CN107714209A - One kind plantation screw positioning device and its localization method - Google Patents
One kind plantation screw positioning device and its localization method Download PDFInfo
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- CN107714209A CN107714209A CN201711079513.6A CN201711079513A CN107714209A CN 107714209 A CN107714209 A CN 107714209A CN 201711079513 A CN201711079513 A CN 201711079513A CN 107714209 A CN107714209 A CN 107714209A
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- locating rod
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C8/00—Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools
- A61C8/0089—Implanting tools or instruments
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C8/00—Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools
- A61C8/0093—Features of implants not otherwise provided for
- A61C8/0096—Implants for use in orthodontic treatment
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C2204/00—Features not otherwise provided for
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- Oral & Maxillofacial Surgery (AREA)
- Orthopedic Medicine & Surgery (AREA)
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- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Dental Prosthetics (AREA)
- Dental Tools And Instruments Or Auxiliary Dental Instruments (AREA)
Abstract
One kind plantation screw positioning device, is related to mouth cavity orthodontic technical field.The device includes plantation nail implanting device, it is characterised in that：The plantation screw positioning device also includes sleeve pipe, casing limit bar and locating rod；Locating rod is made up of horizontal arm and upright arm.The apparatus structure is simple, reasonable in design, can dramatically reduce the risk that adjacent teeth root of the tooth is damaged in planting process, the implantation for being accurately positioned and guiding plantation to follow closely is realized, while reduces the operating time by chair, it is easy to operate, it is practical, there is larger Clinical practice value and market prospects.
Description
Technical field
The present invention relates to mouth cavity orthodontic technical field, more particularly to a kind of plantation screw positioning device and its localization method.
Background technology
With the development of micro- plantation nail technology, plantation nail is applied to orthodontic field, is mainly used in more and more widely
Dental bonding after enhancing, interior receipts Upper Anterior Teeth, upperdental arch is far moved, labial teeth is forced down, grinds one's teeth in sleep, the application for planting nail also achieves significantly
Clinical effectiveness.But there is the risk of damage adjacent teeth root of the tooth, cause adjacent teeth in prior art during micro- plantation nail is implanted into
External apical root resorption, or even loosen the risk pulled out.It is plump for some buccal soft tissues, for the patient of limitation of mouth opening, tradition
Implanted prosthetics be also subject to significant restrictions, or even can only abandon treating.
At present, clinically in most cases, micro- plantation nail is to be implanted in from cheek side in the alveolar bone between adjacent root of the tooth,
At this moment the risk of plantation nail damage root of the tooth and plantation nail Enters upper jaw Dou just be present.Therefore, scholars always strive to exploitation one
The practical reliable plantation nail implantation positioning device of kind.It is to utilize to be fixed on arch wire or the wire in tooth neighbour gap in early days, extend out to
Implantation region（Some curves cast on top）, optimal implantation site is estimated by its imaging on Dental X-ray film, but this method by
To the influence in radiation projection direction, the mark of positioning is very inaccurate, larger defect be present.There are some three-dimensional localizations successively in later stage
Device, such as predefine implantation site and direction using plaster cast, then by self-curing plastic plywood to be transferred to patient intraoral, leads to
X-ray inspection is crossed, if the position and direction are suitable, guiding brill is pierced, otherwise, just repositioned；It is also a kind of three-dimensional
The adjustable guiding tube in direction, positioning of developing still through guiding tube on X pieces, if the position and direction of guiding tube are improper,
Even if only small deviation, it is also likely to that plantation nail implantation position can be caused to deviate, plantation nail implantation position is improper to have damage
Hinder adjacent teeth root of the tooth, or even cause the External apical root resorption of adjacent teeth, the risk that tooth mobility is pulled out, injury is brought to patient.In order to ensure
The direction that x-ray throws according to direction and plantation nail implantation is consistent, and someone is additionally arranged radiation positioning device, but implantation site with
The initial selection in direction can only still lean on physician in view Dental X-ray film and subjective experience to determine, still can only be again if improper
Positioning, film making.Above method has as a drawback that：（1）Need to shoot x mating plates/CBCT（Pencil-beam ct）Tooth location of root is determined,
Cost is high, and radiation is big；（2）Positioning is inaccurate, easily causes plantation nail implantation position improper；（3）Need according to corona form system
Make positioner, and need skilled worker to coordinate, operating time length by chair.（4）Personalized making is all needed, cost is high, no marketing
Value.In summary, at present still without a kind of preferably micro- plantation nail implantation instrument and localization method.
