CN111991112B - Edentulous jaw frenulum deepening operation auxiliary device and manufacturing method thereof - Google Patents
Edentulous jaw frenulum deepening operation auxiliary device and manufacturing method thereof Download PDFInfo
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- CN111991112B CN111991112B CN202010983018.3A CN202010983018A CN111991112B CN 111991112 B CN111991112 B CN 111991112B CN 202010983018 A CN202010983018 A CN 202010983018A CN 111991112 B CN111991112 B CN 111991112B
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C19/00—Dental auxiliary appliances
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C13/00—Dental prostheses; Making same
- A61C13/34—Making or working of models, e.g. preliminary castings, trial dentures; Dowel pins [4]
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C9/00—Impression cups, i.e. impression trays; Impression methods
- A61C9/0006—Impression trays
Abstract
The invention discloses an edentulous jaw frenulum deepening auxiliary device and a manufacturing method thereof, and relates to the technical field of medical instruments. Edentulous jaw frenulum deepens art auxiliary device, including connecting fixed jaw dyke and arc base support, the arc base support is used for erectting on the edentulous jaw so that the internal surface of arc base support and the edentulous jaw laminate mutually, and the jaw dyke sets up on arc base support surface. The arc base support of the edentulous jaw frenulum deepening operation auxiliary device is extended and the muscular strength of the labial and buccal muscles from outside to inside is isolated by the thickness, and occupies the gap of the determined false tooth, so that the postoperative failure caused by poor healing or the frenulum returning to the high position again due to muscle traction can be prevented, the complete attached gum on the exposed periosteum surface can be favorably grown, meanwhile, the stripping range in the operation is more definite, the stripping range can be indicated or the clear stripping range of an auxiliary medical person can be indicated, and the operation effect is effectively improved.
Description
Technical Field
The invention relates to the technical field of medical instruments, in particular to an edentulous jaw frenum deepening auxiliary device and a manufacturing method thereof.
Background
The edentulous jaw patient needs complete denture reconstruction function and aesthetic appearance, the labial and buccal frenulum is the attachment point of labial and buccal muscles in the jaw, and when the patient carries out functions such as chewing, pronunciation or swallowing, the muscle attachment point (namely labial and buccal frenulum) can be displaced along with the movement of the muscles. In the fabrication of complete dentures, the denture base is often kept clear of the laces in order to achieve good edge closure and to prevent loosening of the denture due to muscle pull. When the condition of the edentulous alveolar bone is deteriorated, the attachment portion of the ligament is also lowered. When the position of the tying belt is too low, the whole repairing effect of the complete denture is influenced, and even the repairing fails. In this case, surgical means are usually adopted clinically to deepen the frenulum or the vestibular groove, and finally the complete denture repair standard is achieved.
The prior auxiliary measures for the lace deepening operation mainly comprise two measures: one is that the periodontal plug treatment agent is applied to the wound surface after operation, and the periodontal plug treatment agent is hard after solidification, and can play a role in protecting the wound, preventing infection, stopping bleeding, soothing pain, stabilizing teeth and the like; however, periodontal plug agents have poor fixing ability, often come loose, and are difficult to adhere to the mucosal surface and have poor strength in the case of edentulous jaw with poor conditions. The other method is to use red proofing paste which is a commonly used impression material for manufacturing complete denture by adopting a secondary impression method, is solid at normal temperature and oral temperature, is softened into dough after being heated in water bath (70 ℃), and has strong plasticity; however, the shaping required in the operation is easy to pollute the wound, has insufficient strength and is not easy to clean.
Disclosure of Invention
The invention aims to provide an edentulous jaw frenulum deepening auxiliary device and a manufacturing method thereof, and aims to solve the technical problems that in the prior art, frenulum deepening auxiliary measures are poor in adsorbability, easy to loosen and not easy to clean.
The embodiment of the invention is realized by the following steps:
in one aspect of the embodiment of the invention, the edentulous jaw frenum deepening auxiliary device comprises a jaw dike and an arc-shaped base support which are fixedly connected, wherein the arc-shaped base support is erected on an edentulous jaw to enable the inner surface of the arc-shaped base support to be attached to the edentulous jaw, and the jaw dike is arranged on the arc-shaped base support and is right opposite to a main supporting position of an alveolar ridge.
