JP2006141833A - Tooth protector - Google Patents

Tooth protector Download PDF

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JP2006141833A
JP2006141833A JP2004338378A JP2004338378A JP2006141833A JP 2006141833 A JP2006141833 A JP 2006141833A JP 2004338378 A JP2004338378 A JP 2004338378A JP 2004338378 A JP2004338378 A JP 2004338378A JP 2006141833 A JP2006141833 A JP 2006141833A
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tooth
alveolar bone
tooth protector
protector
laryngoscope
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JP2004338378A
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Ryoji Yamaguchi
良二 山口
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Abstract

<P>PROBLEM TO BE SOLVED: To provide a tooth protector with which a laryngoscope can be inserted into an oral cavity without giving a pain to a patient and which protects teeth of the patient from a shock of the laryngoscope. <P>SOLUTION: Using material having elasticity after shaping, the tooth protector (10) is produced to have a thickness according to the strength of an alveolar bone assumed about a part where the alveolar bone is weak in the oral cavity. The gum (23) at the part where the alveolar bone is weak and teeth (20, 21 and 22) kept by the alveolar bone are crowned with the protector to protect the teeth from the shock of the laryngoscope. The material having elasticity can be elastic impression material of a dental rubber quality. <P>COPYRIGHT: (C)2006,JPO&NCIPI

Description

本発明は歯牙プロテクターに関し、特に患者に苦痛を与えることなく喉頭鏡等を口腔内に挿入することができ、しかも患者の歯牙を喉頭鏡の衝撃から保護することのできるようにしたプロテクターに関する。   The present invention relates to a tooth protector, and more particularly to a protector in which a laryngoscope or the like can be inserted into the oral cavity without causing pain to the patient, and the patient's teeth can be protected from the impact of the laryngoscope.

例えば、全身麻酔を行って患者を手術する場合、送還チューブを気管に挿入して麻酔ガスを投与するが、送還チューブを気管に挿入する際に患者の口腔内に喉頭鏡を挿入する必要が生ずることがある。その場合、手術という緊急時であるが故に喉頭鏡が誤って患者の歯牙に当たり、歯牙が破損するという医療事故が懸念される。   For example, when operating a patient with general anesthesia, a return tube is inserted into the trachea and anesthetic gas is administered, but when the return tube is inserted into the trachea, a laryngoscope needs to be inserted into the patient's mouth. Sometimes. In that case, there is a concern about a medical accident in which the laryngoscope accidentally hits the patient's tooth due to an emergency of surgery and the tooth is damaged.

他方、ラグビー等、激しい運動中に口腔内に装着し、衝撃等によって歯牙が折れあるいは損傷するのを回避するマウスガードが提案されている(特許文献1、特許文献2、特許文献3)。このようなマウスガードでは口腔内の顎及び歯牙全体の印象を採取し、印象から型を造形し、この型と熱可塑性材料とを用いてマウスガードを製作することが行われている。
特開2004−8971号公報 特開2002−51729号公報 実開平07−42647号公報
On the other hand, mouthguards such as rugby, which are worn in the oral cavity during intense exercise and prevent teeth from being broken or damaged by impact or the like have been proposed (Patent Document 1, Patent Document 2, Patent Document 3). In such a mouth guard, an impression of the entire jaw and teeth in the oral cavity is collected, a mold is formed from the impression, and a mouth guard is manufactured using this mold and a thermoplastic material.
JP 2004-8971 A JP 2002-51729 A Japanese Utility Model Publication No. 07-42647

上述のマウスガードは顎及び歯牙の全体を保護するようになっているので、これを手術時の歯牙を保護する目的で使用すると、口腔内が狭くなって患者の口腔内に喉頭鏡を円滑に挿入することが難しく、患者に苦痛を与えるおそれがある。   The mouth guard described above is designed to protect the entire jaw and teeth, so when used for the purpose of protecting the teeth during surgery, the mouth becomes narrower and the laryngoscope is smoothly placed in the patient's mouth. It is difficult to insert and can be painful for the patient.

本発明は、かかる問題点に鑑み、患者に苦痛を与えることなく喉頭鏡を口腔内に挿入することができ、しかも患者の歯牙を喉頭鏡の衝撃から保護することのできるようにした歯牙プロテクターを提供することを課題とする。   In view of such problems, the present invention provides a tooth protector that can insert a laryngoscope into the oral cavity without causing pain to the patient, and that can protect the patient's teeth from the impact of the laryngoscope. The issue is to provide.

