CN208525080U - The horizontal Distraction Apparatus of alveoli dentales mandibulae bone - Google Patents

The horizontal Distraction Apparatus of alveoli dentales mandibulae bone Download PDF

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Publication number
CN208525080U
CN208525080U CN201721485845.XU CN201721485845U CN208525080U CN 208525080 U CN208525080 U CN 208525080U CN 201721485845 U CN201721485845 U CN 201721485845U CN 208525080 U CN208525080 U CN 208525080U
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guide rail
titanium plate
frame
distraction apparatus
alveoli dentales
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Inventor
程杰
葛涵
刁鹏飞
王琰玲
江宏兵
王东苗
张平
吴亚平
李中武
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Affiliated Stomatological Hospital of Nanjing Medical University
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Affiliated Stomatological Hospital of Nanjing Medical University
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Abstract

The utility model provides the horizontal Distraction Apparatus of alveoli dentales mandibulae bone, is related to alveoli dentales mandibulae bone defect healing instrument field.A kind of horizontal Distraction Apparatus of alveoli dentales mandibulae bone, the fixation titanium plate being fixed on guide rail including a guide rail made of Ultimum Ti, at least two pieces and at least one piece mobile titanium plate;Side where the guide rail long side and broadside is adapted with alveoli dentales mandibulae bone shape, is uniformly provided with several holes along the length direction of the guide rail, is formd cross bar between the hole;The mobile titanium plate is slidably connected on guide rail by sliding equipment;The sliding equipment includes sliding frame and the screw rod across the sliding frame, and the guide rail passes through sliding frame, and the part that the screw rod is set in sliding frame is connected through a screw thread with the cross bar on guide rail.When the utility model is suitable for that alveolar process of mandible defect range is larger to involve two sides alveolar process of mandible particularly across lower jaw center, can effectively repair in severe alveoli dentales mandibulae bone defect.

