JP6268504B1 - Dental opening holder - Google Patents

Dental opening holder Download PDF

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JP6268504B1
JP6268504B1 JP2016169698A JP2016169698A JP6268504B1 JP 6268504 B1 JP6268504 B1 JP 6268504B1 JP 2016169698 A JP2016169698 A JP 2016169698A JP 2016169698 A JP2016169698 A JP 2016169698A JP 6268504 B1 JP6268504 B1 JP 6268504B1
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opening holder
insertion portion
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JP2018033699A (en
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忠宗 亀水
忠宗 亀水
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株式会社デントケア
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Abstract

【課題】口腔内の歯科治療を行う際に、患者の開口を円滑且つ容易に誘導し保持できる操作性と術者の手指を保護する安全性に優れた歯科用開口保持具を提供する。【解決手段】一端部から他端側に向かって次第に外径が大きくなる略円錐形をなした外表面に段形の溝2aを刻んでなる挿入部2と、挿入部2の他端側に形成されて挿入部2を回転及び押引するための手把部3とを具備した歯科用開口保持具1であって、挿入部2の相対向する外表面の一端部から他端部に向かって平面状の滑走面2bを形成したこと。段形の溝2aが、ねじ状の溝であること。段形の溝2aが、独立した複数の円周溝であること。挿入部2と手把部3の境界部分に挿入部2の他端側の外径よりも大きい外径を有する鍔部4を設けたこと。手把部3内に手指を挿入できる挿入孔3aを形成したこと。【選択図】図5Disclosed is a dental opening holder excellent in operability capable of guiding and holding a patient's opening smoothly and easily and protecting an operator's fingers during dental treatment in the oral cavity. An insertion portion 2 in which a stepped groove 2a is engraved on a substantially conical outer surface whose outer diameter gradually increases from one end portion toward the other end side, and on the other end side of the insertion portion 2. A dental opening holder 1 which is formed and includes a handle portion 3 for rotating and pushing and pulling the insertion portion 2, from one end portion to the other end portion of the opposite outer surface of the insertion portion 2. And forming a planar sliding surface 2b. The step-shaped groove 2a is a screw-shaped groove. The step-shaped groove 2a is a plurality of independent circumferential grooves. The collar part 4 which has an outer diameter larger than the outer diameter of the other end side of the insertion part 2 in the boundary part of the insertion part 2 and the handle part 3 was provided. The insertion hole 3a into which a finger can be inserted is formed in the handle part 3. [Selection] Figure 5

Description

この発明は、歯科医師、歯科衛生士、看護師、介護者等が、高齢者、障害者等の口腔ケア、診察または治療を行うときの閉口導入時に使用し、開口させると共に、安全に開口を保持するための歯科用開口保持具に関する。   This invention is used when a dentist, a dental hygienist, a nurse, a caregiver, etc. is used to introduce a mouth when performing oral care, examination, or treatment for the elderly, a disabled person, etc. The present invention relates to a dental opening holder for holding.

従来より、歯科治療時に用いられ、患者の口を開口状態に保つ歯科用開口保持具が知られている。   Conventionally, a dental opening holder that is used during dental treatment and that keeps a patient's mouth open is known.

特許文献1の歯科用開口保持具では、外表面に螺旋状の案内溝を有した略円錐状の挿入部を上下歯牙の隙間から挿入し、螺旋状の案内溝と上下歯牙とを係合させながら回転することで、挿入部が、案内溝に案内されつつ上下歯牙間の間を移動して口を所定の大きさまで開口させ、先端に形成された脱落防止部が、上下歯牙に引掛かることで口を開口状態に保つことができる。挿入部を上下歯牙のわずかな隙間から挿入することが可能であるため、開口することを嫌がる幼児や、術者(医師等)の指示を理解することが困難な認知症患者などへの装着を容易に行うことができる。   In the dental opening holder of Patent Document 1, a substantially conical insertion portion having a spiral guide groove on the outer surface is inserted from the gap between the upper and lower teeth, and the spiral guide groove and the upper and lower teeth are engaged. While rotating, the insertion part moves between the upper and lower teeth while being guided by the guide groove to open the mouth to a predetermined size, and the drop-off prevention part formed at the tip is caught by the upper and lower teeth The mouth can be kept open. Because the insertion part can be inserted through a slight gap between the upper and lower teeth, it can be worn on infants who do not want to open or on patients with dementia who are difficult to understand the instructions of the surgeon (doctor, etc.) It can be done easily.

