CN113456282B - Method for immediately manufacturing plug treatment device after jaw cyst windowing and pressure reducing operation - Google Patents
Method for immediately manufacturing plug treatment device after jaw cyst windowing and pressure reducing operation Download PDFInfo
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- CN113456282B CN113456282B CN202110496715.0A CN202110496715A CN113456282B CN 113456282 B CN113456282 B CN 113456282B CN 202110496715 A CN202110496715 A CN 202110496715A CN 113456282 B CN113456282 B CN 113456282B
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- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61C19/00—Dental auxiliary appliances
- A61C19/06—Implements for therapeutic treatment
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
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- B—PERFORMING OPERATIONS; TRANSPORTING
- B33—ADDITIVE MANUFACTURING TECHNOLOGY
- B33Y—ADDITIVE MANUFACTURING, i.e. MANUFACTURING OF THREE-DIMENSIONAL [3-D] OBJECTS BY ADDITIVE DEPOSITION, ADDITIVE AGGLOMERATION OR ADDITIVE LAYERING, e.g. BY 3-D PRINTING, STEREOLITHOGRAPHY OR SELECTIVE LASER SINTERING
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- B—PERFORMING OPERATIONS; TRANSPORTING
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- B33Y—ADDITIVE MANUFACTURING, i.e. MANUFACTURING OF THREE-DIMENSIONAL [3-D] OBJECTS BY ADDITIVE DEPOSITION, ADDITIVE AGGLOMERATION OR ADDITIVE LAYERING, e.g. BY 3-D PRINTING, STEREOLITHOGRAPHY OR SELECTIVE LASER SINTERING
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Abstract
The invention provides a method for immediately manufacturing a plug treatment device after a jaw cyst windowing and pressure reducing operation, and relates to the technical field of jaw cyst treatment instruments. The method comprises the following steps: (1) After jaw cyst windowing and pressure reducing, inserting a supporting component matched with the window into the windowing to enable the end part of the supporting component to be abutted against the cyst bottom wall at the bottom of the window, and acquiring the shape of the window; (2) Preparing an oral cavity partial impression containing a fenestration shape by using alginate impression material and a supporting component and pouring a plaster model; (3) And injecting self-setting resin into the opening of the gypsum model, and solidifying to obtain the stopper. The invention has the advantages that the prepared plug therapeutic device can be repeatedly engraved in equal ratio and the size of the window can be instantly finished beside a chair without the need of abutment retention, thereby reducing the foreign body sensation and side reaction of a wearer and accelerating the bone formation process in a capsule cavity.
Description
Technical Field
The invention relates to the technical field of jaw cyst treatment instruments, in particular to a method for immediately manufacturing a plug treatment device after jaw cyst windowing and decompression.
Background
Jaw cyst decompression technique of windowing is at jaw cystic disease surface windowing, and sclerotin and cyst wall are opened to the part, and drainage goes out the cyst fluid to the preparation stopper keeps the drainage mouth unobstructed, makes the internal and external pressure of cyst cavity keep balance, and new bone forms around the cyst, and jaw form is rebuilt, and the cyst cavity reduces gradually until healing. Usually, the decompression time after the windowing is 6-18 months, the cyst disappearing person does not need the II-stage operation after decompression, and the cyst can be scraped by the II-stage operation if the cyst does not disappear completely. The purpose of the windowing decompression operation is not to directly remove cysts, but to form new bones, shrink the capsule cavity and protect the shape and the function of the jaw bone to the maximum extent. Although jaw cyst decompression is currently widely performed, the following problems still remain:
the first problem is that: jaw cyst often lies in darker position, and the degree of depth can reach 4-6cm, and is the form of "the little end of the mouth is big", and traditional impression method generally is applicable to the cyst that is no longer than 1cm degree of depth, therefore traditional impression method is difficult to prepare darker jaw cyst trompil decompression postoperative impression, if impression method can't go deep into the cyst chamber completely when preparing the model and obtain the sufficient degree of depth of cyst, it is too short to make out stopper treatment ware, leads to the soft tissue early stage to close, and the cyst can't be decompressed and drained, needs secondary operation, increases the burden of disease.
