KR101810851B1

KR101810851B1 - Surgical Anchor Guide For Orthodontic Treatment And Surgical Kit Having The Same

Info

Publication number: KR101810851B1
Application number: KR1020160023220A
Authority: KR
Inventors: 김성훈
Original assignee: 경희대학교 산학협력단
Priority date: 2016-02-26
Filing date: 2016-02-26
Publication date: 2017-12-20
Also published as: KR20170100843A

Abstract

The present invention discloses a surge anchor guide for guiding an anchor for fixation fixed in a mouth by a screw, and an anchor procedure kit having the anchor guide. According to an aspect of the present invention, there is provided a surgeal anchor guide comprising: a guide base which is mountable at a predetermined position inside the oral cavity based on teeth inside the oral cavity, A tool guide detachably inserted into the guide engagement hole for guiding the soft tissue cutting tool to the soft tissue cutting position inside the mouth, the tool guide having a tool guide hole formed therein; The anchors are detachably connected to the anchors, and the anchors are inserted into the guide engaging holes with the anchors for calibration in place of the tool guides in order to fix the anchors at the soft tissue cut- A hollow detachable anchor holder detachable from the guide base after the anchor for fixation is fixed to the soft tissue cutting site by the screw and axially penetrated for fastening the screw, .
INDUSTRIAL APPLICABILITY According to an aspect of the present invention, the surgeon anchor guide and the anchorage treatment kit having the anchor can easily position and fix the anchor for correct positioning, so that the intraoral placement of the orthodontic appliance can be performed stably, The burden can be reduced.

Description

Technical Field [0001] The present invention relates to a surgical anchor guide for orthodontic treatment and an anchor surgery kit having the same,

BACKGROUND OF THE INVENTION 1. Field of the Invention [0001] The present invention relates to a surgeon anchor guide for orthodontic treatment and an anchorage treatment kit having the same, and more particularly to a surgeon anchor guide for use in a dental orthodontic anchor, An anchor guide, and an anchor operation kit having the anchor guide.

Orthodontics is a technique that involves correcting the various skeletal mismatches that can occur during the growth process, including simply crouching teeth, so that they can perform their normal function, thus providing healthy oral tissues, and even improved facial lines It means the procedure to make.

More specifically, the orthodontic treatment, that is, orthodontic treatment, can be performed by correcting the dentition, for example, adjusting the crooked teeth, correcting various skeletal incongruities that may occur during the growth process, Contributes to the oral tissues, and further changes the anatomy of the oral cavity to create a beautiful facial image.

The orthodontic treatment includes orthodontic treatment for improving dentition such as malocclusion through progressive movement of the dentition, growth correction for promoting or inhibiting the growth of the facial skeleton in the growing period, and surgical operation for the facial skeleton, particularly the jaw And orthognathic surgery to give a skeletal improvement.

It is difficult to treat with the simple tooth movement because the abnormality of the lower teeth or the facial skeletal structure, especially the jaw structure, is too severe. Growth Modification in the adolescent jaw structure, In the above, Jaw Correction Surgery (Maxillofacial Surgery), which corrects the defect of the jaw itself, can be applied.

In addition, since the above orthognathic surgery, that is, the operation of correcting the jaws by bone cutting, has a problem of giving physical pain and cost burden to the patient, the orthodontic force is applied to the jaws, To improve the procedure is also applied.

As an example of a procedure for applying an orthodontic force to the jaw, there is Palatal Expansion Therapy. The maxillary enlargement refers to a procedure for widening the maxillary bone by spreading the maxillary bone to both sides, that is, left and right.

The orthodontic treatment can be roughly divided into a straight side correction and a lingual correction. The straight side correction is a technique in which a correcting mechanism used for orthodontic correction is attached to the surface of the lips (the outer surface of the teeth) The lingual correction is a calibration method in which the orthodontic appliance is attached to the surface of the tooth (Lingual) (the inner surface of the tooth) of the tooth to perform orthodontic correction.

Examples of the orthodontic appliance used in the orthodontic treatment include an orthodontic wire for realizing movement of a tooth and a wire supporter (generally called a bracket) for supporting the orthodontic wire, Generally on the proximal and / or lingual surface of the tooth. The bracket is provided with a plurality of teeth along an array direction of dentitions, and the orthodontic wire is coupled to the bracket.

The orthodontic treatment takes a long period of time depending on the condition of the patient. Examples of the orthodontic treatment include improvement of dental crowding phenomenon of the anterior portion and interposition of the anterior teeth, improvement of the stone entrance, removal of the extraction space, There are various procedures.

In order to perform the above-described orthodontic treatment, an orthodontic anchor or anchorage is installed in the oral cavity. The orthodontic anchor is a device for supporting the orthodontic force applied to the oral internal structure by the orthodontic anchor. When the orthodontic anchor is installed inside the oral cavity by the practitioner, it is difficult to accurately install the orthodontic anchor due to the narrow internal oral cavity.

Korean Patent Publication No. 10-1099509, a jig used for fixing the orthodontic support member, registered on December 21, 2011

The present invention provides a surge anchor guide having a structure that can be easily positioned and fixed in a predetermined position inside the oral cavity, and an anchoring procedure kit having the same, which is fixed inside the oral cavity and supports the orthodontic appliance The purpose is to do.

