CN112336490A - Maxillary sinus external lifting guide plate and using method thereof - Google Patents

Maxillary sinus external lifting guide plate and using method thereof Download PDF

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Publication number
CN112336490A
CN112336490A CN202011218493.8A CN202011218493A CN112336490A CN 112336490 A CN112336490 A CN 112336490A CN 202011218493 A CN202011218493 A CN 202011218493A CN 112336490 A CN112336490 A CN 112336490A
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CN
China
Prior art keywords
maxillary sinus
plate
windowing
extension arm
supporting plate
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Pending
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CN202011218493.8A
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Chinese (zh)
Inventor
李凯欣
董伟
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Meishang Guangzhou Medical Technology Co ltd
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Meishang Guangzhou Medical Technology Co ltd
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Priority to CN202011218493.8A priority Critical patent/CN112336490A/en
Publication of CN112336490A publication Critical patent/CN112336490A/en
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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
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/46Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/46Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
    • A61F2/4601Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for introducing bone substitute, for implanting bone graft implants or for compacting them in the bone cavity
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/46Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
    • A61F2002/4687Mechanical guides for implantation instruments

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  • Health & Medical Sciences (AREA)
  • Transplantation (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Veterinary Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Cardiology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Dentistry (AREA)
  • Epidemiology (AREA)
  • Dental Tools And Instruments Or Auxiliary Dental Instruments (AREA)

Abstract

The invention discloses a maxillary sinus external lifting guide plate which comprises a base supporting plate, an extension arm, a windowing positioning plate and a tooth lifting guide plate, wherein the outer surface of the base supporting plate is formed by a smooth cambered surface, the inner surface of the base supporting plate is matched with the occlusal surface of teeth, the extension arm extends towards a target windowing position from the base supporting plate, and the windowing positioning plate is arranged at one end, far away from the base supporting plate, of the extension arm and is used for providing objective reference for the windowing height and width of the bone surface of a; the extension arm is an arc-shaped forearm extending out of the base plate, and the inner surface of the extension arm is close to the bone surface; the bottom of the base supporting plate is provided with a plurality of observation grooves in an upward concave mode, and tooth-shaped holes for exposing teeth from top to bottom are formed in the tops of the observation grooves; through observation groove and tooth shape hole, can observe basic layer board and take one's place and the fixed condition on the dentition to according to the corresponding adjustment basic layer board of observation result, improve basic layer board and take one's place and fixed accuracy on the dentition, be favorable to the window scope of windowing of the accurate location maxillary sinus bone face of windowing locating plate in the maxillary sinus lift operation, reduce the operation error, improve treatment.

