CN104720902A - Method and device for implanting and locating micro planting nail for orthodontics - Google Patents
Method and device for implanting and locating micro planting nail for orthodontics Download PDFInfo
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- CN104720902A CN104720902A CN201510132467.6A CN201510132467A CN104720902A CN 104720902 A CN104720902 A CN 104720902A CN 201510132467 A CN201510132467 A CN 201510132467A CN 104720902 A CN104720902 A CN 104720902A
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Abstract
The invention relates to a method for implanting and locating a micro planting nail for orthodontics. The method comprises the steps that an oral cavity to be implanted with the micro planting nail is subjected to CBCT (Cone Beam Computed Tomography); a three-dimensional reconstruction for an oral cavity structure is performed; a three-dimensional entity image model is formed; a micro planting nail model is imported into a computer; a preset planting position for the micro planting nail is determined; an occlusal plane plate is put in a mouth of a patient; a horizontal movable unit is arranged on the occlusal plane plate; a lifting and rotation unit connected with a planting gun guide tube is arranged on the movable unit; a vertical distance between the planting gun guide tube and the occlusal plane plate and a planting direction of the micro planting nail are determined; and a planting gun is finally connected with the planting gun guide tube for planting operation. The method has the benefits that the implantation precision of the micro planting nail can be improved effectively; an implantation falling-off rate of the micro planting nail is reduced; a good correction effect is achieved; the pain and the hospitalization cost of a patient can be relieved and reduced; and the clinical working time of a doctor is saved.
Description
Technical field
The present invention relates to dental care equipment, particularly relate to a kind of orthodontic micro implanting nail implantation location device.
Background technology
In Orthodontic Treatment, add Enhanced anchorase and be a challenging problem to the control of anchorage always.Intra-oral anchorage can obtain the Zhi Kangli providing stability and high efficiency, the Mini-screw anchorage system developed rapidly especially in the last few years.Because it is functional, effect stability is subject to domestic and international extensive concern.The advantage of micro-plantation nail is, without the need to patient compliance, in mouth, to strengthen anchorage, and operation wound is little, simple to operate, shortens correction course for the treatment of.At the beginning of 2004, the appearance of micro-helix planting pinlay, the area of micro-plantation nail implant into body alveolar bone is increased, and mechanical interlock power is strengthened, and its diameter is less, and surface is more smooth, can carry out Orthodontic force loading under the state not having Integrated implant.
Clinically in most cases, micro-plantation nail is implanted in the alveolar bone between adjacent root of the tooth from cheek side, at this moment just there is the risk of plantation nail damage root of the tooth and plantation nail Enters upper jaw Dou.For this reason, scholars attempt to develop a kind of practical nail of plantation reliably implantation positioning device always.And at present both at home and abroad about the research of micro-plantation nail accurate location implant site, roughly there are 2 kinds of methods: 1. the micro-judgment relying on doctor under normal circumstances, combination shooting X-ray film judges the distance between two roots of the tooth again, the error of this method is inevitable, because its observation is in one plane, display tooth location of root that can not be concrete.2. utilize in mouth and dissect or Oral appliances placement tinsel, in conjunction with X sheet auxiliary positioning.More than studying is rest on bidimensional image basis mostly, and its error measured is large, and accuracy is obviously low.
In sum, a kind of desirable micro-plantation nail is not still had to implant localization method at present.Existing method, no matter its design is coarse or meticulous, all there is a common defects, the i.e. initial inaccurate standard reliably of determination and direction implanting point, once the position that doctor judges is improper, must reorientates, again make film, sometimes may need to clap multiple X-rays and just can obtain optimum position, this is obviously difficult to accept for patient.
Summary of the invention
The object of the invention is the deficiency overcoming above prior art, provides a kind of orthodontic micro implanting nail implantation location device, specifically has following technical scheme to realize:
The method of location implanted by the micro-plantation nail of described correction, CBCT scanning is carried out in the oral cavity of first treating the implantation of micro-plantation nail, carry out the three-dimensional reconstruction of oral cavity structure, form the 3D solid iconic model containing tooth, jawbone, maxillary sinus, nervus mandibularis conduit anatomical structure;
Then micro-plantation dolly set type being imported computer, by carrying out virtual plantation in described 3D solid iconic model, determining the default planting location of micro-plantation nail;
Put in patient's mouth and be close to tooth and the biteplane plate concordant with occlusal surface, this biteplane plate arranges horizontal anomalous movement unit, setting is connected with lifting, the rotating unit of plantation rifle guide pipe on the active unit, according to default planting location information by the lifting of horizontal anomalous movement cell location, rotating unit, to determine the plantation projected position of rifle guide pipe on biteplane plate, then according to preset planting location regulate slide, vertical dimension that rotating unit determines to plant rifle guide pipe and biteplane plate and micro-plantation follow closely and plant direction;
Finally plantation rifle is connected on described plantation rifle guide pipe, carries out plantation operation.
