JP5107623B2 - Implant practice device - Google Patents

Implant practice device Download PDF

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JP5107623B2
JP5107623B2 JP2007173384A JP2007173384A JP5107623B2 JP 5107623 B2 JP5107623 B2 JP 5107623B2 JP 2007173384 A JP2007173384 A JP 2007173384A JP 2007173384 A JP2007173384 A JP 2007173384A JP 5107623 B2 JP5107623 B2 JP 5107623B2
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core material
layer
dental implant
cavity
training
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JP2009011373A5 (en
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義親 堤
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Advance KK
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本発明は、インプラントの植立施術の訓練、研修のための練習器具に関し、特に歯科インプラントのような生体内外を連通するインプラント植立用練習器具に関する。       The present invention relates to a training instrument for training and training of implant planting procedures, and more particularly to a training instrument for implant planting that communicates between the living body and the living body, such as a dental implant.

インプラント施術の為の訓練用器具としては、特開平10−33574号公報、特開2001−120578号公報で示される様な顎骨模型が示されるが、取り扱いが煩雑な面や、模型自体の値段が高く、繰り返し訓練には向かず、十分な訓練ができると言い得るものではない。他方、実用新案登録第3112424号に開示される様な木製の三角柱は、より安価に提供され得るものであるが、これは、歯列矯正施術訓練用で顎骨斜面にスクリューをねじ込むための構成に留まるものであり、インプラントへの適用については未解明である。   As a training instrument for implant treatment, jaw bone models as shown in JP-A-10-33574 and JP-A-2001-120578 are shown, but the handling is complicated and the price of the model itself is high. It is expensive, not suitable for repeated training, and it cannot be said that sufficient training is possible. On the other hand, a wooden triangular prism as disclosed in Utility Model Registration No. 312424 can be provided at a lower cost, but this is a configuration for screwing a screw into the jawbone slope for orthodontic treatment training. It remains, and its application to implants remains unclear.

実用新案登録3112424号公報Utility Model Registration No. 3112424 特開平10−33574号公報JP 10-33574 A 特開2001−120578号公報JP 2001-120578 A

一連のインプラント施術用の訓練器具は、より生体組織を模倣するような複雑な形状をとり、手軽に利用できるとは言い難く、また、簡単な構成のものに関しては、インプラント施術全般にわたって訓練できる迄には至らず、施術全般用訓練具として手軽に使用できるものは未だ存在しない。   A series of training tools for implant surgery has a complicated shape that more mimics living tissue, and it is difficult to say that it can be used easily. However, there is still no easy-to-use training tool for general treatment.

上記に鑑み本発明は、インプラント植立対象となる部位の曲面を1つ以上有する立体であって、その表面に疑似軟組織を形成したものが、一連のインプラント施術練習可能な構成を取り得ることを見いだし本発明に到達したものである。   In view of the above, the present invention is a solid having one or more curved surfaces of a site to be implanted, and a structure in which a pseudo soft tissue is formed on the surface can take a configuration in which a series of implant operation can be practiced. The present invention has been found and reached.

本発明は、より簡単な構成でありながら、インプラントの一連の施術の訓練が可能な構成を取り得るものである。

本発明における芯材の材質は、例えば、長石、アルミナ、ジルコニア、アパタイト等のセラミックス緻密体又は多孔質体、ゴム、PET(ポリエチレンテレフタレート)、PP(ポリプロピレン)、塩ビ、ポリエステル、ポリウレタン、等の樹脂、又はこれら樹脂よりなる多孔質体、紙塊、木、石膏等が示され、その中の1つが選択されたり、複数の部材を複合させても良い。
芯材は、実際、歯槽骨に穿孔する際の感触と同じような感触が得られる材質、例えば人工骨材が好ましい。
形状は、少なくともインプラント植立対象となる曲面を備えた部材、これを頂点とする円錐台、三角柱、三角錐、6角柱、5角柱、等複数の植立対象となる角度を備えた頂点を持つものが例示される。
The present invention can be configured so that it is possible to train a series of procedures of an implant while having a simpler configuration.

