CN110327123B - Periosteum-sticking valve spreader for oral implantation - Google Patents

Periosteum-sticking valve spreader for oral implantation Download PDF

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Publication number
CN110327123B
CN110327123B CN201910625828.9A CN201910625828A CN110327123B CN 110327123 B CN110327123 B CN 110327123B CN 201910625828 A CN201910625828 A CN 201910625828A CN 110327123 B CN110327123 B CN 110327123B
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holder
rod
clamp
tooth
periosteum
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CN110327123A (en
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马晓妮
于文倩
马丽
徐欣
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Shandong University
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Shandong University
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C19/00Dental auxiliary appliances
    • A61C19/06Implements for therapeutic treatment
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • 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

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  • 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)
  • Orthopedic Medicine & Surgery (AREA)
  • Dental Tools And Instruments Or Auxiliary Dental Instruments (AREA)

Abstract

The invention relates to a periosteum-sticking valve spreader for oral implantation, which comprises a first clamp holder and a second clamp holder, wherein the first clamp holder and the second clamp holder are used for clamping tooth necks of teeth on two sides of a tooth implantation area; each telescopic rod comprises a rod sleeve and an extension rod, and the extension rod can extend out of the rod sleeve by a set length to change the distance between the first clamp and the second clamp. The first clamp holder and the second clamp holder respectively comprise two fixedly connected clamping rods, a clamping space is formed between the two clamping rods, and a first threaded fastener is arranged in each of the first clamp holder and the second clamp holder. The invention can realize the distraction of the periosteum adhesion flap on the buccal side and the lingual side at the same time, better expose the operation visual field, and realize the distraction of the periosteum adhesion flap without being held by medical care personnel in the operation process.