One aspect of the present invention provides a surgical anchor guide for inserting an orthodontic anchor into the oral cavity fixed to the inside of the oral cavity by a screw for calibrating. According to an aspect of the present invention, there is provided a surgeal anchor guide comprising: a guide base which is mountable at a predetermined position inside the oral cavity based on teeth inside the oral cavity, A tool guide detachably inserted into the guide engagement hole for guiding the soft tissue cutting tool to the soft tissue cutting position inside the mouth, the tool guide having a tool guide hole formed therein; The anchors are detachably connected to the anchors, and the anchors are inserted into the guide engaging holes with the anchors for calibration in place of the tool guides in order to fix the anchors at the soft tissue cut- A hollow detachable anchor holder detachable from the guide base after the anchor for fixation is fixed to the soft tissue cutting site by the screw and axially penetrated for fastening the screw, .

Wherein the anchor holder includes a holder body having a hollow hole formed through the anchor holder so that the anchor for correction is detachably inserted; The hollow hole detachably fixes the calibration anchor by detachably fastening the calibration anchor so as to support the calibration anchor.

The anchor holder comprising: And an anchor assembling reference unit formed on the holder body to guide the assembling direction of the anchoring anchor. Wherein the anchor assembly reference portion comprises: And an anchor alignment protrusion formed on the holder main body so as to be fitted into the groove formed in the calibration anchor.

The anchor holder includes: And a flange protruding outward from the holder body to form a step on the outer surface of the anchor holder.

The hollow hole may have elasticity so as to be expanded by insertion of the anchor for orthodontic treatment. The anchor holder may have a resilient resin material. More specifically, the anchor holder may have a silicone or rubber material. The tool guide hole is formed larger than the hollow hole.

Wherein the guide base comprises: A guide support portion having the guide engagement hole and an alignment reference portion having a reference surface having a popular shape of the tooth to be placed on the basis of the tool guide so that the tool guide is disposed at the soft tissue cutting position, .

The guide base is provided with a holder reference portion for preventing the rotation of the anchor holder and guiding the disposing direction of the anchor holder.

Wherein the holder reference portion includes a reference groove formed at an edge of the guide engagement hole; The anchor holder may be provided with a reference protrusion that is fitted to the reference groove.

Another aspect of the present invention is an orthodontic appliance comprising: an orthodontic anchor fixed inside a mouth by a screw; A guide base mountable at a predetermined position in the oral cavity based on teeth inside the oral cavity, the guide base having a guide engaging hole; A tool guide detachably inserted into the guide engagement hole for guiding the soft tissue cutting tool to the soft tissue cutting position inside the mouth, the tool guide having a tool guide hole formed therein; The anchors are detachably connected to the anchors, and the anchors are inserted into the guide engaging holes with the anchors for calibration in place of the tool guides in order to fix the anchors at the soft tissue cut- And a hollow detachable anchor holder detachable from the guide base after the orthodontic anchor is fixed to the soft tissue cutting site by the screw and penetrating in the axial direction for fastening the screw, The anchor procedure kit is provided.

INDUSTRIAL APPLICABILITY The surgeon anchor guide according to an embodiment of the present invention and the anchor surgery kit having the anchor guide have the following advantages.

First, the surgeon anchor guide according to an embodiment of the present invention and the anchorage treatment kit having the anchor can easily position and fix accurately an anchor, so that the intraoral placement of the orthodontic appliance can be performed stably, Pain and burden can be reduced.

Secondly, according to the present invention, the surgeon anchor guide and the anchor procedure kit having the anchor can be used to accurately position an anchor in the correct position inside the oral cavity. Therefore, Level proficiency is not required, and the time required for installing an anchor for calibration can be shortened.

Third, according to an embodiment of the present invention, a surgeon anchor guide and an anchorage kit having the same can quickly and accurately perform the ablation of the soft tissue and the alignment / fixation of the anchor for calibration.

BRIEF DESCRIPTION OF THE DRAWINGS The features and advantages of the present invention will become better understood with reference to the following description taken in conjunction with the following detailed description of embodiments of the invention,
1 is a perspective view illustrating a surge arrester guide according to an embodiment of the present invention;
FIG. 2 is a side view showing a state in which a tool guide and an anchor holder are coupled to a guide base of a surge anchor guide shown in FIG. 1;
3 is a perspective view showing a state before the tool guide is engaged with the guide base of the anchor guide shown in Fig.
4 is a perspective view and a bottom view and a cross-sectional view of the tool guide shown in Fig. 3;
FIG. 5 is a perspective view showing a state before the anchor holder is assembled to the guide base of the surgear anchor guide shown in FIG. 1; FIG.
FIG. 6 is a perspective view and a bottom view and a cross-sectional view of the anchor holder shown in FIG. 5;
7 is a side view of the anchor holder shown in Fig.
8 is a cross-sectional view illustrating a procedure in which the tool guide and the anchor holder are assembled to the guide base of the anchor guide shown in FIG. 1;
FIG. 9 is a perspective view showing an embodiment of a calibration anchor provided in the oral cavity by the guide kit shown in FIG. 1; FIG.
10 is a perspective view showing an embodiment of a calibrator supported by an anchor for calibration shown in Fig. 9; Fig.
11 is an exploded perspective view of the anchor for calibration shown in Fig. 9;
12A and 12B are a perspective view and a sectional view showing a leg mount of the anchor for calibration shown in Fig. 9;
13A and 13B are a perspective view and a sectional view showing the leg locker of the anchor for calibration shown in Fig. 9;
14 shows a state in which the calibration apparatus shown in Fig. 10 is disposed in the palate; Fig.
Fig. 15 is a perspective view showing a state where a screw is inserted into the anchor for calibration shown in Fig. 9; Fig.
16 is a cross-sectional view schematically illustrating a process of assembling the legs to the calibration anchor shown in FIG. 9;
17 is a perspective view illustrating a process of fixing the leg to the anchor for calibration shown in FIG. 9;
FIGS. 18A to 18G are views showing the procedure of the orthodontic anchor shown in FIG. 9 by the surgeal anchor guide shown in FIG. 1 and the orthodontic appliance shown in FIG. 10 being inserted into the oral cavity;
19 is a view showing a state in which the anchor for calibration shown in Fig. 9 is installed inside the oral cavity; And
Fig. 20 is a view showing a state in which the orthodontic appliance shown in Fig. 10 is fixed to the inside of the mouth (palate).