The material of the core material in the present invention is, for example, a resin such as dense ceramic or porous material such as feldspar, alumina, zirconia, apatite, rubber, PET (polyethylene terephthalate), PP (polypropylene), polyvinyl chloride, polyester, polyurethane, etc. Alternatively, a porous body, paper block, wood, plaster, or the like made of these resins is shown, and one of them may be selected, or a plurality of members may be combined.
In practice, the core material is preferably a material that can provide a feel similar to that when drilling into the alveolar bone, such as an artificial bone material.
The shape is at least a member having a curved surface to be implanted, a truncated cone having a vertex, a triangular prism, a triangular pyramid, a hexagonal prism, a pentagonal prism, and the like having a plurality of angles to be implanted. Are illustrated.

曲面は、奥歯や前歯付近の歯槽骨の曲面を模して1つの芯材にそれぞれの頂点を有する形状とすることが、使い勝手等から好適である、
芯材の表面と疑似歯肉間を接着する両面粘着テープ状の中間層は、例えば、不織布、 紙 等の両面に接着剤を付したものや市販の両面テープでもよい。
尚、接着中間層は、接着剤のみで形成されても良い場合もある。
最外層としての歯肉組織となる疑似歯肉材としては、ウレタン等の合成樹脂、天然ゴム、合成ゴムが例示されるが、実際歯肉を切開、縫合する場合と同じ感触が得られればこれらに限るものではない。
いずれも、インプラント植立対象となる曲面を備えた立体形状、疑似歯肉の層状化されたものであれば、材質は実際の穿孔、剥離、縫合作業の感触が得られることを条件として適宜選択されてもよい。
The curved surface preferably has a shape having respective vertices in one core material, imitating the curved surface of the alveolar bone near the back teeth and anterior teeth.
The double-sided adhesive tape-like intermediate layer that bonds the surface of the core material and the pseudogingiva may be, for example, a non-woven fabric, a paper-coated double-sided adhesive, or a commercially available double-sided tape.
In some cases, the adhesive intermediate layer may be formed of only an adhesive.
Examples of the pseudogingival material that becomes the gingival tissue as the outermost layer include synthetic resins such as urethane, natural rubber, and synthetic rubber. However, if the same feel as in the case of actually cutting and suturing the gingiva is obtained, it is limited to these. is not.
In any case, if the material is a three-dimensional shape with a curved surface to be implanted, and a layer of pseudo-gingiva, the material is appropriately selected on the condition that a feeling of actual drilling, peeling, and suturing operations can be obtained. May be.

本発明は、歯科用インプラント植立対象となる曲面を備えた頂点を有する立体であればよいが、安定した据え置き、複数回の利用、前歯の部位、奥歯の部位に対応した異なる曲面を有する部位へのインプラント植立訓練ができる点で三角柱状が好ましく、通常、三角柱の芯材に、疑似歯肉用のシートをそれぞれ両面テープを用いて接着して形成されるものである。   The present invention may be a solid having a vertex having a curved surface to be a dental implant planting object, but stable placement, multiple use, parts having different curved surfaces corresponding to the front tooth part and the back tooth part A triangular prism shape is preferable in that it can be used for implant planting training. Usually, a pseudo gingival sheet is bonded to a triangular pillar core material using a double-sided tape.

