CN113081341A - Tool for retracting soft tissue flap in oral flap surgery and use method - Google Patents
Tool for retracting soft tissue flap in oral flap surgery and use method Download PDFInfo
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- CN113081341A CN113081341A CN202110533644.7A CN202110533644A CN113081341A CN 113081341 A CN113081341 A CN 113081341A CN 202110533644 A CN202110533644 A CN 202110533644A CN 113081341 A CN113081341 A CN 113081341A
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- flap
- soft tissue
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- oral
- retracting
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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
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C19/00—Dental auxiliary appliances
- A61C19/06—Implements for therapeutic treatment
Abstract
The invention relates to the technical field of oral repair tools, and provides a tool for retracting a soft tissue flap in an oral flap surgery and a using method thereof. Through the technical scheme and the using method, the problem that the flap-turning operation is difficult in the prior art is solved.
Description
Technical Field
The invention relates to the technical field of oral repair tools, in particular to a tool for retracting soft tissue flaps in an oral flap surgery and a using method thereof.
Background
Implant restoration has become the first choice for many patients with dentition loss, and oral implant surgery is divided into two surgical methods, namely flap surgery and non-flap surgery, wherein flap surgery is the traditional surgical method and is also the necessary method under the condition of insufficient alveolar ridge bone quantity. When the flap-turning operation is adopted for planting, the planting part of the oral cavity of a patient is cut until periosteum is removed, the soft tissue flap is turned to the buccal side and the lingual side after the periosteum is peeled off, the alveolar ridge crest is exposed, the planting ball drill is positioned, the hole expanding drill is used for preparing holes step by step, and the implant is implanted after the hole is formed. By adopting the flap-turning operation mode, the form of the alveolar ridge can be visually observed, the residual bone mass of the alveolar ridge can be determined, and the positioning can be accurately carried out, so that the accuracy of the implant implantation position can be greatly improved. Good planting positions also lay a solid foundation for future long-term effects. However, when the flap-turning operation is performed, the incision of the implantation operation area is small, and after the soft tissue flap is cut and peeled off and is turned over and dissociated towards the cheek and tongue side, the alveolar bone of the operation area cannot be completely exposed due to the easy resilience of the elasticity of the soft tissue flap, so that the operation visual field is shielded, and even gum is torn due to the winding of a high-speed running needle, which all affect the operation.
The existing soft tissue flap retracting methods in flap operation which are commonly used clinically comprise a suture retracting method and a draw hook retracting method. Suture retraction uses 2-0 type sutures for interrupted or mattress sutures to pull the buccal and lingual mucosal flaps, respectively. The needle insertion point is about 2.0mm away from the incision edge, the tail end of the suture can be clamped by a small hemostatic forceps and placed outside the incision, and the self weight of the hemostatic forceps is utilized to retract the soft tissue flap so as to achieve the purpose of tissue retraction. Often, an operation assistant is also needed to assist in pulling the suture, and if the pulling force is too large, the soft tissue flap is easily torn. When the operation is performed on the posterior dental area of the upper and lower jaws, the position is generally relatively back, and sometimes the suture retraction method cannot fully expose the operation visual field, so that a draw hook retraction method is needed to perform tissue retraction by means of a handheld draw hook. When the retractor is used, peripheral organs and tissues should be protected from being damaged, the traction action should be soft, and soft tissues should be prevented from being damaged by over-force. However, the operation drag hook has larger volume and is not beneficial to the operation of other oral cavity planting instruments. Based on the above problems, a repair tool with wider applicability is needed.
Disclosure of Invention
The invention provides a tool for retracting soft tissue flaps in an oral flap-over operation and a using method thereof, and solves the problem of difficult flap-over operation in the prior art.
The technical scheme of the invention is as follows:
a tool for retracting a soft tissue flap for oral flap surgery, comprising:
the two adjacent opening parts form a clamping space for clamping an alveolar ridge;
the elastic piece is connected with the two opening parts;
the saw teeth are arranged on the propping part and positioned on the inner side of the propping part and are used for being in contact with the alveolar ridge.
The elastic piece is provided with a first threaded hole which is oppositely arranged;
the screw rod penetrates through the first threaded holes which are oppositely arranged, the screw rod is a bidirectional screw rod, and an adjusting groove is formed in the end face of the screw rod.
