Wear pterygoid lamina and plant baffle positioner

文档序号:1329226 发布日期:2020-07-17 浏览:13次 中文

阅读说明:本技术 一种穿翼板种植导板定位装置 (Wear pterygoid lamina and plant baffle positioner ) 是由 邹多宏 高振华 杨驰 张志愿 于 2020-04-29 设计创作,主要内容包括: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 invention provides a wing plate-penetrating planting guide plate positioning device, which comprises: a pteromalus fossa positioner, a guide ring positioner, a positioning guide ring and a fixing plate; the guide ring positioner and the pterygoid fossa positioner are in smooth transition connection of 85-120 degrees; the positioning guide ring is detachably and movably arranged on the guide ring positioner; the fixed plate and the guide ring positioner are detachably and movably connected. The wing plate penetrating planting guide plate positioning device can conveniently and quickly complete three-dimensional positioning of a wing plate penetrating planting technology according to preoperative design and anatomical signs.)

1. The utility model provides a wear pterygoid lamina and plant baffle positioner which characterized in that includes: a pterygoid fossa positioner (1), a guide ring positioner (2), a positioning guide ring (3) and a fixing plate (4);

the guide ring positioner (2) and the pterygoid fossa positioner (1) are in smooth transition connection 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).

2. The winged implant guide positioning device according to claim 1, wherein the pteromalus locator (1) is provided with a first pteromalus locating section (11) and a second pteromalus locating section (12) in sequence from the proximal guide ring locator end to the distal guide ring locator end, and the second pteromalus locating section (12) is internally buckled to the side of the guide ring locator (2) relative to the first pteromalus locating section (11).

3. The through-wing planting guide positioning device of claim 2, further comprising at least one of the following technical features:

1) the first pterygoid fossa positioning section (11) is arc-shaped and flaky;

2) the length of the first pterygoid fossa positioning section (11) is 15-20 cm;

3) the first pterygoid fossa positioning section (11) is matched with a pterygoid fossa, and when in use, the first pterygoid fossa positioning section (11) is positioned in the pterygoid fossa;

4) the first pterygoid fossa positioning section (11) is arc-shaped and flaky;

5) the length of the second pterygoid fossa positioning section (12) is 3-7 mm.

4. The through-wing planting guide positioning device of claim 1, further comprising at least one of the following technical features:

1) the guide ring positioner (2) is provided with guide ring positioning scales (21) and a guide ring track groove (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 groove (22);

2) the guide ring positioner (2) is a rectangular flat plate, the length of the guide ring positioner is 14-36 mm, the width of the guide ring positioner is 4-8 mm, and the thickness of the guide ring positioner is 2-4 mm. From 8, 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, so that the length is modified to be 14-36 mm.

5. The through-wing planting guide positioning device as claimed in claim 4, wherein the characteristic 1) further comprises at least one of the following technical characteristics:

11) 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;

12) the inner diameter of the guide ring unit (31) is 1-3 mm;

13) the width of the guide ring track groove (22) is 2-5 mm;

14) the guide ring support (32) is provided with scale positioning lines (321) for determining the position of the guide ring unit (31);

15) 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);

16) the guide ring bracket (32) is connected with the guide ring positioner (2) in an inner buckling type buckling manner;

17) lead ring locator (2) and be equipped with first lead ring location section (23), second lead ring location section (24) and third lead ring location section (25) from nearly wing muscle nest locator end to far wing muscle nest locator end in proper order, first lead ring location section (23) and second lead ring location section (24) all are equipped with lead ring location scale (21), lead ring track groove (22) and locate on second lead ring location section (24).

6. The through-wing plate planting guide positioning device according to claim 5, characterized in that 16), the side wall of the guide ring positioner (2) is provided with a translational positioning groove, and the guide ring bracket (32) is slidably connected with the inner buckle type buckle of the guide ring positioner (2) through the translational positioning groove.

7. The through-wing plate planting guide positioning device according to claim 5, characterized in that 17), the first guide ring positioning section (23) has a length of 2-8 mm, the second guide ring positioning section (24) has a length of 10-20 mm, and the third guide ring positioning section (25) has a length of 2-8 mm. The claims in the modification include 2-7, 10-20, 2-7, and the specific embodiments include 4-8, 10-20, and 4-8, and the modification includes 2-8, 10-20, and 2-8.

