CN104720902B - A kind of orthodontic micro implanting nail implantation location device - Google Patents

A kind of orthodontic micro implanting nail implantation location device Download PDF

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Publication number
CN104720902B
CN104720902B CN201510132467.6A CN201510132467A CN104720902B CN 104720902 B CN104720902 B CN 104720902B CN 201510132467 A CN201510132467 A CN 201510132467A CN 104720902 B CN104720902 B CN 104720902B
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China
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plantation
scale
micro
nail implantation
location device
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Expired - Fee Related
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CN201510132467.6A
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CN104720902A (en
Inventor
季骏
王文梅
黎景景
王天丛
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Abstract

The present invention relates to a kind of method of the micro- plantation nail implantation positioning of correction, the oral cavity that micro- plantation nail implantation is treated first carries out CBCT scannings, carries out the three-dimensional reconstruction of oral cavity structure, form 3D solid iconic model;Then micro- plantation dolly set type is imported into computer, determines the default planting location of micro- plantation nail;Biteplane plate is put into patient mouthful, horizontal anomalous movement unit is set on the biteplane plate, the lifting for being connected with plantation rifle guide pipe, rotating unit are set on the active unit, it is determined that plantation rifle guide pipe and the vertical range of biteplane plate and micro- plantation nail plantation direction;Finally plantation rifle is connected on the plantation rifle guide pipe, plantation operation is carried out.Have the beneficial effect that:The accuracy of micro- plantation nail implantation can be effectively improved, the expulsion rate of micro- plantation nail implantation is reduced, good rectifying effect is reached, and the pain and medical expense of patient can be mitigated, the clinical position time of doctor is saved.

Description

A kind of orthodontic micro implanting nail implantation location device
Technical field
The present invention relates to dental care equipment, more particularly to a kind of orthodontic micro implanting nail implantation location device.
Background technology
In Orthodontic Treatment, strengthen the problem of anchorage and the control to anchorage are always one challenging.Mouthful Interior anchorage can obtain the Zhi Kangli for providing stability and high efficiency, the Mini-screw anchorage system especially developed rapidly in the last few years System.Because its is functional, effect stability is by domestic and international extensive concern.It is micro- plantation nail advantage without patient compliance, In intraoral enhancing anchorage, operation wound is small, simple to operate, shortens the correction course for the treatment of.At the beginning of 2004, micro- helix planting pinlay Occur, make the area increase of micro- plantation nail implantation human body alveolar bone, mechanical interlock power is strengthened, and its diameter is smaller, and surface is more smooth, Orthodontic force loading can be carried out in the state of no Integrated implant.
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 Just there is the risk of plantation nail damage root of the tooth and plantation nail Enters upper jaw Dou.Therefore, scholars always strive to develop a kind of real Implantation positioning device is followed closely with reliable plantation.And it is accurately positioned the research of implant site about micro- plantation nail both at home and abroad at present, greatly Cause has 2 kinds of methods:1. relying on the micro-judgment of doctor under normal circumstances, judge in conjunction with X-ray film is shot between two roots of the tooth Distance, the error of this method is inevitable, because its observation is in one plane, can not specifically to show root of the tooth Position.2. wire is placed using intraoral dissection or Oral appliances, with reference to X piece auxiliary positionings.Research is rested on mostly above On the basis of bidimensional image, its error measured is big, and the degree of accuracy is low apparent.
In summary, at present still without a kind of preferably micro- plantation nail implantation localization method.Existing method, no matter its design It is coarse or fine, all in the presence of a common defects, i.e., the no accurate reliable standard of determination and direction of point is initially implanted into, once The position that doctor judges is improper, it is necessary to repositions, makes film again, there may come a time when that need to clap multiple X-rays can just obtain most preferably Position, this is clearly to be difficult to what is received for patient.
