CN109172022A - The fixed device of the desensitizing agent of hyperesthesia of dentin's treatment and preparation, forming method - Google Patents
The fixed device of the desensitizing agent of hyperesthesia of dentin's treatment and preparation, forming method Download PDFInfo
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- CN109172022A CN109172022A CN201810941463.6A CN201810941463A CN109172022A CN 109172022 A CN109172022 A CN 109172022A CN 201810941463 A CN201810941463 A CN 201810941463A CN 109172022 A CN109172022 A CN 109172022A
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- 210000004268 dentin Anatomy 0.000 title claims abstract description 36
- 208000035154 Hyperesthesia Diseases 0.000 title claims abstract description 31
- 238000000034 method Methods 0.000 title claims abstract description 26
- 238000002360 preparation method Methods 0.000 title claims abstract description 20
- 210000000214 mouth Anatomy 0.000 claims abstract description 60
- 230000035945 sensitivity Effects 0.000 claims abstract description 34
- 210000002455 dental arch Anatomy 0.000 claims abstract description 16
- 229910052602 gypsum Inorganic materials 0.000 claims description 26
- 239000010440 gypsum Substances 0.000 claims description 26
- 239000000463 material Substances 0.000 claims description 13
- 230000001235 sensitizing effect Effects 0.000 claims description 13
- 238000000465 moulding Methods 0.000 claims description 12
- 229920001169 thermoplastic Polymers 0.000 claims description 10
- 239000004416 thermosoftening plastic Substances 0.000 claims description 10
- 238000012423 maintenance Methods 0.000 claims description 9
- 238000002156 mixing Methods 0.000 claims description 9
- 230000008569 process Effects 0.000 claims description 9
- 238000001816 cooling Methods 0.000 claims description 7
- 238000007493 shaping process Methods 0.000 claims description 7
- 238000003860 storage Methods 0.000 claims description 6
- 210000001519 tissue Anatomy 0.000 claims description 6
- 239000012528 membrane Substances 0.000 claims description 5
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- FHVDTGUDJYJELY-UHFFFAOYSA-N 6-{[2-carboxy-4,5-dihydroxy-6-(phosphanyloxy)oxan-3-yl]oxy}-4,5-dihydroxy-3-phosphanyloxane-2-carboxylic acid Chemical compound O1C(C(O)=O)C(P)C(O)C(O)C1OC1C(C(O)=O)OC(OP)C(O)C1O FHVDTGUDJYJELY-UHFFFAOYSA-N 0.000 claims description 4
- 229920001875 Ebonite Polymers 0.000 claims description 4
- RRHGJUQNOFWUDK-UHFFFAOYSA-N Isoprene Chemical compound CC(=C)C=C RRHGJUQNOFWUDK-UHFFFAOYSA-N 0.000 claims description 4
- 229940072056 alginate Drugs 0.000 claims description 4
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- 229920005644 polyethylene terephthalate glycol copolymer Polymers 0.000 claims description 3
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- 210000001847 jaw Anatomy 0.000 claims description 2
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- 238000000586 desensitisation Methods 0.000 abstract description 25
- 239000003153 chemical reaction reagent Substances 0.000 abstract description 21
- 201000002170 dentin sensitivity Diseases 0.000 abstract description 9
- 201000010536 head and neck cancer Diseases 0.000 abstract description 7
- 208000014829 head and neck neoplasm Diseases 0.000 abstract description 7
- 238000001959 radiotherapy Methods 0.000 abstract description 7
- 206010020751 Hypersensitivity Diseases 0.000 abstract description 5
- 208000026935 allergic disease Diseases 0.000 abstract description 4
- 230000007815 allergy Effects 0.000 abstract description 4
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- 238000002512 chemotherapy Methods 0.000 description 1
- 235000009508 confectionery Nutrition 0.000 description 1
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C19/00—Dental auxiliary appliances
- A61C19/06—Implements for therapeutic treatment
- A61C19/063—Medicament applicators for teeth or gums, e.g. treatment with fluorides
Landscapes
- Health & Medical Sciences (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Dentistry (AREA)
- Epidemiology (AREA)
- Life Sciences & Earth Sciences (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 medical instruments of fixed dentine desensitizing agent, the fixed device of desensitizing agent of espespecially a kind of hyperesthesia of dentin's treatment and preparation, forming method, fixed device is shaped to facing shape, it mainly include denture fixing device portion and sensitivity treatment area, denture fixing device portion is shaped to that the matched three-dimensional film cavity body structure of full dental arch, denture fixing device portion opening are provided with undercut structure by high-molecular diaphragm；Denture fixing device portion depth or width face, which are in spacing tooth body 0.12~0.28mm thickness range, presets holding cavity structure formation sensitivity treatment area；Present invention aims at the patients for tooth dentine hypersensitivities a large amount of after head and neck neoplasm radiotherapy to provide desensitizing agent fixed device, device interior tooth body sensitive part is placed in from desensitization class reagent is about to by patient, fixed device is worn in oral cavity again, to improve patient using desensitization class reagent convenience, accuracy, timeliness and repeatability, the problems such as solving the inconvenience and limitation in patient's operation, improves the therapeutic effect of tooth body allergy.
