CN103976799A - Minimally invasive internal maxillary sinus lifting device for implanting teeth - Google Patents
Minimally invasive internal maxillary sinus lifting device for implanting teeth Download PDFInfo
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- CN103976799A CN103976799A CN201410208364.9A CN201410208364A CN103976799A CN 103976799 A CN103976799 A CN 103976799A CN 201410208364 A CN201410208364 A CN 201410208364A CN 103976799 A CN103976799 A CN 103976799A
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Abstract
In order to solve such defects in the prior that whether maxillary sinus is successfully lift is hard to judge and the operation is inconvenient, the invention provides a minimally invasive internal maxillary sinus lifting device for implanting teeth. The minimally invasive internal maxillary sinus lifting device comprises a bone fixing element, an internal lifting element and a force applying element, wherein the bone fixing element comprises a cylindrical body, a fixing part is arranged on the outer surface of the cylindrical body, and the cylindrical body is provided with a first through inner hole and a second through inner hole along the axial direction; the internal lifting element comprises a lifting rod and a lifting head, one end of the lifting rod is fixedly connected with the lifting head, the lifting rod is inserted in the first inner hole of the cylindrical main body, the other end of the lifting rod is fixedly connected with the force applying element through threads, and the force applying element is located in the second inner hole of the cylindrical main body. Since the travel of the internal lifting device provided by the invention is controllable, the lifting element is ensured not to break through a mucous membrane of maxillary sinus; in addition, since the integration degree is high, the lifting device provided by the invention is smart in structure and can be conveniently used for carrying out internal lifting operation in oral cavities.
Description
Technical field
The present invention relates to a kind of for stomatologic medical apparatus and instruments, while relating in particular to the bone quantity not sufficient of Sinus floor in artificial dental implant surgical, a kind of for lifting device in the safety maxillary sinus Wicresoft of Dental Implant.
Background technology
Manual tooth planting operation is that a kind of implantation body of manually placing is to the operation of the tooth that replaces in alveolar bone coming off or drop.
Conventionally, if loss of tooth overlong time, upper jaw backteeth district is often consumed gradually because the gasification of bone absorption or maxillary sinus causes the sclerotin below maxillary sinus, the bone amount height in upper jaw backteeth district is not enough to place implantation body, this promotes Sinus floor in just needing, on jawbone, form bone increment space, increase can be used height, to lay implantation body at this.
Prior art is normally by first holing, then use the shaft-like lifting column method of knocking to carry out interior lifting Sinus floor, but, because of the excessive velocities of boring and the unrestricted violent action knocking, often there is misoperation and wear out mucous membrane of maxillary sinus, and then bring maxillary sinusitis and the misery causing because of mucous membrane of maxillary sinus damage to patient.
Patent CN102006836A (application number 200880128697.3) discloses a kind of maxillary sinus membrane lifting device of implanting for tooth, described auxiliary device comprises the cylindrical main support component with the rectification parts that are formed at its end portion, and is positioned at the expandable bags of support component inner space.When described expandable bags expands, maxillary sinus film is thus lifted to jawbone place.But because of bone hole depth and little, this patented technology is difficult to the sclerotin that Sinus floor is removed in accurate judgement completely.
In addition, patent CN101234038A (application number 200810300427.8) discloses a kind of maxillary sinus floor elevation device, comprise basal disc and the part of rushing to summit that can move along the basal plane orientation perpendicular to basal disc, on basal disc, be provided with fixture, the bone hole that basal disc covers the part of rushing to summit to be formed after rushing to summit.But because of limited space in oral cavity, this ram structure is difficult to completely in place in oral cavity, enable to carry out in place, be also difficult to freely realize interior lifting work.
Summary of the invention
Technical problem to be solved by this invention be for prior art be difficult to accurately judge whether successfully to promote Sinus floor and the defect such as be awkward, provide a kind of for lifting device in the maxillary sinus Wicresoft of Dental Implant.