Description

Periosteum-sticking valve spreader for oral implantation
Technical Field
The invention belongs to the technical field of oral treatment, and particularly relates to a periosteum-sticking valve spreader for oral implantation.
Background
In recent years, with the development of oral implant technology, dental implants are favored by edentulous patients and dentists due to their excellent functionality, aesthetic appearance and comfort. The implant is an artificial tooth consisting of an implant in a bone, a connecting structure above the implant and a prosthesis. The implant is implanted into the alveolar bone through an implant operation, and forms good combination with the alveolar bone through a bone combination mechanism to support the upper repair structure of the implant. Implant surgery generally requires exposure of the alveolar bone in the edentulous area, and good surgical area exposure is critical to the operational process of the implant surgery.
The inventor thinks that: in the existing clinical operation, a periosteum stripper is used to expose a periosteum flap, that is, the stripper is used to pull the incised periosteum flap to the buccal side so as to expose the alveolar bone.
The exposure of the operation area of the operation part is not ideal; moreover, only the mucous membrane flap on the buccal side can be peeled off, so that the mucous membrane flap on the lingual side is inconvenient to peel off to expose the surgical visual field on the lingual side, and the surgical area is small and incomplete in exposure range.
Meanwhile, the periosteum elevator needs special medical care personnel to hold the periosteum elevator all the time with great effort in the whole operation, which wastes manpower.
Disclosure of Invention
The invention aims to overcome the defects of the prior art and provide the periosteum-adhesive flap spreader for oral implantation, which can simultaneously spread the periosteum-adhesive flaps on the buccal side and the lingual side and better expose the operation visual field; the opening of the periosteum adhesion valve can be realized without the holding of medical staff in the operation process.
In order to achieve the purpose, the invention adopts the following technical scheme: the device comprises a first holder and a second holder, wherein the first holder and the second holder are used for holding the tooth necks of teeth on two sides of a tooth planting area, two telescopic rods arranged in parallel are connected between the first holder and the second holder, and two ends of each telescopic rod are respectively connected with the first holder and the second holder;
each telescopic rod comprises a rod sleeve and an extension rod, and the extension rod can extend out of the rod sleeve by a set length to change the distance between the first clamp and the second clamp.
Adopt the cooperation of first holder and second holder to use for whole device can be fixed in the regional both sides of treating the operation tooth, and utilize first holder and second holder can strut the buccal side and the lingual side periosteum piece of normal tooth department, and two telescopic links can strut the buccal side and the lingual side periosteum piece of treating the operation region respectively, do not need special medical personnel to hold after the operation field of vision exposes.
Each telescopic rod comprises a rod sleeve and an extension rod, and the extension rod can extend out of the rod sleeve for a set length and is fixed.
The telescopic rod can stretch out and draw back so as to change the distance between the first holder and the second holder, and the condition that the distance is different between the nearly middle tooth and the far middle tooth of the operation area both sides is adapted to different operations.
Furthermore, the both ends of telescopic link are equipped with a first end plate respectively, first end plate and telescopic link fixed connection, the one end that first holder and second holder are close to the telescopic link respectively with second end plate fixed connection, adjacent first end plate rotates through the round pin axle with the second end plate to be connected.
Adopt the mode that first end plate and second end plate cooperation were used, the rigidity between two telescopic links, can take place relative rotation between first end plate and the second end plate, and then make first holder and second holder can take place relative rotation with the telescopic link respectively, when the tooth is irregular with far away tooth near the well tooth in art district both sides, can make the telescopic link of buccal side and lingual side evenly strut the periosteum lamella through the rotation
The working principle is as follows: when the device is used, the length of the telescopic rod is adjusted according to the width of the planting area, and if only one tooth needs to be planted in the planting area, the extension rod in the telescopic rod retracts towards the rod sleeve. Then fix first holder and second holder respectively in the neck of a tooth of the normal tooth of operation planting district both sides, part mucoperiosteal flap is strutted in the normal tooth this moment, because the both ends of telescopic link are connected with first holder and second holder respectively, therefore the telescopic link passes operation planting area and struts buccal side mucoperiosteal flap and lingual side mucoperiosteal flap.
The invention has the beneficial effects that:
1) adopt the cooperation of first holder and second holder to use for whole device can be fixed in the regional both sides of treating the operation tooth, and utilize first holder and second holder can strut the buccal side and the lingual side periosteum piece of normal tooth department, and two telescopic links can strut the buccal side and the lingual side periosteum piece of treating the operation region respectively, do not need special medical personnel to hold after the operation field of vision exposes.
2) The invention can simplify the operation of the planting operation, liberate the two hands of the operator, use the distraction tool to replace the traditional manual stripping, and save the operation of medical personnel after distraction of the bone-sticking valve, thereby saving the manpower. Can realize the stripping of the mucous periosteal flap at the tongue side, fully expose the implantation area and be beneficial to the smooth proceeding of the implantation operation.
3) The telescopic rod can stretch out and draw back so as to change the distance between the first holder and the second holder, and the condition that the distance is different between the nearly middle tooth and the far middle tooth of the operation area both sides is adapted to different operations.
Drawings
The accompanying drawings, which are incorporated in and constitute a part of this application, illustrate embodiments of the application and, together with the description, serve to explain the application and are not intended to limit the application.
FIG. 1 is a schematic view of the overall structure in embodiment 1 of the present invention;
FIG. 2 is a schematic view of the overall structure in embodiment 2 of the present invention;
FIG. 3 is a schematic view of a conventional dental crown and gum;
fig. 4 is a schematic view of a use state in embodiment 1 of the present invention.
In the figure: 1. a first threaded fastener; 2. a clamping rod; 3. a rod sleeve; 4. a second threaded fastener; 5. an extension bar; 6. a pin shaft; 7. a first end plate; 8. a second end plate; 9. a cushion pad; 10. the mesial tooth; 11. a distal tooth; 12. a periosteal flap; 101. a crown of a tooth; 102. a neck of the tooth; 103. a gum; 104. the jaw bone.
Detailed Description
It should be noted that the following detailed description is exemplary and is intended to provide further explanation of the disclosure. Unless defined otherwise, all technical and scientific terms used herein have the same meaning as commonly understood by one of ordinary skill in the art to which this application belongs.
