CN111419446B - A wing plate planting guide positioning device - Google Patents
A wing plate planting guide positioning device Download PDFInfo
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- CN111419446B CN111419446B CN202010358238.7A CN202010358238A CN111419446B CN 111419446 B CN111419446 B CN 111419446B CN 202010358238 A CN202010358238 A CN 202010358238A CN 111419446 B CN111419446 B CN 111419446B
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- fixing
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- 239000007943 implant Substances 0.000 claims abstract description 26
- 230000007704 transition Effects 0.000 claims abstract description 6
- 210000000988 bone and bone Anatomy 0.000 claims description 45
- 239000011148 porous material Substances 0.000 claims 1
- 238000002513 implantation Methods 0.000 abstract description 25
- 238000013461 design Methods 0.000 abstract description 13
- 238000005516 engineering process Methods 0.000 abstract description 5
- 230000014759 maintenance of location Effects 0.000 description 27
- 230000000149 penetrating effect Effects 0.000 description 17
- 238000000034 method Methods 0.000 description 13
- AYEKOFBPNLCAJY-UHFFFAOYSA-O thiamine pyrophosphate Chemical compound CC1=C(CCOP(O)(=O)OP(O)(O)=O)SC=[N+]1CC1=CN=C(C)N=C1N AYEKOFBPNLCAJY-UHFFFAOYSA-O 0.000 description 13
- 239000004053 dental implant Substances 0.000 description 11
- 210000001909 alveolar process Anatomy 0.000 description 3
- 210000004086 maxillary sinus Anatomy 0.000 description 3
- 238000012986 modification Methods 0.000 description 3
- 230000004048 modification Effects 0.000 description 3
- 210000003205 muscle Anatomy 0.000 description 3
- 230000008569 process Effects 0.000 description 3
- 238000004088 simulation Methods 0.000 description 3
- 230000009286 beneficial effect Effects 0.000 description 2
- 238000012790 confirmation Methods 0.000 description 2
- 230000007547 defect Effects 0.000 description 2
- 230000002349 favourable effect Effects 0.000 description 2
- 210000001847 jaw Anatomy 0.000 description 2
- 230000003387 muscular Effects 0.000 description 2
- 230000036407 pain Effects 0.000 description 2
- 230000035945 sensitivity Effects 0.000 description 2
- 230000006641 stabilisation Effects 0.000 description 2
- 238000011105 stabilization Methods 0.000 description 2
- 206010002091 Anaesthesia Diseases 0.000 description 1
- 206010003694 Atrophy Diseases 0.000 description 1
- 208000026137 Soft tissue injury Diseases 0.000 description 1
- 230000037005 anaesthesia Effects 0.000 description 1
- 230000037444 atrophy Effects 0.000 description 1
- 230000008901 benefit Effects 0.000 description 1
- 210000004763 bicuspid Anatomy 0.000 description 1
- 238000004891 communication Methods 0.000 description 1
- 238000007408 cone-beam computed tomography Methods 0.000 description 1
- 210000002455 dental arch Anatomy 0.000 description 1
- 230000002708 enhancing effect Effects 0.000 description 1
- 210000002050 maxilla Anatomy 0.000 description 1
- 210000003254 palate Anatomy 0.000 description 1
- 210000003455 parietal bone Anatomy 0.000 description 1
- 230000002980 postoperative effect Effects 0.000 description 1
- 238000002360 preparation method Methods 0.000 description 1
- 230000008439 repair process Effects 0.000 description 1
- 238000010079 rubber tapping Methods 0.000 description 1
- 230000000087 stabilizing effect Effects 0.000 description 1
- 238000004659 sterilization and disinfection Methods 0.000 description 1
- 238000013519 translation Methods 0.000 description 1
Classifications
-
- 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
-
- 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
Landscapes
- Health & Medical Sciences (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Dentistry (AREA)
- Epidemiology (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Prostheses (AREA)
- Dental Prosthetics (AREA)
Abstract
本发明提供一种穿翼板种植导板定位装置，包括：翼肌窝定位器、导环定位器、定位导环和固定板；所述导环定位器与所述翼肌窝定位器为呈85～120°平滑过渡连接；所述定位导环可拆卸移动式设于所述导环定位器上；所述固定板与所述导环定位器为可拆卸式活动连接。使用本发明的穿翼板种植导板定位装置可以方便、快捷地根据术前设计和解剖标志完成穿翼板种植技术三维定位。
The present invention provides a pterygoid plate implant guide positioning device, comprising: a pterygoid fossa positioner, a guide ring positioner, a positioning guide ring and a fixing plate; the guide ring positioner and the pterygoid fossa positioner are connected in a smooth transition of 85 to 120 degrees; the positioning guide ring is detachably and movably arranged on the guide ring positioner; the fixing plate and the guide ring positioner are detachably and movably connected. The pterygoid plate implant guide positioning device of the present invention can conveniently and quickly complete the three-dimensional positioning of the pterygoid plate implantation technology according to the preoperative design and anatomical landmarks.