特許第5813843号公報Japanese Patent No. 5813843

しかしながら、患者が歯を強く噛み締めた状態の場合、術者が、特許文献1のような歯科用開口保持具を使用して徐々に患者の開口度をあげるためには、挿入部の螺旋状の案内溝と上下歯牙とを係合回転させる時に大きな力が必要となり、強い力を持続的にかけなければならず、所望する開口状態を確保するまでに時間がかかると同時に患者の歯牙へ大きな負担を与える危険性がある。また、術者は、狭い口腔内で挿入部を回転操作しなければならず、強い力を保ったまま複雑な操作を行うことが要求され、操作に不慣れな人にとっては、操作が非常に困難であるという問題点が挙げられる。小さい開口度では口腔内を観察することが出来ず、適切な治療を行うことが出来ないため、本来であれば速やかに所望する開口状態を確保することが望ましい。しかしながら、従来のような徐々に開口させる歯科用開口保持具では、時間と労力がかかるとともに、患者側のストレスも増大し、より強い開口拒否を助長する恐れがある。   However, when the patient is in a state of tightly tightening his / her teeth, in order for the surgeon to gradually increase the degree of opening of the patient using the dental opening holder as in Patent Document 1, the spiral shape of the insertion portion is used. A large force is required when engaging and rotating the guide groove and the upper and lower teeth, and it is necessary to apply a strong force continuously. It takes time to secure the desired opening state and at the same time puts a heavy burden on the patient's teeth. There is a risk of giving. In addition, the surgeon must rotate the insertion part in a narrow oral cavity, and is required to perform complex operations while maintaining a strong force, which is very difficult for those who are unfamiliar with the operation. The problem that it is. Since the inside of the oral cavity cannot be observed with a small opening degree and appropriate treatment cannot be performed, it is desirable to ensure a desired opening state promptly. However, with a conventional dental opening holder that gradually opens, time and labor are required, and stress on the patient side is increased, which may promote stronger opening rejection.

更にまた、先述の歯科用開口保持具では、操作部と最終的に歯牙に噛合される基端部とが隣接しているため、患者が、治療中に誤って術者の手指を噛むという危険性がある。そして、術者は、比較的小さな開口保持具を、少なくとも2本の手指を使用しながら操作しなければならず、開口保持具を扱うための細やかな技術が必要となる。   Furthermore, in the above-described dental opening holder, the operation part and the proximal end part finally engaged with the tooth are adjacent to each other, so that there is a risk that the patient may accidentally bite the operator's finger during the treatment. There is sex. Then, the surgeon must operate a relatively small opening holder using at least two fingers, and requires a detailed technique for handling the opening holder.

そこで本発明は、上述した課題を鑑みてなされたものであって、口腔内の歯科治療を行う際に、患者の開口を円滑且つ容易に誘導し保持できる操作性と、術者の手指を保護する優れた安全性に優れた歯科用開口保持具を提供することを目的とする。   Therefore, the present invention has been made in view of the above-described problems, and when performing dental treatment in the oral cavity, the operability capable of guiding and holding the patient's opening smoothly and easily, and protecting the operator's fingers. An object of the present invention is to provide a dental opening holder with excellent safety.

本発明の歯科用開口保持具は、一端部から他端側に向かって次第に外径が大きくなる略円錐形をなした外表面に段形の溝を刻んでなる挿入部と、挿入部の他端側に形成されて挿入部を回転及び押引するための手把部と、を具備した歯科用開口保持具であって、挿入部の相対向する外表面の一端部から他端側に向かって平面状の滑走面を形成したことを特徴としている。   The dental opening holder of the present invention includes an insertion portion formed by cutting a stepped groove on an outer surface having a substantially conical shape with an outer diameter gradually increasing from one end portion toward the other end side. A dental opening holder formed on an end side for rotating and pushing and pulling the insertion portion, from one end portion of the outer surface facing the insertion portion toward the other end side. It is characterized by the formation of a flat sliding surface.

本発明の歯科用開口保持具は、段形の溝がねじ状の溝であることを特徴としている。   The dental opening holder of the present invention is characterized in that the step-shaped groove is a screw-shaped groove.

本発明の歯科用開口保持具は、段形の溝が独立した複数の円周溝であることを特徴としている。   The dental opening holder of the present invention is characterized in that the stepped grooves are a plurality of independent circumferential grooves.