The second problem is that: because of the requirement of minimally invasive surgery, the cyst fenestration is smaller at present, the traditional method for preparing the impression after the jaw cyst fenestration decompression operation is adopted, the risk that the elastic impression material is broken in the cyst possibly exists, the impression material needs to be taken out by secondary operation, and in order to avoid the risk, an iodoform sliver is needed to be used for temporarily filling the inverted concave part of the cyst cavity, so that the pain is caused to the patient.
The third problem is that: the traditional stopper device usually needs the processing factory to make and accomplish, and this process needs certain time, and during this period, patient's cyst chamber can only be packed with the iodoform yarn strip and give the suture fix on the soft tissue to prevent to open the window closure, wait to see again after the processing factory makes and accomplish, and the iodoform yarn strip is taken out and is put into the stopper device, and the process of secondary packing of iodoform yarn strip and taking out has caused great misery for the patient.
The fourth problem is that: the traditional plug therapeutic device needs to be fixed by a clamping ring, needs to prepare teeth, and causes the loss of hard tissues of the teeth. In addition, the patient who has no abutment near the fenestration may have difficulty in fixing, and the patient has a large volume and a remarkable foreign body sensation after wearing the patient.
Disclosure of Invention
The invention aims to provide a method for immediately manufacturing a plug treatment device after jaw cyst windowing and pressure reducing operation, the prepared plug treatment device can be repeatedly notched in equal ratio and has the advantages of no need of abutment retention, reduction of foreign body sensation and side reaction of a wearer and acceleration of a bone formation process in a cyst cavity.
The technical problem to be solved by the invention is realized by adopting the following technical scheme.
The embodiment of the application provides a method for immediately manufacturing a plug treatment device after jaw cyst windowing decompression, which comprises the following steps: (1) After jaw cyst windowing decompression, inserting a supporting component matched with the window into the windowing to enable the end part of the supporting component to be abutted against a cyst bottom wall at the bottom of the window to obtain the shape of the window; (2) Preparing an oral cavity partial impression containing a fenestration shape by using alginate impression material and a supporting component and pouring a plaster model; (3) And injecting self-setting resin into the window of the plaster model, and solidifying to obtain the plug device.
Compared with the prior art, the embodiment of the invention has at least the following advantages or beneficial effects:
the cyst windowing device has the advantages that the traditional cyst windowing form acquisition method adopts a silicon rubber or alginate impression material, the silicon rubber or alginate material is placed in an oral cavity, the form and the depth of the cyst windowing form are copied while dentition and soft tissue forms are copied, but the softness of the silicon rubber or alginate material cannot penetrate into the bottom of a cyst cavity and reach the bottom wall of the cyst, the depth of the cyst cavity from the windowing to the bottom of the cyst cannot be acquired while the oral impression is prepared, so that the prepared cyst plug device is too short and cannot penetrate into the bottom of the cyst cavity, the soft tissue is easily closed in advance, the purposes of windowing drainage and pressure reduction cannot be achieved, serious patients need secondary operations, and the psychological and economic burdens of patients are increased. In the invention, the end part of the support component is abutted against the cyst bottom wall at the bottom of the window, and the size of the support component is matched with that of the window, so that the form of the window can be completely carved, the depth from the window to the cyst bottom wall can be obtained, and the risk of early soft tissue closure caused by too short plug treatment device due to insufficient mould taking is avoided.
The second effect is that the traditional silicon rubber or alginate material is soft and easy to break after being formed, and has poor mechanical property, when the formed silicon rubber or alginate material is taken out in a window form, the formed silicon rubber or alginate material is easy to break in a capsule cavity, sometimes needs to be taken out through a secondary operation, and brings great psychological burden and pain to patients. The invention adopts the form of the support component for repeatedly engraving the window, and because the support component has certain mechanical property, the phenomenon that the traditional silicon rubber or alginate impression material is broken in the capsule cavity can not occur, which is one of the important reasons for ensuring the complete form of the repeatedly engraving window and can not bring extra psychological burden and pain to patients.
The traditional stopper is completed by a processing factory, the manufacturing period is relatively long (3-5 days are different), in order to prevent the windowing from being closed, an iodoform gauze is required to fill the capsule cavity of the patient and is sewn and fixed on surrounding soft tissues during the manufacturing process, so the iodoform gauze is required to be taken out when the stopper is worn, and then the stopper is put into the capsule cavity.
