CN110314003A - The production method and guidance bonding guide plate of digitlization plantation guidance bonding guide plate - Google Patents
The production method and guidance bonding guide plate of digitlization plantation guidance bonding guide plate Download PDFInfo
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- CN110314003A CN110314003A CN201910604060.7A CN201910604060A CN110314003A CN 110314003 A CN110314003 A CN 110314003A CN 201910604060 A CN201910604060 A CN 201910604060A CN 110314003 A CN110314003 A CN 110314003A
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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
- A61C8/009—Implanting tools or instruments for selecting the right implanting element, e.g. templates
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- B—PERFORMING OPERATIONS; TRANSPORTING
- B33—ADDITIVE MANUFACTURING TECHNOLOGY
- B33Y—ADDITIVE MANUFACTURING, i.e. MANUFACTURING OF THREE-DIMENSIONAL [3-D] OBJECTS BY ADDITIVE DEPOSITION, ADDITIVE AGGLOMERATION OR ADDITIVE LAYERING, e.g. BY 3-D PRINTING, STEREOLITHOGRAPHY OR SELECTIVE LASER SINTERING
- B33Y10/00—Processes of additive manufacturing
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- B—PERFORMING OPERATIONS; TRANSPORTING
- B33—ADDITIVE MANUFACTURING TECHNOLOGY
- B33Y—ADDITIVE MANUFACTURING, i.e. MANUFACTURING OF THREE-DIMENSIONAL [3-D] OBJECTS BY ADDITIVE DEPOSITION, ADDITIVE AGGLOMERATION OR ADDITIVE LAYERING, e.g. BY 3-D PRINTING, STEREOLITHOGRAPHY OR SELECTIVE LASER SINTERING
- B33Y50/00—Data acquisition or data processing for additive manufacturing
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- Engineering & Computer Science (AREA)
- Chemical & Material Sciences (AREA)
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- Orthopedic Medicine & Surgery (AREA)
- Oral & Maxillofacial Surgery (AREA)
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Abstract
The invention discloses the production methods that guidance bonding guide plate is planted in digitlization, comprising the following steps: implant operation conceptual design；The acquisition of implant three-dimensional space；The design of dummy；Guidance is in place and is bonded the design of guide plate；Dummy tissue surface homogenization processing；Guide plate and dummy punching are handled；Guide plate and repair shaping.The present invention is by changing digitizing technique, it is in the preoperative guidance with the dental implant three-dimensional space relative position of operation designing, it designs and makes provisional prosthesis, design simultaneously and 3D printing digitize Immediate prosthesis and guide in place and bonding guide plate, after the completion of implant operation, spatial position in place, in recovery virtual design is completed under the guidance of guide plate, and it is bonding with temporary abutment with this position progress dummy, it is finally completed Immediate prosthesis.
Description
Technical field
The present invention relates to field of medical technology, and in particular to the production method and guidance of digitlization plantation guidance bonding guide plate
It is bonded guide plate.
Background technique
It is to solve tooth body Lieque to become estranged one of the most frequently used repair mode of dentition defect that plantation, which is repaired, as the means of reparation
Non- simple surgical operation, " repair as guiding " discuss topic warmly as the circle of plantation in recent years.Target dummy space
(Target Restoration Space, TRS) theory proposes the solution of plantation repair capsule, by entity or virtually
The technologies such as repair capsule, advance notice and functional assessment, survey or push over the profile and border for obtaining target dummy, and arrangement and docking are closed
The information such as system obtain the overall process of the numerical requirements and transfer quantitative relation of dummy spatial position, guidance clinic and production.
Important in inhibiting is repaired in the plantation in aesthstic area at once, largely compared secondary reconstruction and Immediate prosthesis, it is believed that plantation
Temporary crown can be supported the soft tissue in aesthstic area, moulding and inducing action, and Immediate prosthesis can slow down marginal gingival recession dimension
Gum form is held, supports epithelial tissue, stablizes blood clot, is conducive to soft tissue healing, can get more preferable aesthetic effect.So right
The improvement and invention of Immediate prosthesis technology are very significant.
