CN107669355A - A kind of tip of a root surgical operation guide plate - Google Patents

A kind of tip of a root surgical operation guide plate Download PDF

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Publication number
CN107669355A
CN107669355A CN201710847147.8A CN201710847147A CN107669355A CN 107669355 A CN107669355 A CN 107669355A CN 201710847147 A CN201710847147 A CN 201710847147A CN 107669355 A CN107669355 A CN 107669355A
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CN
China
Prior art keywords
guide plate
root
tip
surgical operation
engaged
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
CN201710847147.8A
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Chinese (zh)
Inventor
杨雪超
赵世勇
夏娟
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Stomatological Hospital of Guangzhou Medical University
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Stomatological Hospital of Guangzhou Medical University
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
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Application filed by Stomatological Hospital of Guangzhou Medical University filed Critical Stomatological Hospital of Guangzhou Medical University
Priority to CN201710847147.8A priority Critical patent/CN107669355A/en
Publication of CN107669355A publication Critical patent/CN107669355A/en
Pending legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C5/00Filling or capping teeth
    • A61C5/40Implements for surgical treatment of the roots or nerves of the teeth; Nerve needles; Methods or instruments for medication of the roots
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C19/00Dental auxiliary appliances
    • A61C19/06Implements for therapeutic treatment
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C2204/00Features not otherwise provided for

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  • Health & Medical Sciences (AREA)
  • General Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Dentistry (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Epidemiology (AREA)
  • Biomedical Technology (AREA)
  • Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Engineering & Computer Science (AREA)
  • Neurosurgery (AREA)
  • Neurology (AREA)
  • Surgical Instruments (AREA)

Abstract

The present invention relates to a kind of tip of a root surgical operation guide plate, the guide plate body includes the facing portion being engaged with clinical crown and the bone being engaged with alveolar bone face, the facing portion includes occlusion face, lingual surface portion and the labial surface portion being engaged with clinical crown occlusal surface, and the lingual surface portion and labial surface portion are arranged at the facial both sides of the occlusion and be engaged respectively with clinical crown lingual surface and labial surface;Maintenance indicating window is provided with the occlusion face;The guide plate positioning hole being engaged with tip of a root surgical operating instrument is provided with the bone face, the upper and lower edge of the guide plate positioning hole is located at respectively suffers from 1~4mm of sound of baby talk root tip of a root upper and lower and at 1~3mm.Tip of a root surgical operation guide plate provided by the invention, on the one hand, can be judged by maintenance indicating window the compactness of guide plate and tooth jaw, improve operation accuracy;On the other hand, it can be realized by guide plate positioning hole in tip of a root surgical operation and surgery location, angle and direction are accurately positioned, the precise ablation lesion region tip of a root.

