# US 11,992,355 B2 · Method, apparatus, and computer program for planning implant surgery > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 11,992,355 B2 - Document ID: US11992355B2 - Status: Granted - Kind: B2 - Application number: 16/778,922 - Filed: 2020-01-31 - Published: 2021-02-04 - Granted: 2024-05-28 - Earliest claimed: 2019-08-02 - Assignees: Imsol Corp. - Applicants: Imsol Corp. - Inventors: Da Som Heo; Yun Ho Lee; Heui Jung Yang - Web page: https://patentgrep.com/patent/US11992355B2 ## CPC - A61B 6/512: {Intraoral means} - A61B 6/032: {Transmission computed tomography [CT]} - A61B 6/5229: {combining image data of a patient, e.g. combining a functional image with an anatomical image} - A61B 34/25: {User interfaces for surgical systems} - A61C 1/084: {of implanting tools} - A61C 5/77: Methods or devices for making crowns - A61C 9/0006: {Impression trays} - A61C 9/004: {Means or methods for taking digitized impressions} - A61C 13/0004: {Computer-assisted sizing or machining of dental prostheses} - A61C 19/003: {Apparatus for curing resins by radiation} - A61B 2034/108: {Computer aided selection or customisation of medical implants or cutting guides} - A61B 2034/254: {being adapted depending on the stage of the surgical procedure} - A61B 2034/256: {having a database of accessory information, e.g. including context sensitive help or scientific articles} - A61B 2090/3912: {Body cavities} - A61B 2090/3966: {Radiopaque markers visible in an X-ray image} - A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D) - A61C: DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE (non-driven toothbrushes A46B; {tongue scrapers A61B17/24;} preparations for dentistry A61K6/00; preparations for cleaning the teeth or mouth A61K8/00, A61Q11/00) ## Abstract Disclosed herein is a method of supporting implant surgery in a server, which includes obtaining a subject's oral CT image scanned with a guide model inserted into an oral cavity of the subject, the guide model being manufactured to a certain standard to group human teeth in any range so that the teeth belong to at least one group and to cover a tooth position of a corresponding group, the guide model including a marker made of a radiopaque or radiation semipermeable material, loading a library as information about the standard of the guide model, identifying the marker in the oral CT image, and generating a library matching CT image by matching the oral CT image with the library based on the marker included in the library and the marker identified in the oral CT image, and planning implant surgery of the subject using the library matching CT image. ## Claims ### Claim 1 A method of supporting implant surgery in a server, comprising: a) obtaining a subject's oral CT image scanned with a guide model inserted into an oral cavity of the subject, the guide model being manufactured to a standard to group human teeth in any range so that the teeth belong to at least one group and to cover a tooth position of a corresponding group, the guide model comprising a marker made of a radiopaque or radiation semipermeable material; b) loading a library as information about the standard of the guide model, identifying the marker in the oral CT image, and generating a library matching CT image by matching the oral CT image with the library based on the marker included in the library and the marker identified in the oral CT image; and c) planning implant surgery of the subject using the library matching CT image; wherein the library comprises a database pre-stored in a storage unit, the database includes information about shape, size, image, material of the guide model, and a position of the marker of the guide model; and wherein the oral CT image comprises a maxillary image and a mandibular image, and the method further comprises correcting an error associated with a thickness of the guide model by separating the maxillary image and the mandibular image and reconstructing the separated maxillary image and mandibular image for occlusion. ### Claim 2 (depends on 1) The method according to claim 1, comprising, after the c) planning implant surgery of the subject, d) generating information about a machining region of the guide model to machine the guide model into a surgical guide for the implant surgery according to the plan for implant surgery of the subject; wherein the guide model is machined into the surgical guide in a milling machine, and the guide model further comprises a jig holder configured to couple the guide model to the milling machine. ### Claim 3 (depends on 2) The method according to claim 2, wherein: the guide model comprises an impression material for obtaining an impression within the oral cavity, and an oral pattern for an implant placement region of the subject is formed through the impression material; and the surgical guide is formed by machining the guide model and comprises the oral pattern, and the oral pattern functions as a means for physically matching the surgical guide with the implant placement region of the subject. ### Claim 4 (depends on 3) The method according to claim 3, wherein the impression material is dental photopolymerized resin or self-polymerized resin, which is polymerized in the oral cavity of the subject. ### Claim 5 (depends on 4) The method according to claim 4, wherein the guide model comprises a vinyl film formed on its one surface on which the oral pattern is formed through the impression material. ### Claim 6 (depends on 3) The method according to claim 3, wherein