It is as follows that the present invention solves the problems of the technologies described above adopted technical scheme:
Provide a kind of for lifting device in the maxillary sinus Wicresoft of Dental Implant, wherein, comprise bone fixation means, interior lifting member and force-applying member, described bone fixation means comprises cylindrical body, the outer surface of described cylindrical body is provided with fixed part, and described cylindrical body is provided with the first endoporus and second endoporus of perforation vertically; Described interior lifting member comprises lifting arm and poppet, one end of described lifting arm is fixedly connected with described poppet, described lifting arm is arranged in the first endoporus of described cylindrical body, the other end of described lifting arm is fixedly connected with described force-applying member, and described force-applying member is arranged in the second endoporus of described cylindrical body; The length of described lifting arm is greater than the length of described the first endoporus, and the length of described force-applying member is less than the length of described the second endoporus, and the internal diameter of described the first endoporus is less than the internal diameter of the second endoporus, and the external diameter of described force-applying member is greater than the internal diameter of described the first endoporus.
Further, described fixed part is the tapping screw thread of being located at described cylindrical body outer surface.Like this, the mode that can pass through screw thread self tapping is described bone fixation means and the tight secure bond of described alveolar bone.
Further, described tapping screw thread becomes close from top to bottom gradually along described cylindrical body.Like this, because screw thread is wide above, more down screw thread is closeer, can so that described bone fixation means more closely with described alveolar bone secure bond.
Further, described tapping screw thread comprises wide screw thread and close screw thread, and the pitch of described wide screw thread is greater than the pitch of described close screw thread, and described wide screw thread is positioned at the upper semisection of described cylindrical body, and described close screw thread is positioned at the lower semisection of described cylindrical body.Like this, because screw thread is wide above, screw thread is below close, can be so that keep different grasping forces between described bone fixation means and described alveolar bone, make it more closely and described alveolar bone secure bond.
Further, the lower end of described cylindrical body is provided with force section.Like this, can to described force section, apply external force by external tool, realize the closely fixing of described bone fixation means.
Further, described force section is outer-hexagonal double-screw bolt.Like this, can use the interior Hexagonal jacket matching with described outer-hexagonal to apply torsion to described force section, the propelling cylindrical body that turns clockwise, and then realize combining closely between described bone fixation means and described alveolar bone.
Further, one end of described lifting arm and described force-applying member is threaded connection.Like this, be threaded connection, can realize the installation and removal of described lifting arm and force-applying member, be convenient to clean and sterilization.
Further, the other end of described force-applying member is arc-shaped concave, and the center of described arc-shaped concave is provided with a word groove.Like this, can with straight screwdriver, aim at a described word groove operation easily, realize dismounting and the installation of described lifting arm and force-applying member.
Further, described poppet is one to have the disk of arc-shaped concave, and described arc-shaped concave is scrobicula face, and one end of described lifting arm is fixedly connected with the core of described disk.Like this, while impacting Sinus floor, the disk of arc-shaped concave can apply appropriate shearing force to maxillary sinus bottom surface, can effectively the bone impact fracture of the appropriate area in top, bone hole be departed from.
Further, the top edge of described cylindrical body is provided with tapered slope.Like this, because described tapered slope is positioned at the upper end of described bone fixation means, form around the little inclined-plane of the top edge of described cylindrical body, described bone fixation means can enter in bone hole easily, in the process promoting in described bone hole, can effectively realize and advancing and impact function.
Beneficial effect of the present invention: lifting device of the present invention comprises force-applying member and the interior lifting member connecting successively, and be sheathed on the bone fixation means in force-applying member and interior lifting member, described force-applying member and interior lifting member can be slided in bone fixation means, realize impact function, because the length of described lifting arm of the present invention is greater than the length of described the first endoporus, the length of described force-applying member is less than the length of described the second endoporus, the internal diameter of described the first endoporus is less than the internal diameter of the second endoporus, the external diameter of described force-applying member is greater than the internal diameter of described the first endoporus, make described force-applying member there is controlled stroke in described the second endoporus, and then the stroke that has guaranteed described interior lifting member is controlled.Like this, in the impact process of described force-applying member, when feeling, fall through when sense, can determine and impact successfully, and controlled because of its stroke, guaranteed that described lifting member can not break through mucous membrane of maxillary sinus and cause maxillary sinusitis; Whether another force-applying member is shorter in length than the second interior hole length, also for detection of Sinus floor, promote successfully, and when compressing force-applying member bottom, force-applying member can rise, unclamp and decline, be successfully, not so, advance described cylindrical body, knock force-applying member, repeat above-mentioned action, until promote successfully; In addition, because the integrated level of described force-applying member, interior lifting member and bone fixation means is higher, make lifting device structure of the present invention light and handy, can be applied in easily and in oral cavity, carry out interior lifting operation.