Description

A kind of tip of a root surgical operation guide plate
Technical field
The invention belongs to field of oral cavity medical equipment, more particularly, to a kind of tip of a root surgical operation guide plate.
Background technology
Root canal therapy is treatment dental pulp disease, the prefered method of periapical disease, can solve its most problems, still, Due to the complexity of root canal anatomy system, clinical diagnosis and operating technology still suffer from limitation.Research is pointed out, according to basic principle After strictly carrying out mechanical preparation, chemical disinfection and close packing to root pipe, 87%~92% success rate can be obtained.It is so surplus Under 8%~13% need carry out root pipe surgical operation therapy, most common of which is tip of a root surgical operation.
Tip of a root surgical procedure includes:Incision, which turns over valve, goes fenestration, periapex to scrape controls, root resection, detects, root pipe Retrograde preparation, root pipe, which drive in the wrong direction, to be filled, sutures.The positioning when difficult point of tip of a root surgical operation is fenestration to apical area, when Periapex is without disease damage and during complete cortex bone, it is determined that there are certain difficulty, blindness ground auger mill in the position for suffering from apex radicis dentis and disease damage area It may damage and suffer from root and adjacent teeth root of the tooth.Under normal circumstances, tooth can substantially be determined according to the dissection external form of root of the tooth, preoperative X-ray film The position of root long degree, the tip of a root, sclerotin to the root face at the nearly tip of a root is first removed in art and is exposed, is boned directly then along the trend of root of the tooth Exposed to the tip of a root.Such operation is limited by conditions such as surgical field of view, can increase the damage to bone tissue, extends Wound healing Time, easily bring in some arts and postoperative complications, and there is higher technique sensitive.
Yang Xue is superfine([J] dentistry researchs, 2016,32 (9):944-948.)Tip of a root surgical operation is utilized first Guide plate row minimally invasive apical leakage, precise ablation tip of a root diseased region, farthest reduce the damage to bone tissue, while letter Operate in art, shorten treatment time in art, the satisfaction and comfort level of patient are improved.But the tip of a root surgery hand Though art guide plate can realize positioning function, it can not directly judge whether the guide plate is bonded completely with the tooth jaw of patient, doctor can only Judged by observing guide plate Marginal microleakage or rocking guide plate.
Therefore, develop it is a kind of can the tip of a root surgical operation guide plate of compactness of simple judgment and tooth jaw there is great research Meaning and clinical value.
The content of the invention
It is an object of the invention to overcome the defects of tip of a root surgical operation guide plate compactness can not judge in the prior art, carry For a kind of tip of a root surgical operation guide plate.Tip of a root surgical operation guide plate provided by the invention can be by setting maintenance indicating window, to leading The compactness of plate and tooth jaw is judged, improves operation accuracy;And it can be realized by guide plate positioning hole in tip of a root surgical operation Surgery location, angle and direction are accurately positioned.
For achieving the above object, the present invention adopts the following technical scheme that:
A kind of tip of a root surgical operation guide plate, the guide plate include guide plate body, and the guide plate body includes matching with clinical crown The facing portion of conjunction and the bone face being engaged with alveolar bone, the facing portion include the occlusion being engaged with clinical crown occlusal surface Face, lingual surface portion and labial surface portion, the lingual surface portion and labial surface portion be arranged at the facial both sides of the occlusion and respectively with clinical crown Lingual surface and labial surface are engaged;Maintenance indicating window is provided with the occlusion face;It is provided with the bone face and tip of a root surgery The guide plate positioning hole that operating theater instruments is engaged, the upper and lower edge of the guide plate positioning hole is located at respectively suffers from sound of baby talk root tip of a root upper and lower 1~4mm at and 1~3mm at.
Tip of a root surgical operation guide plate provided by the invention includes maintenance indicating window and guide plate positioning hole, when in use, by root Sharp surgical operation guide plate is placed on tooth jaw, the compactness of guide plate and tooth jaw can be judged by maintenance indicating window, and guide plate is carried out Adjustment, so as to ensure that guide plate is brought into close contact on tooth jaw.After guide plate is in place, suffer from sound of baby talk root because guide plate positioning hole upper limb is located at At 1~4mm above the tip of a root, the lower edge of guide plate positioning hole is located at the 1~3mm suffered from below the sound of baby talk root tip of a root, using the tip of a root outside Section's operating theater instruments can precisely cut off 1~4mm tip of a root part, and subapical anti-inflammatory agent is effectively removed.It can lead to Cross guide plate positioning hole and accurately indicate lesion region, and determine the position, direction and angle of operative approach, so as to ensure precise ablation The lesion region tip of a root.Guide plate provided by the invention can realize minimally invasiveization, precision, rapid and simplification, reduce and removed More bone tissues, the risk for damaging adjacent teeth, patient's fear is eliminated, alleviates the discomfort such as intraoperative hemorrhage and postoperative swelling pain, is promoted Wound healing, it is final to obtain preferable minimally invasive tip of a root surgical operation therapy effect.
