CN218684819U - Biting diagnosis inspection tool for inspecting saphenous teeth - Google Patents

Biting diagnosis inspection tool for inspecting saphenous teeth Download PDF

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CN218684819U
CN218684819U CN202222280803.XU CN202222280803U CN218684819U CN 218684819 U CN218684819 U CN 218684819U CN 202222280803 U CN202222280803 U CN 202222280803U CN 218684819 U CN218684819 U CN 218684819U
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tooth
quadrangle
working end
frustum
saphenous
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浦寅飞
胡洪成
柳玉树
唐志辉
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Peking University School of Stomatology
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Peking University School of Stomatology
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Abstract

The utility model discloses a biting diagnosis examination tool for examining saphenous teeth, which is characterized by comprising a first working end and a second working end which are connected through a connecting rod; the first working end comprises a first base, a first frustum is arranged on the first base, the top end of the first frustum is a first quadrangle formed by connecting four inward arched edges, the outer edge of the first frustum is used for being in contact with the inner side of the cusp of a target tooth, and when the target tooth bites and presses the first quadrangle, wedging force is generated on tooth body tissues on two sides of the hidden crack of the target tooth; the second working end comprises a second base, a second frustum is arranged on the second base, the top end of the second frustum is a second quadrangle formed by connecting four inward arched edges, a groove is formed in the center of the second quadrangle and used for being in contact with the top end of a cusp of a target tooth, and therefore when the target tooth bites and presses the second quadrangle, lateral biting force is generated on the cusp, and meanwhile wedging force is generated on tooth tissues on two sides of a hidden crack of the target tooth.

