CN115317167A - Two-section detachable root dividing device in root shield technology and synchronous implantation method - Google Patents
Two-section detachable root dividing device in root shield technology and synchronous implantation method Download PDFInfo
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- CN115317167A CN115317167A CN202211060803.7A CN202211060803A CN115317167A CN 115317167 A CN115317167 A CN 115317167A CN 202211060803 A CN202211060803 A CN 202211060803A CN 115317167 A CN115317167 A CN 115317167A
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- 238000002513 implantation Methods 0.000 title claims abstract description 64
- 238000005516 engineering process Methods 0.000 title claims abstract description 44
- 238000000034 method Methods 0.000 title claims abstract description 35
- 230000001360 synchronised effect Effects 0.000 title claims abstract description 29
- 238000000926 separation method Methods 0.000 claims description 43
- 239000007943 implant Substances 0.000 claims description 26
- 238000002360 preparation method Methods 0.000 claims description 11
- 210000001519 tissue Anatomy 0.000 claims description 8
- 210000000988 bone and bone Anatomy 0.000 claims description 7
- 210000000214 mouth Anatomy 0.000 claims description 6
- 238000010521 absorption reaction Methods 0.000 claims description 4
- 238000005553 drilling Methods 0.000 claims description 4
- 210000004283 incisor Anatomy 0.000 claims description 3
- 230000011218 segmentation Effects 0.000 claims description 3
- 230000000694 effects Effects 0.000 abstract description 7
- 238000004321 preservation Methods 0.000 abstract description 4
- 238000005452 bending Methods 0.000 abstract description 3
- 230000002349 favourable effect Effects 0.000 abstract description 3
- 210000001909 alveolar process Anatomy 0.000 description 2
- 210000002379 periodontal ligament Anatomy 0.000 description 2
- 238000004080 punching Methods 0.000 description 2
- 230000002745 absorbent Effects 0.000 description 1
- 239000002250 absorbent Substances 0.000 description 1
- 208000038016 acute inflammation Diseases 0.000 description 1
- 230000006022 acute inflammation Effects 0.000 description 1
- 230000004888 barrier function Effects 0.000 description 1
- 239000008280 blood Substances 0.000 description 1
- 210000004369 blood Anatomy 0.000 description 1
- 210000004204 blood vessel Anatomy 0.000 description 1
- 208000037976 chronic inflammation Diseases 0.000 description 1
- 230000006020 chronic inflammation Effects 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 238000000605 extraction Methods 0.000 description 1
- 230000014759 maintenance of location Effects 0.000 description 1
- 230000013011 mating Effects 0.000 description 1
- 210000004872 soft tissue Anatomy 0.000 description 1
- 238000006467 substitution reaction Methods 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C8/00—Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools
- A61C8/0018—Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools characterised by the shape
- A61C8/0037—Details of the shape
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C8/00—Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools
- A61C8/0089—Implanting tools or instruments
- A61C8/009—Implanting tools or instruments for selecting the right implanting element, e.g. templates
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- G—PHYSICS
- G06—COMPUTING; CALCULATING OR COUNTING
- G06F—ELECTRIC DIGITAL DATA PROCESSING
- G06F30/00—Computer-aided design [CAD]
- G06F30/10—Geometric CAD
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Abstract
The invention discloses a two-section detachable rooting device in a root shield technology and a synchronous implantation method, comprising a teethridge, a shield technology guide plate base and a synchronous implantation guide plate, wherein the part to which the teethridge is applied comprises a molar tooth part of a remaining tooth, a door tooth part and an implantation part positioned on the side of the door tooth part, the shield technology guide plate base is sleeved on the molar tooth parts on the two sides of the teethridge, and the synchronous implantation guide plate comprises a synchronous implantation guide plate body and interface connecting rods arranged on the two sides of the synchronous implantation guide plate body; through the cooperation of interface connecting rod and shield technique baffle base bracket, can confirm that the synchronous implantation baffle body corresponds the setting on the teethridge, the interface connecting rod can be followed shield technique baffle base bracket and demolishd simultaneously, be favorable to changing the position that the different synchronous implantation baffle aimed at the operation and carry out the operation treatment, can ensure to get rid of the root tip completely, the root piece shield is prepared to the accuracy, remains the arc root shield of minimum effective range under the prerequisite that does not influence its bending strength and tissue preservation effect.
Description
Technical Field
The invention relates to the technical field of medical appliances, in particular to a two-section detachable rooting device in a root shield technology and a synchronous implantation method.
