CN103330600A - Multifunctional traction correction appliance for embedded tooth - Google Patents
Multifunctional traction correction appliance for embedded tooth Download PDFInfo
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- CN103330600A CN103330600A CN2013102841613A CN201310284161A CN103330600A CN 103330600 A CN103330600 A CN 103330600A CN 2013102841613 A CN2013102841613 A CN 2013102841613A CN 201310284161 A CN201310284161 A CN 201310284161A CN 103330600 A CN103330600 A CN 103330600A
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- embedded tooth
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Abstract
The invention relates to a multifunctional traction correction appliance for an embedded tooth, and belongs to the field of medical apparatus and instrument technology. The multifunctional traction correction appliance comprises an implant and an external insert. The implant comprises a customized baseboard (1), a guiding rod (2), a horizontal traction catheter (3) and a vertical traction catheter (4). The implant is directly glued to the surface of the embedded tooth by using a light-cured adhesive. The external insert comprises an artificial tooth sheet (1) and a vertical traction catheter clamping groove. The implant and the external insert are connected by a following step: the vertical traction catheter clamping groove of the external insert is clamped with the vertical traction catheter of the implant, so that reliable connection of the external insert and the implant is realized, and the position and three dimensional attitude of the embedded tooth are shown by the artificial tooth sheet visually. Functions and characteristics of the multifunctional traction correction appliance are that: the position and attitude of the embedded tooth are shown visually; the three dimensional attitude and removing route of the embedded tooth can be precisely controlled in traction processes; and the shedding rate of the customized implant is reduced greatly, and the need for traction correction can be met.
Description
Technical field
What the present invention relates to is a kind of for the multifunction traction rectification external member of correcting embedded tooth.Belong to technical field of medical instruments.
Background technology
In human oral cavity, labial teeth or the bicuspidal impaction of hiding are comparatively common, and embedded tooth not only influences the attractive in appearance of patient, destroy masticatory function, also cause various oral diseases easily.At present main antidote is the surgical operation just abnormal traction method of associating of windowing clinically.The key step of this method is as follows: be adhesively fixed formula orthodontic appliance and lay and correct main arch wire of other teeth in mouth at first; By embedded tooth position, X-ray film location, surgical operation cuts and hides the corresponding surperficial mucosa of corona then, digs alveolus mucoperiosteum lobe, and cuts part alveolus sclerotin to expose the corona of embedded tooth.Then need a bonding finished product orthodontic bracket on this embedded tooth corona, draw embedded tooth is carried out reinforcing on aforementioned orthodontic master arch wire at one section finer wire of ligation on this bracket and with its two free-ends bolt knot, reset at last to close and sew up alveolus mucoperiosteum lobe.In the further consultation process afterwards, afterburning by continuous traction, the eruption of guiding embedded tooth is to the oral cavity.
What use in the method at present is common finished product orthodontic bracket, and this kind bracket exists following shortcoming and defect:
The particular location that can not show embedded tooth in 1 distraction procedure intuitively: because embedded tooth and common orthodontic bracket adhered thereto are sightless before embedded tooth is pulled out gingival mucosa, so in this distraction procedure, the doctor can only rely on the clinical experience of himself or repeatedly the X ray examination could judge the position of embedded tooth and traction progress.Because individual patient difference and doctors experience difference usually cause misjudge, and X ray examination repeatedly obviously also is the health that is unfavorable for the patient.
2. can't make judgement to the space three-dimensional attitude of embedded tooth in the distraction procedure: because embedded tooth is buried invisible in alveolar bone, so in the distraction procedure, the doctor can't to its space three-dimensional attitude with and make accurate judgement with the spatial relationship of adjacent teeth, treatment belt bears the character of much blindness.
3. in the distraction procedure, the space three-dimensional attitude of embedded tooth and the path of specifically dividing a word with a hyphen at the end of a line are difficult to control: during because of traction, common orthodontic bracket can only carry out reinforcing at just abnormal main arch wire by ligation silk bolt knot, the doctor can't carry out accuracy controlling to size, the direction of power, more can't produce the needed couple of control embedded tooth space three-dimensional attitude, moment.So in the distraction procedure, in fact the space three-dimensional attitude of embedded tooth and the path of specifically dividing a word with a hyphen at the end of a line can't effectively be controlled, this just produces very big rectification risk.Because touching the root of the tooth of adjacent teeth probably in moving process, embedded tooth cause the latter's pressurized to absorb.
