CN219021612U - Microscopic root tip operation needle sleeve box - Google Patents

Microscopic root tip operation needle sleeve box Download PDF

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CN219021612U
CN219021612U CN202223149563.6U CN202223149563U CN219021612U CN 219021612 U CN219021612 U CN 219021612U CN 202223149563 U CN202223149563 U CN 202223149563U CN 219021612 U CN219021612 U CN 219021612U
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trephine
bit
positioning
needle
drill bit
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孟柳燕
王赞
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Wuhan University WHU
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Wuhan University WHU
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    • YGENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y02TECHNOLOGIES OR APPLICATIONS FOR MITIGATION OR ADAPTATION AGAINST CLIMATE CHANGE
    • Y02ATECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE
    • Y02A50/00TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE in human health protection, e.g. against extreme weather
    • Y02A50/30Against vector-borne diseases, e.g. mosquito-borne, fly-borne, tick-borne or waterborne diseases whose impact is exacerbated by climate change

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Abstract

The utility model discloses a microscopic root tip operation needle sleeve box which comprises a positioning needle, a trephine and a trephine. The positioning car needle comprises a positioning car needle connecting rod, a positioning car needle drill bit and a positioning rod, wherein the positioning car needle connecting rod is connected with the positioning car needle drill bit, and the positioning rod is connected inside the positioning car needle drill bit and extends out of the positioning car needle drill bit; the trephine comprises a trephine connecting rod and a trephine drill bit, wherein the trephine drill bit comprises a limiting part and a bit part, and the trephine connecting rod is connected with the trephine drill bit limiting part; the ring cutter comprises a ring cutter connecting rod and a ring cutter drill bit, and the ring cutter connecting rod is connected with the ring cutter drill bit. The positioning needle is used for assisting in positioning, so that the accuracy of microscopic root tip operation is improved, and the shake of the trephine at the starting point in navigation operation is reduced; limiting the depth of the trephine cut or entering the teeth in the guide plate operation through the limiting part of the trephine; and positioning the mucous membrane soft tissue in the root tip region by using an annular blade-shaped cutter head of the annular cutter, and initially establishing a soft tissue passage for the microscopic root tip operation.