Description
Technical Field
The application relates to the technical field of medical appliances, in particular to a positioning device for a wing-penetrating plate planting guide plate.
Background
The planting technique of penetrating the wing plate (the planting technique of the wing plate, TPP (T: tubera, maxillary tuberosity, maxillary tuberosity; P: pterygoid plate wing plate; P: palatine palate bone) is an application technique of the oblique implant by tightly attaching the implant to the rear wall of the maxillary sinus, passing the maxillary tuberosity, the Palatine pyramidal process and finally implanting the pterygoid process. TPP implant implantation angle isThe inclined dental implant is positioned at the most far end of the maxillary implant restoration, so that the far-middle cantilever of the implant restoration is completely eliminated, and the combined application of the inclined dental implant and the dental implant in the maxillary anterior dental region and the bicuspid region can finish the immediate implant restoration of the maxillary full dental arch or the single side multiple posterior teeth missing; the bone increment operation of the maxillary sinus region is avoided, the dental implantation treatment procedure is simplified, the postoperative reaction and the pain of patients are relieved, and the treatment time is shortened. Because the sensitivity of the TPP planting technology is high, the implantation depth of the dental implant is 15-22mm, and the dental implant is mostly a blind vision operation area, in order to safely and correctly implant the TPP implant, the corresponding body surface mark points of the pterygoid lamina and the pterygoid lamina are accurately found according to a TPP planting positioning method, the three-dimensional position relation is determined, and the TPP dental implant operation is successfully completed according to the preoperative design. Therefore, the application provides the guide plate positioning device for the wing-penetrating plate implant, which is applied to the guide plate and the three-dimensional angle positioner of the free-end wing-penetrating plate implant for serious bone defect or atrophy of the maxilla, and can conveniently and rapidly complete the three-dimensional positioning of TPP implant according to preoperative design and anatomical landmarks.
Disclosure of Invention
In view of the defects in the prior art, the application aims to provide a positioning device for a wing-penetrating plate planting guide plate, which can accurately find out corresponding body surface mark points of a wing muscular fossa and a wing protrusion inner side plate and determine a three-dimensional position relationship.
To achieve the above and other related objects, the present application provides a positioning device for a wing plate penetrating planting guide plate, a wing fossa positioner, a guide ring positioner, a positioning guide ring and a fixing plate;
the guide ring locator is in smooth transition connection with the wing fossa locator at an angle of 85-120 degrees;
The positioning guide ring is detachably and movably arranged on the guide ring positioner;
The fixing plate is detachably and movably connected with the guide ring positioner.
Preferably, the pterygoid lamina nest positioner is provided with a first pterygoid lamina nest positioning section and a second pterygoid lamina nest positioning section in sequence from a proximal guide ring positioner end to a distal guide ring positioner end, and the second pterygoid lamina nest positioning section is fastened inwards towards the guide ring positioner side relative to the first pterygoid lamina nest positioning section.
More preferably, at least one of the following technical features is further included:
1) The first wing fossa positioning section is arc-shaped sheet-shaped;
2) The length of the first wing fossa positioning section is 15-20 cm;
3) The first pterygoid lamina nest positioning section is matched with the pterygoid lamina nest, and is positioned in the pterygoid lamina nest when in use;
4) The first wing fossa positioning section is arc-shaped sheet-shaped;
5) The length of the second wing fossa positioning section is 3-7 mm.
