CN215273478U - Guide plate for oral implantation operation - Google Patents

Guide plate for oral implantation operation Download PDF

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Publication number
CN215273478U
CN215273478U CN202121273123.4U CN202121273123U CN215273478U CN 215273478 U CN215273478 U CN 215273478U CN 202121273123 U CN202121273123 U CN 202121273123U CN 215273478 U CN215273478 U CN 215273478U
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guide
working head
guide rail
hole
head mounting
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CN202121273123.4U
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Chinese (zh)
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耿远明
阮亮
龙小燕
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Jiangxi Yuansai Medical Technology Co.,Ltd.
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East China Institute Of Digital Medical Engineering
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Abstract

The application provides a baffle for oral implantation operation for preparation nest hole in patient's oral cavity, baffle for oral implantation operation includes: a fence body for positioning in a patient's mouth and provided with an aperture that extends through the fence body; the working head mounting assembly comprises a guide rail and a sliding block, the guide rail is mounted in the hole, the guide rail is in a closed-loop shape, the sliding block can be mounted on the guide rail in a sliding mode along the guide rail, the sliding block is provided with a working head mounting portion used for mounting the working head, and the working head is used for forming a cavity on a processing surface in the oral cavity of a patient. By adopting the technical scheme, the circular motion is carried out through the sliding block, so that the working head can be accurately guided to do the circular motion, and then the cavity with accurate position and size is obtained.

