CN116763470A - Implant anchorage combined elastic arm low-molar auxiliary device and use method - Google Patents
Implant anchorage combined elastic arm low-molar auxiliary device and use method Download PDFInfo
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- CN116763470A CN116763470A CN202310823819.7A CN202310823819A CN116763470A CN 116763470 A CN116763470 A CN 116763470A CN 202310823819 A CN202310823819 A CN 202310823819A CN 116763470 A CN116763470 A CN 116763470A
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- 239000007943 implant Substances 0.000 title claims abstract description 18
- 238000000034 method Methods 0.000 title claims abstract description 16
- 210000004763 bicuspid Anatomy 0.000 claims abstract description 16
- 210000003254 palate Anatomy 0.000 claims abstract description 9
- 238000005452 bending Methods 0.000 claims description 7
- 210000001909 alveolar process Anatomy 0.000 claims description 6
- 229910001220 stainless steel Inorganic materials 0.000 claims description 6
- 239000010935 stainless steel Substances 0.000 claims description 6
- 210000000988 bone and bone Anatomy 0.000 claims description 4
- 230000001419 dependent effect Effects 0.000 claims 2
- 230000008569 process Effects 0.000 abstract description 5
- 238000010586 diagram Methods 0.000 description 2
- 239000010985 leather Substances 0.000 description 2
- 239000000463 material Substances 0.000 description 2
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000037182 bone density Effects 0.000 description 1
- 206010006514 bruxism Diseases 0.000 description 1
- 230000006835 compression Effects 0.000 description 1
- 238000007906 compression Methods 0.000 description 1
- 210000004489 deciduous teeth Anatomy 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 210000004195 gingiva Anatomy 0.000 description 1
- 230000003993 interaction Effects 0.000 description 1
- 210000001847 jaw Anatomy 0.000 description 1
- 230000007774 longterm Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 210000000214 mouth Anatomy 0.000 description 1
- 230000008439 repair process Effects 0.000 description 1
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- Dental Tools And Instruments Or Auxiliary Dental Instruments (AREA)
Abstract
The invention discloses a combined implant anchorage elastic arm low molar auxiliary device and a use method thereof, and relates to the technical field of medical equipment. The invention comprises the following steps: the anchorage structure comprises a buccal tube fixed on the first molar, a first bracket fixed on the second premolars, a second bracket fixed on the first premolars, a main arch wire and a first anchorage nail, wherein the main arch wire is sequentially fixed on the buccal tube, the first bracket and the second bracket, and the first anchorage nail is fixed on a suitable thickness area of a cheek tooth groove ridge on the cheek side. The elastic arm designed by the invention has the advantages that the force application direction is controllable, the mechanical property of elastic traction is increased, the elastic arm is connected with the main arch wire through the cross sleeve, the supporting teeth are not influenced by the reaction force in the clinical use process, the supporting teeth are not easy to shift, the elastic force of the elastic wire I and the rebound resilience of the arch wire are utilized to pull the second molar, meanwhile, the palate side matched supporting nails are pushed down through the elastic device, and the inclined movement of the second molar in the pushing down process is avoided.
Description
Technical Field
The invention relates to the technical field of medical equipment, in particular to a implant anchorage combined elastic arm low-molar auxiliary device and a use method thereof.
Background
In the orthodontic treatment process, any force applied to the treatment teeth to move inevitably generates a force with opposite directions and the same magnitude at the same time, and the condition of supporting the reaction force caused by the movement of the correction teeth is called as "anchorage". The use of the implant anchorage can reduce the unexpected movement of the anchorage teeth caused by only adopting the dental anchorage, thereby enlarging the correction range of the mismatching deformity and improving the efficiency of orthodontic treatment.
Clinically, excessive extension of the teeth of the jaw is often caused by long-term missing of the molar on one side or loss of occlusal contact for the rest of the reasons, thereby affecting the function of the oral cavity and the repair of the denture. Implant anchorage has found wide application in the depression of bruxism. The number of implant anchorage is generally unequal by using implant anchorage compression-resistant low-molar implant, the implant operation of the second molar distal middle cheek anchorage nails is limited by the influence of the opening degree, and the bone density of partial patients is insufficient at the positions, so that the anchorage nails are easy to loosen and fall off. The prior art primary teeth tend to experience undesirable movement due to the reaction forces. In view of this, this scheme provides a planting anchorage combines the arm of spring to depress the auxiliary device of grinding one's teeth of a cogwheel and application method to in order to solve the problem that above-mentioned posed.