そこで、本発明に係る歯牙プロテクターは、歯牙を保護する歯牙プロテクターにおいて、弾性を有する材料を用いて口腔内における歯槽骨の弱い部分について想定される歯槽骨の強さに応じた厚みに製作され、上記歯槽骨の弱い部分の歯肉及びその歯槽骨によって維持されている歯牙にかぶせられ、該歯牙を喉頭鏡の衝撃から保護するようになしたことを特徴とする。   Therefore, the tooth protector according to the present invention is manufactured in a thickness according to the strength of the alveolar bone assumed for the weak part of the alveolar bone in the oral cavity using a material having elasticity in the tooth protector for protecting the tooth, It is covered with the gum of the weak part of the alveolar bone and the tooth maintained by the alveolar bone, and the tooth is protected from the impact of the laryngoscope.

本発明の特徴は歯牙プロテクターを弾性を有する材料を用いて歯槽骨の弱い部分について想定される歯槽骨の強さに応じた厚みに製作し、この歯牙プロテクターを歯槽骨の弱い部分の歯肉と歯槽骨によって維持されている歯牙とにかぶせるようにした点にある。   A feature of the present invention is that the tooth protector is manufactured to have a thickness corresponding to the strength of the alveolar bone assumed for the weak part of the alveolar bone using a material having elasticity, and this tooth protector is used for the gum and the alveoli of the weak part of the alveolar bone. It is in the point that it was made to cover the tooth maintained by the bone.

これにより、喉頭鏡を口腔内に挿入する際に、喉頭鏡が歯牙プロテクターに当たると歯牙プロテクターが弾性変形してその衝撃を緩和するので、歯槽骨の弱った歯牙に誤って喉頭鏡の衝撃が加わるということはなく、歯牙の破損という医療事故を回避できる。   As a result, when the laryngoscope is inserted into the oral cavity, if the laryngoscope hits the tooth protector, the tooth protector will elastically deform and relieve the impact, so that the impact of the laryngoscope will be mistakenly applied to the tooth with weak alveolar bone That's not to say, and medical accidents such as tooth damage can be avoided.

また、歯牙プロテクターが必要な部位に必要な厚さで覆うようになっているので、口腔内が狭くなることはほとんどなく、喉頭鏡の挿入時に患者に苦痛を与えることもない。   In addition, since the tooth protector covers the necessary part with the necessary thickness, the inside of the oral cavity is hardly narrowed, and the patient is not painful when the laryngoscope is inserted.

弾性を有する材料は歯牙プロテクターを製作し歯牙及び歯槽骨にかぶせた時に弾性を有し、しかも人体に無害であればどのような材料であってもよいが、歯牙の保護という点を考慮すると、歯科用ゴム質弾性印象材料、例えば付加重合型ビニルシリコン印象材を用いるのがよい。   The material having elasticity may be any material as long as it is made of a tooth protector and has elasticity when covered with teeth and alveolar bone, and is harmless to the human body, but considering the protection of the teeth, It is preferable to use a dental rubber elastic impression material, for example, an addition polymerization type vinyl silicon impression material.

この歯牙プロテクターは歯槽骨の弱い部分と歯牙の印象を手術前に予め採取し、弾性を有する材料を用いて造形してもよいが、手術時に歯槽骨の弱い部分と歯牙に弾性を有する材料を直接塗布し、必要な厚さに製作するようにしてもよい。   This tooth protector may collect the weak part of the alveolar bone and the impression of the tooth in advance of surgery and shape it using an elastic material. It may be applied directly to produce the required thickness.

手術時に製作する場合には歯科用ゴム質弾性印象材料は主剤と補助剤とからなり、混合して使用されるものを用いるのがよい。   In the case of manufacturing at the time of surgery, it is preferable to use a dental rubber elastic impression material composed of a main agent and an auxiliary agent and used by mixing them.

以下、本発明を図面に示す具体例に基づいて詳細に説明する。図1及び図2は本発明に係る歯牙プロテクターの好ましい実施形態を示す。図において、歯牙プロテクター10は例えば歯槽骨の弱った下歯の中切歯20、側切歯21及び犬歯22とそれらの各歯20〜22の歯肉23にかぶせられている。   Hereinafter, the present invention will be described in detail based on specific examples shown in the drawings. 1 and 2 show a preferred embodiment of a tooth protector according to the present invention. In the figure, the tooth protector 10 is placed on, for example, the middle incisor 20, the side incisor 21 and the canine 22 of the lower teeth whose alveolar bone has weakened, and the gums 23 of the respective teeth 20-22.