Description
Technical field
The present invention relates to a kind of medical instrument of fixed dentine desensitizing agent, espespecially a kind of hyperesthesia of dentin's treatment
The fixed device of desensitizing agent and preparation, forming method.
Background technique
Hypersensitive dentin (dentin hypersensitivity) is also known as hyperesthesia of dentin (dentin
Sensitvity), show as by environmental stimuli such as temperature (hot and cold), chemistry (acid, sweet tea), mechanical (rubbing or sting hard object) etc.
The characteristics of caused aching and limp pain symptom of tooth of effect, feature are a kind of sharp, of short duration and the rapid pain of breaking-out, pain
Be it is transient, stimulation removal, pain disappears immediately, but also has some patients to show as dull pain sense of discomfort.
There are many reason of causing patient hyperesthesia of dentin in life, such as: sleep bruxism, light, moderate physiological abrasion with
Pathologic abrasion, bad tooth-brushing habit, after Caries therapy, after head and neck neoplasm radiotherapy etc., when patient is in feed, temperature
Situations such as variation or mechanical stimulus, is likely to occur aching and limp sensitive, pain discomfort the disease of individual or a large amount of teeth in oral cavity
Shape brings pain to patient, wherein the patient for needing to carry out head and neck neoplasm radiotherapy is especially worried, and this kind of patient exists
Receive the dentine hypersensitivity symptom for easily causing oral cavity inner teeth gear after head and neck neoplasm radiotherapy, be related to sensitive teeth quantity compared with
It is more, or even involve the tooth of whole oral cavity.
It is directed to the treatment of hyperesthesia of dentin at present, is divided into traumatic treatment and non-invasive treatment, traumatic treatment needs
By specialized department for stomatology, doctor is completed, by reaching solution dentine hypersensitivity to dental pulps serial therapies such as sensitive tooth body row dental pulp devitalizations
The problem of, apply in general to severe tooth body abrasion abrasion patient；But this method have it is traumatic, unless have no option, big portion
Divide patient to be more willing to selection non-invasive treatment, may be selected to be controlled by specialized department for stomatology doctor in consulting room completion in non-invasive treatment
It treats, reaches solution using non-invasive treatment means by using medical professional desensitization class reagent or alleviate because tooth body is sensitive
Caused by aching and limp pain symptom.But from another point of view, due to the treatment of tooth body allergy cannot reach get instant result or
The long-range effect persistently kept, while dentine hypersensitivity symptom has repeatability, even if dentine hypersensitivity symptom solves or alleviates
Afterwards, the later period is it is possible to as dentine hypersensitivity occurs again for the exposure of dentinal tubule, thus the patient of consulting room treatment need it is more
Secondary round-trip section hospital, journey is tired, take time and effort and effect may be unsatisfactory, and the patient of hyperesthesia of dentin is pain
, it is solved the problems, such as the pain of tooth, existing patient wishes to can choose that portability is more preferable, usability is stronger, at home just
Can the desensitization class reagent of Self-operating complete desensitization treatment, such as the use of desensitization class toothpaste common on the market, desensitization class is coagulated
Glue etc..
Various for the home-use desensitization class reagent type of hyperesthesia of dentin at present, apparent availability is also big, and effect
It is irregular, but such product has a common ground, that is, patient's Self-operating is needed to complete, however in actual use
It was found that most of patient due to by desensitization class reagent mobility, the three-dimensional solid form of tooth body, the position of tooth body sensitivity and
Quantity, the restricted gender of the visual range of patient's operation with can operating space the various aspects such as limitation influence, oral cavity week in addition
The tense situation and degree of muscle group are enclosed, desensitization class reagent is influenced in oral cavity by the internal environment of oral cavity factor such as saliva of buccal cavity,
Factors cause patient to tend not to the portion for smoothly and accurately such desensitization class reagent being smeared or being wiped sensitive pain
Position, or even completely cannot in place, the repeatability of whole process operation is poor, and the accuracy of positioning is low, while it is even more impossible to guarantee to take off
Quick class reagent is in tooth body sensitive part residence time, so that the desensitization effect for treating dentine hypersensitivity is affected, it can not
The sense of discomfort of the sensitive pain of solution or alleviation tooth body, causes the therapeutic effect of hyperesthesia of dentin not good enough.
Although also being had in the prior art for straightening of teeth or for the Odonto-maxillary cover of medicine-feeding, such as Patent No.
" 201110396532.8 ", patent name is the open source literature of " manufacturing method of invisible orthotic device and products thereof ", with the patent No.
For " 201010121981.7 ", patent name is the open source literature of " Odonto-maxillary cover of medicine administration on tooth surface and preparation method thereof ", tooth
The Odonto-maxillary cover of tooth surface administration prepares Odonto-maxillary cover using rubber material, but the facing raw thickness of rubber material preparation is thicker,
Raw material taste is heavier, and rubber material is easy to aging, and oral foreign body sense weight when wearing, when use on daytime influence shape in special circumstances
As, feel to feel bad because joint is uncomfortable, foreign body sensation is heavy during sleep at night, can not comfortably feel at ease to fall asleep, the various aspects of whole process
Factor eventually lead to the course for the treatment of extend, curative effect it is slack-off, it is whole because the limitation of material structure causes it that can not use for patient comfort.