Disclosure of Invention
The invention aims to provide a implant anchorage combined elastic arm tooth grinding assisting device and a using method thereof, so as to solve the problems of the background technology.
In order to achieve the above purpose, the present invention provides the following technical solutions: a plant anchorage-coupled elastic arm depression molar aid comprising:
the anchorage structure comprises a buccal tube fixed on the first molar, a first bracket fixed on the second premolars, a second bracket fixed on the first premolars, a main arch wire and a first anchorage nail, wherein the main arch wire is sequentially fixed on the buccal tube, the first bracket and the second bracket, and the first anchorage nail is fixed on a suitable thickness area of a cheek tooth groove ridge on the cheek side;
the force application structure comprises an elastic arm, the elastic arm is configured into a longitudinal section and a transverse section, the joint of the longitudinal section and the transverse section is a bending fixing section fixed on the first anchorage nail, the bottom end of the longitudinal section is fixed with the main arch wire through a cross sleeve, the end part of the transverse section is provided with a hook section, the cheek side of the second molar is fixed with a tongue side buckle I, the hook section is connected with an elastic wire I, and the other end of the elastic wire I is fixed on the tongue side buckle I;
the second anchorage nail is fixed on the palate side, the lingual side of the second molar is fixed with a lingual buckle II, the second anchorage nail is connected with a second elastic thread, and the other end of the second elastic thread is fixed on the lingual buckle II.
Preferably, the main arch wire and the elastic arm are both constructed by stainless steel square wires.
Preferably, the anchorage nail is provided with a cross groove on a nail cap.
The application method of the implant anchorage combined elastic arm low-molar auxiliary device comprises the following steps:
s1, respectively bonding a buccal tube, a bracket I and a bracket II to the buccal side surfaces of a first molar, a second premolars and a first premolars, and bonding a lingual button I and a lingual button II to the buccal side surfaces of crowns and linguals of the second molar respectively;
s2, taking a stainless steel square wire, respectively constructing a main arch wire and an elastic arm, and sequentially fixing the main arch wire on a buccal tube, a bracket I and a bracket II;
s3, taking an anchorage nail which is fixed at a position with sufficient density and thickness of the zygomatic alveolar ridge bone;
s4, fixing the bottom end of the longitudinal section of the elastic arm with a main arch wire through a cross sleeve, and fixing the bending fixing section with a first anchorage nail by means of an elastic line I;
s5, taking the second supporting nail to be fixed at the gingiva direction alveolar bone of the palate side extension molar, and taking one end of the elastic thread II to be hung on the second supporting nail and the other end to be hung on the second lingual buckle.
Compared with the prior art, the invention has the beneficial effects that:
the elastic arm designed by the invention has the advantages that the force application direction is controllable, the mechanical property of elastic traction is increased, the elastic arm is connected with the main arch wire through the cross sleeve, the supporting teeth are not influenced by the reaction force in the clinical use process, the supporting teeth are not easy to shift, the elastic force of the elastic wire I and the rebound resilience of the arch wire are utilized to pull the second molar, meanwhile, the palate side matched supporting nails are pushed down through the elastic device, and the inclined movement of the second molar in the pushing down process is avoided.
Drawings
FIG. 1 is a schematic view of the buccal side of a second molar, a first molar, a second premolars, a first premolars (from left to right) of the present invention;
FIG. 2 is a schematic diagram of the structure of the spring arm of the present invention;
fig. 3 is a diagram of the palate side structure of the second molar of the present invention.
In the figure: 1. a buccal tube; 2. a bracket I; 3. a bracket II; 4. a primary archwire; 5. a cross sleeve; 6. a first anchorage nail; 7. a spring arm; 701. a longitudinal section; 702. a transverse section; 703. bending the fixed section; 704. a hook section; 8. the tongue side is buckled; 9. an elastic line I; 10. a tongue side buckle II; 11. a second anchorage nail; 12. and a second elastic line.
Detailed Description
The following description of the embodiments of the present invention will be made clearly and completely with reference to the accompanying drawings, in which it is apparent that the embodiments described are only some embodiments of the present invention, but not all embodiments. All other embodiments, which can be made by those skilled in the art based on the embodiments of the invention without making any inventive effort, are intended to be within the scope of the invention.