The saw teeth are movably arranged on the opening part, and the opening part is provided with a cavity;
further comprising:
the sliding block is arranged in the cavity in a sliding mode and provided with a jacking surface used for jacking the sawteeth.
The top tight surface is a convex surface.
A second threaded hole is formed in the sliding block;
further comprising:
the adjusting rod is rotatably arranged on the opening portion, external threads are arranged on the adjusting rod, and the adjusting rod is in threaded connection with the second threaded hole.
Contact parts are arranged on two sides of the opening part.
Further comprising:
an extension strap provided on one of the two distracting portions.
Further comprising:
the curling box is arranged on one of the two strutting parts;
a crimping shaft rotatably disposed within the crimping box for crimping the extension strap.
Further comprising:
the connecting block is arranged on the opening part and is provided with a third threaded hole;
the connecting rod, the connecting rod with the connecting block is connected with the help of third screw hole.
A method of using a tool for retracting a soft tissue flap for oral flap surgery, comprising the steps of:
s1: the opening degree of the elastic piece is adjusted through the screw rod;
s2: opening the propping parts at the two sides to clamp the alveolar ridge;
s3: the fixed position of the saw teeth is adjusted by adjusting the adjusting rod;
s4: adjusting the screw rod again, and adjusting the clamping strength;
s5: repeating the steps S1-S4 to install another soft tissue flap retracting tool for the oral flap surgery;
s6: connecting and reinforcing the two tools for retracting the soft tissue flap in the oral flap surgery through connecting rods;
s7: the extension belt is adjusted to be used for traction.
The working principle and the beneficial effects of the invention are as follows:
the invention discloses a tool for retracting soft tissue flaps in an oral flap surgery, which comprises three parts, namely a distraction part, an elastic part and saw teeth, wherein the distraction part is arranged on two sides of the elastic part, a plurality of saw teeth are distributed on the inner side of the distraction part, and the elastic part can be a U-shaped part formed by elastic metal sheets; in the use, the elastic piece provides elasticity for the portion of strutting of both sides, and the sawtooth on the portion of strutting then can realize the interlock with the alveolar ridge and fix, and the portion of strutting then can strut the soft tissue lamella next to the alveolar ridge to spill the alveolar ridge.
Through the elastic component, prop the cooperation of division and sawtooth, the elastic component can provide fixed elasticity, prop the sawtooth in the division then further adapt to the condition of the various unevenness in surface on the alveolar ridge, realize the fixed action of division, prop the division then can play the effect of strutting to the soft tissue lamella next door of alveolar ridge, thereby with the complete exposure of alveolar ridge, and utilize self the effect of strutting behind the instrument installation, easy and simple to handle, the problem of turning over the lamella and operating difficulties among the prior art has been solved.
Compared with the suture retraction method and the drag hook retraction method in the prior art, the suture retraction tool disclosed by the invention is simple and reliable without complex operation, can adapt to the complex environment in the oral cavity, can play an effective distraction role no matter which position in the oral cavity is, and has wider adaptability.
The invention also provides a use method of the tool for retracting the soft tissue flap in the oral flap-turning operation, the retracting tool is arranged on the alveolar ridge, and the pretightening and the fixed clamping positions of the alveolar ridge are adjusted, so that the soft tissue flap can be unfolded by the unfolding part and leaks out of the alveolar ridge, the subsequent bone grafting operation is convenient, and the operation is simple, convenient and reliable.
Drawings
The present invention will be described in further detail with reference to the accompanying drawings and specific embodiments.
FIG. 1 is a schematic view of the overall structure of the present invention;
FIG. 2 is a schematic view of a traction tool of the present invention;
FIG. 3 is a side view of the configuration of the pulling tool of the present invention;
FIG. 4 is a cross-sectional view taken along A-A of FIG. 3;
in the figure: 1. strutting portion, 2, elastic component, 3, sawtooth, 4, first screw hole, 5, screw rod, 6, cavity, 7, slider, 8, second screw hole, 9, regulation pole, 10, contact site, 11, extension area, 12, curling box, 13, book axle, 14, connecting block, 15, third screw hole, 16, connecting rod.
Detailed Description
The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any inventive step, are intended to be within the scope of the present invention.
