system used by the dentist and the implant depth of the dental implant plan. Referring to FIG. 5, in a fourth preferred embodiment of the present invention, steps 501 to 507 of the fourth preferred embodiment and steps 4〇1 to 407 (see FIG. 4) of the third preferred embodiment are completely completed. For the same, it will not be described again. Referring to FIG. 13 and FIG. 16, the main difference is that when the device assists the interposing member 9 in step 508, the auxiliary interposing members 9 are also provided with a pin pi and a set of rings respectively. 92 13 201000078, and the type of the latch 91 and the collar 92 are the same as the auxiliary insert 9 in the second preferred embodiment, and the step 5 is also as in the second preferred embodiment. The surgical guiding plate is prepared by the vacuum forming method according to step 409, and the artificial guiding plate initial embryo can be obtained after the plastic raw material is dried, and the surgical guiding plate initial embryo is trimmed to a desired size, which is directly The latches 91 of the auxiliary inserts 9 are removed, and the collars 92 are combined with the plastic material to be retained in the guide holes 60. Therefore, it is possible to directly produce the surgical guide sheet 6 on which the collar 92 has been mounted and which has dental implant planning data. Subsequently, the formed and trimmed surgical guide sheet 6 can be polished and polished to form a smooth surface. In summary, the manufacturing method of the dental implant guiding plate 6 of the present invention can achieve the following functions and advantages, so that the object of the present invention can be achieved: The dental implant planning of the patient's oral 3D model obtained by the tomography scan And transforming the solid plaster model 2 corresponding to the shape of the patient's mouth to directly reflect the result of the implant planning with the digital model to the solid plaster model 2, and then processing the dental cast by the solid plaster model 2 The result of the planning can be materialized, and the processed plaster model 2 is closer to the actual condition of the patient than the result simulated on the computer, so that the surgical guiding plate 6 thus produced can be more accurately presented. The invention can effectively reduce the process and man-hours of repeated adjustment and correction, so that the invention can directly produce the surgical guide plate 6 with high precision, and can save time and labor and reduce the production cost. Characteristics. Second, the auxiliary inserts 5, 9 can be combined with the dental implant system and the depth of the implant to select a specific size and length, so that the surgical guide plate 6 14 201000078 can be made to have a specific application flexibility. 3. When the auxiliary insert 9 is in the form of a latch 91 and a collar 92, after the surgical guide 6 is formed, the latch 91 can be directly taken out and the collar 92 can be directly coupled to the surgical guide. On the lead plate 6', it has more time-saving and labor-saving features. However, the above description is only a preferred embodiment of the present invention, and is not intended to limit the scope of the present invention, that is, the simple equivalent changes and modifications made by the scope of the invention and the description of the invention are all It is still within the scope of the invention patent. BRIEF DESCRIPTION OF THE DRAWINGS FIG. 1 is a flow chart of a method for manufacturing a dental implant guide sheet in the invention patent No. 093121438 of the Republic of China; FIG. 2 is a partial cross-sectional view of the side view, illustrating the operation of the surgical guide FIG. 3 is a flow chart of a first preferred embodiment of the method for manufacturing a dental implant guiding plate of the present invention; FIG. 4 is a flow chart of the dental implant surgery of the present invention. Figure 5 is a flow chart of a second preferred embodiment of the present invention; Figure 5 is a flow chart of a third preferred embodiment of the method for manufacturing a dental implant guiding plate of the present invention; FIG. 7 is a perspective view showing a solid plaster model obtained by the manufacturing method of the dental implant guiding plate of the present invention; 15 201000078 FIG. 8 Is a three-dimensional schematic diagram illustrating the positioning of the solid plaster model to a solid processing jig; FIG. 9 is a perspective view illustrating the processing of the solid plaster model by a solid processing machine; a schematic view showing the case where a plurality of auxiliary inserts are mounted to the processing place of the solid plaster model; Ο ❹ Fig. 11 is a perspective view showing the solid plaster model covered with a first covering material and the auxiliary Fig. 12 is a perspective view showing the case where the wax type is covered with a second covering material; Fig. 13 is a perspective view showing the manufacturing guide plate. And a case where a plurality of collars are installed; FIG. 14 is a side view showing the auxiliary insertion member in a plug-in type; FIG. 15 is a side view (four) diagram illustrating the device used for the dragon surgical guide plate. The type of the collar; and the side of Figure 16 is not intended to illustrate the case of the auxiliary insertion of the collar and the bolt. A digital model image of the female J. ΤΤ θ dental implant planning related information, and a digital model established by the dental implant for the 3D stereoscopic model obtained by the patient's sacral cavity tomography. _ Annex I. Description of the image of the __ image of the 人 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Digital model image for machining positioning 16 201000078 [Main component symbol description] 2... •...solid plaster model 82...·....lower ring part 20 ·.·. ...·drilling 9........ ...Auxiliary Insert 3...•...Solid Processing Fixture 91 ······Latch 5...... ...·Auxiliary Insert 911... Body 51 ······ Body 92·..· · collar 52 ······head 921...upper ring part—6... ----surgical guide plate 922... lower ring part 60 ·_.· •... guide hole D!...· .......Outer diameter 7...... ...· Wax type 〇 2...··...Outer diameter 8... ...·Ring Η...... ...length 81 ···· •...Upper ring ❹ 17