Background
Success in oral implantation requires a certain quality and quantity of bone tissue around the implant. After the natural tooth is pulled out, the soft and hard tissues can be immediately subjected to bone reconstruction, the process of bone reconstruction causes the absorption of alveolar bone and the collapse of soft tissues, and the implantation surgery and aesthetic effects are influenced. In 2010, hurzeler et al proposed the concept of root shield technology, namely, retaining the natural labial root segment of the tooth root, and giving better blood to the remaining alveolar ridge through the natural barrier function of the root segment and the blood vessels remaining on the periodontal ligament to achieve the purpose of retaining the alveolar ridge. Through study of students, the technology can maintain soft and hard tissue tissues of the tooth extraction site to a certain extent. This technique requires a strict choice of the indication that the root of the surgical site should be non-absorbent, free of any chronic or acute inflammation, and free of root loosening, and without a significant broadening projective image of the periodontal ligament space.
However, the guide plate base in the prior art and the guide plate adopted by the corresponding procedure are integrated, that is, each time an operation step is performed, the guide plate needs to be integrally disassembled and replaced, the required guide plate devices are large in quantity, and the gum is injured when the devices are integrally replaced, so that the root tip is not completely removed, the root piece shield is accurately prepared, the operation time of a doctor is increased, and the operation difficulty is increased.
Disclosure of Invention
In view of the above, the present invention provides a two-stage detachable root-dividing device and a synchronous implantation method in the root shield technology, which can ensure complete removal of the root tip, precise preparation of the root segment shield, and retention of the arc root shield in the minimum effective range without affecting the flexural strength and tissue preservation effect thereof.
In order to solve the technical problems, the technical scheme of the invention is as follows:
the utility model provides a root device can be dismantled to two segmentations in root shield technique, includes the gum at human oral cavity position, the suit is in shield technique baffle base on the gum, and the suit is in on the gum, and implant the baffle through the same period of shield technique baffle base cooperation fixed mounting, the position that the gum was used includes the molar part, the door tooth portion of remaining tooth and the planting portion that is located door tooth portion avris, shield technique baffle base holds in the palm the suit is in on the molar part of gum both sides, implant the baffle in the same period and include the guide body in the same period, set up the interface connection pole of implanting guide body both sides in the same period, implant the guide body in the same period and correspond the matching planting portion on the door tooth portion through movable assembly, and the interface connection pole extends to and assembles on shield technique baffle base holds in the palm.
Preferably, the interface connecting rod is detachably arranged.
Preferably, the contemporary implantation guide plate is a root tip bucco-lingual side separation guide plate, the contemporary implantation guide plate body is a root tip bucco-lingual side separation guide plate body, and a root tip bucco-lingual side separation guide plate positioning hole is formed in a position corresponding to the implantation portion of the contemporary implantation guide plate body.
Furthermore, the positioning holes of the root tip buccal-lingual side separation guide plate are circularly arranged.
Preferably, the contemporaneous implantation guide plate is a root-medial bucco-lingual separation guide plate, the contemporaneous implantation guide plate body is a root-medial bucco-lingual separation guide plate body, and a root-medial bucco-lingual separation guide plate positioning hole is formed in a position corresponding to the implantation portion of the contemporaneous implantation guide plate body.
Furthermore, the positioning holes of the root-center cheek-tongue side separation guide plate are arranged in a strip shape.
Preferably, the contemporaneous implantation guide plate is a surgical hole preparation guide plate, the contemporaneous implantation guide plate body is a surgical hole preparation guide plate body, and a surgical hole preparation guide plate positioning hole is formed in a position corresponding to the implantation part of the contemporaneous implantation guide plate body.
Furthermore, the positioning holes of the surgical hole preparation guide plate are circularly arranged.
Preferably, the guide plate base of the shield technology comprises a base body, and a functional area interface is arranged at one end, close to the contemporaneous implantation guide plate, of the base body, and the functional area interface is matched with the interface connecting rod.
A synchronous implantation method of a two-section detachable root-dividing device in a root shield technology comprises the following steps:
step 21: firstly, mounting base supports of a guide plate of the shield technology on the remaining teeth of molar teeth parts on two sides of an operation area, mounting a root tip buccodental side separation guide plate, drilling to the root tip of an implantation part by using a 1.5MM drill according to the indication of a positioning hole of the root tip buccodental side separation guide plate, and separating 1/3 of the root tip;
step 22: replacing the buccal-lingual separation guide plate in the root, entering the positioning hole of the buccal-lingual separation guide plate in the root by using an ultrasonic osteotome, punching to 1/3 of the root, and separating the whole tooth root to divide the tooth root into two parts of an independent buccal and palatal side;
step 23: taking out the palatal root piece and keeping the labial root piece;
step 24: the surgical hole-preparing guide plate is replaced, after surgical hole preparation, the implant is implanted to the implant part in the same way through the surgical hole-preparing guide plate positioning hole, so that an implant-tooth combined interface and an implant-bone combined interface are formed by the implant, the tooth root piece on the buccal side can further enable soft and hard tissues to be more plump, and aesthetic region risks caused by bone absorption are reduced.
