CN201036568Y - Denture carrier fixed on surface of alveolar bone - Google Patents
Denture carrier fixed on surface of alveolar bone Download PDFInfo
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- CN201036568Y CN201036568Y CNU200720003260XU CN200720003260U CN201036568Y CN 201036568 Y CN201036568 Y CN 201036568Y CN U200720003260X U CNU200720003260X U CN U200720003260XU CN 200720003260 U CN200720003260 U CN 200720003260U CN 201036568 Y CN201036568 Y CN 201036568Y
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Abstract
本实用新型是有关于固定在齿槽骨表面的义齿载体,包含一载体,具有一承载部,承载部的断面呈弧形,底面下凹的弧部是用以配合齿槽骨顶面弯曲的弧度而可以跨置于其上,承载部于顶面凸设有一接合部供义齿设置,接合部是由至少一个以上的上窄下宽的柱体构成,载体底面设有一定位部,使此一具力学传导结构的载体,可以被定位于人体齿槽骨的皮质骨上。
The utility model relates to a denture carrier fixed on the surface of the alveolar bone, comprising a carrier having a bearing part, the cross section of the bearing part is arc-shaped, the arc part of the bottom surface is concave and is used to match the curvature of the top surface of the alveolar bone and can be placed on it, the bearing part is convexly provided with a joint part on the top surface for the denture to be set, the joint part is composed of at least one or more columns that are narrow at the top and wide at the bottom, and a positioning part is provided on the bottom surface of the carrier, so that the carrier with a mechanical conduction structure can be positioned on the cortical bone of the alveolar bone of the human body.
Description
技术领域 technical field
本实用新型涉及义齿的结构,特别是一种具力学传导结构,而固定在齿槽骨的皮质骨(cortical bone)表面的义齿载体。The utility model relates to a denture structure, in particular to a denture carrier which has a mechanical conduction structure and is fixed on the surface of the cortical bone of the alveolar bone.
背景技术 Background technique
目前就义齿的装设有许多种不同的做法,最早的做法是直接将义齿设置在牙龈上,这种做法虽然简便可是使用者却较容易有异物感,不能咀嚼硬物,并且会有不易固定及造成牙龈发炎等缺点。At present, there are many different ways to install dentures. The earliest method is to directly install dentures on the gums. Although this method is simple, users are more likely to have a foreign body sensation, cannot chew hard objects, and may be difficult to fix. And cause gingival inflammation and other shortcomings.
另一种做法是人工牙根,也就是平常最常见的植牙,这种做法在许多的先前专利案件例如:美国专利第4359318,6322364,542847,6916177,5306149,6991463,3925892,4722687、4344757、4964801、6655962等等的案件都己有了详细的揭露。此种做法的问题在于义齿仅只靠单一的基桩在支撑,而且又是固定在密度及硬度都较低的海绵状齿槽骨上,所以承载力较差,并且若齿槽骨已严重吸收萎缩致牙床宽度不够的,不可植牙,即使植牙也容易失败。而且由于咀嚼时扭力或剪力等问题,也会造成义齿的松脱或是齿槽骨的受损,另外在植入人工牙根后必需经过约六个月左右的复原时间才能再装置义齿,这又是另一个问题。Another approach is artificial tooth roots, which is the most common dental implant. This approach has been used in many previous patent cases such as: U.S. Patent Nos. , 6655962 and other cases have been exposed in detail. The problem with this method is that the denture is only supported by a single foundation pile, and it is fixed on the spongy alveolar bone with low density and hardness, so the bearing capacity is poor, and if the alveolar bone has been seriously absorbed and atrophy If the width of the gum bed is not enough, dental implants are not allowed, and even dental implants are prone to failure. Moreover, due to problems such as torsion or shear force during chewing, the denture will also loosen or the alveolar bone will be damaged. In addition, after the artificial tooth root is implanted, it must take about six months of recovery time before the denture can be installed again. Yet another problem.
