Dental Implant Surgical Guide for Precise Positioning

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Solution Overview

Problem

Current dental implant positioning methods are inaccurate and complex, leading to increased costs, longer procedure times, and potential damage to surrounding tissues due to the difficulty in precisely aligning drill bits without proper visualization and control.

Innovation Solution

A surgical guide system that includes a positioning device and mounting assembly, allowing for precise buccal-lingual and mesial-distal positioning of dental implants by translating and adjusting the device relative to a model, which is then transferred to the patient's dental arch for accurate osteotomy and implant placement.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Ease of operation

If free-hand alignment method is used for implant positioning, then the surgeon can rely on experience to determine trajectory and location, but the accuracy and precision of implant placement deteriorates due to inability to fully inspect the site below gum surface

Engineering Contradiction:
Improveease of operationVSAvoidpositioning accuracy
Core Design Contradiction:
Ease of operationVSMeasurement precision

Solution Approach 1:

The patent applies preliminary action by creating a surgical guide based on pre-operative imaging (CBCT scans and intraoral scans) and virtual planning. The guide is fabricated before surgery to transfer the pre-determined implant trajectory and position accurately to the patient's mouth, eliminating the need for free-hand positioning during surgery and ensuring precise placement based on prior inspection of the site.

Inventive Principle:
Principle #10Preliminary action

2Measurement precision

If flap method is used to survey implant site below gum line, then bone position can be determined, but the risk of infection increases and patient discomfort worsens

Engineering Contradiction:
Improvebone position determinationVSAvoidinfection risk
Core Design Contradiction:
Measurement precisionVSObject-affected harmful factors

Solution Approach 1:

The patent replaces the mechanical flap method with a digital imaging and virtual planning system. CBCT scans and intraoral scans provide detailed 3D visualization of bone position and anatomy without requiring physical incision or flap elevation. The surgical guide then transfers this digitally determined position to the actual surgery, eliminating the need to cut flaps and thereby reducing infection risk and patient discomfort.

Inventive Principle:
Principle #28Mechanics substitution (Replace mechanical system)

3Device complexity

If free-hand drilling is performed without complete view of mouth interior, then the surgeon can perform the procedure without extensive equipment, but positioning accuracy deteriorates and safety hazards increase due to drill bit jumping or walking

Engineering Contradiction:
Improveequipment simplicityVSAvoiddrilling safety
Core Design Contradiction:
Device complexityVSReliability

Solution Approach 1:

The patent introduces a surgical guide as an intermediary device between the digital plan and the drilling operation. The guide physically constrains the drill bit to follow the pre-planned trajectory, preventing drilling errors such as jumping or walking. This intermediary ensures safe and accurate drilling without requiring the surgeon to maintain perfect free-hand control, thereby improving reliability while keeping the actual drilling equipment simple.

Inventive Principle:
Principle #24Intermediary (Mediator)

4Reliability

If multiple office visits and bone grafting are required due to positioning mistakes, then the surgeon can correct errors, but the procedure time increases and patient discomfort worsens

Engineering Contradiction:
Improveerror correction capabilityVSAvoidprocedure time
Core Design Contradiction:
ReliabilityVSLoss of time

Solution Approach 1:

The patent applies preliminary action by performing comprehensive virtual planning and creating a customized surgical guide before the surgery. This pre-operative preparation allows the surgeon to identify and correct potential positioning issues in the digital model, ensuring accurate implant placement during the actual surgery. By doing the planning work beforehand, the procedure can be completed in one visit without needing corrective bone grafting or additional appointments, thereby reducing overall procedure time and patient discomfort.

Inventive Principle:
Principle #10Preliminary action

Data Source

PatentUS9519749B2Surgical guide and method
Publication Date: 2016.12.13 STUMPEL LAMBERT J
  • US9519749B2 patent drawing
  • US9519749B2 patent drawing
  • US9519749B2 patent drawing

AI summary

A method for preparing a surgical guide for positioning of a dental implementation. The method includes positioning a positioning device relative to a model jawbone, translating the positioning device in a BL direction, adjusting a BL angle of the positioning device about a BL pivot axis corresponding to a desired position of a top of the dental implementation, and fixing the BL position, BL angle, and z-height of the positioning device. A mounting assembly mounts to the positioning device and includes a removable rotation block with a guide hole. The mounting assembly is movable in the MD direction while the BL position is fixed. A template fixes the mounting assembly for transferring the positioning information to a patient's mouth. Various aspects of the design process can be performed on a computer. The guide and a method of using the guide to perform an implant procedure are also disclosed.