The traditional plug therapeutic device needs to be fixed by the clamping ring, so that the dental preparation is always needed for healthy teeth, the loss of the healthy teeth is increased, the volume is large, and the foreign body sensation of a patient is obvious; conventional obturator retention presents difficulties for patients without abutments adjacent to the fenestrated area. According to the invention, the window part of the plug therapeutic device directly abuts against the bottom of the cyst, the gingival part of the plug therapeutic device is cooperated to limit the sagittal motion of the plug therapeutic device, and the horizontal motion of the plug therapeutic device is limited by the clamping and holding effect of the window. Therefore, compared with the traditional plug therapy, the volume is greatly reduced, and the foreign body sensation of the patient is obviously reduced. In addition, the retaining of the retaining ring is not needed, the damage to the healthy tooth tissue caused by the preparation of the abutment tooth body is avoided, and the patient without the abutment retaining around the fenestration is also suitable for the treatment.
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 view of a window of a jaw cyst patient;
FIG. 2 is a view of a panoramic view of the oral cavity of a patient with jaw cyst;
FIG. 3 is a schematic view of a resculpting cyst fenestration of the supporting component in embodiment 1 of the present invention;
FIG. 4 is a diagram of a supporting assembly after a window is repeatedly etched in embodiment 1 of the present invention;
FIG. 5 is a schematic view of the connection of alginate impression material to a support member;
FIG. 6 is a gypsum model in example 1 of the present invention;
FIG. 7 is a view of a plug therapeutic device in example 1 of the present invention;
FIG. 8 is an intraoral view of a jaw cyst patient wearing a plug;
fig. 9 is a picture of a review panorama (new bone tissue marked with dotted lines) of a jaw cyst patient after wearing the plug therapy device for 3 months.
Icon: 1-a stopper; 11-windowing; 12-gingival position morphology; 2-oral morphology; 3-a support assembly; 4-oral cavity model made of alginate impression material.
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. The examples, in which specific conditions are not specified, were conducted under conventional conditions or conditions recommended by the manufacturer. The reagents or instruments used are conventional products which are not indicated by manufacturers and are commercially available.
It should be noted that the embodiments and features of the embodiments in the present application may be combined with each other without conflict. The present invention will be described in detail below with reference to specific examples.
The embodiment of the application provides a method for immediately manufacturing a plug treatment device 1 after jaw cyst windowing decompression, which comprises the following steps: (1) After jaw cyst windowing decompression, inserting a supporting component 3 matched with the jaw cyst into the windowing to enable the end part of the supporting component 3 to be abutted against the cyst bottom wall at the bottom of the window to obtain the shape of the window; (2) Preparing an alginate impression containing fenestrations using alginate impression material and the support assembly 3 and pouring a plaster model; (3) And injecting self-setting resin into the window of the plaster model, and obtaining the stopper 1 after solidification. Firstly, make its tip and the cyst diapire at windowing bottom offset through using supporting component 3, obtain the degree of depth of windowing to cyst diapire simultaneously at complete repetition carving window form. Because the supporting component 3 has certain mechanical property and is not easy to break as the alginate material, the supporting component can not break when being taken out, which is one of the important reasons for ensuring the complete repeated carving window shape and can not bring extra psychological burden and pain to patients; secondly, the traditional obturator 1 needs to be sent to a false tooth processing factory for manufacturing, the period is different from 3 days to 5 days, a patient needs to see a doctor again, and an iodoform gauze strip needs to be stuffed and sewn and fixed for avoiding early closing of soft tissues at a window opening during the manufacturing period, so that inconvenience is brought to the patient. The invention is manufactured at the side of the chair, thereby avoiding the problems.
In some embodiments of the present invention, the above method wherein the support assembly 3 comprises a swab stick and a swab head arranged on the swab stick, the amount of cotton on the swab head is adjustable. The cotton swab has wide source, and the mechanical strength of the cotton swab rod is enough to support and cannot break in the sac cavity, so that the cotton amount on the cotton swab can be randomly adjusted, the cotton swab has wide source, can be adjusted at any time according to the size of the window, and ensures the geometric multiple engraving window form.