In an alternative embodiment of the present invention, the surface of the jaw embankment is provided with a through hole penetrating through the jaw embankment and the arc base.
In an optional embodiment of the present invention, the number of the through holes is 2 to 6.
In an alternative embodiment of the present invention, the arc-shaped base and the jaw levee are made of PMMA.
In another aspect of the embodiments of the present invention, there is provided a method for manufacturing an edentulous ligament deepening auxiliary device, the method including: taking a model of the edentulous jaw to prepare an initial impression of the edentulous jaw, and recording the jaw position; pouring a model material into the edentulous jaw initial impression to prepare an edentulous jaw research model; manufacturing a temporary base support and a temporary jaw dike on the edentulous jaw research model according to the jaw position record to obtain an individual tray with the jaw dike; taking a model of the edentulous jaw by using an individual tray to prepare an edentulous jaw final impression model; pouring a model material into the edentulous jaw final impression to prepare an edentulous jaw operation planning model, and preparing a final base and a final jaw dike matched with the edentulous jaw operation planning model according to the edentulous jaw operation planning model; and manufacturing the edentulous jaw frenulum deepening auxiliary device according to the final base support and the final jaw levee.
In an alternative embodiment of the present invention, the above-mentioned making of the temporary base and the temporary jaw levee on the edentulous jaw research model according to the jaw position record, and obtaining the individual tray with the jaw levee comprises: drawing the frenum turning and frenum attaching position on the non-dentognathic research model; manufacturing a temporary base and a temporary jaw dike according to the frenum turning and the frenum attaching position; and performing edge shaping on the temporary base support and the temporary jaw dike to obtain the individual tray with the jaw dike.
In an alternative embodiment of the present invention, the above-mentioned pouring of the model material into the edentulous final impression to produce the edentulous surgical planning model, and the producing of the final base and the final jaw levee matching the edentulous surgical planning model according to the edentulous surgical planning model comprises: pouring a model material into the edentulous jaw final impression to prepare an edentulous jaw operation planning model; marking a frenulum attachment position and a jaw position record on the edentulous jaw operation planning model; trimming the attachment position of the ligament according to the preoperative CT and intraoral examination results, and polishing and trimming the edentulous jaw surgery planning model; and manufacturing a final base and a final jaw dike according to the trimmed lace attachment position and jaw position record.
In an alternative embodiment of the present invention, the above-mentioned making of the final base and the final jaw dike matched with the edentulous jaw surgery planning model according to the edentulous jaw surgery planning model comprises: and manufacturing a final base support and a final jaw dike matched with the edentulous jaw operation planning model according to the edentulous jaw operation planning model, and reserving a through hole penetrating through the final jaw dike and the final base support on the surface of the final jaw dike.
In an alternative embodiment of the invention, the final base and the final jaw wall are wax-shaped.
In an alternative embodiment of the present invention, the above edentulous javelin deepening auxiliary device according to the final base and the final jawbone comprises: and manufacturing the edentulous jaw frenulum deepening auxiliary device by adopting a dewaxing method or an injection molding method according to the final base and the final jaw levee.
The embodiment of the invention has the beneficial effects that:
the invention provides an edentulous jaw frenum deepening auxiliary device, which comprises a jaw dike and an arc-shaped base support, wherein the jaw dike and the arc-shaped base support are fixedly connected, the arc-shaped base support is erected on an edentulous jaw to enable the inner surface of the arc-shaped base support to be attached to the edentulous jaw, and the jaw dike is arranged on the outer surface of the arc-shaped base support. The arc base support of the edentulous jaw frenulum deepening operation auxiliary device is extended and the muscular strength of the labial and buccal muscles from outside to inside is isolated by the thickness, and occupies the determined gap of the false teeth, so that the defect of healing caused by muscle traction or operation failure caused by returning the frenulum to the high position again after the operation can be prevented, the exposed periosteum surface is favorable for complete growth, meanwhile, the peeling range in the operation is relatively definite, the peeling range can be indicated or assisted by a doctor to be clear, and the operation effect is effectively improved.
The invention also provides a manufacturing method of the auxiliary device for the edentulous jaw frenulum deepening operation, the auxiliary device for the edentulous jaw frenulum deepening operation is planned before an operation, so that the auxiliary device for the edentulous jaw frenulum deepening operation is generated according to a good model surgery and an operation scheme before the operation, and technical parameters are more accurate.
