CN114391985B - Bracket-free invisible orthodontic base station utilizing dental implant anchorage - Google Patents
Bracket-free invisible orthodontic base station utilizing dental implant anchorage Download PDFInfo
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- CN114391985B CN114391985B CN202111614655.4A CN202111614655A CN114391985B CN 114391985 B CN114391985 B CN 114391985B CN 202111614655 A CN202111614655 A CN 202111614655A CN 114391985 B CN114391985 B CN 114391985B
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Abstract
本发明公开了一种利用牙种植体支抗的无托槽隐形矫正基台,包括基台本体、设于基台本体底部的锁合部以及设于基台侧部的定位部,所述锁合部用于安装于牙种植体上,所述定位部用于与矫治器配合使矫治器定位。本发明通过定位部将矫治器定位,矫治器可完全包绕并紧密贴合于基台本体,实现牙种植体与矫治器简便、精准的连接,在无托槽透明隐形矫治中可提供绝对稳定的支抗;该装置可应用于种植无托槽隐形矫正联合修复,可增强支抗和缩短治疗时间,达到良好的种植修复与无托槽隐形矫正同步快速进行的效果。
The invention discloses a bracket-free invisible correction abutment using dental implant anchorage, comprising a base body, a locking part arranged at the bottom of the base body, and a positioning part arranged at the side part of the base. The joint part is used for being installed on the dental implant, and the positioning part is used for cooperating with the appliance to position the appliance. The present invention locates the appliance through the positioning part, the appliance can completely surround and closely fit the abutment body, realize the simple and precise connection between the dental implant and the appliance, and can provide absolute stability in the transparent invisible orthodontic treatment without brackets The anchorage of the device can be applied to the joint repair of implantation without brackets invisible correction, which can enhance the anchorage and shorten the treatment time, and achieve the effect of good implantation repair and invisible correction without brackets.
Description
技术领域technical field
本发明涉及牙齿矫正技术领域,特别涉及一种利用牙种植体支抗的无托槽隐 形矫正基台。The present invention relates to the technical field of orthodontics, in particular to a bracket-free invisible orthodontic abutment utilizing dental implant anchorage.
背景技术Background technique
临床中常遇到患者缺牙过久邻牙倾斜、对颌牙伸长导致咬合紊乱、邻接关系 不佳和修复空间不足的情形,还会出现牙龈“黑三角”等问题,且倾斜邻牙所承 受的咬合力方向与牙长轴不平行,会导致倾斜邻牙所受侧向力过大。此时常采用 小范围牙移动(minortooth movement,MTM)的治疗方式,即牙齿移动范围及 距离较小、矫治目标单一、方法较简单的一类单纯牙性畸形的正畸治疗,来恢复 修复空间、建立正常邻接关系、牙龈形态和咬合关系。虽然牙齿移动范围及距离 较小,但需要移动的牙齿需要三维方向的精准控制、而不需要移动的牙齿及咬合 关系需要保持稳定,由此可见,MTM的治疗难度较大。In clinical practice, it is often encountered that the patient has been missing teeth for a long time and the adjacent teeth are inclined, the opposite teeth are elongated, leading to occlusal disorder, poor adjacency and insufficient restoration space, and problems such as "black triangle" of the gums will also occur, and the inclined adjacent teeth are borne by the patients. The direction of the occlusal force is not parallel to the long axis of the tooth, which will lead to excessive lateral force on the inclined adjacent teeth. At this time, the treatment method of minor tooth movement (MTM) is often used, that is, the orthodontic treatment of a simple dental deformity with a small range and distance of tooth movement, a single treatment target, and a simple method to restore the repair space, Establish normal adjacencies, gingival morphology and occlusion. Although the moving range and distance of the teeth are small, the teeth that need to be moved need precise control in the three-dimensional direction, and the teeth that do not need to be moved and the occlusal relationship need to be kept stable. It can be seen that the treatment of MTM is more difficult.
