CN114052959A - Special maxillary sinus internal lifting device for oral dental implant and lifting method thereof - Google Patents
Special maxillary sinus internal lifting device for oral dental implant and lifting method thereof Download PDFInfo
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- CN114052959A CN114052959A CN202111448198.6A CN202111448198A CN114052959A CN 114052959 A CN114052959 A CN 114052959A CN 202111448198 A CN202111448198 A CN 202111448198A CN 114052959 A CN114052959 A CN 114052959A
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- 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
- A61C8/0092—Implanting tools or instruments for sinus lifting
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Abstract
The invention relates to the technical field of oral implant teeth, and discloses a special maxillary sinus lifting device for oral implant teeth, which comprises a rotary mounting seat, a rotary lifter, a water passage, a water outlet hole and a locking piece. The lower end of the rotary lifter is connected with the top end of the rotary mounting seat; the water passage is positioned in the rotary mounting seat and the rotary lifter and is distributed from the bottom end of the rotary mounting seat to the top end of the rotary lifter; the water outlet hole is formed in the top of the rotary lifter and communicated with the water passage; the retaining member is arranged on the rotary mounting seat. The special maxillary sinus internal lifting device for the oral dental implant can avoid the condition that a flushing-jacking type maxillary sinus internal lifting method causes discomfort of a patient, can change the limitation of a non-flushing-jacking type maxillary sinus internal lifting method, obtains a relatively large total lifting height by hydraulic lifting and accumulating micro lifting in various directions, and achieves a good lifting effect; also provides a lifting method of the special maxillary sinus lifting device for the oral dental implant.
Description
Technical Field
The invention relates to the technical field of oral dental implants, in particular to a special maxillary sinus internal lifting device for an oral dental implant and a lifting method thereof.
Background
At present, tools and methods for maxillary sinus internal lifting (namely alveolar ridge jacking approach) are many at home and abroad, but the root can be divided into two types: first, the internal lifting of towards top formula, this kind of art formula is equipped with the hole earlier and remains the sclerotin of sinus floor about 1mm, strikes this layer of sclerotin of maxillary sinus floor and lifts, reaches the purpose of promotion. And secondly, the maxillary sinus floor mucous membrane is lifted in a non-impacting-top type, and the lifting purpose is achieved by directly jacking the maxillary sinus floor mucous membrane or stripping and then jacking the maxillary sinus floor mucous membrane through various tools and methods without knocking.
The top-flushing method is easy to cause postoperative discomfort of a patient and even complications such as otolithiasis due to the need of knocking; the non-top-flushing method does not need knocking, so that the patient is not easy to feel uncomfortable. However, the lifting height of all the existing non-top-flushing type maxillary sinus internal lifting tools and methods is limited. For the condition that the height of the residual alveolar bone in the maxillary posterior dental area is less than 3mm or 4mm, the existing maxillary sinus internal lifting method can easily cause the maxillary sinus floor mucosa to break, and still cannot achieve the ideal lifting effect, which is also the bottleneck and pain point of the existing maxillary sinus internal lifting operation.
Disclosure of Invention
The invention aims to overcome the problems of the prior art and provides a special maxillary sinus lifting device for oral implant, which obtains a relatively larger total lifting height by an innovative hydraulic lifting mode and a mode of accumulating micro lifting heights in all directions; also provides a lifting method of the special maxillary sinus lifting device for the dental implant, which is realized by the special maxillary sinus lifting device for the dental implant.
In order to achieve the purpose, the invention adopts the following scheme:
the utility model provides a hoisting device in dedicated maxillary sinus of oral implant tooth, includes:
the mounting seat is rotated to be arranged on the base,
the lower end of the rotary lifter is connected with the top end of the rotary mounting seat;
the water passage is positioned in the rotary mounting seat and the rotary lifter and is distributed from the bottom end of the rotary mounting seat to the top end of the rotary lifter;
the water outlet hole is formed in the top of the rotary lifter and communicated with the water passage;
and the locking piece is arranged on the rotary mounting seat and used for opening or locking and closing the water passage.
Furthermore, the water passage comprises a first water passage and a second water passage, and the first water passage extends from the bottom end to the top end of the rotary mounting seat; the second water passage extends from the bottom end to the top end of the rotary lifter and is communicated with the first water passage;
the rotary lifter includes:
the lower end of the lifting scale rod is connected with the rotary mounting seat; a scale is arranged on the periphery of the lifting scale rod in the up-down direction;
a rotating body connected to an upper end of the lifting scale rod; the water outlet is formed in the top of the rotating body;
the second water passage comprises an upper water passage and a lower water passage; the lower water passage is arranged in the lifting scale rod; the lower end of the lower water passage is communicated with the upper end of the first water passage; the upper water passage is arranged in the rotating body, communicated with the upper end of the lower water passage and communicated with the water outlet hole.
Further, the rotating body includes a rotating spherical body and a rotating cylinder; the rotating cylinder is positioned between the lower end of the rotating spherical body and the upper end of the lifting scale rod; the water outlet is formed in the rotating spherical surface body; the upper water passage is positioned in the rotary column body;
the lifting scale rod is a cylindrical rod; the diameter of the rotating cylinder is larger than that of the lifting scale rod.
Further, the outer circumferential side of the rotating cylinder is provided with a spiral thread extending in the vertical direction of the rotating cylinder.
Further, the rotary mounting seat comprises a shaking base part, a clamping groove part and a shaking connecting part; the clamping groove part is connected between the shaking base part and the shaking connecting part; the rotary lifter is connected with the top end of the shaking connecting part;
the first water passage is arranged from the bottom end of the shaking base part to the top end of the shaking connecting part and communicated with the second water passage.