另外,有一种以U型或鞍型、覆盖型等具包覆式结构,或设有唇状物(lip)、凸缘(flange)、肩状物(shoulder)等辅助构件的人工牙根,例如:美国专利第5906489、4702697、5052930、5513989、3579829、4121340、4379694、4531916、5201736、5759033、5944526、6287118等等案件中所揭露的,此种人工牙根虽有不同于单基桩的包覆或辅助设计,但是整体结构都是着重在固定的问题上,以基桩为主要受力的结构,受力的部分集中于基桩的下方,基桩的面积有限,因此造成齿槽骨的受力面不够广,不能够将力量平均的分散,所以仍有受力不平均容易损坏的问题。In addition, there is a U-shaped or saddle-shaped, covered-type artificial tooth root with a covered structure, or with auxiliary components such as lips (lip), flange (flange), and shoulders (shoulder), such as : U.S. Patent No. 5906489, 4702697, 5052930, 5513989, 3579829, 4121340, 4379694, 4531916, 5201736, 5759033, 5944526, 6287118 etc. disclosed in cases, although this kind of artificial tooth root has different coating or Auxiliary design, but the overall structure is focused on the issue of fixation, with foundation piles as the main force-bearing structure, the force-bearing part is concentrated under the foundation piles, and the area of foundation piles is limited, so the alveolar bone is stressed The area is not wide enough to distribute the force evenly, so there is still the problem of uneven force and easy damage.
以目前市面上所贩售的大多数义齿结构来看,因为咬合时义齿所受的压力、扭力与剪力无法被顺利的传导分散,所以就必须要有一强而有力的固定方式和固定结构来与之对抗,因此,这些现有技术主要的结构重点都着重在如何将义齿牢固且稳定的固定在齿槽骨上,并且绝大多数都是固定在较松散的海绵状齿槽骨处,而非固定在较为密实、坚硬的齿槽骨皮质骨的部分,在这样的结构都没有注意到咬合时受力以及力量的平衡与平均分散的问题。Judging from the structure of most dentures currently on the market, because the pressure, torsion and shear forces on the dentures during occlusal cannot be smoothly transmitted and dispersed, a strong fixing method and fixing structure are necessary to Against it, therefore, the main structural emphasis of these prior art all focuses on how to firmly and stably fix the denture on the alveolar bone, and most of them are fixed on the looser spongy alveolar bone, while For the part that is not fixed on the relatively dense and hard alveolar cortical bone, in such a structure, no attention has been paid to the force during occlusal and the balance and average distribution of force.
实用新型内容Utility model content
本实用新型的主要目的在于提供一支撑力大、受力平均且稳定的义齿载体。The main purpose of the utility model is to provide a denture carrier with large supporting force, uniform stress and stability.
为达成上述目的,本实用新型将义齿载体直接固定在齿槽骨的皮质骨(cortical bone)表面。该义齿载体具有一承载部,该承载部的断面呈弧形且中间厚度较厚而朝两端渐薄;该承载部于顶面凸设有一接合部供义齿设置,该接合部是由至少一个以上的上窄下宽的柱体构成,使该义齿载体形成一具力学传导的结构,该载体底面设有一定位部,可以被定位于人体齿槽骨的皮质骨(cortical bone)上。In order to achieve the above purpose, the utility model fixes the denture carrier directly on the surface of the cortical bone of the alveolar bone. The denture carrier has a bearing part, the section of which is arc-shaped, thicker in the middle and gradually thinner toward both ends; the bearing part is provided with an engaging part protruding from the top surface for denture setting, and the engaging part is composed of at least one The upper narrow column and the lower wide column make the denture carrier form a mechanically conductive structure, and the bottom surface of the carrier is provided with a positioning part, which can be positioned on the cortical bone of the human alveolar bone.