8. The wing-through plate implantation guide plate positioning device as claimed in claim 1, wherein a first bone screw retaining hole (41) and a plurality of bone screw retaining holes (42) are formed in the fixing plate (4), a second bone screw retaining hole (26) is formed in the guide ring positioner (2), the second bone screw retaining hole (26) and the first bone screw retaining hole (41) are matched so as to be penetrated and fixed by the same bone screw, and the bone screw retaining holes (42) are formed in the free end of the fixing plate (4).

9. A transom-wing plate implant guide positioning device as in claim 8, wherein said fixation plate (4) is provided with a first fixation section (43) and a second fixation section (44), said first bone screw retention channel (41) being provided on said first fixation section (43), said bone screw retention hole (42) being provided on said second fixation section (44), said second fixation section (44) being arcuate.

10. The through-wing implant guide positioning device of claim 9, wherein the second fixation section (44) mates with an alveolar bone arch.

Technical Field

The application relates to the technical field of medical equipment, in particular to a positioning device for a wing plate-penetrating planting guide plate.

Background

The wing plate-penetrating implantation technology (wing plate implantation technology, TPP implantation, namely T: Tubera, maxillary node, maxillarrytenosis; P: Pterygoid plate wing plate; P: Palatine) is an inclined implant application technology for tightly attaching an implant to the back wall of a maxillary sinus, passing through the maxillary node and a Palatine pyramidal process, and finally implanting a Pterygoid process. TPP implant implantation angleIs composed ofThe inclined dental implant is positioned at the farthest end of the upper jaw implantation restoration, completely eliminates a far middle cantilever of an implanted restoration body, is combined with dental implants in an anterior maxillary dental area and a bicuspid dental area, and can complete immediate implantation and immediate restoration of the missing of the upper jaw whole dental arch or a plurality of posterior teeth on one side; avoids the bone augmentation operation in the maxillary sinus region, simplifies the dental implantation treatment procedure, relieves the postoperative reaction and the pain of the patient, and shortens the treatment time. Because the TPP implantation technology has high sensitivity, the implantation depth of the dental implant is 15-22mm, and most of the dental implant is a blind operation area, in order to implant the TPP implant safely and correctly, corresponding body surface mark points of the pterygoid fossa and the pterygoid process inner side plate are accurately found according to a TPP implantation positioning method, the three-dimensional position relation is determined, and the TPP dental implant operation is smoothly completed according to preoperative design. Therefore, the application provides a wear pterygoid lamina and plant baffle positioner, is applied to the baffle and the three-dimensional angle locator that serious bone defect of maxilla or atrophic free end worn the pterygoid lamina planting body, can make things convenient for, swiftly accomplish TPP according to design before the art and anatomy sign and plant three-dimensional location.

Disclosure of Invention

In view of the defects of the prior art, the present application aims to provide a positioning device for a wing plate-penetrating planting guide plate, which accurately finds the corresponding body surface mark points of the pterygoid fossa and the pterygoid process medial plate and determines the three-dimensional position relationship.

To achieve the above and other related objects, the present application provides a positioning device for a planting guide plate of a wing plate, comprising a wing pit positioner, a guide ring positioner, a positioning guide ring and a fixing plate;

the guide ring positioner and the pterygoid fossa positioner are in smooth transition connection of 85-120 degrees;

the positioning guide ring is detachably and movably arranged on the guide ring positioner;

the fixed plate and the guide ring positioner are detachably and movably connected.

Preferably, the pteromalus fossa locator is provided with a first pteromalus fossa locating section and a second pteromalus fossa locating section in sequence from the proximal guide ring locator end to the distal guide ring locator end, and the second pteromalus fossa locating section is buckled inwards towards the guide ring locator side relative to the first pteromalus fossa locating section.

More preferably, at least one of the following technical characteristics is also included:

1) the first pterygoid fossa positioning section is arc-shaped and flaky;

2) the length of the first pterygoid fossa positioning section is 15-20 cm;

3) the first pterygoid fossa positioning section is matched with a pterygoid fossa, and when in use, the first pterygoid fossa positioning section is positioned in the pterygoid fossa;

4) the first pterygoid fossa positioning section is arc-shaped and flaky;

5) the length of the second pterygoid fossa positioning section is 3-7 mm.