And the principle of invisible orthotic device is the malocclusion for achieving the purpose that straightening of teeth by wearing the appliance, thus purposive
Move the teeth into appointed part, but because it has the function of straightening of teeth, thus the appliance wear after be meeting to tooth
Apply certain additonal pressure, thus can be only achieved the effect of moving teeth, when wearing, the inner tissue face of appliance and tooth body
Surface fits closely and presses to facing, reaches the function of moving teeth by this additional force to tooth, but this
Kind makes patient of the function of drifting tooth for hyperesthesia of dentin be useless even harmful the additional force of tooth body.
Summary of the invention
To solve the above problems, the present invention is directed to disclose a kind of medical instrument of fixed dentine desensitizing agent, espespecially one
The fixed device of desensitizing agent of kind hyperesthesia of dentin treatment and preparation, forming method；Particular for head and neck neoplasm, patient is put
A large amount of teeth or denture allergy in oral cavity is caused to be treated after treatment, it can be accurately and efficiently by desensitization class examination
Agent is fixed on tooth body sensitive part, and desensitizing agent is made to keep corresponding reagent at sensitivity of tooth position, effectively improves the desensitization of tooth body
Class reagent health giving quality.
To achieve the above object, the technical solution adopted by the present invention is that: a kind of desensitizing agent of hyperesthesia of dentin treatment
Fixed device, which is characterized in that the fixation device is shaped to facing shape, mainly includes denture fixing device portion and sensitivity treatment area, institute
The denture fixing device portion stated is shaped to the matched three-dimensional film cavity knot of full dental arch with maxillary teeth, mandibular teeth by high-molecular diaphragm
Structure, denture fixing device portion opening are provided with undercut structure, are connect by undercut structure with tooth body maintenance；At denture fixing device portion depth or width face
The holding cavity structure that storage desensitizing agent is preset in spacing tooth body 0.12~0.28mm thickness range forms sensitivity treatment area；Make
When carrying out desensitization treatment to sensitive tooth body with desensitizing agent, it can be controlled by patient from being about to desensitizing agent and be placed in corresponding sensitivity
Area is treated, then the fixation device for placing desensitizing agent is worn in oral cavity.
Preferably, the inner tissue face in the denture fixing device portion is provided with lines and forms anti-skidding rough surface.
Preferably, the molding thickness in the denture fixing device portion is 0.3~0.8mm.
Preferably, cusp position, corona buccal labial surface, tongue palatal surface or the neck of tooth body is arranged in the sensitivity treatment area
Portion；The high matched sensitivity treatment area of customized type setting can be set according to the sensitive tooth position of patient.
Preferably, the high-molecular diaphragm is medical PETG diaphragm or PE isolation diaphragm, is elastic ebonite diaphragm.
Preferably, the high-molecular diaphragm is the dental arch shape Thin Elastic by independently customized dentognathic model thermoplastic shaping
Membrane cavity body；It can be formed according to the dental arch shape customized type of patient.
Preferably, the undercut structure is set as being covered on region on gingival margin along each tooth or is covered on gum
Lower edge；Wherein denture fixing device portion open edge positioning includes two kinds of situations:, can if patient's tooth body sensitive part is in non-tooth neck area
The all standing of device edge will be fixed in gingival margin, i.e. undercut structure is covered on region on gingival margin；If there are neck portions in tooth body
Fixed device can be covered a little gingival margin by sensitivity, i.e. undercut structure is covered on gum lower edge.
Preferably, the undercut structure setting is at 3~4 teeth of two cheek sides, to carry out maintenance from cheek side.
A kind of preparation method of the fixed device of desensitizing agent of hyperesthesia of dentin's treatment, which is characterized in that the system
Preparation Method mainly comprises the steps that
1) it obtains oral cavity former model: carrying out individual buccal impression for each patient's customized type to obtain the oral cavity of patient yin
Membrane modle；
2) prepare oral cavity formpiston model: then the liquid gypsum of mixing is filled into the former model of oral cavity by mixing super hard gypsum,
It is taken out after hardening and obtains the customized type oral cavity formpiston model of adaptation patient, as formpiston dentognathic model A；
3) it marks sensitizing range: detecting the sensitive tooth body of patient, and to the sensitivity of corresponding sensitive tooth body on formpiston dentognathic model A
Region carries out fixed point label；
4) it presets sensitivity treatment area: on formpiston dentognathic model A centered on the sensitizing range for pinpointing label, being diffused as justifying outward
The sensitivity treatment area for thickening surface is formed in the mixing gypsum that circumferential surface covers 0.1~0.3 mm thickness, then in its table in week
Face adds plating road to form rough surface, and formpiston dentognathic model B is obtained after hardening；
5) hot glue forms: after the complete hardening by cooling of formpiston dentognathic model B of super hard gypsum preparation, formpiston dentognathic model B being put
It is placed on film laminator, using high-molecular diaphragm on film laminator, heats high-molecular diaphragm, make it according to the wheel of formpiston dentognathic model B
Exterior feature compacting diaphragm and the film cavity body structure for being shaped to dental arch shape, so that denture fixing device portion be made；Both can using positive pressure molding press or
Negative pressure molding press or 3D printer can be used, can make and suppress the fixed device of oral desensitizing reagent of the invention；
6) after denture fixing device portion suppresses successfully, denture fixing device portion edge to edge round blunt finished edge: is repaired after complete hardening by cooling；Wherein denture fixing device
Open edge positioning in portion's includes two kinds of situations:, can be by fixed device side if patient's tooth body sensitive part is in non-tooth neck area
Edge is arranged on gingival margin, i.e., is close to the undercut structure of maintenance using the undercut for being covered on region on gum, if existing in tooth body
Neck portion is sensitive, fixed device can be covered a little gingival margin, i.e., using the undercut structure for being covered on gum lower edge；
7) user applies: patient tries on, formally to use after patient's teaching application method；It can be obtained by preparation method by mouth
Chamber specialist directly operates, material and the fixed device of low-cost desensitizing agent, the personalization by fixed device are fixed
System use can reduce patient's further consultation number, improve desensitizing agent effect, be not take up patient's time, desensitizing agent is applied to by night
In fixed device, be worn in oral cavity, early morning takes out, cleaning, clear water impregnate smeared after storage, or drying again desensitizing agent into
Row is worn, and operating process is conveniently, simply, fast, efficiently.
