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JP2002369830A - Dental implant - Google Patents

Dental implant

Info

Publication number
JP2002369830A
JP2002369830A JP2001180727A JP2001180727A JP2002369830A JP 2002369830 A JP2002369830 A JP 2002369830A JP 2001180727 A JP2001180727 A JP 2001180727A JP 2001180727 A JP2001180727 A JP 2001180727A JP 2002369830 A JP2002369830 A JP 2002369830A
Authority
JP
Japan
Prior art keywords
implant
temporary lid
plant
dental
gingival
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
JP2001180727A
Other languages
Japanese (ja)
Other versions
JP2002369830A5 (en
Inventor
Katsumi Kawashiri
河尻克己
Giichi Umetsu
梅津義一
Miki Eguchi
江口未来
Kenji Fujimoto
藤元健司
Yasuhisa Sukai
須貝泰久
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Advance Co Ltd
Original Assignee
Advance Co Ltd
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Advance Co Ltd filed Critical Advance Co Ltd
Priority to JP2001180727A priority Critical patent/JP2002369830A/en
Publication of JP2002369830A publication Critical patent/JP2002369830A/en
Publication of JP2002369830A5 publication Critical patent/JP2002369830A5/ja
Pending legal-status Critical Current

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Abstract

PROBLEM TO BE SOLVED: To reduce the burden on both of the operation side and the patient side by making a highly aesthetic denture moldable while simplifying the operation. SOLUTION: This dental implant has an implant body for implantation into hard biotissue and a temporally cover which is arranged freely attachably and detachably to and from this implant body during the time when an upper structure is connected to the implant body.

Description

【発明の詳細な説明】DETAILED DESCRIPTION OF THE INVENTION

【0001】[0001]

【産業上の利用分野】本発明は、歯科用インプラントに
関する。
The present invention relates to dental implants.

【0002】[0002]

【従来の技術】歯科用インプラントには、硬組織へ植立
する部分と、義歯を装着する部分を歯肉上へ突出した状
態にまで延ばした状態とするような2パート1回法インプ
ラントと、硬組織へ植立する部分と、義歯を装着する部
分を歯肉より隠れる高さとした2パート2回法インプラン
トがある。2パート1回法インプラントは、植立体(フィ
クスチャー)を歯肉表面までの高さで埋入し、植立体に
義歯部を接合する際用いられる接合孔を義歯部を装着す
るまで、異物混入等を防止する為に覆っておく仮蓋体
(ヒーリングキャップ又はヒーリングアバットメント)
を歯肉上に突出した状態で露出して行う。この形態のイ
ンプラントは、手術が1回で済み、患者の肉体的・金銭
的負担が2回法より少なく済む点でメリットがある。
2. Description of the Related Art Dental implants include two-part, one-time implants in which a portion to be implanted in hard tissue and a portion to which a denture is attached are extended to a state protruding above the gingiva. There are two-part, two-time implants where the part to be implanted in the tissue and the part to which the denture is worn are at a height that is hidden from the gingiva. The two-part, one-time implant implants the implant at a height up to the gingival surface and inserts the joint holes used to join the denture to the implant until foreign matter is inserted until the denture is attached. Temporary lid (Healing Cap or Healing Abutment) to cover to prevent
Is carried out while protruding above the gingiva. This form of implant has the advantage that only one surgery is required, and the physical and financial burden on the patient is less than with the double procedure.

【0003】2パート2回法インプラントについては、図
3で示すように歯肉部を切開し(HK1)、上述した植
立体(フィクスチャー)32を骨内又は骨HKと同じ高
さで埋入し(図3(a))、上述した仮蓋体(ヒーリン
グキャップ又はヒーリングアバットメント)31を取り
付けて、完全に歯肉を閉じる(H)(図3(b))。あ
る一定期間をおいて、再度歯肉を切開(HK2)した
後、仮蓋体31を外し(図3(c))、アバットメント
Bを装着する(図3(d))。
[0003] As shown in Fig. 3, the gingival part is incised (HK1) for the two-part, two-time implant, and the above-mentioned implant 32 (fixture) 32 is implanted in the bone or at the same height as the bone HK. (FIG. 3 (a)), the temporary lid (healing cap or healing abutment) 31 described above is attached, and the gingiva is completely closed (H) (FIG. 3 (b)). After a certain period of time, the gingiva is incised again (HK2), the temporary lid 31 is removed (FIG. 3 (c)), and the abutment B is mounted (FIG. 3 (d)).