Preferably, the method further comprises at least one of the following technical characteristics:
1) The guide ring positioner is provided with guide ring positioning scales and guide ring track grooves, the positioning guide ring comprises a guide ring unit and a guide ring support which are connected, the guide ring support is in sliding connection with the guide ring positioner, and the guide ring unit is positioned in the guide ring track grooves;
2) The guide ring positioner is a rectangular flat plate, the length is 14-36 mm, the width is 4-8 mm, and the thickness is 2-4 mm.
More preferably, in the feature 1), at least one of the following technical features is further included:
11 The guide ring unit is a straight pipe with openings at two ends, and an included angle formed between a central shaft of the guide ring unit and the guide ring positioner is 15-65 degrees;
12 The inner diameter of the guide ring unit is 1-3 mm;
13 The width of the guide ring track groove is 2-5 mm;
14 The guide ring support is provided with scale positioning lines for determining the position of the guide ring unit;
15 The positioning guide ring further comprises a fixing piece, wherein the fixing piece is arranged on the guide ring bracket and used for fixing the positioning guide ring and the guide ring positioner;
16 The guide ring support and the guide ring positioner are in inner buckle connection;
17 The guide ring positioner is sequentially provided with a first guide ring positioning section, a second guide ring positioning section and a third guide ring positioning section from the proximal pterygoid lamina nest positioner end to the distal pterygoid lamina nest positioner end, the first guide ring positioning section and the second guide ring positioning section are respectively provided with guide ring positioning scales, and the guide ring track groove is formed in the second guide ring positioning section.
Still more preferably, in feature 16), a translational positioning groove is provided on a sidewall of the guide ring positioner, and the guide ring support is slidably connected to the guide ring positioner through the translational positioning groove.
Still more preferably, in feature 17), the length of the first guide ring positioning segment is 2 to 8mm, the length of the second guide ring positioning segment is 10 to 20mm, and the length of the third guide ring positioning segment is 2 to 8mm.
Preferably, the fixing plate is provided with a first retention bone screw hole channel and a plurality of bone screw retention holes, the guide ring positioner is provided with a second retention bone screw hole channel, the second retention bone screw hole channel is matched with the first retention bone screw hole channel so as to be penetrated and fixed by the same bone screw, and the bone screw retention holes are arranged at the free end of the fixing plate.
More preferably, the fixing plate is provided with a first fixing section and a second fixing section, the first retention bone nail hole is formed in the first fixing section, the bone nail retention hole is formed in the second fixing section, and the second fixing section is arc-shaped.
Even more preferably, the second fixed segment mates with an alveolar bone arch.
The technical scheme has the following beneficial effects:
1. The positioning device for the planting guide plate of the wing penetrating plate can conveniently and rapidly finish three-dimensional positioning of the planting technology of the wing penetrating plate according to preoperative design and anatomical signs, simplify planting procedures and popularize planting by utilizing the wing penetrating plate.
2. The positioning device for the wing-penetrating plate planting guide plate facilitates accurate positioning of wing plate planting and effectively avoids planting complications;
3. The positioning device for the wing-penetrating plate planting guide plate greatly reduces the technical sensitivity of wing plate planting, and utilizes beginners to master and apply the technology;
4. The positioning device for the wing plate penetrating planting guide plate greatly saves the operation time of the wing plate planting operation and reduces the pain of patients;
5. The positioning device for the wing-penetrating plate planting guide plate can be repeatedly used, so that the treatment cost is greatly reduced, the economic burden of a patient is lightened, and the planting and repairing time is greatly shortened.
Drawings
FIG. 1 is a schematic view of the positioning device of the planting guide plate of the wing penetrating plate.
FIG. 2 is a schematic structural view of a fixing plate in the positioning device of the planting guide plate with a wing passing plate.
FIG. 3 is a schematic view of the inventive transpterygoid lamina planting guide positioning device in use.
