201004608 六、發明說明： 【發明所屬之技術領威】 本發明係關於-種用於植牙手術之鐵具’更具體而言’係關於 一種用於植牙手術之錢具’其可容易且穩定地對—齒槽骨穿孔並 且可容易地移除當對該齒槽骨穿孔時所產生之齒槽骨碎塊。 【先前技術】 一植入體（implant)係為一種替代物，係用於支援修復並充當 一缺漏之生物體結構之作用。具體而言，植牙係為一種人工牙齒 移植，其中將由不受人體排斥之欽或類似材料製成之一人造牙根 植入於一缺牙之齒槽骨中，以取代一缺漏之牙根’並隨後安放一 人造牙齒以恢復牙齒功能。 儘管一般之人工替代物（prosthesis)或假牙（denture)隨著時 間之進行會損傷鄰近之牙齒及骨骼，然植牙不會損傷鄰近之牙齒 组織’並具有與原有牙齒相同之功能或形狀而不會造成任何蛀 触’因而其可半永久性地使用。 Ο 此外，植牙可提供局部以及全部牙缺失（anodontia)患者之人 造牙齒功能以及促進缺漏單一牙齒之恢復，並改善假牙的復原之 美觀問題。此外’植牙會分散施加至鄰近支撐骨骼組織之過大應 力並有助於一列牙齒之穩定。 同時’植牙於一上領臼齒區域（maxillary molar area )中較在例 如下頜白齒區域（mandibuiar molar area )等其它區域中具有一較 低之成功率’乃因上頜臼齒區域具有相對較弱之骨質組織並且在 上領白齒區域内具有一鼻竇。因此，不容易於上頜臼齒區域中達 成植牙。 201004608 換言之，位於上頜臼齒區域之一上部（即一上臼齒與一鼻骨之 間）之鼻竇係為被一黏膜（mucous membrane )環繞之一空間，使 得當在上頜臼齒區域中於生理上喪失牙齒時該空間可向下移動並 膨脹。當上頜臼齒區域之牙齒喪失時，會因骨之再吸收及鼻竇之 氣腔形成（pneumatization)而使骨量不足以放置植入體。因此， 難以放置植入體於上頜臼齒區域中。 如此一來，一種習知如下方法用以頂起鼻竇以固定一空間，移 植一骨移植材料至該固定空間上，並放置植入體於該骨移植材料 中。該方法包括一種垂直接近方法、一種側向接近方法等。 首先，當殘留骨係足以放置植入體時，採用垂直接近方法，其 中藉由一形似鑿子之骨鑿及一錘子擊打一上頜骨數次，以使其具 有一預定尺寸之孔同時避免鼻竇之襯膜（lining membrane )受損， 並且透過該孔一點一點地植入骨移植材料。 然而，垂直接近方法所具有之一問題在於，因鼻竇膜無法直接 顯現出，使其使手術時間太長，因而需要進行非常仔細之操作並 同時透過X光觀察。 另一方面，當殘留骨不足以放置植入體時，採用側向接近方法， 其中藉由形成一孔於鼻竇之一側面而頂起鼻竇膜，然後透過該孔 移植骨移植材料。與垂直接近方法相比，上述方法可迅速完成手 術，但有可能導致手術部位腫脹。而且，側向接近方法本身難以 操作。 為解決該等問題，近來已研究出一種採用一典型之鑽具進行植 牙手術之鼻竇頂起方法並付諸應用。 儘管此種採用一典型之鑽具進行植牙手術之鼻竇頂起方法之優 201004608 點在於可容易地對上頜骨穿孔並且所用時間較短，然而上頜骨可 能無法精密地切削而呈現不規則，並且鼻竇之襯膜可能因植牙鑽 具之一前端接觸到並撕裂鼻竇之襯膜等等而受到損傷。 綜上所述，對於植牙手術（包括頂起鼻竇）而言，需要開發一 種用於植牙手術之鑽具，該鑽具應可容易並穩定地對齒槽骨穿 孔，更具體而言，當切削鄰近鼻竇膜之齒槽骨時不會損傷鼻竇膜。 【發明内容】 本申請案主張基於2008年6月13日於韓國智慧財產局提出申 請之韓國專利申請案第10-2008-0055711號之權利，該韓國專利申 請案之揭露内容以引用方式全文倂入本文中。 本發明提供一種用於植牙手術之鑽具，其可容易地對一齒槽骨 (alveolar bone )穿孔並於對該齒槽骨穿孔時輕易地移除該齒槽骨 之碎塊，藉此縮短對該齒槽骨穿孔所需之時間。 此外，本發明提供一種用於植牙手術之鑽具，其可對一齒槽骨 穿孔直至局部暴露出一鼻竇膜（sinus membrane )，並防止鼻竇膜 ⑩ 受到損傷。 根據本發明之一態樣，提供一種用於植牙手術之鑽具，包含： 一穿孔本體，其形似一中空圓柱體並於一上端部包含複數個切削 刀；以及一内螺紋部，設置於該穿孔本體之一内壁上，並抓捕住 當對一齒槽骨穿孔時自該齒槽骨分離出之齒槽骨碎塊。 該内螺紋部可係為一棘齒類型，以僅當沿一個方向旋轉時抓捕 住該等齒槽骨碎塊。 該穿孔本體可更包含貫穿其一侧壁之一排出孔，一用於推出因 穿孔而被抓捕住於該内螺紋部中之該等齒槽骨碎塊之器具被插入 5 201004608 該排出孔中或自該排出孔抽出。 該穿孔本體可更於其該側壁上包含一切削段，該切削段係自該 穿孔本體之該上端部至該排出孔並容許該穿孔本體之該上端部向 外膨脹和向内收縮。 該穿孔本體可更於其一下端部包含一耦合本體，該耦合本體設 置有一耦合凹槽，一用於手動旋轉該鑽具之器具可分離地耦合至 該耦合凹槽。 該用於植牙手術之鑽具可更包含一穿孔桿，該穿孔桿自該耦合 本體之下端部延伸出並且包含一連接凹槽於其一端部，一用於提 供一旋轉力之把手（handpiece)可連接至該連接凹槽，其中該穿 孔桿在内部形成有一貫穿孔，該貫穿孔沿一軸向方向連通以於對 該齒槽骨穿孔時提供一鹽溶液予一操作部。 根據本發明之另一態樣，提供一種用於植牙手術之鑽具，包含： 一切削本體，於其一周緣之至少一個區域上形成有一第一切削 部，以對一齒槽骨之一内壁之至少一部分施加基於旋轉之切削； 以及一膜接觸本體，耦合至該切削本體之一上端部並在表面上淺 薄地塗覆有一金剛石材料。 該膜接觸本體可具有一實質半球形之上端部，並且該膜接觸本 體可於其一侧部上包含第二切削部，以與該切削本體之該第一切 削部一起實施切削。 該第一切削部及該第二切削部可係為分別具有一切刃之反向切 削刀，用以在該鑽具向後移動時達成切削。 該膜接觸本體之一下端部可具有較其上端部為大之一直徑，並 且該下端部之一周緣係為圓形的，以防止當連接鼻竇膜時該鼻竇 201004608 膜被損傷。 該用於植牙手術之鑽具可更包含一切削桿，該切削桿自該切削 本體之下端部延伸出並包含一連接凹槽於其一端部，一用於提供 一旋轉力之把手可連接至該連接凹槽，其中該切削桿在内部形成 有一貫穿孔，該貫穿孔沿一軸向方向連通以於藉由旋轉該切削本 體及該膜接觸本體而對該齒槽骨切削時提供一鹽溶液予一操作 部。 ^ 【實施方式】 為充分地理解本發明及其優點，請參照用於舉例說明本發明之 實施例之圖式。 在下文中，將藉由參照圖式以解釋本發明之實施例來闡述本發 明。圖式中相同之參考編號表示相同之元件。 以下，將闡述根據本發明之用於植牙手術之鑽具，其中假定應 用該等用於植牙手術之鑽具進行鼻竇頂起手術。 