Accompanying drawing explanation
Fig. 1 is lifting device generalized section in the maxillary sinus Wicresoft that provides of one embodiment of the invention;
Fig. 2 is lifting device schematic perspective view in the maxillary sinus Wicresoft that provides of one embodiment of the invention;
Fig. 3 is lifting device schematic perspective view in the maxillary sinus Wicresoft that provides of another embodiment of the present invention;
Fig. 4 is lifting member schematic perspective view in lifting device in the maxillary sinus Wicresoft that provides of one embodiment of the invention;
Fig. 5 is lifting member generalized section in lifting device in the maxillary sinus Wicresoft that provides of one embodiment of the invention;
Fig. 6 is force-applying member schematic perspective view in lifting device in the maxillary sinus Wicresoft that provides of one embodiment of the invention;
Fig. 7 is another schematic perspective view of force-applying member in lifting device in the maxillary sinus Wicresoft that provides of one embodiment of the invention;
Fig. 8 is lifting device force-applying member generalized section in the maxillary sinus Wicresoft that provides of one embodiment of the invention;
Fig. 9 is lifting device bone fixation means generalized section in the maxillary sinus Wicresoft that provides of one embodiment of the invention.
Reference numeral in Figure of description is as follows:
1, bone fixation means; 2, interior lifting member; 3, force-applying member; 11, the first endoporus; 12, the second endoporus; 13, tapered slope; 21, poppet; 22, lifting arm; 31, force-applying member screwed hole; 32, force-applying member arc-shaped concave; 33, a word groove; 41, wide screw thread; 42, close screw thread; 51, force section.
The specific embodiment
In order to make technical problem solved by the invention, technical scheme and beneficial effect clearer, below in conjunction with drawings and Examples, the present invention is described in further detail.Should be appreciated that specific embodiment described herein, only in order to explain the present invention, is not intended to limit the present invention.
In description of the invention, it will be appreciated that, term " interior ", " outward ", " on ", orientation or the position relationship of the indication such as " top " be orientation or the position relationship based on shown in accompanying drawing 1, only the present invention for convenience of description and simplified characterization, rather than indicate or imply that the device of indication or element must have specific orientation, with specific orientation, construct and operation, therefore can not be interpreted as limitation of the present invention.
In description of the invention, it should be noted that, unless otherwise clearly defined and limited, term " layout ", " setting ", " connection " should be interpreted broadly, and for example, can be to be fixedly connected with, and can be also to removably connect, or connect integratedly; Can be to be directly connected, also can indirectly be connected by intermediary.For the ordinary skill in the art, can concrete condition understand above-mentioned term concrete meaning in the present invention.
