CN108324355A - A kind of built-in arch distraction device - Google Patents

A kind of built-in arch distraction device Download PDF

Info

Publication number
CN108324355A
CN108324355A CN201810118445.8A CN201810118445A CN108324355A CN 108324355 A CN108324355 A CN 108324355A CN 201810118445 A CN201810118445 A CN 201810118445A CN 108324355 A CN108324355 A CN 108324355A
Authority
CN
China
Prior art keywords
arc
cobalt chromium
guide rail
shaped guide
distraction
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
CN201810118445.8A
Other languages
Chinese (zh)
Inventor
袁华
张波
王瑞霞
侯韵雯
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Affiliated Stomatological Hospital of Nanjing Medical University
Original Assignee
Affiliated Stomatological Hospital of Nanjing 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
Publication date
Application filed by Affiliated Stomatological Hospital of Nanjing Medical University filed Critical Affiliated Stomatological Hospital of Nanjing Medical University
Priority to CN201810118445.8A priority Critical patent/CN108324355A/en
Publication of CN108324355A publication Critical patent/CN108324355A/en
Pending legal-status Critical Current

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/60Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like for external osteosynthesis, e.g. distractors, contractors
    • A61B17/66Alignment, compression or distraction mechanisms
    • A61B17/663Alignment, compression or distraction mechanisms for jaw bones, e.g. subcutaneous distractors with external access
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/60Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like for external osteosynthesis, e.g. distractors, contractors
    • A61B17/66Alignment, compression or distraction mechanisms
    • A61B17/663Alignment, compression or distraction mechanisms for jaw bones, e.g. subcutaneous distractors with external access
    • A61B17/666Alignment, compression or distraction mechanisms for jaw bones, e.g. subcutaneous distractors with external access for alveolar distraction

Landscapes

  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Biomedical Technology (AREA)
  • Engineering & Computer Science (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Dental Tools And Instruments Or Auxiliary Dental Instruments (AREA)

Abstract

The present invention relates to a kind of built-in arch distraction devices, it is preced with including cobalt chromium, cobalt chromium hat is set on the tooth of both sides, the cheek side of cobalt chromium hat is provided with arc-shaped guide rail, the bending degree of arc-shaped guide rail is consistent with the physiological bending degree of tooth, cobalt chromium, which is labeled, is provided with anchoring device, and arc-shaped guide rail is fixed on cobalt chromium by anchoring device and labels;Distraction osteogenesis device is additionally provided on arc-shaped guide rail, distraction osteogenesis device includes tractor ontology, threaded rod and guide rod, tractor ontology includes the fixation strut of two parallel arrangements, one end of two fixed struts is threaded through on the arc-shaped guide rail, the through-hole passed through for threaded rod and guide rod is additionally provided on the fixed strut, the threaded rod and guide rod are respectively arranged vertically with the fixed strut, and the centre in arc-shaped guide rail and guide rod is arranged in the threaded rod.The built-in arch distraction device of the present invention, it is simple in structure, it can accomplish that arc draws jawbone, restore ideal mandibular shapes, and stretching reinforcing mode is stablized, controllability is good.