A kind of forming method of the fixed device of the desensitizing agent of hyperesthesia of dentin treatment, which is characterized in that it is described at
Type method mainly comprises the steps that
1) model structure is determined to patient's oral condition inspection, choose the matched disposable oral cavity impression tray of size and algae is set
Hydrochlorate moulage produces oral cavity former model using the flexibility of alginate impression material, and super hard gypsum filling is then perfused
To the former model of oral cavity, formpiston model, i.e. formpiston dentognathic model A are obtained after demoulding；
2) it is directed to the sensitive tooth body of patient, marked is carried out on formpiston dentognathic model A to sensitizing range, and superhard to coat
The mode of gypsum is covered on label, and coverage area is greater than sensitizing range, and cladding thickness is 0.1~0.3mm, to its table before hardening
Face carries out coining lines processing, and shaggy formpiston dentognathic model B is made after hardening；
3) formpiston dentognathic model B is placed on molding press pallet, using high-molecular diaphragm according to formpiston dentognathic model B thermoplastic at
Type is the film cavity in denture fixing device portion, detailed process further include:
A1, the formpiston dentognathic model B prepared by super hard gypsum is placed on molding press platform base；
A2, high-molecular diaphragm is displaced downwardly to the formpiston tooth jaw being placed on platform base after heater heats to a certain extent
At Model B；
A3, Open valve carry out vacuum chamber using vacuum pump to vacuumize work；
Die trial at the beginning of A4, high-molecular diaphragm using formpiston dentognathic model B at this time as the denture fixing device portion that master mold thermoplastic shaping is fixed device；
4) by die trial at the beginning of denture fixing device portion and formpiston dentognathic model B separated demolding, and die trial at the beginning of denture fixing device portion is trimmed and is arranged down
Recessed structure obtains the fixed device of the desensitizing agent that finally can directly wear after polishing.
The beneficial effects of the present invention are embodied in: fixation device of the invention is divided into the upper jaw (i.e. arcus dentalis superior) fixed dress by position
It sets and fixes device with lower jaw (i.e. inferior dental arch), be the fixation device of personalized customization, shape and manufacture craft have special messenger
The characteristics of dedicated specificity, covers the fixed denture fixing device in oral cavity for full arch form；After for head and neck neoplasm radiotherapy
The patient of a large amount of tooth dentine hypersensitivities provides a kind of fixed device of desensitizing agent of hyperesthesia of dentin's treatment, is utilizing this hair
During bright fixation device is to use desensitization class reagent to carry out desensitization treatment to sensitive teeth, it can be about to desensitize certainly by patient
Class reagent is placed in corresponding tooth body sensitive part in the fixed device, then the fixation device that will place desensitization class reagent
It is worn in oral cavity, to improve patient using desensitization class reagent convenience, accuracy, timeliness and repeatability, solution
The certainly inconvenience in patient's operation and the problems such as limitation, improves the therapeutic effect of tooth body allergy.
The present invention and home-use tooth whitening class product and its fixation device comparison, treat the desensitization of hyperesthesia of dentin
Class product is non-invasi, non-corrosive, nonirritant product, safe and non-toxic reliable, while fixed tray of the invention is again
It is to be made according to patient oral cavity dental arch tooth body 3 D stereo actual conditions, oral cavity matching degree is good, thus it is more safe and reliable, it compares
The advantages of universal oral cavity pallet on the market, personalized designs, is that volume is smaller, comfort level, and oral foreign body sense is smaller, mouth
Feel, can wear when nighttime sleep long-time, while will not being damaged to perienchymas such as periodontium, will not more make
At the burden of remporomandibular joint.