4. base plate and not driving fit of facing, stressed back expulsion rate height: the base plate of finished product orthodontic bracket is that the form of the central area of lip, buccal surface according to normal tooth is made.But the embedded tooth facing that exposes in the windowing often is not this central area.This just causes shape and not of uniform size the causing of the embedded tooth facing of finished product bracket and exposure, and the two can not be fitted fully, often causes orthodontic bracket to come off from the embedded tooth facing after stressed, needs again the surgical operation bonding of windowing, and this has just increased patient's misery.
Summary of the invention
What the present invention proposed is that a kind of multifunction traction for the rectification embedded tooth is corrected external member, its objective is the inherent shortcoming that overcomes common orthodontic bracket, avoids the infringement to the patient when finishing the rectification target.
One, parts of the present invention, concrete structure and mutual annexation are as follows:
1) product of the present invention is formed:
Product of the present invention is made up of implantation piece and outer plugin two parts.
The concrete structure of implantation piece comprises: 1 personalized base plate, and 2 guide rods, 3 levels are to the traction conduit, and 4 vertically to the traction conduit.During use, this implantation piece directly is bonded on the facing of embedded tooth by light-curing adhesive.
The concrete structure of outer plugin comprises: 1 artificial tooth sheet, 2 vertically to traction conduit draw-in groove.
2) being connected of implantation piece and outer plugin:
With outer plugin vertically to traction conduit draw-in groove be connected to implantation piece vertically on the traction conduit, realize the reliable connection of outer plugin and implantation piece, this moment, the artificial tooth sheet just can show locus and the 3 d pose of embedded tooth intuitively.
Two, designing and manufacturing method of the present invention
1) designing and producing of implantation piece:
At first obtain embedded tooth by tractus pyramidalis CT and reach the density data of sclerous tissues on every side, rebuild the 3 D stereoscopic image of patient's denture (comprising embedded tooth) by computer image processing.
The design of personalized base plate: according to window position and the concrete operation pathway of design, on the 3 D stereoscopic image of the embedded tooth of computer reconstruction, generate personalized base plate by the cad technique design, this bonding plane form that just can guarantee it is consistent with the embedded tooth facing size and form that actual operation exposes, the two can be fitted fully, and this just greatly reduces the expulsion rate that is subjected to embedded tooth behind the pull strength.
The design of guide rod: utilize cad technique, the design guide rod.This bar is stretched out by personalized backplate surface, its length and direction in space are determined according to particular location and the buried depth of embedded tooth, after must guaranteeing during design that implant is bonded on the embedded tooth facing, the level of this guide rod and upper end thereof to vertical to the traction conduit can exposure in corresponding alveolar mucosa surface.
Level to the traction conduit design: rely on cad technique equally, design level is to traction tube, and this pipe is positioned at the guide rod upper end, and incisxal edge or the occlusal surface of its long axis direction and embedded tooth corona are parallel, catheter diameter is the orthodontic bracket system matches of 0.56mm * 0.70mm and existing standard groove size.
Vertically to the design of drawing conduit: vertically be positioned at level above the traction conduit to the traction conduit, its long axis direction is parallel with embedded tooth corona labial surface major axis, and catheter diameter also is 0.56mm * 0.70mm.
The making of implantation piece: generate personalized base plate, guide rod, level to reaching vertically behind the traction conduit with the cad technique design, related data is imported the 3D printer, print the plastic pattern of implantation piece, then by operations such as embeddings, cast out personalized implantation piece with the fusible pattern microtechnic.
2) making of outer plugin:
The design of outer plugin and making also are to utilize cad technique to generate the on all four artificial tooth sheet of embedded tooth corona labial surface profile earlier, design one then at the back side of this artificial tooth sheet vertically to traction conduit draw-in groove, and the labial surface major axis of its long axis direction and artificial tooth sheet is parallel.In addition, the size and Orientation of this draw-in groove can precision-matched to the traction conduit with the vertical of implant top.
The data input 3D printer of the outer plugin that designs can be printed this outer plugin of plastic material.
Three, using method of the present invention:
Routine installs and fixes orthodontic bracket on other tooth in advance, lays just abnormal main arch wire and corresponding anchorage device.
The exposure embedded tooth of performing surgical operation then, bonding implant on its facing.According to designing the bonding personalized base plate in facing position in advance, and its guide rod is passed outside the alveolar mucosa.At this moment, the level of guide rod upper end is to just being emerging in gingival surface with vertical to the traction conduit.
Directed traction is sprouted to helping with vertical: with thin ligation silk penetrate level to traction tube or, and by the elasticity chain ring be installed in other teeth on just abnormal main arch wire be connected, thereby embedded tooth is produced needed pull strength to induce its eruption.The directed traction to embedded tooth that this external member that Here it is has helps sprouts function.