无托槽隐形矫正具有没有传统矫治过程中的钢丝和托槽、不影响美观、全程 效果可监控等突出优点,广受正畸患者青睐,尤其是缺牙过久、对颌牙伸长和邻 牙倾斜的情形多见于成年患者,该部分群体因为社交需求而美学要求更高,选择 应用无托槽隐形矫正的倾向性更高。隐形矫正技术继承了传统正畸力学概念,是 计算机辅助三维诊断、个性化设计及数字化成型技术的完美结合。Bracketless invisible orthodontic treatment has outstanding advantages such as no wires and brackets in traditional orthodontic treatment, no impact on aesthetics, and full effect monitoring. The situation of tilted teeth is more common in adult patients. This part of the group has higher aesthetic requirements due to social needs, and has a higher tendency to choose invisible orthodontics without brackets. Invisible correction technology inherits the concept of traditional orthodontic mechanics, and is a perfect combination of computer-aided three-dimensional diagnosis, personalized design and digital molding technology.
目前,种植支抗可为修复前局部正畸矫正倾斜邻牙和压低对颌牙提供绝对支 抗,精准控制牙齿的移动,且保持不需要移动的牙齿和咬合的稳定,是无托槽隐 形矫正MTM的有力工具。临床中,微种植体、牙种植体均可提供种植支抗。微 种植体表面已设计有连接矫治装置的结构,在临床无托槽隐形矫正中广泛使用; 当已有牙种植体,而要利用牙种植体作无托槽隐形矫正支抗时,也需要一定结构, 来实现无托槽透明矫治器与牙种植体形态和功能的结合。然而,目前市场上尚未 有类似的结构实现无托槽透明矫治器与牙种植体的连接。At present, implant anchorage can provide absolute anchorage for partial orthodontic correction of inclined adjacent teeth and depression of opposing teeth before restoration, accurately control the movement of teeth, and maintain the stability of teeth and occlusion that do not need to be moved. It is invisible correction without brackets. A powerful tool for MTM. In clinical practice, both micro-implants and dental implants can provide implant anchorage. The surface of the micro-implant has been designed with a structure connected to the orthodontic device, which is widely used in clinical invisible orthodontics without brackets. structure to realize the combination of the form and function of the bracket-free transparent appliance and the dental implant. However, there is no similar structure on the market to realize the connection between the bracketless transparent appliance and the dental implant.
因此,为解决以上问题,需要一种利用牙种植体支抗的无托槽隐形矫正基 台,可应用于种植无托槽隐形矫正联合修复,可增强支抗和缩短治疗时间,达 到良好的种植修复与无托槽隐形矫正同步快速进行的效果。Therefore, in order to solve the above problems, there is a need for a bracket-free invisible orthodontic abutment using dental implant anchorage, which can be applied to the joint restoration of implant-free invisible orthodontics, which can enhance anchorage and shorten the treatment time to achieve good implantation. Fixes the effect of fast progress in sync with invisible corrections without brackets.
发明内容SUMMARY OF THE INVENTION
有鉴于此,本发明提供一种利用牙种植体支抗的无托槽隐形矫正基台,可 应用于种植无托槽隐形矫正联合修复,可增强支抗和缩短治疗时间,达到良好 的种植修复与无托槽隐形矫正同步快速进行的效果。In view of this, the present invention provides a bracket-free invisible orthodontic abutment using dental implant anchorage, which can be applied to implanted bracket-free invisible orthodontic joint restoration, can enhance anchorage and shorten treatment time, and achieve good implant restoration. Quick results in sync with bracketless invisible corrections.
本发明的利用牙种植体支抗的无托槽隐形矫正基台,包括基台本体、设于基 台本体底部的锁合部以及设于基台侧部的定位部,所述锁合部用于安装于牙种植 体上,所述定位部用于与矫治器配合使矫治器定位。The bracket-free invisible orthodontic abutment utilizing dental implant anchorage of the present invention comprises an abutment body, a locking portion provided at the bottom of the abutment body, and a positioning portion provided on the side portion of the abutment. When installed on the dental implant, the positioning portion is used for cooperating with the appliance to position the appliance.
进一步,还包括弹性件,所述弹性件设置于基台本体的咬合端,用于在咬合 运动过程中施以压低对颌牙的弹性力。Further, an elastic member is also included, the elastic member is disposed on the occlusal end of the abutment body, and is used to exert an elastic force for depressing the opposing teeth during the occlusal movement.
进一步,所述定位部为凸出于基台本体侧部的卡块。Further, the positioning portion is a blocking block protruding from the side portion of the base body.
进一步,所述基台本体的咬合端处设有卡槽,所述弹性件卡装于卡槽内。Further, the engaging end of the base body is provided with a clamping groove, and the elastic member is clamped in the clamping groove.