次に本発明の実施例について図面を参照し詳細説明する。
図1は、本発明の一実施例を示す図であり、図1(a)は、正面図、(b)は、斜視図である。
(11)は、芯材であり、ポリウレタンの多孔質材で形成された三角柱状体である。
芯材(11)の各頂点は、それぞれ、奥歯、前歯、測歯近傍の歯槽骨の曲面(a1)〜(a3)におおよそ適合した曲面を備えている。
(12)は、接着中間層であり、不織布の両面に接着剤が塗布されて形成されている。接着中間層(12)は、単に接着剤のみ、両面接着テープであってもよい場合もある。
(13)は、疑似歯肉層であり天然ゴムで形成されている。厚さは、2mm〜4mm位が例示されるが、訓練の目的によって、他の厚みであっても良い。
本実施例で示す練習器具(01)は、正三角形の各頂点に曲率が異なる曲面を配置して形成されたもので、全体の大きさは、おおよそ正三角形の一辺が、60mm、高さが、50mm程度が例示される。
各頂点の曲面に係る曲率は、少なくとも植立する目的のインプラントの口径に対応する曲率であれば良く、例えば、曲面(a1)は、口径5φのインプラントが可能な曲率であり、曲面(a2)は、口径3φのインプラント用、曲面(a3)は、口径4φのインプラント用にそれぞれ曲率が調整されることが好ましく、インプラントの口径に応じて、曲率を調整した頂点を備えるものであれば良い。
Next, embodiments of the present invention will be described in detail with reference to the drawings.
FIG. 1 is a view showing an embodiment of the present invention, FIG. 1 (a) is a front view, and FIG. 1 (b) is a perspective view.
(11) is a core material, which is a triangular prism-like body formed of a polyurethane porous material.
Each vertex of the core material (11) is provided with a curved surface that approximately matches the curved surfaces (a1) to (a3) of the alveolar bone near the back teeth, the front teeth, and the tooth measurement.
(12) is an adhesive intermediate layer, which is formed by applying an adhesive to both surfaces of a nonwoven fabric. The adhesive intermediate layer (12) may be an adhesive alone or a double-sided adhesive tape.
(13) is a pseudogingival layer and is formed of natural rubber. The thickness is about 2 mm to 4 mm, but may be other thickness depending on the purpose of training.
The practice instrument (01) shown in the present embodiment is formed by arranging curved surfaces with different curvatures at the vertices of an equilateral triangle. The overall size is approximately 60 mm on one side of the equilateral triangle and the height is about 60 mm. About 50 mm.
The curvature associated with the curved surface of each vertex may be at least a curvature corresponding to the diameter of the implant intended to be planted. For example, the curved surface (a1) is a curvature that allows an implant with a diameter of 5φ, and the curved surface (a2) The curvature of the curved surface (a3) is preferably adjusted for an implant having a diameter of 3φ, and the curved surface (a3) may be provided with a vertex whose curvature is adjusted according to the diameter of the implant.

次に本発明の訓練時の使用例を図2を参照して詳細に説明する。
図2(a)で示すように、練習器具(01)を訓練対象となる部位の曲率を有する頂点を上にして据え置く。
実際使用されるメス等の切開具を使用して疑似歯肉層(13)を切開する。切開部の一例を(21)に示す。尚、切開箇所は、複数であってもよい。図2(a)は、あくまでその一例である。
次に図2(a)のx−x’の断面を図2(b)から図2(e)に示す。図2(b)で示すように、疑似歯肉層(13)と、接着中間層(12)を剥離する。更に実際、歯槽骨を穿孔させるための治具Rを使用して、芯材(11)に穿孔して円筒状の穿孔部(22)を形成する(図2(c))。
人工歯根(I)を穿孔部(22)に挿入し(図2(d))、接着中間層(12)疑似歯肉層(13)を元の状態に戻して(図2(e))、実際用いられる手術用糸等で縫合する(図2(f))。縫合部を(23)に示すが、これはあくまでも一例であって、訓練態様及び手法等によって適宜選択される。
Next, an example of use of the present invention during training will be described in detail with reference to FIG.
As shown in FIG. 2A, the practice instrument (01) is placed with the apex having the curvature of the part to be trained facing up.
The pseudogingival layer (13) is incised using a cutting tool such as a scalpel that is actually used. An example of the incision is shown in (21). There may be a plurality of incisions. FIG. 2A is just an example.
Next, FIGS. 2B to 2E show cross sections taken along line xx ′ of FIG. As shown in FIG. 2B, the pseudogingival layer (13) and the adhesive intermediate layer (12) are peeled off. Furthermore, actually, using the jig R for perforating the alveolar bone, the core material (11) is perforated to form a cylindrical perforated portion (22) (FIG. 2 (c)).
The artificial tooth root (I) is inserted into the perforated part (22) (FIG. 2 (d)), the adhesive intermediate layer (12) and the pseudogingival layer (13) are returned to the original state (FIG. 2 (e)). The suture is sutured with the surgical thread used (FIG. 2 (f)). The stitched portion is shown in (23), but this is merely an example, and is appropriately selected depending on the training mode and method.