鼻竇頂起手術係為一種如下手術：對一齒槽骨穿孔，然後沿一 Φ 遠離齒槽骨之方向頂起齒槽骨内之一鼻竇膜以固定用於放置一植 入體固定裝置之一空間。因此，需要複數個用於對齒槽骨穿孔並 頂起鼻竇膜之元件。 以下，將闡述用於頂起鼻竇之複數個元件，包括：一導向鑽具 100 (參見第1及2圖），其不僅確定將要放置一植入體（圖未示 出）之一齒槽骨5之位置，且亦首先對齒槽骨5穿孔；一根據一 實例性實施例之用於植牙手術之鑽具200(參見第3及4圖，以下 被稱為「穿孔鑽具」），其插入由導向鑽具100所穿鑿一預定深度 的齒槽骨5之一孔中，並進一步對齒槽骨5穿孔至齒槽骨5内鄰 201004608 近—鼻竇膜3之一部位，穿孔鑽具200中具有一内螺紋部213，用 於抓捕住因穿孔而產生之齒槽骨碎塊5a(參見第4圖）；一根據另 一實例性實施例之用於植牙手術之鑽具300 (參見第3及4圖，以 下被稱為「切削鑽具」）’其插入由穿孔鑽具2〇〇所穿馨的齒槽骨5 之一孔中並切削齒槽骨5之一内部，直至其一頂側接觸鼻竇膜3 ; 一鼻賨頂起器具400 (參見第7及8圖），其不僅沿一遠離齒槽骨 5之方向頂起由切削鑽具300所暴露出之鼻竇膜3,且亦移除由切 削鑽具300之形狀產生之一殘留部分5c(參見第8圖）；以及一擠 壓鑽具500’其將由頂起鼻竇膜3而形成之一空間中填充以一骨移 植材料8之後’均勻地擠壓鼻竇膜3與齒槽骨5間之骨移植材料8 (參見第10圖）。 第1圖係為用於頂起一鼻寶之一導向鑽具之一立體圖，第2圖 係為用於解釋第1圖所示導向鑽具對一齒槽骨穿孔之視圖。 如圖所示，導向鑽具100包含：一導向本體11〇，其形似一中空 圓柱體並於其一上端部設置有複數個規則之切削刀ln:一指向單 7L 120,其位於導向本艘11〇之中央，較導向本體11〇之切削刀 ⑴更為突出’並且指向欲穿孔之齒槽骨5之中央；以及一導向桿 130’該導向桿13()自導向本體UG之—下端部延伸出並包含一連 接凹槽⑶於其-端部。此處，指向單幻2G之—軸線係與導向 本體no之-假想中心實質對齊’俾使指向單元12G之一前端部 可正確地指向欲穿孔之齒槽骨5之中央。 設置於導向本趙110之上端部之鑛齒狀切削刀m係用以主要 且較淺地形成-孔於齒槽骨5中以供放置—植人體。若齒槽骨5 之表面距鼻IT膜3之—輯約為5 _，料向本體⑽穿孔至 201004608 距齒槽骨5之表面約2毫米之一深度。此時’設置於導向本體11〇 之内側中央之指向單元120對向於欲穿孔之齒槽骨5之中央。 亦即，若於穿孔至一預定深度後將導向鑽具100拉出齒槽骨5， 則指向單元120於齒槽骨5之一穿孔中央處留下一指向標記。因 此，於導向鑽具100穿孔後可清楚地確定齒槽骨5之一穿孔形狀， 並且亦可將下文所將描述之穿孔鑽具200定位於一正確之位置以 進行穿孔。 參 此外，如第1及2圖所示’導向本體110於其一侧壁處形成有 一排出孔112穿孔後，一額外器具（圖未示出）插入排出孔112 中，俾可將對齒槽骨5穿孔時可能殘留之齒槽骨5之碎塊等輕易 地排至外面。此外，可直接提供一鹽溶液至排出孔112，俾可平順 地實施穿孔。 如第1圖所示，導向桿130於其端部設置有連接凹槽131，—用 於提供一旋轉力之把手可分離地耦合至連接凹槽131。此外，導向 桿130可在内部形成有一貫穿孔（圖未示出），該貫穿孔係與導向 Ο 本體110之一内部空間連通。在該貫穿孔形成於導向桿130中之 情形中，可透過該貫穿孔提供鹽溶液，藉此平順地實施穿孔。 藉此’導向鑽具100藉由指向單元120而準確地對向於齒槽骨5 之中央，並初步對齒槽骨5穿孔以供放置植入體，俾使下文所將 描述之穿孔鑽具20〇可於一正確位置對齒槽骨5穿孔。 第3圖係為根據本發明之一實例性實施例，一種用於植牙手術 之鑽具之一立體圖’第4圖係為用於解釋第3圖所示用於植牙手 術之鑽具對齒槽骨穿孔之視圖。 如圖所示，根據一實例性實施例之用於植牙手術之鑽具2〇〇 (即 201004608 穿孔鑽具200)插入由導向鑽具loo所穿鑿—預定深度的齒槽骨$ 之一孔中，並對齒槽骨5進一步穿鑿至齒槽骨5内鄰近一鼻竇膜3 之一部位，鑽具200包含一穿孔本體210,其形似一中空圓柱體並 於一上端部設置有複數個切削刀211，該等切削刀211係實質類似 於前述導向錢具100之切削刀111 ;内螺紋部213，設置於穿孔本 體210之内部並抓捕住當對齒槽骨5穿鑿時所產生之齒槽骨碎塊 5a; —耦合本體220 ’設置於穿孔本體210之一下端部並具有一耦 合凹槽221’ 一用於手動旋轉穿孔鑽具2〇〇之器具耦合至該耦合凹 槽221 ;以及一穿孔桿230，自耦合本體220之一下端部延伸出並 於其一端部形成有一連接凹槽231。 如第3圖所示，穿孔本體210係於其一上端部形成有用於對齒 槽骨5穿鑿之鋸齒狀切削刀211，並在内部形成有内螺紋部213。 穿孔本體210用以切削齒槽骨5至鄰近鼻竇膜3之一内部。舉例 而s，若欲穿鑿之齒槽骨5具有5毫米之一厚度，則藉由前述導 向鑽具100之切削刀111將齒槽骨5穿孔至約2毫米之一深度， 然後由穿孔鑽具200之切削刀211穿孔至距鼻竇膜3約】毫米之 一深度（即距齒槽骨5之表面約4毫米之一深度）。 為此，穿孔本體210係較佳地較長於導向本體u〇e此外，穿孔 本體210係於内部形成有内螺紋部213,俾使其可在抓捕住於穿孔 期間所產生之齒槽骨碎塊5a時被拉出。 於本實施例中，内螺紋部213係沿穿孔本體21〇之一内壁自— 上端至一下端之方向規則地設置。内螺紋部213係為一棘齒類型， 以朝齒槽骨5之内部移動並僅當穿孔本鱧21〇沿一個方向旋轉時 抓捕住齒槽骨碎塊5a。亦即，齒槽骨碎塊5a係在穿孔本體210沿 201004608 一個方向旋轉並朝齒槽骨5之内部移動時被嵌於内螺紋部213中 並且被抓捕住’並在穿孔本體210完成穿孔後沿相反方向旋轉並 被拉出齒槽骨5時，因其被抓捕住於内螺紋部213中，而隨著穿 孔本體210 —起排至外側。因此，無需在穿孔後利用額外之時間 自齒槽骨5移除齒槽骨碎塊5a’因而可縮短穿孔所用之時間。 此外，穿孔本體210係於其一侧壁上形成有一排出孔212，排出 孔212實質類似於前述導向本體11〇之一排出孔112 (參見第2 Φ 魯 圖）。如上所述’當對齒槽骨5穿孔時，齒槽骨碎塊&存留於穿 孔本體210内。該等齒槽骨碎塊5a須自内螺紋部213移除。此處， 一用於移除齒槽骨碎塊5a之器具（圖未示出）插人排出孔212中 並推出齒槽骨碎塊5a，因而可容易地移除齒槽骨碎塊^ 然而，有時齒槽骨碎塊5a因位於規則凹陷之内螺紋土 間，因而可能難以移除齒槽骨碎塊5a。因此，1 ° 如第4圖所示，穿 孔本體210可設置有一切削段215。