本発明の歯科用開口保持具は、挿入部と手把部の境界部分に挿入部の他端側の外径よりも大きい外径を有する鍔部を設けたことを特徴としている。   The dental opening holder according to the present invention is characterized in that a collar portion having an outer diameter larger than the outer diameter on the other end side of the insertion portion is provided at a boundary portion between the insertion portion and the handle portion.

本発明の歯科用開口保持具は、前記手把部内に手指を挿入できる挿入孔を形成したことを特徴としている。   The dental opening holder of the present invention is characterized in that an insertion hole into which a finger can be inserted is formed in the handle portion.

本発明の歯科用開口保持具は、一端部から他端側に向かって次第に外径が大きくなる略円錐形をなした外表面に段形の溝を刻んでなる挿入部と、挿入部の他端側に形成されて挿入部を回転及び押引するための手把部と、を具備した歯科用開口保持具であって、挿入部の相対向する外表面の一端部から他端側に向かって平面状の滑走面を形成しているので、歯科用開口保持具を患者の上下歯牙間に挿入する場合においては、挿入部に設けられた表面が平面状の滑走面を上下歯牙間の隙間から挿入し、相対向する二面の滑走面を上下歯牙間を滑らせるように前歯(切歯)側から奥歯(臼歯)側に向けて摺動させるだけで、容易に挿入部を口腔内に挿入することができる。このとき、挿入部は、一端部から他端側に向かって次第に外径が大きくなるので、平面状の滑走面を用いることによって、開口度を容易且つ速やかに所望する大きさに調整することができる。所定の位置まで挿入部を挿入した後、挿入部を所定の方向に90度回転させて、上下歯牙を外表面に刻まれた段形のねじ状の溝に係合させることで、歯牙が挿入部から脱落するのを防止し、口を開口した状態に保持することができる。また、口腔内から挿入部を抜脱する場合においては、挿入時の逆の手順を行うことで挿入部を引抜くことができる。すなわち、挿入部を所定の方向に90度回転させ、相対向する二面の滑走面を上下歯牙間を滑らせるように奥歯(臼歯)側から前歯(切歯)側に向けて摺動するだけで、容易に挿入部を口腔内から抜脱することができる。   The dental opening holder of the present invention includes an insertion portion formed by cutting a stepped groove on an outer surface having a substantially conical shape with an outer diameter gradually increasing from one end portion toward the other end side. A dental opening holder formed on an end side for rotating and pushing and pulling the insertion portion, from one end portion of the outer surface facing the insertion portion toward the other end side. When the dental opening holder is inserted between the upper and lower teeth of the patient, the surface provided on the insertion part is the gap between the upper and lower teeth. It is easy to insert the insertion part into the oral cavity by sliding it from the front tooth (incisor) side to the back tooth (molar tooth) side so that the two opposing sliding surfaces slide between the upper and lower teeth. Can be inserted. At this time, since the outer diameter of the insertion portion gradually increases from one end portion toward the other end side, the opening degree can be easily and quickly adjusted to a desired size by using a planar sliding surface. it can. After inserting the insertion part to a predetermined position, rotate the insertion part 90 degrees in a predetermined direction and engage the upper and lower teeth with the stepped screw-shaped grooves carved on the outer surface, so that the teeth are inserted It can be prevented from falling off the part, and the mouth can be held open. Moreover, when removing the insertion part from the oral cavity, the insertion part can be pulled out by performing the reverse procedure at the time of insertion. That is, the insertion portion is rotated 90 degrees in a predetermined direction, and only the sliding surfaces facing each other are slid from the back tooth (molar) side toward the front tooth (incisor side) so as to slide between the upper and lower teeth. Thus, the insertion portion can be easily removed from the oral cavity.

本発明の歯科用開口保持具は、段形の溝がねじ状の溝であるので、溝に上下歯牙を係止した後に、手把部を右又は左に回動させることにより、上下歯牙の上下間隔を増大又は減少し、治療を行うのに最適な開口状態に合わせることができる。   In the dental opening holder of the present invention, since the stepped groove is a screw-like groove, after the upper and lower teeth are locked in the groove, the handle portion is rotated to the right or left, thereby allowing the upper and lower teeth to move. The vertical spacing can be increased or decreased to match the optimal opening for treatment.

本発明の歯科用開口保持具は、段形の溝が独立した複数の円周溝であるので、所定位置まで挿入部を口腔内に押し込んでから、手把部を回転させて上下歯牙を円周溝に入れることによって、上下歯牙が滑走面を滑ることなく固定することができる。   Since the dental opening holder of the present invention is a plurality of circumferential grooves in which the stepped grooves are independent, after pushing the insertion portion into the oral cavity to a predetermined position, the handle portion is rotated to circle the upper and lower teeth. By putting in the circumferential groove, the upper and lower teeth can be fixed without sliding on the running surface.