The technical effects of the invention are mainly reflected in the following aspects: through the cooperation of interface connecting rod and shield technique baffle base bracket, can confirm that the synchronous implantation baffle body corresponds the setting on the teethridge, the interface connecting rod can be followed shield technique baffle base bracket and demolishd simultaneously, be favorable to changing the position that the different synchronous implantation baffle aimed at the operation and carry out the operation treatment, can ensure to get rid of the root tip completely, the root piece shield is prepared to the accuracy, remains the arc root shield of minimum effective range under the prerequisite that does not influence its bending strength and tissue preservation effect.
Drawings
FIG. 1 is a structural diagram of a two-stage detachable root-dividing device in the root shield technology of the present invention;
FIG. 2 is a schematic view of the guide plate base and the teethridge of the shield technique in FIG. 1;
FIG. 3 is a view of the shield technique guide plate base in FIG. 1 in cooperation with the apical-bucco-lingual side separation guide plate;
FIG. 4 is a view of a bucco-lingual side separator guide in the mating root of the shield technology guide of FIG. 1;
FIG. 5 is a view of the shield technique guide plate base bracket of FIG. 1 in cooperation with a surgical hole preparation guide plate.
Detailed Description
The detailed description of the present invention is further detailed so that the technical solutions of the present invention can be more easily understood and appreciated.
Examples
The utility model provides a root device can be dismantled to two segmentations in root shield technique, as shown in fig. 1-2, include the gum 1 at human oral cavity position, the suit is in the shield technique baffle base plate 2 on the gum 1, and the suit is in on the gum 1, and implant the baffle 3 through the synchronization of shield technique baffle base plate 2 cooperation fixed mounting, the position that the gum 1 was used includes molar portion 11, the door tooth portion 12 of remaining tooth and the planting portion 13 that is located door tooth portion 12 avris, shield technique baffle base plate 2 suit is in on the molar portion 11 of gum 1 both sides, the synchronization is implanted the baffle 3 and is included synchronization implantation baffle body 31, sets up interface connection pole 32 of synchronization implantation baffle body 31 both sides, synchronization is implanted baffle body 31 and is corresponding to match planting portion 13 on door tooth portion 12 through movable assembly, and interface connection pole 32 extends to shield technique baffle base plate 2 and assembles. The interface connecting rod 32 is detachably arranged, and particularly, after the interface connecting rod 32 is detached from the guide plate base 2 of the shield technology, the guide plate body 31 can be detached by being implanted at the same time. The shield technology guide plate base 2 comprises a base body 21 and a functional area interface 22 arranged at one end, close to the contemporaneous implanted guide plate 3, of the base body 21, wherein the functional area interface 22 is matched with an interface connecting rod 32, and specifically, the interface connecting rod 32 can be movably assembled.
As shown in fig. 3 and with reference to fig. 2, the contemporary implantation guide 3 is an apex-bucco-lingual separation guide, and the contemporary implantation guide body 31 is an apex-bucco-lingual separation guide body, and has an apex-bucco-lingual separation guide positioning hole 311 formed at a position corresponding to the implantation portion 13. The apex cheek-tongue side separation guide positioning hole 311 is circular, and a drill bit is convenient to use to enter through the apex cheek-tongue side separation guide positioning hole 311 to perform drilling processing on the planting part 13.
As shown in fig. 4 and with reference to fig. 2, the contemporary implantation guide 3 is a root-medial-bucco-lingual separation guide, and the contemporary implantation guide body 31 is a root-medial-bucco-lingual separation guide body, and is provided with root-medial-bucco-lingual separation guide positioning holes 312 at positions corresponding to the implant portions 13. The root-inside buccodental-lingual separation guide positioning hole 312 is in a strip shape, so that the ultrasonic osteotome can be conveniently used to treat the implant part 13 according to the entry of the root-inside buccodental-lingual separation guide positioning hole 312.
As shown in fig. 5 and fig. 2, the simultaneous implantation guide 3 is a surgical hole-preparing guide, and the simultaneous implantation guide body 31 is a surgical hole-preparing guide body, and a surgical hole-preparing guide positioning hole 31 is formed at a position corresponding to the implantation portion 13. The surgical hole-preparing guide plate positioning hole 313 is circularly arranged, so that the implant can be conveniently implanted in the same way through the surgical hole-preparing guide plate positioning hole 313.