In some embodiments of the invention, the length of the support member 3 in the above method is greater than the depth of the window. The support component 3 can be taken out after the window shape is repeatedly engraved, and meanwhile, in the subsequent model manufacturing process, when the elastic impression material is inserted, the instability of the support component 3 caused by the short insertion part is avoided, so that the finally prepared plug device 1 is completely matched with the shape in the mouth.
In some embodiments of the present invention, before injecting the self-setting resin into the window of the plaster model, the reinforcement wire is placed into the cavity in the plaster model in advance, and then the self-setting resin is injected into the window, and after the reinforcement wire is solidified, the plug 1 containing the reinforcement wire is obtained. In the embodiment, the reinforcing wire is introduced to avoid the fracture of the plug therapeutic device 1 in the subsequent operation process, the traditional plug therapeutic device 1 usually needs a clamping ring to be fixed on the abutment so as to provide fixation for the plug therapeutic device 1 to avoid dislocation, and the fixation mode needs tooth preparation to cause damage to hard tissues of teeth. When a patient has multiple teeth missing adjacent to the fenestration, there may be no abutment to provide retention to the obturator 1, which adds to the difficulty of treatment for patients with missing teeth and suffering from jaw cysts. The invented stopper treatment device 1 includes a window position and a gum position form. The horizontal displacement of the plug device 1 is limited by clamping the window position in the window, and the sagittal displacement of the plug device 1 is limited by the gingival position, so that the retention of the abutment is not needed, and the plug device is also suitable for patients with a plurality of teeth loss. In addition, the gingival position shape part of the plug device 1 is convenient for the plug device 1 to be taken out, and the daily flushing is convenient.
In some embodiments of the present invention, the force-increasing wire is a stainless steel wire. The stainless steel wire is not easy to be damaged in the oral environment, and has certain mechanical property, wide source and low cost.
In some embodiments of the present invention, the self-setting resin in the above method is a PMMA self-setting resin.
In some embodiments of the present invention, the above method for preparing the plaster model further comprises the steps of obtaining an impression having the oral cavity shape 2 from the impression material, repositioning the support member 3 to the impression, and preparing the plaster model including the fenestrated shape 11 and the partial oral cavity shape 2 using plaster.
In some embodiments of the invention, the method is performed by coating the stopper 1 with an antibacterial layer comprising zanthoxylum bungeanum extract, cactus extract, garlic extract, trichosanthes root and acrylamide hydrogel. The pricklyash peel and the cactus are used for warming the middle-jiao to dispel cold, removing dampness to relieve pain and relieving postoperative pain, the garlic and the radix trichosanthis are used for disinfection and bacteriostasis to prevent infection, and the combined use is convenient for improving the window environment after operation, improving the tissue healing capability and accelerating osteogenesis.
In some embodiments of the present invention, the antibacterial layer in the above method comprises 1 to 3wt% of zanthoxylum bungeanum extract, 1.5 to 2wt% of cactus extract, 0.4 to 0.9wt% of garlic extract, 0.6 to 1.8wt% of smallpox, and the balance of acrylamide hydrogel. The raw materials in the proportion can achieve better antibacterial effect.
In some embodiments of the present invention, the antibacterial layer is coated with a nano silver ion layer in the above method. The traditional Chinese medicine is antibacterial and is superposed with nano silver ion antibacterial, so that the antibacterial effect can be further improved, and the occurrence of inflammatory reaction is reduced.
The features and properties of the present invention are described in further detail below with reference to examples.
