CN104161598A - Spiral type internal maxillary sinus lifting device and lifting system - Google Patents
Spiral type internal maxillary sinus lifting device and lifting system Download PDFInfo
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- CN104161598A CN104161598A CN201410411851.5A CN201410411851A CN104161598A CN 104161598 A CN104161598 A CN 104161598A CN 201410411851 A CN201410411851 A CN 201410411851A CN 104161598 A CN104161598 A CN 104161598A
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- maxillary sinus
- lifting
- lifting device
- diameter
- lifting arm
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Abstract
The invention discloses an internal maxillary sinus lifting device which comprises a positioning guide plate, a lifting rod and an annular sleeve block gauge, wherein guide holes corresponding to planting pits are formed in the positioning guide plate; threaded sleeves are fixed inside the guide holes; the outer walls of the threaded sleeves are adapted to the guide holes; internal threads are formed in the inner walls of the threaded sleeves; the lifting rod consists of a forced part, a baffle ring and a working part; the forced part is portioned from the working part by the baffle ring; the working part comprises a threaded section, a head part and a connecting section; the threaded section is meshed with the internal threads inside the threaded sleeves; internal threads are formed inside the annular sleeve block gauge. In the operation process, the top surfaces of the guide holes are taken as positioning reference surfaces, the length of the working part of the lifting rod is greater than the distance from the top surfaces of the guide holes to the bottoms of the planting pits, the internal lifting height of the lifting rod is as shown in the formula. An internal maxillary sinus lifting system consists of the internal maxillary sinus lifting device and a hole formation tool, wherein the hole formation tool comprises a drill bit and a pressing plate. The internal maxillary sinus lifting device has the advantages that the lifting precision is high and the internal lifting device fixation can be achieved without damaging the planting pits.
Description
Technical field
The present invention relates to lifting device and elevator system in a kind of maxillary sinus.
Background technology
After the upper jaw, after anodontia, the diapire of maxillary sinus can cause kind of bone grafting height not enough conventionally because alveolar ridge absorbs, now, once plantation just likely penetrates maxillary sinus wall and mucosa.For Implant, often need to be in Sinus floor and the upper jaw mucosa making space, in this space, transplant the succedaneum of some synthetic bones, to increase alveolar ridge crest to the distance of Sinus floor, position by sinus lift to satisfied plantation needs, thereby Shi Jiang implantation body is placed in upper jaw bone, become possibility, this operation process is just lifting art in maxillary sinus.When the traditional interior lifting of maxillary sinus art is implemented, first in alveolar ridge crest preparation, plant nest, when planting the distance from bottom Sinus floor 1-2mm of nest, use hoisting tool hammering in maxillary sinus to cause the fracture of Sinus floor sclerotin, recharge bone meal, mucosa at the bottom of lifting hole.
This operation be blind depending under carry out, only, with feel and audition judgement, the dynamics of knocking is difficult to accurate control, high to doctor's clinical experience dependency.And easily cause mucosa perforation, and mucosa perforation is difficult to remedy, operation risk is large.In addition, restriction due to mouth opening, in maxillary second molar district, application has certain difficulty, and the method makes the jackknifing of Sinus floor hone lamella by hammering, patient often quails, especially when sclerotin is harder, often need to knock energetically, easily cause that patient's head obviously shakes discomfort, severe patient can cause patient's rupture of blood vessel in brain, causes serious consequence.
In order to overcome above-mentioned defect, Chinese patent application has disclosed a kind of sinus lift device No. 201210415771.8, comprise a screw rod and a base, base is a hollow columnar structures, its outer surface is provided with tapping screw thread and the first force mechanism, tapping screw thread and the first force mechanism are separated by a back-up ring, and base inner surface is provided with the inner surface screw thread consistent with tapping screw thread direction; Screw rod is column structure, and screw surface is provided with screw flight and the second force mechanism matching with female thread, and screw rod bottom is provided with afterburning dish.During use, first screw rod is screwed in base, again base is screwed in to plantation nest together with screw rod, by rotating mechanism, take the first force mechanism screws as the base of naming a person for a particular job in plantation nest, by rotating mechanism, take the second force mechanism as fulcrum reinforcing is in screw rod again, now, Sinus floor is risen and is got a promotion by screw rod.