Furthermore, the special maxillary sinus lifting device for the oral dental implant further comprises a shaking clamp which is used for clamping the rotary mounting seat in a matching manner; the shaking clamp comprises a left half clamp and a right half clamp hinged with the left half clamp; the left half tong has a left clamping part; the right half clamp is provided with a right clamping part; the upper end of the left clamping part and the upper end of the right clamping part are respectively provided with a left clamping beak and a right clamping beak; when the left half clamp and the right half clamp are combined, the left clamp part and the right clamp part are matched and clamped with the shaking base part, and the left clamping beak and the right clamping beak are clamped and embedded into the clamping groove part.
Further, the dedicated maxillary sinus internal lifting device for the oral implant further comprises a water injection pipe which is matched with and sleeved with the lower end of the rotary mounting seat and communicated with the lower end of the water passage.
Furthermore, the special maxillary sinus internal lifting device for the oral dental implant further comprises a stop ring, an implant rotating device and a rotating connecting piece; the stop ring is sleeved on the rotary lifter in a penetrating way and is matched with the rotary lifter to be clamped and sleeved on the upper end of the rotary mounting seat; the bottom end of the rotary mounting seat is provided with a clamping groove which is matched with and detachably connected with the upper end of the rotary connecting piece and is communicated with the water passage; the lower end of the rotary connecting piece is connected with the planting rotary device.
Further, the locking piece is a screwing bolt; the rotary mounting seat is provided with a locking screw hole which is matched with the screwing bolt and penetrates through the water passage; the screwing bolt is matched with the locking screw hole to be screwed in or out so as to open or lock and close the water passage.
The application also provides a lifting method of the lifting device in the special maxillary sinus of the oral dental implant, which is used for realizing the lifting device in the special maxillary sinus of the oral dental implant and comprises the following steps:
s1, forming a planting hole in an alveolar bone by using a planting reamer, and drilling to the bottom edge of a maxillary sinus at a position corresponding to the planting hole, wherein a mucous membrane at the bottom of the maxillary sinus is not penetrated; wherein the aperture of the planting cavity is slightly smaller than the diameter of the rotary cylinder;
s2, assembling the rotary mounting seat, the rotary lifter and the stop ring, and then assembling the rotary mounting seat, the planting rotary device and the rotary connecting piece;
s3, starting the planting rotating device, driving the rotary lifter to rotate by using the planting rotating device to enter the planting cavity, and stopping working at the position, 1-2mm away from the bottom edge of the maxillary sinus, of the top of the rotary lifter; at the moment, a closed space is formed below the mucosa at the bottom of the maxillary sinus corresponding to the planting cavity;
s4, disassembling the planting rotating device and the rotating connecting piece, and assembling the water injection pipe on the rotating mounting seat to be communicated with the water passage;
s5, adjusting the locking piece to open the water passage, and injecting set physiological saline into the water injection pipe to flow into the closed space; then the locking piece is adjusted to lock and close the water passage; then slowly screwing the rotating body of the rotary lifter into the top end of the rotating body to be flush with the bottom edge of the maxillary sinus, wherein the liquid level rises along with the rising of the rotating body, so that the maxillary sinus floor mucosa is lifted by 1-2mm through hydraulic pressure;
s6, rotating out the rotary mounting seat and the rotary lifter of the planting pit hole, adjusting the locking piece to open a water passage, and discharging the physiological saline remained in the rotary lifter;
s7, selecting a rotary lifter with the rotary body as an initial height, assembling the rotary lifter with a rotary mounting seat and a stop ring, and then assembling the rotary mounting seat, the planting rotary device and the rotary connecting piece; then starting the planting rotating device, and driving the rotating lifter to rotate to enter the planting cavity by using the planting rotating device; when the top of the rotating body exceeds the bottom edge of the maxillary sinus by 2mm, the planting rotating device stops working, and the planting rotating device and the rotating connecting piece are disassembled;
s8, clamping the lower end of the rotary mounting seat by matching the shaking forceps, taking the edge of the planting pit close to the maxillary sinus bottom as a fulcrum and the maxillary sinus bottom as a center, and performing 360-degree inclined and slow rotation to achieve the effect that the maxillary sinus bottom mucosa is jacked up and stripped in all directions at the maxillary sinus bottom edge; until the maxillary sinus floor mucosa is lifted to the height of 3mm, the shaking forceps are removed, and the rotary mounting seat and the rotary lifter of the planting pit hole are rotated out;
s9, selecting a rotary lifter with a rotary body height of 5mm, assembling the rotary lifter with a rotary mounting seat and a stop ring, and assembling the rotary mounting seat, the planting rotary device and the rotary connecting piece; then starting the planting rotating device, and driving the rotating lifter to rotate to enter the planting cavity by using the planting rotating device; when the top of the rotating body exceeds the bottom edge of the maxillary sinus by 3mm, the planting rotating device stops working, and the planting rotating device and the rotating connecting piece are disassembled;
then the shaking forceps are matched with each other to clamp the lower end of the rotary mounting seat, the edge of the planting cavity close to the maxillary sinus bottom is taken as a fulcrum, the maxillary sinus bottom is taken as a center, 360-degree oblique and slow rotation is carried out, and the effects that the maxillary sinus bottom mucosa is jacked up and stripped in all directions at the maxillary sinus bottom edge are achieved; until the maxillary sinus floor mucosa is lifted to the height of 4mm, removing the shaking forceps, and rotating out the rotary mounting seat and the rotary lifter of the planting pit hole;
s12, continuously selecting a rotary lifter with the height of the rotary body being (3+ n) mm, assembling the rotary lifter with the rotary mounting seat and the stop ring, and then assembling the rotary mounting seat, the planting rotary device and the rotary connecting piece; then starting the planting rotating device, and driving the rotating lifter to rotate to enter the planting cavity by using the planting rotating device; when the top of the rotating body exceeds the bottom edge (1+ n) mm of the maxillary sinus, the planting rotating device stops working, and the planting rotating device and the rotating connecting piece are disassembled;
then the shaking forceps are matched with each other to clamp the lower end of the rotary mounting seat, the edge of the planting cavity close to the maxillary sinus bottom is taken as a fulcrum, the maxillary sinus bottom is taken as a center, 360-degree oblique and slow rotation is carried out, and the effects that the maxillary sinus bottom mucosa is jacked up and stripped in all directions at the maxillary sinus bottom edge are achieved; until the maxillary sinus floor mucosa is lifted to the height of (2+ n) mm, removing the shaking forceps, and rotating out the rotary mounting seat and the rotary lifter for planting the pit hole; wherein n is the number of times of selecting the rotating bodies of different heights after the step of S7 is started;
and S13, lifting the maxillary sinus floor mucosa until the height of (2+ n) mm is the target height for lifting the maxillary sinus floor mucosa.