Example 1
The present embodiment aims to provide a method for immediately manufacturing a plug treatment device 1 after a jaw cyst windowing decompression operation, which comprises the following steps:
(1) Performing fenestration decompression on a patient with a jaw cyst to expose a window, as shown in the circled portion in fig. 1;
(2) The cotton amount on the cotton swabs is increased or decreased according to the size of the window, the length of the cotton swabs is adjusted according to the depth of the bag cavity, the length of the cotton swabs is slightly longer than the depth of the window by 1.5-2cm, the cotton swabs are convenient to take out subsequently, an inclined plane is formed on the cross section of the cotton swabs (figure 3, 2 in figure 3 is oral cavity shape 2), and the supporting component 3 is convenient to reset into an elastic impression material (alginate material) subsequently;
(3) Inserting the cotton swab matched with the window into the window, enabling the end of the cotton swab to be abutted against the bottom wall of the cyst at the bottom of the window, adjusting the amount of cotton on the cotton swab to be matched with the size of the window, and obtaining the supporting component 3, as shown in fig. 4;
(4) The oral cavity model (oral cavity model 4 made using alginate impression material) was prepared with the aid of alginate impression material. After the alginate is solidified, the impression is taken out, the supporting component 3 is stabilized at the opening due to the clamping effect of the opening, and then the supporting component 3 is reset to the formed alginate material, as shown in figure 5, the length of the supporting component 3 slightly protrudes out of the inner soft tissue surface, and the section of the supporting component 3 is an inclined surface, so that the supporting component can be accurately reset after the alginate material is inserted, and the impression cannot rotate, thereby ensuring the accuracy of the impression;
(5) Pouring superhard gypsum into the alginate material and the supporting component 3 which are connected in the step 4, taking out the alginate material and the supporting component 3 after the gypsum is formed, and obtaining a gypsum model with an oral cavity shape 2, wherein the gypsum model comprises an open window shape 11 and a gingival position shape 12 as shown in figure 6;
(6) And (3) putting a force increasing wire in the window opening form 11, simultaneously injecting self-setting resin into the window opening form 11 and the gingival position form 12 of the plaster model, and solidifying to obtain the plug treatment device 1, wherein the structure of the plug treatment device 1 is shown in fig. 7, and the position of the force increasing wire in the plug treatment device 1 is shown in a circle part in fig. 8.
When the finally prepared plug device 1 is placed in an oral cavity opening window, the scope of the capsule cavity is obviously reduced, and the osteogenesis effect is obvious, as shown in a dotted line part of fig. 9.
Example 2
The present embodiment aims to provide a method for immediately manufacturing a plug treatment device 1 after a jaw cyst windowing decompression operation, which comprises the following steps:
(1) Performing fenestration decompression on a patient with a jaw cyst to expose a window, as shown in the circled portion in fig. 1;
(2) The cotton amount on the cotton swab is increased or decreased according to the size of the window, the length of the cotton swab is adjusted according to the depth of the capsule cavity, the length of the cotton swab is slightly longer than the depth of the window by 1.5-2cm, the cotton swab is convenient to take out subsequently, an inclined plane is formed on the cut section of the cotton swab (figure 3, 2 in figure 3 is oral cavity shape 2), and the supporting component 3 is convenient to reset into an elastic impression material (alginate material) subsequently;
(3) Inserting the cotton swab matched with the window into the window, enabling the end of the cotton swab to be abutted against the bottom wall of the cyst at the bottom of the window, adjusting the cotton amount on the cotton swab to enable the cotton swab to be matched with the size of the window, and obtaining the supporting component 3, as shown in fig. 4;
(4) The oral cavity model was prepared with the aid of an alginate impression material. After alginate is solidified, taking out the impression, stabilizing the supporting component 3 at the windowing position due to the clamping and holding effect of the windowing position, and resetting the supporting component 3 to the formed alginate material, wherein as shown in figure 5, the length of the supporting component 3 slightly protrudes out of the surface of the soft tissue in the opening, and the section of the supporting component 3 is an inclined plane, the supporting component can be accurately reset after the alginate material is inserted, and the rotation cannot occur, so that the accuracy of the impression is ensured;
(5) Pouring the alginate material and the supporting component 3 connected in the step 4 with superhard gypsum, taking out the alginate material and the supporting component 3 after the gypsum is formed, and obtaining a gypsum model with an oral cavity shape 2, wherein the gypsum model comprises a fenestration shape 11 and a gingival position shape 12 as shown in figure 6;
(6) Putting a force increasing wire into the windowing form 11, simultaneously injecting self-setting resin into the windowing form 11 and the gingival position form 12 of the plaster model, and solidifying to obtain the plug treatment device 1, wherein the structure of the plug treatment device 1 is shown in fig. 7, and the position of the force increasing wire in the plug treatment device 1 is shown in a circle part in fig. 8;
(7) Preparing a certain amount of acrylamide hydrogel, adding 1wt% of pepper extract, 1.5wt% of cactus extract, 0.4wt% of garlic extract and 0.6wt% of smallpox, and the balance of acrylamide hydrogel, mixing, and coating on the surface of the stopper 1 to obtain the stopper 1 with the antibacterial layer.