Description

Guide plate for oral implantation operation
Technical Field
The application belongs to the field of surgical instruments, and particularly relates to a guide plate for an oral implant operation.
Background
In order to improve the success rate of the oral implant treatment, the diameter and depth of the implant cavity are strictly matched with the size of the implant to be implanted in the operation, so that enough stability can be obtained in the early stage of implant implantation. The axial and position of implant should strictly meet the therapeutic design to meet the requirements of biomechanics and aesthetics.
The traditional method of forming planting holes involves using different types of mechanical drill bits to create planting holes of different diameters and depths. Mechanical drills generate high temperatures during operation, which may cause thermal damage to bone tissue. In order to reduce the heating of bone tissues, the mechanical drill is matched with sufficient low-temperature saline water for flushing and cooling. However, when the bone density is high, the cooling water is difficult to reach the osteotomy site, or the sharpness of the drill is reduced, high temperature may still be generated, resulting in bone tissue loss and even necrosis. In addition, the mechanical drill must apply a certain pressure to the bone tissue during operation, and it is difficult to preserve the weak bone tissue structure due to the vibration. Improper handling may also cause soft tissue damage due to the sharp nature of the mechanical drill. Mechanical drills are also difficult to maneuver in tight areas due to the drive requirements.
At present, the laser has the effects of minimally invasive, high efficiency, safety and the like when being used for osteotomy and has already been clinically approved. The laser output needs higher energy density, so the action range is extremely small, which is one of the prerequisites of accurate and minimally invasive laser osteotomy. However, in the oral implant operation, the laser is completely operated by hands, and the accurate-size cavity is difficult to obtain under the condition of lacking of guidance. The guide plate that the operation of present oral implantation used all designs to mechanical drill bit, can't be used for the laser operation.
SUMMERY OF THE UTILITY MODEL
This application aims at providing a baffle for oral implantation operation for preparation nest hole in patient's oral cavity, baffle for oral implantation operation includes:
a fence body for positioning in a patient's mouth and provided with an aperture that extends through the fence body; and
the working head mounting assembly comprises a guide rail and a sliding block, the guide rail is mounted in the hole and is in a closed-loop shape, the sliding block can be mounted on the guide rail in a sliding mode along the guide rail, a working head mounting portion used for mounting the working head is arranged on the sliding block, and laser output by the working head is used for processing a processing surface in the oral cavity of a patient to form a cavity.
Preferably, the working head mounting portion is configured such that an optical path of laser light output through the working head mounted by the working head mounting portion is parallel to an axis of the hole.
Preferably, the guide plate main body comprises a bearing surface and a working surface, the bearing surface and the working surface face opposite directions, the bearing surface is provided with a groove for being positioned in the oral cavity of a patient, the working head mounting part is structured to form an included angle with the hole through the axis of the working head mounted by the working head mounting part, so that one end of the working head close to the bearing surface inclines towards the axis of the hole.
Preferably, the guide rail is provided with a positioning portion, a locking groove is provided at a peripheral edge of the hole, and the positioning portion is inserted into the locking groove in a state where the guide rail is mounted in the hole, thereby preventing the guide rail from rotating in the hole.
Preferably, the guide rail is provided with a guide portion, the slider is provided with a guide matching portion matched with the guide portion, and the cross sections of the guide portion and the guide matching portion both comprise a trapezoidal structure or a T-shaped structure.
Preferably, the guide portion is an insertion portion, the guide fitting portion is a guide groove, and the insertion portion is inserted into the guide groove so that the slider can slide along the guide rail.
Preferably, the working head mounting portion is a working head mounting hole, and the working head mounting hole are configured to be in interference fit.
Preferably, the guide plate for dental implant surgery further comprises a distance measuring device for measuring the distance from the upper surface of the sliding block to the bottom of the cavity.
Preferably, the distance measuring device comprises a laser distance measuring sensor, and a light path output by the laser distance measuring sensor is parallel to a light path of laser output by the working head.
Preferably, the guide rail and the slider are integrally manufactured and molded.
By adopting the technical scheme, the circular motion is carried out through the sliding block, so that the working head can be accurately guided to do the circular motion, and then the cavity with accurate position and size is obtained.
Drawings
Fig. 1 shows a schematic structural view of a support surface of an intraoral implant surgery guide plate according to a first embodiment of the present application.
Fig. 2 shows a schematic configuration of a working surface of an intraoral implant surgery guide plate according to a first embodiment of the present application.
Fig. 3 shows a schematic structural view of a working head mounting assembly of an oral implant surgery guide plate according to a first embodiment of the present application.
Fig. 4 shows a schematic cross-sectional view of a guide rail and a slider of an intraoral implant procedure guide according to a first embodiment of the present application.
Fig. 5 shows a schematic cross-sectional view of a slider of an oral implant surgical guide plate according to a first embodiment of the present application.
Fig. 6 shows a schematic cross-sectional view of a slider of an intraoral implant surgical guide according to a second embodiment of the present application.
Fig. 7 shows a schematic cross-sectional view of a slider of an intraoral implant surgical guide according to a second embodiment of the present application.
Description of the reference numerals
1 groove 12 hole 121 neck of guide plate main body 11
2 working head mounting assembly