As shown in fig. 1 to 4, the present embodiment provides a tool for retracting a soft tissue flap in an oral flap surgery, comprising:
the supporting parts 1, two adjacent supporting parts 1 form a clamping space for clamping the alveolar ridge;
the elastic piece 2 is connected with the two strutting parts 1;
and the sawteeth 3 are arranged on the distraction part 1, are positioned on the inner side of the distraction part 1 and are used for contacting with the alveolar ridge.
The embodiment discloses a tool for retracting soft tissue flaps in an oral flap surgery, which comprises three parts, namely a distraction part 1, an elastic part 2 and saw teeth 3, wherein the distraction part 1 is arranged on two sides of the elastic part 2, the saw teeth 3 are distributed on the inner side of the distraction part 1, and the elastic part 2 can be an elastic metal sheet to form a U-shaped part; in the use, elastic component 2 provides elasticity for the portion 1 that struts of both sides, and the sawtooth 3 on the portion 1 that struts then can realize the interlock with the alveolar ridge and fix, and the portion 1 that struts then can strut the soft tissue lamella next to the alveolar ridge to spill the alveolar ridge.
Through elastic component 2, prop the cooperation of portion 1 and sawtooth 3, elastic component 2 can provide fixed elasticity, prop the condition of the various unevenness in surface on the sawtooth 3 on the portion 1 then further adapts to the alveolar ridge, realize the fixed action of portion 1 that props, prop portion 1 then can play the effect of propping open to the soft tissue lamella next door of alveolar ridge, thereby with the complete exposure of alveolar ridge, and utilize the effect of strutting of instrument installation back self, and is easy and simple to handle, the problem of turning over the lamella and operating the difficulty among the prior art has been solved.
Compared with the suture retraction method and the drag hook retraction method in the prior art, the suture retraction tool disclosed by the invention is simple and reliable without complex operation, can adapt to the complex environment in the oral cavity, can play an effective distraction role no matter which position in the oral cavity is, and has wider adaptability.
The elastic piece 2 is provided with a first threaded hole 4 which is oppositely arranged;
the screw rod 5 penetrates through the first threaded holes 4 which are oppositely arranged, the screw rod 5 is a bidirectional screw rod 5, and the end face of the screw rod 5 is provided with an adjusting groove.
In this embodiment, elastic component 2 can be the sheetmetal of folding into the U type, first screw hole 4 has been seted up on elastic component 2, threaded connection has screw rod 5 still on first screw hole 4, screw rod 5 is two-way screw thread, face different tooth types in the oral cavity, we can adjust screw rod 5's pivoted range, the adjustment tank of screw rod 5 terminal surface, be convenient for utilize the instrument to carry out fine adjustment such as screwdriver, when the facing alveolar ridge of different positions in the oral cavity, for example preceding tooth type, preceding grinding tooth type and grinding tooth type, its width carries out the adaptability adjustment according to the circumstances, application scope is wider.
The saw teeth 3 are movably arranged on the opening part 1, and the opening part 1 is provided with a cavity 6;
further comprising:
the sliding block 7 is arranged in the cavity 6 in a sliding mode, and the sliding block 7 is provided with a jacking surface used for jacking the sawteeth 3.
In this embodiment, sawtooth 3 on strutting portion 1 is the movable type, adopt the mode that floats and set up, still be provided with cavity 6 on strutting portion 1, a side of activity sawtooth 3 is in the inside of cavity 6, slider 7 is then the slip setting in cavity 6, the tight face in top has on the slider 7, the tight face in top can be through reciprocating of slider 7, contact with different sawtooth 3, the sawtooth 3 of different positions is ejecting by the tight face in top of slider 7, thereby the surperficial state of the different alveolar ridges of adaptation that can be better realizes pressing from both sides tightly, reach better firm effect.
The top tight surface is a convex surface.
In this embodiment, the tight face in top of slider 7 is the convex surface, and the tight face in top is the convex surface can be better ejecting with sawtooth 3 to the realization struts the tight effect of clamp of portion 1 on the alveolar ridge.
A second threaded hole 8 is formed in the sliding block 7;
further comprising:
the adjusting rod 9 is rotatably arranged on the opening portion 1, an external thread is arranged on the adjusting rod 9, and the adjusting rod 9 is in threaded connection with the second threaded hole 8.