【0004】この様なインプラントは、人工の歯が歯肉
内部から立ち上がるため、より自然な感じがすることか
ら審美性に優れ、又、義歯部を接合するまでの一定期
間、食物の摂取などによるインプラントへの揺動が全く
ないことから、義歯を装着できる期間、安静な状態を保
つのに都合が良いといったメリットがある。
[0004] In such an implant, an artificial tooth rises from the inside of the gingiva so that the artificial tooth feels more natural and is excellent in aesthetics. Since there is no swinging at all, there is an advantage that it is convenient to maintain a resting state while the denture can be worn.

【0005】[0005]

【本発明が解決しようとする課題】ところで、このよう
な構造体において 2パート1回法インプラントは、審美
性が2パート2回法インプラントより劣る反面2回法イン
プラントは再度歯肉を切り開いた後、義歯等の上部構造
を接合しなければならず、患者に負担がかかるというよ
うな、一長一短を有するものである。生体は、インプラ
ントが植立された後、インプラントが馴染むまで、静か
に据え置く必要があるため、このような欠点を克服する
ことははなはだ困難である。
[Problems to be Solved by the Invention] By the way, in such a structure, the two-part one-time implant is inferior to the two-part two-time implant, while the two-time one-piece implant is used after cutting the gingiva again. It has advantages and disadvantages in that the upper structure such as a denture must be joined and a burden is imposed on the patient. It is very difficult to overcome such drawbacks, since the living body must be gently laid after the implant has been implanted until the implant is adapted.

【0006】[0006]

【課題を解決するための手段】上記に鑑み本発明は、生
体硬組織へ植立するための植立体、植立体に、上部構造
が接続されるまでの間、前記植立体に着脱自在に配置さ
れる仮蓋体よりなる組み合わせ構成により、複数回の施
術を行うことなく、審美性に優れ、しかも植設期間中患
者に負担を与えないインプラントを実現するものであ
る。
SUMMARY OF THE INVENTION In view of the above, the present invention provides a solid implant for implanting in a living hard tissue, and is detachably mounted on the solid implant until the upper structure is connected to the solid implant. With the combination configuration of the temporary lid, an implant that is excellent in aesthetics and does not impose a burden on the patient during the implantation period is realized without performing a plurality of treatments.

【0007】本発明における植立孔は、生体硬組織、則
ち顎骨等、頭部口腔内周辺の骨組織であり、植立体は、
この顎骨に孔を開けて、そこに挿入されるものであれば
よい。植立体は、主にチタン材が好適に利用されるが、
その他の材質、アルミナ、ジルコニア、チタン合金、窒
化チタン、等生体材料として使用されているものであれ
ば適用可能である。
[0007] The implantation hole in the present invention is a bone tissue around the oral cavity of the head such as a living hard tissue, that is, a jawbone.
A hole may be formed in the jawbone and inserted into the hole. For the three-dimensional plant, mainly titanium material is suitably used,
Other materials, such as alumina, zirconia, titanium alloy, titanium nitride, etc., can be applied as long as they are used as biomaterials.

