CN109998712B - Preparation method of dental foundation pile installation auxiliary positioner - Google Patents
Preparation method of dental foundation pile installation auxiliary positioner Download PDFInfo
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- CN109998712B CN109998712B CN201910284549.0A CN201910284549A CN109998712B CN 109998712 B CN109998712 B CN 109998712B CN 201910284549 A CN201910284549 A CN 201910284549A CN 109998712 B CN109998712 B CN 109998712B
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C8/00—Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools
- A61C8/0089—Implanting tools or instruments
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K6/00—Preparations for dentistry
- A61K6/90—Compositions for taking dental impressions
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- C—CHEMISTRY; METALLURGY
- C08—ORGANIC MACROMOLECULAR COMPOUNDS; THEIR PREPARATION OR CHEMICAL WORKING-UP; COMPOSITIONS BASED THEREON
- C08F—MACROMOLECULAR COMPOUNDS OBTAINED BY REACTIONS ONLY INVOLVING CARBON-TO-CARBON UNSATURATED BONDS
- C08F265/00—Macromolecular compounds obtained by polymerising monomers on to polymers of unsaturated monocarboxylic acids or derivatives thereof as defined in group C08F20/00
- C08F265/04—Macromolecular compounds obtained by polymerising monomers on to polymers of unsaturated monocarboxylic acids or derivatives thereof as defined in group C08F20/00 on to polymers of esters
- C08F265/06—Polymerisation of acrylate or methacrylate esters on to polymers thereof
Abstract
The invention belongs to the technical field of false tooth installation, and relates to an auxiliary positioning type dental foundation pile installation method, wherein the specific process comprises four steps of foundation pile positioning in a dental model, resin stacking molding, shaping resin forming and clinical intra-oral foundation pile positioning, the fruity resin components comprise methyl methacrylate and ethyl methacrylate copolymer, an antibacterial agent, edible pigment, fruity essence, talcum powder, methyl methacrylate, water and ethanol, the foundation pile is clinically used, is fixed relative to a tooth and cannot deviate from the correct direction, the auxiliary positioning effect is achieved, the operation is convenient and rapid, and meanwhile, the fruity resin emits faint fruity flavor, so that the medical compliance of a patient is increased; the method has scientific principle, convenient operation, convenient use, safety, reliability and environment-friendly application.
Description
Technical Field
The invention belongs to the technical field of false tooth installation, relates to an auxiliary positioning type dental foundation pile installation process, and particularly relates to a method for realizing clinical dental foundation pile installation by means of auxiliary in-place resin prepared by performing plastic stacking on a foundation pile and adjacent teeth by means of medical resin with fruit fragrance.
Background
The implant is a tooth missing restoration method for supporting and retaining an upper dental restoration based on a lower structure implanted into bone tissue, is one of the best existing restoration techniques for tooth missing, and is widely used due to the advantages of stability, safety, no damage to adjacent healthy teeth, long service life and the like. The implant comprises an implant body, an abutment and a dental crown, the manufactured implant body needs to be implanted and installed in the oral cavity of a patient through a small surgical operation, the implant body is installed in a jaw bone through the small surgical operation in the implanting process, the abutment and the implant body are screwed tightly through screws, and the dental crown is adhered to the abutment, wherein the process of connecting the abutment and the implant body through the screws easily causes the defects of unstable manipulator, poor positioning and directional control, inaccurate visual inspection of an operator and the like, so that the fixed position of the abutment is deviated, the dental crown and the abutment are not centered in the tooth missing gap after being positioned and adhered, or deviate from the correct direction, discomfort is brought to the patient, even the implant fails, if the work efficiency is reduced and the pain is brought to the patient through repeated repair; chinese patent application No. cn201621099990.x discloses a dental implant abutment positioning device, which simulates abutment direction through an indicator, adjusts implant screwing depth, and when the indicator reaches the abutment direction of the original designed implant, the implant is implanted to the exact depth, thereby ensuring that the abutment designed and manufactured before the operation can be completely positioned according to the designed angle, and the angle of the temporary crown worn is more accurate, however, this method is only suitable for adjusting the position of the restored tooth, and cannot ensure the relative position of the restored tooth and the adjacent tooth to be accurate; chinese patent No. CN201720019934.9 discloses a fixture for positioning a dental implant restoration abutment, which is positioned by manually holding the fixture, and has the defects of positioning deviation caused by unstable technique; therefore, the auxiliary positioning type dental foundation pile mounting method is sought, medical resin with fruity flavor is adopted to be molded on the foundation pile and the adjacent teeth in a stacking mode to obtain auxiliary in-place resin, the foundation pile adhered with the fruity in-place resin is used clinically, the end of an adjacent tooth fixing mold of the fruity in-place resin is sleeved on the adjacent teeth, screws in the foundation pile are screwed down through a screwdriver, the foundation pile is fixed relative to the adjacent teeth and cannot deviate from the correct direction, the auxiliary positioning effect is achieved, the operation is convenient and rapid, meanwhile, the fruity resin emits faint fruity flavor, and the compliance of patients in medical treatment is improved.