Description

A kind of built-in arch distraction device
Technical field
The present invention relates to the field of medical instrument technology, and in particular to a kind of built-in arch distraction device.
Background technology
Harelip and alveolar are clinically common congenital malformation, carry out the main method that early operation is treatment, But clinical investigation finds that Patients with Cleft Lip and Palate is postoperative and easily cranium face deformitas maxillaris occurs, gives the production of the functions such as patient respiratory, occlusion and pronunciation It has given birth to and has seriously affected.Traditional orthopaedy treatment harelip, the postoperative cranium face deformitas maxillaris of alveolar are ineffective, in recent years, Clinical research show with distraction osteogenesis art treatment the postoperative cranium face deformitas maxillaris of harelip work well, distraction osteogenesis refer to Two bones sectioned break intersegmental, are continued, after constant application tractive force with special draft gear, induce New born formation, to extend Or a kind of technology of broadening bone.Linear type Distraction Apparatus is clinically mostly used, but it cannot meet repairing for specific form jawbone Multiple to need, jawbone is a kind of three-dimensional structure of complexity, the arc-shaped growth of jawbone of normal person, and when jaw defect only realizes two dimension axis To elongation do not correspond to actual needs;Mostly it is at present to use external Distraction Apparatus, agent set about the technology of arc-shaped distraction Outside skin, Distraction Apparatus is complicated, bulky, cumbersome, greatly influenced during treatment patient diet and Sleep, it is even more impossible to carry out normal social activity;In addition, external instrument makes to lead due between cortex of bone there are relatively large distance Most of tractive force when drawing reinforcing is converted into the bending moment of steel nail or nail, and the traction and traction result to the later stage have shadow It rings.
Invention content
The object of the present invention is to provide a kind of built-in arch distraction device, it can guarantee and reach arc traction jawbone Purpose, while being also avoided that distraction osteogenesis device is located at outer, complicated, bulky, the cumbersome problem of skin, can be effective Diet and sleep during guarantee patient's treatment and normal social activity.
In order to solve the above technical problems, present invention employs following technical schemes:
A kind of built-in arch distraction device, including cobalt chromium hat, the cobalt chromium hat is set on the tooth of both sides, described The cheek side of cobalt chromium hat is provided with arc-shaped guide rail, and the bending degree of the arc-shaped guide rail is consistent with the physiological bending degree of tooth, institute It states cobalt chromium and labels and be provided with anchoring device, the arc-shaped guide rail is fixed on cobalt chromium by the anchoring device and labels;The arc Distraction osteogenesis device is additionally provided on guide rail, the distraction osteogenesis device includes tractor ontology, threaded rod and guide rod, the tractor Ontology includes the fixation strut of two parallel arrangements, and one end of two fixed struts is threaded through on the arc-shaped guide rail, institute State the through-hole for being additionally provided on fixed strut and being passed through for threaded rod and guide rod, the threaded rod and guide rod respectively with the fixation Strut is arranged vertically, and the centre in arc-shaped guide rail and guide rod is arranged in the threaded rod.
Further scheme is that the anchoring device includes two-tube and semi-circular tube, it is described it is two-tube include two parallel arrangement Pipe, it is described it is two-tube be arranged in the cobalt chromium hat cheek side of first molar, the two-tube cobalt chromium hat inside of the installation is provided with palate bar; The cobalt chromium that the semi-circular tube is arranged in the distraction osteogenesis device both sides is labeled.
Further scheme is that the arc-shaped guide rail is that the arc seal wire of about two parallel arrangements is constituted.
Further scheme is that the cobalt chromium hat is mounted on there are most of teeth of the maxilla in crack or mandibular On.
The cobalt chromium hat lip side of built-in arch distraction device of the present invention is covered using porcelain, its lap of corona is adopted It is wrapped with cobalt chromium, the tooth of cobalt chromium hat covering is several to be determined according to patient's gap size, the individual instances of patient and comfort level.
The built-in arch distraction device provided in above-mentioned technical proposal, it is simple in structure, it is small using wound, belong to tooth It supports formula device, wide range alveolar and jaw defect can be repaired, the angling gum of health can be covered on its surface, avoided Close on the use of gate and buccal flap;Implantation of the patient without receiving self, allogeneic and artificial prosthesis, avoids two The pain of secondary operation and generation rejection;It is low to be not required to bone grafting, recurrence rate for the built-in arch distraction device of the present invention simultaneously, Patient's using effect is good, and comfort level is high.
Description of the drawings
Fig. 1 is the structural schematic diagram of the built-in arch distraction device of the present invention;
Fig. 2 is that the palate of the built-in arch distraction device of the present invention uses schematic diagram;
Fig. 3 is the structural schematic diagram of distraction osteogenesis device.
In figure:10, cobalt chromium is preced with;20, arc-shaped guide rail;21, two-tube;22, semi-circular tube;23, C rings;30, distraction osteogenesis device;31、 Fixed strut;32, guide rod;33, threaded rod;34, rectangular swivel head;40, palate bar;50, upper lip;60, lower lip.
Specific implementation mode