Three-dimensional appearance control: the 3 d pose to embedded tooth control effectively if desired, and the level that the just abnormal stainless steel side silk that bends shaping can be penetrated is to the traction conduit, and is connected on the anchorage device that is installed on other teeth.Utilize this square arch wire and level to the interaction of traction pipe inner wall, both can produce the control necessary couple of embedded tooth 3 d pose and moment.This external member that Here it is is to the control function of embedded tooth 3 d pose.
Locus adjustment and the path control of dividing a word with a hyphen at the end of a line: the root of the tooth of embedded tooth and adjacent teeth adjoins, and may come in contact in the distraction procedure, causes the root of the tooth of these teeth that repressive absorption takes place.For this reason, often need adjust and its path of dividing a word with a hyphen at the end of a line is controlled the locus of embedded tooth.For example: can in the traction conduit, insert one section rigidity orthodontic bow-wire in the level of implant, be worn over the traction India rubber circle that anchorage device on other tooth adds a horizontal direction in level to traction conduit and dress then, can be so that embedded tooth carries out level to movement along the rigidity orthodontic bow-wire under the effect of pull strength.This external member that Here it is is to the adjustment function of embedded tooth level to the locus.
The visualization display of embedded tooth locus and 3 d pose: with the outer plugin back side vertical to traction conduit draw-in groove be stuck in implant vertically on the traction conduit, the 3 d pose that can intuitively show embedded tooth by the 3 d pose of artificial tooth sheet, artificial tooth sheet and alveolar mucosa distance can reflect the eruption depth of embedded tooth.
Four, major function of the present invention:
The visualization display of 1 embedded tooth position and attitude: intuitively show position and the space three-dimensional attitude of embedded tooth, predict that it moves the walking along the street footpath.Need not periodic X ray examination, by outer plugin is connected to implantation piece vertically on the traction conduit, just can show locus and the 3 d pose of embedded tooth by outer plugin artificial tooth sheet intuitively, avoid the blindness of in the past drawing.
Accurately control the space three-dimensional attitude of embedded tooth and the path of dividing a word with a hyphen at the end of a line in 2 distraction procedure: the implantation piece guide rod stretches out outside the alveolar mucosa, two orthogonal traction conduits on the bar.Drag spring thimble internal diameter and existing orthodontic bracket system matches can be rescued design by personalized stainless steel square silk, bend fixing and the traction reinforcing, thereby accurately control direction and the path that embedded tooth moves; Simultaneously two orthogonal drag spring thimbles cooperate bending of each yeast inoculation on the stainless steel square silks, can realize that integral body, rotation, inclination, the control root to embedded tooth moves, the effective 3 d pose of control tooth in traction.
3 personalized implantation pieces: precision-investment casting goes out personalized whole implantation piece makes traction more comfortable and convenient.Wherein, the personalized base plate of casting can be fitted fully with the facing of surgical exposure; Window position, operation pathway of the design consideration of guide rod determined, embedded tooth is drawn under visual; The use that cooperatively interacts of two orthogonal traction conduits, it is three-dimensional controlled to realize that embedded tooth moves.
The invention has the beneficial effects as follows, locus and the 3 d pose that can show embedded tooth intuitively by being used of outer plugin and implantation piece, therefore can reduce periodic X ray examination, in distraction procedure, accurately locate embedded tooth at any time, determine the relation of itself and surrounding tissue and tooth; Traction can be adjusted 3 d pose and the locus of embedded tooth simultaneously, accurately controls direction, distance and path that embedded tooth moves; The personalized base plate of casting is fitted the facing of implanting attachment and surgical exposure fully, and firm with the facing bonding, serviceability is reliable; This attachment and fixed appliance (orthodontic bracket, arch wire) simultaneously fit applications, can shorten the time of rescuing, reach good rectifying effect; And can effectively satisfy the demand of the dissimilar embedded tooth tractions of different patients.
Description of drawings
The outline drawing of Fig. 1 implantation piece.The concrete structure of this implantation piece comprises four parts: 1 personalized base plate, and 2 guide rods, 3 levels are to the traction conduit, and 4 vertically to the traction conduit.
The outline drawing of Fig. 2 outer plugin.The concrete structure of this outer plugin comprises two parts: 1 artificial tooth sheet, 2 vertically to traction conduit draw-in groove
Fig. 3 implantation piece and outer plugin connection layout: the corona 2 of 1 embedded tooth is bonded in implantation piece 3 outer plugins on the embedded tooth corona.