本発明の歯科用開口保持具は、挿入部と手把部の境界部分に挿入部の他端側の外径よりも大きい外径を有する鍔部を設けているので、歯科用開口保持具の挿入を鍔部で止めることができ、万が一術者が手を滑らせても歯科用開口器が患者の口腔内奥深くまで挿入されることはない。また、挿入部と挿入部を操作する手把部とが、鍔部によって離隔されているため、患者が誤って術者の手指を噛む恐れがなく、術者は安全に治療を行うことができる。   The dental opening holder of the present invention is provided with a collar portion having an outer diameter larger than the outer diameter of the other end side of the insertion portion at the boundary portion between the insertion portion and the handle portion. The insertion can be stopped at the buttocks, and even if the operator slides his hand, the dental opener is not inserted deep into the patient's oral cavity. Further, since the insertion part and the handle part for operating the insertion part are separated by the buttocks, there is no risk that the patient will accidentally bite the operator's fingers, and the operator can safely perform the treatment. .

本発明の歯科用開口保持具によると、手把部内に手指を挿入できる挿入孔を形成しているので、術者は、少なくとも一本の手指を手把部の挿入孔に挿入すれば挿入部を操作することができ、狭い口腔内においても容易に挿入部を操作することができる。また、挿入孔に光源を挿入すれば、口腔内を照らしながら開口保持することができ、一人で臼歯部の状態を確認することができる。   According to the dental opening holder of the present invention, since the insertion hole into which the finger can be inserted is formed in the handle portion, the operator can insert the insertion portion by inserting at least one finger into the insertion hole of the handle portion. The insertion portion can be easily operated even in a narrow oral cavity. If a light source is inserted into the insertion hole, the opening can be held while illuminating the inside of the oral cavity, and the state of the molar portion can be confirmed alone.

この発明の歯科用開口保持具の実施形態の平面図。The top view of embodiment of the dental opening holder of this invention. この発明の歯科用開口保持具の実施形態の正面図。The front view of embodiment of the dental opening holder of this invention. この発明の歯科用開口保持具の他の実施形態の正面図。The front view of other embodiment of the dental opening holder of this invention. 図1のA−A線断面図。AA sectional view taken on the line AA of FIG. この発明の歯科用開口保持具の実施形態の斜視図。The perspective view of embodiment of the dental opening holder of this invention.

この歯科用開口保持具の最良の実施形態について以下図面を参照しつつ説明する。この歯科用開口保持具1は、上下歯牙間に挿入して開口状態を保持する歯科用の開口保持具で、図5に示すように、一端部から他端側に向かって次第に外径が大きくなる略円錐形をなした挿入部2と、挿入部2の他端側に形成されて挿入部2を回転及び押引するための手把部3とを具備している。挿入部2と手把部3の境界部分には、挿入部2の他端側の外径よりも大きい外径を有する鍔部4を設けている。   The best embodiment of this dental opening holder will be described below with reference to the drawings. This dental opening holder 1 is a dental opening holder that is inserted between upper and lower teeth and maintains an open state. As shown in FIG. 5, the outer diameter gradually increases from one end to the other end. The insertion portion 2 having a substantially conical shape and a handle portion 3 formed on the other end side of the insertion portion 2 for rotating and pushing the insertion portion 2 are provided. At the boundary portion between the insertion portion 2 and the handle portion 3, a flange portion 4 having an outer diameter larger than the outer diameter on the other end side of the insertion portion 2 is provided.