Description

The horizontal Distraction Apparatus of alveoli dentales mandibulae bone
Technical field
The utility model relates to alveoli dentales mandibulae bone defect healing instrument fields, and in particular to the horizontal stretching of alveoli dentales mandibulae bone Device.
Background technique
Currently, the mandibular alveolar process bone defect caused by being cut off in congenital malformation, wound or innocent and malignant tumour is had become For clinically relatively conventional one of jaw defect type.Such defect is easy to cause the change of patient's appearance, dentures repai maintenance Difficult, Bone mineral change such as can not plant at a series of clinical problems, the urgent need to resolve.It can be using trip for small-sized alveolar process bone defect Carry out reconstruction from bone grafting or Vascularized Bone transplanting, but often lead to donor site obstacle, by area's soft tissue is insufficient and operation risk compared with Big deficiency.In addition, can be used vertically alveolar process of mandible defect to jawbone distraction osteogenesis, local residue can use Alveolar bone causes local sclerotin and mucous membrane to regenerate with repair deficiency under the effect of Distraction Apparatus distraction force.However, in alveolar process of mandible Defect range it is larger particularly across lower jaw center involve two sides alveolar process of mandible when, vertical distraction osteogenesis is often difficult to smooth reality It is existing, and be formed by new Bones morphology and be also difficult to unanimously with original alveolar process form, effect is difficult to meet clinical needs.How to answer With distraction osteogenesis repair in severe alveoli dentales mandibulae bone defect, especially defect area span centre line when, it has also become currently face The emphasis of bed research.
Summary of the invention
The purpose of the utility model is to provide a kind of horizontal Distraction Apparatus of alveoli dentales mandibulae bone, are suitable for alveolar process of mandible defect model Enclose it is larger particularly across lower jaw center involve two sides alveolar process of mandible when, can effectively repair in severe alveoli dentales mandibulae bone lack Damage.
The purpose of this utility model adopts the following technical scheme that realization.
A kind of horizontal Distraction Apparatus of alveoli dentales mandibulae bone, including a guide rail made of Ultimum Ti, at least two pieces it is solid The fixation titanium plate being scheduled on guide rail and at least one piece mobile titanium plate;Side and alveoli dentales mandibulae bone where the guide rail long side and broadside Shape is adapted, and is uniformly provided with several holes along the length direction of the guide rail, is formd cross bar between the hole;The shifting Dynamic titanium plate is slidably connected on guide rail by sliding equipment;The sliding equipment include sliding frame and pass through the sliding frame Screw rod, the guide rail pass through sliding frame, the screw rod be set to sliding frame in part pass through spiral shell with the cross bar on guide rail Line connection.
In the present invention, the sliding frame includes U-frame frame body and connection titanium plate, the U-frame frame body Titanium plate one end is hinged with connecting, and the other end is connected by latching device.
In preferred technical solution, the U-frame frame body includes the first, second and third titanium plate, and first and third titanium plate is flat Row is opposite and is vertically connected with the second titanium plate.
In preferred technical solution, the latching device includes the convex block being set on U-frame frame body and the company of being set to The limiting component in titanium plate, with U-shaped card slot is connect, the convex block is stuck in the U-shaped card slot of the limiting component.
In preferred technical solution, the third titanium plate of the U-frame frame body is parallel to the first titanium plate and perpendicular to second The side of titanium plate outwardly is equipped with convex block.
In preferred technical solution, the U-frame frame body is respectively equipped with hinged ear with the corresponding end for connecting titanium plate, passes through Bolt is worn in hinged ear carries out U-frame frame body hingedly with titanium plate is connect.
In preferred technical solution, the screw rod includes main body and the end that the main body both ends are respectively connected with, the master The diameter of body is greater than the end;The sliding frame two sides are equipped with screw body axial limiting in the step in sliding frame The end in face, the screw rod is exposed to except sliding frame.
In preferred technical solution, the screw rod both ends have crosswise groove.
In preferred technical solution, the distance between described adjacent two cross bar is equal.
In preferred technical solution, the width of the guide rail is 6-8mm, with a thickness of 0.5-1.5mm, the distance between cross bar For 0.5-1.5mm, the cross bar is cylindric, a diameter of 0.5-1.5mm.
Beneficial effect
1. the utility model utilizes distraction osteogenesis principle, stretching bone block is passed through into the sliding that is made of sliding frame and screw rod Mechanism is moved along form with the consistent guide rail of patient's dental arch, is formed by newborn alveolus Bones morphology and former mandibular dental arch form is protected Hold it is consistent, can especially form the newborn alveolar bone across lower jaw middle line in repairing to severe alveoli dentales mandibulae bone defect.This reality It is simple, ingenious with the horizontal Distraction Apparatus structure of novel alveoli dentales mandibulae bone.