Reference numerals
1. Wing muscle nest positioner
11. First wing fossa positioning section
12. Second wing fossa positioning section
2. Guide ring positioner
21. Guide ring positioning scale
22. Guide ring track groove
23. First guide ring positioning section
24. Second guide ring positioning section
25. Third guide ring positioning section
26. Second retention bone screw hole
3. Positioning guide ring
31. Guide ring unit
32. Guide ring support
321. Scale positioning line
33. Fixing piece
4. Fixing plate
41. First retention bone screw hole
42. Bone screw retention hole
43. First fixed section
44. Second fixing section
Detailed Description
In the description of the present application, it should be noted that, the structures, proportions, sizes, etc. shown in the drawings attached to the present application are merely used in conjunction with the disclosure of the present application, and are not intended to limit the applicable limitations of the present application, so that any modification of the structures, variation of the proportions, or adjustment of the sizes, without affecting the efficacy and achievement of the present application, should fall within the scope of the disclosure of the present application. Also, the terms "center," "longitudinal," "lateral," "upper," "lower," "front," "rear," "left," "right," "vertical," "horizontal," "top," "bottom," "inner," "outer," and the like are used for convenience in describing and simplifying the description based on the orientation or positional relationship shown in the drawings, and do not denote or imply that the devices or elements referred to must have a particular orientation, be constructed and operated in a particular orientation, and thus should not be construed as limiting the application. Furthermore, the terms "first," "second," and the like, are used for descriptive purposes only and are not to be construed as indicating or implying relative importance.
In the description of the present application, it should be noted that, unless explicitly specified and limited otherwise, the terms "mounted," "connected," and "connected" are to be construed broadly, and may be either fixedly connected, detachably connected, or integrally connected, for example; can be mechanically or electrically connected; can be directly connected or indirectly connected through an intermediate medium, and can be communication between two elements. The specific meaning of the above terms in the present application can be understood by those of ordinary skill in the art according to the specific circumstances.
Furthermore, in the description of the present application, unless otherwise indicated, the meaning of "a plurality" is two or more.
A wing-penetrating plate planting guide positioning device, as shown in fig. 1, comprising: the device comprises a pterygoid lamina nest positioner 1, a guide ring positioner 2, a positioning guide ring 3 and a fixing plate 4;
the guide ring positioner 2 and the wing fossa positioner 1 are in smooth transition connection at an angle of 85-120 degrees;
The positioning guide ring 3 is detachably and movably arranged on the guide ring positioner 2;
The fixing plate 4 is detachably and movably connected with the guide ring positioner 2.
The guide ring positioner 2 and the winged muscle fossa positioner 1 are in smooth transition connection at an angle of 85-120 degrees, for example, the angle can be 85-90 degrees, 90-95 degrees, 95-100 degrees, 100-105 degrees, 105-110 degrees, 110-115 degrees or 115-120 degrees, wherein the angle of 85-120 degrees refers to an included angle alpha between a connecting line of two ends of the center line of the winged muscle fossa positioner and the top surface of the guide ring positioner.
The pterygoid lamina (r) locator 1 is used to determine the final implantation location and direction of the pterygoid implant. Guide ring locator 2 is used to define the implant site alveolar ridge plane and to provide support and fixation for locating guide ring 3. The positioning guide ring 3 is used for providing site and three-dimensional angle guidance for the wing plate implant. The fixing plate 4 is used for providing retention and stabilization for the wing-penetrating plate planting guide plate positioning device. The guide ring locator 2 and the wing muscular fossa locator 1 are in smooth transition connection at an angle of 85-120 degrees, which is beneficial to the retention and positioning of the guide plate positioning device for planting the wing plate and avoids soft tissue injury. The positioning device for the wing-penetrating plate planting guide plate can conveniently and rapidly complete three-dimensional positioning of the wing-penetrating plate planting technology according to preoperative design and anatomical signs. Accurate positioning of wing plate planting is convenient, planting complications are effectively avoided, planting procedures are simplified, and popularization of wing plate planting is utilized.
In a preferred embodiment, the pterygoid lamina nest positioner 1 is provided with a first pterygoid lamina nest positioning section 11 and a second pterygoid lamina nest positioning section 12 in sequence from a proximal guide ring positioner end to a distal guide ring positioner end, and the second pterygoid lamina nest positioning section 12 is buckled inwards towards the guide ring positioner 2 side relative to the first pterygoid lamina nest positioning section 11. The first and second pterygoid lamina positioning sections 11, 12 may each be arcuate-shaped sheets. The length of the second pterygoid lamina positioning section 12 should generally be adapted to the depth of the pterygoid lamina. The angle of 85-120 degrees refers to an included angle alpha between the connecting line of two ends of the central line of the first wing fossa positioning section and the top surface of the guide ring positioner, and the included angle is 85-120 degrees, and is shown in figure 1. The first and second pterygoid lamina nest positioning sections 11 and 12 are designed to conform to the relative positional relationship of the pterygoid lamina nest to the maxillary nodule, and in combination with the pterygoid lamina nest detector, the locator can be smoothly placed at the pterygoid lamina nest position between the inner and outer plates of the pterygoid lamina process for positioning the site of implantation of the TPP implant and assisting in determining the angle and direction of the pterygoid lamina implant.