前記挿入部2は、外表面に段形のねじ状の溝2aが刻まれており、相対向する外表面の一端部から他端側に向かって平面状の滑走面2bを形成している。そして、挿入部2は、上下歯牙間の隙間から前記滑走面2bを口腔内に押し込んで挿入し、90度回転して上下の歯牙を溝2aに係合させ口を開口した状態に保持する部分である。挿入部2の外表面に刻まれた溝2aは、図1及び図2に示すように、段形のねじ状となっている。挿入部2が口腔内に挿入された際に、上下歯牙に係合して歯牙が挿入部2から脱落するのを防いで、開口状態を保持することができる。また、一旦溝2aに上下歯牙を係止した後に手把部3を右又は左に回動させることによって、上下歯牙の上下間隔が増大又は減少し、治療を行うのに最適な開口状態に合わせることができる。   The insertion portion 2 has a stepped screw-like groove 2a on the outer surface, and forms a planar sliding surface 2b from one end portion of the opposing outer surface toward the other end side. And the insertion part 2 is the part which pushes the said sliding surface 2b in the oral cavity from the clearance gap between upper and lower teeth, rotates 90 degree | times, engages an upper and lower tooth with the groove | channel 2a, and hold | maintains the state which opened the opening | mouth It is. The groove 2a carved on the outer surface of the insertion portion 2 has a stepped screw shape as shown in FIGS. When the insertion part 2 is inserted into the oral cavity, the teeth can be prevented from falling off the insertion part 2 by engaging with the upper and lower teeth, and the open state can be maintained. Further, once the upper and lower teeth are once locked in the groove 2a, the handle portion 3 is rotated to the right or left, thereby increasing or decreasing the vertical distance between the upper and lower teeth to match the optimal opening state for treatment. be able to.

滑走面2bは、挿入部2の外表面に相対向する位置に形成されている。図1及び図5に示すように、滑走面2bの表面は平面状で、溝2aが刻まれた挿入部2の外表面との境界においては、段形線を形成している。滑走面2bは、相対向する二面の滑走面2bを上下歯牙間を滑らせるように押引方向へ摺動するだけで、円滑且つ速やかに挿入部2を口腔内に挿入もしくは口腔内から抜脱することができる。すなわち、挿入部2を口腔内に挿入する場合には、相対向する二面の滑走面2bを上下歯牙間を滑らせるように前歯(切歯)側から奥歯(臼歯)側の方向へ押して摺動させ、挿入部2を口腔内から抜脱する場合には、滑走面2bを奥歯(臼歯)側から前歯(切歯)側の方向へ引いて摺動させればよい。この時、挿入部2は、一端部から他端部に向けてテーパー状に厚みが増しているので、平面状の滑走面2bが、歯牙間を移動するにつれて、開口を外径に合わせて徐々に大きくすることができる。   The sliding surface 2 b is formed at a position facing the outer surface of the insertion portion 2. As shown in FIGS. 1 and 5, the surface of the sliding surface 2 b is planar, and forms a stepped line at the boundary with the outer surface of the insertion portion 2 in which the groove 2 a is carved. The sliding surface 2b can be smoothly and quickly inserted into the oral cavity or removed from the oral cavity simply by sliding the two sliding surfaces 2b facing each other in the push-pull direction so as to slide between the upper and lower teeth. Can be removed. That is, when inserting the insertion part 2 into the oral cavity, the sliding surfaces 2b facing each other are pushed and slid from the front teeth (incisors) side to the back teeth (molar teeth) side so as to slide between the upper and lower teeth. In order to move the insertion portion 2 out of the oral cavity, the sliding surface 2b may be slid by pulling from the back tooth (molar tooth) side to the front tooth (incisor) side. At this time, since the thickness of the insertion portion 2 increases in a tapered shape from one end portion to the other end portion, as the planar sliding surface 2b moves between the teeth, the opening is gradually adjusted to the outer diameter. Can be large.

挿入部2の大きさやテーパー角度については、特に限定されるものではないが、好ましくは、長さが40mm〜50mm程度で、他端側の外径は、20mm〜30mm程度である。テーパーの角度は、挿入部2の軸芯に対して10°〜20°程度とすると口腔内にスムーズに挿入することができる。   The size and taper angle of the insertion portion 2 are not particularly limited, but preferably the length is about 40 mm to 50 mm, and the outer diameter on the other end side is about 20 mm to 30 mm. When the taper angle is about 10 ° to 20 ° with respect to the axis of the insertion portion 2, the taper can be smoothly inserted into the oral cavity.

手把部3は、術者が挿入部2を回転及び押引して操作する部分である。図4及び図5に示すように、手把部3は、手把部3内に挿入孔3aを形成した筒状となっている。術者はこの挿入孔3aの中に少なくとも1本の手指を挿入することで挿入孔3aの内外の指で手把部3を掴み、挿入部2の操作を行うことができる。このとき、挿入孔3aは、鍔部4との境界部分まで形成されているので、歯科用開口保持具1を口腔内に挿入した場合に、挿入孔3aに挿入した手指が口腔内に入り込む恐れがない。したがって、患者が術者の手指を誤って噛むことはなく、術者は安全に挿入部2を操作することができる。   The handle part 3 is a part where the operator operates the insertion part 2 by rotating and pushing. As shown in FIGS. 4 and 5, the handle portion 3 has a cylindrical shape in which an insertion hole 3 a is formed in the handle portion 3. The operator can operate the insertion portion 2 by inserting at least one finger into the insertion hole 3a to grasp the handle portion 3 with the fingers inside and outside the insertion hole 3a. At this time, since the insertion hole 3a is formed up to the boundary part with the collar part 4, when the dental opening holder 1 is inserted into the oral cavity, the fingers inserted into the insertion hole 3a may enter the oral cavity. There is no. Therefore, the patient does not accidentally bite the operator's fingers, and the operator can safely operate the insertion portion 2.