Best Mode for Carrying Out the Invention Hereinafter, preferred embodiments of the present invention in which the object of the present invention can be specifically realized will be described with reference to the accompanying drawings. In describing the present embodiment, the same designations and the same reference numerals are used for the same components, and additional description thereof will be omitted in the following.

An embodiment of the present invention is a anchor surgical kit including a surge anchor guide used to arrange / fix a calibration anchor fixed to the inside of a mouth by a screw at a procedure position of the calibration anchor, The surgeon anchor guide may be provided as a kit or assembly set type.

1 to 7, an embodiment of a surgeon anchor guide 1 (hereinafter abbreviated as an anchor guide) according to an embodiment of the present invention and an anchorage treatment kit having the anchor guide 1 will be described.

FIG. 1 is a perspective view of a surgeon anchor guide according to an embodiment of the present invention, FIG. 2 is a side view illustrating a state in which a tool guide and an anchor holder are coupled to a guide base of a surgear anchor guide shown in FIG. 1 FIG. 3 is a perspective view showing a state before the tool guide is coupled to the guide base of the anchor guide shown in FIG. 1, and FIG. 4 is a perspective view, a bottom view, and a sectional view of the tool guide shown in FIG.

FIG. 6 is a perspective view and a bottom view and a cross-sectional view of the anchor holder shown in FIG. 5, and FIG. 7 is a cross-sectional view of the anchor holder shown in FIG. FIG. 7 is a side view showing a state where a calibration anchor is coupled to a holder; FIG.

The anchor guide 1 according to an embodiment of the present invention is a kit for performing an anchor (hereinafter, referred to as 'anchor') inside the oral cavity, which is fixed to the inside of the oral cavity by a screw for calibrating.

One embodiment of the anchor procedure kit according to the present invention is a set including an anchor 100 fixed to the inside of the oral cavity by a screw and an anchor guide 1 for guiding the anchor 100 to a procedure position .

Referring to FIGS. 1 and 2, an anchor guide 1 according to an embodiment of the present invention includes a guide base 10, a tool guide 20, and an anchor holder 30.

The guide base 10 has a structure for supporting the tool guide 20 and the anchorage holder 30 at predetermined positions inside the oral cavity and the tool guide 20 and the anchor holder 30 Are sequentially replaced with the guide base 10 to be mounted.

The tool guide 20 has a detachable structure that can guide the soft tissue cutting tool to the soft tissue cutting position inside the mouth and can be detached from the guide base 10.

Next, the anchor holder 30 is detachably coupled to the anchor 100 to fix the anchor 100 to the soft tissue cutting site formed at the soft tissue cutting position by the tool An anchor supporter is a detachable structure that can be attached to and detached from the guide base 10.

The guide base 10 supports the tool guide 20 and is disposed at a predetermined position inside the oral cavity with reference to teeth inside the oral cavity. When the tool guide 20 is disposed inside the oral cavity The tool guide 20 and the anchor holder 30 are disposed at a predetermined position in the oral cavity, that is, a soft tissue transfer position, by the guide base 10 as a placement reference of the tool guide 20. [

The guide base 10 is formed with a guide engaging hole 11a through which the tool guide 20 and the anchor holder 30 are sequentially engaged with the guide engaging hole 11a. 2 (a), the tool guide 20 is first assembled into the guide coupling hole of the guide base 10. After the soft tissue transfer is performed through the tool guide 20, the anchor holder 30 is inserted into the guide base 10 by replacing the tool guide 20 as shown in FIG. 2 (b) do.

More specifically, the guide base 10 includes a guide support portion 11 and an alignment reference portion 12.

The guide support portion 11 is formed with the guide engagement hole 11a and the tool guide 20 is inserted into the guide engagement hole 11a to guide the soft tissue cutting tool. The alignment reference portion 12 is formed on the guide base 10 itself so that the tool guide 20 is disposed at the soft tissue cutting position and furthermore the mouth portion of the tool guide 20 and the anchor holder 30 Meets my placement criteria.