the d) generating information comprises setting at least one of a guide hole region of the guide model and an insertion region of a handpiece as an implant surgical instrument. ### Claim 7 (depends on 3) The method according to claim 3, wherein the c) planning implant surgery of the subject comprises: placing a crown object at an implant placement region of the matching CT image by setting an angle and size of the crown object; placing an implant object at a certain distance from the placed crown object; and setting at least one of an type, size, length, position, and an implantation angle of the implant object. ### Claim 8 (depends on 7) The method according to claim 7, comprising providing guide information about at least one of a position from the implant object placed on the matching CT image to a bone, a position from the implant object to a root of a tooth adjacent to the implant placement region, and a distance between the implant object and a nerve. ### Claim 9 (depends on 8) The method according to claim 8, comprising providing at least one of guide information about whether the axis of the implant object coincides with the center of a prosthesis and guide information about whether a sleeve of the implant invades the tooth or the gum. ### Claim 10 (depends on 1) The method according to claim 1, wherein the b) loading a library comprises: setting a tooth curve in the matching CT image; and setting a mandibular neural tube in the matching CT image. ### Claim 11 (depends on 1) The method according to claim 1, comprising, after the c) planning implant surgery of the subject, reporting information about at least one of a type, size, position, and direction of an implant used for the surgery planned using the matching CT image. ### Claim 12 (depends on 1) The method according to claim 1, comprising, after the c) planning implant surgery of the subject, reporting at least one of bone density information of the subject and information about a distance between the implant placement position and a neural tube, estimated by analyzing the oral CT image or the matching CT image. ### Claim 13 A system for supporting implant surgery, comprising: a guide model manufactured to a standard to group human teeth in any range so that the teeth belong to at least one group and to cover a tooth position of a corresponding group, the guide model comprising a marker made of a radiopaque or radiation semipermeable material; a CT scanner for scanning a subject's oral CT image with the guide model inserted into an oral cavity of the subject; a storage unit configured to store a library comprising a database, the database including information about shape, size, image, material of the guide model, and a position of the marker of the guide model; and a server configured to load a library as information about the standard of the guide model, to identify the marker in the oral CT image, to generate a library matching CT image by matching the oral CT image with the library based on the marker included in the library and the marker identified in the oral CT image, and to plan implant surgery of the subject using the library matching CT image, wherein the oral CT image comprises a maxillary image and a mandibular image, and the server is further configured to correct an error associated with a thickness of the guide model by separating the maxillary image and the mandibular image and reconstructing the separated maxillary image and mandibular image for occlusion; and wherein the guide model further comprises a maxillary model and a mandibular model, the maxillary model is configured to cover a portion of maxillary teeth, and the mandibular model is configured to cover a portion of mandibular teeth. ### Claim 14 (depends on 13) The system according to claim 13, wherein the server sets information about a machining region of the guide model to machine the guide model into a surgical guide for the implant surgery according to the plan for implant surgery of the subject; wherein the guide model is machined into the surgical guide in a milling machine, and the guide model further comprises a jig holder configured to couple the guide model to the milling machine. ### Claim 15 (depends on 14) The system according to claim 14, wherein the milling machine is configured for machining the guide model into the surgical guide by etching the machining region in the guide model according to the information about the machining region of the guide model. ### Claim 16 (depends on 13) The system according to claim 13, wherein: the guide model comprises an impression material for obtaining an impression within the oral cavity, and an oral pattern for an implant placement region of the subject is formed through the impression material; and the surgical guide is formed by machining the guide model and comprises the oral pattern, and the oral pattern functions as a means for physically matching the surgical guide with the implant placement region of the subject. ### Claim 17 (depends on 16) The system according to claim 16, wherein the guide model comprises the impression material that is dental photopolymerized resin or self-polymerized resin polymerized in the oral cavity of the subject. ### Claim 18 (depends on 16) The system according to claim 16, wherein the guide model comprises a vinyl film formed on its one surface on which the oral pattern is formed through the impression material. ### Claim 19 A server for supporting implant surgery, comprising: a storage unit configured to store