手把部3は、図1及び図2等では外表面の形状が平滑となっているが、特に形状を限定することはない。図3のように滑り止め用に外表面にグリップの凹凸を形成し、手指の滑り止めとするようにしてもよい。更に、図示していないが、歯科用開口保持具1の材質を透明又は半透明の材質とし、又、できれば挿入部2の内部にも空洞を形成して当該空洞や挿入孔3a内に光源を挿入しておくことによって、口腔内の奥まで見通せることになるので、補助者がいなくても奥歯の観察や治療を行うことができる。   The handle portion 3 has a smooth outer surface shape in FIGS. 1 and 2 and the like, but the shape is not particularly limited. As shown in FIG. 3, grip irregularities may be formed on the outer surface to prevent slipping, thereby preventing the fingers from slipping. Further, although not shown, the dental opening holder 1 is made of a transparent or translucent material, and if possible, a cavity is also formed in the insertion portion 2 to provide a light source in the cavity or the insertion hole 3a. By inserting it, it is possible to see through to the back of the oral cavity, so that the back teeth can be observed and treated without an assistant.

手把部3の大きさについては、特に限定されるものではないが、好ましくは、長さが40mm〜50mm程度で、外径は20mm〜25mm程度である。また、挿入孔3aの直径については、18mm〜23mm程度であり、このような大きさであれば、少なくとも手指一本分を挿入孔3a内に挿入することができ、円滑に治療を行うことができる。   The size of the handle portion 3 is not particularly limited, but preferably the length is about 40 mm to 50 mm and the outer diameter is about 20 mm to 25 mm. In addition, the diameter of the insertion hole 3a is about 18 mm to 23 mm. If it is such a size, at least one finger can be inserted into the insertion hole 3a, and treatment can be performed smoothly. it can.

鍔部4は、図1及び図2等に示されるように、挿入部2と手把部3の境界部分に形成されており、挿入部2の他端側の最も大きい外径よりもさらに大きい外径を有している。そのため、挿入部2を口腔内に挿入する際に、術者が万が一誤って強く押し込んでも、歯科用開口器1は鍔部4を越えて口腔内に挿入されることはなく、術者は安全に治療を行うことができる。また、術者の指が滑るなどして口腔内に入り込むことも未然に防止できる。尚、図5では、鍔部4は、薄い円柱状となっているが、前述のような機能を有していればその形状は特に限定されることはない。   As shown in FIG. 1 and FIG. 2, the flange portion 4 is formed at a boundary portion between the insertion portion 2 and the handle portion 3, and is larger than the largest outer diameter on the other end side of the insertion portion 2. It has an outer diameter. Therefore, when the operator inserts the insertion portion 2 into the oral cavity, the dental opener 1 will not be inserted into the oral cavity beyond the buttocks 4 even if the operator accidentally pushes the insertion portion 2 into the oral cavity. Can be treated. It is also possible to prevent the surgeon's finger from slipping into the oral cavity. In addition, in FIG. 5, although the collar part 4 becomes thin columnar shape, if it has the above functions, the shape will not be specifically limited.

鍔部4の外径は、特に限定されないが、挿入部2の他端部の外径よりも3mm〜5mm程度大きいことが望ましい。このような外径差であれば、強く押し込んでも上下の歯牙に鍔部4が引掛かって、鍔部4が口腔内に入ることはなく、治療中の事故を防ぐことができ、また、術者の手指の安全を図ることができる。   Although the outer diameter of the collar part 4 is not specifically limited, It is desirable that it is larger than the outer diameter of the other end part of the insertion part 2 by about 3 mm-5 mm. With such a difference in outer diameter, the heel part 4 is caught by the upper and lower teeth even if it is pushed hard, and the buttock part 4 does not enter the oral cavity, so that an accident during treatment can be prevented. The fingers can be safe.