In this embodiment, still seted up second screw hole 8 on slider 7, adjusted pole 9 and rotated the setting and on strutting portion 1, be provided with the external screw thread on adjusting pole 9, adjust pole 9 and slider 7 threaded connection, rotate and adjust pole 9 and can drive slider 7 and slide from top to bottom to make the tight face in top contact with sawtooth 3 on the different faces, realize the chucking contact of different positions.
Contact parts 10 are provided on both sides of the spreader.
In this embodiment, the contact part 10 is further arranged on two sides of the opening part 1, the contact part 10 is a skirt edge with a curled edge or a rounded corner, and the contact part 10 can effectively relieve the damage to the soft tissue valve and play a role in protection in the process of opening the soft tissue valve by the opening part 1.
Further comprising:
and an extension strip 11, wherein the extension strip 11 is arranged on one of the two expansion parts 1.
In this embodiment, an extension strip 11 is further provided on any one of the two distracting parts 1, the extension strip 11 is connected to the distracting part 1, and when the alveolar ridge at the position where the molar form needs to be performed is pulled and distracted, the alveolar ridge at the position where the molar form needs to be performed can be exposed as much as possible through the extension strip 11, thereby facilitating the bone grafting operation.
Further comprising:
a curl box 12, the curl box 12 being provided on one of the two expanding portions 1;
a winding shaft 13, the winding shaft 13 being rotatably provided in the winding box 12 for winding the extension band 11.
In this embodiment, the extension band 11 is wound into the winding box 12 through the winding shaft 13, the winding box 12 is provided on the opening portion 1, the extension band 11 is pulled out from the winding box 12 when in use, and is wound into the box body through the winding shaft 13 when not in use, thereby saving space.
Further comprising:
a connection block 14, the connection block 14 being disposed on the opening portion 1, the connection block 14 having a third threaded hole 15;
a connecting rod 16, wherein the connecting rod 16 is connected with the connecting block 14 through a third threaded hole 15.
In this embodiment, still installed connecting block 14 on strutting portion 1, seted up third screw hole 15 on connecting block 14, connecting rod 16 can connect two adjacent strutting portions 1 through third screw hole 15 to further promoted the steadiness, and both sides strut, adopt connecting rod 16's mode, can fully draw the soft tissue lamella, expose the alveolar ridge as far as completely, be convenient for plant the bone operation.
A method of using a tool for retracting a soft tissue flap for oral flap surgery, comprising the steps of:
s1: the opening degree of the elastic piece 2 is adjusted through the screw 5;
s2: opening the distraction parts 1 at the two sides to clamp the alveolar ridge;
s3: the fixed position of the sawtooth 3 is adjusted by adjusting the adjusting rod 9;
s4: adjusting the screw 5 again to adjust the clamping strength;
s5: repeating the steps S1-S4 to install another soft tissue flap retracting tool for the oral flap surgery;
s6: two tools for retracting the soft tissue flap in the oral flap surgery are connected and reinforced through a connecting rod 16;
s7: by adjusting the extension belt 11, the extension belt 11 is pulled.
In the embodiment, the use method is adopted, the pretightening force is adjusted in advance through the adjusting screw rod 5, the distraction parts 1 on two sides are opened, the clamping gap formed by the whole distraction part 1 is clamped on the alveolar ridge, then the adjusting rod 9 is adjusted according to the shape of the alveolar ridge, the saw teeth 3 of which parts are most suitable for clamping are utilized to make adaptive adjustment, then the screw rod 5 is adjusted again, the clamping strength is further improved, then the same operation method is applied to the other side of the alveolar ridge, the retraction tool is installed, then the connecting rod 16 is utilized to connect the connecting block 14 on the distraction part 1, further fixation is realized, when the tooth form needs to be fixed by the extension belt 11, the extension belt 11 is pulled to realize the rapid distraction of the soft tissue flap, and the alveolar ridge is fully exposed.
The present invention is not limited to the above preferred embodiments, and any modifications, equivalent substitutions, improvements, etc. within the spirit and principle of the present invention should be included in the protection scope of the present invention.
Claims (10)
1. A tool for retracting a soft tissue flap for an oral flap procedure, comprising:
the dental implant comprises two spreading parts (1), wherein two adjacent spreading parts (1) form a clamping space for clamping an alveolar ridge;
an elastic member (2), wherein the elastic member (2) connects the two spreading parts (1);
the sawteeth (3) are arranged on the opening part (1) and are positioned on the inner side of the opening part (1) and used for being in contact with the alveolar ridge.
