CN109276333A - The device and method broadening for oral implant rehabilitation attached gingiva - Google Patents

The device and method broadening for oral implant rehabilitation attached gingiva Download PDF

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Publication number
CN109276333A
CN109276333A CN201811255952.2A CN201811255952A CN109276333A CN 109276333 A CN109276333 A CN 109276333A CN 201811255952 A CN201811255952 A CN 201811255952A CN 109276333 A CN109276333 A CN 109276333A
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China
Prior art keywords
arc
substrate
cover plate
curved cover
hollow screw
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CN201811255952.2A
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Chinese (zh)
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CN109276333B (en
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周铨
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Hangzhou Stomatological Hospital Group Co Ltd
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Hangzhou Stomatological Hospital Group Co Ltd
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Priority to CN201811255952.2A priority Critical patent/CN109276333B/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C8/00Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools
    • A61C8/0089Implanting tools or instruments
    • 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
    • A61C19/063Medicament applicators for teeth or gums, e.g. treatment with fluorides
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M31/00Devices for introducing or retaining media, e.g. remedies, in cavities of the body
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2210/00Anatomical parts of the body
    • A61M2210/06Head
    • A61M2210/0625Mouth
    • A61M2210/0631Gums

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  • Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Epidemiology (AREA)
  • Dentistry (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Anesthesiology (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Hematology (AREA)
  • Dental Prosthetics (AREA)

Abstract

The invention discloses a kind of device and methods broadening for oral implant rehabilitation attached gingiva, including arc substrate, through the nut of arc upper surface of base plate and lower surface, arc-shaped cavity in arc substrate, several micropores on arc base lower surface, liquid anti-inflammatory drug in arc-shaped cavity, the M through-hole on the upper surface of arc substrate, curved cover plate;Curved cover plate is equipped with M protrusion, and each protrusion is cooperatively connected with each through-hole respectively, and M is greater than 5.The present invention has and ensures that graft is fixed on by area, hemotoncus is eliminated, the characteristics of reaching higher free gum valve survival rate, improve the success rate of tooth-implanting operation.