Fixation device of the invention uses the medical high polymer diaphragm of 0.3~0.8mm thickness, by ebonite thermoplastic shaping,
Its elasticity is good with toughness, so that compactness is indeformable, not aging when use；Fixed device is provided at sensitive part and tooth
There are the sensitivity treatment area in gap between body, the setting in sensitivity treatment area can not have Tooth surface any pressure, and wear
Tightly fitting does not contact completely with tooth body facing in posterior fixation devices inner tissue face, but the region of the sensitive part in tooth body is left
Tooth dignity, leaving distance is 0.12~0.28mm, that is, the storage that there is solid space as sensitivity treatment area desensitization class reagent is empty
Between, and be capable of fixing at required position and unshift to guarantee desensitizing agent when being worn in mouth, the inner tissue of fixed device
Face is designed as rough surface, to guarantee maintenance of the desensitizing agent in the denture fixing device portion of oral cavity and be uniformly distributed；Material of the present invention is high simultaneously
Transparency, visible luminosity are high, and thin layer design can reduce foreign body sensation, and daytime, wearings did not affected the appearance completely, evening also it is wearable into
Row treatment can comfortably fall asleep since frivolous property feels sleep without obvious；The undercut position that the present invention is arranged simultaneously can be protected
Card is whole not to be fallen off, and is worn and is stablized, and is responded well to treatment fast, the course for the treatment of shortens.
Detailed description of the invention
Fig. 1 is the fixation device three-dimensional structure diagram of the specific embodiment of the invention.
Fig. 2 is the preparation method component layouts schematic diagram of the specific embodiment of the invention.
Attached drawing mark explanation: 1- denture fixing device portion, 2- sensitivity treatment area, 3- undercut structure, 11- heater, 12- polymeric membrane
Piece, 13- formpiston dentognathic model B, 14- vacuum chamber, 15- platform base, 16- valve, 17- vacuum pump.
Specific embodiment
The embodiment of the invention will now be described in detail with reference to the accompanying drawings:
A kind of fixed device of desensitizing agent of hyperesthesia of dentin's treatment, the fixation device is shaped to facing shape, main to wrap
Include denture fixing device portion 1 and sensitivity treatment area 2, the denture fixing device portion 1 is shaped to and maxillary teeth, mandibular teeth by high-molecular diaphragm
The matched three-dimensional film cavity body structure of full dental arch, 1 opening of denture fixing device portion are provided with undercut structure 3, pass through undercut structure 3 and tooth body
Maintenance connection；1 depth of denture fixing device portion or width face, which are in spacing tooth body 0.12~0.28mm thickness range, presets storage desensitization examination
The holding cavity structure of agent forms sensitivity treatment area 2, and the present embodiment optimum thickness is 0.2mm；In use desensitizing agent to sensitive tooth body
When carrying out desensitization treatment, it can be placed in corresponding sensitivity treatment area 2 from desensitizing agent is about to by patient, then desensitization examination will be placed
The fixation device of agent is worn in oral cavity；The inner tissue face in the denture fixing device portion 1 is provided with lines and forms anti-skidding rough surface, can set
It is set to alternating expression textured surface；The molding thickness in the denture fixing device portion 1 is 0.3~0.8mm, and the present embodiment is preferably 0.5mm；Institute
Cusp position, corona buccal labial surface, tongue palatal surface or the neck portion of tooth body is arranged in the sensitivity treatment area 2 stated；It can be according to the quick of patient
Sense tooth position sets the high matched sensitivity treatment area 2 of customized type setting, avoids malpractice, needs simultaneously if neck portion if being arranged
Undercut structure 3 is optimized；The high-molecular diaphragm is medical PETG diaphragm or PE isolation diaphragm, is elastic ebonite film
Piece；The high-molecular diaphragm is the dental arch shape film cavity by independently customized dentognathic model thermoplastic shaping；It can be according to trouble
The dental arch shape customized type of person forms；The undercut structure 3 along each tooth be set as being covered on gingival margin region or
It is covered on gum lower edge；Wherein 1 open edge of denture fixing device portion positioning includes two kinds of situations: if patient's tooth body sensitive part is in non-tooth
Neck area, can be by fixed device edge all standing in gingival margin, i.e. undercut structure 3 is covered on region on gingival margin；If tooth body
In there are neck portion sensitivities, fixed device can be covered a little gingival margin, i.e. undercut structure 3 be covered on gum lower edge；Described
Undercut structure 3 is arranged at 3~4 teeth of two cheek sides, to carry out maintenance from cheek side.