Drawings
In order to more clearly illustrate the technical solutions of the embodiments of the present invention, the drawings needed to be used in the embodiments will be briefly described below, it should be understood that the following drawings only illustrate some embodiments of the present invention and therefore should not be considered as limiting the scope, and for those skilled in the art, other related drawings can be obtained according to the drawings without inventive efforts.
FIG. 1 is a schematic structural view of an edentulous javelin deepening auxiliary device according to an embodiment of the present invention;
FIG. 2 is a schematic view of the edentulous ligament deepening auxiliary device provided by the embodiment of the present invention;
FIG. 3 is a flowchart of a method for manufacturing the edentulous ligament deepening auxiliary device according to the embodiment of the present invention;
FIG. 4 is a second flowchart of a method for manufacturing the edentulous ligament deepening auxiliary device according to the embodiment of the present invention;
fig. 5 is a third flowchart of a method for manufacturing the edentulous ligament deepening auxiliary device according to the embodiment of the present invention.
Icon: 100-edentulous frenulum deepening operation auxiliary device; 110-jaw dike; 120-arc base; 130-a through hole; 200-edentulous jaw; 300-screws; 400-alveolar bone.
Detailed Description
In order to make the objects, technical solutions and advantages of the embodiments of the present invention clearer, the technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are some, but not all, embodiments of the present invention. The components of embodiments of the present invention generally described and illustrated in the figures herein may be arranged and designed in a wide variety of different configurations. Thus, the following detailed description of the embodiments of the present invention, presented in the figures, is not intended to limit the scope of the invention, as claimed, but is merely representative of selected embodiments of the invention. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.
It should be noted that: like reference numbers and letters refer to like items in the following figures, and thus, once an item is defined in one figure, it need not be further defined and explained in subsequent figures.
In the description of the present invention, it should be noted that the terms "center", "inside", "outside", and the like indicate orientations or positional relationships based on the orientations or positional relationships shown in the drawings, and are only for convenience in describing the present invention and simplifying the description, but do not indicate or imply that the referred device or element must have a specific orientation, be constructed in a specific orientation, and be operated, and thus, should not be construed as limiting the present invention. The terms "disposed," "mounted," "connected," and "connected" are to be construed broadly and may, for example, be fixedly connected, detachably connected, or integrally connected; can be mechanically or electrically connected; they may be connected directly or indirectly through intervening media, or they may be interconnected between two elements. The specific meanings of the above terms in the present invention can be understood in specific cases to those skilled in the art.
The patient without the jaw 200 needs complete denture reconstruction and beauty, the labial and buccal frenulum is the attachment point of the labial and buccal muscles on the jaw, and when the patient has chewing, pronunciation or swallowing functions, the muscle attachment point (i.e. the labial and buccal frenulum) can be displaced along with the movement of the muscles. In the fabrication of complete dentures, the denture base is often kept clear of the laces in order to achieve good edge closure and to prevent loosening of the denture due to muscle pull. When the condition of the alveolar bone 400 of the edentulous jaw 200 becomes worse, the attachment portion of the ligament is lowered. When the position of the tying belt is too low, the whole repairing effect of the complete denture is influenced, and even the repairing fails. In this case, surgical means are usually adopted clinically to deepen the frenulum or the vestibular groove, and finally the complete denture repair standard is achieved.
The standard procedure for the currently clinically routine lace deepening procedure is as follows: firstly, anesthesia is mostly carried out under local infiltration anesthesia; and secondly, incision, namely making an arc mucous membrane incision consistent with the radian of a dental arch on the labial and buccal sides of the alveolar process, performing submerged stripping on the mucous membrane under the mucous membrane, wherein the downward stripping distance is determined according to the deepened height required before the operation. The turned-up mucosa flap is intermittently sutured and fixed on the periosteum at the bottom of the wound surface. The periosteum wound surface can be provided with an iodoform gauze strip, and when the mucous membrane covers the wound surface, the wound surface can also be provided with a gauze, and the gauze is applied after being molded by using red sampling paste and is fixed by penetrating and sewing the inside and the outside of the mouth to prevent contraction.