进一步,所述基台本体上位于锁合部靠近咬合端一侧设有穿龈部,所述穿龈 部为从锁合部向咬合端侧逐渐扩大的锥形状。Further, the abutment body is provided with a gingival part on the side of the locking part close to the occlusal end, and the gingival part is in a tapered shape that gradually expands from the locking part to the occlusal end side.
进一步,还包括紧固件,所述基台本体的咬合端上开设有贯通其底部的安装 通道,所述紧固件安装于安装通道内,所述紧固件下端伸出锁合部用于与牙种植 体固定连接并使得锁合部安装于牙种植体上。Further, it also includes a fastener, an installation channel penetrating the bottom of the base body is provided on the occlusal end, the fastener is installed in the installation channel, and the lower end of the fastener protrudes from the locking portion for use in It is fixedly connected with the dental implant and enables the locking portion to be mounted on the dental implant.
进一步,所述弹性件为橡胶塞,所述安装通道从上端至下端截面由方变圆, 所述橡胶塞底部具有与安装通道上端适配的凸台,所述凸台卡装于安装通道上端 口处。Further, the elastic member is a rubber plug, the cross section of the installation channel from the upper end to the lower end changes from square to round, the bottom of the rubber plug has a boss adapted to the upper end of the installation channel, and the boss is clamped on the installation channel at the port.
进一步,所述基台本体为圆柱体。Further, the base body is a cylinder.
进一步,所述安装通道截面由方变圆之间通过上大下小的锥形通道过渡连 接,所述紧固件的头部抵在锥形通道上。Further, the section of the installation channel changes from square to round through a transitional connection between a large upper and a lower small conical channel, and the head of the fastener abuts on the conical channel.
进一步,所述橡胶塞底部具有与基台本体上端适配的装配槽,所述凸台凸出 于装配槽的槽底,所述基台本体的咬合端适形内套于该装配槽内。Further, the bottom of the rubber stopper has an assembly groove that fits with the upper end of the base body, the boss protrudes from the groove bottom of the assembly groove, and the engaging end of the base body fits into the assembly groove.
本发明的有益效果:Beneficial effects of the present invention:
本发明的矫正基台补充缺牙的位置,利于改善对颌牙伸长导致咬合紊乱、邻 接关系不佳和修复空间不足的情形;且矫正基台通过定位部将矫治器定位,矫治 器可完全包绕并紧密贴合于基台本体,实现牙种植体与矫治器简便、精准的连接, 在无托槽透明隐形矫治中可提供绝对稳定的支抗;该装置可应用于种植无托槽隐 形矫正联合修复,可增强支抗和缩短治疗时间,达到良好的种植修复与无托槽隐 形矫正同步快速进行的效果。The orthodontic abutment of the present invention supplements the position of the missing teeth, which is beneficial to improve the situation of disordered occlusion, poor adjacency and insufficient repair space caused by the elongation of the opposing teeth; It wraps around and closely fits the abutment body, realizes the simple and precise connection between the dental implant and the appliance, and can provide an absolutely stable anchorage in the transparent invisible orthodontic treatment without brackets; the device can be used for implanting invisible brackets without brackets Correction combined with repair can enhance anchorage and shorten treatment time, and achieve the effect of good implant repair and bracket-free invisible correction.
附图说明Description of drawings
下面结合附图和实施例对本发明作进一步描述。The present invention will be further described below with reference to the accompanying drawings and embodiments.
图1为本发明结构示意图;Fig. 1 is the structural representation of the present invention;
图2为基台本体结构示意图;Fig. 2 is a schematic diagram of a base body structure;
具体实施方式Detailed ways
如图所示:本实施例的利用牙种植体支抗的无托槽隐形矫正基台,包括基台 本体1、设于基台本体底部的锁合部2以及设于基台侧部的定位部3,所述锁合 部用于安装于牙种植体上,所述定位部用于与矫治器配合使矫治器7定位。As shown in the figure: the bracket-free invisible orthodontic abutment using dental implant anchorage in this embodiment includes an abutment body 1, a locking portion 2 provided at the bottom of the abutment body, and a positioning portion provided on the side of the abutment.