To this end, the alignment reference portion 12 has a reference surface 12a of a shape in which the tooth is impressed to be engaged with the tooth. For example, the guide base 10 may have the reference surface 12a having a shape of the tooth, so that the guide base 10 is temporarily mounted inside the oral cavity based on the molar of the patient.

The guide base 10 has a structure in which an operator inserts a tray containing an impression material into a shape of an inside of an oral cavity and fills the frame with gypsum or another resin so that the impression of the three- A model may be manufactured, and the resin may be coated on the impression model at an appropriate thickness, or a thermoplastic sheet may be cured to cure the resin.

The guide base 10 can be designed using anatomical three-dimensional oral structure data (image data) of a patient who is acquired using a three-dimensional imaging device such as a computed tomography (CT) (RP) < / RTI > or the like.

The guide base 10 having the reference surface 12a can be formed through the above-described method, and the guide engaging hole 11a is formed at a position where the anchor 100 is to be fixed. In this embodiment, the reference surface 12a is formed on both sides of the guide base 10, and is meshed with the left and right molars.

2 to 4, the tool guide 20 is mounted on the guide base 10 to guide the soft tissue cutting tool to the soft tissue cutting position inside the oral cavity. To this end, the tool guide 20 is provided with a tool guide hole 21 for guiding the tool.

In the present embodiment, the tool guide 20 is a hollow detachable structure in which the tool guide hole 21 is axially penetrated, and is made of a material having a shape stability such as a hard metal such as stainless steel or hard plastic And guides a soft tissue punch, which forms a soft tissue resection site by punching soft tissue.

5 to 7, the anchor holder 30 is inserted into the guide coupling hole 11a of the guide base 10 together with the anchor 100, and the anchor 100, Is detachable from the guide base (10) after being fixed to the soft tissue cutting site by the screw (300), and is hollowed in the axial direction for fastening the screw (300).
In other words, the anchor holder 30 is inserted into the guide engaging hole 11a in place of the tool guide 20. The anchor holder 30 is detachably attached to the guide base 11a of the guide base to hold the anchor 100 in position. The anchor holder 30 is detachable from the anchor 100 and the guide base 10 after the anchor 100 is fixed in the mouth by the screw 300. More specifically, when the anchor holder 30 is detached from the guide base 10, it is separated from the anchor 100 at the same time. Therefore, when the anchor holder 30 is separated from the guide base 10, particularly, the guide hole 11a in a state where the anchor 100 is fixed to the soft tissue cut-away region, the anchor holder 30 and the anchor 100 are simultaneously removed. As a result, the anchor 100 remains in the oral cavity with the anchor 100 fixed (fixed) to the soft tissue cut-off site.

The anchor holder 30 includes a holder body 31 into which the anchor 100 is detachably inserted. The holder body 31 supports the anchor 100, A hollow hole 32 is formed. The hollow hole 32 penetrates the center of the anchor holder 30, particularly the holder body 31 in the axial direction, and the anchor 100 is detachably inserted into the hollow hole 32.

More specifically, the anchor 100 is fitted in the hollow hole 32, and the hollow hole 32 removably supports the anchor 100 by fastening the anchor 100. In the present embodiment, the anchor 100 is detachably coupled to the hollow hole 32 in a fitting manner, for example, in an interference fit manner. The holder main body 31 prevents the anchor 100 from contacting the guide engaging hole 11a.

The anchor 100 is inserted into the hollow hole 32 from one side of the holder main body 31 and the screw 300 is inserted from the other side of the holder main body 31 through the hollow hole 32, (Not shown).

The screw 300 is inserted into the internal hard tissue through the hollow hole 32 of the anchor holder 30 so that the anchor 100 can be inserted into the internal cavity of the mouth by the screw 300, And is fixed at a predetermined position.

The holder main body 31 may be provided with an anchor assembly reference portion 33 for guiding the anchoring direction of the anchor 100. The anchor assembly reference portion 33 includes an anchor alignment protrusion formed on the holder main body 31 so as to be fitted into a groove 100a formed in the anchor 100. [

The anchor 100 is formed on the inner peripheral surface of the hollow hole 32 and is coupled to the groove 100a of the anchor 100. The anchor 100 has an anchor assembly reference portion 33, To the anchor holder (30). Relative rotation between the anchor holder 30 and the anchor 100 can be prevented by the anchor assembly reference part 33 and the directionality of the anchor 100 is determined.

The anchor holder 30 is formed to protrude outward from the holder body 31 and more specifically from one end of the holder body 31 to form a step on the outer surface of the anchor holder 30 And may further include a flange 34. The flange 34 covers the rim of the guide engaging hole 11a and can be used when the anchor holder 30 is detached.

In the present embodiment, the hollow hole 32 has an elastic force so as to be expanded by the insertion of the anchor 100. Therefore, the anchor 100 is elastically fixed to the holder main body 31 by the tightening force of the hollow hole 32, and the anchor 100 is detached from the hollow hole 32 The hollow hole 32 is restored by the restoring force.

More specifically, the anchor holder 30 may be made of a resilient material so as to be elastically pressed into the guide engaging hole 11a. For example, the anchor holder 30 may have a resin material such as silicone or rubber material more specifically than a material having surface elasticity.