It is noted that the terminology used herein is for the purpose of describing particular embodiments only and is not intended to be limiting of example embodiments according to the present application. As used herein, the singular forms "a", "an" and "the" are intended to include the plural forms as well, and it should be understood that when the terms "comprises" and/or "comprising" are used in this specification, they specify the presence of stated features, steps, operations, devices, components, and/or combinations thereof, unless the context clearly indicates otherwise.
As described in the background art, a current clinical operation uses a periosteal dissector to expose a periosteal flap, i.e., the dissected periosteal flap is buccally pulled by the dissector to expose an alveolar bone. The exposure of the operation area of the operation part is not ideal; moreover, only the mucous membrane flap on the buccal side can be peeled off, so that the mucous membrane flap on the lingual side is inconvenient to peel off to expose the surgical visual field on the lingual side, and the surgical area is small and incomplete in exposure range.
As shown in fig. 3, the upper part of the tooth is a crown 1001, the neck 102 of the middle part is covered by the gum 103, and the lower part is inserted into the jaw 104, and when the tool is held at the neck, the gum is spread to both sides.
It should be noted that, in oral implantation: the midline is an imaginary vertical line bisecting the craniofacial area into left and right halves, and passes through the contact area between the left and right eyes, the tip of the nose, and the left and right incisors. The teeth near the midline are the mesial teeth, and vice versa are the distal teeth.
Buccal side means a side near the cheek, and lingual side means a side near the tongue.
The in-process of current tooth implantation needs to utilize the scalpel to open the periosteum lamella in operation district for alveolar bone exposes, then utilizes the periosteum stripper to pull the periosteum lamella that cuts towards the buccal side, makes the operation district further expose.
Example 1
As shown in figure 1, the periosteum-sticking valve 12 spreader for oral implantation comprises a first holder and a second holder, wherein the first holder and the second holder are used for holding the tooth necks 102 of teeth on two sides of a tooth implantation area, two telescopic rods arranged in parallel are connected between the first holder and the second holder, and two ends of each telescopic rod are respectively connected with the first holder and the second holder.
The first clamp holder, the second clamp holder and the extension rod 5 can be made of metal materials or plastic materials.
Each telescopic rod comprises a rod sleeve 3 and an extension rod 5, the extension rod 5 can extend along the rod sleeve 3 by a set length to change the distance between the first clamp and the second clamp.
Specifically, in practical use, the extension rod 5 can be set to be in various specifications, and the extension ranges of the rod sleeve 3 and the extension rod 5 of the extension rods in different specifications are different, so that the distance between the mesial tooth 10 and the distal tooth 11 on two sides of the operation area is adapted. That is, when the distance between the mesial tooth 10 and the distal tooth 11 exceeds the adjustment range of the present extension bar 5, another size of the periosteal flap 12 distractor may be used.
Further, the first holder and the second holder both comprise two fixedly connected holding rods 2, a holding space is formed between the two holding rods 2, and a first threaded fastener 1 is arranged in each of the first holder and the second holder; the first threaded fastener 1 is arranged in a threaded hole of one clamping rod 2 in the first clamp or the second clamp, and the first threaded fastener 1 penetrates through the clamping rods 2 and then extends into the clamping space respectively.
Specifically, two clamping rod 2 fixed connection in the first holder, two clamping rod 2 fixed connection in the second holder, the two can adopt integrated into one piece, sticky fixed mode, when the material of clamping rod 2 is the metal, can adopt the welding.
The holding rod 2 shown in fig. 1 includes a circular arc section and a straight line section, and in other embodiments, the straight line section may not be used, and two holding rods 2 having the circular arc section are directly and fixedly connected as long as a holding space capable of fitting the shape of the outer side surface of the tooth is ensured.
Further, a buffer pad 9 is arranged at one end of the first threaded fastener 1 extending into the clamping space.
Specifically, the first threaded fastener 1 may be a bolt or a screw, which is not limited herein.
Further, the both ends of telescopic link are equipped with a first end plate 7 respectively, first end plate 7 and telescopic link fixed connection, the one end that first holder and second holder are close to the telescopic link respectively with second end plate 8 fixed connection, adjacent first end plate 7 rotates through round pin axle 6 with second end plate 8 to be connected.
Further, the extension bar 5 is made of flexible material.
Further, a second threaded fastener 4 is arranged at one end, close to the extension rod 5, of the rod sleeve 3, and the second threaded fastener 4 penetrates through the side wall of the rod sleeve 3 and then contacts with the extension rod 5.
Further, the two first threaded fasteners 1 are arranged on the same side of the telescopic rod.
Further, the clamping rods 2 are arc-shaped rods, and the shape of the clamping space is matched with the shape of the outer side face of the tooth.
It should be noted that the outer portion of the tooth neck 102 is coated with the gum 103, and when the first and second holders are mounted to the normal tooth neck 102, the portion of the gum 103 is cut and then the flap is turned to expose the periosteal flap 12.
The working principle is as follows: when the device is used, the length of the telescopic rod is adjusted according to the width of the planting area, and if only one tooth needs to be planted in the planting area, the extension rod 5 in the telescopic rod retracts towards the rod sleeve 3.
Then the first holder and the second holder are respectively held at the tooth necks 102 of the normal teeth at two sides of the surgical implantation area, then the first threaded fastener 10 is screwed to completely fix the first holder and the second holder with the teeth of the implantation area, and at the moment, part of the periosteum flap 1 in the normal teeth is spread, because two ends of the telescopic rod are respectively connected with the first holder and the second holder, the telescopic rod penetrates through the surgical implantation area and spreads the buccal side periosteum flap 12 and the lingual side periosteum flap 12.
Finally, the second threaded fastener 4 in the telescopic rod is tightened, so that the rod sleeve 3 and the extension rod 5 are fixed in position.
Example 2
As shown in fig. 2, when there is an angular deviation between the teeth on both sides of the dental implantation area during the use of the device, the first end plate 7 and the second end plate 8 can rotate relatively, so that the included angle between the first holder and the second holder is changed, and the first holder and the second holder can be conveniently fixed at the neck 102 of the healthy teeth.
Although the embodiments of the present invention have been described with reference to the accompanying drawings, it is not intended to limit the scope of the present invention, and it should be understood by those skilled in the art that various modifications and variations can be made without inventive efforts by those skilled in the art based on the technical solution of the present invention.