Description

Maxillary sinus external lifting guide plate and using method thereof
Technical Field
The invention relates to the field of oral clinical medical operation tools, in particular to a maxillary sinus external lifting guide plate and a using method thereof.
Background
The maxillary sinus is a pair of cavities which are the largest in the maxillary bone, and under the condition that the heights of certain posterior dental areas are insufficient, a windowing path of an external approach is often needed to lift the maxillary sinus and insert bone powder.
Because the external bone surface of the maxillary sinus is a continuous smooth arc surface, the range of the maxillary sinus cavity on the internal side of the bone wall and the height and width to be lifted are very difficult to be defined by naked eyes; thereby make the doctor because of judging easily not enough, and can not pinpoint the maxillary sinus scope of windowing in the maxillary sinus lift operation to lead to the scope of windowing of maxillary sinus too big or undersize, too high or cross lowly.
Disclosure of Invention
In view of the above, the present invention is to provide a maxillary sinus external guide plate and a method for using the same, which can perform a precise positioning function in a maxillary sinus lifting operation, reduce surgical errors, and improve a treatment effect.
In order to solve the technical problems, the technical scheme of the invention is as follows: a maxillary sinus external lifting guide plate comprises a base supporting plate, an extension arm and a windowing positioning plate, wherein the base supporting plate is formed by a smooth cambered surface at the outer side, the inner side of the base supporting plate is matched with a tooth occlusal surface, the extension arm extends towards a target windowing position from the base supporting plate, and the windowing positioning plate is arranged at one end, far away from the base supporting plate, of the extension arm and is used for providing objective reference for the windowing height and width of a maxillary sinus bone surface; the extension arm is an arc-shaped forearm extending out of the base plate, and the inner surface of the extension arm is close to the bone surface; the bottom of the base supporting plate is provided with a plurality of observation grooves which are used for observing the positioning and fixing conditions of the base supporting plate on the dentition in a concave mode, and the top of each observation groove is provided with a tooth-shaped hole for exposing teeth from top to bottom; through making the tooth from top to bottom pass through tooth shape hole exposes to the observation trough on, the doctor can pass through the observation trough is observed and is judged basic tray board and take one's place and the fixed condition on the dentition to carry out corresponding adjustment to the basic tray board, this is favorable to basic tray board accuracy on the dentition takes one's place and fixes, thereby is favorable to the doctor in the operation is promoted to the maxillary sinus, through the window scope of windowing of the last window locating plate accurate positioning maxillary sinus of the external guide board of maxillary sinus, thereby improves the accuracy nature of the height and the width of maxillary sinus bone face windowing, reduces the error of operation, improves treatment.
Preferably, the observation grooves are provided in two.
Preferably, the inner surface of the base plate is provided with tooth fixing grooves matched with teeth.
Preferably, the extension arm is integrally formed at one end of the base plate.
Preferably, the windowing positioning plate is integrally formed at one end, far away from the base supporting plate, of the extension arm.
The using method of the maxillary sinus external lifting guide plate is characterized by comprising the following steps:
s1, making a trapezoidal incision on the attached gingiva, and cutting a flap;
s2, fixing the maxillary sinus external guide plate on the dentition through the coincidence of the occlusal surface of the base supporting plate and the dentition, observing the teeth exposed from the dentiform holes through the observation groove, and correspondingly adjusting the maxillary sinus external guide plate according to the positioning and fixing conditions of the maxillary sinus external guide plate on the dentition;
s3, positioning the windowing range of the maxillary sinus bone surface through the windowing positioning plate of the maxillary sinus external lifting guide plate, and objectively referring to the windowing height and width of the maxillary sinus bone surface through the windowing positioning plate;
s4, separating bone cortex with ultrasonic osteotome, taking out bone block, stripping mucosa, and filling bone powder;
s5, resetting the cortical bone block, covering with a biological membrane and suturing.
A preparation method of a maxillary sinus external lifting guide plate comprises the following steps:
s1, jaw information data of the patient is obtained by CT scanning of jaw information of the patient;
s2, scanning the dentition and the novel gum of the patient by an intraoral scanner to obtain information data of the dentition and the gum of the patient;
s3, according to the information data of S1 and S2, positioning the lifting range of the maxillary sinus on the design software, and obtaining the information data of the lifting range of the maxillary sinus;
s4, generating model data of the maxillary sinus external lifting plate through a Pladsty cad software design according to the information data of S1, S2 and S3;
and S5, importing the model data of the maxillary sinus external guide plate into 3D printing equipment, and printing the maxillary sinus external guide plate through the 3D printing equipment.
The technical effects of the invention are mainly embodied as follows: through observation groove and tooth shape hole, can observe basic layer board and take one's place and the fixed condition on the dentition to according to the corresponding adjustment basic layer board of observation result, improve basic layer board and take one's place and fixed accuracy on the dentition, be favorable to the window scope of windowing of the accurate location maxillary sinus bone face of windowing locating plate in the maxillary sinus lift operation, reduce the operation error, improve treatment.
Drawings
FIG. 1 is a schematic structural view of a maxillary sinus external lifting guide plate according to the present invention;
fig. 2 is an effect diagram of fig. 1.