次に他の実施例を図3に示す。図3は、歯槽骨中に空隙がある状態でインプラントの植立を行う場合、ソケットリフト法の訓練器(02)としての使用に好適である。
空洞(14)及びその表面に形成された腔膜(15)以外は図1と同様の形状であるので各部の説明は省略した。
空洞(14)は、曲面を備えた頂点からおおよそ3〜5mm程度、好ましくは3〜4mmの距離(L)で形成されることが好ましいが、患者の状態によっても異なるので、その他の距離で形成され、練習用に用いられても良い。
腔膜(15)は、厚さ0.01mm 〜0.1mm好ましくは、0.015〜0.04のシリコーン材で形成されたものが実際の膜厚に近く破れやすい性質を備えている点で、練習に好適に利用される。
空洞(14)は、例えば上顎洞に相当するものであり、その大きさは練習器具(02)よりも大きい場合が多いが、インプラント植立の際、必要となる大きさであれば良く例えば直径5mm〜10mmの円柱状の空洞が例示される。
Another embodiment is shown in FIG. FIG. 3 is suitable for use as a training device (02) of the socket lift method when implanting an implant with a gap in the alveolar bone.
Except for the cavity (14) and the cavity membrane (15) formed on the surface thereof, the shape is the same as in FIG.
The cavity (14) is preferably formed at a distance (L) of approximately 3 to 5 mm, preferably 3 to 4 mm, from the apex having a curved surface, but it varies depending on the patient's condition. And may be used for practice.
The cavity membrane (15) has a thickness of 0.01 mm to 0.1 mm, preferably 0.015 to 0.04, and is formed of a silicone material having a property of being easily broken near the actual thickness. Suitable for practice.
The cavity (14) corresponds to, for example, the maxillary sinus, and the size thereof is often larger than that of the practice instrument (02). A cylindrical cavity of 5 mm to 10 mm is exemplified.

次に図3で示した実施例の使用例を図4に示す。図4は、図2(a)のx−x’断面と同様の断面状態を示す。
図4(a)は、治具Rで歯槽骨に穿孔部(41)を形成しようとしている状態と同様の状態であり、その際、腔膜(15)を破らない様に穿孔部(41)を形成するような操作が必要となるが、本器具は、その操作の訓練にも利用可能である。
図4(b)は、人工歯根(I)を植立した状態である。ソケットリフト法により補綴凝固材(42)(シリコーン硬化樹脂等を使用)を注入して凝固させて増骨させた状態に似せ、再度穿孔し、そこへ人工歯根(I)を埋入している。凝固剤を注入しない場合もある。
空洞(14)は、芯材(11)を貫通しているため、空洞(14)を観察すれば、膜の状態が観察できる。本発明は、ソケットリフト法といった難しい施術の訓練用にも利用可能である。
Next, a usage example of the embodiment shown in FIG. 3 is shown in FIG. FIG. 4 shows a cross-sectional state similar to the xx ′ cross-section of FIG.
FIG. 4 (a) shows a state similar to the state in which the perforated part (41) is to be formed in the alveolar bone with the jig R. However, the device can be used for training the operation.
FIG. 4B shows a state in which the artificial tooth root (I) is planted. The prosthetic coagulation material (42) (using silicone cured resin etc.) is injected by the socket lift method to solidify and resemble the bone, drilled again, and artificial root (I) is embedded there . In some cases, a coagulant is not injected.
Since the cavity (14) penetrates the core (11), the state of the film can be observed by observing the cavity (14). The present invention can also be used for training difficult procedures such as the socket lift method.