Example 3
The purpose of this embodiment is to provide a method for manufacturing a plug treatment device 1 immediately after jaw cyst windowing and pressure reduction, comprising the following steps:
(1) Windowing decompression procedure was performed on patients with jaw cysts, exposing the window, as shown in the circled portion of fig. 1;
(2) The cotton amount on the cotton swab is increased or decreased according to the size of the window, the length of the cotton swab is adjusted according to the depth of the capsule cavity, the length of the cotton swab is slightly longer than the depth of the window by 1.5-2cm, the cotton swab is convenient to take out subsequently, an inclined plane is formed on the cut section of the cotton swab (figure 3, 2 in figure 3 is oral cavity shape 2), and the supporting component 3 is convenient to reset into an elastic impression material (alginate material) subsequently;
(3) Inserting the cotton swab matched with the window into the window, enabling the end of the cotton swab to be abutted against the bottom wall of the cyst at the bottom of the window, adjusting the amount of cotton on the cotton swab to be matched with the size of the window, and obtaining the supporting component 3, as shown in fig. 4;
(4) The oral cavity model was prepared with the aid of an alginate impression material. After the alginate is solidified, the impression is taken out, the supporting component 3 is stabilized at the opening due to the clamping effect of the opening, and then the supporting component 3 is reset to the formed alginate material, as shown in figure 5, the length of the supporting component 3 slightly protrudes out of the inner soft tissue surface, and the section of the supporting component 3 is an inclined surface, so that the supporting component can be accurately reset after the alginate material is inserted, and the impression cannot rotate, thereby ensuring the accuracy of the impression;
(5) Pouring the alginate material and the supporting component 3 connected in the step 4 with superhard gypsum, taking out the alginate material and the supporting component 3 after the gypsum is formed, and obtaining a gypsum model with an oral cavity shape 2, wherein the gypsum model comprises a fenestration shape 11 and a gingival position shape 12 as shown in figure 6;
(6) Putting a force increasing wire into the windowing form 11, simultaneously injecting self-setting resin into the windowing form 11 and the gingival position form 12 of the plaster model, and solidifying to obtain the plug treatment device 1, wherein the structure of the plug treatment device 1 is shown in fig. 7, and the position of the force increasing wire in the plug treatment device 1 is shown in a circle part in fig. 8;
(7) Preparing a certain amount of acrylamide hydrogel, adding 2wt% of pepper extract, 1.8wt% of cactus extract, 0.9wt% of garlic extract and 1.2wt% of smallpox into the acrylamide hydrogel, mixing, and coating the mixture on the surface of the stopper 1 to obtain the stopper 1 with the antibacterial layer.
Example 4
The purpose of this embodiment is to provide a method for manufacturing a plug treatment device 1 immediately after jaw cyst windowing and pressure reduction, comprising the following steps:
(1) Performing fenestration decompression on a patient with a jaw cyst to expose a window, as shown in the circled portion in fig. 1;
(2) The cotton amount on the cotton swabs is increased or decreased according to the size of the window, the length of the cotton swabs is adjusted according to the depth of the bag cavity, the length of the cotton swabs is slightly longer than the depth of the window by 1.5-2cm, the cotton swabs are convenient to take out subsequently, an inclined plane is formed on the cross section of the cotton swabs (figure 3, 2 in figure 3 is oral cavity shape 2), and the supporting component 3 is convenient to reset into an elastic impression material (alginate material) subsequently;
(3) Inserting the cotton swab matched with the window into the window, enabling the end of the cotton swab to be abutted against the bottom wall of the cyst at the bottom of the window, adjusting the amount of cotton on the cotton swab to be matched with the size of the window, and obtaining the supporting component 3, as shown in fig. 4;
(4) The oral cavity model was prepared with the aid of alginate impression material. After alginate is solidified, taking out the impression, stabilizing the supporting component 3 at the windowing position due to the clamping and holding effect of the windowing position, and resetting the supporting component 3 to the formed alginate material, wherein as shown in figure 5, the length of the supporting component 3 slightly protrudes out of the surface of the soft tissue in the opening, and the section of the supporting component 3 is an inclined plane, the supporting component can be accurately reset after the alginate material is inserted, and the rotation cannot occur, so that the accuracy of the impression is ensured;
(5) Pouring the alginate material and the supporting component 3 connected in the step 4 with superhard gypsum, taking out the alginate material and the supporting component 3 after the gypsum is formed, and obtaining a gypsum model with an oral cavity shape 2, wherein the gypsum model comprises a fenestration shape 11 and a gingival position shape 12 as shown in figure 6;
(6) Putting a reinforcement wire into the windowing form 11, simultaneously injecting self-setting resin into the windowing form 11 and the gingival position form 12 of the plaster model, and obtaining the plug treatment device 1 after solidification, wherein the structure of the plug treatment device 1 is shown in figure 7, and the position of the reinforcement wire in the plug treatment device 1 is shown as a circle part in figure 8;
(7) Preparing a certain amount of acrylamide hydrogel, adding 3wt% of pepper extract, 2wt% of cactus extract, 0.6wt% of garlic extract and 1.8wt% of smallpox, and the balance of acrylamide hydrogel, mixing, and coating on the surface of the stopper 1 to obtain the stopper 1 containing the antibacterial layer.