Referring to fig. 1-3, an implant anchorage-coupled elastic arm low molar auxiliary device, comprising:
the anchorage structure comprises a buccal tube 1 fixed on the first molar, a bracket I2 fixed on the second premolars, a bracket II 3 fixed on the first premolars, a main arch wire 4 and an anchorage nail I6, wherein the main arch wire 4 is sequentially fixed on the buccal tube 1, the bracket I2 and the bracket II 3, the anchorage nail I6 is fixed on a proper area of the buccal zygomatic alveolar ridge thickness, the best bone position of the zygomatic alveolar ridge area can be selected according to CT of a patient to be implanted, the anchorage stress is mainly on the anchorage nail I6, and a cross groove is formed in a nail cap of the anchorage nail I6, so that the requirement of combining the anchorage nail with other devices is met.
The force application structure comprises a spring arm 7, the spring arm 7 is configured into a longitudinal section 701 and a transverse section 702, the joint of the longitudinal section 701 and the transverse section 702 is a bending fixing section 703 fixed on a first anchorage pin 6, the bottom end of the longitudinal section 701 is fixed with a main arch wire 4 through a cross sleeve 5, the end part of the transverse section 702 is provided with a hook section 704, the cheek side of a second molar is fixed with a tongue side buckle 8, the hook section 704 is connected with a first spring wire 9, the other end of the first spring wire 9 is fixed on the tongue side buckle 8, the main arch wire 4 and the spring arm 7 are both configured by adopting stainless steel square wires, and each fixing piece is matched with the fixing piece.
The second anchorage nail 11 is fixed on the palate side, the tongue side buckle 10 is fixed on the tongue side of the second molar, the second anchorage nail 11 is connected with the elastic line 12, and the other end of the elastic line 12 is fixed on the tongue side buckle 10. The elastic thread one 9 and the elastic thread two 12 can also adopt leather chains, elastic leather rings and the like.
The application method of the implant anchorage combined elastic arm low-molar auxiliary device comprises the following steps:
s1, respectively bonding a buccal tube 1, a bracket I2 and a bracket II 3 to the first molar, the second premolars and the buccal side surfaces of the first premolars, and bonding a lingual buckle I8 and a lingual buckle II 10 to the buccal side surfaces of crowns and lingual teeth of the second molar;
s2, taking a stainless steel square wire, respectively constructing a main arch wire 4 and an elastic arm 7, and sequentially fixing the main arch wire 4 on a buccal tube 1, a bracket I2 and a bracket II 3;
s3, taking the anchorage nail I6 to be fixed at the position with sufficient density and thickness of the zygomatic alveolar ridge bone;
s4, fixing the bottom end of a longitudinal section 701 of an elastic arm 7 with a main arch wire 4 through a cross sleeve 5, and fixing a bending fixing section 703 with a first anchorage pin 6 by means of an elastic line 9;
s5, the second anchorage nail 11 is fixed at a proper position of the alveolar bone on the palate side, one end of the second elastic thread 12 is hung on the second anchorage nail 11, and the other end of the second elastic thread is hung on the second lingual buckle 10.
In the description of the present invention, the terms "first," "second," and the like are used for descriptive purposes only and are not to be construed as indicating or implying relative importance or implicitly indicating the number of technical features indicated. Thus, a feature defining "a first" or "a second" may explicitly or implicitly include one or more such feature. The meaning of "a plurality of" is two or more, unless specifically defined otherwise.
In the present invention, unless explicitly specified and limited otherwise, the terms "mounted," "connected," "secured," and the like are to be construed broadly, and may be, for example, fixedly connected, detachably connected, or integrally formed; can be mechanically or electrically connected; can be directly connected or indirectly connected through an intermediate medium, and can be communicated with the inside of two elements or the interaction relationship of the two elements. The specific meaning of the above terms in the present invention can be understood by those of ordinary skill in the art according to the specific circumstances.
In the present invention, unless expressly stated or limited otherwise, a first feature "up" or "down" a second feature may be the first and second features in direct contact, or the first and second features in indirect contact via an intervening medium. Moreover, a first feature being "above," "over" and "on" a second feature may be a first feature being directly above or obliquely above the second feature, or simply indicating that the first feature is level higher than the second feature. The first feature being "under", "below" and "beneath" the second feature may be the first feature being directly under or obliquely below the second feature, or simply indicating that the first feature is less level than the second feature.