The prior auxiliary measures for the lace deepening operation mainly comprise two measures: one is that the periodontal plug treatment agent is applied to the wound surface after operation, and the periodontal plug treatment agent is hard after solidification, and can play a role in protecting the wound, preventing infection, stopping bleeding, soothing pain, stabilizing teeth and the like; however, the periodontal plug treatment has a poor fixing effect, frequently causes a loosening phenomenon, and is difficult to adhere to the mucosal surface and has poor strength in the case of the edentulous jaw 200 having a poor condition. The other method is to use red proofing paste which is a commonly used impression material for manufacturing complete denture by adopting a secondary impression method, is solid at normal temperature and oral temperature, is softened into dough after being heated in water bath (70 ℃), and has strong plasticity; however, the shaping required in the operation is easy to pollute the wound, has insufficient strength and is not easy to clean.
In view of this, the present application is specifically made and the following are specific embodiments of the present application.
Fig. 1 is a schematic structural view of an auxiliary device 100 for edentulous jaw frenulum deepening surgery provided by an embodiment of the present invention, fig. 2 is a schematic working view of the auxiliary device 100 for edentulous jaw frenulum deepening surgery provided by an embodiment of the present invention, please refer to fig. 1 and fig. 2 in combination, the embodiment provides an auxiliary device 100 for edentulous jaw frenulum deepening surgery, which includes a jaw dike 110 and an arc base 120 connected and fixed, the arc base 120 is used for being erected on an edentulous jaw 200 to make the inner surface of the arc base 120 fit with the edentulous jaw 200, and the jaw dike 110 is disposed on the arc base 120 at a position right opposite to a main supporting position of an alveolar ridge.
It will be appreciated that the purpose of the jaw dike 110 is to be placed in the patient's mouth for centering purposes, and thus the jaw dike 110 is positioned to ensure occlusion between the upper and lower teeth of the edentulous jaw 200 patient. The arc-shaped base 120 is configured to bridge the edentulous jaw 200 to secure the jaw dam 110.
The arc-shaped base 120 of the edentulous jaw frenulum deepening operation auxiliary device 100 is stretched and the thickness isolates the muscle force of the labial and buccal muscles from the outside to the inside, and occupies the determined gap of the false teeth, so that the defect of healing caused by muscle traction or operation failure caused by the frenulum returning to the high position again after the operation can be prevented, the exposed periosteum surface can be favorably grown to be complete and attached to the gum, meanwhile, the stripping range in the operation is more definite, the stripping range can be indicated or assisted by a doctor to be definite, and the operation effect is effectively improved.
Optionally, a through hole 130 penetrating through the jaw dike 110 and the arc-shaped base 120 is formed on the surface of the jaw dike 110. If the gum state is bad or the vestibule groove is deepened, the incision range is large, and the edentulous frenulum deepening auxiliary device 100 cannot obtain the initial adsorption force, the screw 300 needs to be adopted for auxiliary positioning, the screw 300 passes through the through hole 130 of the auxiliary device, the tail part is screwed into the alveolar bone 400 of the patient, and the edentulous frenulum deepening auxiliary device 100 can be fixed on the gum.
The through hole can be formed when the edentulous frenulum deepening art auxiliary device 100 is made in the early stage, a thin layer of about 1-2mm can also be reserved at the bottom of the arc-shaped base support 120 at first, after the edentulous frenulum deepening art auxiliary device 100 is worn on the edentulous jaw in the later stage, the thin layer is drilled through by a drill to form the through hole, and the latter can better improve the adsorbability of the edentulous frenulum deepening art auxiliary device 100.
Optionally, the number of the through holes 130 is 2 to 6.
The number of the through holes 130 of the edentulous belt deepening auxiliary device 100 is equal to the number of the screw holes to be drilled in the alveolar bone 400 of the patient, and if the number of the through holes 130 is too large, the alveolar bone 400 of the patient is damaged greatly, and if the number of the through holes 130 is too small, the edentulous belt deepening auxiliary device 100 cannot be fixed. Therefore, the number of the through holes 130 is preferably 2 to 6.
Optionally, the arc-shaped base 120 and the jaw levee 110 are made of PMMA.
PMMA (polymethyl methacrylate) is named as polymethyl methacrylate, and the outer surface of the PMMA can be highly polished to avoid bacterial colonization and can be in contact with oral mucosa for a long time.