切削段〆 係沿自穿孔本體 210之上端部至排出孔212之一上部之一方向 门刀削，並使得穿孔本 體210向外膨脹和向内收縮。若需要將齒槽骨碎塊$自 213拉出，則穿孔本體210透過切削段215膨腊** 雩脹，藉此容易地移除 齒槽骨碎塊5a。 為利用穿孔鑽具200達成更精確之穿孔，可箱 預先採用一X光線 等。若穿孔鑽具200未將齒槽骨5穿孔至一所蝥撕Λ 汁需冰度，則須由穿 孔鑽具200達成穿孔。此時’不利用把手而蚤釗 疋利用一額外之器具 (圖未示出）根據需求旋轉穿孔鑽具200,該車+ 茨单獨之器具係安裝至 設置於穿孔本體210之下端部處之耦合本體▲ 之耦合凹槽22卜 若藉由安裝至耦合凹槽221之額外器具對齒 價霄5穿孔，則可 11 201004608 精確地控制穿孔鑽具200之正向運動。亦即，可根據旋轉次數計 算正向運動，俾使手術人員可實施該精確之穿孔達一所需深度。 此外，耦合凹槽221可與具有缓衝特性之一緩衝構件（圖未示 出）可分離地耦合。因此，當該額外器具安裝至耦合凹槽221並 旋轉穿孔鑽具200時，該額外器具可更緊密地耦合至耦合凹槽 221，藉此有利於穿孔鑽具200之旋轉。 如第3圖所示，穿孔桿230於其一端部設置有連接凹槽231，用 於提供一旋轉力之把手（圖未示出）耦合至連接凹槽231。此外， 穿孔桿230亦可於内部形成有一貫穿孔（圖未示出），該貫穿孔與 Q 穿孔本體210之一内部空間連通。在貫穿孔形成於穿孔桿23〇中 之情形下，可透過該貫穿孔提供一鹽溶液，藉以使穿孔平順進行。 鹽溶液可透過穿孔桿230之貫穿孔提供，但並非僅限於此。另— 選擇為，可在穿孔過程中通過穿孔本體21〇之排出孔212提供鹽 溶液。 因此，根據本發明之一實例性實施例之穿孔鑽具200不僅將齒 槽骨5穿孔至鄰近鼻竇膜3之一部位，且亦利用設置於穿孔本體 210内之内螺紋部213抓捕住在穿孔過程中產生之齒槽骨碎塊 ® 5a，因而無需花費額外之時間移除齒槽骨碎塊5a。 第5圖係為根據本發明之另一實例性實施例，一種用於植牙手 術之錢具之一立體囷，第6圖係為用於解釋第5圖所示用於植牙 手術之鑽具對齒槽骨穿孔之視圖。 如圖所示，根據另一實例性實施例之用於植牙手術之鑽具3〇〇 (即切削鑽具300)切削齒槽骨5之一内部直至其頂側接觸鼻竇犋 3，切削鑽具300包含：一切削本體31〇，其於本實施例中形成有 12 201004608 一反向切削刀311 ; —膜接觸本體320，其自切削本體310之頂面 突出並切削齒槽骨5之孔與鼻竇膜3間之齒槽骨5直至其一外表 面接觸鼻竇膜3之至少一表面；以及一切削桿330，其沿長度方向 自切削本體310之一下端部延伸出並形成有一連接凹槽331, 一用 於提供一旋轉力之外部器具（如一把手，圖未示出）可分離地耗 合至連接凹槽331。此處’分別設置於切削本體310之上端部與下 端部中之膜接觸本體320與切削桿330係與切削本體310 —體成 型。201004608 VI. Description of the Invention: [Technical Leadership of the Invention] The present invention relates to a kind of iron tool for implant surgery, and more specifically relates to a money tool for dental implant surgery, which is easy and The perforation of the alveolar bone is stably performed and the alveolar bone fragments generated when perforating the alveolar bone can be easily removed. [Prior Art] An implant is an alternative for supporting repair and acting as a missing organism structure. Specifically, the implant system is an artificial tooth implant in which an artificial tooth root made of a non-rejected chin or similar material is implanted in a toothed bone of a missing tooth to replace a missing root ' An artificial tooth is then placed to restore the function of the teeth. Although general artificial prosthesis or dentures can damage adjacent teeth and bones over time, the implants do not damage adjacent tooth tissue and have the same function or shape as the original teeth. Without causing any touches, it can be used semi-permanently. Ο In addition, implants provide local and all anodontia patients with dental function and promote the recovery of missing single teeth and improve the aesthetics of denture restoration. In addition, implants disperse excessive force applied to adjacent supporting bone tissue and contribute to the stability of a row of teeth. At the same time, 'the implant has a lower success rate in the maxillary molar area than in other areas such as the mandibuiar molar area' because the maxillary molar area is relatively