The content of the invention
Present invention aims to overcome that there is provided a kind of micro- plantation nail implantation positioning dress of correction for the deficiency of above prior art Put, specifically there is following technical scheme realization:
The method that the micro- plantation nail of correction is implanted into positioning, the oral cavity progress CBCT that micro- plantation nail implantation is treated first is swept Retouch, carry out the three-dimensional reconstruction of oral cavity structure, formation contains tooth, jawbone, maxillary sinus, the three-dimensional of mandibular nerve conduit anatomical structure Solid images model;
Then micro- plantation dolly set type is imported into computer, by virtually being planted in the 3D solid iconic model Plant, determine the default planting location of micro- plantation nail;
It is put into patient mouthful and is close to tooth and the biteplane plate concordant with occlusal surface, water is set on the biteplane plate Flat active unit, sets the lifting for being connected with plantation rifle guide pipe, rotating unit, according to default planting location on the active unit Information is lifted by horizontal anomalous movement cell location, rotating unit, to determine to plant projection of the rifle guide pipe on biteplane plate Position, further according to default planting location regulation slide, rotating unit determine plantation rifle guide pipe it is vertical with biteplane plate away from From and it is micro- plantation nail plantation direction;
Finally plantation rifle is connected on the plantation rifle guide pipe, plantation operation is carried out.
According to the method for the micro- plantation nail implantation positioning of the correction there is provided a kind of orthodontic micro implanting nail implantation location device, The positioner is arranged on biteplane plate be connected with plantation rifle anterior sliding sleeve, including horizontal slide scale, it is vertical calmly Position scale, lifting swinging mounting and plantation rifle guide pipe, the horizontal slide scale parallel to biteplane plate set and It is slidably connected on biteplane plate, the perpendicular positioning scale is set perpendicular to horizontal slide scale, perpendicular positioning mark One end of chi is slidably connected to horizontal slide scale, and the other end is flexibly connected with the lifting swinging mounting, and the plantation rifle is led Lifting swinging mounting is rotatably connected to pipe.
The further design of the orthodontic micro implanting nail implantation location device is, the horizontal slide scale is relative to stinging It is forked fixed part to close surface plate one end, and the fixed part is provided with fixing bolt, and fixed part is screwed by fixing bolt Realize affixed with biteplane plate.
The further design of the orthodontic micro implanting nail implantation location device is that the horizontal slide scale is provided with water Flat scale.
The further design of the orthodontic micro implanting nail implantation location device is that one end of the perpendicular positioning scale is set There is a slip cap, be provided with first sliding eye being engaged with horizontal slide scale in the slip cap, slip cap is radially worn The first bolt is connected to, the perpendicular positioning scale is provided with vertical scale.
The further design of the orthodontic micro implanting nail implantation location device is that the horizontal slide scale is rectangle Block, first sliding eye is the square hole matched with the rectangular block.
The further design of the orthodontic micro implanting nail implantation location device is that the lifting swinging mounting includes activity Set, connecting plate, rotational sleeve, power transmission shaft and adjusting nut, the movable sleeve are fixed on the connecting plate, in the movable sleeve Provided with the second sliding eye being engaged with perpendicular positioning scale, radially wearing for movable sleeve is connected to the second bolt, the biography One end of moving axis is connected to that connecting plate is affixed with rotational sleeve, and the adjusting nut is screwed on the other end of power transmission shaft.
The further design of the orthodontic micro implanting nail implantation location device, which is that the plantation rifle guide pipe is socketed on, to be turned The 3rd bolt being oriented to for fixed plantation rifle is connected with moving sleeve, on rotational sleeve.
The further design of the orthodontic micro implanting nail implantation location device is that the movable sleeve is carved provided with angle Degree.
The further design of the orthodontic micro implanting nail implantation location device is that the biteplane plate is provided with coordinate Scale.