As shown in Figure 1, providing that one embodiment of the invention provides is a kind of for lifting device in the maxillary sinus Wicresoft of Dental Implant, wherein, comprises bone fixation means 1, interior lifting member 2 and force-applying member 3.As shown in Fig. 2, Fig. 3 and Fig. 9, described bone fixation means 1 is in operation on oral cavity process, after alveolar bone boring, for the effect of propelling and fixed position in bone hole.Described bone fixation means 1 comprises cylindrical body, described cylindrical body is cylindric, its external diameter is preferably 4mm-5mm, its length is preferably 7-9mm, it is provided with the first endoporus 11 and second endoporus 12 of perforation vertically, and wherein, the internal diameter of described the first endoporus 11 is less than the internal diameter of the second endoporus 12, the internal diameter of the first endoporus 11 is preferably 2.5mm-3.5mm, and the second endoporus 12 internal diameters are preferably 3.0mm-4.0mm.Be described the first endoporus 11 and the second endoporus 12 two cavitys for forming in described cylindrical body inside respectively, and the cavity of the first endoporus 11 is less, the cavity of the second endoporus 12 is larger.The top edge of described cylindrical body is provided with tapered slope 13.Like this, because described tapered slope 13 is positioned at the upper end of described bone fixation means 1, form around the little inclined-plane of the top edge of described cylindrical body, described bone fixation means 1 can enter in bone hole easily, in the process promoting, can effectively realize propulsion functions in described bone hole.In addition, the outer surface of described cylindrical body is provided with fixed part, and described fixed part is preferably the tapping screw thread of being located at described cylindrical body outer surface.Like this, the mode that can pass through screw thread self tapping is described bone fixation means 1 and the tight secure bond of described alveolar bone.In one embodiment, as shown in Figure 2, described tapping screw thread becomes close from top to bottom gradually along described cylindrical body.Like this, because screw thread is wide above, more down screw thread is closeer gradually, on the one hand can strengthen self tapping effect, on the other hand can so that described bone fixation means 1 more closely with described alveolar bone secure bond.In another kind of embodiment, as shown in Figure 3, described tapping screw thread comprises wide screw thread 41 and close screw thread 42, the pitch of described wide screw thread 41 is greater than the pitch of described close screw thread 42, described wide screw thread 41 is positioned at the upper semisection of described cylindrical body, and described close screw thread 42 is positioned at the lower semisection of described cylindrical body.Like this, because screw thread is wide above, screw thread is below close, can be so that keep different grasping forces between described bone fixation means 1 and described alveolar bone, make it more closely and described alveolar bone secure bond.
In the present embodiment, the lower end of described cylindrical body is provided with force section 51.Like this, can to described force section 51, apply external force by external tool, realize the closely fixing of described bone fixation means 1.More specifically, described force section 51 is outer-hexagonal double-screw bolt.Like this, can use the interior Hexagonal jacket matching with described outer-hexagonal to apply torsion to described force section 51, the propelling cylindrical body that turns clockwise, and then realize combining closely between described bone fixation means 1 and described alveolar bone.
As shown in Fig. 4-Fig. 8, in embodiments of the invention, described interior lifting device also comprises for Sinus floor being carried out to the interior lifting member 2 of interior lifting.Described interior lifting member 2 comprises lifting arm 22 and poppet 21, and one end of described lifting arm 22 is fixedly connected with described poppet 21, and described poppet 21 is positioned at the upper end of described bone fixation means 1, for the impact to described Sinus floor.In the present embodiment, in can be axially movable the first endoporus 11 that is arranged in described cylindrical body of described lifting arm 22, the other end of described lifting arm 22 is fixedly connected with described force-applying member 3.Described force-applying member 3 is arranged in the second endoporus 12 of described cylindrical body, and can be along described the second endoporus 12 axially-movables; The length of described lifting arm 22 is greater than the length of described the first endoporus 11, and the difference of its length is preferably 1mm-3mm; The length of described force-applying member 3 is less than the length of described the second endoporus 12, and the difference of its length is preferably 1mm-3mm, and the external diameter of described force-applying member 3 is greater than the internal diameter of described the first endoporus 11, and its difference is preferably 0.5mm-1.5mm.Like this, described poppet 21, lifting arm 22 and force-applying member 3 connect as one, and can be along the axially-movable of described the first endoporus 11 and the second endoporus 12, when described force-applying member 3 is upwards applied to impulsive force, described force-applying member 3 moves upward, and then drives described poppet 21 upwards to impact Sinus floor, and, because the length of the described lifting arm 22 of the embodiment of the present invention is greater than the length of described the first endoporus 11, the length of described force-applying member 3 is less than the length of described the second endoporus 12, the internal diameter of described the first endoporus 11 is less than the internal diameter of the second endoporus 12, the external diameter of described force-applying member 3 is greater than the internal diameter of described the first endoporus 11, these conditions make described force-applying member 3 have controlled stroke in described the second endoporus 12, and then the range that has guaranteed described interior lifting member 2 is controlled, by impacting, met impact dynamics, can be not excessive because of impulsive force yet, and force-applying member 3 and lifting member are unrestrictedly promoted, also be controlled in maximum travel limit, in the scope of 1mm-3mm.Like this, in the impact process of described force-applying member 3, when feeling, fall through when sense, can determine and impact successfully, and controlled because of its stroke, guaranteed that described lifting member can not break through mucous membrane of maxillary sinus and cause maxillary sinusitis.