21 guide rail 211 positioning part 212 guide part
The 22 slider 221 head mounting hole 222 leads to the mating portion.
Detailed Description
In order to more clearly illustrate the above objects, features and advantages of the present application, a detailed description of the present application is provided in this section in conjunction with the accompanying drawings. This application is capable of embodiments in addition to those described herein, and is intended to cover such departures from the present disclosure as come within known or customary practice in the art to which this application pertains and which fall within the limits of the appended claims. The protection scope of the present application shall be subject to the claims.
(first embodiment)
As shown in fig. 1 to 5, a first embodiment of the present application provides a guide plate for oral implant surgery, which includes a guide plate main body 1 and a working head mounting assembly 2, wherein the working head mounting assembly 2 is mounted to the guide plate main body 1. The guide plate for the oral implant operation can control the motion track of the working head (preferably a laser output head), and a cavity is machined in the oral cavity through laser.
(guide plate main body)
As shown in FIGS. 1 and 2, the fence body 1 has a bearing face, which is shown in FIG. 1, and a working face, which is shown in FIG. 2, which are the two surfaces of the fence body 1 facing in opposite directions. In operation, the guide body 1 is intended to be positioned in the mouth of a patient, in particular with the support face facing the patient's teeth and the working face facing the operative practitioner.
As shown in fig. 1, the receiving surface of the guide main body 1 is provided with a groove 11, and the shape of the groove 11 is designed and processed in accordance with the characteristic information of the anatomical structure such as the teeth and bone tissue in the oral cavity, so that the receiving surface can closely adhere to the teeth, mucous membrane, and bone tissue of the subject to be operated, thereby allowing the guide main body 1 to be stably positioned in the oral cavity.
As shown in fig. 1 and 2, the guide plate main body 1 is provided with a hole 12, the hole 12 penetrates through the guide plate main body 1, the hole 12 can be a circular hole, and the hole 12 is used for mounting the working head mounting assembly 2. The position of the hole 12 is the position of the cavity to be processed, and the axial direction of the hole 12 is consistent with the axial direction of the processed cavity. A catch 121 is provided at the periphery of the bore 12, the catch 121 being locatable at the work surface. The card slot 121 may have a plurality of card slots 121, for example, the card slot 121 may have 4 card slots 121, and the card slot 121 is used for positioning the installation positioning portion 211.
(working head mounting Assembly)
As shown in fig. 3 to 5, the head mounting assembly 2 includes a guide rail 21 and a slider 22, and the slider 22 is slidably mounted to the guide rail 21 along the guide rail 21.
As shown in fig. 3 and 4, the guide rail 21 has a circular ring shape, and the guide rail 21 can be fitted into the mounting hole 12. The guide rail 21 is provided with a positioning portion 211, the positioning portion 211 can be located on the outer peripheral surface of the guide rail 21, and the positioning portion 211 can be inserted into the card slot 121 to position the guide rail 21 in the mounting hole 12, so that the guide rail 21 cannot rotate freely in the mounting hole 12. The position of the guide rail 21 in the axial direction of the hole 12 can be positioned by the bottom surface of the catching groove 121.
The inner peripheral surface of the guide rail 21 is provided with a guide portion 212, and the guide portion 212 is formed in a ring shape extending along the guide rail 21.
In the present embodiment, the guide portion 212 may be an insertion portion. The cross section (i.e. axial section) of the guiding portion 212 may comprise a trapezoidal structure, the side of the guiding portion 212 connected to the guiding rail 21 is the short side of the trapezoid, and the free end of the guiding portion 212 away from the guiding rail 21 is the long side of the trapezoid.
As shown in fig. 3 to 5, the slider 22 is provided with a work head mounting hole 221, the work head mounting hole 221 may be a circular hole, and a laser output head as a work head can be mounted to the work head mounting hole 221. The working head can be in interference fit with the working head mounting hole 221. The axis of the working head mounting hole 221 is parallel to the axis of the hole 12, and the positioning of the working head mounting hole 221 enables the light path of the laser output by the working head to be parallel to the axis of the hole 12, so that the working head can emit the laser towards the processing surface in the oral cavity of the patient along the axial direction of the hole 12, and a cavity is formed. The machined surface may be the surface of soft tissue or bone tissue.
The slider 22 is provided with a guide engagement portion 222, and the guide engagement portion 222 engages with the guide portion 212 so that the slider 22 can slide along the guide rail 21.
In the present embodiment, the guide engagement portion 222 may be a guide groove, and the fitting portion serving as the guide portion 212 may be fitted into the guide groove serving as the guide engagement portion 222, so that the slider 22 moves circumferentially along the guide rail 21. The guide engagement portion 222 is a groove whose cross section may include a trapezoid, for example, the guide engagement portion 222 may be a dovetail groove, so that the slider 22 and the guide rail 21 are fitted together and are difficult to separate.
The guide rail 21 and the slider 22 may be, but are not limited to, integrally formed, for example, by a 3D printer or a cutting device.
The guide plate for the oral implant surgery further comprises a distance measuring device, and the distance measuring device can be a laser distance measuring sensor, a scale probe or a scale mark which is arranged on the working head and used for marking the length of the working head, and the like. The distance measuring device is capable of measuring the distance from the upper surface of the slider 22 to the bottom surface B of the cavity.