Preferably, at least one of the following technical features is also included:

1) the guide ring positioner is provided with guide ring positioning scales and a guide ring track groove, the positioning guide ring comprises a guide ring unit and a guide ring support which are connected, the guide ring support is connected with the guide ring positioner in a sliding manner, and the guide ring unit is positioned in the guide ring track groove;

2) the guide ring positioner is a rectangular flat plate, the length of the guide ring positioner is 14-36 mm, the width of the guide ring positioner is 4-8 mm, and the thickness of the guide ring positioner is 2-4 mm.

More preferably, the feature 1) further comprises at least one of the following technical features:

11) the guide ring unit is a straight pipe with openings at two ends, and an included angle formed between the 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 also comprises a fixing piece, and 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 bracket is connected with the guide ring positioner in an inner buckling type buckling manner;

17) the guide ring positioner is equipped with first guide ring location section, second guide ring location section and third guide ring location section from nearly wing muscle nest positioner end to far wing muscle nest positioner end in proper order, first guide ring location section and second guide ring location section all are equipped with guide ring location scale, the guide ring track groove is located on the second guide ring location section.

Further more preferably, in feature 16), a translational positioning groove is formed in a side wall of the guide ring positioner, and the guide ring bracket is slidably connected to the guide ring positioner inner snap-fit type buckle through the translational positioning groove.

Further preferably, in the feature 17), the length of the first guide ring positioning section is 2 to 8mm, the length of the second guide ring positioning section is 10 to 20mm, and the length of the third guide ring positioning section is 2 to 8 mm.

Preferably, the fixed plate is provided with a first retention bone nail hole and a plurality of bone nail retention holes, the guide ring positioner is provided with a second retention bone nail hole, the second retention bone nail hole is matched with the first retention bone nail hole so as to enable the fixation by the penetration of the same bone nail, and the bone nail retention holes are arranged at the free end of the fixed plate.

More preferably, the fixing plate is provided with a first fixing section and a second fixing section, the first fixing section is provided with a first fixing bone nail hole, the second fixing section is provided with a second bone nail fixing hole, and the second fixing section is arc-shaped.

Even more preferably, the second fixture segment is matched to an alveolar bone arch.

The technical scheme has the following beneficial effects:

1. the wing plate penetrating planting guide plate positioning device can conveniently and quickly complete three-dimensional positioning of a wing plate penetrating planting technology according to preoperative design and anatomical signs, simplifies planting procedures and utilizes popularization of wing plate planting.

2. The wing plate penetrating planting guide plate positioning device is convenient for accurate positioning of wing plate planting, and effectively avoids planting complications;

3. the wing plate-penetrating planting guide plate positioning device greatly reduces the technical sensitivity of wing plate planting, and a beginner masters and applies the technology;

4. the wing plate penetrating planting guide plate positioning device greatly saves the operation time of wing plate planting operation and relieves the pain of patients;

5. the wing plate-penetrating planting guide plate positioning device can be repeatedly used, so that the treatment cost is greatly reduced, the economic burden of a patient is relieved, and the planting repair time is greatly shortened.

Drawings

Fig. 1 is a schematic structural view of the positioning device of the wing-penetrating plate planting guide plate of the application.

Fig. 2 is a schematic structural diagram of a fixing plate in the positioning device of the wing-penetrating plate planting guide plate of the application.

Fig. 3 is a schematic view of the winged-plate planting guide positioning device of the present application in use.