Description

Microscopic root tip operation needle sleeve box
Technical Field
The utility model relates to the technical field of medical equipment, in particular to the technical field of dental pulp pathology, and particularly relates to a microscopic root tip operation needle sleeve box.
Background
The microscopic root tip operation is one of the most commonly used methods for treating persistent periapical periodontitis at present, and mainly comprises the steps of incision, flap turning, bone removal, root tip scraping treatment, root tip excision, root tip preparation, root tip pouring filling, suturing and the like. With the development of microscopes, cone beam CT, ultrasound and biocompatible materials, the success rate of microscopic root tip surgery is increasing. However, how to accurately locate the root tip, minimally invasive bone windowing is one of the difficulties of microscopic root tip surgery. For some diseased teeth with periapical lesions, which do not penetrate through cortical bone and are thicker in the buccal bone plate, the location of the periapical area is difficult, so that excessive bone tissue abrasion during operation is often caused, the trauma of the operation area is increased, and the postoperative complications of pain, swelling and the like of a patient are caused, so that the prognosis of the diseased teeth is influenced. Second, the deviation of the operative site, particularly in the posterior maxillary dental region, may damage important anatomical structures such as the mandibular nerve canal, maxillary sinus, etc. The traditional microscopic root tip operation is to locate the root tip of an operator according to the CBCT measurement before the operation of a patient, and the operator uses a high-speed mobile phone to operate under the free hand, so that the traditional microscopic root tip operation has higher technical sensitivity. Accurate positioning of the root tip region in microscopic root tip surgery, reduction of bone removal and removal of the root tip 3mm perpendicular to the long axis of the tooth is a significant challenge to the clinician.
Along with the rapid development of the digital technology, the digital technology combines imaging, navigation design software and 3D rapid prototyping printing technology, so that the digital guide plate static navigation and dynamic navigation are increasingly applied to the dental pulp field, in particular to microscopic root tip surgery. The digital dynamic navigation technology combines a medical image three-dimensional visualization technology, a spatial positioning technology, a registration technology, software, a computer and an optical positioning device, can dynamically display the position, angle and depth of the drill needle entering the affected teeth in real time, and indicates that the circular ring can become red early warning when the drill needle reaches the pre-designed depth, so that a doctor is reminded that the drill needle reaches the preset depth at the moment. However, when the cortical bone is cut under the assistance of dynamic navigation, the drill point is easy to shake, especially when the length of the drill point blade is increased, the shake amplitude of the drill point part is increased during drilling and grinding, and the stability of root tip positioning is affected; in addition, for microscopic root tip surgery in the posterior dental region, due to the limitation of buccal oral angle and mucoperiosteal flap traction, a needle with a longer working length can cause difficulty in positioning, and the accuracy of the surgery operation is affected. The static guide plate technology utilizes CBCT and three-dimensional intraoral scanning data, analyzes the obtained data through computer software, designs and manufactures a digital guide plate by combining with 3D printing technology, and assists an operator to position the position and angle of the lesion in the root tip region through a guide hole of the digital guide plate, but has a certain limit on the depth indication of root tip excision, and the depth of an intraoperative drill needle entering the jawbone needs to be controlled depending on the analysis of the tooth CBCT before the operator operation and the accumulation of long-term operation experience, so that the intraoperative drill needle is easy to be resected insufficiently or resected excessively.
The positioning turning needle can assist in positioning the root tip, reduces shaking in the drilling and grinding process, and improves the accuracy of positioning the root tip of a microscopic root tip operation under the assistance of dynamic navigation; trephine with different diameters and length specifications can meet the operation requirements of affected teeth in different operation areas and with different cortical bone thicknesses, and the limiting part of the trephine can limit the depth of a needle for cutting or entering teeth in microscopic root tip operation assisted by a static guide plate; the annular blade-shaped tool bit of the annular cutter can assist in positioning the mucous membrane soft tissue in the annular cutting root tip region, a soft tissue passage for microscopic root tip operation is initially established, and microscopic root tip operation without flap turning is realized.