In one possible embodiment, the laser ranging sensor may be mounted to the working head or the working head mounting portion, and the optical path output by the laser ranging sensor may be parallel to the optical path of the laser output by the working head, measuring the distance from the upper surface of the slider 22 to the bottom surface B of the cavity in real time. The laser ranging sensor is assembled with the installation part of the working head in an installation and fixing mode comprising sleeving, welding, screw connection, clamping connection and the like, and the laser ranging sensor is fixed on the working head in an installation mode comprising sleeving, welding, screw connection, clamping connection and the like. The laser ranging sensor can also be arranged in the working head, and the working head can respectively output laser for processing the cavity and laser for ranging.
In one possible embodiment, the scale probe acts as a distance measuring device, and the working head can be removed from the working head mounting hole 221 and the scale probe can then be used to measure the distance from the upper surface of the slide 22 to the bottom surface B of the cavity, or the depth of the cavity can be measured by directly inserting the scale probe into the cavity along the axis of the hole 12.
In one possible embodiment, the scale marks are disposed on the working head, the working head with the scale marks can move back and forth along the axis of the working head mounting hole 221, and the depth of the cavity can be known by observing the scale value exposed in the cavity.
The depth condition of the cavity is known according to the numerical value measured by the distance measuring device, so that the depth precision of the processed cavity is higher, and the prepared depth of the processed cavity is the same as or similar to that of the cavity.
As shown in FIG. 5, the distance measuring device measures the distance l from the top surface of the slider 22 to the bottom surface B of the cavity in real time. l ═ d + t + h, where,
d denotes a prepared depth of the pocket, which is determined according to the size of the implant,
t represents the thickness of the slider 22,
h represents the distance from the lower surface of the slider to the bone surface a (machined surface).
By measuring the distance l from the upper surface of the slider 22 to the bottom surface B of the cavity, it can be calculated whether the actual depth of the cavity has reached the prepared depth of the cavity.
The utility model discloses a baffle for oral implantation operation simple structure can accurate guide working head motion, and then forms the nest hole that position (including axial angle), size, shape profile are accurate safely. According to the expected size of the cavity, the guide rail 21 with the proper diameter is selected, so that the motion track K of the working head mounted on the sliding block 22 can be matched with the diameter of the cavity, and the size of the cavity is determined according to the size of the implant and the specific condition of the patient.
(second embodiment)
As shown in fig. 6 and 7, the guide plate for dental implant surgery of the second embodiment has a different structure of the slider 22 from the guide plate for dental implant surgery of the first embodiment. In the second embodiment, the components including the guide body 1, the guide rail 21, and the like may be the same as or similar to the corresponding components of the dental implant surgery guide of the first embodiment, and the same reference numerals are used for the same or similar components.
As shown in fig. 6, the slider 22 is provided with a work head mounting hole 221, the work head mounting hole 221 may be a circular hole, and a laser output head as a work head can be mounted to the work head mounting hole 221. The implant can be conical or frustum-shaped, and the corresponding socket hole also needs to be conical or frustum-shaped. The head mounting hole 221 is inclined and the end of the head mounting hole 221 adjacent the bearing surface is inclined to the axis of the bore 12. The included angle is formed between the working head and the axis of the hole 12, and the end of the working head close to the bearing surface inclines to the axis of the mounting hole, so that the laser emitted by the working head can process a conical cavity which is used for mounting a conical implant. The head mounting hole 221 forms an angle α with the bore 12 (or the axis of the bore). The laser emitted by the working head forms an included angle with the hole, the working head circularly moves along the guide rail, and the laser cuts to form a conical or frustum-shaped cavity.
The angle of the included angle alpha may be determined according to the size of the implant.
Figure BDA0003106246340000071
Wherein
Alpha represents the angle formed by the axis of the head mounting hole 221 and the axis of the hole,
r represents the radius of the butt end of the implant,
r denotes a radius of a thin end of the implant,
n represents the length of the implant within the bone.
As shown in FIG. 7, the laser output head forms a cavity at facet A with a radius Rb,Rb=Rh-htan α, wherein,
Rhrepresents the radius of the motion trajectory of the slider (i.e. the radius of the motion trajectory of the laser output head),
h represents the distance from the lower surface of the slider to the bone surface a.
For the conical or frustum-shaped implant, the inclined working head mounting hole 221 is formed through the slide block 22, so that laser is obliquely incident to complete the conical cavity.
Although the above embodiments describe the present application in detail, it is necessary to describe:
(1) although it is described in the above embodiment that the guide rail has a circular ring shape, the present application is not limited thereto, and the guide rail may have an elliptical ring shape, a rounded rectangle, an arc shape, or the like, and the shape of the guide rail may be changed according to the shape of the implant.
(2) Although the work head mounting hole 221 is described as a work head mounting portion for mounting the work head in the above embodiment, the present application is not limited thereto, and the work head mounting portion may further include a bracket, a screw connection structure, a clamping mechanism, and the like.
(3) Although it is described in the above embodiment that the guide engagement portion 222 may be a dovetail groove, the present application is not limited thereto, and the guide engagement portion may also be a "T" shaped groove.
While the present application has been described in detail with reference to the above embodiments, it will be apparent to those skilled in the art that the present application is not limited to the embodiments described in the present specification. The present application can be modified and implemented as a modified embodiment without departing from the spirit and scope of the present application defined by the claims. Therefore, the description in this specification is for illustrative purposes and does not have any limiting meaning for the present application.