Current plantation Immediate prosthesis technology is broadly divided into direct method and indirect method, and direct method is to use finished product tooth or facing,
It is Nian Jie with base station completion in mouth, and subsequent production is completed outside mouth, finally it is fixed with implant.Indirect method can be divided into two again
Kind, one is modulus in mouth to go to a mouthful external model, is made in vitro by Dental Technician, it is worn in ex vivo again after completing,
But this mode is due to needing modulus, easy infection art area.Another method is Design of digital and cutting by chair, after putting on scan shaft
Scanning in mouth is carried out, dentistry design software is transferred to, by the position of the shape localization implant of scan shaft, design is temporarily repaired by chair
Complex, then cutting forming；But this mode is often as conventional indirect process, patient need to wait centainly make when
Between, although the time shortens many, Immediate prosthesis could be completed by usually needing to go to a doctor next time.Also there is design in the preoperative at present
Temporary crown and personalized base station, complete Immediate prosthesis after operation at production；This method is using digitizing technique, pre-production
Dummy, but still lack universality, tolerance is low, can only use the plantation guide plate surgery systems of whole navigation, to operation
When zero accident causes implant position to be adjusted in the production required precision height and art of guide plate, the design of provisional prosthesis
Could with it is consistent in the works, once plantation, there are some slight errors, Immediate prosthesis body will generate offset, reverse, and initial
Design far from each other, such gum moulding effect can also have a greatly reduced quality.
So how to utilize digitlization means, based on operation designing, go out to repair by completely new method pre-production
Body, and dummy is positioned and is bonded in such a way that guide plate guides, patient assessment's number is reduced, when reducing clinical manipulation
Between, and solve the problems, such as that the dummy position deviation as caused by implant operation inevitable error becomes urgent need to resolve.
Summary of the invention
The technical problem to be solved by the present invention is to existing plantation Immediate prosthesis technologies generally to have patient assessment's number
More, the clinical manipulation time is long, and repairs body position and lead the problems such as there are deviations, and it is an object of the present invention to provide digitizing plantation guidance bonding
The production method and guidance bonding guide plate of plate, solve the above problems.
The present invention is achieved through the following technical solutions:
The production method of digitlization plantation guidance bonding guide plate, comprising the following steps: S1: obtain the DICOM in patient oral cavity
The preoperative cast, the DICOM data and the wax pattern data are fitted, root by data, preoperative cast and wax pattern data
Information selection implant system and planting body model according to information and wax pattern row's tooth of bone and the position for determining planting body；S2: export
Preoperative cast simultaneously exports planting body and base station model according to the position of planting body, obtains planting body and base station model and preoperative cast
Between three-dimensional space position relationship；S3: according to the three-dimensional space position relationship, according to repair principle, periodontal requires and
Plantation demand establishes provisional prosthesis model；S4: guide plate model is established according to provisional prosthesis model and preoperative cast；It is described to lead
Slab is matched with preoperative cast, and the guide plate model all wraps provisional prosthesis model；S5: deletion is described temporarily to repair
Complex model inner triangular dough sheet forms outer tissue ghost, and externally tissue ghost assigns thickness；S6: the interim of thickness will be assigned
It repairs body Model and the guide plate model and carries out the final reparation body Model of punching generation according to the direction that is pierced by of implant and/or base station
With final guide plate model；S7: body Model and final guide plate model progress entity shaping are repaired to final.
The present invention in application, firstly the need of obtain patient oral cavity DICOM data, preoperative cast and wax pattern data, it is this
Acquisition modes can be obtained using scanning mode, and be fitted to preoperative cast, DICOM data and wax pattern data, be
Specific three-dimensional position where available planting body, embody be exactly in a model planting body three-dimensional coordinate, it is contemplated that plant
The particularity for planting operation needs to select implant system and planting body model according to the information of bone and the information of wax pattern row's tooth, this
It is equivalent to the design for completing implant operation scheme；These data can also make for surgical guide and provide foundation simultaneously, into one
Step has simplified design process, improves dental treatment efficiency.
Then preoperative cast and planting body and base station model are exported, planting body described here is to include with base station model
The model of two parts of planting body and base station, due to having done the fitting between model in S1, it is possible to accurately obtain this two
Three-dimensional position relationship between a model, the step is the equal of having carried out the acquisition of planting body three-dimensional space.Followed by
The design of dummy is carried out, the design of dummy needs to follow the requirement of reparation principle, patient's own periodontal condition in medicine
And the demand of patient and doctor carry out in plantation.