weak. The bone tissue has a sinus in the upper white tooth region. Therefore, it is not easy to reach the implant in the maxillary molar area. 201004608 In other words, the sinus system located in one of the upper part of the maxillary molar area (ie between an upper molar and a nasal bone) is a space surrounded by a mucous membrane, such that when the tooth is physically lost in the area of the maxillary molar This space can move down and swell. When the teeth in the maxillary molar area are lost, the bone mass is insufficient to place the implant due to bone resorption and pneumatization of the sinuses. Therefore, it is difficult to place the implant in the area of the maxillary molar. As such, a conventional method for jacking up the sinus to fix a space, implanting a bone graft material onto the fixed space, and placing the implant in the bone graft material is as follows. The method includes a vertical approach method, a lateral approach method, and the like. First, when the residual bone system is sufficient to place the implant, a vertical approach is used in which a maxillary bone is struck several times by a chisel-like bone chisel and a hammer to have a hole of a predetermined size while avoiding the sinuses. The lining membrane is damaged and the bone graft material is implanted little by little through the hole. However, one of the problems with the vertical approach is that the sinus membrane cannot be directly visualized, making it too long, requiring very careful operation and simultaneous observation by X-rays. On the other hand, when the residual bone is insufficient to place the implant, a lateral approach is employed in which the sinus membrane is lifted by forming a hole in one side of the sinus and then the bone graft material is transplanted through the hole. Compared with the vertical approach, the above method can quickly complete the operation, but it may cause swelling of the surgical site. Moreover, the lateral approach method itself is difficult to operate. In order to solve such problems, a sinus jacking method for implant surgery using a typical drill has recently been developed and applied. Although the method of sinus lifting in which a typical drilling tool is used for dental implant surgery is 201004608, the maxillary bone can be easily perforated and the time taken is short, but the maxilla may not be accurately cut and irregular, and The sinus lining may be damaged by the front end of one of the dental implants contacting and tearing the sinus membrane. In summary, for implant surgery (including sinus sinus), it is necessary to develop a drill for implant surgery, which should be able to perforate the alveolar bone easily and stably, more specifically, The sinus membrane is not damaged when cutting the alveolar bone adjacent