Disclosure of Invention
The invention aims to overcome the defects in the prior art, and provides an auxiliary positioning type dental foundation pile mounting method, which aims to solve the problems that the abutment mounting position is deviated due to unstable manipulation, poor positioning and orientation control, inaccurate visual observation of an operator and the like of the operator, solve the problems that a crown and the abutment are not in the middle of an edentulous gap or deviate from the correct direction after positioning and bonding, and solve the problems that a clinical medical tool has peculiar smell and affects the treatment compliance of a patient.
In order to achieve the aim, the invention relates to an auxiliary positioning type dental foundation pile installation method, which comprises the following four steps of positioning a foundation pile in a dental model, resin stacking and molding, shaping molding resin and positioning the foundation pile in a clinical oral cavity:
(1) positioning a foundation pile in the tooth mold: firstly, accurately finding the position of installation and positioning of a dental foundation pile manufactured in the prior art on a dental model according to the tooth missing gap, the adjacent tooth relation and the position situation thereof, connecting the foundation pile with an implant installed on a dental model through a screw thread by using a screw, checking and correcting the position and the direction of the foundation pile again according to the tooth arrangement position of the model, and determining the final position of the foundation pile;
(2) resin stacking and molding: fixedly placing a tubular screw hole protective sleeve at the screw hole of the foundation pile installed in the step (1) to prevent resin from blocking the screw hole, wherein the diameter of the protective sleeve is 1-3 mm larger than that of the screw hole on the foundation pile, respectively coating release agents on the foundation pile, the protective sleeve and the adjacent teeth, firstly mixing resin powder and resin liquid into bulk resin according to the mass ratio of 3:2, and uniformly coating and accumulating the resin on the outer surface of the foundation pile and one adjacent tooth of the foundation pile to ensure that the resin on the foundation pile is stably connected with the resin on the adjacent tooth; coating the reserved screw hole protective sleeve and exposing the protective sleeve outside the resin when the resin is coated, stopping coating when the thickness of the coated resin is 2-5 mm, and curing the tooth mold coated with the resin for 5-10 minutes in a closed sterile environment at the temperature of 20-25 ℃; the resin adopts a medical resin finished product commonly used in the field, or adopts self-made fruity resin to replace bulk resin;
(3) shaping of molding resin: taking down the cured molding resin obtained in the step (2) and the foundation pile as a whole, forming a top model of the abutment on the molding resin at a position contacted with the abutment, repairing the edge of the molding resin by using a disinfection cutter, cutting and cleaning redundant residual corner resin to ensure that the surface of the molding resin is neat and clean, taking down a screw hole protective sleeve, forming a channel communicated with a screw hole of the foundation pile at the position of the protective sleeve on the molding resin to facilitate the passing of a screw, and placing the molding resin on the model to confirm whether the abutment and the abutment can be aligned after the repair is finished;
(4) positioning of foundation piles in the oral cavity: applying the molding resin processed in the step (3) to positioning of a foundation pile in a clinical mouth, sleeving a molding die at the end of an adjacent tooth on the molding resin on the adjacent tooth in the oral cavity to play a role in fixing and positioning, enabling the foundation pile integrally connected with the adjacent tooth die not to deviate, aligning the foundation pile with an implant, penetrating a special screw cutter in an implantation operation system through a screw hole reserved in the molding resin, screwing the foundation pile and the implant through a screw, adjusting a torque wrench to a proper torque to apply force to the foundation pile, taking off the fruity resin, and positioning and installing the foundation pile.