Reference numerals: 1, a base supporting plate; 11 an observation groove; 12 tooth-shaped holes; 2 an extension arm; 3, windowing a positioning plate; 4, teeth; 5 jaw bone.
Detailed Description
The following detailed description of the embodiments of the present invention is provided in order to make the technical solution of the present invention easier to understand and understand.
In the present embodiment, it should be understood that the terms "middle", "upper", "lower", "top", "right", "left", "above", "back", "middle", and the like indicate orientations or positional relationships based on the orientations or positional relationships shown in the drawings, and are only for convenience of describing the present invention, and do not indicate or imply that the referred devices or elements must have a specific orientation, be constructed and operated in a specific orientation, and thus, should not be construed as limiting the present invention.
In the present embodiment, if the connection or fixing manner between the components is not specifically described, the connection or fixing manner may be a bolt fixing manner, a pin connecting manner, or the like, which is commonly used in the prior art, and therefore, details thereof are not described in the present embodiment.
A maxillary sinus external lifting guide plate is shown in figure 1-2 and comprises a base supporting plate 1, an extension arm 2 and a windowing positioning plate 3, wherein the base supporting plate 1 is formed by a smooth cambered surface at the outer side, the inner side of the base supporting plate is matched with the occlusal surface of teeth, the extension arm 2 extends towards a target windowing position from the base supporting plate 1, and the windowing positioning plate 3 is arranged at one end, away from the base supporting plate 1, of the extension arm 2 and is used for providing objective reference for the windowing height and width of the maxillary sinus bone surface; the extension arm 2 is an arc-shaped forearm extending out of the base plate 1, and the inner surface of the extension arm 2 is close to the bone surface; the bottom of the base supporting plate 2 is provided with a plurality of observation grooves 11 which are used for observing the positioning and fixing conditions of the base supporting plate 1 on the dentition in a concave mode, and the top of each observation groove 11 is provided with tooth-shaped holes 12 for exposing the teeth 4 from top to bottom; through making tooth 3 from top to bottom pass through tooth shape hole 12 exposes to the observation trough 11 on, the doctor can pass through observation trough 11 observes and judges basic tray 1 and take one's place and the fixed condition on the dentition to carry out corresponding adjustment to basic tray 1, this is favorable to basic tray 1 accuracy on the dentition takes one's place and fixes, thereby is favorable to the doctor in the operation is promoted to the maxillary sinus, through the range of windowing of 3 accurate positioning maxillary sinuses of locating plate of windowing on the maxillary sinus outer lifting guide board, thereby improves the accuracy nature of the height and the width of maxillary sinus bone face windowing, reduces the error of operation, improves treatment. The inner surface of the base supporting plate 1 is provided with tooth fixing grooves matched with the teeth 3.
In the present embodiment, two observation grooves 11 are provided.
In this embodiment, the extension arm 2 is integrally formed at one end of the base plate 1.
In this embodiment, the window positioning plate 3 is integrally formed at one end of the extension arm 2 away from the base plate 1.
The using method of the maxillary sinus external lifting guide plate is characterized by comprising the following steps:
s1, making a trapezoidal incision on the attached gingiva, and cutting a flap;
s2, fixing the maxillary sinus external lifting guide plate on the dentition by matching the occlusal surface of the base supporting plate 1 with the dentition, observing the teeth 3 exposed from the tooth-shaped holes 12 through the observation groove 11, and correspondingly adjusting the maxillary sinus external lifting guide plate according to the positioning and fixing conditions of the maxillary sinus external lifting guide plate on the dentition;
s3, positioning the windowing range of the maxillary sinus bone surface through the windowing positioning plate 3 of the maxillary sinus external lifting guide plate, and objectively referring to the windowing height and width of the maxillary sinus bone surface through the windowing positioning plate 3;
s4, separating bone cortex with ultrasonic osteotome, taking out bone block, stripping mucosa, and filling bone powder;
s5, resetting the cortical bone block, covering with a biological membrane and suturing.
A preparation method of a maxillary sinus external lifting guide plate comprises the following steps:
s1, jaw information data of the patient is obtained by CT scanning of jaw information of the patient;
s2, scanning the dentition and the novel gum of the patient by an intraoral scanner to obtain information data of the dentition and the gum of the patient;
s3, according to the information data of S1 and S2, positioning the lifting range of the maxillary sinus on the design software, and obtaining the information data of the lifting range of the maxillary sinus;
s4, generating model data of the maxillary sinus external lifting plate through a Pladsty cad software design according to the information data of S1, S2 and S3;
and S5, importing the model data of the maxillary sinus external guide plate into 3D printing equipment, and printing the maxillary sinus external guide plate through the 3D printing equipment.
The technical effects of the invention are mainly embodied as follows: through observation groove and tooth shape hole, can observe basic layer board and take one's place and the fixed condition on the dentition to according to the corresponding adjustment basic layer board of observation result, improve basic layer board and take one's place and fixed accuracy on the dentition, be favorable to the window scope of windowing of the accurate location maxillary sinus bone face of windowing locating plate in the maxillary sinus lift operation, reduce the operation error, improve treatment.
Of course, the above is only a typical example of the present invention, and besides, the present invention may have other embodiments, and all technical solutions formed by using equivalent substitutions or equivalent transformations fall within the scope of the present invention.