Preferably, the guide plate positioning hole is the circular hole being engaged with bone trepan.
Bone trepan is the operating theater instruments commonly used in tip of a root surgical operation, when guide plate positioning hole is the circle that is engaged with bone trepan Kong Shi, accurately bored using bone trepan except inflammation thing under tip of a root position to be cut off and the cortex bone and the tip of a root that cover thereon Matter.
Preferably, the upper limb of the guide plate positioning hole is located at the 3mm suffered from above the sound of baby talk root tip of a root.
Preferably, the lower edge of the guide plate positioning hole is located at the 2mm suffered from below the sound of baby talk root tip of a root.
The organization of root tips of any appropriate magnitude range can be cut off according to actual conditions in tip of a root surgical operation, when complete 98% infected material can be eliminated when cutting off root of the tooth 3mm, on the premise of tissue of tooth is preserved as far as possible, promotes the healing of lesion region. Suffer from when the upper limb of guide plate positioning hole is located at 3mm above the sound of baby talk root tip of a root, can complete resection from the operating theater instruments to match Root of the tooth 3mm, obtain preferable surgical effect.When the lower edge of guide plate positioning hole is located at the 2mm suffered from below the sound of baby talk root tip of a root, choosing The anti-inflammatory agent below the tip of a root can be thoroughly removed with the operating theater instruments to match.
Preferably, the quantity of the guide plate positioning hole is at least one.
When guide plate positioning hole is multiple, the apical area of more teeth is carried out using a tip of a root surgical operation guide plate Precise positioning.
Preferably, the quantity of the maintenance indicating window 3 is 1~2.
Preferably, the thickness of the guide plate is 2mm.
Plate thickness by influence guide plate effect in place and patient's surgical procedure in convenience degree, guide plate thickness is arranged to During 2mm, guide plate is easy to be placed in position, and also allows for operating in the art of patient.
Compared with prior art, the present invention has the advantages that:
Tip of a root surgical operation guide plate provided by the invention, including maintenance indicating window and guide plate positioning hole.Can by maintenance indicating window Judge the compactness of guide plate and tooth jaw, and guide plate is adjusted, so as to ensure that guide plate is brought into close contact on tooth jaw;Pass through guide plate Positioning hole can accurately indicate lesion region, and determine the position, direction and angle of operative approach, so as to ensure precise ablation lesion The region tip of a root.Guide plate provided by the invention can realize minimally invasiveization, precision, rapid and simplification, reduce and removed boniness The risk of tissue, damage adjacent teeth, patient's fear is eliminated, alleviates the discomfort such as intraoperative hemorrhage and postoperative swelling pain, promotes wound Healing, it is final to obtain preferable minimally invasive apical leakage therapeutic effect.
Brief description of the drawings
Fig. 1 is a kind of structural representation for tip of a root surgical operation guide plate that embodiment 1 provides;
Fig. 2 is a kind of side view for tip of a root surgical operation guide plate that embodiment 1 provides;
Fig. 3 is a kind of rearview for tip of a root surgical operation guide plate that embodiment 1 provides;
Fig. 4 is a kind of structural representation for tip of a root surgical operation guide plate that embodiment 2 provides;
Fig. 5 is a kind of structural representation for tip of a root surgical operation guide plate that embodiment 3 provides.
Wherein:
1 is guide plate body, and 11 be facing portion, and 12 be bone face, and 111 be occlusion face, and 112 be lingual surface portion, and 113 be labial surface portion;
2 be maintenance indicating window;
3 be guide plate positioning hole.
Embodiment
In order to make the purpose , technical scheme and advantage of the present invention be clearer, below in conjunction with Figure of description and tool Body embodiment, the present invention will be described in further detail.It should be appreciated that specific embodiment described herein is only explaining The present invention, it is not intended to limit the present invention.In addition, technology involved in each embodiment of invention described below As long as feature does not form conflict each other, can is mutually combined.
Embodiment 1
As shown in Figures 1 to 3, the tip of a root surgical operation guide plate that the present embodiment 1 provides includes 1, maintenance indicating window 2 of guide plate body With 2 guide plate positioning holes 3, the guide plate body 1 includes the facing portion 11 being engaged with clinical crown and is engaged with alveolar bone Bone face 12, the occlusion face 111 and sting described in being arranged at that the facing portion 11 includes being engaged with clinical crown occlusal surface Close lingual surface portion 112 and labial surface portion 113 that facial both sides are engaged with clinical crown lingual surface and labial surface respectively;The maintenance indicating window 2, which are arranged at the guide plate positioning hole 3 on occlusion face 111, is arranged at bone face 12, and the guide plate positioning hole 3 is and bone trepan phase The circular hole of cooperation, its a diameter of 5mm, the upper and lower edge of the guide plate positioning hole 3 is respectively positioned at the upper and lower for suffering from the sound of baby talk root tip of a root 3mm at and 2mm at;The thickness of the guide plate is 2mm.