The shortcoming of this sinus lift device is: 1, base by thread is connected with osseous tissue in plantation nest, and while doing Maxillary Sinus, active force is directly delivered to osseous tissue screw thread joint portion, very easily plantation nest is damaged; And the sclerotin condition at agomphosis position is generally poor, bone density is low, relies on alveolar bone to base maintenance, and maintenance is unstable.2, in operation process, standby hole depth and hoisting depth do not have unified benchmark, while the height that screw rod promotes will operate screw rod by doctor, measure acquisition, and precision is low.3, Maxillary Sinus process, by the visual observations amount of feeding, requires operative region to have good visual condition.
Summary of the invention
The above-mentioned shortcoming existing in order to overcome prior art, the invention provides a kind of lifting precision high, and operation technique is convenient, plants nest can realize lifting device and elevator system in the maxillary sinus of interior lifting device maintenance without destruction.
A lifting device in maxillary sinus, comprises positioning guide plate, lifting arm and ring set slip gauge; On positioning guide plate, have the pilot hole corresponding with plantation nest, be fixed with screw shell in pilot hole, the outer wall of screw shell and pilot hole are adaptive, and the inwall of screw shell has female thread; Lifting arm is by forced section, and back-up ring and operate portions form, and forced section and operate portions are separated by back-up ring, operate portions comprises thread segment, linkage section between head and thread segment and head, the female thread engagement of thread segment and screw shell, ring set slip gauge has the female thread with thread segment engagement; Operation process is with the end face of pilot hole as positioning reference plane, and the length of lifting arm operate portions is greater than pilot hole end face to the distance at the bottom of plantation nest; The interior hoisting depth of lifting arm
, wherein, L is the length of lifting arm operate portions,
represent the distance at the bottom of pilot hole end face arrives plantation nest,
the total height that represents ring set slip gauge.
Further, the height of ring set slip gauge is unit height
,
, N represents to be socketed on the number of the ring set slip gauge of thread segment, N=0, and 1,2,3 ...
Further, lifting arm comprises abolishes the round bur bar of bone wall and for promoting the bare headed bar of mucosa, the head of round bur bar is round bur, and the diameter of round bur is greater than the diameter of linkage section; The head of shaven head bar is the dome that is positioned at linkage section head end.The diameter of round bur is identical with the diameter of plantation nest.The diameter of shaven head club head is also identical with the diameter of plantation nest.
Elevator system in a kind of maxillary sinus, lifting device in above-mentioned maxillary sinus and standby hole instrument, consist of, standby hole instrument comprises drill bit and pressing plate, and pressing plate is comprised of drill bushing and handle, the external diameter of drill bushing mates with the screw thread path of screw shell, and the internal diameter of drill bushing mates with bit diameter.
Further, drill bushing comprises sleeve and is positioned at the backstop step at sleeve top, backstop step and handle one, the working portion length of drill bit
, wherein,
the height that represents backstop step.
The present invention in use, first according to the positioning guide plate of patient's oral cavity model designing and making coupling, and determines the plantation degree of depth of nest and the hoisting depth of maxillary sinus.Screw shell is fixed in the pilot hole of positioning guide plate, again positioning guide plate is fixed on to patient's alveolar bone, positioning guide plate relies on patient's tooth (or mucosa, or alveolar bone) location, successively with drill bit from small to large and the pressing plate that mates with drill bit at pilot hole place to patient's alveolar bone for hole.After standby hole completes, according to Maxillary Sinus height, determine ring set slip gauge and the quantity that needs use, ring set slip gauge is screwed in to thread segment, until ring set slip gauge pushes against back-up ring.When using a plurality of ring set slip gauge, first ring set slip gauge pushes against back-up ring, and the front end of a rear ring set slip gauge pushes against the rear end of previous ring set slip gauge.Then the lifting arm that installs ring set slip gauge is inserted to screw shell, the forced section of lifting arm is connected with apparatuses such as spanner, pliers, slowly rotate forced section, thread segment is slowly screwed in screw shell, until ring set slip gauge pushes against screw shell, while being the end face of ring set slip gauge arrival pilot hole, stop reinforcing.Then oppositely screw out lifting arm.