The content of the invention
For above-mentioned deficiency present in background technology, it is an object of the invention to provide one kind plantation screw positioning device and its
Localization method, realize the implantation for being accurately positioned and guiding plantation to follow closely.
The present invention is achieved through the following technical solutions：
A kind of described plantation screw positioning device, including plantation nail implanting device, the plantation nail implanting device is mainly by handle, boosting
Device and fix bar are formed, it is characterised in that：The plantation screw positioning device also includes sleeve pipe, casing limit bar and locating rod；Institute
State that sleeve pipe is hollow, be made up of the short sleeve of long sleeve pipe and connection fixed thereto；Fix bar passes through hollow long sleeve pipe tube chamber therewith
It is flexibly connected；Described sleeve pipe gag lever post one end is fixedly connected with the handle of plantation nail implanting device, and the other end passes through the pipe of short sleeve
Chamber realizes flexible connection therewith；The front end of the big sleeve pipe is provided with locating rod；The locating rod is made up of horizontal arm and upright arm.
A kind of described plantation screw positioning device, it is characterised in that：The handle of the plantation nail implanting device is provided with screw
Hole and the patchhole for assembling casing limit bar, screw hole is interior to be provided with the screw coordinated with it, by tightening screw by sleeve pipe
Gag lever post is fixedly connected on handle.
A kind of described plantation screw positioning device, it is characterised in that：Described sleeve pipe gag lever post is in " Z " type, by connecting rod and
The pole of connection fixed thereto is formed, and one end of pole passes through short sleeve, and the front end of the pole is provided with projection, and its effect is anti-
Only short sleeve skids off pole when being slided on pole.
A kind of described plantation screw positioning device, it is characterised in that：The locating rod is provided with scale.
A kind of described plantation screw positioning device, it is characterised in that：The horizontal arm and upright arm of the locating rod are positioned at same
In one plane, the plane is vertical with fix bar, and horizontal arm and upright arm are respectively set a pair, left and right symmetrical；Wherein horizontal arm with
Fix bar is vertical.
A kind of described plantation screw positioning device, it is characterised in that：The rear end section of the connecting rod is semicircle, positioned at hand
Part in handle patchhole is semi-cylindrical.
A kind of described plantation screw positioning device, it is characterised in that：The scale of scale starting point 0 in the locating rod is located at it
With the junction of long sleeve pipe.
One kind plantation nail localization method, it is characterised in that comprise the following steps：
1）Prepare a kind of above-mentioned plantation screw positioning device；
2）It is determined that plantation nail implantation point:According to patient's oral cavity model, the planting area according to safety in oral cavity model determines kind
Nail implantation point is planted, and is marked；The planting area of safety is normally at apart from adjacent two tooth gingival edges 5-7mm position
Put；
3）Bend locating rod：According to plantation follow closely implantation point position and Bracket placement, calculate respectively two upright arms angle and
Length, locating rod is bent, obtain the plantation screw positioning device matched with patient oral cavity；
4) plantation that plantation is bound to fix bar front end is bound in distribution；
5）The horizontal arm of locating rod is placed in the bracket groove on patient teeth：According to the horizontal groove and tooth of orthodontic bracket
The perpendicular principle of major axis, locating rod horizontal arm are placed in patient levels' bracket groove, and now horizontal arm and long axis of tooth are mutual
Vertically；Fix bar is also in be mutually perpendicular to horizontal arm；
6）Implantation plantation nail：The horizontal arm of locating rod be free to, in bracket groove internal rotation, rotating to suitable implantation
After angle, slowly rotate boost motor and slowly screw in plantation nail in alveolar bone, planting the head distance gingival edge of nail also
During surplus 2mm, stop operating, extract implanting device, implantation finishes.