2. guide rail is made of Nitinol in the utility model, can be applied from the size fit of different mandibular dental arch It is needed in the treatment of different Arch width patients, increases the clinical versatility of this Distraction Apparatus.
3. the utility model application distraction osteogenesis, can not only repair in severe alveoli dentales mandibulae bone defect, moreover it is possible to it is same When promote local mucous membrane regeneration, solves the problems, such as that local soft tissue caused by bone tissue defect is insufficient so as to postoperative dentures repai.
4. the screw rod that the utility model uses, both ends are equipped with crosswise groove, therefore can be revolved from either direction Turn operation, the stretching after facilitating cross center line.
Detailed description of the invention
Fig. 1 is the structure diagram of the utility model, wherein 1- guide rail, 13- cross bar, 2- sliding equipment, the fixed titanium plate of 3-, 4- Mobile titanium plate.
Fig. 2 is the side view of sliding frame, wherein 11- sliding frame, 5-U shape chassis body, 6- connection titanium plate, 9- lock Mechanism, 7- hinged ear, 8- bolt.
Fig. 3 is the structure diagram of U-frame frame body, wherein the first titanium plate of 51-, the second titanium plate of 52-, 53- third titanium plate, 54- convex block, 7- hinged ear.
Fig. 4 is the connection relationship for connecting titanium plate and limiting component, 10- limiting component, 6- connection titanium plate, 7- hinged ear, 20- U-shaped card slot.
Fig. 5 is the B-B direction cross-sectional view of sliding frame in Fig. 1, guide rail and screw position relationship, 11- sliding frame, 12- spiral shell Bar main body, 7- hinged ear, 8- bolt, the cross bar of 13- guide rail, 9- latching device, the mobile titanium plate of 4-.
Fig. 6 is the sectional view along A-A of sliding frame in Fig. 1, guide rail and screw position relationship, wherein 11- sliding frame, 12- covers on surface threaded screw body, the cross bar of 13- guide rail, the end 22-.
The left view of Fig. 7 screw rod, the end 22-, 14- cross-like groove.
Fig. 8 is the original state figure treated using the utility model, and wherein 1- guide rail, 2- sliding equipment, 3- are fixed Titanium plate, the mobile titanium plate of 4-, 15-U shape frame, 16- stretching bone block, 17- mandibular defect position.
Fig. 9 is the interim status figure treated using the utility model, the new bone wherein formed after 18- stretching
State diagram when Figure 10 is completed using the utility model treatment.
Specific embodiment
The horizontal Distraction Apparatus of 1 alveoli dentales mandibulae bone of embodiment and use step
It is described in conjunction with structure of the attached drawing 1-7 to the utility model.
A kind of horizontal Distraction Apparatus of alveoli dentales mandibulae bone, including a guide rail 1 made of Ultimum Ti, three block weldings exist Fixation titanium plate 3 and one piece of mobile titanium plate 4 on guide rail 1;It is mutually fitted with alveoli dentales mandibulae bone shape side where guide rail long side and broadside Match, is uniformly provided with several holes along the length direction of the guide rail, forms cross bar 13 between the holes;Mobile titanium plate passes through skate machine Structure 2 is slidably connected on guide rail;Sliding equipment includes sliding frame 11 and the screw rod across sliding frame, and guide rail passes through slider box Frame, the part that screw rod is set in sliding frame are connected through a screw thread with the cross bar on guide rail.On external screw thread and guide rail on screw rod Cross bar be adapted, so that screw rod be made to be attached with the cross bar on guide rail by screw thread.When rotary screw, screw rod, which drives, to be slided Dynamic frame slides on guide rail, so that stretching bone block be made to move along bone defect direction.Nickel accounts for 53- in the Ultimum Ti of guide rail 57%, titanium accounts for 43-47%, in addition to unique shape memory function, also has wear-resistant, anticorrosive, high-damping and super-elasticity The advantages that.Hole on guide rail is set to the position corresponding to bone defect.
Sliding frame 11 include U-frame frame body 5 and connection titanium plate 6, U-frame frame body with connect the hinged phase in titanium plate one end Even, the other end is connected by latching device 9.
Fixed titanium plate is routinely using three hole titanium plates in clinical operation, and titanium nail in one end is fixed on mandibular after operation, One end is connected by U-frame frame or titanium plate with guide rail.Mobile titanium plate, is according to selected by the stretching bone block size of operation designing Clinic titanium plate.
U-frame frame body includes the first, second and third titanium plate 51,52,53, the first and third titanium plate 51,53 it is parallel opposite and with Second titanium plate 52 is vertically connected.The preferably integration casting of U-frame frame body, is welded after can also casting respectively.
Latching device includes the convex block 54 being set on U-frame frame body and is set in connection titanium plate, with U-shaped card slot 20 limiting component 10, convex block is adapted with U-shaped card slot and convex block is stuck in the U-shaped card slot of limiting component.