The invention has the advantages that:
1, utilize positioning guide plate to support, positioning guide plate is fixed on alveolar bone by staple, and Yu Bei hole site, fixed position does not overlap, and can avoid destroying plantation nest; Staple can and be implanted direction according to alveolar bone sclerotin situation chosen position, and more stable support force is provided.
2, elevator system has and positioning guide plate and the matching used standby hole of lifting device instrument in maxillary sinus, and the standby hole of operation and Maxillary Sinus have direct unified benchmark, has avoided measuring the error brought and loaded down with trivial details.
3, hoisting depth can accurately be controlled by the selection of ring set slip gauge and quantity thereof, and doctor only need to rotate to lifting arm lentamente ring set slip gauge and push against pilot hole end face when operation.This be because, the length of lifting arm working portion is greater than the distance at the bottom of pilot hole end face arrives plantation nest, so, when the back-up ring of lifting arm props up pilot hole end face, the head of lifting arm must pass plantation nest, the length of lifting arm working portion is with the difference at the bottom of plantation nest the ultimate range that lifting arm can pass plantation nest, i.e. the maximum of hoisting depth in lifting arm.When ring set slip gauge is housed on lifting arm, in lifting arm, the maximum of hoisting depth deducts the total height of ring set slip gauge, is the interior hoisting depth of reality of lifting arm.Promote hoisting depth in high reality and, by can accurately obtaining the selection of the height of ring set slip gauge and quantity, Yi Bian doctor, without performing the operation, Yi Bian measure hoisting depth, has accuracy high, doctors experience is relied on to little advantage.And avoided, because of visual field deficiency or the not good operation inconvenience causing of light, effectively improving operation safety.
4, the screw thread transmission between lifting arm dependence and screw shell, for lifting arm provides continuous lifting force, relies on the upper top of lifting arm to make Sinus floor fracture split acquisition space, has avoided the sense of discomfort of bringing to patient because knocking.
Accompanying drawing explanation
Fig. 1 is schematic diagram of the present invention.
Fig. 2 is the schematic diagram of positioning guide plate.
Fig. 3 is the schematic diagram of lifting device.
Fig. 4 is the schematic diagram of lifting arm.
Fig. 5 is the schematic diagram of ring set slip gauge.
Fig. 6 is the schematic diagram of hoisting depth.
Fig. 7 is the schematic diagram of round bur bar 2A.
The specific embodiment
A lifting device in maxillary sinus, comprises positioning guide plate 1, lifting arm and ring set slip gauge 22.
As shown in Figure 2, on positioning guide plate 1, there is the pilot hole 11 corresponding with plantation nest, in pilot hole 11, be fixed with screw shell 5, the outer wall of screw shell 5 and pilot hole 11 adaptations, the inwall of screw shell 5 has female thread.
As shown in Figure 3 and Figure 4, lifting arm is by forced section 211, back-up ring 212 and operate portions form, forced section 211 and operate portions are separated by back-up ring 212, operate portions comprises thread segment 2131, linkage section 2133 between head 2132 and thread segment 2131 and head 2132, thread segment 2131 meshes with the female thread of screw shell 5.
As shown in Figure 5, ring set slip gauge 22 has the female thread meshing with thread segment 2131.
The end face of pilot hole 11 is positioning reference plane as operation process, and the length L of lifting arm operate portions is greater than pilot hole end face A to the distance of B at the bottom of plantation nest; The interior hoisting depth of lifting arm
, wherein, L is the length of lifting arm operate portions,
represent the distance at the bottom of pilot hole end face arrives plantation nest,
the total height that represents ring set slip gauge 22, as shown in Figure 6.When not using ring set slip gauge 22, interior hoisting depth reaches maximum
.