本实用新型一固定在齿槽骨表面的义齿载体,包含有:The utility model - a denture carrier fixed on the surface of the alveolar bone, comprises:
一载体,具有一承载部,该承载部具有一顶面及一底面,该顶面及底面朝同一侧凸起,使该承载部的断面呈弧形,且中间厚度较厚而朝两端渐薄,该承载部底面下凹的弧部是用以配合齿槽骨顶面弯曲的弧度而可以跨置于其上,该承载部于顶面凸设有一接合部,该接合部是由至少一个以上的上窄下宽的柱体构成,该接合部上可供设置义齿,使该义齿载体形成一力学传导的结构,透过此一具力学传导结构的载体,让义齿的受力全面而且平均传导至齿槽骨的皮质骨(cortical bone)上的每一个点,以面而非以点来承载受力,该载体底面设有一定位部,使该载体可以被定位于人体齿槽骨的皮质骨表面上。A carrier has a bearing part, the bearing part has a top surface and a bottom surface, the top surface and the bottom surface protrude toward the same side, so that the cross section of the bearing part is arc-shaped, and the thickness in the middle is thicker and gradually increases towards the two ends. Thin, the concave arc portion on the bottom surface of the bearing part is used to match the curvature of the top surface of the alveolar bone and can straddle it. The bearing part is convexly provided with a joint part on the top surface. The upper part is narrow and the lower part is wide. The dentures can be placed on the junction, so that the denture carrier forms a mechanical conduction structure. Through this carrier with a mechanical conduction structure, the force of the denture is comprehensive and even. It is transmitted to every point on the cortical bone of the alveolar bone, and the force is carried by the surface instead of the point. The bottom surface of the carrier is provided with a positioning part, so that the carrier can be positioned on the cortical bone of the human body on the bone surface.
所述固定在齿槽骨表面的义齿载体,该义齿载体更包含有一托架,对应该载体的形状设置于该接合部上,该托架具有一基部,该基部的断面呈弧形;并且于对应该载体柱体的位置设有一承座,各该承座上用以供该义齿设置,各该义齿底面对应该承座的形状设一凹穴,使该承座可以对应套入该凹穴中。The denture carrier fixed on the surface of the alveolar bone further includes a bracket, which is arranged on the joint part corresponding to the shape of the carrier, the bracket has a base, and the cross section of the base is arc-shaped; and A seat is provided corresponding to the position of the carrier cylinder, and each seat is used for setting the denture. The bottom of each denture is provided with a recess in the shape of the seat so that the seat can be inserted into the recess correspondingly. in the hole.
所述固定在齿槽骨表面的义齿载体,其中该定位部是由若干定位桩所构成。In the denture carrier fixed on the surface of the alveolar bone, the positioning part is composed of several positioning posts.
所述固定在齿槽骨表面的义齿载体,其中该定位桩的末端较为宽大而形成一卡部。In the denture carrier fixed on the surface of the alveolar bone, the end of the positioning post is relatively wide to form a clamping portion.
所述固定在齿槽骨表面的义齿载体,其中该定位桩表面设有凸纹。As for the denture carrier fixed on the surface of the alveolar bone, the surface of the positioning post is provided with convex lines.
所述固定在齿槽骨表面的义齿载体,其中该等定位桩是一一分别设置于该承载部底面。In the denture carrier fixed on the surface of the alveolar bone, the positioning posts are respectively arranged on the bottom surface of the bearing part.
所述固定在齿槽骨表面的义齿载体,其中该等定位桩是两两一组设置于该承载部底面。In the denture carrier fixed on the surface of the alveolar bone, the positioning posts are arranged in groups of two on the bottom surface of the bearing part.
所述固定在齿槽骨表面的义齿载体,其中定位部是由若干螺栓所构成。In the denture carrier fixed on the surface of the alveolar bone, the positioning part is composed of several bolts.
所述固定在齿槽骨表面的义齿载体,其中该螺栓是一一分开,分别螺设于该承载部。In the denture carrier fixed on the surface of the alveolar bone, the bolts are separated one by one and screwed on the bearing part respectively.
所述固定在齿槽骨表面的义齿载体,其中该螺栓是两两一组螺设于该承载部的两侧。In the denture carrier fixed on the surface of the alveolar bone, the bolts are screwed in groups of two on both sides of the bearing part.
所述固定在齿槽骨表面的义齿载体,其中该托架的承座与该接合部的柱体间设置一弹性垫片,以提供该托架适当的弹性效果。In the denture carrier fixed on the surface of the alveolar bone, an elastic washer is arranged between the seat of the bracket and the cylinder of the joint part to provide proper elastic effect of the bracket.