Suitable implant angle is：Upper jaw plantation nail is in 30 ° of angles, Implant-supported Mandibular nail and cheek side alveolar bone with cheek side alveolar bone
Into 10 ° of angles.
Above-mentioned plantation screw positioning device, design is simple, and cost is low, on the basis of existing plantation nail implanting device, sets up
Alignment system, the alignment system are mainly made up of sleeve pipe, casing limit bar and locating rod, and the planting area according to safety determines kind
The optimal implantation point of nail is planted, vertical arm lengths and angle are calculated according to optimal implantation point, obtain the plantation for being adapted to patient oral cavity
Screw positioning device.During operation, the horizontal arm of locating rod is placed in patient levels' bracket groove, horizontal arm be free to
Bracket groove internal rotation, after suitable implant angle is rotated to, slowly rotate boost motor and slowly screw in alveolus by nail is planted
In bone, in the head distance gingival edge also surplus 2mm of plantation nail, stop operating, extract implanting device, implantation finishes.The present invention
Have the advantages that：
（1）Horizontal arm is placed in patient levels' bracket groove, it is ensured that plantation nail is located at adjacent teeth base portion（That is the neck portion of two adjacent teeths
With gum intersection）On the middle vertical plane of 2 lines, the risk that adjacent teeth root of the tooth is damaged in planting process is greatly reduced；
（2）Locating rod is provided with scale, it is ensured that is implanted in safety zone；
（3）Horizontal arm be free in bracket groove internal rotation, realize the height and angle for freely controlling plantation nail implantation；
（4）The plantation screw positioning device of previously prepared suitable patient, plantation need to only be bound in practical operation and fit over fix bar
On, horizontal arm is seated in patient levels' bracket groove, promotes boost motor to complete the implantation of plantation nail, greatly reduces chair
The other operating time；
（5）It is simple in construction, it is easy to operate, it is practical, there is larger Clinical practice value and market prospects.
Brief description of the drawings
Fig. 1 is the structural representation of the present invention；
Fig. 2 is the side structure schematic diagram of middle sleeve gag lever post of the present invention；
Fig. 3 is the structural representation that connecting rod follows closely implanting device handle end positioned at plantation in the present invention；
Fig. 4 be the present invention in locating rod bend before structural representation；
Fig. 5 be the present invention in locating rod bend after structural representation；
Fig. 6 is the schematic diagram being labeled in patient's oral cavity model；
Fig. 7 present invention assembles the structural representation after plantation nail；
Structural representation after locating rod is connected with bracket when Fig. 8 is the use state of the present invention；
Fig. 9 is the schematic diagram behind plantation nail implantation patient oral cavity；
In figure：1- handles；2- boost motors；3- fix bars；4- sleeve pipes；The long sleeve pipes of 4-1-；4-2- short sleeves；5- casing limit bars；
5-1- connecting rods；5-2- poles；5-3- projections；6- locating rods；6-1- horizontal arms；6-2- upright arms；6-3- scales；7- fixes spiral shell
Silk；8- kinds plant nail；9- brackets.
Embodiment
1-9 is described in further detail to the present invention below in conjunction with the accompanying drawings.