Compared with the prior art, the invention has the following advantages:
the rotary lifting device is provided with the rotary mounting seat, the rotary lifter, the water passage, the water outlet hole and the locking piece which are combined, the rotary mounting seat is firstly rotated in a hydraulic lifting mode to enable the rotary lifter to rotate, the rotary lifter is extruded into the planting cavity and is close to the maxillary sinus floor which is previously penetrated through the sinus floor sclerotin but not penetrated through the sinus floor mucous membrane, then when liquid is injected into a closed space between the maxillary sinus floor mucous membrane and the top of the rotary lifter, the liquid can be limited in the closed space without flowing back by adjusting the locking piece, then the rotary mounting seat is rotated to enable the rotary lifter to rotate, and the liquid rises along with the rise of the top height of the lifter, so that a primary lifting effect is achieved; at the moment, the liquid between the lifter and the maxillary sinus floor mucosa is drained out by adjusting the locking piece, and the lifter is continuously rotated to enable the top of the lifter to rise to the height of the hydraulic lifting. Finally, the rotary mounting seat is tightly clamped by a shaking clamp to rotate slowly in 360 degrees in an inclined mode, so that the maxillary sinus bottom mucous membrane is jacked up and stripped in all directions of the maxillary sinus bottom, at the moment, small lifting is carried out in each angle in 360 degrees, and a relatively large total lifting height is obtained through accumulation; thereby can avoid lifting method in the maxillary sinus to arouse the uncomfortable condition of patient, can change the limitation of lifting method in the non-impacted maxillary sinus again, through the hydraulic lifting mode of novelty, and add up the little lifting height mode in each side, jack-up maxillary sinus floor mucous membrane, reach good promotion effect, especially to the condition that the remaining alveolar bone height in the back dental zone of upper jaw is < 3mm or 4mm, adopt this instrument and method to reach ideal promotion effect, and safer, operation method is simple and convenient.
Drawings
The present application will be described in further detail with reference to the following drawings and detailed description.
Fig. 1 is a schematic partial three-dimensional structure view of a maxillary sinus internal lifting device special for an oral dental implant according to the first embodiment of the present invention.
Fig. 2 is a partial sectional view showing the lifting device for the maxillary sinus of the dental implant according to the present invention.
Fig. 3 is a schematic partial three-dimensional structure view of the special maxillary sinus lifting device for the dental implant of the present invention.
Fig. 4 is a schematic view showing a partial three-dimensional structure of the special maxillary sinus lifting device for the dental implant according to the present invention.
Fig. 5 is a partial three-dimensional structure diagram of the special maxillary sinus lifting device for the dental implant of the present invention.
Figure 6 is a schematic view of the rotary elevator of the present invention entering a planting pocket.
The figure includes:
the rotary mounting seat 1, the shaking base 11, the clamping groove 111, the locking screw hole 112, the clamping groove part 12, the shaking connecting part 13, the rotary lifter 2, the lifting scale rod 21, the scale 211, the rotating body 22, the rotary spherical body 221, the rotary cylinder 222, the spiral groove 2221, the water passage 3, the first water passage 31, the second water passage 32, the upper water passage 321, the lower water passage 322, the water outlet hole 4, the locking part 5, the shaking clamp 6, the left half clamp 61, the left clamp part 611, the left clamping beak 6111, the right half clamp 62, the right clamp part 621, the right clamping beak 6211, the water injection pipe 7, the stop ring 8, the planting rotating device 9, the rotary connecting piece 10, the alveolar bone 20, the planting hole 30 and the mucosa 40 at the maxillary sinus floor.
Detailed Description
The following detailed description of embodiments of the present invention is provided in connection with the accompanying drawings and examples. The following examples are intended to illustrate the invention but are not intended to limit the scope of the invention.
As shown in fig. 1 to 6, the special maxillary sinus internal lifting device for the oral dental implant comprises a rotary mounting seat 1, a rotary lifter 2, a water passage 3, a water outlet hole 4, a locking member 5 and a shaking clamp 6. The lower end of the rotary lifter 2 is connected with the top end of the rotary mounting seat 1; the water passage 3 is positioned in the rotary mounting seat 1 and the rotary lifter 2 and is distributed from the bottom end of the rotary mounting seat 1 to the top end of the rotary lifter 2; the water outlet hole 4 is formed in the top of the rotary lifter 2 and communicated with the water passage 3; the locking piece 5 is arranged on the rotary mounting seat 1 and used for opening or locking and closing the water passage 3; (ii) a A wobble clamp 6 cooperates with the swivel mounting 1 to clamp the swivel mounting.