In order to make objects and advantages of the present invention be more clearly understood, the present invention is carried out specifically with reference to embodiments It is bright.It should be appreciated that following word is only used to one or more of specific embodiments of the description present invention, not to the present invention The protection domain specifically asked carries out considered critical.
The technical solution that the present invention takes is as shown in Figures 1 to 3, a kind of built-in arch distraction device, including cobalt chromium Hat 10, the cobalt chromium hat 10 are set on the tooth of both sides, and the cheek side of the cobalt chromium hat 10 is provided with arc-shaped guide rail 20, the arc The bending degree of guide rail 20 is consistent with the physiological bending degree of tooth, and anchoring device, the arc are provided on the cobalt chromium hat 10 Shape guide rail 20 is fixed on by the anchoring device on cobalt chromium hat 10;It is additionally provided with distraction osteogenesis device on the arc-shaped guide rail 20 30, distraction osteogenesis device uses polishing treatment, and surface is smooth, can protect patient's oral mucosa and not damage buccinator muscle.The stretching Osteogenesis device 30 includes tractor ontology, threaded rod 33 and guide rod 32, and the tractor ontology includes the fixation of two parallel arrangements One end of strut 31, two fixed struts 31 is threaded through on the arc-shaped guide rail 20, is also set up on the fixed strut 31 There are the through-hole passed through for threaded rod 33 and guide rod 32, the threaded rod 33 and guide rod 32 respectively vertical with the fixed strut 31 Arrangement, the threaded rod 33 are arranged in the centre of arc-shaped guide rail 20 and guide rod 32;The threaded rod 33 is far from fixed strut 31 One end is additionally provided with rectangular swivel head 34;Rectangular swivel head controls distraction osteogenesis device, turns threaded rod clockwise, every turn One circle is equivalent to locking 1mm.
When it is implemented, the anchoring device includes two-tube 21 and semi-circular tube 22, described two-tube 21 include two parallel cloth The pipe set, described two-tube 21 are arranged in the cobalt chromium hat cheek side of first molar, and the two-tube cobalt chromium hat inside of the installation is provided with Palate bar 40;The stability of product of the present invention can be improved in palate bar 40, improves the smooth degree used and safety.The semi-circular tube 22 is set It sets the cobalt chromium in the distraction osteogenesis device both sides to label, semi-circular tube can play the role of fixed arc seal wire, when it is implemented, leading The internal diameter of silk diameter and semi-circular tube, which is all provided with, is set to 2mm.
The arc-shaped guide rail 20 is that the arc seal wire of about two parallel arrangements is constituted, and is arranged to parallel arc seal wire, It can effectively ensure that the stability and therapeutic effect of traction;As shown in Fig. 2, the length of arc-shaped guide rail according to front sagittal move away from From determining, the additional arc guidewire length of 5mm or so is provided on the extended line of tooth both sides respectively;When it is implemented, The both sides of distraction osteogenesis device 30 are provided with multiple C rings 23, and C rings are ring stainless steel steel ring, and nearly gap side, semicircle is directed reach in one end Pipe, the other end resist fixing bracket 31;Far from gap side, one end is directed reach two-tube, and the other end directes reach fixing bracket, the setting of C rings Booster action can be played to the traction of distraction osteogenesis device 30, ensure that product of the present invention is preferably run to lead.
More specifically scheme is that the cobalt chromium hat 10 is mounted on there are most of teeth of the maxilla in crack or mandibular On tooth, and it is beautiful to consider, and lip side can be covered with porcelain, its lap of corona is wrapped using cobalt chromium.
The specifically used method of the built-in arch distraction device of the present invention is as follows:Denture modulus in the leading mouth of patient, Make super hard gypsum model.Cobalt chromium hat, palate bar, two-tube, semi-circular tube are made on plaster cast.The arc of placement top is led afterwards Rail, then the arc-shaped guide rail of lower section and distraction osteogenesis device and C rings, end is disposed to fix.Built-in arch distraction device is external After completing, is tried in patient mouthful, after errorless, perform a surgical operation, perform the operation by operation designing scheme, gap side tooth-bone Block sections.Allow patient rest five days, after drawn.Distraction osteogenesis device pulling speed is Forward 1mm/d, reinforcing one in every 12 hours It is secondary, i.e. tractor screw thread rotation half-turn.Traction stops after being continued until Design position.6 months are fixed, waits for new bone formation After stabilization, the built-in arch distraction device of the present invention is taken out.
In short, using built-in arch distraction device provided by the invention, it can accomplish that arc draws jawbone, restore Ideal mandibular shapes are stablized with reconstruction, stretching reinforcing mode is achieved the effect that, controllability is good, distraction osteogenesis track and design Track coincide, and curve stretching is similar to straight line Distraction Osteogenesis, can reach more preferably skeletonization requirement;It can repair simultaneously larger Range alveolar and jaw defect avoid second operation and the pain of rejection occur.
Embodiments of the present invention are explained in detail above in conjunction with attached drawing, but the present invention is not limited to above-mentioned implementations Mode after knowing content described in the present invention, is not departing from the present invention for those skilled in the art Under the premise of principle, several same transformation and replacement can also be made to it, these convert and substitute on an equal basis and also should be regarded as belonging to Protection scope of the present invention.