Disclosure of Invention
The utility model aims to provide a needle sleeve box which is mainly suitable for microscopic root tip operation assisted by a digital technology, is used for assisting in accurately positioning operation positions, angles and depths, and simultaneously realizes establishment of a soft tissue passage of microscopic root tip operation.
In order to achieve the above purpose, the utility model adopts the following technical scheme:
a microscopic root tip surgical needle kit, the kit comprising:
positioning a needle: the positioning needle drill bit comprises a positioning needle connecting rod, a positioning needle drill bit and a positioning rod, wherein one end of the positioning needle connecting rod is connected with one end of the positioning needle drill bit, the other end of the positioning needle drill bit is connected with a needle annular cutter head, the needle annular cutter head is in a saw-tooth shape, one end of the positioning rod is connected inside the needle drill bit, and the other end of the positioning rod extends out of the needle annular cutter head of the positioning needle drill bit;
trephine: the drilling tool comprises a drilling tool bit and a drilling tool connecting rod, wherein the drilling tool bit comprises a limiting part and a tool bit part, the outer diameter of the drilling tool bit limiting part is larger than that of the drilling tool bit part, one end of the drilling tool connecting rod is connected with one end of the drilling tool bit limiting part, the other end of the drilling tool bit limiting part is connected with one end of the drilling tool bit part, the other end of the drilling tool bit part is connected with a drilling tool annular tool bit, and the drilling tool annular tool bit is in a saw tooth shape;
a ring cutter: the cutting tool comprises a cutting tool connecting rod and a cutting tool bit, wherein one end of the cutting tool connecting rod is connected with the cutting tool bit, and the other end of the cutting tool bit is connected with a smooth cutting tool bit.
According to the technical scheme, preferably, one end of the positioning rod extending out of the needle drill bit is a tip, and the tip is sharp but smooth and free of edges.
According to the technical scheme, preferably, the diameter of the positioning needle drill bit is 3-5mm, the length of the positioning needle drill bit is 5mm, and the distance of the positioning rod extending out of the needle drill bit is 2mm; the diameter of the bit part of the trephine bit is 3-5mm, and the length of the bit part of the trephine bit is 5-20mm; the diameter of the annular cutter drill bit is 5-7mm, and the length of the annular cutter drill bit is 11.5mm.
According to the technical scheme, preferably, the trephine bit comprises a limiting part, and the trephine bit limiting part and the trephine bit head part form a limiting surface.
According to the technical scheme, preferably, the interior of the bit head of the trephine bit is hollow, and the circumferential surface of the bit head of the trephine bit is provided with a trephine through hole communicated with the interior of the bit head of the trephine bit.
Preferably, the annular cutter drill bit is hollow, and the circumferential surface of the annular cutter drill bit is provided with annular cutter through holes communicated with the inner part of the annular cutter drill bit.
Further preferably, the pair of trephine through holes and the pair of trephine through holes are oppositely arranged.
Above-mentioned technical scheme is preferable, location car needle connecting rod, location car needle drill bit and locating lever trephine connecting rod, trephine drill bit trephine connecting rod, trephine cutter drill bit all be coaxial setting.
Above-mentioned technical scheme is preferable, the cover box still include the disinfection box, the disinfection box in the interval have a plurality of accepting holes, car needle connecting rod, trephine connecting rod and ring cutter connecting rod insert in the accepting hole of disinfection box.
Due to the application of the technical scheme, compared with the prior art, the utility model has the following advantages:
the utility model can help to position the root tip by the positioning turning needle, reduce shaking in the drilling and grinding process, and improve the accuracy of positioning the root tip of the microscopic root tip operation under the assistance of dynamic navigation; the trephine with different diameters and length specifications meets the operation requirements of different tooth positions and cortical bone thicknesses, and the limiting part of the trephine limits the depth of the trephine for cutting or entering teeth in a microscopic root tip operation under the assistance of a static guide plate; and positioning and annularly cutting the mucosa soft tissue in the root tip region by using an annular blade-shaped cutter head of the annular cutter, and initially establishing a soft tissue passage for the microscopic root tip operation.
Drawings
FIG. 1 is a schematic view of the overall structure of the positioning needle of the present utility model;