The special maxillary sinus internal lifting device for the dental implant combines the rotary mounting seat 1, the rotary lifter 2, the water passage 3, the water outlet hole 4 and the locking part 5, adopts a hydraulic lifting mode, firstly rotates the rotary mounting seat 1, so that the rotary lifter 2 is rotated to press the implant pocket 30 close to the maxillary sinus floor which has been previously penetrated through the sinus floor bone but not through the sinus floor mucosa, and then, when the liquid is injected into the closed space between the maxillary sinus floor mucosa 40 and the top of the rotary lifter 2, the liquid can be confined in the closed space without flowing back by adjusting the locker 5, then, the rotary mounting base 1 is rotated to rotate the rotary lifter 2, and the liquid (such as physiological saline) rises along with the rise of the height of the top end of the rotary lifter 2, so that a primary lifting effect is achieved. At this time, the liquid between the lifter 2 and the maxillary sinus floor mucosa is drained out by adjusting the locking member 5, and the lifter 2 is continuously rotated to raise the top thereof to the height of the mucosa hydraulically lifted above. Finally, the rotary mounting base 1 is clamped by the shaking clamp 6 to rotate slowly at 360 degrees in an inclined mode, the effects of jacking and stripping in all directions of the bottom edge of the maxillary sinus are achieved, at the moment, small lifting at each angle of 360 degrees is achieved, and finally a relatively large total lifting height is obtained through accumulation. Thereby can avoid lifting method in the maxillary sinus to arouse the uncomfortable condition of patient, can change the limitation of lifting method in the non-impacted maxillary sinus again, through the hydraulic lifting mode of novelty, and add up the little lifting height mode in each side, jack-up maxillary sinus floor mucous membrane 40, reach good promotion effect, especially to the condition that the remaining alveolar bone 20 height in the back dental area of upper jaw is less than 3mm or 4mm, adopt this instrument and method to reach ideal promotion effect, and safer, operation method is simple and convenient. Specifically, the water passage 3 includes a first water passage 31 and a second water passage 32, and the first water passage 31 extends from the bottom end to the top end of the rotary mounting base 1; the second water passage 32 extends from the bottom end to the top end of the rotary lifter 2 and is communicated with the first water passage 31; the rotary lifter 2 includes a lifting scale 21 and a rotating body 22. Wherein, the lower end of the lifting scale rod 21 is connected with the rotary mounting seat 1. The graduated scale 211 is arranged on the outer periphery of the lifting graduated rod 21 in the vertical direction, namely, the lower end of the graduated scale 211 is arranged at the lower end of the outer periphery of the lifting graduated rod 21, the upper end of the graduated scale 211 extends along the upper end of the outer periphery of the lifting graduated rod 21, the graduated value of the graduated scale is 1mm, and the lifting distance of the rotary lifter 2 is convenient to clear. The rotating body 22 is connected with the upper end of the lifting scale rod 21; the water outlet hole 4 is formed in the top of the rotating body 22; the second water passage 32 includes an upper water passage 3213 and a lower water passage 3223; the lower water passage 3223 is arranged in the lifting scale rod 21; the lower end of the lower water passage 3223 is communicated with the upper end of the first water passage 31; the upper water passage 3213 is provided in the rotating body 22, communicates with the upper end of the lower water passage 3223, and communicates with the water outlet hole 4. The water passage 3 is divided into the first water passage 31 and the second water passage 32 which are respectively arranged in the rotary mounting seat 1 and the rotary lifter 2, the second water passage 32 is divided into the upper water passage 3213 and the lower water passage 3223 aiming at the rotary body 22 and the lifting scale rod 21, so that liquid can conveniently enter from the first water passage 31, flow out from the water outlet hole 4 through the lower water passage 3223 and the upper water passage 3213 and then is combined with the locking part 5, the liquid is limited in the closed space without backflow, the hydraulic lifting and jacking of the maxillary sinus floor mucous membrane 40 in the subsequent step are facilitated, and a good lifting effect is achieved.
Preferably, the rotating body 22 includes a rotating spherical body 221 and a rotating cylinder 222; the rotating cylinder 222 is located between the lower end of the spherical body and the upper end of the lifting scale rod 21; the water outlet hole 4 is formed in the rotating spherical body 221; the upper water passage 3213 is located inside the rotary cylinder 222. The rotating body 22 is formed by arranging the rotating spherical body 221 on the rotating cylinder 222, so that the top of the rotating body 22 is smooth and round, the pressure on the maxillary sinus floor mucosa 40 is reduced, and the maxillary sinus floor mucosa 40 is not easy to puncture.
And the lifting scale rod 21 is a cylindrical rod; the diameter of the rotary cylinder 222 is larger than that of the elevation scale bar 21. Through setting up the diameter relation between promotion scale bar 21 and the rotatory cylinder 222 like this, can be when rotator 22 card is at planting cave 30 near the maxillary sinus bottom edge of maxillary sinus side, can be in planting cave 30, go up the maxillary sinus bottom edge as the center, stably, slowly, 360 rotation of inclining in the controllable range carry out, reach maxillary sinus bottom mucous membrane 40 in the maxillary sinus bottom all directions by jack-up, the effect of peeling off, so that rotator 22 accumulates the little lifting height in all directions, obtain a great total lifting height relatively, reduce the mucous membrane tension when directly jacking up the same total lifting height from sinus bottom mucous membrane central authorities, reduce the rate of wearing through of mucous membrane, reach better lifting effect.
Preferably, the outer circumferential side of the rotating cylinder 222 is provided with a spiral thread 2221 extending in the vertical direction of the rotating cylinder 222. By arranging the spiral threads 2221 on the outer peripheral side of the rotating cylinder 222, the rotating body 22 is guided to smoothly rotate to enter the planting cavity 30, so that the rotating body 22 can extrude the planting cavity 30 to form a closed space, and the maxillary sinus floor mucosa 40 can be hydraulically lifted.