【0008】又、この植立体の周辺にハイドロキシアパ
タイト等の生体に親和性を有する材料を被覆した複合的
な材料や植立体の表面をチタン等生体適合性に優れた金
属をプラズマ溶射等で修飾した複合的な材料においても
好適に使用される。本発明における仮蓋体は、植立体と
接合すると共に、植立体を一定期間、生体に馴染ませる
為に静置させる間接合状態を保ち、その間、上部構造を
装着する部位を確保する様に歯肉を押し広げた状態とす
るものであって、上部構造を確保するに好適な形状を有
するものであれば良く、更に、この仮蓋体は、その静置
期間、咀嚼等による揺動の影響を受けない程度に、歯肉
表面と同等或いは、多少の突出がされる場合があっても
よい。
In addition, a composite material in which a surrounding material is coated with a material having an affinity for a living body such as hydroxyapatite, or the surface of the plant is modified with a metal having excellent biocompatibility such as titanium by plasma spraying or the like. It is also suitably used in composite materials that have been used. The temporary lid according to the present invention is connected to the plant body, and at the same time, keeps the joint state while allowing the plant body to stand still for adaptation to the living body for a certain period of time, and in the meantime, secures the site for mounting the upper structure during the period. Should be of a shape suitable for securing the upper structure, and furthermore, this temporary lid body, during its standing period, the influence of swinging due to mastication, etc. There may be a case where the protrusion is equal to or slightly larger than the gingival surface to such an extent that it is not received.

【0009】又、静置期間において、仮蓋体は、歯肉、
あるいは、顎骨等、生体と接触する部分において生体と
少なくとも炎症などの反応を生ぜず、短期間に癒着等し
ない材質で構成されることが好ましい。
[0009] In addition, during the standing period, the temporary lid is gingival,
Alternatively, it is preferable to use a material that does not cause at least a reaction such as inflammation with the living body at a portion that comes into contact with the living body, such as a jaw bone, and that does not adhere in a short period of time.

【0010】仮蓋体は、例えば、チタン、チタン合金、
アルミナ、ジルコニア、チタニア、窒化チタン、チタン
材にリン酸塩、カルシウム塩を含む水溶液により水熱処
理を施した複合的な部材、テフロン(登録商標)、ポリ
プロピレン、ポリスチレン、ポリカーボネート、シリコ
ーン、ポリエチレン、等が例示される。その際、植立体
から、仮蓋体上部方向へ、広がりを持った形状が良くそ
の際の広がり方を示す傾斜(テーパー)(例えば図1
(10)に示す)として85度〜55度(好ましくは7
0度〜60度)が例示される。また、その厚み(図2で
示す(8))は、植立体に仮蓋体を装着後、仮蓋体が歯
肉部より突出しない程度から多少突出した程度が好まし
く例えば0.5mm〜2.0mmが例示されるが患者、植立する部
位等により異なることから、適宜選択され、これに限ら
れるものではない。
The temporary lid is made of, for example, titanium, titanium alloy,
Alumina, zirconia, titania, titanium nitride, a composite member obtained by subjecting a titanium material to a hydrothermal treatment with an aqueous solution containing a phosphate and a calcium salt, Teflon (registered trademark), polypropylene, polystyrene, polycarbonate, silicone, polyethylene, etc. Illustrated. At this time, a shape having a spread from the three-dimensional solid to the upper portion of the temporary lid body is good, and a slope (taper) indicating the manner of spread (for example, FIG. 1)
85 ° to 55 ° (preferably 7)
0 degrees to 60 degrees). The thickness ((8) shown in FIG. 2) is preferably such that the temporary lid does not protrude from the gingival part to slightly protrude after the temporary lid is attached to the three-dimensional plant, and is, for example, 0.5 mm to 2.0 mm. However, since it differs depending on the patient, the part to be implanted, and the like, it is appropriately selected and is not limited thereto.