FIG. 2 is a schematic diagram of the front view of the positioning needle of the present utility model;
FIG. 3 is a schematic top view of the positioning needle of the present utility model;
FIG. 4 is a schematic view of the overall construction of the trephine of the present utility model;
FIG. 5 is a schematic view of the front view of the trephine of the present utility model;
FIG. 6 is a schematic top view of the trephine of the present utility model;
figure 7 is a schematic view of the overall structure of the ring cutter of the present utility model;
fig. 8 is a schematic view showing a front view of a ring cutter according to the present utility model;
fig. 9 is a schematic view showing the overall structure of the sterilization case of the present utility model.
In the figure:
1. positioning a needle; 10. a needle connecting rod; 100. a needle mounting interface; 11. turning a needle drill bit; 110. turning the needle ring-shaped tool bit; 111. turning needle scales; 12. a positioning rod, 120, tip;
2. trephine; 20. a trephine connecting rod; 200. a trephine mounting interface; 210. a limit part; 211. a cutter head part; 2110. trephine annular cutter head; 2111. trephine through holes, 2112 and trephine scales;
3. a ring cutter; 30. a loop cutter connecting rod; 300. a ring cutter mounting interface; 31. a ring cutter drill bit; 310. a circular cutter ring-shaped cutter head; 311. a circular cutter through hole;
4. a sterilization box; 40. and an accommodating hole.
Detailed Description
The following description of the embodiments of the present utility model will be made apparent and fully in view of the accompanying drawings, in which some, but not all embodiments of the utility model are shown. All other embodiments, which can be made by those skilled in the art based on the embodiments of the utility model without making any inventive effort, are intended to be within the scope of the utility model.
In the description of the present utility model, it should be noted that the directions or positional relationships indicated by the terms "center", "upper", "lower", "left", "right", "vertical", "horizontal", "inner", "outer", etc. are based on the directions or positional relationships shown in the drawings, are merely for convenience of describing the present utility model and simplifying the description, and do not indicate or imply that the devices or elements referred to must have a specific orientation, be configured and operated in a specific orientation, and thus should not be construed as limiting the present utility model. Furthermore, the terms "first," "second," and "third" are used for descriptive purposes only and are not to be construed as indicating or implying relative importance.
Example 1: a microscopic root tip surgical needle sleeve box comprises a positioning needle 1, a trephine 2, a trephine 3 and a disinfection box 4.
As shown in fig. 1, 2 and 3: the positioning needle 1 comprises a positioning needle connecting rod 10, a positioning needle drill bit 11 and a positioning rod 12. One end of the positioning needle connecting rod 10 is connected with one end of the positioning needle drill bit 11, and the other end of the positioning needle connecting rod 10 is provided with a needle mounting interface 100 for being connected with a dental handpiece. The positioning needle bit 11 is cylindrical, needle scales 111 are marked on the cylindrical surface of the positioning needle bit, the distance between each scale is 1mm, the other end of the positioning needle bit is connected with a needle annular cutter head 110, the needle annular cutter head 110 is in a saw-tooth shape, and the saw-tooth needle annular cutter head 110 can realize the cutting of cortical bone. One end of the positioning rod 12 is connected inside the positioning needle drill bit 11, the other end of the positioning rod 12 extends out of the needle annular cutter head 110 of the positioning needle drill bit 11, the end of the positioning rod 12 extending out of the positioning needle drill bit 11 is a tip 120, the tip is sharp, but smooth and free of edges, so that related tissues are not punctured, and the tip 120 can assist in positioning. The positioning needle connecting rod 10, the positioning needle drill bit 11 and the positioning rod 12 of the whole positioning needle 1 are all coaxially arranged.
As shown in fig. 4, 5 and 6: the trephine 2 comprises a trephine connecting rod 20 and a trephine bit. One end of the trephine connecting rod 20 is connected with a trephine drill bit, and the other end of the trephine connecting rod 20 is provided with a trephine mounting interface 200 for connection with a dental handpiece.
The trephine bit comprises a limiting part 210 and a bit part 211, wherein the outer diameter of the trephine bit limiting part 210 is larger than the outer diameter of the trephine bit part 211, so that the trephine bit limiting part 210 protrudes out of the end face of the trephine bit part 211 to form a limiting surface, the depth of the trephine bit entering the jawbone is limited clearly, and the trephine bit is particularly suitable for microscopic root tip operation under the assistance of a static guide plate. One end of the trephine connecting rod 20 is connected with one end of the trephine bit limiting part 210, the trephine bit head 211 is provided with trephine scales 2112, the distance between each scale is 2mm, the other end of the trephine bit head 211 is connected with a trephine annular cutter head 2110, the trephine annular cutter head 2110 is in a saw-tooth shape, and the jawbone can be cut through the saw-tooth-shaped trephine annular cutter head 2110. The entire trephine connecting rod 20 and the trephine drill bit are all coaxially arranged.