The preparation process of the self-made fruity resin comprises the following steps: the self-made fruity resin comprises the following components in parts by weight: 40-65 parts of a copolymer of methyl methacrylate and ethyl methacrylate, 3-8 parts of an antibacterial agent, 5-10 parts of an edible pigment, 2-5 parts of a fruit-flavored essence, 2-5 parts of talcum powder, 22-43 parts of methyl methacrylate, 6-15 parts of water and 4-12 parts of ethanol, wherein after all the components of the fruit-flavored resin are mixed in parts, the mixture is uniformly stirred by a small stirrer to prepare a dough-shaped viscous fruit-flavored resin which can emit light fruit flavor, the curing time of the prepared dough-shaped fruit-flavored resin is 5-10 minutes, and the working efficiency can be improved; the edible pigment is any one of brilliant blue, curcumin or carotene, and the fruit-flavor essence is any one of grape essence, lemon essence or apple essence. The fruity resin prepared by the preparation process can also replace the traditional impression material, is used for obtaining a dental model of a patient oral cavity so as to be convenient for manufacturing a temporary dental crown or a dental implant, is particularly suitable for children or adults who have fear and rejection to the hospitalization of teeth and have the rejection to the taste of the traditional impression material, and the self-made fruity resin gives comfort to the patient by emitting light fruity flavor and resin texture, so that the compliance of the hospitalization is enhanced.
Compared with the prior art, the auxiliary positioning resin is prepared by stacking and molding medical resin with fruity flavor on the foundation pile and the adjacent teeth, the foundation pile is fixed relative to the adjacent teeth clinically, does not deviate from the correct direction, plays a role in auxiliary positioning, is convenient and quick to operate, and simultaneously emits faint fruity flavor, so that the compliance of patients in medical treatment is improved; the method has scientific principle, convenient operation, convenient use, safety, reliability and environment-friendly application.
Drawings
FIG. 1 is a schematic block diagram of the process flow principle of the present invention.
Detailed Description
The invention is further illustrated by the following specific examples in combination with the accompanying drawings.
Example 1:
the specific process of the method for installing the auxiliary positioning type dental foundation pile comprises four steps of positioning the foundation pile in a dental model, stacking and molding resin, shaping the molded resin and positioning the foundation pile in the clinical oral cavity:
(1) positioning a foundation pile in the tooth mold: firstly, accurately finding the position of installation and positioning of a dental foundation pile manufactured in the prior art on a dental model according to the tooth missing gap, the adjacent tooth relation and the position situation thereof, connecting the foundation pile with an implant installed on a dental model through a screw thread by using a screw, checking and correcting the position and the direction of the foundation pile again according to the tooth arrangement position of the model, and determining the final position of the foundation pile;
(2) resin stacking and molding: fixedly placing a tubular screw hole protective sleeve at the screw hole of the foundation pile installed in the step (1) to prevent resin from blocking the screw hole, wherein the diameter of the protective sleeve is 1-3 mm larger than that of the screw hole on the foundation pile, respectively coating release agents on the foundation pile, the protective sleeve and the adjacent teeth, firstly mixing resin powder and resin liquid into bulk resin according to the mass ratio of 3:2, and uniformly coating and accumulating the resin on the outer surface of the foundation pile and one adjacent tooth of the foundation pile to ensure that the resin on the foundation pile is stably connected with the resin on the adjacent tooth; coating the reserved screw hole protective sleeve and exposing the protective sleeve outside the resin when the resin is coated, stopping coating when the thickness of the coated resin is 2-5 mm, and curing the tooth mold coated with the resin for 5-10 minutes in a closed sterile environment at the temperature of 20-25 ℃; the resin is a medical self-setting resin which is a finished product commonly used in the field, or a self-made fruity resin; the use of the self-made fruity resin can simplify the operation steps, save the operation time, reduce the cost, facilitate the smearing, automatically form a film with uniform thickness, and has smooth and beautiful appearance;
(3) shaping of molding resin: taking down the cured molding resin obtained in the step (2) and the foundation pile as a whole, forming a top model of the abutment on the molding resin at a position contacted with the abutment, repairing the edge of the molding resin by using a disinfection cutter, cutting and cleaning redundant residual corner resin to ensure that the surface of the molding resin is neat and clean, taking down a screw hole protective sleeve, forming a channel communicated with a screw hole of the foundation pile at the position of the protective sleeve on the molding resin to facilitate the passing of a screw, and placing the molding resin on the model to confirm whether the abutment and the abutment can be aligned after the repair is finished;
(4) positioning of foundation piles in the oral cavity: applying the molding resin processed in the step (3) to positioning of a foundation pile in a clinical mouth, sleeving a molding die at the end of an adjacent tooth on the molding resin on the adjacent tooth in the oral cavity to play a role in fixing and positioning, enabling the foundation pile connected with the adjacent tooth die into a whole not to deviate, aligning the foundation pile with an implant, penetrating a special screw cutter in an implantation surgery system through a reserved screw hole on the molding resin, screwing the foundation pile and the implant through a screw, adjusting a torque wrench to a proper torque to apply force to the foundation pile, taking off the fruity resin, and positioning and installing the foundation pile; the whole process has the advantages of simple retention and installation process, rapid forming, convenient operation, high forming success rate, reduction of the operation time in the oral cavity of a patient and reduction of the discomfort of the patient.