Then guide plate model is established, guide plate needs to be placed in the oral cavity of patient during surgery, so needing guide plate die
Type is matched with placement of the preoperative cast convenient for operation when, and in order to which dummy is accurately arranged to predetermined position during surgery,
It needs to provisional prosthesis model all to wrap guide plate model.Then the homogenization of dummy tissue surface is handled, the side of processing
Formula organizes one thickness of ghost, the model at this moment generated using after removal provisional prosthesis model inner triangular dough sheet and outside assigning
It is exactly a rudimentary model of guide plate, and in order to reserve the required hole of operation, need the side of being pierced by according to implant and/or base station
To being punched, hole knockout can be carried out by the way of Boolean calculation, finally carry out the entity shaping of model.The present invention is logical
Change digitizing technique is crossed, is in the preoperative guidance with the dental implant three-dimensional space relative position of operation designing, designs and make
Provisional prosthesis, while simultaneously the guidance of 3D printing digitlization Immediate prosthesis is in place and is bonded guide plate for design, after the completion of implant operation,
Spatial position in place, in recovery virtual design is completed under the guidance of guide plate, and dummy and temporary abutment are carried out with this position
Bonding, be finally completed Immediate prosthesis.
Further, step S1 includes following sub-step: scanning patient oral cavity obtains the preoperative cast comprising oral condition；
The DICOM data in patient oral cavity are obtained by shooting CBCT.
Further, step S4 includes following sub-step: packet of the guide plate model to the tooth body in addition to repairing body Model
Around using extending at tooth body neck 1/3.
Further, further include following sub-step in step S4: 0.8 is set by the thickness of guide plate model centering guide~
1.2mm。
Further, step S5 includes following sub-step: the thickness for assigning outer tissue ghost is determined according to repair materials.
Further, when repair materials are using cutting polymethyl methacrylate artificial tooth, outer tissue ghost is assigned
Thickness uses 0.5~0.7mm.
Further, step S6 includes following sub-step: the punching uses Boolean calculation on the basis of base station diameter
It carries out.
Further, step S7 includes following sub-step: real using numerical control cutting technology or 3D printing technique manufacture guide plate
Body and dummy entity.
Digitlization plantation guidance bonding guide plate, is prepared using any one of above method the method.
Compared with prior art, the present invention having the following advantages and benefits:
1, the production method of present invention digitlization plantation guidance bonding guide plate and guidance bonding guide plate, utilize completely new number
Change the completely new dummy guide device of one kind of designing technique design, and Immediate prosthesis is completed with completely new guidance mode；With leading
Plate carries out the guidance of Immediate prosthesis, more accurate, completely fitting Design；
2, the production method of present invention digitlization plantation guidance bonding guide plate and guidance bonding guide plate, make full use of digitlization
The advantages of technology, it is preoperative complete dummy production, it is postoperative to wear tooth at once, greatly reduce clinical Immediate prosthesis when
Between, reduce patient assessment's number；
3, the production method of present invention digitlization plantation guidance bonding guide plate and guidance bonding guide plate, compared to using finished product
Tooth completes Immediate prosthesis, more aesthetic effect and personalization, can be designed different outer according to different patients by Design of digital
Shape, can also the mirror image Homonym teeth completion higher Immediate prosthesis of aesthetic beauty；
4, the present invention digitlization plantation guidance bonding guide plate production method and guidance bonding guide plate, have more gum at
Type effect, can be consistent with preoperative holding design, to ensure the effect of gingival forming；There is higher tolerance, even if performing the operation
There is error in journey, or without using whole guide plate guidance operation, also efficient Immediate prosthesis can be completed under our law technology；Base
Platform is completely embedded with dummy neck, high polish, effectively prevent infection and periodontal disease.
Detailed description of the invention
Attached drawing described herein is used to provide to further understand the embodiment of the present invention, constitutes one of the application
Point, do not constitute the restriction to the embodiment of the present invention.In the accompanying drawings:
Fig. 1 is the method for the present invention step schematic diagram；
Fig. 2 is implant operation conceptual design schematic diagram of the present invention；
Fig. 3 is the acquisition schematic diagram of implant three-dimensional space of the present invention；
Fig. 4 is the design diagram of dummy of the present invention；
Fig. 5 is that the present invention guides in place and bonding guide plate design diagram；
Fig. 6 is that dummy tissue surface of the present invention uniforms processing schematic；
Fig. 7 is that guide plate of the present invention and dummy punch processing schematic.