与现有技术相比,本实用新型是将义齿在咀嚼时承受的受力,透过上窄下宽的柱体,逐渐向下平均分散传导,至厚度由中间往两侧渐薄延伸的弧形承载部的底部,此载体构造具有建筑学上“筏式基础”(RaftFoundation)的力学支撑原理,以整个皮质骨表面的每一个点平均承载义齿所传递下来的力量。使受力不再集中在单一或外围有限面积,而是将受力全面而且平均的传至皮质骨表面的每一个点,以面而非以点来支撑,受力平均且稳定。而且,皮质骨的骨质密度高,其结构较坚硬密实,可提供较大的支撑力。Compared with the prior art, the utility model is to transmit the force of the denture during chewing through the upper narrow column and the lower wide column, gradually and evenly disperse and conduct downward, until the thickness is gradually thinned from the middle to the two sides of the arc. The bottom of the bearing part, this carrier structure has the mechanical support principle of "raft foundation" (Raft Foundation) in architecture, and every point on the entire cortical bone surface bears the force transmitted by the denture on average. The force is no longer concentrated in a single or limited peripheral area, but the force is comprehensively and evenly transmitted to every point on the surface of the cortical bone, supported by the surface instead of points, and the force is average and stable. Moreover, cortical bone has a high bone density, and its structure is relatively hard and dense, which can provide greater support.
为能详细解释本实用新型的结构、特征及功效,以下兹举七实施例并配合图式说明如下:In order to explain in detail the structure, features and effects of the present utility model, seven embodiments are given below and are described as follows in conjunction with the drawings:
附图说明 Description of drawings
图1为本实用新型第一实施例的剖视图;Fig. 1 is a sectional view of the first embodiment of the utility model;
图2为第一实施例装设完成后的示意图;Fig. 2 is the schematic diagram after the installation of the first embodiment is completed;
图3为第一实施例的立体分解图;Figure 3 is an exploded perspective view of the first embodiment;
图4为本实用新型第二实施例的剖视图;Fig. 4 is the sectional view of the second embodiment of the utility model;
图5为第二实施例装设完成后的示意图;Fig. 5 is the schematic diagram after the installation of the second embodiment is completed;
图6为本实用新型第三实施例的剖视图;6 is a cross-sectional view of a third embodiment of the present invention;
图7为第三实施例装设完成后的示意图;Fig. 7 is the schematic diagram after the installation of the third embodiment is completed;
图8为本实用新型第四实施例的剖视图;Fig. 8 is a sectional view of the fourth embodiment of the utility model;
图9为第四实施例装设完成后的示意图;Fig. 9 is a schematic diagram of the fourth embodiment after installation;
图10为第五实施例装设完成后的示意图;Fig. 10 is a schematic diagram of the fifth embodiment after installation;
图11为第六实施例装设完成后的示意图;Fig. 11 is a schematic diagram of the sixth embodiment after installation;
图12为第七实施例装设完成后的示意图。Fig. 12 is a schematic diagram of the seventh embodiment after installation.