In this embodiment, the hollow hole 32 is formed to be smaller than the tool guide hole 21. More specifically, the tool guide hole 21 is formed larger than the anchor 100. This considers the characteristics of the soft tissue transfer site (soft tissue removed area) to contract after ablation.

The guide base 10 may be provided with a holder reference portion 13 for preventing the rotation of the anchor holder 30 and guiding the disposing direction of the anchor holder 30. In this embodiment, the holder reference portion 13 includes grooves (reference grooves) formed at the edges of the guide engaging holes 11a.

The anchor holder 30, more specifically, the outer circumferential surface of the holder main body 31 may be provided with a reference protrusion 35 fitted to the reference groove. Conversely, grooves (reference grooves) may be formed in the anchor holder 30, and protrusions (reference protrusions) may be formed in the guide base 10.

In this embodiment, the holder reference portion 13 has three reference grooves arranged in units of 90 degrees, but is not limited thereto. A single reference groove is formed in the guide base 10, and the anchor holder 30 A single reference projection may be formed.

As shown in FIG. 4, the tool guide 20 may also have at least one protrusion 22 that is fitted to the holder reference portion 13. The tool guide 20 may also have a flange 23 protruding from the outer circumferential surface of the tool guide 20 to form a step 23a. A plurality of steps 23a and 23b may be formed in the tool guide 20 so as to form a gap between the flange 23 of the tool guide and the surface of the guide base 10. [

8, the tool guide 20 is pre-mounted on the guide base 10 (see Fig. 8 (a)) for soft tissue cutting, and after the soft tissue removal is performed, the tool guide 20 Is separated from the guide engaging hole 11a and the anchor holder 30 is engaged with the engaging hole 30a (refer to (b) and (c) in FIG. 8). The anchor 100 is fitted in the hollow hole 32 of the anchor holder 30 and mounted on the guide base 10 together with the anchor holder 30.

Hereinafter, an embodiment of the anchor 100 and the calibrating device 200, which will be described with reference to the guide kit 1, will be described in more detail.

An example of the orthodontic appliance described in the present invention is a palatal expansion device, that is, a device used for a width correction procedure of the maxilla, particularly a maxillary enlargement, and is fixed to the palate by the anchor 100 described above.

Referring to FIGS. 9 to 11, the anchor 100 is fixed to the bone and supports the orthodontic appliance. In this embodiment, the maxillary bone, particularly the palate It is fixed to the bone.

One embodiment of the anchor 100 is a device that can be fixed to the jaw by the screw 300. The anchor includes a configuration such as an orthodontic force transmitting member for transmitting the orthodontic force to the jaw, Lt; / RTI > The leg may be referred to as an arm or a rod, and the anchor 100 of the present embodiment may be a bone fixation bracket for a maxillary enlargement procedure.

The orthodontic appliance 200 (hereinafter referred to as 'palatal expander') is a device that can be extended to the left and right, and is fixed to the inside of the oral cavity, in particular, the palate described above by a plurality of anchors 100, .

The palatal expander 100 includes a base body 210 extending in the left and right direction and legs 220 provided on the base body.

More specifically, the base body 210 includes a left base 211 and a right base 212. The base body 210 includes a left base 211 and a right base 212, The width of the base body 210 is changed.

In this embodiment, the right base 212 is provided on the right side of the left base 211 so as to be movable in the right direction. Of course, the right base 212 may be referred to as a structure in which the left base 211 is movably connected to the left side of the right base 120 in the left direction.

The distance between the left base 211 and the right base 212 can be adjusted so that the gap between the left base 211 and the right base 212 can be widened to the left and right. The extension or spacing adjustment between the left base 211 and the right base 212 is realized by the width adjuster 213 and the base body is provided with an extension guide (not shown) for stable movement of the left base 211 and the right base 211. [ 214 are provided.

The base body 210, the width adjuster 213, and the extension guide 214 may have the same or similar structure as that of the conventional palatal expander, so that further description of the basic structure of the palatal expander is omitted.

At least one screw hole (not shown) is formed in each of the left base 211 and the right base 212, and a fixing member, i.e., a mini screw, passes through the screw hole of the left base and the screw hole of the right base, The miniscrew can be firmly fixed to the palatal middle part when it is placed close to the left and right portions of the palatal suture line (E: Midpalatal Suture, see Fig. 14).

The legs 220 are configured to transmit the maxillary bone expanding force generated from the base body 100 to the anchor 100. The base body 100 includes a plurality of legs 220.

More specifically, the legs 220 are provided on the left side (left base 211) and the right side (right base 212) of the base unit 100, respectively. A pair of legs 220 are connected to the left base 211 and the right base 212 and the legs 220 are connected and fixed to the anchor 100 one by one.

The legs 220 are respectively bent to be inserted into the grooves 100a of the anchors. After the anchors 100 are all fixed (fixed) to the palate, the legs 220 are mounted on the anchors 100, .

The anchor 100 is fixed to the hard tissue inside the oral cavity or more specifically to the maxillary bone by the screw 300 and has a leg mounting groove 111b formed with a leg mounting hole 111b for mounting the leg 220, ; 110).