With reference to fig. 1-5, a method for the simultaneous implantation of a two-stage detachable rooting device in root shield technology comprises the following steps:
step 21: firstly, mounting a shield technology guide plate base 2 on the remaining teeth of molar teeth parts 11 on two sides of an operation area, mounting a root tip buccolingual side separation guide plate, drilling to the root tip of an implanting part 13 by using a 1.5MM drill according to the indication of a root tip buccolingual side separation guide plate positioning hole 311, and separating 1/3 of the root tip;
step 22: replacing the root middle buccodental side separation guide plate, entering the root middle buccodental side separation guide plate positioning hole 312 by using an ultrasonic osteotome, punching to 1/3 of the root, and separating the whole tooth root to divide the tooth root into two parts of independent buccodental side and palatine side;
step 23: taking out the palatal root piece and keeping the labial root piece;
step 24: the surgical hole-preparing guide plate is replaced, after surgical hole preparation, the implant is implanted to the implant part 13 in the same way through the surgical hole-preparing guide plate positioning hole 313, so that an implant-tooth combination interface and an implant-bone combination interface are formed by the implant, the tooth root piece on the buccal side can also ensure that soft and hard tissues are more plump, and the risk of aesthetic regions caused by bone absorption is reduced.
The technical effects of the invention are mainly reflected in the following aspects: through the cooperation of interface connecting rod and shield technique baffle base bracket, can confirm that the synchronous implantation baffle body corresponds the setting on the teethridge, the interface connecting rod can be followed shield technique baffle base bracket and demolishd simultaneously, be favorable to changing the position that the different synchronous implantation baffle aimed at the operation and carry out the operation treatment, can ensure to get rid of the root tip completely, the root piece shield is prepared to the accuracy, remains the arc root shield of minimum effective range under the prerequisite that does not influence its bending strength and tissue preservation effect.
The above are only typical examples of the present invention, and besides, the present invention may have other embodiments, and all the technical solutions formed by equivalent substitutions or equivalent changes are within the scope of the present invention as claimed.
Claims (10)
1. The utility model provides a root device can be dismantled to two segmentations in root shield technique, includes the gum at human oral cavity position, the suit is in shield technique baffle base on the gum, and the suit is in on the gum, and through shield technique baffle base cooperation fixed mounting's the baffle of implanting in the same phase, the position that the gum was used includes the department of planting that remains molar portion, incisor portion and be located incisor portion avris of tooth, its characterized in that: shield technique baffle base bracket suit is in on the molar tooth portion of teethridge both sides, the baffle is implanted including implanting the baffle body in the same period, sets up the interface connection pole of implanting baffle body both sides in the same period, implant the baffle body in the same period and correspond the matching through movable assembly on the department of a tooth and plant the portion, and the interface connection pole extends to and assembles on the shield technique baffle base bracket.
2. The two-stage detachable rooting device in the root shield technology according to claim 1, wherein: the interface connecting rod is detachably arranged.
3. The two-stage detachable rooting device in root shield technology according to claim 1 or claim, wherein: the synchronous implantation guide plate is a root tip buccolingual side separation guide plate, the synchronous implantation guide plate body is a root tip buccolingual side separation guide plate body, and a root tip buccolingual side separation guide plate positioning hole is formed in the position, corresponding to the implantation part, of the synchronous implantation guide plate body.
4. The two-stage detachable rooting device in root shield technology according to claim 3, wherein: the positioning holes of the root tip buccolingual side separation guide plate are circularly arranged.
5. The two-stage detachable rooting device in the root shield technology according to claim 1, wherein: the synchronous implantation guide plate is a root-in-root buccodental side separation guide plate, the synchronous implantation guide plate body is a root-in-root buccodental side separation guide plate body, and a root-in-root buccodental side separation guide plate positioning hole is formed in the position of the corresponding implantation part of the synchronous implantation guide plate body.
6. The two-stage detachable rooting device in root shield technology according to claim 5, wherein: the positioning holes of the buccal and lingual separation guide plate in the root are arranged in a strip shape.
7. The two-stage detachable rooting device in root shield technology according to claim 1, wherein: the contemporary implantation guide plate is a surgical hole preparation guide plate, the contemporary implantation guide plate body is a surgical hole preparation guide plate body, and a surgical hole preparation guide plate positioning hole is formed in the position, corresponding to the implantation part, of the contemporary implantation guide plate body.
8. The two-stage detachable rooting device in root shield technology according to claim 7, wherein: the positioning hole of the surgical hole-preparing guide plate is circularly arranged.