In the present embodiment, the swivel mount 1 includes a wobble base 11, a chucking groove portion 12, and a wobble connection portion 13; the chucking groove portion 12 is connected between the swing base 11 and the swing connecting portion 13; the rotary lifter 2 is connected with the top end of the shaking connecting part 13; specifically, the swing connecting portion 13 is provided with an insertion groove matched with the lower end of the rotary lifter 2, and the lower end of the rotary lifter 2 is matched with the insertion groove in the insertion hole. The first water passage 31 is arranged from the bottom end of the swing base 11 to the top end of the swing link 13 and communicates with the second water passage 32.
The locking piece 5 is a screwing bolt; the rotary mounting seat 1 is provided with a locking screw hole 112 which is matched with the screwing bolt and penetrates through the water passage 3; specifically, the locking screw hole 112 is formed at the upper end of the shaking base 11; the screwing bolt is screwed into or out of the locking screw hole 112 in cooperation to open or lock and close the water passage 3. Specifically, the diameter of the screw bolt is larger than the diameter of the water passage 3, which is helpful for opening or locking the water passage 3. By screwing the screw bolt into or out of the locking screw hole 112, the opening or locking closing of the water passage 3 is facilitated, and the hydraulic lifting of the maxillary sinus floor mucosa 40 is facilitated.
The special maxillary sinus internal lifting device for the oral dental implant further comprises a stop ring 8, an implant rotating device 9 and a rotating connecting piece 10; the stop ring 8 is sleeved on the rotary lifter 2 in a penetrating way and is matched with and clamped on the upper end of the rotary mounting seat 1; namely, the stop ring 8 is specifically clamped and sleeved on the swing connecting part 13 to play a good limiting role; the bottom end of the rotary mounting seat 1 is provided with a clamping and embedding groove 111 which is matched with and detachably connected with the upper end of the rotary connecting piece 10 and communicated with the water passage 3; the lower end of the rotary connecting piece 10 is connected with the planting rotary device 9. Before hydraulic lifting, install the card cover with stop ring 8 earlier and rock connecting portion 13, the upper end and the inlay card groove 111 joint that cooperatees of swivel connected coupler 10 again, swivel connected coupler 10's lower extreme can be dismantled with planting rotary device 9 and be connected, it is rotatory to utilize planting rotary device 9 drive swivel connected coupler 10, and then drive rotatory mount pad 1 and rotatory lifting mechanism 2 synchronous revolution, make things convenient for rotatory lifting mechanism 2 in planting the cave 30, to the promotion of maxillary sinus bottom mucous membrane 40 orientation, and then help follow-up step to realize hydraulic lifting maxillary sinus bottom mucous membrane 40.
In this embodiment, the lifting device for the oral implant further comprises a water injection tube 7 which is engaged with and sleeved on the lower end of the rotary mounting seat 1 and communicated with the lower end of the water passage 3. The water injection pipe 7 is matched and sleeved with the lower end of the rotary mounting seat 1, and particularly matched and sleeved with the shaking base part 11, so that the connection between the water injection pipe 7 and the water passage 3 is completed, liquid such as physiological saline is led into the water passage 3 through the water injection pipe 7, the liquid is injected into a closed space between the maxillary sinus bottom mucous membrane 40 and the top part of the rotary lifter 2, the liquid is limited in the closed space without flowing back through adjusting the locking part 5, then the rotary mounting seat 1 is rotated, so that the rotary lifter 2 is slowly screwed into the top part of the rotary lifter to be flush with the bottom edge of the maxillary sinus, at the moment, the liquid such as the physiological saline rises along with the rise of the top height of the rotary lifter 2, the maxillary sinus bottom mucous membrane 40 is jacked, the condition that the patient feels uncomfortable due to the flushing type maxillary sinus lifting method can be avoided, the limitation of the non-flushing type maxillary sinus lifting method can be changed, by innovative hydraulic lifting and accumulation of small lifting heights in all directions, a good lifting effect is achieved.
In order to achieve the effect that the maxillary sinus floor mucosa 40 is jacked up and stripped in all directions of the maxillary sinus floor, safely and effectively, the rocking forceps 6 comprises a left half forceps 61 and a right half forceps 62 hinged with the left half forceps 61; the left half-tong 61 has a left grip portion 611; the right half-pincer 62 has a right grip portion 621; the upper end of the left clamping part 611 and the upper end of the right clamping part 621 are respectively provided with a left clamping beak 6111 and a right clamping beak 6211; when the left half clamp 61 and the right half clamp 62 are fitted, the left clamping portion 611 and the right clamping portion 621 are fitted to clamp the swing base 11, and the left clamping beak 6111 and the right clamping beak 6211 are inserted into the clamping groove 12. By combining the left half clamp 61 and the right half clamp 62, the left clamping part 611 and the right clamping part 621 are matched to clamp the shaking base 11, and the left clamping beak 6111 and the right clamping beak 6211 are clamped and embedded in the clamping groove part 12, so that the rotary mounting seat 1 is clamped and fixed on the shaking clamp 6, the structure is simple, and the connection is stable. The maxillary sinus bottom mucous membrane height reached by the rotator 22 rises to the hydraulic lifting, and is clamped at the cortical bone position at the bottom edge of the maxillary sinus of the planting pit 30 close to the maxillary sinus side, the bottom edge of the maxillary sinus is taken as a fulcrum, the maxillary sinus bottom is taken as a center, stably and slowly, the shaking of 360-degree inclination in a controllable range is carried out, the pliers 6 are shaken, the rotary mounting seat 1 and the rotary lifter 2 are further enabled to rotate 360-degree inclination in the controllable range, the effects that the maxillary sinus bottom mucous membrane 40 is jacked up and stripped in all directions at the bottom edge of the maxillary sinus are achieved, so that the rotator 22 accumulates tiny lifting heights in all directions, a relatively large total lifting height is obtained, the mucous membrane tension when the same total lifting height is directly jacked up from the center of the maxillary sinus bottom mucous membrane 40 is reduced, the penetration rate of the maxillary sinus bottom mucous membrane 40 is reduced, and a better lifting effect is achieved.