The anchor 100 may further include a leg locker 120 for restraining the legs. The leg locker 120 is provided on the leg mount 110 so that the leg 220 is not separated from the leg mount 110 through the leg mounting groove 111b, Thereby preventing the leg 220 from being disengaged by closing the fitting groove 111b. Of course, the leg assembly groove may be shielded by a separate shielding material such as resin or the like.

In this embodiment, the leg locker 120 can selectively open and close the leg mounting groove 111b so that the leg lock 220 can be selectively locked. In other words, the leg locker may open the leg mounting hole 111b so that the leg mounting hole 111b can be attached to or detached from the leg mounting hole 111b, You may.

Therefore, according to the anchor of the present embodiment, after the anchor 100 is fixed to the palate, the leg 220 can be easily mounted on the anchor 100, and if necessary, Can be removed.

Referring to FIGS. 11 and 12A and 12B, a screw hole 111a is formed in the leg mount 110 to receive the screw 300 together with the leg mounting groove 111b. The screw hole 111a passes through the leg mount 110 in a vertical direction.

In this embodiment, the screw hole 111a passes through the central portion of the leg mount 110 in the axial direction. The leg assembly groove 111b may be connected to the screw hole 111a through the peripheral wall of the screw hole 111a.

The leg mount 110 has a leg opening for entering the leg 220. The leg mounting hole 111b connects the one side of the leg mount and the screw hole 111a And the leg 220 can be inserted into the screw hole 111a from one side of the leg mount 110 into the leg assembly groove 111b.

In the present embodiment, the leg mounting hole 111b is a channel-shaped groove recessed downward from the upper surface of the leg mount 110 so as to penetrate the peripheral wall of the screw hole 111a.

A head engaging step 111d is formed in the screw hole 111a to support the head 320 of the screw and the head engaging step 111d is formed at a distance of a certain depth from the upper end of the screw hole 111a . The screw 300 includes a screw head 320 and a screw body 310. A tool groove 321 is formed on an upper surface of the screw head 320 to insert a tip of the screw .

According to the present embodiment, the screw hole 111a may be a leg-mounting hole in which the leg 220 is positioned at the same time that the screw 300 enters the screw hole. Of course, the installation of the palatal expander may be completed by placing the leg 220 in the leg assembly groove 111b.

The leg mount 110 includes a leg supporting mount body 111 having the leg mounting recess 111b formed therein and a plurality of spikes 112 provided on the mount body 111 .

The mount body 111 is fixed to the maxillary bone by the screw 300. For this purpose, the mount body 111 is formed with the above-described screw hole 111a in the vertical direction. The spikes 112 are integral with the mount body 111 and protrude downward from the mount body 111.

More specifically, the spikes 112 protrude downward from the bottom surface of the mount body 111 and are positioned at a center of the screw hole 111a, that is, at a position eccentric from the axis of the leg mount 110 And are spaced apart from each other.

In order to stably install the leg mount 110 and to prevent the rotation of the leg mount 110 due to the rotational moment applied to the anchor 100, the spike 112 is mounted on the mount body at three or more equal height .

In the present embodiment, the leg mount 110, particularly, the mount body 111 is cylindrical in which the screw hole 111a penetrates in the vertical direction, and a part of the circumference of the mount body 111 is completely opened radially Thereby forming the above-described leg assembly groove 111b.

11 and FIGS. 13A and 13B, the leg locker 120 is detachably attached to the legs 220 so that the legs 220 can be attached and detached while the leg mount 110 is fixed to the maxillary bone. Thereby opening and closing the leg mounting groove 111b of the mount.

The leg locker 120 is rotatably mounted on the mount body 111 more specifically than the leg mount 110 to open and close the leg mounting groove 111b. In the present embodiment, the leg locker 120 is detachably coupled to the leg mount 110.

More specifically, the leg mount 110 is fitted to the inside of the leg locker 120. On the outer circumferential surface of the leg mount 110, a male screw 111c for engaging with the leg locker 120 is formed And a female screw 124 for engagement with the leg mount 110 is formed on an inner circumferential surface of the leg locker 120. [

In the present embodiment, the leg locker 120 has a structure of, for example, a ring shape penetrating in the up and down direction. The outer circumferential surface of the leg locker 120 has a polygonal shape, for example, a hexagonal shape. The leg locker 120 can be rotated. In addition, the outer circumferential surface of the leg locker 120 may have an inclined surface such that the cross sectional area decreases toward the lower side. In the present embodiment, the leg locker 120 is extended toward the upper end so that the transverse sectional area of the leg locker 120 decreases toward the lower end.

The anchor 100 penetrates the palatal soft tissue and can be more specifically fixed to the surface of the maxilla, that is, the surface of the palatal bone, rather than the bone inside the oral cavity. For example, a hole (soft tissue cutting region) is formed in the palatal soft tissue using a tool such as a punch to fix the anchor 100, and the anchor 100 is disposed in the hole. The guide kit is a mechanism used to form holes in the soft tissue and to dispose the anchors.

The leg locker 120 is selectively connected to the leg mounting groove 111b so that the leg 220 enters the leg mounting hole 111b of the leg mount 120 from the outside of the leg locker 120. [ And has a leg entrance hole 123 formed therein. The leg hole 123 is disposed at a position where the leg hole 123 communicates with the leg assembly groove 111b to form a groove 100a of the anchor coupled with the anchor assembly reference portion 33.