9. The two-stage detachable rooting device in root shield technology according to claim 1, wherein: the guide plate base support for the shield technology comprises a base support body, and a functional area interface is arranged at one end, close to the guide plate implanted in the same period, of the base support body, and the functional area interface is matched with the interface connecting rod.
10. A synchronous implantation method of a two-stage detachable rooting device in a root shield technology is characterized by comprising the following steps:
step 1, preparing a guide plate base and a synchronous implantation guide plate by using a shield technology: firstly, collecting model data of an upper jaw or a lower jaw in a patient's mouth and a position of an implant part, then carrying out 3d design on a shield technology guide plate base and a contemporary implant guide plate, determining the positions of the shield technology guide plate base and the contemporary implant guide plate in a molar tooth part and a portal tooth part respectively, then determining the length of an interface connecting rod, then simulating a model according to the data by using a planeness cad software, and finally outputting stl format of the determined model data to a stratasys prime 30 printer for processing to obtain the shield technology guide plate base, and three contemporary implant guide plates, namely a root tip buccal tongue side separation guide plate, a root middle buccal tongue side separation guide plate and a surgical reserve hole guide plate;
step 2, application of a guide plate base support and a synchronous implantation guide plate in the shield technology:
step 21: firstly, mounting base supports of a guide plate of the shield technology on the remaining teeth of molar teeth parts on two sides of an operation area, mounting a root tip buccodental side separation guide plate, drilling to the root tip of an implantation part by using a 1.5MM drill according to the indication of a positioning hole of the root tip buccodental side separation guide plate, and separating 1/3 of the root tip;
step 22: replacing the buccal and lingual separation guide plate in the root, using an ultrasonic osteotome to enter the root according to the locating hole of the buccal and lingual separation guide plate in the root, striking the root to 1/3, and separating the whole tooth root to divide the tooth root into two parts of an independent buccal and palatal side;
step 23: taking out the palatal lateral root piece and keeping the labial lateral root piece;
step 24: the surgical hole-preparing guide plate is replaced, and after surgical holes are prepared, the implant is implanted into the implant part in the same way through the surgical hole-preparing guide plate positioning hole, so that the implant forms an implant-tooth combination interface and an implant-bone combination interface, the tooth root piece on the buccal side can further ensure that soft and hard tissues are more abundant, and the aesthetic region risk caused by bone absorption is reduced.
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202211060803.7A CN115317167A (en) | 2022-08-31 | 2022-08-31 | Two-section detachable root dividing device in root shield technology and synchronous implantation method |
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| Application Number | Priority Date | Filing Date | Title |
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| CN202211060803.7A CN115317167A (en) | 2022-08-31 | 2022-08-31 | Two-section detachable root dividing device in root shield technology and synchronous implantation method |
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| CN115317167A true CN115317167A (en) | 2022-11-11 |
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Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN103494649A (en) * | 2013-10-23 | 2014-01-08 | 福建医科大学附属口腔医院 | Improvement of bone splitting carried out below lip-cheek crest in oral implantation |
| CN105982747A (en) * | 2015-03-06 | 2016-10-05 | 北京大学口腔医学院 | Designing and manufacturing method of tooth supporting type implant surgery guide plate for restoration |
| CN111658196A (en) * | 2020-06-22 | 2020-09-15 | 美尚(广州)医疗科技有限公司 | Instant-pulling and instant-planting detachable layered guide plate and processing and application method thereof |
| CN216535577U (en) * | 2021-11-26 | 2022-05-17 | 广州市德伦口腔门诊部有限公司 | External lifting guide plate |
| CN114668533A (en) * | 2022-03-25 | 2022-06-28 | 李丹 | Digital root shield guide plate and manufacturing method |
-
2022
- 2022-08-31 CN CN202211060803.7A patent/CN115317167A/en active Pending
Patent Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN103494649A (en) * | 2013-10-23 | 2014-01-08 | 福建医科大学附属口腔医院 | Improvement of bone splitting carried out below lip-cheek crest in oral implantation |
| CN105982747A (en) * | 2015-03-06 | 2016-10-05 | 北京大学口腔医学院 | Designing and manufacturing method of tooth supporting type implant surgery guide plate for restoration |
| CN111658196A (en) * | 2020-06-22 | 2020-09-15 | 美尚(广州)医疗科技有限公司 | Instant-pulling and instant-planting detachable layered guide plate and processing and application method thereof |
| CN216535577U (en) * | 2021-11-26 | 2022-05-17 | 广州市德伦口腔门诊部有限公司 | External lifting guide plate |
| CN114668533A (en) * | 2022-03-25 | 2022-06-28 | 李丹 | Digital root shield guide plate and manufacturing method |
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