The application also provides a lifting method of the lifting device in the special maxillary sinus of the oral dental implant, which is used for realizing the lifting device in the special maxillary sinus of the oral dental implant and comprises the following steps:
s1, arranging a planting pit 30 in an alveolar bone 20 by adopting a planting reamer, and drilling to the bottom edge of a maxillary sinus at a position corresponding to the planting pit 30, wherein a mucous membrane at the bottom of the maxillary sinus is not penetrated; wherein the diameter of the planting cavity 30 is slightly smaller than the diameter of the rotating cylinder 222.
S2, assembling the rotary mounting seat 1, the rotary lifter 2 and the stop ring 8, and then assembling the rotary mounting seat 1, the planting rotary device 9 and the rotary connecting piece 10.
S3, starting the planting rotating device 9, driving the rotary lifter 2 to rotate to enter the planting pit 30 by using the planting rotating device 9, and stopping working at a position 1-2mm away from the bottom edge of the maxillary sinus at the top of the rotary lifter 2; at this time, a closed space is formed below the maxillary sinus floor mucosa 40 corresponding to the implant pocket 30.
S4, the planting rotating device 9 and the rotating connecting piece 10 are disassembled, and then the water injection pipe 7 is assembled on the rotating installation seat 1 and communicated with the water channel 3.
S5, adjusting the locking piece 5 to open the water passage 3, and injecting set physiological saline into the water injection pipe 7 to flow into the closed space; then the locking piece 5 is adjusted to lock and close the water passage 3; then the rotating body 22 of the rotary lifter 2 is slowly rotated until the top end of the rotating body 22 is aligned with the bottom edge of the maxillary sinus, and at this time, the liquid level rises as the rotating body 22 rises, thereby lifting the maxillary sinus floor mucosa 40 by a height of 1-2mm by hydraulic pressure.
S6, the rotary mounting seat 1 and the rotary lifter 2 of the planting pit 30 are rotated out, the locking piece 5 is adjusted to open the water passage 3, and the physiological saline remained in the rotary lifter 2 is discharged.
S7, selecting the rotary body 22 as the rotary lifter 2 with the initial height, assembling the rotary lifter with the rotary mounting seat 1 and the stop ring 8, and then assembling the rotary mounting seat 1, the planting rotary device 9 and the rotary connecting piece 10; then starting the planting rotating device 9, and driving the rotary lifter 2 to rotate to enter the planting cavity 30 by using the planting rotating device 9; when the top of the rotating body 22 exceeds the bottom edge of the maxillary sinus by 2mm, the planting rotating device 9 stops working, and the planting rotating device 9 and the rotating connecting piece 10 are disassembled.
S8, clamping the lower end of the rotary mounting seat 1 by matching the shaking forceps 6, and performing 360-degree inclined and slow rotation by taking the edge of the planting pit 30 close to the maxillary sinus bottom as a fulcrum and the maxillary sinus bottom as a center to achieve the effect that the maxillary sinus bottom mucous membrane 40 is jacked up and stripped in each direction of the maxillary sinus bottom edge; until the maxillary sinus floor mucosa 40 is lifted to a height of 3mm, the rocking forceps 6 are removed, and the rotary mounting 1 and the rotary lifter 2 of the implant pocket 30 are rotated out.
S9, selecting a rotary lifter 2 with a rotary body 22 of which the height is 5mm, assembling the rotary lifter with a rotary mounting seat 1 and a stop ring 8, and then assembling the rotary mounting seat 1, a planting rotary device 9 and a rotary connecting piece 10; then starting the planting rotating device 9, and driving the rotary lifter 2 to rotate to enter the planting cavity 30 by using the planting rotating device 9; when the top of the rotating body 22 exceeds the bottom edge of the maxillary sinus by 3mm, the planting rotating device 9 stops working, and the planting rotating device 9 and the rotating connecting piece 10 are disassembled;
then the shaking forceps 6 is matched with and clamps the lower end of the rotary mounting seat 1, the edge of the planting pit 30 close to the maxillary sinus bottom is taken as a fulcrum, the maxillary sinus bottom is taken as the center, 360-degree inclined and slow rotation is carried out, and the effects that the maxillary sinus bottom mucous membrane 40 is jacked up and stripped in all directions of the maxillary sinus bottom edge are achieved; until the maxillary sinus floor mucosa 40 is lifted to a height of 4mm, the rocking forceps 6 are removed, and the rotary mounting 1 and the rotary lifter 2 of the implant pocket 30 are rotated out.
S12, continuously selecting the rotary lifter 2 with the height of the rotary body 22 being (3+ n) mm, assembling the rotary lifter with the rotary mounting seat 1 and the stop ring 8, and then assembling the rotary mounting seat 1, the planting rotary device 9 and the rotary connecting piece 10; then starting the planting rotating device 9, and driving the rotary lifter 2 to rotate to enter the planting cavity 30 by using the planting rotating device 9; when the top of the rotating body 22 exceeds the bottom edge (1+ n) mm of the maxillary sinus, the planting rotating device 9 stops working, and the planting rotating device 9 and the rotating connecting member 10 are disassembled.
Then the shaking forceps 6 is matched with and clamps the lower end of the rotary mounting seat 1, the edge of the planting pit 30 close to the maxillary sinus bottom is taken as a fulcrum, the maxillary sinus bottom is taken as the center, 360-degree inclined and slow rotation is carried out, and the effects that the maxillary sinus bottom mucous membrane 40 is jacked up and stripped in all directions of the maxillary sinus bottom edge are achieved; until the maxillary sinus floor mucosa 40 is lifted to the height of (2+ n) mm, removing the shaking forceps 6, and rotating out the rotary mounting seat 1 and the rotary lifter 2 of the implantation socket 30; wherein n is the number of times the rotating bodies 22 of different heights are selected after the step S7 is started; the heights of the rotating bodies 22 with different heights are respectively 4mm, 5mm, 6mm, 7mm, 8mm, 9mm, 10mm and the like.