Specific embodiment
To make the objectives, technical solutions, and advantages of the present invention clearer, below with reference to embodiment and attached drawing, to this
Invention is described in further detail, and exemplary embodiment of the invention and its explanation for explaining only the invention, are not made
For limitation of the invention.
Embodiment
As shown in Figure 1, the production method that the present invention digitizes plantation guidance bonding guide plate, comprising the following steps: S1: obtain
DICOM data, preoperative cast and the wax pattern data in patient oral cavity, by the preoperative cast, the DICOM data and the wax pattern
Data are fitted, and according to the information selection implant system and planting body model of the information of bone and wax pattern row's tooth and determine planting body
Position；S2: export preoperative cast simultaneously exports planting body and base station model according to the position of planting body, obtains planting body and base station
Three-dimensional space position relationship between model and preoperative cast；S3: former according to repairing according to the three-dimensional space position relationship
Then, periodontal requires and plantation demand establishes provisional prosthesis model；S4: it is established according to provisional prosthesis model and preoperative cast
Guide plate model；The guide plate model is matched with preoperative cast, and the guide plate model all wraps provisional prosthesis model；
S5: deleting the provisional prosthesis model inner triangular dough sheet and form outer tissue ghost, and externally tissue ghost assigns thickness；
S6: the provisional prosthesis model for assigning thickness and the guide plate model are beaten according to the direction that is pierced by of implant and/or base station
Hole generates final reparation body Model and final guide plate model；S7: body Model and final guide plate model progress entity are repaired to final
Molding.
When the present embodiment is implemented, it is necessary first to DICOM data, preoperative cast and the wax pattern data in patient oral cavity are obtained, this
Kind acquisition modes can be obtained using scanning mode, and be fitted to preoperative cast, DICOM data and wax pattern data,
It is the specific three-dimensional position where available planting body, embodiment is exactly the three-dimensional coordinate of planting body in a model, it is contemplated that
The particularity of implant operation needs to select implant system and planting body model according to the information of bone and the information of wax pattern row's tooth,
This is equivalent to the design for completing implant operation scheme.
Then preoperative cast and planting body and base station model are exported, planting body described here is to include with base station model
The model of two parts of planting body and base station, due to having done the fitting between model in S1, it is possible to accurately obtain this two
Three-dimensional position relationship between a model, the step is the equal of having carried out the acquisition of planting body three-dimensional space.Followed by
The design of dummy is carried out, the design of dummy needs to follow the requirement of reparation principle, patient's own periodontal condition in medicine
And the demand of patient and doctor carry out in plantation.
Then guide plate model is established, guide plate needs to be placed in the oral cavity of patient during surgery, so needing guide plate die
Type is matched with placement of the preoperative cast convenient for operation when, and in order to which dummy is accurately arranged to predetermined position during surgery,
It needs to provisional prosthesis model all to wrap guide plate model.Then the homogenization of dummy tissue surface is handled, the side of processing
Formula organizes one thickness of ghost, the model at this moment generated using after removal provisional prosthesis model inner triangular dough sheet and outside assigning
It is exactly a rudimentary model of guide plate, and in order to reserve the required hole of operation, need the side of being pierced by according to implant and/or base station
To being punched, hole knockout can be carried out by the way of Boolean calculation, finally carry out the entity shaping of model.The present invention is logical
Change digitizing technique is crossed, is in the preoperative guidance with the dental implant three-dimensional space relative position of operation designing, designs and make
Provisional prosthesis, while simultaneously the guidance of 3D printing digitlization Immediate prosthesis is in place and is bonded guide plate for design, after the completion of implant operation,
Spatial position in place, in recovery virtual design is completed under the guidance of guide plate, and dummy and temporary abutment are carried out with this position
Bonding, be finally completed Immediate prosthesis.