The third titanium plate of U-frame frame body is parallel to the first titanium plate and perpendicular to the second titanium plate outwardly (relative to U-frame frame Outwardly for the interior guide rail of main body) side be equipped with convex block;Limiting component includes three pieces of titanium plates: fourth, fifth and six titaniums Plate, the 4th and six titanium plates are opposite and are vertically connected to form U-shaped with the 5th titanium plate, and the 6th titanium plate is in limiting component aperture position Top and connect titanium plate end be connected.
U-frame frame body is respectively equipped with hinged ear 7 with the corresponding end for connecting titanium plate, by wearing bolt 8 in hinged ear U-frame frame body is carried out hingedly with titanium plate is connect.
Will mobile titanium plate to be mounted on the method on guide rail as follows: guide rail and screw rod are passed through into U-frame frame body, the two of screw rod Except a end exposure sliding frame, the hinged ear in titanium plate and the in the U-shaped card slot of convex block insertion limiting component, will will be connected Three titanium plate hinged ears are carried out hingedly using bolt, and such U-frame frame body is hinged and connected with titanium plate one end is connect, and the other end passes through Latching device is connected, and sliding frame, screw rod and guide rail are in close contact, and the cross bar of screw rod and guide rail is connected through a screw thread.
Screw rod includes main body 12 and the end 22 that main body both ends are respectively connected with, and the diameter of main body is greater than end;Sliding frame Two sides are equipped with screw body axial limiting in the step surface in sliding frame, and end is exposed to except sliding frame.Screw rod master Body is with an externally threaded cylinder, diameter 3mm, long 10mm, and two ends are the cylinders that diameter is 1mm.
Screw rod both ends have crosswise groove 14.Complete rotator: i.e. existing titanium follows closely screwdriver, and head end has crosswise convex I.e. male end, the crosswise groove with screw rod both ends, i.e. female end is played to match.Rotator is passed through to the crisscross grooves of screw rod end, Screw rod is rotated, since screw rod and the cross bar on guide rail are connected through a screw thread, sliding frame is driven to move on guide rail.
The distance between adjacent two cross bar is equal on guide rail.
The width of guide rail is 6-8mm, with a thickness of 0.5-1.5mm.Cross bar be diameter be 0.5-1.5mm cylindrical body, cross bar it Between distance be 0.5-1.5mm.
The use step of the horizontal Distraction Apparatus of alveoli dentales mandibulae bone: measurement mandible dimension data first, suitably sanction short-range missile It is tried on after rail, it is ensured that size is adapted;Fixed titanium plate is welded on guide rail by U-shaped member outside mouth, by mobile titanium plate weldering It is connected on U-frame frame body, screw rod, guide rail is passed through into U-frame frame body, then by the convex block and hinged ear of U-frame frame body It is installed together respectively with the limiting component and hinged ear connecting in titanium plate;Guide rail is stuck on the outside of mandibular, it is made to be close to tooth Bead;Fixed titanium plate is fixed on mandibular, by mobile titanium plate by the operation consent design position punching on mandibular using titanium nail It is fixed in stretching bone block designed by mandibular;Confirm and sections stretching bone block by Design after being fixed well;Check stretching Whether bone block can move, and art wound is closed in confirmation after not hindering;Start to draw after 7-10 days, uses rotator rotary screw one daily Week drive stretching bone block 1mm/ days mobile by design direction;It is maintained after stretching bone block reaches predetermined position, observes skeletonization feelings Condition selects a time and removes Distraction Apparatus.
The clinical application of the 2 horizontal Distraction Apparatus of alveoli dentales mandibulae bone of embodiment
Example case is across lower jaw middle line, is equivalent to the Alveolar Bone Defect of the position lower jaw 33-43,34,35 absence of tooth, Remaining position bone is normal.Using the plasticity of lower jaw residue denture radian and guide rail by guide rail be close to the moulding of neck edge and by its two Anterior border of ramus is fixed on using fixed titanium plate in end, and another piece of fixed titanium plate is connected with the end at mandibular defect position.It moves Dynamic titanium plate can be fixed on the other end of mandibular close to defect towards lower jaw lower edge as needed, with three pieces of fixed titanium plates Collective effect is with the entire Distraction Apparatus of fixation.Design is located at left side and is equivalent to anti-" L " the type osteotomy formation stretching of 34,35 alveolar bones progress The mobile titanium plate titanium being connected with sliding equipment nail is fixed in stretching bone block by bone block.Then rotator rotary screw is used again On crisscross grooves, drive sliding frame and stretching bone block gradually mobile to designed direction (strong side) along metal guide rail.Root New Bone Defect Repari Alveolar Bone Defect is formed in stretching gap according to the principle of distraction osteogenesis, also synchronizing regeneration repairs soft group to neighbouring mucous membrane Knit defect.Stretching is terminated when stretching bone block and opposite side alveolar bone contact.Distraction Apparatus is removed after newborn sclerotin calcification is stablized.Figure 8-10 shows the whole process for the treatment of.