The height of ring set slip gauge 22 is unit height
,
, N represents to be socketed on the number of the ring set slip gauge 22 of thread segment 2131, N=0, and 1,2,3 ...
Lifting arm comprise abolish the round bur bar 2A of bone wall and for promoting mucosa, carry the bare headed bar 2B of bone meal, the head 2132 of round bur bar 2A is round bur, the diameter of round bur is greater than the diameter of linkage section; The head 2132 of shaven head bar 2B is for being positioned at the dome of linkage section head end.Round bur directly identical with the diameter of planting nest.The diameter of shaven head bar 2B head 2132 is also identical with the diameter of plantation nest.
As shown in Figure 1, elevator system in a kind of maxillary sinus, by lifting device in above-mentioned maxillary sinus and standby hole instrument, formed, standby hole instrument comprises drill bit 4 and pressing plate 3, pressing plate 3 is comprised of drill bushing 31 and handle 32, the external diameter of drill bushing 31 mates with the screw thread path of screw shell 5, and the internal diameter of drill bushing 31 mates with drill bit 4 diameters.
As shown in Figure 6, drill bushing 31 comprises sleeve 311 and is positioned at the backstop step 312 at sleeve 311 tops, backstop step 312 and handle 32 one, the working portion length of drill bit 4
, wherein,
the height that represents backstop step.
In use, elder generation is according to the positioning guide plate 1 of patient's oral cavity model designing and making coupling, and the hoisting depth of definite maxillary sinus in the present invention.Screw shell 5 is fixed in the pilot hole of positioning guide plate 1, again positioning guide plate 1 is fixed on to patient's alveolar bone, positioning guide plate 1 relies on patient's tooth (or mucosa, or alveolar bone) location, successively with drill bit from small to large and the pressing plate 3 that mates with drill bit 4 at pilot hole place to patient's alveolar bone for hole.After standby hole completes, female screw shell 5 is fixed in pilot hole.According to Maxillary Sinus height, determine ring set slip gauge 22 and the quantity that needs use, ring set slip gauge 22 is screwed in to the thread segment 2131 of round bur bar 2A, until ring set slip gauge 22 pushes against back-up ring 212.When using a plurality of ring set slip gauge 22, first ring set slip gauge 22 pushes against back-up ring 212, and the front end of a rear ring set slip gauge 22 pushes against the rear end of previous ring set slip gauge 22.Then the round bur bar 2A that installs ring set slip gauge 22 is inserted to screw shell 5, the forced section 211 of round bur bar 2A2A is connected with apparatuses such as spanner, pliers, slowly rotate forced section 211, thread segment 2131 is slowly screwed in screw shell 5, until ring set slip gauge 22 pushes against screw shell 5, when ring set slip gauge 22 arrives the end face of pilot hole, stop reinforcing, now, round bur bar 2A completes the work of abolishing bone wall, obtains room for promotion.Then oppositely screw out round bur bar 2A.
Then, the ring set slip gauge of equal number 22 is screwed in to the thread segment of bare headed bar 2B, in room for promotion, insert appropriate bone meal, again bare headed bar 2B is screwed in screw shell 5, until ring set slip gauge 22 props up pilot hole end face, then bare headed bar 2B is oppositely screwed out, Sinus floor is thus lifted to predetermined height.
Finally remove positioning guide plate, in maxillary sinus, promote and performed the operation.
The invention has the advantages that:
1, utilize positioning guide plate to support, positioning guide plate is fixed on alveolar bone by staple, and Yu Bei hole site, fixed position does not overlap, and can avoid destroying plantation nest; Staple can and be implanted direction according to alveolar bone sclerotin situation chosen position, and more stable support force is provided.
2, elevator system has and positioning guide plate and the matching used standby hole of lifting device instrument in maxillary sinus, and the standby hole of operation and Maxillary Sinus have direct unified benchmark, has avoided measuring the error brought and loaded down with trivial details.