The inside of the bit section 211 is hollow, and a bit through hole 2111 communicating with the inside of the bit section 211 is formed in the peripheral surface of the bit section 211, and the bit through hole 2111 has a long strip shape extending in the axial direction thereof. In this embodiment: the pair of trephine through holes 2111 are formed, the pair of trephine through holes 2111 are formed oppositely, and the trephine through holes 2111 are convenient for discharging the chip tissues in the oral cavity and cleaning.
In general, when using a trephine 2 having a bit portion 211 of a length of 10mm or more, a positioning needle 1 having a length of 5mm of a needle bit 11 may be used to assist in positioning the hole, and then the trephine 2 may be replaced.
As shown in fig. 7 and 8: the ring cutter 3 includes a ring cutter connecting rod 30 and a ring cutter drill bit 31. One end of the loop cutter connecting rod 30 is connected with a loop cutter drill bit 31, and the other end of the loop cutter connecting rod 30 is provided with a loop cutter mounting interface 300 for connection with a dental handpiece. The other end of the cutter bit 31 is connected to a smooth cutter ring bit 310. The whole annular cutter connecting rod 30 and the annular cutter drill bit 31 are coaxially arranged.
The inside of the cutter bit 31 is hollow, and the peripheral surface of the cutter bit 31 is provided with cutter through holes 311 communicating with the inside thereof. In this embodiment: the pair of the annular cutter through holes 311 are formed, the pair of annular cutter through holes 311 are formed oppositely, and the annular cutter through holes 311 are convenient for discharging the chip tissues in the oral cavity and cleaning.
Example 2: based on the above technical solutions, in this embodiment: the diameter of the positioning needle drill bit 11 is 3-5mm, the length of the positioning needle drill bit 11 is 5mm, and the distance of the positioning rod 12 extending out of the positioning needle drill bit 11 is 2mm. The specific specifications of the positioning needle 1 can be divided into the following types, as shown in table 1, and the positioning needles 1 with different specifications are selected according to different positioning dimensions.
Table 1 specific specification of positioning needle
Positioning needle bit diameter phi/mm 3 4 5
Positioning needle bit length mm 5 5 5
Needle connecting rod length mm 15 15 15
Example 3: based on the above technical solutions, in this embodiment: the diameter of the bit section 211 is 3-5mm and the length of the bit section 211 is 5-20mm. The specific specifications of the trephine 2 can be divided into the following ones, as shown in table 2, and the trephine 2 of different specifications is selected according to different positioning dimensions.
Table 2 specific specifications of trephine
Diameter phi/mm of cutter head 3 3 3 3 4 4 4 4 5 5 5 5
Length of cutter head mm 5 10 15 20 5 10 15 20 5 10 15 20
Trephine connecting rod length mm 15 15 15 15 15 15 15 15 15 15 15 15
Example 4: based on the above technical solutions, in this embodiment: the diameter of the cutter ring bit 31 is 5-7mm and the length of the cutter ring bit 31 is 11.5mm. The specific specifications of the ring cutter 3 can be divided into the following types, as shown in table 3, and the ring cutters 3 of different specifications are selected according to different positioning sizes.
TABLE 3 specific specifications of the circular cutting knife
Diameter phi/mm of circular cutter drill bit 5 6 7
Length mm of the circular cutter drill bit 11.5 11.5 11.5
Length mm of connecting rod of ring cutter 19.5 19.5 19.5
Example 5: based on the above technical solutions, in this embodiment: as shown in fig. 9, a plurality of receiving holes 40 are formed in the sterilizing case 4 at intervals, and the connecting rods for positioning the needle 1, the trephine 2 and the ring cutter 3 are inserted into the receiving holes 40 of the sterilizing case 4 for storage, so that cross infection is avoided.
The positioning needle 1, the trephine 2 and the annular cutter 3 of the embodiment are provided with different specifications, so that the operation position, the angle and the depth can be accurately positioned.
The above embodiments are provided to illustrate the technical concept and features of the present utility model and are intended to enable those skilled in the art to understand the content of the present utility model and implement the same, and are not intended to limit the scope of the present utility model. All equivalent changes or modifications made in accordance with the spirit of the present utility model should be construed to be included in the scope of the present utility model.