Example 5
The purpose of this embodiment is to provide a method for manufacturing a plug treatment device 1 immediately after jaw cyst windowing and pressure reduction, comprising the following steps:
(1) Performing fenestration decompression on a patient with a jaw cyst to expose a window, as shown in the circled portion in fig. 1;
(2) The cotton amount on the cotton swab is increased or decreased according to the size of the window, the length of the cotton swab is adjusted according to the depth of the capsule cavity, the length of the cotton swab is slightly longer than the depth of the window by 1.5-2cm, the cotton swab is convenient to take out subsequently, an inclined plane is formed on the cut section of the cotton swab (figure 3, 2 in figure 3 is oral cavity shape 2), and the supporting component 3 is convenient to reset into an elastic impression material (alginate material) subsequently;
(3) Inserting the cotton swab matched with the window into the window, enabling the end of the cotton swab to be abutted against the bottom wall of the cyst at the bottom of the window, adjusting the amount of cotton on the cotton swab to be matched with the size of the window, and obtaining the supporting component 3, as shown in fig. 4;
(4) The oral cavity model was prepared with the aid of an alginate impression material. After the alginate is solidified, the impression is taken out, the supporting component 3 is stabilized at the opening due to the clamping effect of the opening, and then the supporting component 3 is reset to the formed alginate material, as shown in figure 5, the length of the supporting component 3 slightly protrudes out of the inner soft tissue surface, and the section of the supporting component 3 is an inclined surface, so that the supporting component can be accurately reset after the alginate material is inserted, and the impression cannot rotate, thereby ensuring the accuracy of the impression;
(5) Putting a force increasing wire into the windowing form 11, simultaneously injecting self-setting resin into the windowing form 11 and the gingival position form 12 of the plaster model, and solidifying to obtain the plug treatment device 1, wherein the structure of the plug treatment device 1 is shown in fig. 7, and the position of the force increasing wire in the plug treatment device 1 is shown in a circle part in fig. 8;
(6) Preparing a certain amount of acrylamide hydrogel, adding 3wt% of pepper extract, 2wt% of cactus extract, 0.6wt% of garlic extract and 1.8wt% of smallpox, and the balance of acrylamide hydrogel, mixing, and coating on the surface of the stopper 1 to obtain the stopper 1 containing an antibacterial layer;
(7) Preparing a nano silver ion layer on the surface of the stopper 1 containing the antibacterial layer obtained in the step (7) to obtain the antibacterial stopper 1 on which the traditional Chinese medicines and the nano silver ions are superposed.
In the foregoing embodiments, the cotton swabs are used as the supporting members 3, and in the actual production process, other supporting members 3 may be used as long as they have a certain supporting performance, and meanwhile, the cotton on the cotton swabs may be replaced by other materials with a certain flexibility, so as to fill up the tiny pores between the supporting members and the window wall, and achieve 100% geometric proportion repeated engraving window shape.
Effects of the invention
The purpose of this effect example is to verify the use effect, i.e., the bone effect, of the plug 1 provided in the above embodiment.