A kind of preparation method of the fixed device of desensitizing agent of hyperesthesia of dentin's treatment, which is characterized in that the system
Preparation Method mainly comprises the steps that
1) it obtains oral cavity former model: carrying out individual buccal impression for each patient's customized type to obtain the oral cavity of patient yin
Membrane modle；Oral cavity former is produced by oral cavity die technology, using alginate impression material, silicone rubber impression material etc.,
Suitable pallet is chosen, oral cavity die is carried out to patient oral cavity, takes out up to oral cavity former, is not necessarily to release agent or release agent；
2) prepare oral cavity formpiston model: then the liquid gypsum of mixing is filled into the former model of oral cavity by mixing super hard gypsum,
It is taken out after hardening and obtains the customized type oral cavity formpiston model of adaptation patient, as formpiston dentognathic model A；The material of oral cavity formpiston is
Super hard gypsum perfusion, mixes scattered paste shape and pours into former model for super hard gypsum powder and water proper ratio tune, super hard gypsum powder without
Curing agent need to be in addition added, the reaction of progress heat release hardening after super hard gypsum powder chance water, whole process general 1 hour；
3) it marks sensitizing range: detecting the sensitive tooth body of patient, and to the sensitivity of corresponding sensitive tooth body on formpiston dentognathic model A
Region carries out fixed point label；Sensitive position is drawn in the corresponding approximate location of model A using waterproof marker pen；
4) it presets sensitivity treatment area 2: on formpiston dentognathic model A centered on the sensitizing range for pinpointing label, being diffused as outward
Circumference covers 0.1~0.3 mm thickness in circumferential surface, and the mixing gypsum covering of preferably 0.2mm thickness is applied to model subscript
The sensitivity treatment area 2 outpoured is thickening the coarse lines formation rough surface of gypsum surface manufacture using graver, while modifying sun
Mould dentognathic model B(is filled too deep excessive concave region, only retains a small amount of undercut, avoids finished product denture fixing device from plucking band difficult) hardening
The formpiston dentognathic model B of sensitizing range has been marked afterwards；
5) hot glue forms: after the complete hardening by cooling of formpiston dentognathic model B of super hard gypsum preparation, formpiston dentognathic model B being put
It is placed on film laminator, using high-molecular diaphragm 12 on film laminator, heats high-molecular diaphragm 12, make it according to formpiston dentognathic model B
Profile compacting diaphragm and be shaped to the film cavity body structure of dental arch shape, so that denture fixing device portion 1 be made；Both positive pressure pressing mold can be used
Machine can also use negative pressure molding press or 3D printer, can make and suppress the fixed device of oral desensitizing reagent of the invention；It is whole
A process using negative pressure by the model adsorption being heated in Model B, after cooling, diaphragm become required for us have it is de-
The denture fixing device diaphragm in quick paste support space removes diaphragm and carries out contouring, removes extra diaphragm, and polishing makes edge circle；
6) after denture fixing device portion 1 suppresses successfully, 1 edge of denture fixing device portion finished edge: is repaired after complete hardening by cooling to edge round blunt；Its dens in dente
The positioning of 1 open edge of support portion includes two kinds of situations:, can be by fixed device if patient's tooth body sensitive part is in non-tooth neck area
Edge is arranged on gingival margin, i.e., is close to the undercut structure 3 of maintenance using the undercut for being covered on region on gum, if depositing in tooth body
In neck portion sensitivity, fixed device can be covered a little gingival margin, i.e., using the undercut structure 3 for being covered on gum lower edge；Finally
It is modified using scissors and the polishing of turbine sharpened edge；
7) user applies: patient tries on, formally to use after patient's teaching application method；It can be obtained by preparation method by mouth
Chamber specialist directly operates, material and the fixed device of low-cost desensitizing agent, the personalization by fixed device are fixed
System use can reduce patient's further consultation number, improve desensitizing agent effect, be not take up patient's time, desensitizing agent is applied to by night
In fixed device, be worn in oral cavity, early morning takes out, cleaning, clear water impregnate smeared after storage, or drying again desensitizing agent into
Row is worn, and operating process is conveniently, simply, fast, efficiently.
A kind of forming method of the fixed device of the desensitizing agent of hyperesthesia of dentin treatment, which is characterized in that it is described at
Type method mainly comprises the steps that
1) model structure is determined to patient's oral condition inspection, choose the matched disposable oral cavity impression tray of size and algae is set
Hydrochlorate moulage produces oral cavity former model using the flexibility of alginate impression material, and super hard gypsum filling is then perfused
To the former model of oral cavity, formpiston model, i.e. formpiston dentognathic model A are obtained after demoulding；
2) it is directed to the sensitive tooth body of patient, marked is carried out on formpiston dentognathic model A to sensitizing range, and superhard to coat
The mode of gypsum is covered on label, and coverage area is greater than sensitizing range, and cladding thickness is 0.1~0.3mm, to its table before hardening
Face carries out coining lines processing, and shaggy formpiston dentognathic model B is made after hardening；
3) formpiston dentognathic model B is placed on molding press pallet, using high-molecular diaphragm 12 according to formpiston dentognathic model B thermoplastic
It is shaped to the film cavity in denture fixing device portion 1, detailed process further include:
A1, the formpiston dentognathic model B13 prepared by super hard gypsum is placed on molding press platform base 15；
A2, high-molecular diaphragm 12 is displaced downwardly to the sun being placed on platform base 15 after heater 11 heats to a certain extent
At mould dentognathic model B13；
A3, Open valve 16 carry out vacuum chamber 14 using vacuum pump 17 to vacuumize work；
At the beginning of A4, high-molecular diaphragm 12 using formpiston dentognathic model B13 at this time as the denture fixing device portion 1 that master mold thermoplastic shaping is fixed device
Die trial；
4) by the just die trial of denture fixing device portion 1 and formpiston dentognathic model B separated demolding, and the just die trial of denture fixing device portion 1 is trimmed and is arranged
Undercut structure 3 obtains the fixed device of the desensitizing agent that finally can directly wear after polishing.