The operation procedure after the edentulous jaw frenulum deepening operation auxiliary device 100 is as follows: 1) under local anesthesia, the junction between the attached part of the frenum or the free and attached gingiva is outlined in the mouth, the mucosa is cut along the junction, the mucosa is stripped towards the root, the periosteum is kept by cutting, and the tension can be properly reduced under the mucosa; 2) try on the edentulous frenulum deepening operation auxiliary device 100, observe whether the amount of the stripped mucosa meets the set requirement, if not, continue stripping; if so, stopping stripping; 3) the judgment criterion is that the edge of the edentulous frenulum deepening surgery auxiliary device 100 does not press the mucosa after stripping; 4) after stripping, a sunken periosteum layer is exposed, and a layer of iodoform sliver is coated on the surface of the periosteum layer; 5) trying to wear the auxiliary device 100 for the edentulous frenulum deepening operation, wherein the auxiliary device for the edentulous frenulum deepening operation can be directly adsorbed to form negative pressure with mucosa for a local labial and buccal frenulum operation; 6) if the vestibule groove is deepened and the incision range is large, so that the auxiliary device 100 for the edentulous frenulum deepening operation cannot obtain the initial adsorption force, the auxiliary retention is adopted, and the fixing screw 300 is extended into the auxiliary device 100 for the edentulous frenulum deepening operation under local anesthesia and then screwed into the alveolar bone 400.
The post-operation auxiliary process after the edentulous javelin deepening operation auxiliary device 100 is adopted is as follows: 1) the iodoform gauze is replaced every 3 days after the operation, the edentulous jaw frenulum deepening operation auxiliary device 100 retained by adsorbability is directly taken down and then the wound surface is cleaned, and the iodoform gauze is worn again after the replacement; 2) for the edentulous belt deepening operation auxiliary device 100 fixed by the screw 300, local anesthesia and unscrewing, taking off the edentulous belt deepening operation auxiliary device 100, changing medicine, and re-fixing the edentulous belt deepening operation auxiliary device 100; 3) observing the growth condition of the periosteum wound surface and the gum in 7-14 days after operation, and removing the edentulous jaw frenulum deepening operation auxiliary device 100 according to the healing condition. The wearing time of the edentulous jaw frenulum deepening operation auxiliary device 100 can be prolonged to 1 month to ensure the soft group to be stably healed, and then the final false tooth repair is carried out.
Fig. 3 is a flowchart of a method for manufacturing an auxiliary device for edentulous mandibular ligament deepening surgery according to an embodiment of the present invention, referring to fig. 3, the present embodiment further provides a method for manufacturing an auxiliary device for edentulous mandibular ligament deepening surgery, the method including:
s100: and taking a model of the edentulous jaw, preparing an initial impression of the edentulous jaw, and recording the jaw position.
Selecting a proper edentulous finished product tray, wrapping the edentulous jaw of a patient by using alginate materials to prepare an edentulous jaw initial impression, and attaching the inner surface of the edentulous jaw initial impression to the outer surface of the edentulous jaw of the patient so that the inner shape of the edentulous jaw initial impression is consistent with the shape of the edentulous jaw of the patient.
S110: and pouring a model material into the edentulous jaw initial impression to prepare the edentulous jaw research model.
And pouring a model material into the edentulous jaw initial impression, taking out after the model material is shaped to obtain the edentulous jaw research model, wherein the shape of the edentulous jaw research model is consistent with that of the patient.
Alternatively, the casting pattern material may be selected from ultra hard gypsum. In the denture repairing process, the pouring of the model is very important, the strength of the superhard gypsum is higher, and the accuracy and the strength of the model can be improved by adopting the poured model of the superhard gypsum.
S120: and (4) manufacturing a temporary base support and a temporary jaw dike on the edentulous jaw research model according to the jaw position record to obtain the individual tray with the jaw dike.
And manufacturing a temporary base support on the outer surface of the edentulous jaw research model in a wrapping mode, and manufacturing a temporary jaw embankment on the upper surface of the temporary base support after the temporary base support is manufactured. The temporary base support is used for being erected on the outer surface of the edentulous jaw research model, so that the temporary jaw dike can be fixed above the edentulous jaw research model. The temporary base and the temporary jaw levees together form an individual tray with the jaw levees, and the inner edge of the mouth is shaped.
Optionally, the temporary base and the temporary jaw wall are made of photosensitive resin, and the photosensitive resin is a colloidal substance composed of high polymers and can change the chemical structure thereof when exposed to light. Under the irradiation of ultraviolet rays, molecules of the photosensitive resin are combined into a crosslinked polymer macromolecule, and during bonding, the polymer is converted into a hard substance from a colloid resin.