One kind plantation screw positioning device, including plantation nail implanting device, the plantation nail implanting device can refer to prior art,Such as Ormco companiesPlantation nail implanting device, plantation nail implanting device be mainly made up of handle 1, boost motor 2 and the three parts of fix bar 3, be
Positioning function is realized, the present invention is additionally arranged plantation nail alignment system on plantation nail implanting device（Referring to Fig. 1）, the alignment system
Mainly include sleeve pipe 4, casing limit bar 5 and locating rod 6；Sleeve pipe 4 is hollow, by underlying long sleeve pipe 4-1 and top
Short sleeve 4-2 is formed；Long sleeve pipe 4-1 is fixedly connected with short sleeve 4-2；Fix bar 3 is provided with long sleeve pipe 4-1 central cavity,
I.e. one end of fix bar 3 passes through long sleeve pipe 4-1 tube chamber, when casing limit bar 5 is not fixed with plantation nail implanting device, long sleeve pipe
4-1 can rotate around fix bar 3, can also be slid back and forth along fix bar 3；In order to which alignment system assembling is implanted into plantation nail
On device, screw hole and the patchhole for assembling casing limit bar 5, screw are set on the handle 1 by following closely implanting device in plantation
Hole connects and is mutually perpendicular to patchhole, the screw 7 coordinated with it is provided with screw hole, by tightening screw 7 by casing limit
Bar 5 is fixedly connected on handle 1.It is in " Z " type that described sleeve pipe gag lever post 5, which is preferably provided,（Referring to Fig. 2）, it includes connecting rod 5-1
With the pole 5-2 of connection fixed thereto, pole 5-2 one end passes through short sleeve 4-2, in order to realize short sleeve 4-2 in pole 5-2
On slide back and forth and be unlikely to skid off pole, projection 5-3 is set up in pole 5-2 front end, to prevent sleeve pipe 4 from skidding off.Connecting rod
Casing limit bar 5, is fixed on handle by the patchhole of 5-1 rear end insertion handle 1 by tightening screw 7.In order to realize more
Casing limit bar 5 is firmly fixed, by connecting rod 5-1 rear end（The part inserted in handle 1, sees Fig. 3）It is arranged to semicolumn
Shape, its cross section are semicircle, and semicircle is down.
It is accurately positioned to realize, is provided with locating rod 6 in big sleeve pipe 4-1 front end, the locating rod 6 is by horizontal arm 6-1
Formed with upright arm 6-2, and scale 6-3 is preferably provided with locating rod 6；" 0 " scale is located at top（I.e. long sleeve pipe connects with locating rod
Meet place）.Before locating rod is bent, its structure is shown in Fig. 4.Locating rod bends basis and is carried out as follows：Patient's oral cavity model is taken, in oral cavity
Optimal plantation point is calculated on model, and makes mark.Region is normally at apart from adjacent two tooth gingival edges 5-7mm
Position（Such as Fig. 6, plantation nail position c points, left adjacent teeth neck portion and gum intersection a points, right adjacent teeth neck portion and gum
Intersection b points, bc lines are vertical with long axis of tooth, and plantation nail is true according to the planting area of safety on line segment bc middle vertical plane
Fixed plantation nail implantation point c points, be denoted as m points, n points on the outside of the horizontal groove of bracket of the adjacent teeth of patient two, connect cm and cn, cm and
Gingival edge joint is designated as e points, and cn is designated as f points with gingival edge joint, line segment cm and cn length is measured respectively, because of c
Point need to be on line segment bc perpendicular bisector, then line segment cm and line segment cn are isometric, and the length is the length of upright arm；Then measure
∠ mcb size, this angle are the angle of upright arm, and locating rod is carried out into bending according to the length of upright arm and angle, obtained
To upright arm 6-2 and horizontal arm 6-1, horizontal arm requires vertical with long axis of tooth direction.The plantation distance of safety is c points to e points
Distance and the distance of c points to f points according to the tooth length of Different Individual are usually 5-7mm）.Structure after locating rod is bent is shown
Intention is shown in Fig. 5.The horizontal arm 6-1 and upright arm 6-2 of locating rod 6 are in the same plane, the plane and fix bar 3 and sleeve pipe 4
Vertical, horizontal arm and upright arm are respectively set a pair, left and right symmetrical；Wherein horizontal arm is mutually perpendicular to fix bar 3；It is left and right
The plane that 2 upright arms are formed is also vertical with fix bar 3.