Description

Biting diagnosis inspection tool for inspecting saphenous teeth
Technical Field
The utility model belongs to the oral medicine field, concretely relates to sting diagnosis inspection tool for examining hidden deciduous teeth for sting diagnosis inspection to hidden deciduous teeth.
Background
A creased tooth refers to a tooth having one or more occult cracks that begin at the crown and tend to extend toward the apex of the root. The anatomical shape of the tooth, the excessive occlusal force, the temperature effect, the iatrogenic factors and the like may be the pathogenic factors of the dental cryptorhagia (refer to blue Kelvin, duyu, the new development of the dental cryptorhagia research, diagnosis, treatment decision and prognosis evaluation, and the Chinese journal of oral medicine research (electronic edition) 2020, 14 (6), 339-343). Studies have shown that cryptocrackles are usually distributed in the proximal and distal directions, and can be located only in the occlusal surface and marginal crest of the crown, and can also extend to the adjacent surface or even under the gum, and the direction and depth of the fracture surface are usually difficult to predict. When a cryptofissure extends into an affected pulp cavity or subgingival apical region, it may lead to pulp and periapical lesions (see Yang SE, jo AR, lee HJ, et al. Analysis of the mechanics of crammed procedure and evaluation of pulp status recording to temporal binding depth [ J ]. BMC Oral Health,2017, 17 (1): 135. DOI.
Tooth cryptorrhea is the third most common cause of tooth loss, second only to caries and periodontal disease. Clinicians often face three major challenges associated with the subfissure of teeth — diagnosis, treatment decision making, and prognosis assessment. At present, the diagnosis of the cryptorrhexis is mainly based on clinical symptoms and cryptorrhexis exploration. For the affected teeth with suspected tooth cryptorrhoea symptoms, the clinician can gradually locate the affected teeth by a symptom representation method, i.e. a combined use of percussion, cold stimulation test, plastic wedge occlusion test, etc. (refer to Lubisich EB, hilton TJ, ferracane J. Cracked procedure: a review of the performance [ J ]. J estimate Restor Dent,2010, 22 (3): 158-167.DOI10.1111/j.1708-8240.2010.00330. X). For early stage of cryptorrhoea, patients often visit the clinic before complaining of pain in hard and tough foods, and for these patients, examination of the clinic is particularly important. The biting examination tool has no related registered products at home, and the biting examination can be carried out clinically through biting cotton swabs, rubber wheels and the like. There is a bite check tool abroad with the trade name of Tooth slope (Professional Results Inc), which is produced in the united states, and no dealer is found at home at present.
When the Tooth brush is used, the concave surface of the working end faces the cusp, the other side faces the jaw, and the patient is ordered to bite so as to reappear the pain symptom of the patient when biting the object, thereby helping the doctor to diagnose the position of the affected Tooth of the patient. This tool presents two problems: one is that in clinical examination, the pain of the patient when biting may not be reproduced due to the problems of the biting force direction, the biting force magnitude, etc.; the second is that the hidden crack most often occurs in the socket formed by the two apices, while the Tooth Slooth has no "wedging" function.
SUMMERY OF THE UTILITY MODEL
To solve the problems in the prior art, an object of the present invention is to provide a diagnostic tool for examining a saphenous tooth. The utility model discloses except possessing the application of force to single cusp, still can produce "wedging" effect to the tooth that suffers from of different cusp intervals to play the key effect to diagnosing the hidden tooth that splits. The utility model discloses sting the examination to stealthy fissure and designing, this instrument possesses "stings" and "wedges" two kinds of functions.
The technical scheme of the utility model is that:
a biting examination tool for examining a saphenous tooth is characterized by comprising a first working end and a second working end; the first working end is connected with the second working end through a connecting rod; wherein, the first and the second end of the pipe are connected with each other,
the first working end comprises a first base, a first frustum is arranged on the first base, and the top end of the first frustum is a first quadrangle formed by connecting four inward arched edges; the outer edge of the first quadrangle is used for contacting the inner side of the cusp of the target tooth, so that when the target tooth bites and presses the first quadrangle, the first working end generates wedging force on tooth body tissues on two sides of the hidden crack of the target tooth;
the second working end comprises a second base, a second frustum is arranged on the second base, the top end of the second frustum is a second quadrangle formed by connecting four inward arched edges, and a groove is formed in the center of the second quadrangle; the groove is used for being in contact with the top end of the cusp of the target tooth, so that when the target tooth bites and presses the second quadrangle, the second working end generates lateral biting force on the cusp and generates wedging force on tooth body tissues on two sides of the hidden crack of the target tooth.
Further, the distance between the inward most recesses of the opposite sides of the first quadrangle is 4mm, and the height of each arch-shaped side is 0.25mm.
Further, the distance between the opposite sides of the second quadrangle and the innermost concave part is 6mm, the height of each arch side is 0.25mm, the diameter of each groove is 5mm, and the depth of each groove is 0.5mm.
Furthermore, the height of the first frustum and the height of the second frustum are both 7mm, and a diagonal line of the first quadrangle and the second quadrangle is perpendicular to the connecting rod.
Further, the first base and the second base are quadrangular prisms with the same structure; the thickness of the connecting rod is the same as the height of the quadrangular prism.
Further, the length of the quadrangular prism is 20mm, the width of the quadrangular prism is 12mm, and the thickness of the quadrangular prism is 3mm; the length of connecting rod is 100mm, the width is 8mm, thickness is 3mm.
The utility model discloses use design software to carry out the digital mould of making, accessible DLP prints the mode and carries out 3D and prints, uses the material to be the resin base material to conveniently carry out clinical using widely.
The cause of pain in the bite of the saphenous patients should be first identified: when a patient bites or bites an object, lateral forces in opposite directions are generated on tooth tissues on two sides of the hidden fissure, so that the tooth tissues can generate pain in the form of tensile stress, and the pain is mainly manifested as sharp pain; secondly, an examination tool should be invented to reproduce the symptoms of the patient during clinical examination, so as to confirm the diagnosis of the tooth position, and the tool should have two functions: 1. to generate 'biting force' aiming at the tooth cusp; 2. generating wedged lateral force aiming at tooth tissues at two sides of the hidden crack; finally, generating lateral forces on the tooth tissue requires measuring the distance of the cusp of the saphenous tooth, thereby designing a more reasonable "wedging" tool.
Therefore, 10 patients with cryptorrhoea were randomly selected, including 5 males and 5 females, and the distance between the tips of the maxillary premolars and the maxillary and mandibular molars was measured, and the results are shown in table 1. The result shows that the distance between the tips of the saphenous teeth is 5 to 9mm, and the design of the bite examination tool by using the data can be more comprehensively suitable for the saphenous tooth bite examination.