to the sinus membrane. SUMMARY OF THE INVENTION The present application claims the benefit of the Korean Patent Application No. 10-2008-0055711, filed on Jun. 13, 2008, the disclosure of which is hereby incorporated by reference. Into this article. The present invention provides a drilling tool for implant surgery that can easily perforate an alveolar bone and easily remove the fragment of the alveolar bone when perforating the alveolar bone, thereby Shorten the time required to perforate the alveolar bone. Further, the present invention provides a drilling tool for dental implant surgery which can perforate a coronal bone until a sinus membrane is locally exposed and the sinus membrane 10 is prevented from being damaged. According to an aspect of the present invention, a drill for a dental implant operation includes: a perforated body that is shaped like a hollow cylinder and includes a plurality of cutters at an upper end; and an internal thread portion disposed at The inner wall of one of the perforated bodies grasps the alveolar bone fragments separated from the alveolar bone when the perforated bone is perforated. The internally threaded portion can be of a ratchet type to capture the alveolar bone fragments only when rotated in one direction. The perforated body may further include a discharge hole penetrating through one of the side walls thereof, and an instrument for pushing out the cogging bone fragments caught in the internal thread portion by the perforation is inserted into the 5 201004608. Or extracted from the discharge hole. The perforated body may further include a cutting segment on the side wall from the upper end of the perforated body to the discharge opening and permit the outer end of the perforated body to expand and contract inwardly. The perforated body may further include a coupling body at a lower end thereof, the coupling body being provided with a coupling recess, and a means for manually rotating the drill is detachably coupled to the coupling recess. The drill for implant surgery may further include a punching rod extending from the lower end of the coupling body and including a connecting groove at one end thereof, and a handle for providing a rotational force The connection groove can be connected to the connection groove, wherein the perforation rod is internally formed with a continuous perforation, and the through hole communicates in an axial direction to provide a salt solution to the operation portion when perforating the alveolar bone. According to another aspect of the present invention, a drill for a dental implant operation includes: a cutting body having a first cutting portion formed on at least one of its peripheral edges to one of a toothed bone At least a portion of the inner wall applies a rotation based cut; and