この歯牙プロテクター10は歯科用ゴム質弾性印象材料、例えば付加重合型ビニルシリコン印象材料を用いて製作され、付加重合型ビニルシリコン印象材料は例えばビニルポリシロキサン及び二酸化ケイ素を主成分とするベース剤(主剤)と、ビニルポリシロキサン、二酸化ケイ素及び白金触媒を主成分とするキャタリスト剤(補助剤)とを混合して使用されるようになっている。   The tooth protector 10 is manufactured using a dental rubber elastic impression material, for example, an addition polymerization type vinyl silicon impression material. The addition polymerization type vinyl silicon impression material is, for example, a base agent mainly composed of vinyl polysiloxane and silicon dioxide ( Main agent) and a catalyst agent (adjuvant) mainly composed of vinyl polysiloxane, silicon dioxide and platinum catalyst are used.

また、歯牙プロテクター10は口腔内における下歯の中切歯20、側切歯21及び犬歯22の歯槽骨について想定される歯槽骨の強さに応じた厚みに製作されている。   Further, the tooth protector 10 is manufactured to have a thickness corresponding to the strength of the alveolar bone assumed for the alveolar bone of the lower incisor 20, the side incisor 21, and the canine 22 in the oral cavity.

例えば、下歯の中切歯20及び側切歯21の歯槽骨が弱っており、これらの歯牙を保護する歯牙プロテクター10を製作する場合、所定量の歯科用ゴム質弾性印象材料、例えば付加重合型ビニルシリコン印象材料の等量のベース剤とキャタリスト剤をとり、混合して練り合わせる(ステップS10)。   For example, the alveolar bone of the lower incisor 20 and the side incisor 21 is weak, and when manufacturing the tooth protector 10 that protects these teeth, a predetermined amount of a rubber elastic elastic impression material, for example, addition polymerization An equal amount of base agent and catalyst agent of the type vinyl silicon impression material are taken, mixed and kneaded (step S10).

練り合わせ後硬化を開始するまでの時間、例えば1分20秒以内に練り合わせた印象材料を下歯の中切歯20及び側切歯21、さらには犬歯22とそれらの各歯20〜22の歯肉23に、想定される中切歯20及び側切歯21の歯槽骨の強さに応じた厚みに塗布する(ステップS11)。   The impression material that has been kneaded within 1 minute 20 seconds after kneading, for example, the inner incisor 20 and the side incisor 21, and further the canine 22 and the gums 23 of each tooth 20-22. Next, it applies to the thickness according to the strength of the alveolar bone of the assumed central incisor 20 and side incisor 21 (step S11).

塗布後所定の硬化完了時間、例えば3分が経過すると(ステップS12)、図2に示される歯牙プロテクター10が得られる。   When a predetermined curing completion time, for example, 3 minutes elapses after application (step S12), the tooth protector 10 shown in FIG. 2 is obtained.

このようにその場で歯牙プロテクター10を製作できるので、例えば患者の手術時に、喉頭鏡を口腔内に挿入する必要が生じた場合にも歯槽骨の弱った下歯の中切歯20と側切歯21、及び犬歯22とその歯肉23に歯牙プロテクター10をかぶせることができ、喉頭鏡が誤って下歯の中切歯20と側切歯21に向かっていっても歯牙プロテクター10がその衝撃を受けて弾性変形することにより衝撃を緩和し、下歯の中切歯20と側切歯21を喉頭鏡の衝撃から保護し、歯槽骨の弱った下歯の中切歯20と側切歯21が破損するという医療事故が起こることはない。   Since the tooth protector 10 can be manufactured on the spot in this way, for example, when a patient needs to insert a laryngoscope into the oral cavity during surgery, the lower incisor 20 and the side incisor with weak alveolar bone are cut off. The tooth protector 10 can be covered with the tooth 21 and the canine 22 and the gingiva 23, and even if the laryngoscope is mistakenly directed toward the middle incisor 20 and the side incisor 21 of the lower tooth, the tooth protector 10 receives the impact. By receiving and elastically deforming, the impact is reduced, the lower central incisor 20 and the side incisor 21 are protected from the impact of the laryngoscope, and the lower incisor middle incisor 20 and side incisor 21 are weakened by the alveolar bone. There will be no medical accidents that will break.

また、口腔内が狭くなるということはほとんどなく、喉頭鏡を口腔内に挿入する際に患者に苦痛を与えることもない。   In addition, there is almost no narrowing of the oral cavity, and no pain is given to the patient when the laryngoscope is inserted into the oral cavity.