Table 1 shows the distance between the maxillary premolars and the molar cusps of the upper and lower jaws of a patient with a saphenous fissure
Figure BDA0003820898360000031
Therefore, the biting examination tool is designed into double working ends, each working end consists of a base and a frustum, the top end of the frustum at the first working end forms a quadrangle formed by connecting inward arched edges, the distance between the inward most concave parts of the opposite sides of the quadrangle is 4mm, and the height of the single side is 0.25mm; the top end of the second working end frustum is also formed into a quadrangle formed by bow connection, the distance between the two opposite sides of the quadrangle to the innermost concave part is 6mm, the height of the single side of the quadrangle is 0.25mm, the center of the quadrangle is formed into a shallow concave with the diameter of 5mm, and the depth of the shallow concave is 0.5mm. The height of the frustum is 7mm, and a quadrangle formed by the top end of the frustum and a quadrangle formed by the base form a 45-degree intersection angle. The base length is 20mm, and the width is 12mm, and the thickness is 3mm. The two working end bases are connected by a connecting rod with the length of 100mm, the width of 8mm and the thickness of 3mm, namely the thickness of the connecting rod is the same as the height of the base; after the occlusion inspection tool is clinically used, high-temperature and high-pressure disinfection is needed, and when the selected thickness is 3mm, the occlusion inspection tool is not easy to deform after high-temperature and high-pressure disinfection, and the occlusion inspection tool can deform when the size is too small.
The utility model has the advantages of two work ends, advantage and novelty as follows:
1. according to the distance between the cusps of the cryptorrhoea patient, the first working end is designed into a quadrangle in arch connection, during biting examination, the quadrangle in arch connection at the top end of the frustum is in arch connection, the arch edges at two sides are respectively arranged on the cusp ridges at two sides of the crack, the base is arranged on the opposite jaw teeth, and the patient is ordered to bite, so that the force of wedging is generated on the dental tissues at two sides of the cryptorrhoea crack, and the chief complaint symptom of the patient is reproduced;
2. the first working end is in a quadrilateral arch connection, the minimum diameter of the arches at two sides is 4mm, and the biting examination of upper jaw premolars, upper jaw molars and lower jaw molars can be met;
3. the top of the second working end is also a quadrangle connected in an arc shape, the minimum diameter of the arc shapes at two sides is 6mm, the force for wedging the affected tooth with larger distance between the cusps can be generated, and meanwhile, a shallow recess with the diameter of 5mm and the depth of 0.5mm is formed at the top end of the frustum, and the pressure can be generated on the cusps. During the examination of biting, the dimple is arranged at the dental cusp, the base is arranged on the opposite jaw teeth, the patient is ordered to bite, so that the pressure is generated on the dental cusp, and the chief complaint symptom of the patient can also be reproduced, but sometimes the chief complaint symptom of the patient cannot be reproduced due to the problem of the force application direction, and the patient needs to be combined with another examination of the working end which generates the wedging function;
4. the quadrangle of the working end in arch connection and the quadrangle of the base form a 45-degree intersection angle, so that the accurate placement position of the identification tool during the biting examination is facilitated;
5. the utility model discloses an inspection tool is used in stinging to examine uses design software to carry out the digitization and makes the mould, makes the mould back according to the instrument size, and the circle is blunt sharp-pointed corner to make things convenient for clinical using widely.
Drawings
FIG. 1 is a schematic diagram of the general design of a bite examination tool; wherein, 1-the first working end, 2-the second working end.
FIG. 2 is a schematic side view of the working end of the bite examination tool;
(a) A first working end side view, (b) a second working end side view.
FIG. 3 is a front view of the working end of the bite examination tool;
(a) A first working end front view, and (b) a second working end front view.
Detailed Description
The present invention will be described in further detail with reference to the accompanying drawings, wherein the examples are provided for the purpose of illustration only and are not intended to limit the scope of the invention.
The utility model discloses an it is shown in figure 1 to sting inspection tool global design sketch map, and the instrument divide into two work ends, and every work end comprises frustum and base, and two work ends are connected by the connecting rod, and the base is long 20mm, wide 12mm, high 3mm, and connecting rod length 100mm, wide 8mm, high 3mm.
As shown in FIG. 2, the height of the first working end frustum is 7mm, the height of the second working end frustum is 7mm, and a dimple with the depth of 0.5mm and the diameter of 5mm is formed at the top end of the second working end frustum.
As shown in fig. 3, the top end of the first working end frustum forms a quadrangle formed by bow connection, the distance between the most concave parts of opposite sides of the quadrangle is 4mm, the height of a single side of the quadrangle is 0.25mm, and the distance between the adjacent most convex parts is 4.5mm; the top end of the second working end frustum is also formed into a quadrangle formed by bow connection, the distance between the most concave parts of opposite sides of the quadrangle is 6mm, the height of the bow at one side is 0.25mm, the distance between the most convex parts of the adjacent quadrangle is 4.5mm, a dimple with the diameter of 5mm is formed in the center of the quadrangle, and the depth of the dimple is 0.5mm. The quadrangle formed by the top end of the frustum and the quadrangle formed by the base form an intersection angle of alpha =45 degrees.
Sting inspection tool and carrying out the digital mould of making according to corresponding size, form two work ends to there is the connecting rod to connect, make the mould back, carry out the circle to sharp-pointed edges and corners and pause, in order to do benefit to clinical use.
The first working end arcuate surface is placed on the maxillary first premolar bucco-apical crest and the base is placed against the jaw teeth to order the patient to bite, thereby creating a "wedging" force on the maxillary first premolar bucco-lingual apex.
The second working end cone surface is shallowly concave at the buccal tip of the first premolar of the upper jaw, the base is placed on the maxillary tooth, and the patient is ordered to bite the maxillary tooth, so that the buccal lateral force is generated on the buccal tip of the first premolar of the upper jaw.
Although specific embodiments of the invention have been disclosed for illustrative purposes, these are intended to aid in the understanding of the contents of the invention and are to be construed as being within the scope of the invention as defined by the appended claims and their equivalents: various substitutions, changes and modifications are possible without departing from the spirit and scope of the present invention and the appended claims. Therefore, the invention should not be limited to the disclosure of the preferred embodiment, but should be defined only by the appended claims.