And S13, completing the lifting of the maxillary sinus floor mucous membrane 40 until the height of (2+ n) mm is the target height for lifting the maxillary sinus floor mucous membrane 40.
Utilize interior hoisting device of dedicated maxillary sinus of oral implant, through the hoisting method of hoisting device in the dedicated maxillary sinus of above-mentioned oral implant, can avoid the interior hoisting method of towards top type maxillary sinus to arouse the uncomfortable condition of patient, can change the limitation of the interior hoisting method of non-towards top type maxillary sinus again, through the hydraulic pressure lifting means of novelty, with add up the little high mode of promotion in each side, obtain a great total lifting height relatively, reach good promotion effect.
The foregoing is only a preferred embodiment of the present application, and it should be noted that, for those skilled in the art, several modifications and substitutions can be made without departing from the technical principle of the present application, and these modifications and substitutions should also be regarded as the protection scope of the present application.
Claims (10)
1. The utility model provides a hoisting device in dedicated maxillary sinus of oral implant tooth which characterized in that includes:
the mounting seat is rotated to be arranged on the base,
the lower end of the rotary lifter is connected with the top end of the rotary mounting seat;
the water passage is positioned in the rotary mounting seat and the rotary lifter and is distributed from the bottom end of the rotary mounting seat to the top end of the rotary lifter;
the water outlet hole is formed in the top of the rotary lifter and communicated with the water passage;
and the locking piece is arranged on the rotary mounting seat and used for opening or locking and closing the water passage.
2. The maxillary sinus elevator apparatus for an oral dental implant according to claim 1, wherein the water passage comprises a first water passage and a second water passage, the first water passage extending from a bottom end to a top end of the rotary mount; the second water passage extends from the bottom end to the top end of the rotary lifter and is communicated with the first water passage;
the rotary lifter includes:
the lower end of the lifting scale rod is connected with the rotary mounting seat; a scale is arranged on the periphery of the lifting scale rod in the up-down direction;
a rotating body connected to an upper end of the lifting scale rod; the water outlet is formed in the top of the rotating body;
the second water passage comprises an upper water passage and a lower water passage; the lower water passage is arranged in the lifting scale rod; the lower end of the lower water passage is communicated with the upper end of the first water passage; the upper water passage is arranged in the rotating body, communicated with the upper end of the lower water passage and communicated with the water outlet hole.
3. The maxillary sinus elevator special for the oral implant according to claim 2 wherein the rotating body comprises a rotating spherical body and a rotating cylinder; the rotating cylinder is positioned between the lower end of the rotating spherical body and the upper end of the lifting scale rod; the water outlet is formed in the rotating spherical surface body; the upper water passage is positioned in the rotary column body;
the lifting scale rod is a cylindrical rod; the diameter of the rotating cylinder is larger than that of the lifting scale rod.
4. The maxillary sinus internal lifting device for an oral dental implant according to claim 3, wherein the outer circumferential side of the rotating cylinder is provided with a spiral thread extending in the up-down direction of the rotating cylinder.
5. The maxillary sinus elevator specific to an oral dental implant of claim 2 wherein the swivel mount comprises a wobble base portion, a chucking groove portion and a wobble connection portion; the clamping groove part is connected between the shaking base part and the shaking connecting part; the rotary lifter is connected with the top end of the shaking connecting part;
the first water passage is arranged from the bottom end of the shaking base part to the top end of the shaking connecting part and communicated with the second water passage.
6. The maxillary sinus elevator apparatus for an oral dental implant of claim 5 further comprising a rocking forceps for cooperatively gripping the rotary mount; the shaking clamp comprises a left half clamp and a right half clamp hinged with the left half clamp; the left half tong has a left clamping part; the right half clamp is provided with a right clamping part; the upper end of the left clamping part and the upper end of the right clamping part are respectively provided with a left clamping beak and a right clamping beak; when the left half clamp and the right half clamp are combined, the left clamp part and the right clamp part are matched and clamped with the shaking base part, and the left clamping beak and the right clamping beak are clamped and embedded into the clamping groove part.
7. The special maxillary sinus lifting device for the oral dental implant according to claim 1, further comprising a water injection pipe which is sleeved and matched with the lower end of the rotary mounting seat and is communicated with the lower end of the water passage.
8. The maxillary sinus internal lifting device special for the oral dental implant according to claim 1, further comprising a stop ring, an implant rotating means and a rotating connector; the stop ring is sleeved on the rotary lifter in a penetrating way and is matched with the rotary lifter to be clamped and sleeved on the upper end of the rotary mounting seat; the bottom end of the rotary mounting seat is provided with a clamping groove which is matched with and detachably connected with the upper end of the rotary connecting piece and is communicated with the water passage; the lower end of the rotary connecting piece is connected with the planting rotary device.
9. The maxillary sinus elevator special for an oral dental implant of claim 1 wherein the locking member is a screw-on bolt; the rotary mounting seat is provided with a locking screw hole which is matched with the screwing bolt and penetrates through the water passage; the screwing bolt is matched with the locking screw hole to be screwed in or out so as to open or lock and close the water passage.