Preferably, the auxiliary positioning type dental foundation pile installation method is used for the foundation pile installation of the perfect adjacent tooth single tooth restoration.
Preferably, the auxiliary positioning type dental foundation pile installation method is used for children or adults with fear and rejection psychology in tooth restoration, the method is fast and accurate in operation, the operation time in the oral cavity of a patient is shortened, the comfort level of the patient is high due to the fact that resin with fruit fragrance has the texture higher than that of a metal hard tool, 100 patients with fear feeling in the hospitalization of teeth are clinically selected, the method is adopted for installing the dental implant foundation pile, the operation time for installing one foundation pile in the oral cavity of the patient is 1-2 minutes, the installation is uniformly successful in place, and subsequent rework adjustment is avoided.
The preparation process of the self-made fruity resin related to the embodiment comprises the following steps: the self-made fruity resin comprises the following components in parts by weight: 40-65 parts of a copolymer of methyl methacrylate and ethyl methacrylate, 3-8 parts of an antibacterial agent, 5-10 parts of an edible pigment, 2-5 parts of a fruit-flavored essence, 2-5 parts of talcum powder, 22-43 parts of methyl methacrylate, 6-15 parts of water and 4-12 parts of ethanol, wherein after all the components of the fruit-flavored resin are mixed in parts, the mixture is uniformly stirred by a small stirrer to prepare a dough-shaped viscous fruit-flavored resin which can emit light fruit flavor, the curing time of the prepared dough-shaped fruit-flavored resin is 5-10 minutes, and the working efficiency can be improved; the edible pigment is any one of brilliant blue, curcumin or carotene, and the fruit-flavor essence is any one of grape essence, lemon essence or apple essence. The fruity resin prepared by the preparation process can also replace the traditional impression material, is used for obtaining a dental model of a patient oral cavity so as to be convenient for manufacturing a temporary dental crown or a dental implant, is particularly suitable for children or adults who have fear and rejection to the hospitalization of teeth and have the rejection to the taste of the traditional impression material, and the self-made fruity resin gives comfort to the patient by emitting light fruity flavor and resin texture, so that the compliance of the hospitalization is enhanced.