S130: taking a model of the edentulous jaw by using a specific tray to prepare the final impression of the edentulous jaw.
Coating tray adhesive on the inner surface of each tray, selecting high-fluid silicon rubber material to fill the inner surface of each tray, and placing the tray in the oral cavity to obtain the edentulous jaw final impression. The edentulous jaw final impression tissue surface and the external surface of the soft tissue in the mouth of the object are mutually yin and yang.
S140: and pouring a model material into the edentulous jaw final impression to prepare an edentulous jaw operation planning model, and preparing a final base and a final jaw dike matched with the edentulous jaw operation planning model according to the edentulous jaw operation planning model.
And pouring a model material into the edentulous jaw final impression, taking out after the model material is shaped to obtain the edentulous jaw operation planning model, wherein the edentulous jaw operation planning model is consistent with the shape of the edentulous jaw of the patient after the artificial tooth is installed.
And (5) preparing a final base and a final jaw dike according to the shape of the edentulous jaw operation planning model. At this time, the shape of the final base and the final jaw wall is the shape of the desired edentulous ligament deepening surgical aid 100.
S150: and manufacturing the edentulous jaw frenulum deepening auxiliary device according to the final base support and the final jaw levee.
The edentulous jaw frenulum deepening auxiliary device 100 is manufactured one by one according to the final base and the final jaw levee.
By adopting the method, the auxiliary device 100 for the edentulous belt deepening operation is planned before the operation, so that the auxiliary device 100 for the edentulous belt deepening operation is generated depending on good model surgery and operation schemes before the operation, the technical parameters are more accurate, the stripping range in the operation is more definite, a doctor can be indicated or assisted to clearly define the stripping range, and the operation effect is effectively improved.
Fig. 4 is a second flowchart of the method for manufacturing the edentulous ligament deepening auxiliary device according to the embodiment of the present invention, referring to fig. 4, optionally, the method for manufacturing a temporary base and a temporary jaw levee on the edentulous jaw research model according to the jaw position record, and the obtaining of the individual tray with the jaw levee includes:
s121: the ligament turns and ligament attachment locations are plotted on the edentulous jaw study model.
S122: according to the frenum turning and frenum attaching position, a temporary base and a temporary jaw dike are made.
Since the fastening band is an attachment point of the muscle to the jaw, the fastening band is displaced along with the movement of the muscle when a user is traveling for chewing, speaking, swallowing, or the like, and thus, in order to obtain good edge sealing and prevent the artificial tooth from coming loose due to muscle pulling, a temporary base is required to avoid the position of the fastening band. Determining the lace turning and lace attachment locations in advance facilitates the determination of the temporary base position.
S123: and performing edge shaping on the temporary base support and the temporary jaw dike to obtain the individual tray with the jaw dike.
Putting the individual tray with the jaw dikes into the mouth of a patient, trying the mouth, performing edge plastic according to the trying condition, coating a tray adhesive on the inner surface of the individual tray, filling the inner surface of the individual tray with a high-fluid silicone rubber material, and putting the tray in the mouth to obtain the edentulous jaw final impression.
Fig. 5 is a third flowchart of the manufacturing method of the auxiliary device for the edentulous ligament deepening surgery according to the embodiment of the present invention, referring to fig. 5, optionally, pouring a model material into the edentulous jaw final impression to manufacture an edentulous jaw surgery planning model, and manufacturing a final base and a final jaw levee matched with the edentulous jaw surgery planning model according to the edentulous jaw surgery planning model includes:
s141: and pouring a model material into the edentulous jaw final impression to prepare the edentulous jaw operation planning model.
S142: the ligament attachment location and jaw position record are marked on the edentulous jaw surgery planning model.
S143: and (4) trimming the attachment position of the frenulum according to the preoperative CT and intraoral examination results, and polishing and trimming the edentulous jaw operation planning model.
The ligament attaching position is sketched on the edentulous jaw operation planning model, then the ligament attaching position of the edentulous jaw operation planning model is trimmed according to preoperative CT and intraoral examination, the ligament attaching position is made to descend to the root direction, specific numerical values of the ligament attaching position can refer to adjacent tissues or be formulated together with an oral cavity repairing doctor and an operating doctor, and finally the polished and trimmed edentulous jaw operation planning model is obtained.