この歯科用開口保持具1の素材は、例えば、高引裂きシリコーンのような高強度な弾性素材を想定しているので、歯科用開口保持具1に亀裂等の破損が起きてもすぐに破断することはない。歯科用開口保持具1は、治療中に患者の歯牙に噛合され万が一破損が起きたとしても、相当な負荷を与えない限り口腔内で破断することはなく、患者が、破損した歯科用開口保持具1の破片を誤飲するような事故を防ぐことができる。また、高引裂きシリコーンは、耐薬品性、耐熱性に優れているので、滅菌消毒を繰り返して使用することが可能であり、経済性にも優れている。もちろん、同様の効果が期待できる素材であれば、素材は高引裂きシリコーンに限定されるものではなく、別の素材を選択しても良い。   Since the material of the dental opening holder 1 is assumed to be a high-strength elastic material such as high tear silicone, for example, the dental opening holder 1 breaks immediately even if breakage such as a crack occurs. There is nothing. Even if the dental opening holder 1 is engaged with the patient's teeth during the treatment and breakage occurs, the dental opening holder 1 will not break in the oral cavity unless a considerable load is applied, and the patient can hold the damaged dental opening. Accidents such as accidental ingestion of the debris of the ingredient 1 can be prevented. Moreover, since the high tear silicone is excellent in chemical resistance and heat resistance, it can be repeatedly used for sterilization and is economical. Of course, as long as the same effect can be expected, the material is not limited to high tear silicone, and another material may be selected.

次にこの実施形態において、上記の歯科用開口保持具1を用いて、上下歯牙を開口状態に保持する要領を説明する。まず、手把部3内に形成されている挿入孔3aに手指を挿入するなどして手把部3を掴んで、上下歯牙間の隙間から挿入部2の滑走面2bの先端を口腔内に挿入する。そして、相対向する二面の滑走面2bを上下歯牙間を滑らせるように前歯側から臼歯側の方向へ押し込み摺動させ、挿入部2を他端側の端部まで口腔内に挿入する。このとき、前述したように、挿入部2が一端部から他端側に向かって次第に外径が大きくなる略円錐形をなしているので、平面状の滑走面2bを用いることによって、開口度を容易且つ速やかに所望する大きさに調整することができる。所定の位置まで挿入部2を口腔内に挿入したら、挿入部2を所定の方向に90度回転させ、溝2aを上下歯牙に係合させて開口状態を保持する。   Next, in this embodiment, the procedure for holding the upper and lower teeth in an open state using the dental opening holder 1 will be described. First, the handle portion 3 is grasped by inserting a finger into the insertion hole 3a formed in the handle portion 3, and the tip of the sliding surface 2b of the insertion portion 2 is inserted into the oral cavity from the gap between the upper and lower teeth. insert. Then, the two sliding surfaces 2b facing each other are pushed and slid from the front tooth side to the molar side so as to slide between the upper and lower teeth, and the insertion portion 2 is inserted into the oral cavity to the end portion on the other end side. At this time, as described above, the insertion portion 2 has a substantially conical shape in which the outer diameter gradually increases from one end portion toward the other end side. Therefore, by using the planar sliding surface 2b, the opening degree can be reduced. The desired size can be adjusted easily and quickly. When the insertion portion 2 is inserted into the oral cavity to a predetermined position, the insertion portion 2 is rotated 90 degrees in a predetermined direction, and the groove 2a is engaged with the upper and lower teeth to maintain the open state.

歯科用開口保持具1を口腔内から抜脱する場合には、前述の逆の順序でまず挿入部2を所定の方向に90度回転させて滑走部2bを上下歯牙に当接し、上下歯牙間を滑らせるように奥歯(臼歯)側から前歯(切歯)側方向に引き抜き摺動させ、挿入部2を口腔内から引抜くだけでよい。   When the dental opening holder 1 is removed from the oral cavity, the insertion portion 2 is first rotated 90 degrees in a predetermined direction in the reverse order as described above, and the sliding portion 2b is brought into contact with the upper and lower teeth, thereby It is only necessary to withdraw and slide from the back tooth (molar) side to the front tooth (incisor) side so as to slide, and withdraw the insertion portion 2 from the oral cavity.