The method of location is implanted according to the micro-plantation nail of described correction, a kind of orthodontic micro implanting nail implantation location device is provided, this positioner is arranged on biteplane plate and is connected with the anterior sliding sleeve of plantation rifle, comprise horizontal slip scale, perpendicular positioning scale, lifting swinging mounting and plantation rifle guide pipe, described horizontal slip scale is parallel to biteplane plate and arranges and be connected on biteplane plate slidably, described perpendicular positioning scale is arranged perpendicular to horizontal slip scale, one end of perpendicular positioning scale is slidably connected to horizontal slip scale, the other end is flexibly connected with described lifting swinging mounting, described plantation rifle guide pipe is connected to lifting swinging mounting rotationally.
The further design of described orthodontic micro implanting nail implantation location device is, described horizontal slip scale is forked fixed part relative to biteplane plate one end, described fixed part is provided with set bolt, by set bolt, fixed part screws that to realize with biteplane plate affixed.
The further design of described orthodontic micro implanting nail implantation location device is, described horizontal slip scale is provided with horizontal scale.
The further design of described orthodontic micro implanting nail implantation location device is, one end of described perpendicular positioning scale is provided with slip cap, first sliding eye matched with horizontal slip scale is provided with in described slip cap, in the radial direction of slip cap, cross-under has the first bolt, and described perpendicular positioning scale is provided with vertical scale.
The further design of described orthodontic micro implanting nail implantation location device is, described horizontal slip scale is rectangular block, and described first sliding eye is the square hole matched with described rectangular block.
The further design of described orthodontic micro implanting nail implantation location device is, described lifting swinging mounting comprises movable sleeve, connecting plate, rotational sleeve, power transmission shaft and adjusting nut, described movable sleeve is fixed on described connecting plate, the second sliding eye matched with perpendicular positioning scale is provided with in described movable sleeve, in the radial direction of movable sleeve, cross-under has the second bolt, one end of described power transmission shaft is connected to connecting plate and rotational sleeve is affixed, and described adjusting nut is screwed on the other end of power transmission shaft.
The further design of described orthodontic micro implanting nail implantation location device is, described plantation rifle guide pipe is socketed in rotational sleeve, rotational sleeve is connected with the 3rd bolt for fixing plantation rifle guiding.
The further design of described orthodontic micro implanting nail implantation location device is, described movable sleeve is provided with angle index.
The further design of described orthodontic micro implanting nail implantation location device is, described biteplane plate is provided with coordinate scale.
Advantage of the present invention is as follows:
Orthodontic micro implanting nail implantation location device provided by the invention can improve the degree of accuracy that micro-plantation nail is implanted effectively, reduce the expulsion rate that micro-plantation nail is implanted, reach good rectifying effect, and misery and the medical expense of patient can be alleviated, save the clinical position time of doctor; Especially for needing to adopt implant anchorage and the not good patient of implantation region alveolar bone conditioned disjunction root spacing condition, relative conventional method has more significantly advantage, can effectively reduce because the coming off of the clinical implantation body that causes of damage root of the tooth and periodontal.
Accompanying drawing explanation
Fig. 1 is the use schematic diagram based on orthodontic micro implanting nail implantation location device provided by the 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 is for the A of the top view of orthodontic micro implanting nail implantation location device shown in Fig. 3 is to schematic diagram.
1-horizontal slip scale, 11-fixed part, 12-set bolt, 13-horizontal scale, 2-perpendicular positioning scale, 21-slip cap, 22-first bolt, 23-first screwed hole, 24-square hole, 25-vertical scale, 3-is elevated swinging mounting, 31-movable sleeve, 32-second bolt, 33-angle index, 34-second screwed hole, 35-second sliding eye, 36-rotational sleeve, 37-the 3rd bolt, 38-power transmission shaft, 39-adjusting nut, 310-connecting plate, 4-kind plants rifle guide pipe, 5-biteplane plate, 51-coordinate scale, 6-tooth.
Detailed description of the invention
Below in conjunction with accompanying drawing, the present invention program is described in detail.
Contrast Fig. 1, the method for location implanted by the micro-plantation nail of the correction that the present embodiment provides, and comprises the steps:
CBCT scanning is carried out in the oral cavity of first treating the implantation of micro-plantation nail, carries out the three-dimensional reconstruction of oral cavity structure, forms the 3D solid iconic model containing tooth, jawbone, maxillary sinus, nervus mandibularis conduit anatomical structure.