Advantages of the present invention is as follows:
The orthodontic micro implanting nail implantation location device that the present invention is provided can be effectively improved the essence of micro- plantation nail implantation Exactness, reduces the expulsion rate of micro- plantation nail implantation, reaches good rectifying effect, and can mitigate the pain and payment for medical care of patient With the clinical position time of saving doctor;Especially for need using implant anchorage and between implantation region alveolar bone condition or root The not good patient away from condition, relatively conventional method has more obvious advantage, can effectively reduce because damage root of the tooth and tooth Zhou Zaocheng clinical planting body comes off.
Brief description of the drawings
Fig. 1 is the use schematic diagram of the orthodontic micro implanting nail implantation location device provided based on the present invention.
Fig. 2 is orthodontic micro implanting nail implantation location device structural representation.
Fig. 3 is the top view of orthodontic micro implanting nail implantation location device shown in Fig. 1.
Fig. 4 for the top view of orthodontic micro implanting nail implantation location device shown in Fig. 3 A to schematic diagram.
The horizontal slide scales of 1-, 11- fixed parts, 12- fixing bolts, 13- horizontal scales, 2- perpendicular positioning scales, 21- is slided Dynamic set, the bolts of 22- first, the screwed holes of 23- first, 24- square holes, 25- vertical scales, 3- lifting swinging mountings, 31- activities Set, the bolts of 32- second, 33- angle indexs, the screwed holes of 34- second, the sliding eyes of 35- second, 36- rotational sleeves, 37- the Three bolts, 38- power transmission shafts, 39- adjusting nuts, 310- connecting plates, 4- kinds plant rifle guide pipe, and 5- biteplane plates, 51- is sat Indexing, 6- teeth.
Embodiment
The present invention program is described in detail below in conjunction with the accompanying drawings.
Compares figure 1, the method for the micro- plantation nail implantation positioning of correction that the present embodiment is provided, comprises the following steps:
The oral cavity for treating micro- plantation nail implantation first carries out CBCT scannings, carries out the three-dimensional reconstruction of oral cavity structure, formation contains There are tooth, jawbone, maxillary sinus, the 3D solid iconic model of mandibular nerve conduit anatomical structure.
Then micro- plantation dolly set type is imported into computer, by virtually being planted in 3D solid iconic model, really The default planting location of fixed micro- plantation nail.
It is put into patient mouthful and is close to tooth 6 and the biteplane plate 5 concordant with occlusal surface, is set on the biteplane plate 5 Horizontal anomalous movement unit is put, the lifting for being connected with plantation rifle guide pipe 4, rotating unit are set on the active unit, according to default kind Positional information is planted by the lifting of horizontal anomalous movement cell location, rotating unit, to determine plantation rifle guide pipe 4 in biteplane plate 5 On projected position, slided further according to the regulation of default planting location, rotating unit determines plantation rifle guide pipe 4 and biteplane plate 5 vertical range and micro- plantation nail plantation direction.
Finally plantation rifle is connected on plantation rifle guide pipe 4, plantation operation is carried out.
According to the method for the micro- plantation nail implantation positioning of above-mentioned correction there is provided a kind of orthodontic micro implanting nail implantation location device, The positioner is arranged on biteplane plate 5 to be connected with the anterior slip cap 21 of plantation rifle.Positioner is mainly slided by level Dynamic scale 1, perpendicular positioning scale 2, lifting swinging mounting 3 and plantation rifle guide pipe 4 are constituted.Wherein, horizontal slide scale 1 is The above-mentioned horizontal anomalous movement unit referred to, lifting swinging mounting 3 be the above-mentioned lifting referred to, rotating unit, horizontal slide scale 1 with Lifting swinging mounting 3 is connected by perpendicular positioning scale 2.
Horizontal slide scale 1 sets and is slidably connected on biteplane plate 5 parallel to biteplane plate 5.Hang down Straight Position Scale 2 is set perpendicular to horizontal slide scale 1.One end of perpendicular positioning scale 2 is slidably connected to horizontal slide scale 1, the other end is flexibly connected with lifting swinging mounting 3, and plantation rifle guide pipe 4 is fixed in one end of lifting swinging mounting 3, referring to figure 2.Biteplane plate 5 is provided with coordinate scale 51, to the seat with the default planting location in above-mentioned 3D solid iconic model Mark parameter corresponding.