具体实施方式 Detailed ways
如图1至图3所示,为本实用新型的第一实施例,本实用新型固定在齿槽骨表面的义齿载体,包含有:As shown in Figure 1 to Figure 3, it is the first embodiment of the utility model, the denture carrier fixed on the surface of the alveolar bone of the utility model includes:
一载体10,配合人体上颚部或下颚部的形状而呈拱形,具有一承载部11,该承载部具有一顶面及一底面,该顶面及底面朝同一侧凸起,使该承载部的断面呈弧形,同时该承载部的厚度,则由弧形的中间朝两侧渐薄,使其断面呈新月状,该承载部底面下凹的弧部,是用以配合人体齿槽骨顶面弯曲的弧度,使该承载部可以完整的贴坐于齿槽骨上面。该承载部于顶面中间凸设有一接合部12,该接合部可以配合该载体为单颗、多颗或全口义齿的不同而由一个或多数个上窄下宽的柱体所构成。该载体底面设有一定位部13,以使该载体可以被定位于齿槽骨上。在本实施例中,该定位部为若干凸设于该承载部底面的定位桩14所构成,其设置方式是将若干定位桩一一分开,分别设置在该承载部底面,该定位桩表面设有横向或纵向凸纹15,并且该定位桩的末端较为宽大而形成一卡部16,该定位桩亦可不设卡部16而改以具有环状、点状或齿状等其它具摩擦力的结构。A
一托架20,对应该载体的拱形及弧度设置,具有一基部21,该基部的断面亦呈弧形,该基部上对应该载体各该柱体的位置设有一承座22。各该承座上设有一义齿23,各该义齿底面对应该承座的形状设一凹穴24,使该承座22可以一对一的套入该凹穴24中。该托架在套设于该载体时该基部与该承载部间会有一间隙,以供容置齿龈6。A
以本实用新型第一实施例的结构,该载体10是直接设置于颚部齿槽骨1上,并且为能有较好的承载效果,同时在本实施例中,该承载部以柱体为中心两侧延伸至齿槽骨弧面与侧面的切点上,如此可以使承受力的面积极大化。但若齿槽骨已严重萎缩,或是齿槽骨宽度已不够等等状况,则视柱体高度和稳定度,适度的调整两侧的宽度。在装设载体前要先在齿槽骨的预定位置钻设数个定位孔2,该等定位孔的深度必须离牙齿的神经槽3有一段距离,然后填入以可分解(biodegradable)并且可被自体骨质取代的骨水泥(bone cement),或其它类似的材料。定位桩桩脚面积较大,目的是在骨水泥固化及骨水泥分解置换成自体骨质后,皆能产生固定作用,使定位部13不易松动。迨载体10设置后,该承载部11底面的定位桩14会对应固定在该等定位孔2中,该承载部的弧形底面则位于齿槽骨1上方,该载体10与齿槽骨1的间的间隙则会被骨水泥填满,而使该载体可以配合齿槽骨顶面凹凸的形状而与的完整的贴附,将载体固定于齿槽骨上。的后再将该托架20套设在该载体10上即可,必要时可以再加设螺栓25横向穿设于该托架20与该载体的承载部11,强化其结合,如图1及图2所示。With the structure of the first embodiment of the present utility model, the
不同于以往着重于固定的义齿结构,本实用新型的载体10与齿槽骨1的表面密合而跨坐其上,利用上窄下宽的柱体将受力向下传导,并且采用建筑学上“筏式基础”的力学支撑原理,以面平均承载各受力点所传递下来的力量,柱体及载体的力学传导结构从中心点往两侧延伸传导的力学结构,使义齿在咀嚼受力时,力量可以透过该承载部上的柱体,逐渐向下平均的分散传导。使义齿在受力时,不再是集中在单一或外围有限面积,而是将受力全面平均的传至齿槽骨的皮质骨4的每一个点,以面而非以点来支撑受力,受力平均且面积广,所以载体稳固且承载力较大,可以咀嚼坚硬的食物,进而让义齿能具有与正常的牙齿相同的功能,也因着齿槽骨可以长期承受均匀且大面积的压力而不易萎缩。Different from the previous denture structure that focused on fixing, the
再者,因为是一体成型,不会有力量传导上的结构弱点(零件结合处为结构弱点),一来不会造成力量传导的减损,二来结构体不易损坏,三来不会损伤整体结构体和齿槽骨间的结合力(即不致松脱)。在咬合时,义齿的承受力不是落在结构较松软的海绵状齿槽骨5,而是在骨质密度高而且结构较坚硬扎实的皮质骨4部分,所以对受力的承载力较佳,亦不易松脱。又,由于载体是跨置在结构较坚硬的皮质骨上,纵使齿槽骨已吸收萎缩至牙床宽度不够,或骨质疏松仍然可以植入载体做义齿。而且由于本实用新型的载体的设置方式与以往的植牙不同,所以可以大幅缩短整个医疗的时程(约一周牙龈愈合后即可),不必再等六个月的时间。Furthermore, because it is integrally formed, there will be no structural weakness in power transmission (the joint of parts is a structural weakness), which will not cause loss of power transmission, secondly, the structure is not easy to damage, and thirdly, it will not damage the overall structure The bonding force between the body and the alveolar bone (that is, it will not loosen). When occlusal, the bearing force of the denture does not fall on the spongy alveolar bone with a soft structure, but in the cortical bone with high bone density and a relatively hard and solid structure. Therefore, the bearing capacity of the denture is better. Also not easy to loosen. In addition, since the carrier straddles the hard cortical bone, even if the alveolar bone has been absorbed and atrophied to the extent that the width of the gums is not enough, or osteoporosis, the carrier can still be implanted as a denture. And because the setting method of the carrier of the utility model is different from the conventional dental implant, the time course of the whole medical treatment can be greatly shortened (about one week after the gums heal), and there is no need to wait another six months.