【0011】又、植立体が顎骨内へ植立される際、植立
体が、顎骨表面からより深く植立される場合、またはよ
り浅く植立される場合が生じる可能性があるが、その場
合仮蓋体は、植立体との接合の際、その高さが微調整さ
れる構造がとられるものであっても良い。これは、例え
ば図1で示す仮蓋体2のねじ部7と植立体1内のねじ部
との累合度合いを調整することで仮蓋体2の高さが調整
される。尚、その際、シリコーンゴムなどで形成された
密封体あるいは、密封接合形態が、好ましくは仮蓋体側
に形成されてもよい。さらに植立体を顎骨内に植立時、
予め仮蓋体を植立体と接合した状態で植立するとより好
適に作用する。これは植立後、仮蓋体を装着する際に組
織や血液で接合部内部を汚染してしまうことを防止する
ことができるからである。この方法は、対合歯との間隔
や歯肉などの厚み等により適宜選択されるものである。
[0011] In addition, when the implant is implanted into the jawbone, there is a possibility that the implant may be implanted deeper or shallower from the surface of the jawbone. The temporary lid may have a structure in which the height is finely adjusted at the time of joining with the plant body. For example, the height of the temporary lid 2 is adjusted by adjusting the degree of accumulation of the screw portion 7 of the temporary lid 2 shown in FIG. In this case, a sealed body made of silicone rubber or the like or a sealed joint form may be preferably formed on the temporary lid side. In addition, when implanting a solid body in the jawbone,
It works better if the temporary lid is erected in advance in a state of being joined to the three-dimensional body. This is because it is possible to prevent the inside of the joint from being contaminated with tissue or blood when the temporary lid is attached after the implantation. This method is appropriately selected depending on the distance from the opposing tooth, the thickness of the gingiva, and the like.

【0012】[0012]

【実施例】図1は、本発明の一実施例を示す図である。
図1(a)において、1は、植立体であり、側面には、
一部にカット面3を有するネジ部4が形成されている。上
面(図1(b))には、上部構造、仮蓋体2を接合する
為の累合面を有する接合孔5が設けられている。また植
立体1の側面には、ハイドロキシアパタイト、その他リ
ン酸カルシウム化合物による被覆層が形成されることが
好ましく、より生体親和性に富む処理が施されることが
好ましい。
FIG. 1 is a diagram showing an embodiment of the present invention.
In FIG. 1 (a), 1 is a solid plant, and on the side surface,
A screw part 4 having a cut surface 3 in a part is formed. On the upper surface (FIG. 1B), a joint hole 5 having an integrated surface for joining the upper structure and the temporary lid 2 is provided. In addition, it is preferable that a coating layer of hydroxyapatite or another calcium phosphate compound is formed on the side surface of the plant body 1, and it is preferable that a treatment with more biocompatibility be performed.

【0013】2は、仮蓋体であり、植立体1の接合孔5に
接合するための接合部7、歯肉部と接触する接触面6を有
する。接合孔5は2段階の孔が開けられており、深部は接
合部7と接合、締結するためのネジ構造を有する。浅部
は上部構造体を固定する際に密封性を高めるための勘合
効力機能を有するすり鉢状の構造したものや上部構造体
を固定する際に回転防止機能とするための六角形状、八
角形状、その他ロック機構を有する独特な形状に加工さ
れている場合がある。六角形状、八角形状の場合、仮蓋
体2のこれに接する部分には六角形状、八角形状に内接
する円で加工されている。接触面6は、上述した通り、
生体と反応しないような部材、処理が施されていること
が好ましい。仮蓋体2の上面には、プラス型、マイナス
型、六角型、その他ネジ上部構造の溝が好ましくは形成
される。接触面6には、上述した角度の傾斜を有する様
な成形10が施されている。当該溝は、植立体1から仮
蓋体2を着脱する際、治具の使用を容易にするためのも
のであって、治具、その他着脱手法によっては、その他
の構成もとり得る。
Reference numeral 2 denotes a temporary lid, which has a joint 7 for joining to the joint hole 5 of the plant body 1 and a contact surface 6 for contacting the gingival part. The joining hole 5 has two stages of holes, and the deep portion has a screw structure for joining and fastening to the joining portion 7. The shallow part is a mortar-shaped structure having a mating effect function to enhance the sealing performance when fixing the upper structure, and a hexagonal shape, an octagonal shape, and a rotation preventing function when fixing the upper structure, In some cases, it is processed into a unique shape having a lock mechanism. In the case of a hexagonal shape or an octagonal shape, a portion of the temporary lid 2 that is in contact with the temporary lid 2 is processed with a circle inscribed in the hexagonal shape or the octagonal shape. The contact surface 6, as described above,
It is preferable that a member and a treatment that do not react with the living body are applied. On the upper surface of the temporary lid 2, a groove of a plus type, a minus type, a hexagonal type, or another screw upper structure is preferably formed. The contact surface 6 is provided with a molding 10 having the above-mentioned inclination. The groove is for facilitating the use of a jig when attaching and detaching the temporary lid 2 from the plant body 1. The groove may have other configurations depending on the jig and other attaching and detaching methods.