Claims (10)

1. A microscopic root tip surgical needle sleeve box, which is characterized in that: the kit comprises:
positioning a needle: the positioning needle drill bit comprises a positioning needle connecting rod, a positioning needle drill bit and a positioning rod, wherein one end of the positioning needle connecting rod is connected with one end of the positioning needle drill bit, the other end of the positioning needle drill bit is connected with a needle annular cutter head which is in a saw-tooth shape, one end of the positioning rod is connected inside the positioning needle drill bit, and the other end of the positioning rod extends out of the needle annular cutter head of the positioning needle drill bit;
trephine: the drilling tool comprises a drilling tool bit and a drilling tool connecting rod, wherein the drilling tool bit comprises a limiting part and a tool bit part, the outer diameter of the drilling tool bit limiting part is larger than that of the drilling tool bit part, one end of the drilling tool connecting rod is connected with one end of the drilling tool bit limiting part, the other end of the drilling tool bit limiting part is connected with one end of the drilling tool bit part, the other end of the drilling tool bit part is connected with a drilling tool annular tool bit, and the drilling tool annular tool bit is in a saw tooth shape;
a ring cutter: the cutting tool comprises a cutting tool connecting rod and a cutting tool bit, wherein one end of the cutting tool connecting rod is connected with the cutting tool bit, and the other end of the cutting tool bit is connected with a smooth cutting tool bit.
2. A microscopic root tip surgical needle kit according to claim 1, wherein: one end of the positioning rod extending out of the positioning needle drill bit is a tip, and the tip is sharp but smooth and free of edges.
3. A microscopic root tip surgical needle kit according to claim 1, wherein:
the diameter of the positioning needle drill bit is 3-5mm, the length of the positioning needle drill bit is 5mm, and the distance of the positioning rod extending out of the positioning needle drill bit is 2mm; the diameter of the bit part of the trephine bit is 3-5mm, and the length of the bit part of the trephine bit is 5-20mm; the diameter of the annular cutter drill bit is 5-7mm, and the length of the annular cutter drill bit is 11.5mm.
4. A microscopic root tip surgical needle kit according to claim 1, wherein: the inner part of the bit head part of the trephine bit is hollow, and the peripheral surface of the bit head part of the trephine bit is provided with a trephine through hole communicated with the inner part of the bit head part of the trephine bit.
5. A microscopic root tip surgical needle kit according to claim 1, wherein: the annular cutter drill bit is hollow, and annular cutter through holes communicated with the annular cutter drill bit are formed in the peripheral surface of the annular cutter drill bit.
6. A microscopic root tip surgical needle kit according to claim 4, wherein: the pair of trephine through holes are formed, and the pair of trephine through holes are formed oppositely.
7. A microscopic root tip surgical needle kit according to claim 5, wherein: the pair of the annular cutter through holes are formed, and the pair of annular cutter through holes are formed oppositely.
8. A microscopic root tip surgical needle kit according to claim 1, wherein: the positioning needle connecting rod, the positioning needle drill bit and the positioning rod are coaxially arranged.
9. A microscopic root tip surgical needle kit according to claim 1, wherein: the sleeve box also comprises a disinfection box, a plurality of containing holes are formed in the disinfection box at intervals, and the needle connecting rod, the trephine connecting rod and the trephine connecting rod are inserted into the containing holes of the disinfection box.
10. A microscopic root tip surgical needle kit according to claim 1, wherein: the other ends of the positioning needle mounting connecting rod, the trephine connecting rod and the trephine connecting rod are respectively provided with a needle mounting interface, a trephine mounting interface and a trephine mounting interface.
CN202223149563.6U 2022-11-25 2022-11-25 Microscopic root tip operation needle sleeve box Active CN219021612U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202223149563.6U CN219021612U (en) 2022-11-25 2022-11-25 Microscopic root tip operation needle sleeve box

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202223149563.6U CN219021612U (en) 2022-11-25 2022-11-25 Microscopic root tip operation needle sleeve box

Publications (1)

Publication Number Publication Date
CN219021612U true CN219021612U (en) 2023-05-16

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Application Number Title Priority Date Filing Date
CN202223149563.6U Active CN219021612U (en) 2022-11-25 2022-11-25 Microscopic root tip operation needle sleeve box

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