As a specific embodiment, the length of the first pterygoid lamina positioning section 11 may be 15-20 cm. The positioning device of the planting guide plate favorable for the wing penetrating plate is fixedly positioned in the wing fossa, so that the accurate positioning is facilitated.
As a specific embodiment, the first pterygoid lamina positioning section 11 is matched with a pterygoid lamina, and in use, the first pterygoid lamina positioning section 11 is positioned within the pterygoid lamina. The first pterygoid lamina nest positioning section 11 is fixed in the pterygoid lamina nest, and the second pterygoid lamina nest positioning section 12 is fastened in the pterygoid lamina nest relative to the first pterygoid lamina nest positioning section 11 on the side of the guide ring positioner 2.
As a specific embodiment, the second pterygoid lamina positioning section 12 may have a length of 3-7 mm. The positioning device of the planting guide plate favorable for the wing penetrating plate is fixedly positioned in the wing fossa, so that the accurate positioning is facilitated.
In a preferred embodiment, the guide ring positioner 2 is provided with a guide ring positioning scale 21 and a guide ring track groove 22, the positioning guide ring 3 comprises a guide ring unit 31 and a guide ring bracket 32 which are connected, the guide ring bracket 32 is slidingly connected with the guide ring positioner 2, and the guide ring unit 31 is positioned in the guide ring track groove 22. The guide ring positioning graduations 21 are used for the intra-operative positioning of the distance positioning of the guide ring 3. The guide ring rail groove 22 serves to provide a space for the guide ring unit 31 to move. The guide ring unit 31 has a cavity into which an implant can be inserted for implantation. The guide ring bracket 32 is for supporting the guide ring unit 31.
In a preferred embodiment, the guide ring unit 31 is a straight pipe with two open ends, and an included angle formed between the central axis of the guide ring unit 31 and the guide ring positioner 2 is 15-65 °, such as 15-20 °, 20-25 °, 25-30 °, 30-35 °, 35-40 °, 40-45 °, 45-50 °, 50-55 °, 55-60 °, or 60-65 °. The implant is obliquely implanted into the alveolar bone and the outer plate of the wing, so that the maxillary sinus is effectively avoided, the existing alveolar bone is fully utilized, the initial stability of the implant is enhanced, and the implant is convenient to repair immediately. The guide ring unit 31 may be provided with marks corresponding to the angles on the sidewalls.
As a specific embodiment, the inner diameter of the guide ring unit 31 is 1 to 3mm. The direction of the dental implant drill is effectively guided.
As a specific embodiment, the guide ring track groove 22 has a width of 2 to 5mm. According to the requirements of the tooth implantation positions, the adjustment of the tooth implantation guide ring positions is facilitated.
In a preferred embodiment, the guide ring bracket 32 is provided with scale positioning lines 321 for determining the position of the guide ring unit 31. Specifically, the scale positioning lines 321 may be disposed at two sides of the guide ring support corresponding to the center position of the guide ring unit.
In a preferred embodiment, the positioning guide ring 3 further comprises a fixing member 33, and the fixing member 33 is disposed on the guide ring bracket 32, for fixing the positioning guide ring 3 and the guide ring positioner 2. For enhancing the connection fixation between the positioning guide ring 3 and the guide ring positioner.
In a preferred embodiment, the guide ring bracket 32 is a snap-fit connection with the guide ring positioner 2. According to the needs of the tooth implantation position, the position of the tooth implantation positioning guide ring 3 is adjusted, and the position adjustment is more stable.
In a preferred embodiment, a translational positioning groove is provided on the side wall of the guide ring positioner 2, and the guide ring bracket 32 is slidably connected with the guide ring positioner 2 through the translational positioning groove. The translation positioning groove is a groove arranged on the edge of the guide ring positioner 2. According to the needs of tooth implantation position, adjust the position of tooth implantation location guide ring 3, the adjustment position is more stable.