なお、上記の例では手術中に手術現場で歯牙プロテクター10を製作するようにしたが、手術を受ける患者の口腔内の印象を採取し、歯槽骨の弱った下歯の中切歯20と側切歯21及び犬歯22とその歯肉23の型をとり、上述の印象材料を用いて歯牙プロテクター10を製作するようにしてもよい。   In the above example, the tooth protector 10 is manufactured at the operation site during the operation. However, the impression in the oral cavity of the patient undergoing the operation is collected, and the central incisor 20 and the side of the lower tooth whose alveolar bone is weakened. The incisor 21 and the canine 22 and the gingiva 23 may be formed, and the tooth protector 10 may be manufactured using the impression material described above.

また、下歯の中切歯20と側切歯21及び犬歯22とその歯肉23を覆う歯牙プロテクター10を例に説明したが、下歯の他の歯あるいは上歯を保護する歯牙プロテクターについても同様に適用できる。   Moreover, although the tooth protector 10 which covers the middle incisor 20 and the side incisor 21 and the canine 22 and the gingiva 23 of the lower tooth has been described as an example, the same applies to the tooth protector which protects other lower teeth or upper teeth. Applicable to.

本発明に係る歯牙プロテクターの好ましい実施形態の製作方法を示す図である。It is a figure which shows the manufacturing method of preferable embodiment of the tooth protector which concerns on this invention. 上記実施形態の歯牙プロテクターを装着した下歯を示す図である。It is a figure which shows the lower tooth equipped with the tooth protector of the said embodiment.

符号の説明Explanation of symbols

10 歯牙プロテクター
20 中切歯
21 側切歯
22 犬歯
23 歯肉
10 Tooth Protector 20 Medium Incisor 21 Side Incisor 22 Canine Tooth 23 Gingiva

Claims (3)

歯牙を保護する歯牙プロテクターにおいて、
造形後に弾性を有する材料を用いて口腔内における歯槽骨の弱い部分について想定される歯槽骨の強さに応じた厚みに製作され、上記歯槽骨の弱い部分の歯肉及びその歯槽骨によって維持されている歯牙にかぶせられ、該歯牙を喉頭鏡の衝撃から保護するようになしたことを特徴とする歯牙プロテクター。
In the tooth protector that protects the teeth,
It is manufactured to a thickness according to the strength of the alveolar bone assumed for the weak part of the alveolar bone in the oral cavity using a material having elasticity after modeling, and is maintained by the gum of the weak part of the alveolar bone and its alveolar bone A tooth protector characterized in that the tooth protector is covered with an existing tooth and protected from the impact of a laryngoscope.
上記弾性を有する材料が歯科用ゴム質弾性印象材料である請求項1記載の歯牙プロテクター。   2. The tooth protector according to claim 1, wherein the elastic material is a dental rubber elastic impression material. 上記歯科用ゴム質弾性印象材料が主剤と補助剤とからなり、混合して使用されるものである請求項2記載の歯牙プロテクター。
The tooth protector according to claim 2, wherein the dental rubber elastic impression material comprises a main agent and an auxiliary agent and is used by mixing.
JP2004338378A 2004-11-24 2004-11-24 Tooth protector Pending JP2006141833A (en)

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Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2009279043A (en) * 2008-05-20 2009-12-03 Hakko Co Ltd Anterior teeth protection device
JP2010131181A (en) * 2008-12-04 2010-06-17 Tokuyama Dental Corp Method of manufacturing mouth guard
KR101377354B1 (en) 2013-02-25 2014-03-25 송창호 Apparatus for protecting the oral cavity
WO2015057010A1 (en) * 2013-10-18 2015-04-23 김유미 Mouth guard
CN107080935A (en) * 2016-02-12 2017-08-22 戴卡特隆有限公司 The component of instrument is obtained including oral cavity protector blank and dental arch stamp
WO2019211258A1 (en) * 2018-05-04 2019-11-07 Olympus Winter & Ibe Gmbh Upper-jaw tooth protection during the use of a laryngo-pharyngoscope retractor system

Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2009279043A (en) * 2008-05-20 2009-12-03 Hakko Co Ltd Anterior teeth protection device
JP2010131181A (en) * 2008-12-04 2010-06-17 Tokuyama Dental Corp Method of manufacturing mouth guard
KR101377354B1 (en) 2013-02-25 2014-03-25 송창호 Apparatus for protecting the oral cavity
WO2015057010A1 (en) * 2013-10-18 2015-04-23 김유미 Mouth guard
CN107080935A (en) * 2016-02-12 2017-08-22 戴卡特隆有限公司 The component of instrument is obtained including oral cavity protector blank and dental arch stamp
WO2019211258A1 (en) * 2018-05-04 2019-11-07 Olympus Winter & Ibe Gmbh Upper-jaw tooth protection during the use of a laryngo-pharyngoscope retractor system

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