对应于上牙时,基台本体底部为基台本体的上端,对应于下牙时,基台本体 底部为基台本体的下端;此处的矫正器指的是无托槽透明隐形矫正器;基台本体 安装于缺牙处,并利用缺牙处的牙种植体安装,基台本体补充缺牙的位置,利于 改善对颌牙伸长导致咬合紊乱、邻接关系不佳和修复空间不足的情形;锁合部可 以为螺纹接头或者其他连接件直接与牙种植体连接,锁合部也可以通过第三方连 接件安装于牙种植体上,基台本体借由锁合部植入牙槽骨的种植体上,以提供无 托槽隐形矫正所需的固定效果,定位部设置于基台本体的上颊腭或舌侧,定位部 与矫治器配合后,无托槽透明隐形矫治器可完全包绕并紧密贴合于基台本体,该 定位部将无托槽透明隐形矫治器定位,实现牙种植体与矫治器简便、精准的连接, 在无托槽透明隐形矫治中可提供绝对稳定的支抗。When it corresponds to the upper teeth, the bottom of the abutment body is the upper end of the abutment body, and when it corresponds to the lower teeth, the bottom of the abutment body is the lower end of the abutment body; the aligner here refers to the transparent invisible aligner without brackets; The abutment body is installed at the missing tooth, and the dental implant is installed at the missing tooth. The abutment body supplements the missing tooth position, which is beneficial to improve the situation of occlusal disorder, poor adjacency and insufficient repair space caused by the elongation of the opposing teeth. The locking part can be directly connected to the dental implant by a threaded joint or other connector, the locking part can also be installed on the dental implant through a third-party connector, and the abutment body is implanted into the alveolar bone through the locking part. In order to provide the fixation effect required for invisible correction without brackets on the implant, the positioning part is set on the buccal and palatal or lingual side of the abutment body. After the positioning part is matched with the appliance, the transparent invisible appliance without brackets can completely cover Surrounding and closely fitting to the abutment body, the positioning part locates the bracketless transparent invisible appliance, realizes the simple and precise connection between the dental implant and the appliance, and can provide an absolutely stable support in the bracketless transparent invisible appliance. anti.
本实施例中,还包括弹性件4,所述弹性件设置于基台本体1的咬合端,用 于在咬合运动过程中施以压低对颌牙的弹性力。此处的对颌牙指的是相对矫正基 台的牙齿,弹性件可以为圆柱螺旋弹簧或者其他已知的弹性结构,咬合端对应于 基台本体底部而言,对应于上牙时,咬合端为基台本体的下端,对应于下牙时, 咬合端为基台本体的上端;弹性件的弹性形变可实现主动加力压低对颌牙,非刚 性力在咬合过程中也可以形成一定缓冲。In this embodiment, an elastic member 4 is further included, and the elastic member is disposed on the occlusal end of the abutment body 1, and is used to exert an elastic force for depressing the opposing teeth during the occlusal movement. The opposing teeth here refers to the teeth that are opposite to the orthodontic abutment, and the elastic member may be a cylindrical coil spring or other known elastic structures. The occlusal end corresponds to the bottom of the abutment body. When it corresponds to the upper teeth, the occlusal end It is the lower end of the abutment body. When it corresponds to the lower teeth, the occlusal end is the upper end of the abutment body; the elastic deformation of the elastic member can realize the active force to lower the opposing teeth, and the non-rigid force can also form a certain buffer during the occlusion process.
本实施例中,所述定位部为凸出于基台本体1侧部的卡块。基台本体与卡块 为一体铸造结构,卡块可以为椭圆形凸台、矩形凸台、楔形凸台或其他形式的凸 台结构,相应的在矫治器的侧面设置有与卡块适配的卡槽,通过该结构可固定矫 治器,实现牙种植体与矫治器简便、精准的连接。In this embodiment, the positioning portion is a locking block protruding from the side of the base body 1 . The abutment body and the clamping block are integrally cast, and the clamping block can be an elliptical boss, a rectangular boss, a wedge-shaped boss or other forms of boss structure. Correspondingly, a side surface of the appliance is provided with an adapter adapted to the clamping block. The clamping slot, through which the appliance can be fixed, and the simple and precise connection between the dental implant and the appliance can be realized.