【0014】図1で示した実施例は、例えば図2でしめ
す方法により使用される。まず、施術部位の歯肉SNを
切開きHK、顎骨GKに植立体が挿入可能で、おおよそ
上面まで収容される様な孔を穿設し、植立体1を収容し
た後(図2(a))、仮蓋体2を植立体1の孔部5へ挿入累
合して接合する(図2(b))。仮蓋体2は、歯肉表面
に表出した状態で、切り開いた歯肉部HKを仮蓋体2の
周辺で縫合などして処理する。
The embodiment shown in FIG. 1 is used, for example, by the method shown in FIG. First, the gingiva SN at the treatment site is cut open, and an implant can be inserted into the HK and the jaw bone GK, and a hole is formed so as to be accommodated to the upper surface, and the implant 1 is accommodated (FIG. 2 (a)). Then, the temporary lid 2 is inserted into the hole 5 of the plant body 1 and joined (FIG. 2B). In the state where the temporary lid 2 is exposed on the gingival surface, the cut-out gingival part HK is processed by sewing or the like around the temporary lid 2.

【0015】その状態を図2(c)に示す。この状態
で、安静にし、8〜24週間静置する。この間、患者は、
特に、植立部位に保護体で覆いをすることなく、通常の
食生活がおくれる。静置した後、仮蓋体2を取り外す
(図2(d))。その状態で、例えば義歯形状等の印象
を取得し、当該印象に基づき、従来の技術を用いて義歯
部Bを植立体1の孔部5に接合する(図2(e))。その
結果を図2(f)に示す。植立体1の上部表面を中心と
して歯肉部に余裕の空隙ができることから、上部構造
が、歯肉と結合した状態となり、見栄えが自然歯とほと
んど変わらない義歯が形成できる。
FIG. 2C shows this state. In this state, rest and let stand for 8 to 24 weeks. During this time, the patient
In particular, normal eating habits can be carried out without covering the planting site with a protective body. After standing, the temporary lid 2 is removed (FIG. 2D). In this state, for example, an impression of a denture shape or the like is acquired, and based on the impression, the denture portion B is joined to the hole 5 of the plant 3 using conventional technology (FIG. 2E). The result is shown in FIG. Since there is a sufficient space in the gingival part around the upper surface of the implant 3, the upper structure is connected to the gingiva, so that a denture whose appearance is almost the same as natural teeth can be formed.

【0016】[0016]

【発明の効果】以上詳述のごとく本発明は、施術を簡素
化すると共に義歯を作成するまでの施術期間を安静に保
つことができ、しかも審美性の高い義歯を形成できる等
の効果を有する。
As described in detail above, the present invention has the effects of simplifying the treatment, keeping the treatment period until the formation of the denture at rest, and forming a highly aesthetic denture. .

【図面の簡単な説明】[Brief description of the drawings]

【図1】本発明の実施例を示す図。FIG. 1 is a diagram showing an embodiment of the present invention.

【図2】本発明の実施例を説明する為の図。FIG. 2 is a diagram for explaining an embodiment of the present invention.

【図3】従来例を説明する為の図。FIG. 3 is a diagram for explaining a conventional example.