本発明は、歯科用インプラントの植立技術を習得するための練習器具・訓練器具として安価で有効に利用できるため、個人開業医、学生、研修医等に好適に使用される。   Since the present invention can be effectively used at low cost as a practice instrument / training instrument for learning a dental implant planting technique, the present invention is suitably used for private medical practitioners, students, residents, and the like.

本発明の一実施例を示す図である。It is a figure which shows one Example of this invention. 図1で示す実施例の動作を説明する為の図である。FIG. 2 is a diagram for explaining the operation of the embodiment shown in FIG. 本発明の他の実施例を示す図である。It is a figure which shows the other Example of this invention. 図3で示す実施例の動作を説明する為の図である。It is a figure for demonstrating the operation | movement of the Example shown in FIG.

符号の説明Explanation of symbols

11 芯材
12 接着中間層
13 疑似歯肉層
14 空洞
15 腔膜
11 Core Material 12 Adhesive Intermediate Layer 13 Pseudo Gingival Layer 14 Cavity 15 Cavity Membrane

Claims (6)

インプラントの植立対象となる部位と同様の曲面を有する角部(s1,s2,s3)を備えた三角柱状の芯材(11)、前記芯材の側面に形成された疑似歯肉層(13)よりなる歯科インプラント用練習器具。 Triangular prism-shaped core material (11) provided with corners (s1, s2, s3) having the same curved surface as a site to be implanted, and a pseudogingival layer (13) formed on the side surface of the core material A training device for dental implants. 前記芯材(11)のそれぞれの角部(s1,s2,s3)の曲面が、口腔内のそれぞれ異なる部位の歯槽骨の曲面と同じ曲率をもつ請求項1に記載の歯科インプラント用練習器具。 The dental implant training device according to claim 1, wherein the curved surfaces of the corner portions (s1, s2, s3) of the core material (11) have the same curvature as the curved surfaces of the alveolar bone at different sites in the oral cavity. 前記、芯材(11)に空洞を設け、その内面に腔膜を配置してなる請求項1に記載の歯科インプラント用練習具。 The dental implant practice tool according to claim 1, wherein a cavity is provided in the core material (11), and a cavity membrane is disposed on the inner surface thereof. 前記疑似歯肉層(13)が、両面に粘着層を形成されたテープ状の中間層によって、接着固定されている請求項1に記載の歯科インプラント用練習器具。 The dental implant practice device according to claim 1, wherein the pseudogingival layer (13) is adhesively fixed by a tape-like intermediate layer having adhesive layers formed on both sides. 前記芯材(11)が、ポリウレタン、その他の合成樹脂、長石、アルミナ、その他のバイオセラミックス、これらの緻密体又は多孔質体から選ばれた1乃至複数からなる請求項1に記載の歯科インプラント用練習器具。 The dental core according to claim 1, wherein the core material (11) comprises one or more selected from polyurethane, other synthetic resins, feldspar, alumina, other bioceramics, dense bodies or porous bodies thereof. Practice equipment. 前記疑似歯肉層(13)が、合成ゴム、天然ゴム、樹脂 等から選ばれた1乃至複数からなる請求項1に記載の歯科インプラント用練習器具。 The dental implant practice device according to claim 1, wherein the pseudo-gingival layer (13) comprises one or more selected from synthetic rubber, natural rubber, resin, and the like.
JP2007173384A 2007-06-29 2007-06-29 Implant practice device Expired - Fee Related JP5107623B2 (en)

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FR2941556B1 (en) * 2009-01-27 2023-09-15 Thierry Mousques EDUCATIONAL DEVICE FOR INCISIONS AND SUTURES
KR20170006361A (en) * 2015-07-08 2017-01-18 서울대학교산학협력단 Dental model for periimplantitis treatment education
WO2019147062A1 (en) * 2018-01-25 2019-08-01 오스템임플란트 주식회사 Artificial alveolar bone block set for implant drilling training

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