尚、挿入部2の外表面には、ねじ状の溝に代えて、繋がっていない独立した円周溝を複数形成してもよい。その場合には、所定位置まで押し込んでから手把部3を回転させて、上下歯牙を円状溝に入れることによって、上下歯牙が滑走面2bを滑ることなく固定することができる。   Note that a plurality of independent circumferential grooves that are not connected may be formed on the outer surface of the insertion portion 2 instead of the thread-like grooves. In that case, the handle part 3 is rotated after being pushed to a predetermined position, and the upper and lower teeth can be fixed without sliding on the sliding surface 2b by putting the upper and lower teeth into the circular groove.

この発明の歯科用開口保持具は、上述のような種々の利点から、歯科医師、歯科衛生士、看護師等からの需要が多く見込まれる。また、安全性と操作性に優れているため、介護者が、高齢者や障害者の口腔内をケアするために使用することも可能であり、歯科治療に携わる医師達だけでなく、一般の利用者からの購買も期待できる歯科用開口保持具といえる。   The dental opening holder of the present invention is expected to be in great demand from dentists, dental hygienists, nurses and the like because of the various advantages described above. In addition, because of its safety and operability, it can be used by caregivers to care for the oral cavity of the elderly and persons with disabilities. It can be said that it is a dental opening holder that can be expected to be purchased from users.

1 歯科用開口保持具
2 挿入部
2a 溝
2b 滑走面
3 手把部
3a 挿入孔
4 鍔部
DESCRIPTION OF SYMBOLS 1 Dental opening holder 2 Insertion part 2a Groove 2b Sliding surface 3 Handle part 3a Insertion hole 4 Hip part

Claims (5)

一端部から他端側に向かって次第に外径が大きくなる略円錐形をなした外表面に段形の溝を刻んでなる挿入部と、前記挿入部の他端側に形成されて前記挿入部を回転及び押引するための手把部と、を具備した歯科用開口保持具であって、
前記挿入部の相対向する外表面の一端部から他端側に向かって平面状の滑走面を形成したことを特徴とする歯科用開口保持具。
An insertion part formed by engraving a stepped groove on an outer surface having a substantially conical shape with an outer diameter gradually increasing from one end part toward the other end side; and the insertion part formed on the other end side of the insertion part A dental opening holder comprising a handle for rotating and pushing and pulling,
A dental opening holder characterized in that a planar sliding surface is formed from one end of the opposing outer surface of the insertion portion toward the other end.
前記段形の溝が、ねじ状の溝であることを特徴とする請求項1に記載の歯科用開口保持具。   The dental opening holder according to claim 1, wherein the step-shaped groove is a screw-shaped groove. 前記段形の溝が、独立した複数の円周溝であることを特徴とする請求項1に記載の歯科用開口保持具。   The dental opening holder according to claim 1, wherein the stepped grooves are a plurality of independent circumferential grooves. 前記挿入部と前記手把部の境界部分に前記挿入部の他端側の外径よりも大きい外径を有する鍔部を設けたことを特徴とする請求項1乃至3のいずれか一項に記載の歯科用開口保持具。   4. The flange portion having an outer diameter larger than an outer diameter on the other end side of the insertion portion is provided at a boundary portion between the insertion portion and the handle portion. 5. The dental opening holder as described. 前記手把部内に手指を挿入できる挿入孔を形成したことを特徴とする請求項1乃至4のいずれか1項に記載の歯科用開口保持具。   The dental opening holder according to any one of claims 1 to 4, wherein an insertion hole into which a finger can be inserted is formed in the handle portion.
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Cited By (1)

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JP2014090891A (en) * 2012-11-05 2014-05-19 Tsujimoto Kasei Co Ltd Oral cavity opening aid
JP5813843B2 (en) * 2014-10-01 2015-11-17 紫朗 高梨 Dental opener

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6305937B1 (en) * 1999-06-10 2001-10-23 Sharon L. Williams Releasably mountable hand grip for a dental tool
US7066735B1 (en) * 2005-07-11 2006-06-27 Gasporra Andrea R Mouth block
JP2008054801A (en) * 2006-08-30 2008-03-13 Kamemizu Kagaku Kogyo Kk Mouth opening guiding and keeping tool
WO2011121513A1 (en) * 2010-03-29 2011-10-06 Centre Hospitalier Regional Metz Thionville Oral accessibility device
JP2014090891A (en) * 2012-11-05 2014-05-19 Tsujimoto Kasei Co Ltd Oral cavity opening aid
JP5813843B2 (en) * 2014-10-01 2015-11-17 紫朗 高梨 Dental opener

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109077697A (en) * 2018-09-20 2018-12-25 郑州儿童医院 A kind of adjustable anesthetic spreader of openings of sizes

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