3, hoisting depth can accurately be controlled by the selection of ring set slip gauge and quantity thereof, and doctor only need to rotate to lifting arm lentamente ring set slip gauge and push against pilot hole end face when operation.This be because, the length of lifting arm working portion is greater than the distance at the bottom of pilot hole end face arrives plantation nest, so, when the back-up ring of lifting arm props up pilot hole end face, the head of lifting arm must pass plantation nest, the length of lifting arm working portion is with the difference at the bottom of plantation nest the ultimate range that lifting arm can pass plantation nest, i.e. the maximum of hoisting depth in lifting arm.When ring set slip gauge is housed on lifting arm, in lifting arm, the maximum of hoisting depth deducts the total height of ring set slip gauge, is the interior hoisting depth of reality of lifting arm.Promote hoisting depth in high reality and, by can accurately obtaining the selection of the height of ring set slip gauge and quantity, Yi Bian doctor, without performing the operation, Yi Bian measure hoisting depth, has accuracy high, doctors experience is relied on to little advantage.And avoided, because of visual field deficiency or the not good operation inconvenience causing of light, effectively improving operation safety.
4, the screw thread transmission between lifting arm dependence and screw shell, for lifting arm provides continuous lifting force, relies on the upper top of lifting arm to make Sinus floor fracture split acquisition space, has avoided the sense of discomfort of bringing to patient because knocking.
Content described in this description embodiment is only enumerating the way of realization of inventive concept; protection scope of the present invention should not be regarded as only limiting to the concrete form that embodiment states, protection scope of the present invention also and in those skilled in the art, according to the present invention, conceive the equivalent technologies means that can expect.
Claims (6)
1. a lifting device in maxillary sinus, comprises positioning guide plate, lifting arm and ring set slip gauge; On positioning guide plate, have the pilot hole corresponding with plantation nest, be fixed with screw shell in pilot hole, the outer wall of screw shell and pilot hole are adaptive, and the inwall of screw shell has female thread; Lifting arm is by forced section, and back-up ring and operate portions form, and forced section and operate portions are separated by back-up ring, operate portions comprises thread segment, linkage section between head and thread segment and head, the female thread engagement of thread segment and screw shell, ring set slip gauge has the female thread with thread segment engagement; Operation process is with the end face of pilot hole as positioning reference plane, and the length of lifting arm operate portions is greater than pilot hole end face to the distance at the bottom of plantation nest; The interior hoisting depth of lifting arm
, wherein, L is the length of lifting arm operate portions,
represent the distance at the bottom of pilot hole end face arrives plantation nest,
the total height that represents ring set slip gauge.
2. lifting device in maxillary sinus as claimed in claim 1, is characterized in that: the height of ring set slip gauge is unit height
,
, N represents to be socketed on the number of the ring set slip gauge of thread segment.
3. lifting device in maxillary sinus as claimed in claim 2, is characterized in that: lifting arm comprises abolishes the round bur bar of bone wall and for promoting the bare headed bar of mucosa, the head of round bur bar is round bur, and the diameter of round bur is greater than the diameter of linkage section; The head of shaven head bar is the dome that is positioned at linkage section head end.
4. lifting device in maxillary sinus as claimed in claim 3, is characterized in that: the diameter of round bur is identical with the diameter of plantation nest, and the diameter of bare headed club head is also identical with the diameter of plantation nest.
5. elevator system in a maxillary sinus, it is characterized in that: this interior elevator system is comprised of lifting device in the maxillary sinus as described in one of claim 1-4 and standby hole instrument, standby hole instrument comprises drill bit and pressing plate, pressing plate is comprised of drill bushing and handle, the external diameter of drill bushing mates with the screw thread path of screw shell, and the internal diameter of drill bushing mates with bit diameter.