The present invention has specificity because special messenger is dedicated, and production needs to turn over patient's oral cavity model processed, therefore dehisces situation to patient,
Such as whether limitation of mouth opening, extent of opening and fitness have certain requirement, patient is needed to have normal mouth opening, it is good fit
Degree, turns over patient's oral cavity model processed using buccal impression technology, super by the former model perfusion of denture actual conditions in patient oral cavity
Anhydrite formpiston model, form and tooth three-dimensional solid shape, the denture Arch width matching degree of the fixation device of production are high, relax
Appropriateness is strong, more saves on the dosage of desensitizing agent, keeps the effect of desensitization class reagent more efficient obvious, fixed device system
The process of work makes after turning over oral cavity model processed by specialized department for stomatology doctor, and manufacturing process is simple, and the waiting time is short, according to dental clinic
Apparatus preparation situation can same day or when further consultation, that is, wearable use.
The present invention is to be needed early period according to the practical Arch width of patient, tooth body three-dimensional position individual custom fabricated in dental arch
Buccal impression is carried out to patient by specialized department for stomatology doctor, oral cavity model processed is then turned over and is made according to patient's reagent oral condition, but
Manufacturing process is simple, quickly, can go to a doctor the same day or second of further consultation can complete use, the present invention is right in production
Head and neck neoplasm radiotherapy patient patient itself has certain requirement, and most of patient meets the requirements, even if it is swollen to have carried out incidence
The radiotherapy and chemotherapy of tumor, they still have good mouth opening and a fitness, but the deep puzzlement by hyperesthesia of dentin,
The fixed device of personalized desensitizing agent can be made for this kind of patient, desensitizing agent is improved and uses curative effect, them is allowed to be helped
It helps.
Comparison and whitening Odonto-maxillary cover are corrosive and irritation because whitening agent is high concentration, and tooth whitening suggestion is by special
Section doctor operates after protecting to perienchymas such as periodontium and carries out, it is not recommended that voluntarily tooth-whitening of being in, though main cause is
Right home-use tooth-whitening reagent is fixed on dental surface by denture fixing device, but this universal pallet is not to try by user
The production of agent oral condition, it is very low to match degree of conformity with the tooth body dental arch actual conditions of user, even if family wear whitening agent is dense
Degree is diluted, but still has irritation and corrosivity, easily causes the risks such as chemical burn, the sensitivity of tooth of periodontium,
It with certain risk and traumatic, therefore is not recommended to use, thus also the necessity of visible customization of individual character facing application and pass
Keyness.
The above is only presently preferred embodiments of the present invention, is not intended to limit the scope of the present invention, current row
The technical staff of industry can make some deformations and modification, all technologies according to the present invention under the inspiration of the technical program
Essence still falls within the range of technical solution of the present invention to any modification, equivalent variations and modification made by above embodiment
It is interior.
Claims (10)
1. a kind of fixed device of desensitizing agent of hyperesthesia of dentin's treatment, which is characterized in that the fixation device is shaped to
Facing shape, mainly include denture fixing device portion and sensitivity treatment area,
The denture fixing device portion is shaped to the matched three-dimensional film of full dental arch with maxillary teeth, mandibular teeth by high-molecular diaphragm
Cavity body structure, denture fixing device portion opening are provided with undercut structure, are connect by undercut structure with tooth body maintenance；
Denture fixing device portion depth or width face are in the appearance that storage desensitizing agent is preset in spacing tooth body 0.12~0.28mm thickness range
Cavity configuration forms sensitivity treatment area.
2. a kind of fixed device of desensitizing agent of hyperesthesia of dentin's treatment according to claim 1, which is characterized in that institute
The inner tissue face for stating denture fixing device portion is provided with lines and forms anti-skidding rough surface.
3. a kind of fixed device of desensitizing agent of hyperesthesia of dentin's treatment according to claim 1, which is characterized in that institute
The molding thickness in the denture fixing device portion stated is 0.3~0.8mm.
4. a kind of fixed device of desensitizing agent of hyperesthesia of dentin's treatment according to claim 1, which is characterized in that institute
Cusp position, corona buccal labial surface, tongue palatal surface or the neck portion of tooth body is arranged in the sensitivity treatment area stated.
5. a kind of fixed device of desensitizing agent of hyperesthesia of dentin's treatment according to claim 1, which is characterized in that institute
The high-molecular diaphragm stated is medical PETG diaphragm or PE isolation diaphragm, is elastic ebonite diaphragm.
6. a kind of fixed device of desensitizing agent of hyperesthesia of dentin's treatment according to claim 5, which is characterized in that institute
Stating high-molecular diaphragm is the dental arch shape elastic film cavity by independently customized dentognathic model thermoplastic shaping.
7. a kind of fixed device of desensitizing agent of hyperesthesia of dentin's treatment according to claim 1, which is characterized in that institute
The undercut structure stated is set as being covered on region on gingival margin along each tooth or is covered on gum lower edge.