本实施例中,所述基台本体1的咬合端处设有卡槽5,所述弹性件卡装于卡 槽内。卡槽可以为圆形卡槽、环形卡槽、方形卡槽等形状,卡槽的形状依据弹性 件的结构而设定,弹性件的一端卡装于该卡槽内,另一端正对对颌牙,便于弹性 件的定位。In this embodiment, the engaging end of the base body 1 is provided with a
本实施例中,所述基台本体1上位于锁合部靠近咬合端一侧设有穿龈部6, 所述穿龈部为从锁合部向咬合端侧逐渐扩大的锥形状。穿龈部与牙龈组织接触, 可促使软组织塑形,其中穿龈部尺寸可依据使用者的口腔形状、牙齿位置等因素 适应性设定,以满足个性化需求。In this embodiment, the abutment body 1 is provided with a
本实施例中,还包括紧固件8,所述基台本体1的咬合端上开设有贯通其底 部的安装通道,所述紧固件安装于安装通道内,所述紧固件下端伸出锁合部用于 与牙种植体固定连接并使得锁合部安装于牙种植体上。紧固件为螺栓结构,其螺 纹紧固端伸出安装通道后与牙种植体螺纹固定连接,使得锁合部下端压于牙种植 体上端,此时锁合部与牙种植体形成锁合结构。其中锁合部与基台本体为一体成 型结构,锁合部截面为正六边形结构,相应的牙种植体的上端开设有与锁合部适 配的截面呈六边形的锁合槽,锁合部实现内套于锁合槽内二者形成锁合结构,可 防止基台本体相对牙种植体相对转动;将紧固件拧紧在种植体上并使锁合部与牙 种植体锁合,以固定基台本体;锁合槽的槽体开设有与紧固件螺纹端配合的内螺 纹孔,使种植体与基台本体可以通过螺纹连接;锁合部也可依据实际锁合结构设 置为其他的多边形结构或者异形结构,锁合部可针对不同种植体系统和不同型号 种植体,设定相应的尺寸,从而满足矫正基台与多种种植体的连接。In this embodiment, a fastener 8 is also included. The occlusal end of the base body 1 is provided with an installation channel penetrating through the bottom thereof. The fastener is installed in the installation channel, and the lower end of the fastener protrudes. The locking portion is used for fixed connection with the dental implant and enables the locking portion to be mounted on the dental implant. The fastener is a bolt structure, and its threaded fastening end extends out of the installation channel and is threadedly connected to the dental implant, so that the lower end of the locking part is pressed against the upper end of the dental implant, and at this time, the locking part and the dental implant form a locking structure . The locking portion and the abutment body are integrally formed, the cross-section of the locking portion is a regular hexagonal structure, and the upper end of the corresponding dental implant is provided with a locking groove with a hexagonal cross-section adapted to the locking portion. The joint part is sleeved in the locking groove to form a locking structure, which can prevent the relative rotation of the abutment body relative to the dental implant; the fastener is tightened on the implant and the locking part is locked with the dental implant. To fix the abutment body; the groove body of the locking groove is provided with an internal threaded hole that cooperates with the threaded end of the fastener, so that the implant and the abutment body can be threadedly connected; the locking part can also be set according to the actual locking structure. For other polygonal structures or special-shaped structures, the locking part can be set to the corresponding size for different implant systems and different types of implants, so as to satisfy the connection between the correction abutment and various implants.
本实施例中,所述弹性件为橡胶塞,所述安装通道从上端至下端截面由方变 圆,所述橡胶塞底部具有与安装通道上端适配的凸台,所述凸台卡装于安装通道 上端口处。此处的上端对应的是基台本体的咬合端,安装通道上端为方形截面, 下端为圆形截面,上端至下端渐变,橡胶塞为可以与安装通道的上端口形状适配, 此时紧固件的头部沉入安装通道内以使得安装通道的上端口作为卡槽安装橡胶 塞,将安装通道上端设置为方形截面,则利于在周向方向对橡胶塞形成定位。In this embodiment, the elastic member is a rubber plug, the cross section of the installation channel from the upper end to the lower end changes from square to round, the bottom of the rubber plug has a boss adapted to the upper end of the installation channel, and the boss is clamped to the upper end of the installation channel. Install the channel on the port. The upper end here corresponds to the occlusal end of the abutment body, the upper end of the installation channel is a square section, the lower end is a circular section, the upper end is gradually changed from the upper end to the lower end, and the rubber plug can be adapted to the shape of the upper port of the installation channel, and tighten it at this time. The head of the part sinks into the installation channel so that the upper port of the installation channel is used as a groove to install the rubber plug, and the upper end of the installation channel is set as a square section, which is conducive to the positioning of the rubber plug in the circumferential direction.