Then micro-plantation dolly set type being imported computer, by carrying out virtual plantation in 3D solid iconic model, determining the default planting location of micro-plantation nail.
Put in patient's mouth and be close to tooth 6 and the biteplane plate 5 concordant with occlusal surface, this biteplane plate 5 arranges horizontal anomalous movement unit, setting is connected with lifting, the rotating unit of plantation rifle guide pipe 4 on the active unit, according to default planting location information by the lifting of horizontal anomalous movement cell location, rotating unit, to determine to plant the projected position of rifle guide pipe 4 on biteplane plate 5, then according to preset planting location regulate slide, vertical dimension that rotating unit determines to plant rifle guide pipe 4 and biteplane plate 5 and micro-plantation follow closely and plant direction.
Finally plantation rifle is connected on plantation rifle guide pipe 4, carries out plantation operation.
Implant the method for location according to the micro-plantation nail of above-mentioned correction, provide a kind of orthodontic micro implanting nail implantation location device, this positioner is arranged on biteplane plate 5 and is connected with the anterior slip cap 21 of plantation rifle.Positioner forms primarily of horizontal slip scale 1, perpendicular positioning scale 2, lifting swinging mounting 3 and plantation rifle guide pipe 4.Wherein, horizontal slip scale 1 is the above-mentioned horizontal anomalous movement unit mentioned, lifting swinging mounting 3 be above-mentioned mention lifting, rotating unit, horizontal slip scale 1 be elevated swinging mounting 3 be connected by perpendicular positioning scale 2.
Horizontal slip scale 1 is parallel to biteplane plate 5 and arranges and be connected to slidably on biteplane plate 5.Perpendicular positioning scale 2 is arranged perpendicular to horizontal slip scale 1.One end of perpendicular positioning scale 2 is slidably connected to horizontal slip scale 1, and 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, see Fig. 2.Biteplane plate 5 is provided with coordinate scale 51, in order to corresponding with the coordinate parameters of the default planting location in above-mentioned 3D solid iconic model.
Horizontal slip scale 1 is forked fixed part 11 relative to biteplane plate 5 one end, as shown in Figure 2.Fixed part 11 is provided with set bolt 12, by set bolt 12, fixed part 11 screws that to realize with biteplane plate 5 affixed.When fixing set bolt 12 unclamps, fixed part 11 can be free to slide at the edge of biteplane plate 5; When fixing set bolt 12 be screwed to offset with the lower surface of biteplane plate 5 time, realize fixing on biteplane plate 5 of horizontal slip scale 1.The oral cavity plastics that biteplane plate 5 in the present embodiment is commonly used for the art.Horizontal slip scale 1 is provided with horizontal scale 13, to show the distance being vertically decided to be scale and biteplane plate 5 edge.
One end of perpendicular positioning scale 2 is provided with slip cap 21, is provided with first sliding eye matched with horizontal slip scale 1 in slip cap 21, and in the radial direction of slip cap 21, cross-under has the first bolt 22.Keep vertical in order to ensure perpendicular positioning scale 2 with horizontal slip scale 1, the cross section of the horizontal slip scale 1 of the present embodiment is rectangle, and the first sliding eye matched with this horizontal slip scale 1 adopts square hole 24, see Fig. 4.In the radial position of this square hole 24 side, be provided with the first screwed hole 23 penetrating square hole 24 and slip cap 21 outer peripheral face, above-mentioned first bolt 22 cross-under is in this screwed hole 23.When the first bolt 22 spin offset to one end and horizontal slip scale 1 time, realize perpendicular positioning scale 2 along the horizontal location on horizontal slip scale 1 direction, otherwise when the first bolt 22 unclamps, perpendicular positioning scale 2 can be free to slide perpendicular to the attitude of horizontal slip scale 1 on horizontal slip scale 1, the spacing at adjustment perpendicular positioning scale 2 and biteplane edge.Perpendicular positioning scale is provided with for indicating the vertical scale 25 of lifting swinging mounting 3 apart from the vertical interval of horizontal slip scale 1.