During operation, according to following steps：
1）Prepare above-mentioned plantation screw positioning device；
2）It is determined that plantation nail implantation point:Patient's oral cavity model is taken, the planting area according to safety in oral cavity model determines plantation
Nail implantation point, and mark；
3）Bend locating rod:According to plantation follow closely implantation point position and Bracket placement, calculate respectively two upright arms angle and
Length, bend locating rod（See above-mentioned locating rod bending method, will not be described here）, obtain the plantation nail matched with patient oral cavity
Positioner；
4) plantation that plantation is bound to fix bar front end is bound in distribution；
5）The horizontal arm of locating rod is placed in the bracket groove on patient teeth：According to the horizontal groove and tooth of orthodontic bracket
The perpendicular principle of major axis, locating rod horizontal arm are placed in patient levels' bracket groove, and now horizontal arm and long axis of tooth are mutual
Vertically；Fix bar is also in be mutually perpendicular to horizontal arm；
6）Implantation plantation nail：The horizontal arm of locating rod be free to, in bracket groove internal rotation, rotating to suitable implantation
After angle, slowly rotate boost motor and slowly screw in plantation nail in alveolar bone, planting the head distance gingival edge of nail also
During surplus 2mm, stop operating, extract implanting device, implantation finishes.
Because locator horizontal arm can in the horizontal groove internal rotation of bracket, therefore drive upright arm two teeth closed on it
Between rotate, realize that plantation nail implant angle freely controls and plants nail and will not to the left and right offset and be located at adjacent teeth base portion（I.e. two is adjacent
The neck portion of tooth and gum intersection）On the middle vertical plane of 2 lines, greatly reduce and adjacent teeth root of the tooth is lost in planting process
Risk.Scale is carried in locating rod, tip distance gingival edge 5-7mm is the safety zone of implantation.On implant angle, lead to
Normal upper jaw plantation nail and cheek side alveolar bone be in 30 ° of angles, Implant-supported Mandibular nail and cheek side alveolar bone into 10 ° of angles.
Claims (9)
1. one kind plantation screw positioning device, including plantation nail implanting device, the plantation nail implanting device is mainly by handle（1）, boosting
Device（2）And fix bar（3）Form, it is characterised in that：The plantation screw positioning device also includes sleeve pipe（4）, casing limit bar（5）
And locating rod（6）；Described sleeve pipe（4）It is hollow, by long sleeve pipe（4-1）With the short sleeve of connection fixed thereto
（4-2）Form；Fix bar（3）Through hollow long sleeve pipe（4-1）Tube chamber is flexibly connected therewith；Described sleeve pipe gag lever post
（5）One end and the handle of plantation nail implanting device（1）It is fixedly connected, the other end passes through short sleeve（4-2）Tube chamber realize work therewith
Dynamic connection；The big sleeve pipe（4-1）Front end be provided with locating rod（6）；The locating rod（6）By horizontal arm（6-1）And upright arm
（6-2）Form.
A kind of 2. plantation screw positioning device according to claim 1, it is characterised in that：The handle of the plantation nail implanting device
（1）It is provided with screw hole and for assembling casing limit bar（5）Patchhole, the screw coordinated with it is provided with screw hole（7）,
By tightening screw（7）By casing limit bar（5）It is fixedly connected on handle（1）On.
A kind of 3. plantation screw positioning device according to claim 1, it is characterised in that：Described sleeve pipe gag lever post（5）In " Z "
Type, by connecting rod（5-1）Formed with the pole (5-2) of connection fixed thereto, one end of pole (5-2) passes through short sleeve（4-2）,
The front end of the pole (5-2) is provided with projection（5-3）, its effect is to prevent short sleeve（4-2）Slided when being slided on pole (5-2)
Go out pole.
A kind of 4. plantation screw positioning device according to claim 1, it is characterised in that：The locating rod（6）It is provided with and carves
Degree（6-3）.
A kind of 5. plantation screw positioning device according to claim 1, it is characterised in that：The locating rod（6）Horizontal arm
（6-1）And upright arm（6-2）It is in the same plane, the plane and fix bar（3）Vertically, horizontal arm and upright arm respectively set one
It is right, it is left and right symmetrical；Wherein horizontal arm（6-1）With fix bar（3）Vertically.