8. a kind of fixed device of desensitizing agent of hyperesthesia of dentin's treatment according to claim 7, which is characterized in that institute
The undercut structure setting stated is at 3~4 teeth of two cheek sides, to carry out maintenance from cheek side.
9. a kind of preparation of the fixed device of desensitizing agent of hyperesthesia of dentin's treatment according to claim 1-8
Method, which is characterized in that the preparation method mainly comprises the steps that
1) it obtains oral cavity former model: carrying out individual buccal impression for each patient's customized type to obtain the oral cavity of patient yin
Membrane modle；
2) prepare oral cavity formpiston model: then the liquid gypsum of mixing is filled into the former model of oral cavity by mixing super hard gypsum,
It is taken out after hardening and obtains the customized type oral cavity formpiston model of adaptation patient, as formpiston dentognathic model A；
3) it marks sensitizing range: detecting the sensitive tooth body of patient, and to the sensitivity of corresponding sensitive tooth body on formpiston dentognathic model A
Region carries out fixed point label；
4) it presets sensitivity treatment area: on formpiston dentognathic model A centered on the sensitizing range for pinpointing label, being diffused as justifying outward
The sensitivity treatment area for thickening surface is formed in the mixing gypsum that circumferential surface covers 0.1~0.3 mm thickness, then in its table in week
Face adds plating road to form rough surface, and formpiston dentognathic model B is obtained after hardening；
5) hot glue forms: after the complete hardening by cooling of formpiston dentognathic model B of super hard gypsum preparation, formpiston dentognathic model B being put
It is placed on film laminator, using high-molecular diaphragm on film laminator, heats high-molecular diaphragm, make it according to the wheel of formpiston dentognathic model B
Exterior feature compacting diaphragm and the film cavity body structure for being shaped to dental arch shape, so that denture fixing device portion be made；
6) after denture fixing device portion suppresses successfully, denture fixing device portion edge to edge round blunt finished edge: is repaired after complete hardening by cooling；
7) user applies: patient tries on, formally to use after patient's teaching application method.
10. a kind of fixed device of desensitizing agent of hyperesthesia of dentin treatment according to claim 1-8 at
Type method, which is characterized in that the forming method mainly comprises the steps that
1) model structure is determined to patient's oral condition inspection, choose the matched disposable oral cavity impression tray of size and algae is set
Hydrochlorate moulage produces oral cavity former model using the flexibility of alginate impression material, and super hard gypsum filling is then perfused
To the former model of oral cavity, formpiston model, i.e. formpiston dentognathic model A are obtained after demoulding；
2) it is directed to the sensitive tooth body of patient, marked is carried out on formpiston dentognathic model A to sensitizing range, and superhard to coat
The mode of gypsum is covered on label, and coverage area is greater than sensitizing range, and cladding thickness is 0.1~0.3mm, to its table before hardening
Face carries out coining lines processing, and shaggy formpiston dentognathic model B is made after hardening；
3) formpiston dentognathic model B is placed on molding press pallet, using high-molecular diaphragm according to formpiston dentognathic model B thermoplastic at
Type is the film cavity in denture fixing device portion, detailed process further include:
A1, the formpiston dentognathic model B prepared by super hard gypsum is placed on molding press platform base；
A2, high-molecular diaphragm is displaced downwardly to the formpiston tooth jaw being placed on platform base after heater heats to a certain extent
At Model B；
A3, Open valve carry out vacuum chamber using vacuum pump to vacuumize work；
Die trial at the beginning of A4, high-molecular diaphragm using formpiston dentognathic model B at this time as the denture fixing device portion that master mold thermoplastic shaping is fixed device；
4) by die trial at the beginning of denture fixing device portion and formpiston dentognathic model B separated demolding, and die trial at the beginning of denture fixing device portion is trimmed and is arranged down
Recessed structure obtains the fixed device of the desensitizing agent that finally can directly wear after polishing.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201810941463.6A CN109172022A (en) | 2018-08-17 | 2018-08-17 | The fixed device of the desensitizing agent of hyperesthesia of dentin's treatment and preparation, forming method |
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201810941463.6A CN109172022A (en) | 2018-08-17 | 2018-08-17 | The fixed device of the desensitizing agent of hyperesthesia of dentin's treatment and preparation, forming method |
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| CN109172022A true CN109172022A (en) | 2019-01-11 |
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| CN201810941463.6A Pending CN109172022A (en) | 2018-08-17 | 2018-08-17 | The fixed device of the desensitizing agent of hyperesthesia of dentin's treatment and preparation, forming method |
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Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN111249629A (en) * | 2020-01-19 | 2020-06-09 | 闫鹏 | Carried in mouth125Radioactive particle conformal pressed film and its preparation method |
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| WO2001085049A2 (en) * | 2000-05-08 | 2001-11-15 | Ultradent Products, Inc. | Methods for accelerated desensitization of teeth |
| CN1440730A (en) * | 2002-11-13 | 2003-09-10 | 张佐 | Occlusion jacket for treating tooth sensitiveness |
| CN1809322A (en) * | 2003-06-18 | 2006-07-26 | 牙周保护有限责任公司 | Periodontal medicament delivery tray |
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