Reference numerals

1 wing fossa locator

11 first wing fossa location section

12 second wing fossa positioning segment

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 fixing bone nail hole

3 positioning guide ring

31 guide ring unit

32 guide ring support

321 graduation locating line

33 fixing member

4 fixing plate

41 first fixing bone nail hole

42 bone nail position-retaining hole

43 first fixing section

44 second fixing section

Detailed Description

In the description of the present application, it should be noted that the structures, ratios, sizes, and the like shown in the drawings attached to the present application are only used for matching the disclosure of the present application, so as to be understood and read by those skilled in the art, and are not used to limit the conditions that the present application can be implemented, so that the present application has no technical essence, and any modifications of the structures, changes of the ratio relationships, or adjustments of the sizes, should still fall within the scope that the technical contents disclosed in the present application can be covered without affecting the efficacy and the achievable purpose of the present application. While the terms "central," "longitudinal," "lateral," "upper," "lower," "front," "rear," "left," "right," "vertical," "horizontal," "top," "bottom," "inner," "outer," and the like refer to orientations or positional relationships illustrated in the drawings, which are used for convenience in describing the present application and to simplify the description, and do not indicate or imply that the referenced devices or elements must have a particular orientation, be constructed and operated in a particular orientation, and thus are not to be considered limiting of the present application. Furthermore, the terms "first" and "second" 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 is to be noted that, unless otherwise explicitly specified or limited, the terms "mounted," "connected," and "connected" are to be construed broadly, e.g., as meaning either a fixed connection, a removable connection, or an integral connection; can be mechanically or electrically connected; they may be connected directly or indirectly through intervening media, or they may be interconnected 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 as appropriate.

In addition, in the description of the present application, "a plurality" means two or more unless otherwise specified.

A through-wing plate planting guide positioning device, as shown in fig. 1, comprising: a pteromalus fossa positioner 1, a guide ring positioner 2, a positioning guide ring 3 and a fixing plate 4;

the guide ring positioner 2 and the pterygoid 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 fixed plate 4 is detachably and movably connected with the guide ring positioner 2.

The guide ring positioner 2 and the pteromalus fossa positioner 1 are in smooth transition connection of 85-120 degrees, for example, 85-90 degrees, 90-95 degrees, 95-100 degrees, 100-105 degrees, 105-110 degrees, 110-115 degrees or 115-120 degrees, wherein 85-120 degrees refers to an included angle α between a connecting line of two ends of a central line of the pteromalus fossa positioner and the top surface of the guide ring positioner.

The pterygoid fossa positioner 1 is used to determine the final implantation position and orientation of the pterygoid implant. The guide ring positioner 2 is used for determining the implant site alveolar ridge plane and providing support and fixation for positioning the guide ring 3. The positioning guide ring 3 is used for providing a site and three-dimensional angle guidance for the wing plate implant. The fixing plate 4 is used for providing retention and stability for the positioning device of the wing-penetrating plate planting guide plate. The guide ring positioner 2 and the pterygoid fossa positioner 1 are connected in a smooth transition mode of 85-120 degrees, retention and positioning of the wing plate planting guide plate positioning device are facilitated, and soft tissue injury is avoided. The wing plate penetrating planting guide plate positioning device can conveniently and quickly complete three-dimensional positioning of a wing plate penetrating planting technology according to preoperative design and anatomical signs. The accurate positioning of pterygoid lamina planting of being convenient for effectively avoids planting the emergence of complication, simplifies the planting procedure, utilizes the popularization that the pterygoid lamina was planted.

In a preferred embodiment, the pteromalus fossa locator 1 is provided with a first pteromalus fossa locating section 11 and a second pteromalus fossa locating section 12 in sequence from the proximal guide ring locator end to the distal guide ring locator end, the second pteromalus fossa locating section 12 is buckled in the guide ring locator 2 side relative to the first pteromalus fossa locating section 11, the first pteromalus fossa locating section 11 and the second pteromalus fossa locating section 12 can be arc-shaped sheets, the length of the second pteromalus fossa locating section 12 is generally suitable for the depth of the pteromalus fossa, the angle of 85-120 degrees refers to the angle α, 85-120 degrees between the connecting line of the two ends of the central line of the first pteromalus fossa locating section and the top surface of the guide ring locator, as shown in fig. 1, the first pteromalus fossa locating section 11 and the second pteromasa locating section 12 can be designed to conform to the relative position relationship of the pteromalus fossa to the maxilla fossa, and cooperate with a pteromalus detector, the locator can be placed in a smooth pteromasa fossa location position between the pteromasa outer plates, and an auxiliary implantation.