For the course of work of further instruction the present embodiment, step S1 includes following sub-step: scanning patient oral cavity
Obtain the preoperative cast comprising oral condition；The DICOM data in patient oral cavity are obtained by shooting CBCT.
For the course of work of further instruction the present embodiment, step S4 includes following sub-step: the guide plate model
Wrapping to the tooth body in addition to repairing body Model, using extending at tooth body neck 1/3.
It further include following sub-step in step S4 for the course of work of further instruction the present embodiment: by guide plate die
The thickness of type centering guide is set as 0.8~1.2mm.
For the course of work of further instruction the present embodiment, step S5 includes following sub-step: according to repair materials
Determine the thickness for assigning outer tissue ghost.
For the course of work of further instruction the present embodiment, when repair materials are using cutting polymethyl methacrylate
When artificial tooth, the thickness for assigning outer tissue ghost uses 0.5~0.7mm.
For the course of work of further instruction the present embodiment, step S6 includes following sub-step: the punching is with base
On the basis of platform diameter, and carried out using Boolean calculation.
For the course of work of further instruction the present embodiment, step S7 includes following sub-step: using numerical control cutting
Technology or 3D printing technique manufacture guide plate entity and dummy entity.
Digitlization plantation guidance bonding guide plate, is prepared using any one of embodiment method.
In order to further illustrate the specific works content of the present embodiment, the detailed content in the present embodiment includes following step
It is rapid:
(1) implant operation conceptual design: plantation guide plate design software is used to be fitted CBCT number after obtaining patient-related data
According to, preoperative cast and wax pattern scan data, in conjunction with the information of information and wax pattern row's tooth of bone, select Straumann implant system,
3.3*14 planting body model simultaneously places plantation body position.It is illustrated in figure 2 implant operation conceptual design schematic diagram.
(2) acquisition of implant three-dimensional space: after completing Plant plane design, the position of planting body is it has been determined that export is preoperative
The threedimensional model of model and planting body and base station obtains the positional relationship of the two three-dimensional space.It is illustrated in figure 3 implant three-dimensional space
Between acquisition schematic diagram.
(3) design of dummy: the three-dimensional space position with implant and base station relative to model, according to reparation principle, tooth
Zhou Yaoqiu and patient demand design provisional prosthesis.It is illustrated in figure 4 the design diagram of dummy.
(4) guidance is in place and is bonded the design of guide plate: using interim repairing model as substrate, tooth-borne type is designed above and is led
Plate thickness is 1mm, all wraps at provisional prosthesis, extends at tooth body neck 1/3 at remaining tooth body.It is illustrated in figure 5 and draws
Lead in place and bonding guide plate design diagram.
(5) homogenization of dummy tissue surface is handled: all tri patch inside dummy are deleted, formation is outer to organize ghost,
Then its thickness is inwardly assigned, according to cutting polymethyl methacrylate artificial tooth thickness requirement, is set as 0.6mm.Such as Fig. 6 institute
It is shown as dummy tissue surface homogenization processing schematic.
(6) guide plate and dummy punching are handled: being pierced by direction according to implant or base station, on the basis of base station diameter, made
Punching design is carried out to guide plate and dummy with Boolean calculation.It is illustrated in figure 7 guide plate and dummy punches processing schematic.
(7) numerical control cutting technology or 3D printing technique manufacture guide plate and dummy guide plate and repair shaping: are used.
Above-described specific embodiment has carried out further the purpose of the present invention, technical scheme and beneficial effects
It is described in detail, it should be understood that being not intended to limit the present invention the foregoing is merely a specific embodiment of the invention
Protection scope, all within the spirits and principles of the present invention, any modification, equivalent substitution, improvement and etc. done should all include
Within protection scope of the present invention.
