Digital design and manufacturing method of double constrained split guide for orthodontic miniscrew implantation.
10.7518/hxkq.2025.2024403
- Author:
Xin DU
1
;
Aonan WEN
1
;
Zixiang GAO
1
;
Zhihua LI
2
;
Sheng ZHANG
2
;
Yong WANG
1
;
Yijiao ZHAO
1
Author Information
1. Peking University School and Hospital of Stomatology, Center of Digital Dentistry & National Center for Stomato-logy & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices & NHC Key Laboratory of Digital Stomatology & Beijing Key Laboratory of Digital Stomatology, Beijing 100081, China.
2. The Affiliated Stomatological Hospital, Nanchang University & Jiangxi Provincial Key Laboratory of Oral Diseases & Jiangxi Provincial Clinical Research Center for Oral Diseases, Nanchang 330006, China.
- Publication Type:Journal Article
- Keywords:
3D printing;
computer aided design;
miniscrew implant;
surgical positioning guide
- MeSH:
Humans;
Bone Screws;
Cone-Beam Computed Tomography;
Printing, Three-Dimensional;
Orthodontic Anchorage Procedures/instrumentation*;
Imaging, Three-Dimensional;
Computer-Aided Design
- From:
West China Journal of Stomatology
2025;43(4):603-612
- CountryChina
- Language:Chinese
-
Abstract:
This study explored a novel digital design and fabrication method for a double constrained split orthodontic miniscrew guide to improve the accuracy and safety of clinical miniscrew implantation and reduce related complications. A patient requiring miniscrew implantation was selected, and data were acquired using cone beam computed tomography (CBCT) and intraoral optical scanning. For the construction of a double constrained split guide including a screw-hole guide and an insertion rod guide, different types of software such as Mimics 24.0, Geomagic wrap 2021, and Materialise magics 21.0 were utilized for 3D reconstruction, model integration, and guide design. The guide was then fabricated via laser metal 3D printing. Model and intraoral try-in results demonstrated that the guide fitted well and was stable. Postoperative CBCT verified that the final miniscrew implantation site was consistent with the preoperative design, and no related complications occurred. This double constrained split orthodontic miniscrew guide provides a precise and safe digital solution for clinical miniscrew implantation.