S144: and manufacturing a final base and a final jaw dike according to the trimmed lace attachment position and jaw position record.
Optionally, the step of manufacturing a final base and a final jaw dike matched with the edentulous operation planning model according to the edentulous operation planning model comprises:
and manufacturing a final base and a final jaw dike matched with the edentulous jaw operation planning model according to the edentulous jaw operation planning model, and reserving a through hole penetrating through the final jaw dike and the final base on the surface of the final jaw dike to obtain a final model for manufacturing the edentulous jaw frenulum deepening operation auxiliary device 100.
If the vestibule sulcus of the patient is deepened and the incision range is large, so that the auxiliary device 100 for the edentulous jaw deepening surgery cannot obtain the initial adsorption force, auxiliary fixing is needed, the auxiliary fixing mode is that the screw 300 is used for fixing the auxiliary device 100 for the edentulous jaw deepening surgery on the alveolar bone 400, and a through hole 130 for the screw 300 to pass through needs to be reserved on the auxiliary device for the screw 300 to pass through in order to facilitate the passing of the screw 300. Since the shape of the final base and the final jaw levee is the shape of the desired edentulous ligament deepening surgery auxiliary device 100, it is necessary to reserve the through holes 130 in advance on the final base and the final jaw levee to ensure that the produced edentulous ligament deepening surgery auxiliary device 100 has the corresponding through holes 130.
Optionally, the final base and final jaw wall are wax-type.
The wax has the properties of softness, toughness and non-brittleness, and has proper plasticity after being heated to be soft and certain strength after being cooled. It is not sticky when softened, is easy to form, does not discolor when in contact with gypsum, and has smooth surface after being sprayed and burned. The wax is convenient to use, the wax is baked to be soft on smokeless flame, various shapes can be randomly formed or carved according to requirements, and the wax model can also be poured after being heated and melted.
Optionally, the auxiliary device for edentulous jaw frenulum deepening surgery manufactured according to the final base and the final jaw levee comprises:
and manufacturing the edentulous jaw frenulum deepening auxiliary device by adopting a dewaxing method or an injection molding method according to the final base and the final jaw levee.
The lost wax method is also called as a mold melting method, and is a precision casting method. The method comprises the following steps: the edentulous ligament deepening surgical aid 100 model (i.e., the final base and final jaw wall) is made of wax, and then the loaf core is filled with other refractory materials and applied to form an external model. After heating and baking, the model of the auxiliary device 100 for the edentulous jaw frenulum deepening operation, which is made of wax inside, is completely melted and lost, so that the whole model becomes a hollow shell, then proper materials, such as PMMA powder and monomers, are poured into the whole model, and after solidification, the loam core and the external model are removed, so that the auxiliary device 100 for the edentulous jaw frenulum deepening operation can be obtained.
Injection molding is also known as injection molding. The method comprises the following steps: and (3) manufacturing a model matched with the final base support and the final jaw levee according to the final base support and the final jaw levee, heating the materials (such as PMMA powder and monomer) for manufacturing the edentulous jaw frenulum deepening auxiliary device 100 in an injection machine to enable the materials to be changed into fluid, pressing the fluid into the model by using a movable column, and demoulding after the fluid is cooled to obtain the edentulous jaw frenulum deepening auxiliary device 100.
The above description is only a preferred embodiment of the present invention and is not intended to limit the present invention, and various modifications and changes may be made by those skilled in the art. Any modification, equivalent replacement, or improvement made within the spirit and principle of the present invention should be included in the protection scope of the present invention.
Claims (7)
1. An edentulous frenulum deepening art auxiliary device is characterized by comprising a jaw dike and an arc base support, wherein the jaw dike and the arc base support are fixedly connected, the arc base support is erected on an edentulous jaw to enable the inner surface of the arc base support to be attached to the edentulous jaw, and the jaw dike is arranged on the outer surface of the arc base support; and a through hole penetrating through the jaw dike and the arc-shaped base support is formed in the surface of the jaw dike.
2. The edentulous ligament deepening surgery auxiliary device according to claim 1, wherein the number of the through holes is 2-6.
3. The edentulous ligament deepening surgical auxiliary device of claim 1, wherein the arc-shaped base and the jaw dike are both PMMA.