In the present embodiment, described poppet 21 is one to have the disk of arc-shaped concave, and described arc-shaped concave is scrobicula face, and one end of described lifting arm 22 is fixedly connected with the core of described disk.Like this, while impacting Sinus floor, the disk of arc-shaped concave can apply appropriate shearing force to maxillary sinus bottom surface, can effectively the bone impact fracture of the appropriate area in top, bone hole be departed from.
In the present embodiment, one end of described lifting arm 22 is provided with external screw thread, and one end of described force-applying member 3 is provided with the screwed hole 31 mating with described external screw thread, and lifting arm 22 is threaded connection with force-applying member 3.Like this, be threaded connection, can realize the installation and removal of described lifting arm 22 and force-applying member 3, be convenient to clean and sterilization.The other end of described force-applying member 3 is arc-shaped concave 32, and the center of described arc-shaped concave 32 is provided with a word groove 33.Like this, can with straight screwdriver, aim at described word groove 33 operations easily, realize dismounting and the installation of described lifting arm 22 and force-applying member 3.
Lifting device in the maxillary sinus Wicresoft of embodiment, by following function mode, work:
First, the first endoporus 11 that the lifting arm 22 of the described interior lifting member 2 of having sterilized is packed into described bone fixation means 1, and make described poppet 21 be positioned at the upper end of described bone fixation means 1, the screwed hole of described force-applying member 3 31 is connected with the external screw thread of described lifting arm 22, can use straight screwdriver to coordinate a word groove 33 of described force-applying member 3 to be rotated fastening, complete the assembling of described interior lifting device.
Then, by conventional instrument, alveolar bone Dai Zhiya district is holed as reamer, the little about 0.6mm of external diameter of bone fixation means 1 described in the aperture ratio of planting tooth hole boring; The close tooth hole of planting of interior lifting device after combination, and keep tapered slope 13 alignings of described bone fixation means 1 upper end to plant tooth hole, use conventional instrument as the torque spanner with interior Hexagonal jacket (conventional carrier) entangle as described in the force section 51 (being outer-hexagonal double-screw bolt) of bone fixation means 1 lower end, apply torsion, described interior lifting device is torqued into and is planted in tooth hole, till cannot twisting.
And then, use conventional instrument as osteotomes withstand as described in the arc-shaped concave 32 of force-applying member 3, and knock and apply impulsive force, if any the sense that falls through, stop knocking sinus lift success; The sense that falls through as not having,, again with carrier and torque spanner twisting with advance described bone fixation means 1, till cannot twisting, repeats to knock and advance, and safety completes Wicresoft and promotes Sinus floor operation.
Finally, by postoperative bone fixation means 1, interior lifting member 2 and force-applying member 3 dismountings, sterilization.