a membrane contact body coupled to an upper end of the cutting body and shallowly coated with a diamond material on the surface. The film contact body may have a substantially hemispherical upper end portion, and the film contact body may include a second cutting portion on one side thereof to perform cutting together with the first cutting portion of the cutting body. The first cutting portion and the second cutting portion may be reverse cutters having respective edges for cutting to achieve cutting when the drill is moved backward. The lower end portion of the membrane contact body may have a diameter that is larger than the upper end portion thereof, and one of the lower end portions is rounded to prevent the sinus 201004608 membrane from being damaged when the sinus membrane is attached. The drilling tool for dental implant surgery further includes a cutting rod extending from the lower end of the cutting body and including a connecting groove at one end thereof, and a handle for providing a rotational force to be connected To the connecting groove, wherein the cutting rod is formed with a continuous perforation therein, the through hole communicating in an axial direction to provide a salt when cutting the alveolar bone by rotating the cutting body and the film contacting the body The solution is supplied to an operation unit. [Embodiment] In order to fully understand the present invention and its advantages, reference is made to the accompanying drawings. In the following, the invention will be explained by explaining the embodiments of the invention with reference to the drawings. The same reference numerals in the drawings denote the same elements. Hereinafter, a drill for implant surgery according to the present invention will be explained, in which it is assumed that the drill for implant surgery is used for sinus lift surgery. The sinus surgery is a procedure in which a perforated bone is perforated, and then a sinus membrane in the alveolar bone is lifted along a direction of the Φ away from the alveolar bone to fix one of the implant fixation devices. space. Therefore, a plurality of elements for perforating the alveolar bone and erecting the sinus membrane are required. In the following, a plurality of elements for erecting the sinus will be described, including: a guiding drill 100 (see Figures 1 and 2) which not only determines one of the alveolar bones to be placed in an implant (not shown). Position 5, and also first perforating the alveolar bone 5; a drill 200 for implant surgery according to an exemplary embodiment (see Figures 3 and 4, hereinafter referred to as "piercing drill"), It is inserted into a hole of the alveolar bone 5 which is drilled by the guiding drill 100 by a predetermined depth, and further perforated the alveolar bone 5 to the inside of the alveolar bone 5 in the vicinity of the 201004608 near-sinus membrane 3, the perforated drilling tool 200 has an internal thread portion 213 for grasping the alveolar bone fragments 5a produced by the perforation (see Fig. 4); a drilling tool 300 for implant surgery according to another exemplary embodiment (See Figures 3 and 4, hereinafter referred to as "cutting tools"). 