As a specific embodiment, the length of the first wing fossa positioning segment 11 may be 15-20 cm. Do benefit to and wear pterygoid lamina and plant baffle positioner maintenance in pterygoid lamina nest, be convenient for its accurate location.

In a particular embodiment, the first pterygoid fossa location section 11 is matched to the pterygoid fossa, and in use, the first pterygoid fossa location section 11 is located within the pterygoid fossa. The first wing fossa positioning section 11 is fixed in the wing fossa, and the second wing fossa positioning section 12 is buckled in the wing fossa relative to the first wing fossa positioning section 11 towards the side of the guide ring positioner 2.

As a specific embodiment, the length of the second wing fossa positioning section 12 may be 3-7 mm. Do benefit to and wear pterygoid lamina and plant baffle positioner maintenance in pterygoid lamina nest, be convenient for its accurate location.

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 slidably connected with the guide ring positioner 2, and the guide ring unit 31 is located in the guide ring track groove 22. The guide ring positioning scale 21 is used for distance positioning of the intraoperative positioning guide ring 3. The guide ring track 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 the implant can be inserted for planting. The guide ring holder 32 serves to support 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 to 65 °, such as 15 to 20 °, 20 to 25 °, 25 to 30 °, 30 to 35 °, 35 to 40 °, 40 to 45 °, 45 to 50 °, 50 to 55 °, 55 to 60 °, or 60 to 65 °. The implant is favorable for being obliquely implanted into the alveolar bone and the wing outer plate, thereby effectively avoiding maxillary sinus, fully utilizing the existing alveolar bone, enhancing the initial stability of the implant and being favorable for immediate restoration. The guide ring unit 31 may have a mark on a sidewall thereof corresponding to the angle.

In a specific embodiment, the guide ring unit 31 has an inner diameter of 1 to 3 mm. Effectively guide the direction of the dental implant drill.

In one embodiment, the width of the guide ring track groove 22 is 2 to 5 mm. According to the requirement of the dental implantation position, the position of the dental implantation guide ring can be adjusted.

In a preferred embodiment, the guide ring holder 32 is provided with a calibration positioning line 321 for determining the position of the guide ring unit 31. Specifically, the scale positioning lines 321 may be disposed at the center positions of the two sides of the guide ring support corresponding to the guide ring units.

In a preferred embodiment, the positioning guide ring 3 further includes a fixing member 33, and the fixing member 33 is disposed on the guide ring holder 32 and used for fixing the positioning guide ring 3 and the guide ring positioner 2. For enhancing the fixing of the connection between the positioning guide ring 3 and the guide ring positioner.

In a preferred embodiment, the guide ring holder 32 and the guide ring retainer 2 are snap-fit connections. According to the needs of tooth planting position, the position of the tooth planting positioning guide ring 3 is adjusted, and the position is adjusted more stably.

In a preferred embodiment, a translational positioning groove is formed on the side wall of the guide ring positioner 2, and the guide ring bracket 32 is slidably connected with the inner snap type buckle of the guide ring positioner 2 through the translational positioning groove. The translational positioning groove is a groove arranged on the edge of the guide ring positioner 2. According to the needs of tooth planting position, the position of adjustment tooth planting location guide ring 3, it is more stable when the adjustment position.

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 fossa positioner end to the distal pterygoid fossa 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 planting position, do benefit to the adjustment of tooth planting guide ring position, according to the accurate location of the digit of measurement before the art.

As a specific embodiment, the guide ring positioner 2 is a rectangular flat plate with a length of 14-36 mm, a width of 4-8 mm and a thickness of 2-4 mm.

In a preferred embodiment, as shown in fig. 1 and 2, a first bone screw fixing hole 41 and a plurality of bone screw fixing holes 42 are provided on the fixing plate 4, a second bone screw fixing hole 26 is provided on the guide ring positioner 2, the second bone screw fixing hole 26 and the first bone screw fixing hole 41 are matched to allow the same bone screw to penetrate and be fixed, and the bone screw fixing holes 42 are provided at the free end of the fixing plate 4. The three bone nail retention holes 42 can be distributed in a triangular shape, so that retention stability after direction confirmation in the operation is facilitated. The guide ring positioner 2 passes through the second retention bone nail hole 26 and the first retention bone nail hole 41 through the retention bone nail and is detachably and movably connected with the fixing plate 4, and is an adjustable combination joint of a cheek and a tongue. The fixing plate 4 is used for connecting the guide ring positioner 2, so that the auxiliary stability is facilitated and the TPP planting guide plate is fixed in place.