Claims (10)

1. The utility model provides a baffle for oral cavity is planted operation for prepare the nest hole in patient's oral cavity, its characterized in that, baffle for oral cavity is planted operation includes:
a fence body for positioning in a patient's mouth and provided with an aperture that extends through the fence body; and
the working head mounting assembly comprises a guide rail and a sliding block, the guide rail is mounted in the hole and is in a closed-loop shape, the sliding block can be mounted on the guide rail in a sliding mode along the guide rail, a working head mounting portion used for mounting the working head is arranged on the sliding block, and laser output by the working head is used for processing a processing surface in the oral cavity of a patient to form a cavity.
2. The guide for oral implant surgery according to claim 1, wherein the working head mounting portion is configured such that an optical path of laser light output through the working head mounted by the working head mounting portion is parallel to an axis of the hole.
3. The guide plate for oral implant surgery according to claim 1, wherein the guide plate body comprises a bearing surface and a working surface, the bearing surface and the working surface face opposite directions, the bearing surface is provided with a groove for positioning in the oral cavity of a patient, and the working head mounting portion is configured to form an included angle with the hole through an axis of the working head mounted by the working head mounting portion, so that one end of the working head close to the bearing surface is inclined to the axis of the hole.
4. The guide for oral implant surgery according to claim 1, wherein the guide rail is provided with a positioning portion, a catching groove is provided at a peripheral edge of the hole, and the positioning portion is fitted into the catching groove in a state where the guide rail is mounted in the hole, thereby preventing the guide rail from rotating in the hole.
5. The guide for oral implant surgery according to claim 1, wherein the guide rail is provided with a guide portion, the slider is provided with a guide engagement portion engaged with the guide portion, and the cross sections of the guide portion and the guide engagement portion each include a trapezoidal structure or a "T" shaped structure.
6. The guide for oral implant surgery according to claim 5, wherein the guide portion is an insertion portion, the guide engagement portion is a guide groove, and the insertion portion is inserted into the guide groove so that the slider can slide along the guide rail.
7. The guide for oral implant surgery of claim 1, wherein the working head mounting portion is a working head mounting hole, the working head and the working head mounting hole being configured for an interference fit.
8. The guide for dental implant surgery according to claim 1, further comprising a distance measuring device for measuring a distance from an upper surface of the slider to a bottom of the pocket.
9. The guide plate for oral implant surgery according to claim 8, wherein the distance measuring device comprises a laser distance measuring sensor, and the optical path output by the laser distance measuring sensor is parallel to the optical path of the laser output by the working head.
10. The guide plate for oral implant surgery according to claim 1, wherein the guide rail and the slider are integrally molded.
CN202121273123.4U 2021-06-08 2021-06-08 Guide plate for oral implantation operation Active CN215273478U (en)

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CN202121273123.4U CN215273478U (en) 2021-06-08 2021-06-08 Guide plate for oral implantation operation

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Application Number Priority Date Filing Date Title
CN202121273123.4U CN215273478U (en) 2021-06-08 2021-06-08 Guide plate for oral implantation operation

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Effective date of registration: 20220325

Address after: 334000 room 103, No. 1, Xiangyang Avenue, Shaxi Park, Xinzhou Industrial Park, Xinzhou District, Shangrao City, Jiangxi Province

Patentee after: Jiangxi Yuansai Medical Technology Co.,Ltd.

Address before: 334000 Building 1, Xinghe international, No.36, Guangxin Avenue, Xinzhou District, Shangrao City, Jiangxi Province

Patentee before: East China Institute of Digital Medical Engineering

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