10. A lifting method of a special maxillary sinus lifting device for oral dental implant is characterized in that the lifting method is used for realizing the special maxillary sinus lifting device for oral dental implant, and comprises the following steps:
s1, forming a planting hole in an alveolar bone by using a planting reamer, and drilling to the bottom edge of a maxillary sinus at a position corresponding to the planting hole, wherein a mucous membrane at the bottom of the maxillary sinus is not penetrated; wherein the aperture of the planting cavity is slightly smaller than the diameter of the rotary cylinder;
s2, assembling the rotary mounting seat, the rotary lifter and the stop ring, and then assembling the rotary mounting seat, the planting rotary device and the rotary connecting piece;
s3, starting the planting rotating device, driving the rotary lifter to rotate by using the planting rotating device to enter the planting cavity, and stopping working at the position, 1-2mm away from the bottom edge of the maxillary sinus, of the top of the rotary lifter; at the moment, a closed space is formed below the mucosa at the bottom of the maxillary sinus corresponding to the planting cavity;
s4, disassembling the planting rotating device and the rotating connecting piece, and assembling the water injection pipe on the rotating mounting seat to be communicated with the water passage;
s5, adjusting the locking piece to open the water passage, and injecting set physiological saline into the water injection pipe to flow into the closed space; then the locking piece is adjusted to lock and close the water passage; then slowly screwing the rotating body of the rotary lifter into the top end of the rotating body to be flush with the bottom edge of the maxillary sinus, wherein the liquid level rises along with the rising of the rotating body, so that the maxillary sinus floor mucosa is lifted by 1-2mm through hydraulic pressure;
s6, rotating out the rotary mounting seat and the rotary lifter of the planting pit hole, adjusting the locking piece to open a water passage, and discharging the physiological saline remained in the rotary lifter;
s7, selecting a rotary lifter with the rotary body as an initial height, assembling the rotary lifter with a rotary mounting seat and a stop ring, and then assembling the rotary mounting seat, the planting rotary device and the rotary connecting piece; then starting the planting rotating device, and driving the rotating lifter to rotate to enter the planting cavity by using the planting rotating device; when the top of the rotating body exceeds the bottom edge of the maxillary sinus by 2mm, the planting rotating device stops working, and the planting rotating device and the rotating connecting piece are disassembled;
s8, clamping the lower end of the rotary mounting seat by matching the shaking forceps, taking the edge of the planting pit close to the maxillary sinus bottom as a fulcrum and the maxillary sinus bottom as a center, and performing 360-degree inclined and slow rotation to achieve the effect that the maxillary sinus bottom mucosa is jacked up and stripped in all directions at the maxillary sinus bottom edge; until the maxillary sinus floor mucosa is lifted to the height of 3mm, the shaking forceps are removed, and the rotary mounting seat and the rotary lifter of the planting pit hole are rotated out;
s9, selecting a rotary lifter with a rotary body height of 5mm, assembling the rotary lifter with a rotary mounting seat and a stop ring, and assembling the rotary mounting seat, the planting rotary device and the rotary connecting piece; then starting the planting rotating device, and driving the rotating lifter to rotate to enter the planting cavity by using the planting rotating device; when the top of the rotating body exceeds the bottom edge of the maxillary sinus by 3mm, the planting rotating device stops working, and the planting rotating device and the rotating connecting piece are disassembled;
then the shaking forceps are matched with each other to clamp the lower end of the rotary mounting seat, the edge of the planting cavity close to the maxillary sinus bottom is taken as a fulcrum, the maxillary sinus bottom is taken as a center, 360-degree oblique and slow rotation is carried out, and the effects that the maxillary sinus bottom mucosa is jacked up and stripped in all directions at the maxillary sinus bottom edge are achieved; until the maxillary sinus floor mucosa is lifted to the height of 4mm, removing the shaking forceps, and rotating out the rotary mounting seat and the rotary lifter of the planting pit hole;
s12, continuously selecting a rotary lifter with the height of the rotary body being (3+ n) mm, assembling the rotary lifter with the rotary mounting seat and the stop ring, and then assembling the rotary mounting seat, the planting rotary device and the rotary connecting piece; then starting the planting rotating device, and driving the rotating lifter to rotate to enter the planting cavity by using the planting rotating device; when the top of the rotating body exceeds the bottom edge (1+ n) mm of the maxillary sinus, the planting rotating device stops working, and the planting rotating device and the rotating connecting piece are disassembled;
then the shaking forceps are matched with each other to clamp the lower end of the rotary mounting seat, the edge of the planting cavity close to the maxillary sinus bottom is taken as a fulcrum, the maxillary sinus bottom is taken as a center, 360-degree oblique and slow rotation is carried out, and the effects that the maxillary sinus bottom mucosa is jacked up and stripped in all directions at the maxillary sinus bottom edge are achieved; until the maxillary sinus floor mucosa is lifted to the height of (2+ n) mm, removing the shaking forceps, and rotating out the rotary mounting seat and the rotary lifter for planting the pit hole; wherein n is the number of times of selecting the rotating bodies of different heights after the step of S7 is started;
and S13, lifting the maxillary sinus floor mucosa until the height of (2+ n) mm is the target height for lifting the maxillary sinus floor mucosa.
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| Application Number | Priority Date | Filing Date | Title |
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| CN202111448198.6A CN114052959A (en) | 2021-11-30 | 2021-11-30 | Special maxillary sinus internal lifting device for oral dental implant and lifting method thereof |
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| CN202111448198.6A CN114052959A (en) | 2021-11-30 | 2021-11-30 | Special maxillary sinus internal lifting device for oral dental implant and lifting method thereof |
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Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN117481850A (en) * | 2023-11-07 | 2024-02-02 | 中国航天科工集团七三一医院 | Improved hydraulic lifting type visual operation device for lifting in maxillary sinus |
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Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN117481850A (en) * | 2023-11-07 | 2024-02-02 | 中国航天科工集团七三一医院 | Improved hydraulic lifting type visual operation device for lifting in maxillary sinus |
| CN117481850B (en) * | 2023-11-07 | 2024-09-03 | 中国航天科工集团七三一医院 | Improved hydraulic lifting type visual operation device for lifting in maxillary sinus |
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