In the description of the present specification, a description referring to terms "one embodiment," "some embodiments," "examples," "specific examples," or "some examples," etc., means that a particular feature, structure, material, or characteristic described in connection with the embodiment or example is included in at least one embodiment or example of the present invention. In this specification, schematic representations of the above terms are not necessarily for the same embodiment or example. Furthermore, the particular features, structures, materials, or characteristics described may be combined in any suitable manner in any one or more embodiments or examples. Furthermore, the different embodiments or examples described in this specification and the features of the different embodiments or examples may be combined and combined by those skilled in the art without contradiction.
While embodiments of the present invention have been shown and described above, it will be understood that the above embodiments are illustrative and not to be construed as limiting the invention, and that variations, modifications, alternatives and variations may be made to the above embodiments by one of ordinary skill in the art within the scope of the invention.
Claims (4)
1. An implant anchorage combined elastic arm depression molar auxiliary device, comprising:
the anchorage structure comprises a buccal tube (1) fixed on the first molar, a first bracket (2) fixed on the second premolars, a second bracket (3) fixed on the first premolars, a main arch wire (4) and a first anchorage nail (6), wherein the main arch wire (4) is sequentially fixed on the buccal tube (1), the first bracket (2) and the second bracket (3), and the first anchorage nail (6) is fixed on a suitable thickness area of a buccal zygomatic alveolar ridge;
the force application structure comprises a spring arm (7), wherein the spring arm (7) is configured into a longitudinal section (701) and a transverse section (702), the joint of the longitudinal section (701) and the transverse section (702) is a bending fixing section (703) fixed on the first anchorage nail (6), the bottom end of the longitudinal section (701) is fixed with the main arch wire (4) through a cross sleeve (5), the end part of the transverse section (702) is provided with a hook section (704), the lingual side buckle (8) is fixed on the second molar cheek side, the hook section (704) is connected with a spring wire (9), and the other end of the spring wire (9) is fixed on the lingual buckle (8);
the second anchorage nail (11), the second anchorage nail (11) is fixed on the palate side, the lingual side of the second molar is fixed with the lingual buckle (10), the second anchorage nail (11) is connected with the second elastic thread (12) and the other end of the second elastic thread (12) is fixed on the lingual buckle (10).
2. The implant anchorage-dependent spring arm depression molar aid and method of use of claim 1, wherein: the main arch wire (4) and the elastic arm (7) are both constructed by stainless steel square wires.
3. The implant anchorage-dependent spring arm depression molar aid and method of use of claim 1, wherein: the first (6) nail cap of the anchorage nail is provided with a cross groove.
4. A method of using an implant anchorage in combination with a spring arm depression molar aid as claimed in claim 1, comprising the steps of:
s1, respectively adhering a buccal tube (1), a bracket I (2) and a bracket II (3) to the buccal sides of a first molar, a second premolars and the first premolars, and adhering a lingual buckle I (8) and a lingual buckle II (10) to the two buccal sides of a crown of the second molar;
s2, taking stainless steel square wires, respectively constructing a main arch wire (4) and an elastic arm (7), and sequentially fixing the main arch wire (4) on a buccal tube (1), a bracket I (2) and a bracket II (3);
s3, taking the first anchorage nail (6) to be fixed at a position with sufficient density and thickness of the zygomatic alveolar ridge;
s4, fixing the bottom end of a longitudinal section (701) of the elastic arm (7) with a main arch wire (4) through a cross sleeve (5), and fixing a bending fixing section (703) with a first anchorage nail (6) by means of an elastic line I (9);
s5, taking the second anchorage nail (11) to be fixed at a proper position of the alveolar bone at the palate side, and taking one end of the elastic thread II (12) to be hung on the second anchorage nail (11) and the other end to be hung on the second lingual buckle II (10).
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CN202310823819.7A CN116763470A (en) | 2023-07-06 | 2023-07-06 | Implant anchorage combined elastic arm low-molar auxiliary device and use method |
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CN202310823819.7A CN116763470A (en) | 2023-07-06 | 2023-07-06 | Implant anchorage combined elastic arm low-molar auxiliary device and use method |
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CN202310823819.7A Pending CN116763470A (en) | 2023-07-06 | 2023-07-06 | Implant anchorage combined elastic arm low-molar auxiliary device and use method |
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