Description

The device and method broadening for oral implant rehabilitation attached gingiva
Technical field
The present invention relates to tooth-implanting relevant device technical fields, are used for oral implant rehabilitation attached gingiva more particularly, to one kind Broadening device and method.
Background technique
The gum adhered to around plantation periodontal can resist root side's intrusion of bacterium, improve the health status of plantation periodontal, Prevent bone resorption.The case where some patients lack there are tooth-implanting attached gingiva, gum missing can reduce effective angling mucous membrane Width, aggravates the inflammatory reaction of mucous membrane around tooth-implanting, and plaque accumulation increases.
Attached gingiva missing or defect also result in the forfeiture of the absorption of alveolar bone and adhesive ability of tooth-implanting neck, lead Cause the failure of implant operation.Therefore, it is necessary to take measures, increase the width of attached gingiva around tooth-implanting.Currently, defect is repaired It is multiple mainly to be solved by Free Graft Of Gingiva.The broadening operation of traditional plantation periodontal attached gingiva is often due to lack good blood For, by area flap cannot well in conjunction with cause operation failure.
Summary of the invention
Goal of the invention of the invention is to overcome the broadening operation of plantation periodontal attached gingiva in the prior art to be easy failure Deficiency, provide a kind of device and method broadening for oral implant rehabilitation attached gingiva.
To achieve the goals above, the invention adopts the following technical scheme:
A kind of device broadening for oral implant rehabilitation attached gingiva, including arc substrate run through arc upper surface of base plate With the nut of lower surface, arc-shaped cavity in arc substrate, several micropores on arc base lower surface are set to Liquid anti-inflammatory drug in arc-shaped cavity, the M through-hole on the upper surface of arc substrate, curved cover plate;It is set on curved cover plate There is M protrusion, each protrusion is cooperatively connected with each through-hole respectively, and M is greater than 5.
Arc substrate of the invention has carried out the postoperative gum of increment for covering gingival soft tissue, makes the palate of transplanting Free gum valve is grown to together as early as possible with former gum, plays the role of fixed free gum flap position, it is easier to ensure that graft is fixed Yu Shouqu eliminates hemotoncus to reach higher free gum valve survival rate and improves the success rate of tooth-implanting operation.
Preferably, cylinder is equipped on each through-hole lower surface, between being equipped between cylinder lower end and the lower surface of cavity Gap;Floating ball is equipped in cylinder, the diameter of floating ball is greater than gap.
The setting of each floating ball, the vibration of the liquid anti-inflammatory drug in cavity convenient for amplifying arc substrate, to make liquid Anti-inflammatory drug infiltrates, and is graft anti-inflammatory.
Preferably, liquid anti-inflammatory drug includes liquid penicillin and glycerol.Glycerol can provide lubricating action, make at operation It is more soft, reduce the pain of patient.
A method of based on the device broadening for oral implant rehabilitation attached gingiva, include the following steps:
(4-1) wants the modulus that opens a window at tooth-implanting in patient, makes patient's intraoral model using super hard gypsum, draws on model The edge line of arc substrate out;
(4-2) installs hollow screw at the tooth-implanting of patient, and the material of use production temporary tooth makes according to edge line Arc substrate and curved cover plate, and arc substrate and curved cover plate are polished;
After (4-3) has carried out increment operation to the gingival soft tissue around hollow screw, nut lower part is made to be inserted into hollow spiral shell In nail, long spiro nail is protruded into nut and hollow screw, is tightened long spiro nail and nut and hollow screw with tool;Make arc base Plate and hollow screw are fixedly mounted;
(4-4) on curved cover plate lid to arc substrate, will make each protrusion be cooperatively connected respectively with each through-hole;
When patient speaks or has a meal, the vibration of arc substrate will cause, liquid anti-inflammatory drug is leaked out from micropore, is performed the operation for increment Gum anti-inflammatory afterwards.
Therefore, the invention has the following beneficial effects: fixed free gum flap positions, it is ensured that graft is fixed on by area, is disappeared Except hemotoncus, reaches higher free gum valve survival rate, improve the success rate of tooth-implanting operation.
Detailed description of the invention
Fig. 1 is a kind of partial sectional view of the invention;
Fig. 2 is a kind of top view of arc substrate of the invention;
Fig. 3 is a kind of cross-sectional view that nut of the invention, hollow screw and long spiro nail match.
In figure: arc substrate 1, arc-shaped cavity 2, micropore 3, through-hole 4, curved cover plate 5, cylinder 6, floating ball 7, nut 8, hollow Screw 9, long spiro nail 10, protrusion 51.
Specific embodiment
The present invention will be further described with reference to the accompanying drawings and detailed description.
Embodiment as shown in Figure 1 and Figure 2 is a kind of device broadening for oral implant rehabilitation attached gingiva, including arc Substrate 1, the nut 8 through arc upper surface of base plate and lower surface, the arc-shaped cavity 2 in arc substrate are set to arc base Multiple micropores 3 on plate lower surface, the liquid anti-inflammatory drug in arc-shaped cavity, 12 on the upper surface of arc substrate Through-hole 4, curved cover plate 5;Curved cover plate is equipped with 12 protrusions 51, and each protrusion is cooperatively connected with each through-hole respectively.
As shown in Figure 1, being equipped with cylinder 6 on each through-hole lower surface, it is equipped between cylinder lower end and the lower surface of cavity Gap;Floating ball 7 is equipped in cylinder, the diameter of floating ball is greater than gap.Liquid anti-inflammatory drug includes liquid penicillin and glycerol.
A method of the device broadening for oral implant rehabilitation attached gingiva includes the following steps:
(4-1) wants the modulus that opens a window at tooth-implanting in patient, makes patient's intraoral model using super hard gypsum, draws on model The edge line of arc substrate out;The marginal position of edge line and transplanting soft tissue flap are in the same size;
As shown in figure 3, (4-2) installs hollow screw 9 at the tooth-implanting of patient, the material of use production temporary tooth according to Edge line makes arc substrate and curved cover plate, and polishes to arc substrate and curved cover plate;The material of temporary tooth is Luo C1-esteraseremmer-N temporary crown material.
After (4-3) has carried out increment operation to the gingival soft tissue around hollow screw, nut lower part is made to be inserted into hollow spiral shell In nail, long spiro nail 10 is protruded into nut and hollow screw, is tightened long spiro nail and nut and hollow screw with tool;Make arc Substrate and hollow screw are fixedly mounted;The free gum valve of patient's palate is taken to carry out plantation periodontal soft tissue increment;Tighten long spiro nail When the power that applies be 20N;
(4-4) on curved cover plate lid to arc substrate, will make each protrusion be cooperatively connected respectively with each through-hole;
When patient speaks or has a meal, the vibration of arc substrate will cause, liquid anti-inflammatory drug is leaked out from micropore, is performed the operation for increment Gum anti-inflammatory afterwards.
Dismounting curved cover plates on the 10th and arc substrate after increment operation, gingival soft tissue healing is good, removes art area suture, General planting tooth windowing modulus, makes permanent upper prosthesis.
In addition, arc substrate can also be made using the method for 3D printing, after tooth-implanting synosteosis is good, patient is shot Oral cavity CBCT obtains tooth-implanting position, and the three-dimensional datas such as soft tissue thickness are scanned using spatial digitizer, acquisition patient's denture, The STL data of gum three-dimensional surface carry out scan data in preoperative mouth and ideal postoperative effect pair with Digitization Software Than space needed for calculating the soft tissue amount obtained required for the operation of soft tissue increment, to obtain the surface area of arc substrate And thickness, carry out the 3D printing of arc substrate.
It should be understood that this embodiment is only used to illustrate the invention but not to limit the scope of the invention.In addition, it should also be understood that, After having read the content of the invention lectured, those skilled in the art can make various modifications or changes to the present invention, these etc. Valence form is also fallen within the scope of the appended claims of the present application.