In a preferred embodiment, the fixing plate 4 is provided with a first fixing section 43 and a second fixing section 44, the first bone screw fixing 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 retention and stability after direction confirmation in operation.

In a preferred embodiment, the second fixture segment 44 is mated to an alveolar bone arch. For example, the radian of the second fixing section can be 100-160 degrees, and the arc length can be 20-50 mm.

The use method of the wing plate penetrating planting guide plate positioning device comprises the following steps:

all parts of the wing plate penetrating planting guide plate positioning device are detached and then placed in a tool box, and the wing plate penetrating planting guide plate positioning device is disinfected and then used clinically. In clinical use, as shown in fig. 3, according to the surgical design scheme, the tooth implant is assembled and fixed for wing plate implantation surgery, and the tooth implantation direction and position are carried out according to the marks of the positioning guide plates. The specific use method is as follows:

1. according to the CBCT simulation design before operation and the TPP planting routine, anesthesia is completed, the planting site is determined, incision and flap turning are carried out, the far middle maxillary nodule and the wing maxillary incisal region are fully exposed, and three-dimensional positioning marks such as wing fossa, ridge crest and the like are detected by a TPP planting detector

2. The wing plate penetrating planting guide plate positioning device is internally provided with a guide, a positioning and a fixing part:

(1) firstly, according to the preoperative simulation design result, selecting a positioning guide ring 3 with the same angle (for example, 30 degrees or 45 degrees) as the simulation design from the outside of the mouth, implanting the positioning guide ring 3 into a guide ring positioner 2, and installing a fixing plate 4;

(2) the pteromalus fossa position is ascertained, the pteromalus fossa positioner 1 is placed into the pteromalus fossa along the bone wall of the pteromalus fossa, meanwhile, the positioning device of the wing plate-penetrating implantation guide plate is pulled towards the middle, the guide ring positioner 2 is attached to the crest bone plane of the alveolar ridge, and the plane of the guide ring positioner 2 is parallel to the same-side premolar and molar area plane;

(3) adjusting and positioning the front and back positions of the guide ring 3 and the positions of the cheek and palate directions of the guide ring positioner 2 according to the implant site to ensure that the guide direction of the guide ring unit 31 is just above the implant site, and locking a fixing piece such as a fixing screw to complete the positioning of the adjustable planting guide plate of the wing plate; after the position of the position-fixing end cheek palate is adjusted to be suitable for the arc shape of the alveolar ridge, the positioning device of the planting guide plate of the wing penetrating plate is fixed by using a middle-near fixture, and the guiding in-position in the mouth is completed.

3. Wear pterygoid lamina and plant baffle positioner guide and be equipped with the hole: after the positioning device of the wing-penetrating plate planting guide plate is guided to be in place, confirming and adjusting the position relation of the wing-penetrating plate planting guide plate positioning device again according to a clinical planting design scheme; according to design implantation site, sclerotin TPP plants the nest hole preparation under the guidance of pterygoid lamina planting baffle positioner, takes off pterygoid lamina and plants baffle positioner, confirms planting site, bone mass and angle direction all around are errorless after, further uses the pterygoid lamina to plant manual expansion tapping apparatus as required, accomplishes and prepares to plant the nest hole, can accomplish TPP planting body implantation according to the design before the art.

4. All the subsequent operations of implant implantation, suture and the like are completed according to the design.

After the operation is finished, the guide plate is detached, each part is cleaned, and then the surgical instrument is put into a tool box and sterilized for later use.

The above embodiments are merely illustrative of the principles and utilities of the present application and are not intended to limit the application. Any person skilled in the art can modify or change the above-described embodiments without departing from the spirit and scope of the present application. Accordingly, it is intended that all equivalent modifications or changes which can be made by those skilled in the art without departing from the spirit and technical concepts disclosed in the present application shall be covered by the claims of the present application.

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