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系統識別號 U0026-0812200915215162
論文名稱(中文) 電腦輔助植牙植體方位計劃與導引板設計於臨床之應用
論文名稱(英文) Computer-Aided Implant Planning and Template Design for Dental Implantology
校院名稱 成功大學
系所名稱(中) 機械工程學系碩博士班
系所名稱(英) Department of Mechanical Engineering
學年度 97
學期 2
出版年 98
研究生(中文) 何佳霖
研究生(英文) Jia-lin Ho
學號 N1696446
學位類別 碩士
語文別 中文
論文頁數 83頁
口試委員 口試委員-王東堯
口試委員-賴維祥
口試委員-鐘景宏
指導教授-方晶晶
中文關鍵字 植體方位  導引板 
英文關鍵字 Implant Planning  Template Design 
學科別分類
中文摘要 本研究目的在於開發一套友善化的植牙導引件設計工具,輔助植牙手術之術前計劃與臨床植體定位。本研究可分為兩大部分,分別為術前植體方位計劃與植牙導引板設計方法。在植體方位計劃中結合個人咬合面的建立提出自動化植體分佈方法,分佈上需避免鑽透患者顎骨骨壁,避開神經血管,並保持植體與植體間距。本研究根據植體方位計劃提出手術用鑽孔導引板的設計方法,根據齒顎解剖學規劃鑽孔導引環之環座位置,以便後製時搭配可緊配的金屬鈦環(Titanium ring) ,並於導引板設計控制植入深度終止的方法。此外,提供三種支撐型態之鑽孔導引板包覆方法,可避免干涉(Undercut)性包覆,最後應用於臨床手術並驗證其精度。
英文摘要 In this research, we focused on developing a user-friendly tool in dental implantology to assist surgical planning and implant position in implant surgery. This research includes implant position planning and surgery guide template generation. The planning involves patient’s occlusal surface for the purpose of automatically distributing implants so that the safety distances are maintained among bone boundary, nerve and other implants. We provided three types of surgery guide templates to provide maximum support stability and to avoid undercut. A titanium ring was embedded in the template to guide the orientation and drill depth.
論文目次 摘要 II
ABSTRACT III
目錄 V
圖目錄 VIII
表目錄 XIII
第一章 前言 1
1.1 研究背景 1
1.2 研究動機與目的 6
1.3 本文架構 7
第二章 文獻回顧 9
2.1 手術計畫系統 9
2.1.1 基本架構與流程 9
2.1.2 現有之相關軟體 12
2.2 植牙相關文獻 16
第三章 植牙導引板設計 20
3.1 研究流程 20
3.2 電腦輔助植體手術計畫基礎架構 23
3.2.1 資料來源 23
3.2.2 三維模型名詞 25
3.3 數位化植牙專家經驗 26
3.4 植體路徑規劃 28
3.4.1 臨床需求與流程 28
3.4.2 植體進入點 29
3.4.3 植體終點 32
3.4.4 自動化分佈 34
3.5 截面檢測 34
3.6 植牙導引板 36
3.6.1 導引板設計流程 37
3.6.2 導引板型態 38
3.6.3 環座設計 39
3.6.4 植體、環座元件命名 40
第四章 研究方法 42
4.1 資料前處理 42
4.1.1 八元樹 42
4.1.2 分區 44
4.2 植牙導引板模型 45
4.2.1 包覆深度 45
4.2.2 資料點分佈 46
4.2.3 網格建立 51
第五章 病例實作流程與討論 55
5.1 實作操作流程 55
5.2 病例檢討 61
5.3 驗證 67
第六章 結論與未來展望 73
6.1 結論 73
6.2 討論 75
6.3 未來展望 77
參考文獻 79
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