With on this outer plugin vertically to traction conduit draw-in groove be connected to implantation piece vertically on the traction conduit, realize the reliable connection of outer plugin and implantation piece, this moment, the artificial tooth sheet just can visual locus and the 3 d pose that demonstrates embedded tooth.
Claims (3)
1. what the present invention relates to is a kind of for the multifunction traction rectification external member of correcting embedded tooth.Belong to technical field of medical instruments.
2. product of the present invention is formed: product of the present invention is made up of implantation piece and outer plugin two parts.The concrete structure of implantation piece comprises: 1) personalized base plate, 2) guide rod, 3) level to the traction conduit, 4) vertically to the traction conduit.This implantation piece directly is bonded on the facing of embedded tooth by light-curing adhesive.The concrete structure of outer plugin: 1) artificial tooth sheet, 2) vertically to traction conduit draw-in groove.
3. being connected of implantation piece and outer plugin: with outer plugin vertically to traction conduit draw-in groove be connected to implantation piece vertically on the traction conduit, realize the reliable connection of outer plugin and implantation piece, this moment, the artificial tooth sheet just can show locus and the 3 d pose of embedded tooth intuitively.
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CN201310284161.3A CN103330600B (en) | 2013-07-08 | 2013-07-08 | Multi-functional embedded tooth traction correcting external member |
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CN201310284161.3A CN103330600B (en) | 2013-07-08 | 2013-07-08 | Multi-functional embedded tooth traction correcting external member |
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CN103330600B CN103330600B (en) | 2015-11-04 |
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Cited By (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN105158060A (en) * | 2015-09-25 | 2015-12-16 | 南京市口腔医院 | Simulation determination method of alveolar bone stress after vertical fractured and bonded posterior tooth replantation |
CN105232167A (en) * | 2014-07-09 | 2016-01-13 | 卢育华 | Horizontal impacted wisdom tooth traction bracket and using method thereof |
CN115337121A (en) * | 2022-07-01 | 2022-11-15 | 有研医疗器械(北京)有限公司 | Traction positioning device for embedded teeth and positioning method thereof |
Citations (5)
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US3835538A (en) * | 1972-05-08 | 1974-09-17 | M Northcutt | Orthodontic onlay and method for exerting corrective traction on an impacted tooth |
EP0065265A1 (en) * | 1981-05-20 | 1982-11-24 | Wilhelm Dr. Lorenz | Spring element for dental plates |
JPS61288854A (en) * | 1985-06-14 | 1986-12-19 | 吉井 修 | Orthodontic treatment instrument of silicone resin with traction instrument and its production |
CN2897189Y (en) * | 2006-03-27 | 2007-05-09 | 徐葆琛 | Impacted tooth guiding-out device |
CN101019780A (en) * | 2007-03-10 | 2007-08-22 | 温州医学院附属口腔医院 | Upper jaw embedded impacted tooth quide rod type correcting appliance |
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2013
- 2013-07-08 CN CN201310284161.3A patent/CN103330600B/en not_active Expired - Fee Related
Patent Citations (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US3835538A (en) * | 1972-05-08 | 1974-09-17 | M Northcutt | Orthodontic onlay and method for exerting corrective traction on an impacted tooth |
EP0065265A1 (en) * | 1981-05-20 | 1982-11-24 | Wilhelm Dr. Lorenz | Spring element for dental plates |
JPS61288854A (en) * | 1985-06-14 | 1986-12-19 | 吉井 修 | Orthodontic treatment instrument of silicone resin with traction instrument and its production |
CN2897189Y (en) * | 2006-03-27 | 2007-05-09 | 徐葆琛 | Impacted tooth guiding-out device |
CN101019780A (en) * | 2007-03-10 | 2007-08-22 | 温州医学院附属口腔医院 | Upper jaw embedded impacted tooth quide rod type correcting appliance |
Cited By (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN105232167A (en) * | 2014-07-09 | 2016-01-13 | 卢育华 | Horizontal impacted wisdom tooth traction bracket and using method thereof |
CN105232167B (en) * | 2014-07-09 | 2018-01-23 | 卢育华 | Level hides wisdom tooth traction bracket |
CN105158060A (en) * | 2015-09-25 | 2015-12-16 | 南京市口腔医院 | Simulation determination method of alveolar bone stress after vertical fractured and bonded posterior tooth replantation |
CN115337121A (en) * | 2022-07-01 | 2022-11-15 | 有研医疗器械(北京)有限公司 | Traction positioning device for embedded teeth and positioning method thereof |
CN115337121B (en) * | 2022-07-01 | 2024-03-12 | 有研医疗器械(北京)有限公司 | Traction positioning device for embedded teeth and positioning method thereof |
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