The leg locker 120 includes a locking body 121 coupled to the mount body 111, a mount coupling hole 122 vertically penetrating the locking body 121, The leg entrance hole 123 formed on the peripheral wall of the coupling hole 122 or the outer peripheral wall of the locking body 121 and the female screw 124 formed on the inner peripheral surface of the mount coupling hole 122 do.

The locking body 121 has a shape in which the outer circumferential surface is inclined so that the circumferential length is reduced toward the lower end, that is, the shape of the locking body 121 is reduced toward the lower end of the locking body 121, It is not.

As described above, the leg locker 120 according to the present embodiment may block the outside of the leg mounting groove 111b, or may block the inside of the leg mounting groove 111b. I.e., a structure in which the leg locker 120 is inserted into the screw hole 111a (for example, a leg locker having a cylindrical shape that is penetrated in the up-and-down direction and has a partially circumferential cut-out portion).

As described above, the anchor 100 according to the present embodiment is a bone fixation bracket that can be fixed to the jaw by a screw 300, and each component of the anchor 100 is made of metal such as stainless steel And the respective components of the palatal expander 200 may be made of a metal material such as stainless steel. However, the materials of the anchor and the palatal expander are not limited thereto, It is not limited as long as it is applicable and has the strength to maintain the function.

14 shows a state in which the palatal expander according to the embodiment of the present invention is disposed in the palate. After the anchor shown in Fig. 15 is fixed or fixed to the palate by the screw 300, Legs 220 are mounted to the anchors.

More specifically, the anchor 100 is fixed to both slopes of the palate when the screw 300 passes through the screw hole 111a of the leg mount and the screw 300 is placed on the bones of the palate B, particularly on the side of the palate .

After the plurality of anchors 100 are dispersed and fixed on both sides of the palate with reference to the palatal midline (E: median cleft suture line), the palatal expander 200 is mounted on the anchors 100.

In other words, as shown in FIG. 15, in a state where the leg entrance hole 123 of the leg locker is aligned with the leg mounting groove 111b of the leg mount so that the leg entrance passage is open, as shown in FIG. 16 The legs 220 enter into / out from the outside of the anchor through the leg entry hole 123 and the leg assembly groove 111b of each anchor.

17, when the leg locker 120 is rotated to close the leg assembly groove 111b, the legs 220 of the palatal expander are constrained to the respective anchors 100. As shown in FIG.

That is, when the legs 220 enter the anchor 100 at a position eccentric from the axis of the anchor 100 and the leg locker 120 is closed, the legs 220 can not escape again, 100, particularly the interior of the leg locker 120.

19 is a view showing a state in which the anchors 100 are dispersed and fixed at predetermined positions on both sides of the palate by the guide kit 1. Fig. 20 shows a state in which the palatal expander 200 is mounted / fixed on the anchor 100 Wherein the palatal expander 200 is fixed to the palate via anchors 100 fixed to the palatal surface, particularly the palatal bone B, and when the palatal expander 200 is widened to the left and right, Extension is added.

As described above, the palatal expander according to one embodiment of the present invention is an apparatus that is fixed to the palate (palate) by a plurality of anchors, and is provided with an optimal screw according to bone quality and bone thickness. And the anchor 100 has excellent resistance to the magnitude and direction of the force applied to the screw 300, so that a stable expansion of the maxilla can be realized.

The anchor and palatal expander according to the present embodiment can be practiced in the oral cavity through the following procedure.

As a first step, when a patient visits a hospital, the practitioner can acquire the oral structure of the patient by using an X-ray imaging device such as an X-ray imaging device such as CBCT (Cone Beam CT) or an Alginate Impression, The anatomical three-dimensional image data can be obtained.

In the next step, the practitioner analyzes the bone quality and bone thickness to select the optimal position of the dilator, and adjusts the optimal position of the dilator by adjusting the optimum position of the anchor in accordance with the optimal jig or stent, The anchor guide 1 can be designed and manufactured.

The anchor can be fixed to a predetermined position by using the guide kit 1 described above, and the palate expander can be installed inside the oral cavity.

18A to 18G, after the practitioner temporarily mounts the guide base 10 inside the oral cavity with reference to the alignment reference portion of the guide base (FIG. 18A), the soft tissue cutting tool The punch P is inserted into the tool guide 20 to perform the ablation of the soft tissue S. [ The soft tissue at the portion where the anchor 100 is to be installed is locally removed by the punch P to form the soft tissue cutting region S1.

The tool guide 20 is removed from the guide base 10 and the anchor holder 30 with the anchor 100 coupled thereto is removed, as shown in FIG. 18C, after soft tissue cutting is performed using the tool guide 20. [ Is fitted in the guide-engaging hole 11a of the guide base, the anchor 100 is disposed (fixed position).

The engagement between the anchor holder 30 and the tool guide 20 is guided by the holder reference portion 23 or the reference groove of the guide base 10 and the reference projection 35 of the anchor holder, 100 and the anchor holder 30 are guided by the anchor assembly reference portion 33. Accordingly, the anchor 100 can be disposed at a predetermined position inside the oral cavity in a predetermined direction.