Claims (6)

1. The utility model provides a maxillary sinus carries baffle outward which characterized in that: the window opening positioning plate is arranged at one end of the extension arm, which is far away from the base supporting plate, and is used for providing objective reference for the window opening height and width of the maxillary sinus bone surface; the extension arm is an arc-shaped forearm extending out of the base plate, and the inner surface of the extension arm is close to the bone surface; the bottom of base layer board is up sunken to be provided with a plurality of observation groove, the top of observation groove is provided with the tooth shape hole that is used for the tooth to expose from top to bottom.
2. The maxillary sinus external lifting guide of claim 1 wherein: the observation tank is provided with two.
3. The maxillary sinus external lifting guide of claim 1 wherein: the inner surface of the base supporting plate is provided with tooth fixing grooves matched with teeth.
4. The maxillary sinus external lifting guide of claim 1 wherein: the extension arm is integrally formed at one end of the base plate.
5. The maxillary sinus external lifting guide of claim 1 wherein: the windowing positioning plate is integrally formed at one end, far away from the base supporting plate, of the extension arm.
6. A method of using the maxillary sinus external guide of claims 1 to 5, comprising the steps of:
s1, making a trapezoidal incision on the attached gingiva, and cutting a flap;
s2, fixing the maxillary sinus external guide plate on the dentition through the coincidence of the occlusal surface of the base supporting plate and the dentition, observing the teeth exposed from the dentiform holes through the observation groove, and correspondingly adjusting the maxillary sinus external guide plate according to the positioning and fixing conditions of the maxillary sinus external guide plate on the dentition;
s3, positioning the windowing range of the maxillary sinus bone surface through the windowing positioning plate of the maxillary sinus external lifting guide plate, and objectively referring to the windowing height and width of the maxillary sinus bone surface through the windowing positioning plate;
s4, separating bone cortex with ultrasonic osteotome, taking out bone block, stripping mucosa, and filling bone powder;
s5, resetting the cortical bone block, covering with a biological membrane and suturing.
CN202011218493.8A 2020-11-04 2020-11-04 Maxillary sinus external lifting guide plate and using method thereof Pending CN112336490A (en)

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CN202011218493.8A CN112336490A (en) 2020-11-04 2020-11-04 Maxillary sinus external lifting guide plate and using method thereof

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Application Number Priority Date Filing Date Title
CN202011218493.8A CN112336490A (en) 2020-11-04 2020-11-04 Maxillary sinus external lifting guide plate and using method thereof

Publications (1)

Publication Number Publication Date
CN112336490A true CN112336490A (en) 2021-02-09

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Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107669355A (en) * 2017-09-19 2018-02-09 广州医科大学附属口腔医院(广州医科大学羊城医院) A kind of tip of a root surgical operation guide plate
CN109223211A (en) * 2018-10-16 2019-01-18 北京大学口腔医学院 Operation auxiliary guide plate and preparation method thereof is promoted outside a kind of maxillary sinus
US20190314127A1 (en) * 2018-04-11 2019-10-17 Min-Chia Chen Dental operation-guiding structure and method for producing the same
CN111870373A (en) * 2020-09-08 2020-11-03 四川大学 Maxillary sinus side wall windowing positioning and depth fixing plate, manufacturing method and positioning and depth fixing device

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107669355A (en) * 2017-09-19 2018-02-09 广州医科大学附属口腔医院(广州医科大学羊城医院) A kind of tip of a root surgical operation guide plate
US20190314127A1 (en) * 2018-04-11 2019-10-17 Min-Chia Chen Dental operation-guiding structure and method for producing the same
CN109223211A (en) * 2018-10-16 2019-01-18 北京大学口腔医学院 Operation auxiliary guide plate and preparation method thereof is promoted outside a kind of maxillary sinus
CN111870373A (en) * 2020-09-08 2020-11-03 四川大学 Maxillary sinus side wall windowing positioning and depth fixing plate, manufacturing method and positioning and depth fixing device

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Application publication date: 20210209