Claims (4)

1. a kind of device broadening for oral implant rehabilitation attached gingiva, characterized in that including arc substrate (1), run through arc The nut (8) of upper surface of base plate and lower surface, the arc-shaped cavity (2) in arc substrate are set on arc base lower surface Several micropores (3), the liquid anti-inflammatory drug in arc-shaped cavity, the M through-hole on the upper surface of arc substrate (4), curved cover plate (5);Curved cover plate is equipped with M raised (51), and each protrusion is cooperatively connected with each through-hole respectively, and M is big In 5.
2. the device broadening for oral implant rehabilitation attached gingiva according to claim 1, characterized in that under each through-hole It is equipped with cylinder (6) on surface, gap is equipped between cylinder lower end and the lower surface of cavity;Floating ball (7) are equipped in cylinder, floating ball Diameter be greater than gap.
3. the device broadening for oral implant rehabilitation attached gingiva according to claim 1, characterized in that liquid anti-inflammatory drug Including liquid penicillin and glycerol.
4. a kind of method based on the device broadening for oral implant rehabilitation attached gingiva described in claim 1, characterized in that Include the following steps:
(4-1) wants the modulus that opens a window at tooth-implanting in patient, makes patient's intraoral model using super hard gypsum, arc is drawn on model The edge line of shape substrate;
(4-2) installs hollow screw (9) at the tooth-implanting of patient, and the material of use production temporary tooth makes arc according to edge line Shape substrate and curved cover plate, and arc substrate and curved cover plate are polished;
After (4-3) has carried out increment operation to the gingival soft tissue around hollow screw, make in nut lower part insertion hollow screw, Long spiro nail (10) is protruded into nut and hollow screw, is tightened long spiro nail and nut and hollow screw with tool;Make arc base Plate and hollow screw are fixedly mounted;
(4-4) on curved cover plate lid to arc substrate, will make each protrusion be cooperatively connected respectively with each through-hole;
When patient speaks or has a meal, the vibration of arc substrate will cause, liquid anti-inflammatory drug is leaked out from micropore, is that increment is postoperative Gum anti-inflammatory.
CN201811255952.2A 2018-10-25 2018-10-25 Device and method for widening attached gingiva for oral implantation repair Active CN109276333B (en)

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CN201811255952.2A CN109276333B (en) 2018-10-25 2018-10-25 Device and method for widening attached gingiva for oral implantation repair

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Application Number Priority Date Filing Date Title
CN201811255952.2A CN109276333B (en) 2018-10-25 2018-10-25 Device and method for widening attached gingiva for oral implantation repair

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN114795542A (en) * 2022-04-29 2022-07-29 首都医科大学附属北京口腔医院 Free gum transplantation operation auxiliary fixture

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20030003128A1 (en) * 1999-12-21 2003-01-02 Piero Chiarelli Dental prosthesis with means for the release of active substances
WO2007083670A1 (en) * 2006-01-20 2007-07-26 Nihon University Implanter
CN101873837A (en) * 2007-10-19 2010-10-27 梁基宾 Button for implnat healing abutment and implant healing abutment having pressing part
CN204863522U (en) * 2015-07-28 2015-12-16 杨刚 Gum former
CN105276244A (en) * 2015-10-28 2016-01-27 桂林新艺制冷设备有限责任公司 Vertical liquid one-way valve
CN105833420A (en) * 2008-06-23 2016-08-10 生物递送科学国际公司 Multidirectional mucosal delivery devices and methods of use

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20030003128A1 (en) * 1999-12-21 2003-01-02 Piero Chiarelli Dental prosthesis with means for the release of active substances
WO2007083670A1 (en) * 2006-01-20 2007-07-26 Nihon University Implanter
CN101873837A (en) * 2007-10-19 2010-10-27 梁基宾 Button for implnat healing abutment and implant healing abutment having pressing part
CN105833420A (en) * 2008-06-23 2016-08-10 生物递送科学国际公司 Multidirectional mucosal delivery devices and methods of use
CN204863522U (en) * 2015-07-28 2015-12-16 杨刚 Gum former
CN105276244A (en) * 2015-10-28 2016-01-27 桂林新艺制冷设备有限责任公司 Vertical liquid one-way valve

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN114795542A (en) * 2022-04-29 2022-07-29 首都医科大学附属北京口腔医院 Free gum transplantation operation auxiliary fixture
CN114795542B (en) * 2022-04-29 2023-09-26 首都医科大学附属北京口腔医院 Auxiliary fixing device for free gingiva transplanting operation

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