Claims (9)
1. the production method of digitlization plantation guidance bonding guide plate, which comprises the following steps:
S1: DICOM data, preoperative cast and the wax pattern data in patient oral cavity are obtained, by the preoperative cast, the DICOM number
It is fitted according to the wax pattern data, according to the information selection implant system and planting body model of the information of bone and wax pattern row's tooth
And determine the position of planting body；
S2: export preoperative cast simultaneously exports planting body and base station model according to the position of planting body, obtains planting body and base station mould
Three-dimensional space position relationship between type and preoperative cast；
S3: according to the three-dimensional space position relationship, interim repair is established according to repairing principle, periodontal requires and planting demand
Body Model；
S4: guide plate model is established according to provisional prosthesis model and preoperative cast；The guide plate model is matched with preoperative cast, and
The guide plate model all wraps provisional prosthesis model；
S5: deleting the provisional prosthesis model inner triangular dough sheet and form outer tissue ghost, and externally tissue ghost assigns thickness
Degree；
S6: by the provisional prosthesis model for assigning thickness and the guide plate model according to implant and/or base station be pierced by direction into
Row punching generates final reparation body Model and final guide plate model；
S7: body Model and final guide plate model progress entity shaping are repaired to final.
2. the production method of digitlization plantation guidance bonding guide plate according to claim 1, which is characterized in that step S1 packet
Include following sub-step:
It scans patient oral cavity and obtains the preoperative cast comprising oral condition；The DICOM number in patient oral cavity is obtained by shooting CBCT
According to.
3. the production method of digitlization plantation guidance bonding guide plate according to claim 1, which is characterized in that step S4 packet
Include following sub-step:
Wrapping of the guide plate model to the tooth body in addition to repairing body Model, using extending at tooth body neck 1/3.
4. the production method of digitlization plantation guidance bonding guide plate according to claim 1, which is characterized in that in step S4
Further include following sub-step:
0.8~1.2mm is set by the thickness of guide plate model centering guide.
5. the production method of digitlization plantation guidance bonding guide plate according to claim 1, which is characterized in that step S5 packet
Include following sub-step:
The thickness for assigning outer tissue ghost is determined according to repair materials.
6. the production method of digitlization plantation guidance bonding guide plate according to claim 5, which is characterized in that when reparation material
When material is using cutting polymethyl methacrylate artificial tooth, the thickness for assigning outer tissue ghost uses 0.5~0.7mm.
7. the production method of digitlization plantation guidance bonding guide plate according to claim 1, which is characterized in that step S6 packet
Include following sub-step:
The punching is carried out on the basis of base station diameter, and using Boolean calculation.
8. the production method of digitlization plantation guidance bonding guide plate according to claim 1, which is characterized in that step S7 packet
Include following sub-step:
Use numerical control cutting technology or 3D printing technique manufacture guide plate entity and dummy entity.
9. digitlization plantation guidance bonding guide plate, which is characterized in that using such as claim 1~8 any one the method system
It is standby to form.
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| Application Number | Priority Date | Filing Date | Title |
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| CN201910604060.7A CN110314003B (en) | 2019-07-05 | 2019-07-05 | Manufacturing method of guide bonding guide plate for digital planting and guide bonding guide plate |
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| CN201910604060.7A CN110314003B (en) | 2019-07-05 | 2019-07-05 | Manufacturing method of guide bonding guide plate for digital planting and guide bonding guide plate |
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| CN111243081A (en) * | 2020-01-08 | 2020-06-05 | 广西医科大学附属口腔医院 | Manufacturing method of resin filling guide plate beside digital chair and guide plate |
| CN111616821A (en) * | 2020-05-20 | 2020-09-04 | 北京联袂义齿技术有限公司 | Digital three-dimensional construction and manufacturing method of personalized planting base station |
| CN112690912A (en) * | 2021-01-12 | 2021-04-23 | 四川大学 | Guide plate for pile core dismantling and preparation method thereof |
| WO2022116929A1 (en) * | 2020-12-02 | 2022-06-09 | 四川大学 | Axial and depth verification guide plate for implanting, and method for fabrication thereof |
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Cited By (5)
| Publication number | Priority date | Publication date | Assignee | Title |
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| CN111243081A (en) * | 2020-01-08 | 2020-06-05 | 广西医科大学附属口腔医院 | Manufacturing method of resin filling guide plate beside digital chair and guide plate |
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| WO2022116929A1 (en) * | 2020-12-02 | 2022-06-09 | 四川大学 | Axial and depth verification guide plate for implanting, and method for fabrication thereof |
| CN112690912A (en) * | 2021-01-12 | 2021-04-23 | 四川大学 | Guide plate for pile core dismantling and preparation method thereof |
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| Publication number | Publication date |
|---|---|
| CN110314003B (en) | 2020-05-19 |
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