In a preferred embodiment, the guide ring positioner 2 is provided with a first guide ring positioning section 23, a second guide ring positioning section 24 and a third guide ring positioning section 25 in sequence from the proximal pterygoid lamina positioner end to the distal pterygoid lamina positioner end, the first guide ring positioning section 23 and the second guide ring positioning section 24 are both provided with the guide ring positioning scale 21, and the guide ring track groove 22 is provided on the second guide ring positioning section 24.
As a specific embodiment, the length of the first guide ring positioning section 23 is 2-8 mm, the length of the second guide ring positioning section 24 is 10-20 mm, and the length of the third guide ring positioning section 25 is 2-8 mm. According to the needs of tooth implantation position, do benefit to the adjustment of tooth implantation guide ring position, according to the accurate location of preoperative measuring digit.
As a specific embodiment, the guide ring positioner 2 is a rectangular flat plate, the length is 14-36 mm, the width is 4-8 mm, and the thickness is 2-4 mm.
In a preferred embodiment, as shown in fig. 1 and 2, the fixing plate 4 is provided with a first retention bone screw hole 41 and a plurality of bone screw retention holes 42, the guide ring positioner 2 is provided with a second retention bone screw hole 26, the second retention bone screw hole 26 and the first retention bone screw hole 41 are matched so as to be penetrated and fixed by the same bone screw, and the bone screw retention holes 42 are formed at the free end of the fixing plate 4. The number of the bone screw retention holes 42 can be three, and the bone screw retention holes are distributed in a triangle shape, so that the retention is stable after the confirmation of the direction in the operation. The guide ring positioner 2 is detachably and movably connected with the fixing plate 4 through the second retention bone nail hole 26 and the first retention bone nail hole 41 by the retention bone nails, and is a cheek-tongue adjustable combined joint. The fixing plate 4 is used for connecting the guide ring positioner 2, so that the auxiliary stabilization is facilitated, and the positioning and fixing of the TPP planting guide plate are finished.
In a preferred embodiment, the fixing plate 4 is provided with a first fixing section 43 and a second fixing section 44, the first fixing bone screw hole 41 is formed on the first fixing section 43, the bone screw fixing hole 42 is formed on the second fixing section 44, and the second fixing section 44 is arc-shaped. The first fixing section 43 is detachably and movably connected with the guide ring positioner 2, and is a cheek-tongue adjustable combined joint. The second fixing section is convenient for fixing and stabilizing after the direction confirmation in the operation.
In a preferred embodiment, the second fixed section 44 mates with an alveolar bone arch. For example, the second fixed segment may have an arc of 100-160 degrees and an arc length of 20-50 mm.
The using method of the penetrating plate planting guide plate positioning device comprises the following steps:
All parts of the wing-penetrating plate planting guide plate positioning device are disassembled and then placed in the tool box, and the tool box is sterilized for clinical use. When the dental implant is clinically used, as shown in fig. 3, the dental implant is assembled and fixed according to the operation design scheme and used for the wing plate implantation operation, and the dental implant direction and the dental implant position are carried out according to the marks of the positioning guide plates. The specific using method is as follows:
1. according to the CBCT simulation design before operation and the conventional planting according to TPP, anesthesia is completed, the planting site is determined, the incision and flap are turned, the distal middle of the maxillary nodule and the maxillary notch area of the pterygoid lamina are fully exposed, and three-dimensional positioning marks such as the pterygoid lamina fossa, the heap ridge and the like are detected by a TPP planting detector
2. Guiding, positioning and fixing in the opening of the wing plate penetrating planting guide plate positioning device:
(1) Firstly, according to the result of preoperative simulation design, a positioning guide ring 3 with the same angle (30 degrees or 45 degrees for example) as the simulation design is selected out of the mouth, the positioning guide ring 3 is implanted into a guide ring positioner 2, and a fixing plate 4 is installed;
(2) The position of the pterygoid lamina fossa is ascertained, the pterygoid lamina fossa positioner 1 is placed into the pterygoid lamina fossa against the bone wall of the pterygoid lamina fossa, meanwhile, the wing plate penetrating planting guide plate positioning device is pulled towards the middle, the guide ring positioner 2 is attached to the plane of the alveolar ridge parietal bone, and the plane of the guide ring positioner 2 is parallel to the plane of the front molar and the molar area on the same side;
(3) The front and back positions of the positioning guide rings 3 and the cheek jaw direction positions of the guide ring positioners 2 are adjusted according to the planting sites, so that the guiding direction of the guide ring units 31 is right above the planting sites, and fixing pieces such as fixing screws are locked to complete the positioning of the adjustable wing-penetrating plate planting guide plate positioning device; after the cheek and jaw positions of the retention ends are adjusted to be suitable for the arc shape of the alveolar ridge, the wing penetrating plate planting guide plate positioning device is fixed by using the mesial retention nails, and the intraoral guide is completed.