The screw 300 is inserted through the hollow hole 32 of the anchor holder 30 as shown in FIG. 18D after the disposition of the anchor 100 is completed, and the screw 300 is inserted into the inside of the mouth When the bone B is fastened (screwed), the anchor 100 is firmly fixed to the inside of the oral cavity.

As shown in FIGS. 18E and 18F, when the anchor holder 30 and the guide base 10 are sequentially removed from the inside of the mouth, the fixing operation of the anchor 100 is completed do.

When the leg 220 of the palatal expander 200 is fixed to the anchor 100 as shown in FIG. 18G after the anchor 100 is fixed in the oral cavity, as shown in FIG. 20, That is, the operation of the palatal expander 200 is completed. The soft tissue cutting region S1 is smaller than the initial punching region due to the characteristics of the oral soft tissue.

As described above, according to the present invention, the present invention can be embodied in other specific forms without departing from the spirit and scope of the present invention. It is obvious to them.

Therefore, the above-described embodiments are to be considered as illustrative rather than restrictive, and the present invention is not limited to the above description, but may be modified within the scope of the appended claims and equivalents thereof.

1: guide kit 10: guide base
11: guide supporting portion 11a: guide engaging hole
12: alignment reference portion 12a: reference plane
20: tool guide 21: tool guide hole
30: anchor holder 31: holder body
32: hollow hole 33: anchor assembly reference part
34: flange 35: reference projection
100: Bracket 110: Leg mount
111: Mount body 111a: Screw hole
111b: leg assembly groove 112: spike
120: leg locker 121: locking body
122: Mounting hole 123: Leg entry hole
200: base unit 210: base body
220: Leg 300: Screw

Claims

A surgical anchor guide for performing an orthodontic anchorage within the oral cavity by means of a screw for performing an orthodontic procedure, said oral anchor guide comprising:
A guide base mountable at a predetermined position in the oral cavity based on teeth inside the oral cavity, the guide base having a guide engaging hole;
A tool guide detachably inserted into the guide engagement hole for guiding the soft tissue cutting tool to the soft tissue cutting position inside the mouth, the tool guide having a tool guide hole formed therein; And
The anchor according to any one of claims 1 to 3, wherein the anchor is detachably attached to the anchor, and the anchor is fixed to the soft tissue cutting position formed at the soft tissue cutting position, A hollow detachable anchor holder removable from the guide base after the orthodontic anchor is fixed to the soft tissue cutting site by the screw and axially penetrated for fastening the screw, It consists of:
The anchor holder comprising: The anchor guide being detachably attached to the guide base of the guide base to hold the position of the anchor for calibration and to be detachable from the anchor for calibration and the guide base after fixing the anchor by the screw.

The method according to claim 1,
Wherein the anchor holder includes a holder body having a hollow hole formed through the anchor holder so that the orthodontic anchor is detachably inserted.

3. The method of claim 2,
And the hollow hole is configured to detachably clamp the orthodontic anchor to support the orthodontic anchor.

The method of claim 3,
The anchor holder comprising: And an anchor assembly reference part formed on the holder body so as to guide the assembling direction of the anchor for calibration.

5. The method of claim 4,
Wherein the anchor assembly reference portion comprises: And an anchor alignment protrusion formed on the holder body so as to fit into the groove formed in the calibration anchor.

The method of claim 3,
The anchor holder comprising: And a flange protruding outwardly from the holder body to form a step on the outer surface of the anchor holder.

3. The method of claim 2,
Said hollow hole having a resilient force to be extended by insertion of said anchor for calibration.

8. The method of claim 7,
The anchor holder includes a resilient resin material.

9. The method of claim 8,
The anchor holder may be a silicone or rubber material.

3. The method of claim 2,
Wherein the tool guide hole is formed larger than the hollow hole.

The method according to claim 1,
Wherein the guide base comprises:
A guide support portion having the guide engagement hole,
And an alignment reference portion that forms a reference for placement of the tool guide so that the tool guide is disposed at the soft tissue cut-away position, the alignment reference portion having a reference surface of a popular shape of the tooth to be engaged with the tooth.

The method according to claim 1,
Wherein the guide base is provided with a holder reference portion for preventing the rotation of the anchor holder and guiding the arrangement direction of the anchor holder.

13. The method of claim 12,
Wherein the holder reference portion includes a reference groove formed at an edge of the guide engagement hole; The anchor holder includes a reference projection fitted to the reference groove.

An orthodontic anchor fixed to the inside of the mouth by a screw;
A guide base mountable at a predetermined position in the oral cavity based on teeth inside the oral cavity, the guide base having a guide engaging hole;
A tool guide detachably inserted into the guide engagement hole for guiding the soft tissue cutting tool to the soft tissue cutting position inside the mouth, the tool guide having a tool guide hole formed therein; And
The anchor according to any one of claims 1 to 3, wherein the anchor is detachably attached to the anchor, and the anchor is fixed to the soft tissue cutting position formed at the soft tissue cutting position, And a hollow detachable anchor holder which is detachable from the guide base after the orthodontic anchor is fixed to the soft tissue cutting site by the screw and is axially penetrated for fastening the screw As an anchorage procedure kit:
The anchor holder comprising: And an anchor operation kit detachably attached to the guide base of the guide base to hold the position of the anchor for calibration and to be detachable from the anchor for calibration and the guide base after fixing the anchor by the screw.