本实施例中,所述基台本体为圆柱体。基台本体依据不同牙位适应性的调节 尺寸,基台本体、穿龈部、锁合部、弹性件尺寸皆可根据牙位和种植体型号选择, 实现一定程度个性化设计;基台本体为圆柱形,有利于减少应力集中点,方便基 台本体的加工,节约基台本体的加工成本,且通过圆弧过渡面防止损伤口腔软组 织。In this embodiment, the base body is a cylinder. The size of the abutment body can be adjusted according to the adaptability of different tooth positions. The size of the abutment body, the gingival part, the locking part and the elastic part can be selected according to the tooth position and the type of the implant to achieve a certain degree of personalized design; the abutment body is The cylindrical shape is conducive to reducing stress concentration points, facilitates the processing of the abutment body, saves the processing cost of the abutment body, and prevents damage to the oral soft tissue through the arc transition surface.
本实施例中,所述安装通道截面由方变圆之间通过上大下小的锥形通道过渡 连接,所述紧固件的头部抵在锥形通道上。安装通道截面渐变处为锥形结构,相 应的紧固件头部适应性的采用锥形头以贴合并支撑于该锥形渐变通道处。In this embodiment, the cross-section of the installation channel changes from square to round through a transitional connection between a large upper and a lower small conical channel, and the head of the fastener abuts on the conical channel. The section of the installation channel has a tapered structure, and the corresponding fastener head adaptively adopts a tapered head to fit and support the tapered tapered channel.
本实施例中,所述橡胶塞底部具有与基台本体上端适配的装配槽,所述凸台 凸出于装配槽的槽底,所述基台本体的咬合端适形内套于该装配槽内。如图1所 示,橡胶塞以过盈配合的方式套在基台本体的咬合端且凸台适形卡装于卡槽5 内,在咬合运动过程中,弹性件发生形变给对颌牙提供一个压低的力;弹性件为 圆柱形,可避免取下矫治器后患者饮食过程中的食物嵌塞;同时在隐形矫治数字 化计算控制下,弹性件随矫治器更换频率高,每次压低距离小,降低了咬合创伤 风险。In this embodiment, the bottom of the rubber stopper has an assembly groove that fits with the upper end of the base body, the boss protrudes from the groove bottom of the assembly groove, and the occlusal end of the base body fits within the assembly. in the slot. As shown in Figure 1, the rubber plug is fitted on the occlusal end of the abutment body in an interference fit, and the boss is conformally clamped in the clamping
最后说明的是,以上实施例仅用以说明本发明的技术方案而非限制,尽管参 照较佳实施例对本发明进行了详细说明,本领域的普通技术人员应当理解,可以 对本发明的技术方案进行修改或者等同替换,而不脱离本发明技术方案的宗旨和 范围,其均应涵盖在本发明的权利要求范围当中。Finally, it should be noted that the above embodiments are only used to illustrate the technical solutions of the present invention and not to limit them. Although the present invention has been described in detail with reference to the preferred embodiments, those of ordinary skill in the art should understand that the technical solutions of the present invention can be Modifications or equivalent substitutions without departing from the spirit and scope of the technical solutions of the present invention should be included in the scope of the claims of the present invention.
Claims (8)
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| ES2518665B1 (en) * | 2013-11-29 | 2015-10-13 | Dentalliance Network, S.L. | Method for dental treatment planning |
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| CN102014783A (en) * | 2008-05-23 | 2011-04-13 | 矫正技术公司 | Dental implant positioning |
| CN105125302A (en) * | 2015-07-20 | 2015-12-09 | 广州医科大学附属口腔医院 | Novel micro-implant anchorage screw |
| CN108670452A (en) * | 2018-05-11 | 2018-10-19 | 杭州牙数字口腔有限公司 | The included invisible orthotic device for assisting forcing down device and auxiliary force down system |
| CN211381873U (en) * | 2019-06-03 | 2020-09-01 | 杭州一牙数字口腔有限公司 | A bracketless invisible appliance with a channel attachment and a tooth depression system |
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