It is when carrying out tip of a root surgical operation, tip of a root surgical operation guide plate is in place in art area, it can be sentenced by maintenance indicating window The compactness of snaggletooth jaw and guide plate, and be adjusted, so as to ensure that both are brought into close contact, improve accuracy of performing the operation to obtain.In guide plate After completely in place, guide plate positioning hole, which is positioned at, treats surgery excision region, from 5mm bone trepan ring cutting bone tissue and organization of root tips The depth of guide plate positioning hole instruction is reached, so as to precise ablation tip of a root 3mm, and subapical anti-inflammatory agent is carried out thoroughly clear Remove.
Tip of a root surgical site infections are carried out to patient using this aid of tip of a root surgical operation guide plate, answered within one month Look into.For patient without any clinical symptoms, X-ray film shows that the periapex bone hardboard of surgery excision has recovery trend, transmits during check Shadow diseased region reduces, and prompts Cranial defect to start to repair.
Embodiment 2
As shown in figure 4, the tip of a root surgical operation guide plate that the present embodiment provides includes 1, maintenance indicating window 2 and 1 of guide plate body Individual guide plate positioning hole 3, the guide plate body 1 include the facing portion 11 being engaged with clinical crown and the bone being engaged with alveolar bone Face 12, the occlusion face 111 and be arranged at the occlusal surface that the facing portion 11 includes being engaged with clinical crown occlusal surface The lingual surface portion 112 and labial surface portion 113 that portion both sides are engaged with clinical crown lingual surface and labial surface respectively;The maintenance indicating window 2 is set It is placed on occlusion face 111;The guide plate positioning hole 3 is the circular hole that is engaged with bone trepan, its a diameter of 4mm, the guide plate The upper and lower edge of positioning hole 3 is respectively at the 4mm for the upper and lower for suffering from the sound of baby talk root tip of a root and at 1mm;The thickness of the guide plate is 2mm。
It is when carrying out tip of a root surgical operation, tip of a root surgical operation guide plate is in place in art area, it can be sentenced by maintenance indicating window The compactness of snaggletooth jaw and guide plate, so as to ensure that both are brought into close contact, improve accuracy of performing the operation to obtain.After guide plate is completely in place, Guide plate positioning hole is positioned at Liang Chu and treats surgery excision region, and guide plate positioning is reached from bone trepan ring cutting bone tissue and organization of root tips The depth of hole instruction, so as to the mm of the precise ablation tip of a root 4, and is thoroughly removed to subapical anti-inflammatory agent.
Tip of a root surgical site infections are carried out to patient using this aid of tip of a root surgical operation guide plate, answered within one month Look into.For patient without any clinical symptoms, X-ray film shows that the periapex bone hardboard of surgery excision has recovery trend, transmits during check Shadow diseased region reduces, and prompts Cranial defect to start to repair.
Embodiment 3
As shown in figure 5, the tip of a root surgical operation guide plate that the present embodiment provides includes 1,2 maintenance indicating window 2 of guide plate body and 5 Guide plate positioning hole 3, the guide plate body 1 include the facing portion 11 being engaged with clinical crown and the bone face being engaged with alveolar bone Portion 12, the occlusion face 111 and be arranged at the occlusion face that the facing portion 11 includes being engaged with clinical crown occlusal surface The lingual surface portion 112 and labial surface portion 113 that both sides are engaged with clinical crown lingual surface and labial surface respectively;The maintenance indicating window 2 is set In on occlusion face 111;The guide plate positioning hole 3 is arranged at bone face 12, and the guide plate positioning hole 3 is to be engaged with bone trepan Circular hole, its a diameter of 54mm, the upper and lower edge of the guide plate positioning hole 3 is respectively positioned at the upper and lower for suffering from the sound of baby talk root tip of a root At 1mm and at 3mm;The thickness of the guide plate is 2mm.
It is when carrying out tip of a root surgical operation, tip of a root surgical operation guide plate is in place in art area, it can be sentenced by maintenance indicating window The compactness of snaggletooth jaw and guide plate, so as to ensure that both are brought into close contact, improve accuracy of performing the operation to obtain.After guide plate is completely in place, Guide plate positioning hole is positioned at Liang Chu and treats surgery excision region, and guide plate positioning is reached from bone trepan ring cutting bone tissue and organization of root tips The depth of hole instruction, so as to precise ablation tip of a root 1mm, and is thoroughly removed to subapical anti-inflammatory agent.
Tip of a root surgical site infections are carried out to patient using this aid of tip of a root surgical operation guide plate, answered within one month Look into.For patient without any clinical symptoms, X-ray film shows that the periapex bone hardboard of surgery excision has recovery trend, transmits during check Shadow diseased region reduces, and prompts Cranial defect to start to repair.
The tip of a root surgical operation guide plate of other guide plates positioning hole numbers, which can also be realized, to be brought into close contact and precise positioning, not by this The limitation of embodiment.