3. Guide holes are reserved through the wing plate planting guide plate positioning device: after the positioning device of the planting guide plate of the wing penetrating plate finishes guiding and positioning, confirming and adjusting the position relation of the positioning device of the planting guide plate of the wing penetrating plate according to the clinical planting design; according to the design, the implantation site and the bone are prepared by the TPP implantation nest hole under the guidance of the implantation guide plate positioning device with the penetrating wing plate, the implantation guide plate positioning device with the penetrating wing plate is taken down, after the implantation site, the bone quantity around and the angle direction are determined to be correct, the manual expansion tapping instrument for the wing plate implantation is further used according to the requirement, the preparation of the implantation nest hole is completed, and the TPP implant implantation can be completed according to the preoperative design.
4. And finishing the subsequent operations of implantation, suturing and the like of all the implants according to the design.
After the operation is finished, the guide plate is removed, all parts are cleaned, and then the tool box is arranged for disinfection for standby.
The above embodiments are merely illustrative of the principles of the present application and its effectiveness, and are not intended to limit the application. Modifications and variations may be made to the above-described embodiments by those skilled in the art without departing from the spirit and scope of the application. Accordingly, it is intended that all equivalent modifications and variations of the application be covered by the claims, which are within the ordinary skill of the art, be within the spirit and scope of the present disclosure.
Claims (8)
1. A through-wing plate planting guide plate positioning device, comprising: the device comprises a pterygoid lamina nest positioner (1), a guide ring positioner (2), a positioning guide ring (3) and a fixing plate (4);
the guide ring locator (2) is in smooth transition connection with the wing fossa locator (1) at an angle of 85-120 degrees;
the positioning guide ring (3) is detachably and movably arranged on the guide ring positioner (2);
the fixed plate (4) is detachably and movably connected with the guide ring positioner (2);
The guide ring positioner (2) is provided with guide ring positioning scales (21) and guide ring track grooves (22), the positioning guide ring (3) comprises a guide ring unit (31) and a guide ring support (32) which are connected, the guide ring support (32) is in sliding connection with the guide ring positioner (2), and the guide ring unit (31) is positioned in the guide ring track grooves (22); the guide ring unit (31) is a straight pipe with openings at two ends, and an included angle formed between the central shaft of the guide ring unit (31) and the guide ring positioner (2) is 15-65 degrees;
The wing fossa positioner (1) is sequentially provided with a first wing fossa positioning section (11) and a second wing fossa positioning section (12) from the near guide ring positioner end to the far guide ring positioner end, and the second wing fossa positioning section (12) is buckled inwards towards the guide ring positioner (2) side relative to the first wing fossa positioning section (11);
The first pteromycota positioning segment (11) is matched with the pteromycota, and when in use, the first pteromycota positioning segment (11) is positioned in the pteromycota;
the guide ring support (32) is provided with scale positioning lines (321) for determining the position of the guide ring unit (31);
The fixing plate (4) is provided with a first fixing bone nail hole channel (41) and a plurality of bone nail fixing holes (42), the guide ring positioner (2) is provided with a second fixing bone nail hole channel (26), the second fixing bone nail hole channel (26) is matched with the first fixing bone nail hole channel (41) so as to be penetrated and fixed by the same bone nail, and the bone nail fixing holes (42) are arranged at the free end of the fixing plate (4);
The guide ring unit (31) is provided with a cavity, and the implant is inserted into the cavity for planting.
2. The through-the-wing plate planting guide positioning device according to claim 1, further comprising at least one of the following technical features:
1) The first wing fossa positioning section (11) is arc-shaped sheet-shaped;
2) The length of the first wing fossa positioning section (11) is 15-20 cm;
3) The length of the second wing fossa positioning section (12) is 3-7 mm.
3. The through-wing plate planting guide positioning device according to claim 1, further comprising the following technical features:
the guide ring positioner (2) is a rectangular flat plate, the length is 14-36 mm, the width is 4-8 mm, and the thickness is 2-4 mm.