A kind of 6. plantation screw positioning device according to claim 3, it is characterised in that：The connecting rod（5-1）Rear end
Section is semicircle, and the part in handle patchhole is semi-cylindrical.
A kind of 7. plantation screw positioning device according to claim 4, it is characterised in that：Scale starting point in the locating rod
0 scale is located at itself and long sleeve pipe（4-1）Junction.
8. one kind plantation nail localization method, it is characterised in that comprise the following steps：
1）Prepare a kind of plantation screw positioning device described in any one in claim 1-7；
2）It is determined that plantation nail implantation point:According to patient's oral cavity model, the planting area according to safety in oral cavity model determines kind
Nail implantation point is planted, and is marked；
3）Bend locating rod：According to plantation follow closely implantation point position and Bracket placement, calculate respectively two upright arms angle and
Length, locating rod is bent, obtain the plantation screw positioning device matched with patient oral cavity；
4）The plantation that plantation is bound to fix bar front end is bound in distribution；
5）The horizontal arm of locating rod is placed in the bracket groove on patient teeth：According to the horizontal groove and tooth of orthodontic bracket
The perpendicular principle of major axis, locating rod horizontal arm are placed in patient levels' bracket groove, and now horizontal arm and long axis of tooth are mutual
Vertically；Fix bar is also in be mutually perpendicular to horizontal arm；
6）Implantation plantation nail：The horizontal arm of locating rod be free to, in bracket groove internal rotation, rotating to suitable implantation
After angle, slowly rotate boost motor and slowly screw in plantation nail in alveolar bone, planting the head distance gingival edge of nail also
During surplus 2mm, stop operating, extract implanting device, implantation finishes.
A kind of 9. plantation nail localization method according to claim 8, it is characterised in that：The step 6）In be suitably implanted into
Angle is：Upper jaw plantation nail and cheek side alveolar bone be in 30 ° of angles, and Implant-supported Mandibular nail and cheek side alveolar bone are into 10 ° of angles.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201711079513.6A CN107714209B (en) | 2017-11-06 | 2017-11-06 | Planting nail positioning device and positioning method thereof |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201711079513.6A CN107714209B (en) | 2017-11-06 | 2017-11-06 | Planting nail positioning device and positioning method thereof |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN107714209A true CN107714209A (en) | 2018-02-23 |
| CN107714209B CN107714209B (en) | 2023-10-20 |
Family
ID=61222546
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201711079513.6A Active CN107714209B (en) | 2017-11-06 | 2017-11-06 | Planting nail positioning device and positioning method thereof |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN107714209B (en) |
Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN108969126A (en) * | 2018-08-06 | 2018-12-11 | 郑州大学第附属医院 | A kind of plantation screw positioning device and its localization method |
| CN111544140A (en) * | 2020-05-29 | 2020-08-18 | 西安交通大学口腔医院 | Implant leading-in actual measurement fixed point device |
| CN113180871A (en) * | 2021-05-21 | 2021-07-30 | 西安交通大学口腔医院 | Membrane nail implanter |
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Cited By (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN108969126A (en) * | 2018-08-06 | 2018-12-11 | 郑州大学第附属医院 | A kind of plantation screw positioning device and its localization method |
| CN108969126B (en) * | 2018-08-06 | 2020-09-08 | 郑州大学第一附属医院 | Planting nail positioning device |
| CN111544140A (en) * | 2020-05-29 | 2020-08-18 | 西安交通大学口腔医院 | Implant leading-in actual measurement fixed point device |
| CN113180871A (en) * | 2021-05-21 | 2021-07-30 | 西安交通大学口腔医院 | Membrane nail implanter |
| CN113180871B (en) * | 2021-05-21 | 2024-08-09 | 西安交通大学口腔医院 | Membrane nail implantation device |
Also Published As
| Publication number | Publication date |
|---|---|
| CN107714209B (en) | 2023-10-20 |
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