4. A method of manufacturing an edentulous ligament deepening surgical aid, the method comprising:
performing reverse molding on the edentulous jaw to obtain an initial impression of the edentulous jaw;
pouring a model material into the edentulous jaw initial impression to prepare an edentulous jaw research model;
manufacturing a temporary base and a temporary jaw dike on the edentulous jaw research model to obtain a fine edentulous jaw primary model;
performing reverse molding on the fine edentulous primary mold to prepare an edentulous middle impression;
pouring the model material into the impression in the edentulous jaw to prepare an edentulous jaw operation planning model, and preparing a final base and a final jaw dike matched with the edentulous jaw operation planning model according to the edentulous jaw operation planning model to obtain a fine final edentulous jaw model;
making the edentulous frenulum deepening auxiliary device according to the fine edentulous final mold; the step of manufacturing a temporary base and a temporary jaw dike on the edentulous jaw research model to obtain the fine edentulous jaw primary model comprises the following steps:
drawing the frenum turning and frenum attaching position on the edentulous jaw research model;
making the temporary base and the temporary jaw levee according to the frenum turning and the frenum attaching position;
performing plastic modeling on the temporary base support and the temporary jaw embankment to obtain the fine edentulous jaw primary mold; pouring model materials into the impression in the edentulous jaw to prepare an edentulous jaw operation planning model, and preparing a final base and a final jaw dike matched with the edentulous jaw operation planning model according to the edentulous jaw operation planning model to obtain a fine edentulous jaw final model, wherein the step of pouring model materials into the impression in the edentulous jaw to prepare the fine edentulous jaw final model comprises the following steps:
pouring a model material into the impression in the edentulous jaw to prepare the edentulous jaw operation planning model;
marking a preoperative ligament attachment location on the edentulous surgery planning model;
trimming the preoperative ligament attachment position according to preoperative CT and intraoral examination results, and polishing and trimming the edentulous jaw surgery planning model;
and manufacturing the final base and the final jaw dike according to the trimmed attaching position of the preoperative frenulum to obtain the fine edentulous jaw final model.
5. The method for manufacturing the edentulous ligament deepening surgery auxiliary device according to claim 4, wherein the step of manufacturing a final base and a final jaw dike matched with the edentulous surgery planning model according to the edentulous surgery planning model to obtain a fine edentulous jaw final model comprises the following steps:
and manufacturing the final base support and the final jaw dike matched with the edentulous jaw operation planning model according to the edentulous jaw operation planning model, and reserving a through hole penetrating through the final jaw dike and the final base support on the surface of the final jaw dike to obtain the fine edentulous jaw final model.
6. The method of manufacturing an edentulous ligament deepening surgical auxiliary device according to claim 4, wherein the final base and the final jaw wall are made of wax.
7. The method of manufacturing an edentulous ligament deepening surgical aid of claim 6, wherein the making of the edentulous ligament deepening surgical aid according to the fine edentulous final mold comprises:
and manufacturing the edentulous jaw frenulum deepening auxiliary device by a dewaxing method or an injection molding method according to the fine edentulous jaw final model.
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| US4227877A (en) * | 1977-10-20 | 1980-10-14 | Black Knight Investments, Limited | Anatomical intra-orally moldable dental impression tray and method |
| US20130108988A1 (en) * | 2011-10-26 | 2013-05-02 | Stefan J. Simoncic | Systems and methods for fabricating dental prostheses in a single office visit |
| US9433483B2 (en) * | 2012-06-22 | 2016-09-06 | Gc Corporation | Impression tray set for edentulous jaw |
| CN105982753B (en) * | 2015-02-04 | 2017-12-05 | 北京大学口腔医学院 | A kind of method for improving edentulous jaw personalization pallet precision in place in oral cavity |
| JP6877753B2 (en) * | 2016-02-02 | 2021-05-26 | 栄二 山口 | Muscle position 3D adjustment device and muscle position 3D adjustment articulator |
| CN106901854B (en) * | 2017-01-09 | 2019-01-25 | 同济大学 | Using the upper lower jaw location determining method of 3D printing complete denture individual tray |
| CN108451661A (en) * | 2018-03-09 | 2018-08-28 | 爱迪特（秦皇岛）科技股份有限公司 | Oral cavity digitizing function pallet and its application method with customization aesthetics |
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