Claims (7)

1. a kind of tip of a root surgical operation guide plate, it is characterised in that the guide plate includes guide plate body(1), the guide plate body(1) Including the facing portion being engaged with clinical crown(11)With the bone face being engaged with alveolar bone(12), the facing portion(11)Bag Include the occlusion face being engaged with clinical crown occlusal surface(111), lingual surface portion(112)With labial surface portion(113), the lingual surface portion (112)With labial surface portion(113)It is arranged at the occlusion face(111)Both sides simultaneously match with clinical crown lingual surface and labial surface respectively Close;The occlusion face(111)On be provided with maintenance indicating window(2);The bone face(12)On be provided with and tip of a root surgery hand The guide plate positioning hole that art apparatus is engaged(3), the guide plate positioning hole(3)Upper and lower edge respectively positioned at suffer from the sound of baby talk root tip of a root, At 1~4mm of lower section and at 1~3mm.
2. tip of a root surgical operation guide plate according to claim 1, it is characterised in that the guide plate positioning hole(3)For with bone ring Bore the circular hole being engaged.
3. tip of a root surgical operation guide plate according to claim 2, it is characterised in that the guide plate positioning hole(3)Upper limb position At the 3mm suffered from above the sound of baby talk root tip of a root.
4. tip of a root surgical operation guide plate according to claim 3, it is characterised in that the guide plate positioning hole(3)Lower edge position At the 2mm suffered from below the sound of baby talk root tip of a root.
5. tip of a root surgical operation guide plate according to claim 1, it is characterised in that the guide plate positioning hole(3)Quantity be At least one.
6. tip of a root surgical operation guide plate according to claim 1, it is characterised in that the maintenance indicating window(2)Quantity be 1 ~2.
7. tip of a root surgical operation guide plate according to claim 1, it is characterised in that the thickness of the guide plate is 2mm.
CN201710847147.8A 2017-09-19 2017-09-19 A kind of tip of a root surgical operation guide plate Pending CN107669355A (en)

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Application Number Priority Date Filing Date Title
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Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111616824A (en) * 2020-05-07 2020-09-04 厦门医学院附属口腔医院(厦门市口腔医院) Periodontal surgery guide plate and preparation method thereof
CN111870373A (en) * 2020-09-08 2020-11-03 四川大学 Maxillary sinus side wall windowing positioning and depth fixing plate, manufacturing method and positioning and depth fixing device
CN112294485A (en) * 2020-10-26 2021-02-02 美尚(广州)医疗科技有限公司 Root tip cyst guide plate and using method thereof
CN112336490A (en) * 2020-11-04 2021-02-09 美尚(广州)医疗科技有限公司 Maxillary sinus external lifting guide plate and using method thereof
CN112914757A (en) * 2021-02-26 2021-06-08 北京大学口腔医学院 Root tip operation guide plate and manufacturing method thereof

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CN105662525A (en) * 2016-01-08 2016-06-15 四川大学 Lower jaw subapical osteotomy positioning guide plate
CN105982747A (en) * 2015-03-06 2016-10-05 北京大学口腔医学院 Designing and manufacturing method of tooth supporting type implant surgery guide plate for restoration
CN106901863A (en) * 2017-02-23 2017-06-30 北京大学口腔医学院 A kind of lengthening surgery guide plate and preparation method thereof
CN208464285U (en) * 2017-09-19 2019-02-05 广州医科大学附属口腔医院(广州医科大学羊城医院) A kind of tip of a root surgical operation guide plate

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105982747A (en) * 2015-03-06 2016-10-05 北京大学口腔医学院 Designing and manufacturing method of tooth supporting type implant surgery guide plate for restoration
CN105662525A (en) * 2016-01-08 2016-06-15 四川大学 Lower jaw subapical osteotomy positioning guide plate
CN106901863A (en) * 2017-02-23 2017-06-30 北京大学口腔医学院 A kind of lengthening surgery guide plate and preparation method thereof
CN208464285U (en) * 2017-09-19 2019-02-05 广州医科大学附属口腔医院(广州医科大学羊城医院) A kind of tip of a root surgical operation guide plate

Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111616824A (en) * 2020-05-07 2020-09-04 厦门医学院附属口腔医院(厦门市口腔医院) Periodontal surgery guide plate and preparation method thereof
CN111870373A (en) * 2020-09-08 2020-11-03 四川大学 Maxillary sinus side wall windowing positioning and depth fixing plate, manufacturing method and positioning and depth fixing device
CN112294485A (en) * 2020-10-26 2021-02-02 美尚(广州)医疗科技有限公司 Root tip cyst guide plate and using method thereof
CN112336490A (en) * 2020-11-04 2021-02-09 美尚(广州)医疗科技有限公司 Maxillary sinus external lifting guide plate and using method thereof
CN112914757A (en) * 2021-02-26 2021-06-08 北京大学口腔医学院 Root tip operation guide plate and manufacturing method thereof
CN112914757B (en) * 2021-02-26 2021-12-14 北京大学口腔医学院 Root tip operation guide plate and manufacturing method thereof

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