Claims (7)

1. The periosteum-sticking valve spreader for oral implantation is characterized by comprising a first holder and a second holder, wherein the first holder and the second holder are used for holding tooth necks of teeth on two sides of a tooth implantation area, two telescopic rods arranged in parallel are connected between the first holder and the second holder, two ends of each telescopic rod are respectively connected with the first holder and the second holder, and a first threaded fastener is arranged in each of the first holder and the second holder; the first clamp holder, the second clamp holder and the extension rod are made of metal materials;
each telescopic rod comprises a rod sleeve and an extension rod, and the extension rod can extend out of the rod sleeve by a set length to change the distance between the first clamp and the second clamp;
two ends of the telescopic rod are respectively provided with a first end plate, the first end plates are fixedly connected with the telescopic rod, one ends of the first clamp holder and the second clamp holder, which are close to the telescopic rod, are respectively fixedly connected with a second end plate, and the adjacent first end plates and the second end plates are rotatably connected through pin shafts; when there is angular deviation in the tooth of tooth planting district both sides, relative rotation can take place for first end plate and second end plate, makes the contained angle change of first holder and second holder.
2. The periosteal flap distractor for oral implantation according to claim 1, wherein the first holder and the second holder each comprise two fixedly connected holding rods, a holding space is formed between the two holding rods,
the first threaded fastener is arranged in a threaded hole of one clamping rod in the first clamp or the second clamp, and the first threaded fastener penetrates through the clamping rods and then extends into the clamping space respectively.
3. The periosteal flap distractor for oral implantation of claim 2, wherein a cushion is provided at an end of the first threaded fastener extending into the holding space.
4. The periosteal flap distractor for oral implantation of claim 1, wherein the protruding rod is of a flexible material.
5. The periosteal flap distractor for oral implantation of claim 1, wherein the end of the sleeve adjacent to the protruding rod is provided with a second threaded fastener, and the second threaded fastener passes through the sidewall of the sleeve and contacts the protruding rod.
6. The periosteal flap distractor for oral implantation of claim 1, wherein the two first threaded fasteners are disposed on the same side of the telescoping rod.
7. The periosteal flap distractor for oral implantation according to claim 2, wherein the clamping rods are arc-shaped rods, and the shape of the clamping space fits the shape of the outer side of the tooth.
CN201910625828.9A 2019-07-11 2019-07-11 Periosteum-sticking valve spreader for oral implantation Active CN110327123B (en)

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CN110327123B true CN110327123B (en) 2020-11-06

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CN113349968A (en) * 2021-06-22 2021-09-07 上海市东方医院(同济大学附属东方医院) Alveolar bone trimming auxiliary tool
CN114145866A (en) * 2021-11-30 2022-03-08 中国人民解放军空军军医大学 Periosteum-sticking valve spreader for oral implantation

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