Claims (4)

1. a kind of built-in arch distraction device, it is characterised in that:It is preced with including cobalt chromium, the cobalt chromium hat is set in both sides tooth On tooth, the cheek side of the cobalt chromium hat is provided with arc-shaped guide rail, the bending degree of the arc-shaped guide rail and the physiological bending journey of tooth Degree is consistent, and the cobalt chromium, which is labeled, is provided with anchoring device, and the arc-shaped guide rail is fixed on cobalt chromium by the anchoring device and labels; Distraction osteogenesis device is additionally provided on the arc-shaped guide rail, the distraction osteogenesis device includes tractor ontology, threaded rod and guide rod, institute The fixation strut that tractor ontology includes two parallel arrangements is stated, one end of two fixed struts is threaded through the arc and leads On rail, be additionally provided with the through-hole passed through for threaded rod and guide rod on the fixed strut, the threaded rod and guide rod respectively with The fixed strut is arranged vertically, and the centre in arc-shaped guide rail and guide rod is arranged in the threaded rod.
2. built-in arch distraction device according to claim 1, it is characterised in that:The anchoring device includes double Pipe and semi-circular tube, it is described it is two-tube include two parallel arrangements pipes, it is described it is two-tube be arranged in the cobalt chromium hat cheek side of first molar, The two-tube cobalt chromium hat inside of the installation is provided with palate bar;The cobalt chromium hat in the distraction osteogenesis device both sides is arranged in the semi-circular tube On.
3. built-in arch distraction device according to claim 1, it is characterised in that:The arc-shaped guide rail is two The arc seal wire being arranged in parallel up and down is constituted.
4. built-in arch distraction device according to claim 1, it is characterised in that:The cobalt chromium hat, which is mounted on, to be deposited On the maxilla in crack or most of teeth of mandibular.
CN201810118445.8A 2018-02-06 2018-02-06 A kind of built-in arch distraction device Pending CN108324355A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201810118445.8A CN108324355A (en) 2018-02-06 2018-02-06 A kind of built-in arch distraction device

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201810118445.8A CN108324355A (en) 2018-02-06 2018-02-06 A kind of built-in arch distraction device

Publications (1)

Publication Number Publication Date
CN108324355A true CN108324355A (en) 2018-07-27

Family

ID=62928516

Family Applications (1)

Application Number Title Priority Date Filing Date
CN201810118445.8A Pending CN108324355A (en) 2018-02-06 2018-02-06 A kind of built-in arch distraction device

Country Status (1)

Country Link
CN (1) CN108324355A (en)

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110151338A (en) * 2019-04-26 2019-08-23 南京医科大学附属口腔医院 Part Distraction Apparatus and its clinical application before a kind of adjustable maxilla in direction
CN113558794A (en) * 2021-07-26 2021-10-29 首都医科大学附属北京口腔医院 Tooth bone mixed support type external intraoral distraction osteogenesis device and use method
CN115120371A (en) * 2021-09-29 2022-09-30 北京大学口腔医学院 Zinc alloy distraction osteogenesis device

Citations (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20050256526A1 (en) * 2004-05-13 2005-11-17 Johnston Thomas S Bone distractor and method
CN101569560A (en) * 2009-05-05 2009-11-04 中国人民解放军第四军医大学口腔医院 Individualized upper jaw alveolar bone arc distraction appliance
CN101658440A (en) * 2008-08-25 2010-03-03 中国人民解放军第四军医大学 Built-in arc-shaped distraction osteogenesis device
CN201426790Y (en) * 2009-06-30 2010-03-24 南京市口腔医院 Maxillary casting substrate fixed-type multidirectional osteogenesis distractor
CN201572200U (en) * 2010-01-11 2010-09-08 西安交通大学口腔医院 Modified intraoral frame premaxillary tractor
CN102824218A (en) * 2012-09-12 2012-12-19 武汉大学 Retractor for rapid and distal movement of cuspids
CN104644252A (en) * 2015-02-02 2015-05-27 中国人民解放军第306医院 Sectional type arc-shaped distraction osteogenesis device
CN107518954A (en) * 2017-09-15 2017-12-29 上海交通大学医学院附属第九人民医院 Distraction device
CN208974063U (en) * 2018-02-06 2019-06-14 南京医科大学附属口腔医院 A kind of built-in arch distraction device