如图4及图5所示,为本实用新型的第二实施例,主要的结构大多与前一实施例相同,不同处在于在第二实施例中该载体10的定位部13定位桩14的设置方式是将定位桩两两一组的设置于承载部11底面。透过与前一实施例相同的装设与使用方式,义齿在咀嚼受力时,力量同样的可以透过该承载部上的柱体,由上而下的平均分散传导而达到相同的使用功效。As shown in Figure 4 and Figure 5, it is the second embodiment of the present utility model, the main structure is mostly the same as the previous embodiment, the difference is that in the second embodiment, the
如图6及图7所示,为本实用新型的第三实施例,主要结构与第一实施例相同,不同处在于该承载部11底面的定位桩更加设一螺栓25,以提升其固定的效果,该螺栓的设置并不需要相对于每一柱体就设置一螺栓,以全口的义齿为例,该螺栓可以设置三或五个的方式即可提升固定效果。As shown in Figure 6 and Figure 7, it is the third embodiment of the present utility model, the main structure is the same as the first embodiment, the difference is that the positioning pile on the bottom surface of the bearing
图8及图9所示,为本实用新型的第四实施例,主要结构与第一实施例相同,不同处在于该承载部11底面的定位桩更加设一螺栓25,该螺栓是横向穿设于齿槽骨1与该二定位桩14,以提升固定的效果。As shown in Fig. 8 and Fig. 9, it is the fourth embodiment of the present utility model, the main structure is the same as that of the first embodiment, the difference is that the positioning pile on the bottom surface of the bearing
图10所示,为本实用新型的第五实施例,主要的结构与第一实施例相似,差别在于该承载部11的弧形底面并未设置定位桩,而是以一螺栓25来做为该定位部13,将该载体10的承载部11锁固于齿槽骨1皮质骨4顶面。As shown in Fig. 10, it is the fifth embodiment of the present utility model, the main structure is similar to the first embodiment, the difference is that the arc-shaped bottom surface of the bearing
图11所示,为本实用新型的第六实施例,与前一实施例相同,该承载部11的弧形底面并未设置定位桩,而是将螺栓25两两一组螺设在该承载部的两侧来做为该定位部13,将该载体的承载部11锁固于齿槽骨1皮质骨4顶面。As shown in Figure 11, it is the sixth embodiment of the present utility model, which is the same as the previous embodiment, the arc-shaped bottom surface of the load-
图12所示,为本实用新型的第七实施例,其主要结构与第一实施例相同,差别在于该承载部11的各柱体顶端,另外再设置一弹性垫片30,使该托架20在套合于该接合部12时,该弹性垫片30可被夹设在该承座22与该柱体间,以提供该托架20适当的弹性效果。Shown in Fig. 12, it is the seventh embodiment of the present utility model, and its main structure is the same as that of the first embodiment, the difference lies in the tops of the columns of the bearing
上揭的各实施例或有些不同,但其基本的实质是相同的,都是利用渐大渐广的结构特性,将力做有效的传导与分散,以达到受力平均、支撑力大且稳定的一个固定在齿槽骨表面的义齿载体的目的。The above-mentioned embodiments may be somewhat different, but their basic essence is the same. They all use the structural characteristics of gradually increasing and widening to effectively conduct and disperse the force, so as to achieve average force, large and stable support force The purpose of a denture carrier fixed on the surface of the alveolar bone.
Claims (11)
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