Lifting swinging mounting forms with adjusting nut 39 primarily of movable sleeve 31, connecting plate 310, rotational sleeve 36, power transmission shaft 38.Movable sleeve 31 is fixed on connecting plate 310.The second sliding eye 35 matched with perpendicular positioning scale 2 is provided with in movable sleeve 31.In the radial direction of movable sleeve 31, cross-under has the second bolt 32.This second sliding eye 35 is a circular hole, in the radial position of this circular hole side, is provided with the second screwed hole 34 penetrating circular hole and movable sleeve 31 outer peripheral face, above-mentioned second bolt 3 cross-under in this screwed hole 34, as shown in Figure 3.It is affixed with rotational sleeve 36 that one end of power transmission shaft 38 is connected to connecting plate 310.Power transmission shaft is provided with screw thread, and adjusting nut 39 is screwed on the other end of power transmission shaft.Plantation rifle guide pipe 4 is socketed in rotational sleeve.Rotational sleeve 36 is connected with the 3rd bolt 37 for fixing plantation rifle guiding.
Movable sleeve 31 is provided with the angle index 33 showing angle between the projection of lifting swinging mounting 3 and horizontal slip scale 1.When regulating the height of lifting swinging mounting 3, unclamp the second bolt 32, mobile movable sleeve 31, to the height presetting planting location, again according to the direction of the scale adjustment lifting swinging mounting 3 preset on the angle of planting location and movable sleeve 31, screw the second bolt 32, now the projected position of rotational sleeve is determined.Connecting plate in the present embodiment is provided with angle index (not shown in FIG.), for measuring rotational sleeve in perpendicular, compared with the angle that horizontal level rotates.Finally insert plantation rifle conduit, extremely preset planting location according to parameter regulating rotary moving sleeve in the attitude of vertical direction, screw the 3rd bolt, the position fixing process of so far planting rifle guide pipe 4 completes.
The orthodontic micro implanting nail implantation location device that the present embodiment provides can improve the degree of accuracy that micro-plantation nail is implanted effectively, reduce the expulsion rate that micro-plantation nail is implanted, reach good rectifying effect, and misery and the medical expense of patient can be alleviated, save the clinical position time of doctor; Especially for needing to adopt implant anchorage and the not good patient of implantation region alveolar bone conditioned disjunction root spacing condition, relative conventional method has more significantly advantage, can effectively reduce because the coming off of the clinical implantation body that causes of damage root of the tooth and periodontal.
Claims (10)
1. the method for locating implanted by the micro-plantation nail of correction, it is characterized in that CBCT scanning is carried out in the oral cavity of first treating the implantation of micro-plantation nail, carry out the three-dimensional reconstruction of oral cavity structure, form the 3D solid iconic model containing tooth, jawbone, maxillary sinus, nervus mandibularis conduit anatomical structure;
Then micro-plantation dolly set type being imported computer, by carrying out virtual plantation in described 3D solid iconic model, determining the default planting location of micro-plantation nail;
Put in patient's mouth and be close to tooth and the biteplane plate concordant with occlusal surface, this biteplane plate arranges horizontal anomalous movement unit, setting is connected with lifting, the rotating unit of plantation rifle guide pipe on the active unit, according to default planting location information by the lifting of horizontal anomalous movement cell location, rotating unit, to determine the plantation projected position of rifle guide pipe on biteplane plate, then according to preset planting location regulate slide, vertical dimension that rotating unit determines to plant rifle guide pipe and biteplane plate and micro-plantation follow closely and plant direction;
Finally plantation rifle is connected on described plantation rifle guide pipe, carries out plantation operation.
2. the method for location is implanted according to the micro-plantation nail of described correction, a kind of orthodontic micro implanting nail implantation location device is provided, this positioner is arranged on biteplane plate and is connected with the anterior sliding sleeve of plantation rifle, it is characterized in that comprising horizontal slip scale, perpendicular positioning scale, lifting swinging mounting and plantation rifle guide pipe, described horizontal slip scale is parallel to biteplane plate and arranges and be connected on biteplane plate slidably, described perpendicular positioning scale is arranged perpendicular to horizontal slip scale, one end of perpendicular positioning scale is slidably connected to horizontal slip scale, the other end is flexibly connected with described lifting swinging mounting, described plantation rifle guide pipe is connected to lifting swinging mounting rotationally.
3. orthodontic micro implanting nail implantation location device according to claim 2, it is characterized in that described horizontal slip scale is forked fixed part relative to biteplane plate one end, described fixed part is provided with set bolt, by set bolt, fixed part screws that to realize with biteplane plate affixed.
4. orthodontic micro implanting nail implantation location device according to claim 2, is characterized in that described horizontal slip scale is provided with horizontal scale.
5. orthodontic micro implanting nail implantation location device according to claim 2, it is characterized in that one end of described perpendicular positioning scale is provided with slip cap, first sliding eye matched with horizontal slip scale is provided with in described slip cap, in the radial direction of slip cap, cross-under has the first bolt, and described perpendicular positioning scale is provided with vertical scale.
