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研究生: 郭承霖
Cheng-Lin Kuo
論文名稱: 使用Creo進行數位化植牙手術規劃
Using Creo to Plan Digital Implant Surgery
指導教授: 林清安
Ching-An Lin
口試委員: 花凱龍
Kai-Lung Hua
謝文賓
none
劉恩亨
none
學位類別: 碩士
Master
系所名稱: 工程學院 - 機械工程系
Department of Mechanical Engineering
論文出版年: 2016
畢業學年度: 104
語文別: 中文
論文頁數: 72
中文關鍵詞: 植牙手術規劃3D CAD植牙手術導引板
外文關鍵詞: Implant surgery guide
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  • 現今台灣之人工植牙手術大多依靠醫師之個人經驗來進行術前規劃及植牙手術,醫師僅能依據自身經驗結合牙科斷層掃描資料及石膏模來確認人工牙根的位置、角度及植入深度,其中斷層掃描資料為使用醫學專用設備掃描病患之牙齒所得到的牙齦內部齒槽骨影像資料,而石膏模是由病患之牙齒及牙齦所翻製出來的實物。為了增加植牙手術的精準度及節省術前規劃的時間,本論文嘗試使用工程專用設備掃描石膏模實物,得到齒模外型之電腦資料,然後在3D CAD軟體中,將電腦斷層及齒模外型兩筆電腦資料結合,並參考舒麗爾牙醫診所的植牙臨床經驗,以數位化的三指標定位尺在適當的2D斷面上來決定人工牙根的位置、角度及植入深度,並據以設計出植牙手術導引板之3D CAD模型,以利後續進行導引板之製作。
    本論文所開發的數位化植牙手術規劃方法能幫助新進醫師同時掌握牙齒外型及齒槽骨內部的電腦資訊,以快速、安全及方便的規劃出人工牙根的位置。


    Current methods of implant surgery in Taiwan mostly rely on the personal experience of physicians for preoperative planning and surgery. Physicians must depend on their own experience to determine the location, orientation and depth of an implant by combining cone beam computed tomography with plaster models. During this process tomography data is generated by medical equipment used to scan the patients’ internal alveolar bone of the gingival. Additionally, a plaster model is made of the patients’ teeth and gingival.
    The purpose of this thesis is to enhance the accuracy of implant surgery and reduce the preparation time. In this thesis, we tried to scan the plaster model by laser scanner, producing a three-dimensional model of the plaster mold. We then combined the cone beam computed tomography with a model of teeth using 3D CAD software. According to a doctor from Soreal Dental Clinic with extensive clinical experience, our system determines the implant’s location, orientation and depth by digital locator in an appropriate two-dimensional section. Finally, we designed a 3D CAD model of the implant surgery guide in order to provide a reference for manufacturing.
    The method of digital implant surgery developed in this thesis can aid junior doctors to comprehend the shape of the teeth and the interior of alveolar bone simultaneously, and safely determine the right location of the implant.

    摘要I AbstractII 誌謝III 目錄IV 圖目錄VII 第一章緒論1 1.1研究動機與目的1 1.2研究方法2 1.3文獻回顧3 1.4植牙軟體現況7 1.5論文架構10 第二章人工植牙概述12 2.1口腔的結構解剖12 2.1.1下顎骨12 2.1.2顏面神經14 2.1.3牙齒構造15 2.2植牙之目的17 2.3植牙手術概述18 2.4植牙手術導引板19 第三章數位化植牙手術規劃22 3.1資料前處理28 3.1.1模型逆向重建29 3.1.2圖形庫建立32 3.1.3視角建立33 3.2植入斷面定義36 3.2.1建立近似牙齒之俯視基準面37 3.2.2建立牙齒中心位置38 3.2.3建立植入斷面實體39 3.3人工牙根位置定義41 3.3.1建立牙齦邊界43 3.3.2匯出等比例之牙科電腦斷層圖44 3.3.3植牙處之影像疊合45 3.3.4建立人工牙根位置47 3.4導引板設計49 第四章案例模擬51 4.1案例一51 4.2案例二60 第五章結論與未來研究方向70 5.1結論70 5.2未來研究方向71 參考文獻72

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