【符号の説明】[Explanation of symbols]

1 植立体 2 仮蓋体 3 カット面 4 ねじ部 5 接合孔 6 接触面 7 接合部 8 歯肉厚(仮蓋体の接触面の高さ) DESCRIPTION OF SYMBOLS 1 Plant solid 2 Temporary lid 3 Cut surface 4 Screw part 5 Joint hole 6 Contact surface 7 Joint 8 Gingival thickness (height of contact surface of temporary lid)

フロントページの続き (72)発明者 藤元健司 埼玉県所沢市北原町899−5 株式会社ア ドバンス新素材科学研究所内 (72)発明者 須貝泰久 東京都中央区日本橋小舟町5番7号 株式 会社アドバンス内 Fターム(参考) 4C059 AA02 Continued on the front page (72) Inventor Kenji Fujimoto 899-5 Kitaharacho, Tokorozawa-shi, Saitama Advanced Materials Science Laboratories Inc. (72) Inventor Yasuhisa Sugai 5-7 Nihonbashi Kobunacho, Chuo-ku, Tokyo Advance Co., Ltd. F-term (reference) 4C059 AA02

Claims (5)

【特許請求の範囲】[Claims] 【請求項1】生体硬組織へ植立するための植立体、植立
体に、上部構造が接続されるまでの間、前記植立体に着
脱自在に配置され、接合時少なくとも歯肉表面に表出す
る程度の高さを有する仮蓋体よりなる歯科用インプラン
ト。
1. An implant for implanting in a living hard tissue, which is detachably disposed on the implant until the superstructure is connected to the implant, and is exposed at least on the gingival surface at the time of joining. A dental implant consisting of a temporary lid having a height of the order.
【請求項2】前記仮蓋体は、上部構造が、前記植立体に
接合する際に少なくとも接合部分で要する空間に相当す
る大きさを有する請求項1に記載の歯科用インプラン
ト。
2. The dental implant according to claim 1, wherein the temporary lid has an upper structure having a size corresponding to at least a space required at a joint portion when joining the plant body.
【請求項3】前記仮蓋体は、植立体との接合時、歯肉部
表面と同程度叉は若干突出する程度に、歯肉部から表出
する高さを有する請求項1に記載の歯科用インプラン
ト。
3. The dental dental instrument according to claim 1, wherein the temporary lid has a height exposed from the gingival portion so as to be approximately the same as or slightly protruding from the surface of the gingival portion at the time of joining with the three-dimensional plant. Implant.
【請求項4】前記仮蓋体の側面には、前記植立体と仮蓋
体との接合部分からテーパーが施されている請求項1に
記載の歯科用インプラント。
4. The dental implant according to claim 1, wherein a side surface of the temporary lid is tapered from a joint portion between the plant body and the temporary lid.
【請求項5】前記仮蓋体を予め植立体と接合した状態で
植立することが可能な請求項1に記載の歯科用インプラ
ント。
5. The dental implant according to claim 1, wherein said temporary lid can be implanted in a state where said temporary lid is previously joined to a plant.
JP2001180727A 2001-06-14 2001-06-14 Dental implant Pending JP2002369830A (en)

Priority Applications (1)

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Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
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Publications (2)

Publication Number Publication Date
JP2002369830A true JP2002369830A (en) 2002-12-24
JP2002369830A5 JP2002369830A5 (en) 2008-07-31

Family

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Application Number Title Priority Date Filing Date
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Country Link
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* Cited by examiner, † Cited by third party
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JP2007229463A (en) * 2006-02-28 2007-09-13 Straumann Holding Ag Two-stage implant with hydroxilated soft tissue contact face
JP2011518577A (en) * 2007-10-19 2011-06-30 キビン ヤン Implant healing abutment with button for implant healing abutment and pressing part
JP2014520578A (en) * 2011-07-06 2014-08-25 ノベル バイオケア サーヴィシィズ アーゲー Screws and screwdriver tools
JP2015506190A (en) * 2011-12-23 2015-03-02 オステムインプラント カンパニー リミテッド Dental membrane

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2007229463A (en) * 2006-02-28 2007-09-13 Straumann Holding Ag Two-stage implant with hydroxilated soft tissue contact face
JP2011518577A (en) * 2007-10-19 2011-06-30 キビン ヤン Implant healing abutment with button for implant healing abutment and pressing part
JP2014520578A (en) * 2011-07-06 2014-08-25 ノベル バイオケア サーヴィシィズ アーゲー Screws and screwdriver tools
JP2015506190A (en) * 2011-12-23 2015-03-02 オステムインプラント カンパニー リミテッド Dental membrane
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