a library as information about the standard of a guide model, the guide model being manufactured to a standard to group human teeth in any range so that the teeth belong to at least one group and to cover a tooth position of a corresponding group, the guide model comprising a marker made of a radiopaque or radiation semipermeable material, the library comprising a database including information about shape, size, image, material of the guide model, and a position of the marker of the guide model; an image processing module configured to identify the marker of the guide model in a subject's oral CT image scanned with the guide model inserted into an oral cavity of the subject and to generate a library matching CT image by matching the oral CT image with the library based on the marker included in the library and the marker identified in the oral CT image, wherein the oral CT image comprises a maxillary image and a mandibular image, and the image processing module is further configured to correct an error associated with a thickness of the guide model by separating the maxillary image and the mandibular image and reconstructing the separated maxillary image and mandibular image for occlusion; and an implant planning module configured to plan implant surgery of the subject using the library matching CT image. ### Claim 20 (depends on 19) The server according to claim 19, comprising a guide design module configured to set a machining region of the guide model and generate a machining file of the guide model in order to machine the guide model into a surgical guide for the implant surgery according to the plan for implant surgery of the subject; wherein the guide model is machined into the surgical guide in a milling machine, and the guide model further comprises a jig holder configured to couple the guide model to the milling machine. ### Claim 21 (depends on 20) The server according to claim 20, wherein the guide model sets at least one of a guide hole region of the guide model and an insertion region of a handpiece as an implant surgical instrument. ### Claim 22 (depends on 19) The server according to claim 19, comprising a file management module configured to perform a function of converting the oral CT image, implant planning information using the matching CT image, and a machining file of the guide file in a predetermined format. ### Claim 23 (depends on 19) The server according to claim 19, wherein the machining file comprises information about an etching depth of a guide hole. ### Claim 24 (depends on 23) The server according to claim 23, wherein the image processing module sets a tooth curve and a mandibular neural tube in the matching CT image. ### Claim 25 (depends on 19) The server according to claim 19, wherein the implant planning module places a crown object at an implant placement region of the matching CT image by setting an angle and size of the crown object, places an implant object at a certain distance from the placed crown object, and sets at least one of an type, size, length, position, and an implantation angle of the implant object. ### Claim 26 A non-transitory computer readable medium configured to perform a function of supporting implant surgery in a server, performing: a function of obtaining a subject's oral CT image scanned with a guide model inserted into an oral cavity of the subject, the guide model being manufactured to a standard to group human teeth in any range so that the teeth belong to at least one group and to cover a tooth position of a corresponding group, the guide model comprising a marker made of a radiopaque or radiation semipermeable material; a function of loading a library as information about the standard of the guide model, identifying the marker in the oral CT image, and generating a library matching CT image by matching the oral CT image with the library based on the marker included in the library and the marker identified in the oral CT image; and a function of planning implant surgery of the subject using the library matching CT image; wherein the library comprises a database pre-stored in a storage unit, the database includes information about shape, size, image, material of the guide model, and a position of the marker of the guide model; and wherein the oral CT image comprises a maxillary image and a mandibular image, and the non-transitory computer readable medium is further configured to perform a function of correcting an error associated with a thickness of the guide model by separating the maxillary image and the mandibular image and reconstructing the separated maxillary image and mandibular image for occlusion. ### Claim 27 (depends on 26) The non-transitory computer readable medium according to claim 26, performing a function of setting a machining region of the guide model to machine the guide model into a surgical guide for the implant surgery according to the plan for implant surgery of the subject; wherein the guide model is machined into the surgical guide in a milling machine, and the guide model further comprises a jig holder configured to couple the guide model to the milling machine. ### Claim 28 (depends on 27) The non-transitory computer readable medium according to claim 27, performing: a function of setting a tooth curve in the matching CT image; a function of setting a mandibular neural tube in the matching CT image; and a function of setting at least one of a guide hole region of the guide model and an insertion region of a handpiece as an implant surgical instrument.