Patent Citations (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20050256526A1 (en) * 2004-05-13 2005-11-17 Johnston Thomas S Bone distractor and method
CN101658440A (en) * 2008-08-25 2010-03-03 中国人民解放军第四军医大学 Built-in arc-shaped distraction osteogenesis device
CN101569560A (en) * 2009-05-05 2009-11-04 中国人民解放军第四军医大学口腔医院 Individualized upper jaw alveolar bone arc distraction appliance
CN201426790Y (en) * 2009-06-30 2010-03-24 南京市口腔医院 Maxillary casting substrate fixed-type multidirectional osteogenesis distractor
CN201572200U (en) * 2010-01-11 2010-09-08 西安交通大学口腔医院 Modified intraoral frame premaxillary tractor
CN102824218A (en) * 2012-09-12 2012-12-19 武汉大学 Retractor for rapid and distal movement of cuspids
CN104644252A (en) * 2015-02-02 2015-05-27 中国人民解放军第306医院 Sectional type arc-shaped distraction osteogenesis device
CN107518954A (en) * 2017-09-15 2017-12-29 上海交通大学医学院附属第九人民医院 Distraction device
CN208974063U (en) * 2018-02-06 2019-06-14 南京医科大学附属口腔医院 A kind of built-in arch distraction device

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110151338A (en) * 2019-04-26 2019-08-23 南京医科大学附属口腔医院 Part Distraction Apparatus and its clinical application before a kind of adjustable maxilla in direction
CN113558794A (en) * 2021-07-26 2021-10-29 首都医科大学附属北京口腔医院 Tooth bone mixed support type external intraoral distraction osteogenesis device and use method
CN113558794B (en) * 2021-07-26 2022-07-08 首都医科大学附属北京口腔医院 Tooth bone mixed support type external intraoral distraction osteogenesis device and use method
CN115120371A (en) * 2021-09-29 2022-09-30 北京大学口腔医学院 Zinc alloy distraction osteogenesis device
CN115120371B (en) * 2021-09-29 2023-12-15 北京大学口腔医学院 Zinc alloy stretching osteogenesis device

Similar Documents

Publication Publication Date Title
Bedrossian Rehabilitation of the edentulous maxilla with the zygoma concept: a 7-year prospective study
CN108324355A (en) A kind of built-in arch distraction device
Scott Presurgical dentofacial orthopedic management of the cleft patient
Foltán et al. Genioglossus advancement and hyoid myotomy in treating obstructive sleep apnoea syndrome–A follow-up study
CN208974063U (en) A kind of built-in arch distraction device
CN110720886A (en) Oral cavity maxillofacial surgery struts ware
CN201079454Y (en) Orthodontic device for changing molar position
CN204909704U (en) Perpendicular damaged personalized customization tooth -borne type wicresoft tractor of jawbone
CN205494055U (en) Support adjustment type oral care device
Blitz et al. Closed reduction of the mandibular fracture
CN103655114B (en) Adjustable openings training aids
De Gijt et al. Introduction of the “Rotterdam mandibular distractor” and a biomechanical skull analysis of mandibular midline distraction
Shashua et al. Radiographic determination of the position of the maxillary lateral incisor in the cleft alveolus and parameters for assessing its habilitation prospects
Ochs et al. Current concepts in management of facial trauma
CN207168471U (en) A kind of multifunctional oral cavity section mouth mirror
CN208973799U (en) Oral and maxillofacial surgery is built-in to expand check device
CN100588432C (en) Traction device used in oral cavity for treating cleft palate made of nickel-titanium memory alloy
CN215019368U (en) Upper jaw embedding impacted tooth improvement type nance arch appliance
Bhagat et al. A staged expansion screw protocol to retract the premaxilla in BCLP infants with delayed nasoalveolar molding
Trivosa et al. The Impacts and Outcomes of Presurgical Nasoalveolar Molding (PNAM) in Newborn Sequential Therapeutic Implementation
CN211658104U (en) Novel examination and nursing device for oral and maxillofacial surgery
CN209172472U (en) Lower jaw bone external fixation device with navigation
Irgebay et al. National Characteristics and patterns of facial fractures in the elderly population
Adams et al. Congenital trismus secondary to masseteric fibrous bands: endoscopically assisted exploration
CN101357078B (en) Correction auxiliary arch for treating gummy smile

Legal Events

Date Code Title Description
PB01 Publication
PB01 Publication
SE01 Entry into force of request for substantive examination
SE01 Entry into force of request for substantive examination