1. Different embodiments provide for osteogenesis time and inflammatory status of the plug device 1
The cyst depth of 2cm is a boundary, and cysts exceeding 2cm are easily accompanied by various inflammations in the actual treatment process, and the inflammations need to be strictly controlled during treatment. In this example, 60 patients with cyst depths of more than 2cm were statistically divided into 6 groups, and the plugs 1 of examples 1 to 5 were randomly used as compared with the plug 1 of the prior art. The osteogenesis rate is the ratio of the area of the osteogenesis to the area of the cystic cavity detected by CT, and the inflammation incidence rate is the ratio of the number of people with inflammation in each group to the total number of people in the group. The specific results are as follows:
TABLE 1
Source of stopper 1 | Bone formation rate of 6 months after operation | Bone formation rate of 12 months after operation | Incidence of inflammation |
1 | 52.6%±7.2% | 82.3%±6.3% | 20% |
2 | 55.7%±20.2% | 86.7%±6.7% | 20% |
3 | 65.3%±18.9% | 89.3%±5.2% | 10% |
4 | 69.6%±19.1% | 91.1%±4.8% | 10% |
5 | 83.0%±14.89% | 97.0%±5.23% | 0 |
Prior Art | 28.9%±8.8% | 62.0%±9.3% | 40% |
As can be seen from table 1, the bone formation rate of the plug device 1 provided in examples 1 to 5 was significantly higher than that of the plug device 1 prepared in the prior art. As can be seen from Table 1, the addition of the antibacterial layer can significantly reduce the incidence of inflammation, and the traditional Chinese medicine antibacterial layer and the nano silver ions can further reduce the incidence of inflammation, thereby reducing the psychological burden and the economic burden of patients.
According to the results, the osteogenesis condition of cyst patients with different degrees after wearing the plug device 1 provided in the embodiment 5 of the invention is counted. The results of the bone formation by CT examination at different times after the operation are shown in fig. 9, and the bone formation rates at different times are shown in table 2:
TABLE 2
As can be seen from Table 2, the plug device 1 provided in example 5 of the present invention has a bone formation rate of more than 80% in half a year after wearing the plug device 1 for a patient with a capsule cavity depth of 2cm to 3cm, and can be nearly healed within 9 months, which is far higher than the bone formation efficiency in the prior art. Meanwhile, the plug treatment device 1 provided by the embodiment 5 of the invention can achieve 80% of postoperative osteogenesis efficiency for a patient with a capsule cavity depth of more than 5 cm.
The embodiments described above are some, not all embodiments of the invention. The detailed description of the embodiments of the present invention 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.
Claims (8)
1. A method for immediately manufacturing a plug treatment device after jaw cyst windowing and pressure reduction is characterized by comprising the following steps:
(1) After jaw cyst windowing decompression, inserting a supporting component matched with the window into the windowing to enable the end part of the supporting component to be abutted against a cyst bottom wall at the bottom of the window to obtain the shape of the window; the supporting assembly comprises a cotton swab rod and a cotton swab head arranged on the cotton swab rod, the cotton quantity on the cotton swab head is adjustable, and the opening windows with different diameters can be adapted by adjusting the cotton quantity;
(2) Obtaining an impression with a mouth shape by using alginate impression materials, fixing a support component on the impression, and preparing a plaster male die containing the fenestration and the mouth shape by using plaster;
(3) And injecting self-setting resin into the window of the gypsum male die, and obtaining the plug device after solidification.
2. The method of claim 1, wherein the length of the support assembly is greater than the depth of the window.
3. The method of claim 1 wherein the reinforcement wire is placed in the window of the gypsum positive mold prior to injecting the self-setting resin into the window, and the self-setting resin is injected into the window and cured to provide the plug containing the reinforcement wire.
4. The method of claim 3 wherein the power wire is a stainless steel wire.
5. The method of claim 1, wherein the self-setting resin is a PMMA self-setting resin.
6. The method of claim 1, wherein the plug is coated with an antimicrobial layer comprising zanthoxylum bungeanum extract, cactus extract, garlic extract, trichosanthes root and acrylamide hydrogel.
7. The method as claimed in claim 6, wherein the antibacterial layer comprises 1 to 3wt% of pepper extract, 1.5 to 2wt% of cactus extract, 0.4 to 0.9wt% of garlic extract, 0.6 to 1.8wt% of trichosanthes root, and the balance of acrylamide hydrogel.
8. The method as claimed in claim 7, wherein the antibacterial layer is coated with a nano silver ion layer.
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