4. A transpterygoid lamina planting guide positioning device of claim 3, further comprising at least one of the following features:
11 The inner diameter of the guide ring unit (31) is 1-3 mm;
12 The width of the guide ring track groove (22) is 2-5 mm;
13 The positioning guide ring (3) further comprises a fixing piece (33), and the fixing piece (33) is arranged on the guide ring bracket (32) and used for fixing the positioning guide ring (3) and the guide ring positioner (2);
14 The guide ring bracket (32) is in inner buckle connection with the guide ring positioner (2);
15 The guide ring positioner (2) is sequentially provided with a first guide ring positioning section (23), a second guide ring positioning section (24) and a third guide ring positioning section (25) from the proximal pterygoid lamina nest positioner end to the distal pterygoid lamina nest positioner end, the first guide ring positioning section (23) and the second guide ring positioning section (24) are respectively provided with guide ring positioning scales (21), and the guide ring track groove (22) is formed in the second guide ring positioning section (24).
5. The positioning device for a wing-penetrating plate planting guide plate according to claim 4, wherein in the feature 14), a translational positioning groove is formed in the side wall of the guide ring positioner (2), and the guide ring bracket (32) is in snap-fit sliding connection with the guide ring positioner (2) through the translational positioning groove.
6. The plant guide positioning device for a wing passing plate according to claim 5, characterized in that in the feature 15), the length of the first guide ring positioning section (23) is 2-8 mm, the length of the second guide ring positioning section (24) is 10-20 mm, and the length of the third guide ring positioning section (25) is 2-8 mm.
7. The positioning device for the planting guide plate through the wing plate according to claim 1, wherein the fixing plate (4) is provided with a first fixing section (43) and a second fixing section (44), the first fixing bone screw pore canal (41) is arranged on the first fixing section (43), the bone screw fixing hole (42) is arranged on the second fixing section (44), and the second fixing section (44) is arc-shaped.
8. A trans-wing plate implant guide positioning device according to claim 7, characterized in that the second fixing section (44) is adapted to the alveolar bone arch.
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202010358238.7A CN111419446B (en) | 2020-04-29 | 2020-04-29 | A wing plate planting guide positioning device |
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| Application Number | Priority Date | Filing Date | Title |
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| CN202010358238.7A CN111419446B (en) | 2020-04-29 | 2020-04-29 | A wing plate planting guide positioning device |
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| CN111419446A CN111419446A (en) | 2020-07-17 |
| CN111419446B true CN111419446B (en) | 2024-11-12 |
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| CN112022390B (en) * | 2020-09-27 | 2024-07-12 | 上海仁杰实业有限公司 | Positioning and guiding device for wing plate planting |
Citations (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN203122642U (en) * | 2013-03-15 | 2013-08-14 | 李大鲁 | Dental implant positioning and navigating device and dental implant positioning and navigating device groups consisting of same |
| CN105726169A (en) * | 2016-04-26 | 2016-07-06 | 中山大学孙逸仙纪念医院 | Guider for 3D printing for dental implantation and superior maxillary bone integrated reconstruction |
| CN212415945U (en) * | 2020-04-29 | 2021-01-29 | 上海交通大学医学院附属第九人民医院 | Wear pterygoid lamina and plant baffle positioner |
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| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US8023676B2 (en) * | 2008-03-03 | 2011-09-20 | Sonitus Medical, Inc. | Systems and methods to provide communication and monitoring of user status |
| US20190374305A1 (en) * | 2018-06-08 | 2019-12-12 | Sichuan Hongzhengboen Dental Technology Co., Ltd. | Dental implant positioning and guiding assembly |
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Patent Citations (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN203122642U (en) * | 2013-03-15 | 2013-08-14 | 李大鲁 | Dental implant positioning and navigating device and dental implant positioning and navigating device groups consisting of same |
| CN105726169A (en) * | 2016-04-26 | 2016-07-06 | 中山大学孙逸仙纪念医院 | Guider for 3D printing for dental implantation and superior maxillary bone integrated reconstruction |
| CN212415945U (en) * | 2020-04-29 | 2021-01-29 | 上海交通大学医学院附属第九人民医院 | Wear pterygoid lamina and plant baffle positioner |
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