6. in maxillary sinus as claimed in claim 5, lifting device drill bushing comprises sleeve and the backstop step that is positioned at sleeve top, backstop step and handle one, the working portion length of drill bit
, wherein,
the height that represents backstop step.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201410411851.5A CN104161598B (en) | 2014-08-21 | 2014-08-21 | Lifting device and lifting system in a kind of spiral maxillary sinus |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201410411851.5A CN104161598B (en) | 2014-08-21 | 2014-08-21 | Lifting device and lifting system in a kind of spiral maxillary sinus |
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| Publication Number | Publication Date |
|---|---|
| CN104161598A true CN104161598A (en) | 2014-11-26 |
| CN104161598B CN104161598B (en) | 2017-12-15 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201410411851.5A Active CN104161598B (en) | 2014-08-21 | 2014-08-21 | Lifting device and lifting system in a kind of spiral maxillary sinus |
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Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN109044545A (en) * | 2018-09-11 | 2018-12-21 | 上海交通大学医学院附属第九人民医院 | Cheekbone implant operation maxillary sinus mucosa protective case |
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| KR20100107622A (en) * | 2009-03-26 | 2010-10-06 | 이태경 | Adaptor for maxillary sinus lift |
| US20100266984A1 (en) * | 2009-04-17 | 2010-10-21 | Jung Sung Min | Bur for maxillary sinus augmentation |
| WO2011013722A1 (en) * | 2009-07-31 | 2011-02-03 | Kurosawa Hiroshi | Tool for lifting maxillary sinus floor |
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| CN201798810U (en) * | 2010-09-28 | 2011-04-20 | 深圳市龙岗区人民医院 | Special maxillary sinus bottom lifting mechanism for tooth-planting tooth |
| CN203291051U (en) * | 2013-02-27 | 2013-11-20 | 杭州六维齿科医疗技术有限公司 | Locating guide system used in tooth implantation surgery |
| CN204133625U (en) * | 2014-08-21 | 2015-02-04 | 杭州六维齿科医疗技术有限公司 | Lifting device and interior elevator system in a kind of spiral maxillary sinus |
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2014
- 2014-08-21 CN CN201410411851.5A patent/CN104161598B/en active Active
Patent Citations (8)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN102006836A (en) * | 2008-04-22 | 2011-04-06 | 俞洋垠 | Maxillary sinus membrane lifting device for dental implant |
| EP2308409A2 (en) * | 2008-07-29 | 2011-04-13 | Megagen Implant Co., Ltd. | Drill for implant |
| KR20100107622A (en) * | 2009-03-26 | 2010-10-06 | 이태경 | Adaptor for maxillary sinus lift |
| US20100266984A1 (en) * | 2009-04-17 | 2010-10-21 | Jung Sung Min | Bur for maxillary sinus augmentation |
| WO2011013722A1 (en) * | 2009-07-31 | 2011-02-03 | Kurosawa Hiroshi | Tool for lifting maxillary sinus floor |
| CN201798810U (en) * | 2010-09-28 | 2011-04-20 | 深圳市龙岗区人民医院 | Special maxillary sinus bottom lifting mechanism for tooth-planting tooth |
| CN203291051U (en) * | 2013-02-27 | 2013-11-20 | 杭州六维齿科医疗技术有限公司 | Locating guide system used in tooth implantation surgery |
| CN204133625U (en) * | 2014-08-21 | 2015-02-04 | 杭州六维齿科医疗技术有限公司 | Lifting device and interior elevator system in a kind of spiral maxillary sinus |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN109044545A (en) * | 2018-09-11 | 2018-12-21 | 上海交通大学医学院附属第九人民医院 | Cheekbone implant operation maxillary sinus mucosa protective case |
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| Publication number | Publication date |
|---|---|
| CN104161598B (en) | 2017-12-15 |
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Denomination of invention: A spiral maxillary sinus lifting device and lifting system Effective date of registration: 20211119 Granted publication date: 20171215 Pledgee: Hangzhou United Rural Commercial Bank Limited by Share Ltd. branch Pledgor: 6D DENTAL TECH Co.,Ltd. Registration number: Y2021330002315 |