Claims (6)

1. A biting examination tool for examining a saphenous tooth is characterized by comprising a first working end and a second working end; the first working end is connected with the second working end through a connecting rod; wherein the content of the first and second substances,
the first working end comprises a first base, a first frustum is arranged on the first base, and the top end of the first frustum is a first quadrangle formed by connecting four inward arched edges; the outer edge of the first quadrangle is used for contacting the inner side of the cusp of the target tooth, so that when the target tooth bites and presses the first quadrangle, the first working end generates wedging force on tooth body tissues on two sides of the hidden crack of the target tooth;
the second working end comprises a second base, a second frustum is arranged on the second base, the top end of the second frustum is a second quadrangle formed by connecting four inward arched edges, and a groove is formed in the center of the second quadrangle; the groove is used for being in contact with the top end of the cusp of the target tooth, so that when the target tooth bites and presses the second quadrangle, the second working end generates lateral biting force on the cusp and generates wedging force on tooth body tissues on two sides of the hidden crack of the target tooth.
2. The bite examination tool for examining a saphenous tooth according to claim 1, wherein the opposing sides of the first quadrilateral are inwardly most recessed by a distance of 4mm, and the arch height of each arcuate side is 0.25mm.
3. The bite examination tool for examining a saphenous tooth according to claim 1, wherein the distance between opposite sides of the second quadrangle that are inwardly most recessed is 6mm, the height of each arcuate side is 0.25mm, the diameter of the groove is 5mm, and the depth of the groove is 0.5mm.
4. The bite examination tool for examining a saphenous tooth according to claim 1, 2 or 3, wherein the first and second frustums are 7mm in height, and a diagonal line of the first and second quadrangles is perpendicular to the connecting rod.
5. The bite examination tool for examining a saphenous tooth according to claim 1, 2 or 3, wherein the first and second bases are quadrangular prisms having the same structure; the thickness of the connecting rod is the same as the height of the quadrangular prism.
6. The bite examination tool for examining a saphenous tooth as claimed in claim 5, wherein the quadrangular prism has a length of 20mm, a width of 12mm, and a thickness of 3mm; the length of connecting rod is 100mm, the width is 8mm, thickness is 3mm.
CN202222280803.XU 2022-08-29 2022-08-29 Biting diagnosis inspection tool for inspecting saphenous teeth Active CN218684819U (en)

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