2. Tool for the oral flap surgery retraction of soft tissue flaps according to claim 1, characterized in that said elastic member (2) has oppositely disposed first threaded holes (4);
the screw rod (5), the relative first screw hole (4) that sets up is passed in screw rod (5), screw rod (5) are two-way screw rod (5), the terminal surface of screw rod (5) has the adjustment tank.
3. The tool for retracting a soft tissue flap in oral flap surgery according to claim 1, characterized in that the saw teeth (3) are movably arranged on the distracting part (1), the distracting part (1) having a cavity (6);
further comprising:
the sliding block (7) is arranged in the cavity (6) in a sliding mode, and the sliding block (7) is provided with a jacking surface used for jacking the sawteeth (3).
4. The tool for retracting a soft tissue flap for oral flap surgery as in claim 3, wherein the top gripping surface is convex.
5. Tool for the oral flap surgery retraction of soft tissue flaps according to claim 4, characterized in that said slider (7) is provided with a second threaded hole (8);
further comprising:
the adjusting rod (9), the adjusting rod (9) rotates and sets up prop open on the portion (1), be provided with the external screw thread on the adjusting rod (9), adjust the pole (9) with second screw hole (8) threaded connection.
6. Tool for the oral flap surgery retraction of soft tissue flaps according to claim 1, characterized in that the spreader part (1) is provided on both sides with contact parts (10).
7. The tool for retracting a soft tissue flap for oral flap surgery as recited in claim 1, further comprising:
an extension strap (11), wherein the extension strap (11) is arranged on one of the two expansion parts (1).
8. The tool for retracting a soft tissue flap for oral flap surgery as recited in claim 7, further comprising:
a curling box (12), wherein the curling box (12) is arranged on one of the two stretching parts (1);
a crimping shaft (13), said crimping shaft (13) being rotatably arranged in said crimping box (12) for crimping said extension band (11).
9. The tool for retracting a soft tissue flap for oral flap surgery as recited in claim 1, further comprising:
a connecting block (14), wherein the connecting block (14) is arranged on the opening part (1), and the connecting block (14) is provided with a third threaded hole (15);
a connecting rod (16), wherein the connecting rod (16) is connected with the connecting block (14) through a third threaded hole (15).
10. Use of a tool for retracting soft tissue flaps for oral flap surgery, comprising a tool for retracting soft tissue flaps for oral flap surgery according to any one of claims 1 to 9, characterized in that it comprises the following steps:
s1: the opening degree of the elastic part (2) is adjusted through the screw (5);
s2: opening the strutting parts (1) at the two sides to clamp the alveolar ridge;
s3: the fixed position of the saw teeth (3) is adjusted by adjusting the adjusting rod (9);
s4: adjusting the screw (5) again to adjust the clamping strength;
s5: repeating the steps S1-S4 to install another soft tissue flap retracting tool for the oral flap surgery;
s6: two tools for retracting the soft tissue flap in the oral flap surgery are connected and reinforced through a connecting rod (16);
s7: the extension belt (11) is adjusted to perform traction by the extension belt (11).
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202110533644.7A CN113081341B (en) | 2021-05-17 | 2021-05-17 | Tool for retracting soft tissue flap in oral flap surgery and use method |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202110533644.7A CN113081341B (en) | 2021-05-17 | 2021-05-17 | Tool for retracting soft tissue flap in oral flap surgery and use method |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN113081341A true CN113081341A (en) | 2021-07-09 |
| CN113081341B CN113081341B (en) | 2022-03-04 |
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| CN202110533644.7A Active CN113081341B (en) | 2021-05-17 | 2021-05-17 | Tool for retracting soft tissue flap in oral flap surgery and use method |
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| CN115137501A (en) * | 2022-06-07 | 2022-10-04 | 涂山前 | Dental operation hook pulling device and using method thereof |
| CN115137501B (en) * | 2022-06-07 | 2024-05-14 | 广州富石德仁口腔门诊部有限公司 | Surgical retractor device for dentistry and application method thereof |
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Also Published As
| Publication number | Publication date |
|---|---|
| CN113081341B (en) | 2022-03-04 |
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