Horizontal slide scale 1 is forked fixed part 11 relative to the one end of biteplane plate 5, as shown in Figure 2.Fixed part 11 Be provided with fixing bolt 12, fixed part 11 by fixing bolt 12 screw realize it is affixed with biteplane plate 5.When fixed solid When determining the release of bolt 12, fixed part 11 can be at the edge of biteplane plate 5 slidably;When fixed fixing bolt 12 be screwed to When the lower surface of biteplane plate 5 offsets, fixation of the horizontal slide scale 1 on biteplane plate 5 is realized.In the present embodiment Biteplane plate 5 is the oral cavity plastics that the art is commonly used.Horizontal slide scale 1 is provided with horizontal scale 13, to show to hang down The straight distance for being set to scale and the edge of biteplane plate 5.
One end of perpendicular positioning scale 2 is provided with slip cap 21, slip cap 21 and is engaged provided with one with horizontal slide scale 1 The first sliding eye, radially wearing for slip cap 21 be connected to the first bolt 22.In order to ensure perpendicular positioning scale 2 and level Slide scale 1 keeps vertical, and the cross section of the horizontal slide scale 1 of the present embodiment is rectangle, is matched with the horizontal slide scale 1 The first sliding eye use square hole 24, referring to Fig. 4.In the radial position of the side of square hole 24, provided with penetrate square hole 24 with slip The first screwed hole 23 of 21 outer peripheral faces is covered, above-mentioned first bolt 22, which is worn, to be connected in the screwed hole 23.When the first bolt 22 spin to one end and horizontal slide scale 1 offset when, realize perpendicular positioning scale 2 along along the horizontal direction of slide scale 1 Horizontal location, on the contrary when the first bolt 22 unclamps, perpendicular positioning scale 2 can on horizontal slide scale 1 with perpendicular to The attitude of horizontal slide scale 1 slidably, adjusts the spacing of perpendicular positioning scale 2 and biteplane edge.Perpendicular positioning mark Chi, which is provided with, to be used to indicate vertical scale 25 of the lifting swinging mounting 3 apart from the vertical interval of horizontal slide scale 1.
Lift swinging mounting main by movable sleeve 31, connecting plate 310, rotational sleeve 36, power transmission shaft 38 and adjusting nut 39 Composition.Movable sleeve 31 is fixed on connecting plate 310.Slided in movable sleeve 31 provided with second be engaged with perpendicular positioning scale 2 Hole 35.Radially wearing for movable sleeve 31 is connected to the second bolt 32.Second sliding eye 35 is a circular hole, the circular hole side In radial position, provided with the second screwed hole 34 for penetrating circular hole and the outer peripheral face of movable sleeve 31, above-mentioned second bolt 3, which is worn, to be connected on In the screwed hole 34, as shown in Figure 3.One end of power transmission shaft 38 is connected to connecting plate 310 and rotational sleeve 36 is affixed.On power transmission shaft Provided with screw thread, adjusting nut 39 is screwed on the other end of power transmission shaft.Plantation rifle guide pipe 4 is socketed in rotational sleeve.Rotate The 3rd bolt 37 being oriented to for fixed plantation rifle is connected with sleeve 36.
Movable sleeve 31 is provided with projection and the angle of angle between horizontal slide scale 1 to show lifting swinging mounting 3 Scale 33.In the height of regulation lifting swinging mounting 3, the second bolt 32, mobile movable sleeve 31, to default plantation are unclamped The direction of scale adjustment lifting swinging mounting 3 in the height of position, the angle and movable sleeve 31 further according to default planting location, The second bolt 32 is screwed, now the projected position of rotational sleeve has determined that.Connecting plate in the present embodiment is provided with angle Scale(It is not drawn into figure), for measuring rotational sleeve in perpendicular, the angle that more horizontal position is rotated.It is finally inserted kind Plant rifle conduit, according to parameter regulation rotational sleeve vertical direction attitude to default planting location, screw the 3rd bolt, So far the position fixing process of plantation rifle guide pipe 4 is completed.