Compared with prior art, the lifting device of the embodiment of the present invention comprises force-applying member 3 and the interior lifting member 2 connecting successively, and be sheathed on the bone fixation means 1 in force-applying member 3 and interior lifting member 2, described force-applying member 3 and interior lifting member 2 can be in the interior slips of bone fixation means 1, realize impact function, because the length of the described lifting arm 22 of the embodiment of the present invention is greater than the length of described the first endoporus 11, the length of described force-applying member 3 is less than the length of described the second endoporus 12, the internal diameter of described the first endoporus 11 is less than the internal diameter of the second endoporus 12, the external diameter of described force-applying member 3 is greater than the internal diameter of described the first endoporus 11, make described force-applying member 3 there is controlled stroke in described the second endoporus 12, and then the stroke that has guaranteed described interior lifting member 2 is controlled.Like this, in the impact process of described force-applying member 3, when feeling, fall through when sense, can determine and impact successfully, and controlled because of its stroke, guaranteed that described lifting member can not break through mucous membrane of maxillary sinus and cause maxillary sinusitis; Whether another force-applying member is shorter in length than the second interior hole length, also for detection of Sinus floor, promote successfully, and when compressing force-applying member bottom, force-applying member can rise, unclamp and decline, be successfully, not so, advance described cylindrical body, knock force-applying member, repeat above-mentioned action, until promote successfully; In addition, because the integrated level of described force-applying member 3, interior lifting member 2 and bone fixation means 1 is higher, make lifting device structure of the present invention light and handy, can be applied in easily and in oral cavity, carry out interior lifting operation.
The foregoing is only preferred embodiment of the present invention, not in order to limit the present invention, all any modifications of doing within the spirit and principles in the present invention, be equal to and replace and improvement etc., within all should being included in protection scope of the present invention.
Claims (10)
1. for a lifting device in the maxillary sinus Wicresoft of Dental Implant, it is characterized in that, comprise bone fixation means, interior lifting member and force-applying member,
Described bone fixation means comprises cylindrical body, and the outer surface of described cylindrical body is provided with fixed part, and described cylindrical body is provided with the first endoporus and second endoporus of perforation vertically;
Described interior lifting member comprises lifting arm and poppet, one end of described lifting arm is fixedly connected with described poppet, described lifting arm is arranged in the first endoporus of described cylindrical body, the other end of described lifting arm is fixedly connected with described force-applying member, and described force-applying member is arranged in the second endoporus of described cylindrical body;
The length of described lifting arm is greater than the length of described the first endoporus, and the length of described force-applying member is less than the length of described the second endoporus, and the internal diameter of described the first endoporus is less than the internal diameter of the second endoporus, and the external diameter of described force-applying member is greater than the internal diameter of described the first endoporus.
2. according to claim 1 a kind ofly it is characterized in that for lifting device in the maxillary sinus Wicresoft of Dental Implant, described fixed part is the tapping screw thread of being located at described cylindrical body outer surface.
3. a kind ofly according to claim 2 for lifting device in the maxillary sinus Wicresoft of Dental Implant, it is characterized in that, described tapping screw thread becomes close from top to bottom gradually along described cylindrical body.
4. according to claim 2 a kind of for lifting device in the maxillary sinus Wicresoft of Dental Implant, it is characterized in that, described tapping screw thread comprises wide screw thread and close screw thread, the pitch of described wide screw thread is greater than the pitch of described close screw thread, described wide screw thread is positioned at the upper semisection of described cylindrical body, and described close screw thread is positioned at the lower semisection of described cylindrical body.
5. according to claim 1 a kind ofly it is characterized in that for lifting device in the maxillary sinus Wicresoft of Dental Implant, the lower end of described cylindrical body is provided with force section.
6. according to claim 2 a kind ofly it is characterized in that for lifting device in the maxillary sinus Wicresoft of Dental Implant, described force section is outer-hexagonal double-screw bolt.
7. according to claim 1 a kind ofly it is characterized in that for lifting device in the maxillary sinus Wicresoft of Dental Implant, one end of described lifting arm and described force-applying member is threaded connection.
8. according to claim 7 a kind ofly it is characterized in that for lifting device in the maxillary sinus Wicresoft of Dental Implant, the other end of described force-applying member is arc-shaped concave, and the center of described arc-shaped concave is provided with a word groove.
9. according to claim 1 a kind ofly it is characterized in that for lifting device in the maxillary sinus Wicresoft of Dental Implant, described poppet is one to have the disk of arc-shaped concave, and one end of described lifting arm is fixedly connected with the core of described disk.
10. according to claim 1 a kind ofly it is characterized in that for lifting device in the maxillary sinus Wicresoft of Dental Implant, the top edge of described cylindrical body is provided with tapered slope.
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