Claims (10)

1. a kind of horizontal Distraction Apparatus of alveoli dentales mandibulae bone, it is characterised in that including a guide rail made of Ultimum Ti, extremely Few two pieces of fixation titanium plates being fixed on guide rail and at least one piece mobile titanium plate;Side is under where the guide rail long side and broadside Jaw alveolar bone shape is adapted, and is uniformly provided with several holes along the length direction of the guide rail, is formd cross between the hole Bar;The mobile titanium plate is slidably connected on guide rail by sliding equipment;The sliding equipment include sliding frame and pass through institute State the screw rod of sliding frame, the guide rail passes through sliding frame, the screw rod be set to the part in sliding frame on guide rail Cross bar is connected through a screw thread.
2. the horizontal Distraction Apparatus of alveoli dentales mandibulae bone according to claim 1, it is characterised in that the sliding frame includes U-frame frame Main body and connection titanium plate, the U-frame frame body with to connect titanium plate one end hinged, the other end is connected by latching device.
3. the horizontal Distraction Apparatus of alveoli dentales mandibulae bone according to claim 2, it is characterised in that the U-frame frame body includes the One, two, three titanium plate, first and third titanium plate is opposite in parallel and is vertically connected with the second titanium plate.
4. the horizontal Distraction Apparatus of alveoli dentales mandibulae bone according to claim 3, it is characterised in that the latching device includes being set to U It convex block in shape chassis body and is set in connection titanium plate, the limiting component with U-shaped card slot, the convex block is stuck in the limit In the U-shaped card slot of position component.
5. the horizontal Distraction Apparatus of alveoli dentales mandibulae bone according to claim 4, it is characterised in that the third titanium of the U-frame frame body Plate is parallel to the first titanium plate and is equipped with convex block perpendicular to the side of the second titanium plate outwardly.
6. the horizontal Distraction Apparatus of alveoli dentales mandibulae bone according to claim 5, it is characterised in that the U-frame frame body with connect titanium The corresponding end of plate is respectively equipped with hinged ear, is cut with scissors U-frame frame body with titanium plate is connect by wearing bolt in hinged ear It connects.
7. the horizontal Distraction Apparatus of alveoli dentales mandibulae bone according to claim 6, it is characterised in that the screw rod include main body, with it is described The diameter of the end that main body both ends are respectively connected with, the main body is greater than the end;The sliding frame two sides are equipped with screw rod Main body axial limiting is exposed to except sliding frame in the step surface in sliding frame, the end of the screw rod.
8. the horizontal Distraction Apparatus of alveoli dentales mandibulae bone according to claim 7, it is characterised in that the screw rod both ends have crosswise Groove.
9. the horizontal Distraction Apparatus of alveoli dentales mandibulae bone according to claim 5, it is characterised in that the distance between adjacent two cross bar phase Deng.
10. the horizontal Distraction Apparatus of alveoli dentales mandibulae bone according to claim 6, it is characterised in that the width of the guide rail is 6-8mm, With a thickness of 0.5-1.5mm, the distance between cross bar is 0.5-1.5mm, and the cross bar is cylindric, a diameter of 0.5-1.5mm.
CN201721485845.XU 2017-11-09 2017-11-09 The horizontal Distraction Apparatus of alveoli dentales mandibulae bone Active CN208525080U (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107669357A (en) * 2017-11-09 2018-02-09 南京医科大学附属口腔医院 The horizontal Distraction Apparatus of alveoli dentales mandibulae bone

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107669357A (en) * 2017-11-09 2018-02-09 南京医科大学附属口腔医院 The horizontal Distraction Apparatus of alveoli dentales mandibulae bone

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