The orthodontic micro implanting nail implantation location device that the present embodiment is provided can be effectively improved micro- plantation nail implantation Accuracy, reduces the expulsion rate of micro- plantation nail implantation, reaches good rectifying effect, and can mitigate the painful and medical treatment of patient Expense, saves the clinical position time of doctor;Especially for needing using implant anchorage and implantation region alveolar bone condition or root The not good patient of spacing condition, relatively conventional method has more obvious advantage, can effectively reduce because damage root of the tooth and Clinical planting body that periodontal is caused comes off.

Claims (9)

1. a kind of orthodontic micro implanting nail implantation location device, the positioner is arranged on biteplane plate sliding with plantation rifle front portion Moving sleeve is connected, it is characterised in that be oriented to including horizontal slide scale, perpendicular positioning scale, lifting swinging mounting and plantation rifle Pipe, the horizontal slide scale sets and is slidably connected on biteplane plate parallel to biteplane plate, described to hang down Straight Position Scale is set perpendicular to horizontal slide scale, and one end of perpendicular positioning scale is slidably connected to horizontal slide scale, separately One end is flexibly connected with the lifting swinging mounting, and the plantation rifle guide pipe is rotatably connected at lifting swinging mounting.
2. orthodontic micro implanting nail implantation location device according to claim 1, it is characterised in that the horizontal slide scale It is forked fixed part relative to biteplane plate one end, the fixed part is provided with fixing bolt, and fixed part passes through fixed spiral shell The screwing of bolt is realized affixed with biteplane plate.
3. orthodontic micro implanting nail implantation location device according to claim 1, it is characterised in that the horizontal slide scale It is provided with horizontal scale.
4. orthodontic micro implanting nail implantation location device according to claim 1, it is characterised in that the perpendicular positioning scale One end be provided with slip cap, first sliding eye being engaged with horizontal slide scale is provided with the slip cap, slip cap Radially wear and be connected to the first bolt, the perpendicular positioning scale is provided with vertical scale.
5. orthodontic micro implanting nail implantation location device according to claim 4, it is characterised in that the horizontal slide scale For rectangular block, first sliding eye is the square hole matched with the rectangular block.
6. orthodontic micro implanting nail implantation location device according to claim 1, it is characterised in that the lifting swinging mounting Including movable sleeve, connecting plate, rotational sleeve, power transmission shaft and adjusting nut, the movable sleeve is fixed on the connecting plate, described Provided with the second sliding eye being engaged with perpendicular positioning scale in movable sleeve, radially wearing for movable sleeve is connected to the second positioning spiral shell Bolt, one end of the power transmission shaft is connected to that connecting plate is affixed with rotational sleeve, and the adjusting nut is screwed in the another of power transmission shaft On end.
7. orthodontic micro implanting nail implantation location device according to claim 6, it is characterised in that the plantation rifle guide pipe It is socketed in rotational sleeve, the 3rd bolt for fixed plantation rifle guide pipe is connected with rotational sleeve.
8. orthodontic micro implanting nail implantation location device according to claim 6, it is characterised in that the movable sleeve is provided with Angle index.
9. orthodontic micro implanting nail implantation location device according to claim 1, it is characterised in that on the biteplane plate Provided with coordinate scale.
CN201510132467.6A 2015-03-25 2015-03-25 A kind of orthodontic micro implanting nail implantation location device Expired - Fee Related CN104720902B (en)

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CN107714209B (en) * 2017-11-06 2023-10-20 浙江大学医学院附属口腔医院 Planting nail positioning device and positioning method thereof
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CN108969126B (en) * 2018-08-06 2020-09-08 郑州大学第一附属医院 Planting nail positioning device
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