6. orthodontic micro implanting nail implantation location device according to claim 5, is characterized in that described horizontal slip scale is rectangular block, and described first sliding eye is the square hole matched with described rectangular block.
7. orthodontic micro implanting nail implantation location device according to claim 2, it is characterized in that described lifting swinging mounting comprises movable sleeve, connecting plate, rotational sleeve, power transmission shaft and adjusting nut, described movable sleeve is fixed on described connecting plate, the second sliding eye matched with perpendicular positioning scale is provided with in described movable sleeve, in the radial direction of movable sleeve, cross-under has the second bolt, one end of described power transmission shaft is connected to connecting plate and rotational sleeve is affixed, and described adjusting nut is screwed on the other end of power transmission shaft.
8. orthodontic micro implanting nail implantation location device according to claim 7, is characterized in that described plantation rifle guide pipe is socketed in rotational sleeve, rotational sleeve is connected with the 3rd bolt for fixing plantation rifle guiding.
9. orthodontic micro implanting nail implantation location device according to claim 2, is characterized in that described movable sleeve is provided with angle index.
10. orthodontic micro implanting nail implantation location device according to claim 2, is characterized in that described biteplane plate is provided with coordinate scale.
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| Application Number | Priority Date | Filing Date | Title |
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| CN201510132467.6A CN104720902B (en) | 2015-03-25 | 2015-03-25 | A kind of orthodontic micro implanting nail implantation location device |
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| CN201510132467.6A CN104720902B (en) | 2015-03-25 | 2015-03-25 | A kind of orthodontic micro implanting nail implantation location device |
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| CN104720902B CN104720902B (en) | 2017-07-14 |
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| 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 |
| CN111220371A (en) * | 2020-03-08 | 2020-06-02 | 哈尔滨理工大学 | Device for measuring maximum torque borne by vertical orthodontic anchorage nail and using method |
| CN112587259A (en) * | 2020-12-02 | 2021-04-02 | 北京齿康技术发展有限公司 | Orthodontic arch wire end treatment device for stomatologist |
| US11049276B2 (en) | 2018-06-29 | 2021-06-29 | Industrial Technology Research Institute | Positioning guidance method and system for tooth brackets |
| CN113180871A (en) * | 2021-05-21 | 2021-07-30 | 西安交通大学口腔医院 | Membrane nail implanter |
| CN113813066A (en) * | 2021-11-18 | 2021-12-21 | 极限人工智能(北京)有限公司 | Oral cavity positioner and implant robot system |
| CN114903621A (en) * | 2022-05-30 | 2022-08-16 | 郑州大学第一附属医院 | Auxiliary anchorage nail positioning implantation device for orthodontic treatment and use method thereof |
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| CN106073914A (en) * | 2016-08-18 | 2016-11-09 | 山西医科大学 | The universal position finder of micro-implant |
| CN107411832A (en) * | 2017-05-25 | 2017-12-01 | 西安交通大学口腔医院 | The device for pre-positioning and application method of the broken hat perforate in face are closed for implant prosthesis tooth |
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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 |
| CN107714209A (en) * | 2017-11-06 | 2018-02-23 | 浙江大学医学院附属口腔医院 | One kind plantation screw positioning device and its localization method |
| US11049276B2 (en) | 2018-06-29 | 2021-06-29 | Industrial Technology Research Institute | Positioning guidance method and system for tooth brackets |
| 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 |
| CN111220371A (en) * | 2020-03-08 | 2020-06-02 | 哈尔滨理工大学 | Device for measuring maximum torque borne by vertical orthodontic anchorage nail and using method |
| CN111220371B (en) * | 2020-03-08 | 2021-07-09 | 哈尔滨理工大学 | Device for measuring maximum bearing torque of vertical orthodontic anchorage nail and using method |
| CN112587259A (en) * | 2020-12-02 | 2021-04-02 | 北京齿康技术发展有限公司 | Orthodontic arch wire end treatment device for stomatologist |
| CN113180871A (en) * | 2021-05-21 | 2021-07-30 | 西安交通大学口腔医院 | Membrane nail implanter |
| CN113813066A (en) * | 2021-11-18 | 2021-12-21 | 极限人工智能(北京)有限公司 | Oral cavity positioner and implant robot system |
| CN114903621A (en) * | 2022-05-30 | 2022-08-16 | 郑州大学第一附属医院 | Auxiliary anchorage nail positioning implantation device for orthodontic treatment and use method thereof |
| CN114903621B (en) * | 2022-05-30 | 2023-05-02 | 郑州大学第一附属医院 | Auxiliary anchorage nail positioning implantation device for orthodontic treatment and application method thereof |
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