Claims (2)
1. A preparation method of an auxiliary positioner for mounting a dental foundation pile is characterized by comprising the following specific technological processes: positioning a foundation pile in a tooth mould, stacking and molding resin and shaping the molded resin:
(1) positioning a foundation pile in the tooth mold: firstly, accurately finding the position of installation and positioning of a dental foundation pile manufactured in the prior art on a dental model according to the tooth missing gap, the adjacent tooth relation and the position situation thereof, connecting the foundation pile with an implant installed on a dental model through a screw thread by using a screw, checking and correcting the position and the direction of the foundation pile again according to the tooth arrangement position of the model, and determining the final position of the foundation pile;
(2) resin stacking and molding: fixedly placing a tubular screw hole protective sleeve at the screw hole of the foundation pile installed in the step (1) to prevent resin from blocking the screw hole, wherein the diameter of the protective sleeve is 1-3 mm larger than that of the screw hole on the foundation pile, respectively coating release agents on the foundation pile, the protective sleeve and the adjacent teeth, firstly mixing resin powder and resin liquid into bulk resin according to the mass ratio of 3:2, and uniformly coating and accumulating the resin on the outer surface of the foundation pile and one adjacent tooth of the foundation pile to ensure that the resin on the foundation pile is stably connected with the resin on the adjacent tooth; coating the reserved screw hole protective sleeve and exposing the protective sleeve outside the resin when the resin is coated, stopping coating when the thickness of the coated resin is 2-5 mm, and curing the tooth mold coated with the resin for 5-10 minutes in a closed sterile environment at the temperature of 20-25 ℃;
(3) shaping of molding resin: taking down the cured molding resin obtained in the step (2) and the foundation pile as a whole, forming a top model of the abutment on the molding resin at a position contacted with the abutment, repairing the edge of the molding resin by using a disinfection cutter, cutting and cleaning redundant residual corner resin to ensure that the surface of the molding resin is neat and clean, taking down a screw hole protective sleeve, forming a channel communicated with a screw hole of the foundation pile at the position of the protective sleeve on the molding resin to facilitate the passing of a screw, and placing the molding resin on the model to confirm whether the abutment and the abutment can be aligned after the repair is finished;
the resin is self-made fruity resin which comprises the following components in parts by weight: 40-65 parts of methyl methacrylate and ethyl methacrylate copolymer, 3-8 parts of antibacterial agent, 5-10 parts of edible pigment, 2-5 parts of fruit-flavored essence, 2-5 parts of talcum powder, 22-43 parts of methyl methacrylate, 6-15 parts of water and 4-12 parts of ethanol.
2. The method for preparing the dental foundation pile installation auxiliary locator according to claim 1, wherein the self-made fruity resin is prepared by the following steps: after all the components of the fruity resin are mixed according to parts, the mixture is uniformly stirred by a small stirrer to prepare bulk viscous fruity resin which can emit light fruity fragrance, the curing time of the prepared bulk fruity resin is 5-10 minutes, and the working efficiency can be improved; the edible pigment is any one of brilliant blue, curcumin or carotene, and the fruit-flavor essence is any one of grape essence, lemon essence or apple essence.
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EP2465465B1 (en) * | 2010-12-20 | 2013-04-24 | Laboratoire Bienfait | Unit and method for manufacturing a dental prosthesis |
CN106963505A (en) * | 2017-03-18 | 2017-07-21 | 杭州华粹义齿制作有限公司 | A kind of lateral screw retained dummy preparation method in planting body top |
CN206566030U (en) * | 2016-09-30 | 2017-10-20 | 深圳市龙岗中心医院 | Dental implantion base station positioner |
WO2018043949A1 (en) * | 2016-08-30 | 2018-03-08 | 주식회사 디오 | Resin identifier for intraoral attachment and method for manufacturing surgical guide for implant using same |
CN108309476A (en) * | 2018-02-07 | 2018-07-24 | 北京康泰健瑞牙科技术有限公司 | A kind of implantation methods of tooth-implanting |
CN208710120U (en) * | 2017-12-20 | 2019-04-09 | 北京德瑞森科技有限公司 | Base station guide plate in place |
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2019
- 2019-04-10 CN CN201910284549.0A patent/CN109998712B/en active Active
Patent Citations (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
EP2465465B1 (en) * | 2010-12-20 | 2013-04-24 | Laboratoire Bienfait | Unit and method for manufacturing a dental prosthesis |
WO2018043949A1 (en) * | 2016-08-30 | 2018-03-08 | 주식회사 디오 | Resin identifier for intraoral attachment and method for manufacturing surgical guide for implant using same |
CN206566030U (en) * | 2016-09-30 | 2017-10-20 | 深圳市龙岗中心医院 | Dental implantion base station positioner |
CN106963505A (en) * | 2017-03-18 | 2017-07-21 | 杭州华粹义齿制作有限公司 | A kind of lateral screw retained dummy preparation method in planting body top |
CN208710120U (en) * | 2017-12-20 | 2019-04-09 | 北京德瑞森科技有限公司 | Base station guide plate in place |
CN108309476A (en) * | 2018-02-07 | 2018-07-24 | 北京康泰健瑞牙科技术有限公司 | A kind of implantation methods of tooth-implanting |
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Denomination of invention: A preparation method for dental pile installation auxiliary locator Effective date of registration: 20230628 Granted publication date: 20210924 Pledgee: Weihai commercial bank Limited by Share Ltd. Qingdao branch Pledgor: Qingdao Wilhelm Denture Technology Co.,Ltd. Registration number: Y2023980046514 |