'It is inserted into one of the holes of the alveolar bone 5 worn by the perforated drilling tool 2 and cut inside one of the alveolar bones 5, Until one of its apical sides contacts the sinus membrane 3; a sinus lifts the appliance 400 (see Figures 7 and 8), not only along a side far from the alveolar bone 5 Lifting the sinus membrane 3 exposed by the cutting tool 300, and also removing one of the residual portions 5c produced by the shape of the cutting tool 300 (see Fig. 8); and a squeeze drill 500' which will be topped The sinus membrane 3 is formed to form a bone graft material 8 which is uniformly filled between the sinus membrane 3 and the alveolar bone 5 after filling the space with a bone graft material 8 (see Fig. 10). Figure 1 is a perspective view of one of the guiding drills used to lift a nose, and Figure 2 is a view for explaining the perforation of a toothed bone by the guiding drill shown in Figure 1. As shown in the figure, the guiding drill 100 comprises: a guiding body 11〇, which is shaped like a hollow cylinder and is provided at its upper end with a plurality of regular cutting blades ln: a pointing single 7L 120, which is located at the guiding ship The center of the 11 inch is more prominent than the cutting blade (1) of the guiding body 11' and points to the center of the alveolar bone 5 to be perforated; and a guiding rod 130' is guided from the lower end of the guiding body UG Extending out and including a connecting groove (3) at its end. Here, the axis of the single phantom 2G is aligned with the imaginary center of the guide body no, so that the front end of one of the pointing units 12G can correctly point to the center of the alveolar bone 5 to be perforated. The orthodontic cutter m disposed at the upper end of the guide lens 110 is mainly and shallowly formed - the hole is placed in the alveolar bone 5 for placement - implanting the human body. If the surface of the alveolar bone 5 is about 5 _ from the nasal IT membrane 3, the material is perforated to the body (10) to 201004608 at a depth of about 2 mm from the surface of the alveolar bone 5. At this time, the pointing unit 120 disposed at the center of the inner side of the guide body 11A faces the center of the alveolar bone 5 to be perforated. That is, if the pilot drill 100 is pulled out of the alveolar bone 5 after perforating to a predetermined depth, the pointing unit 120 leaves a pointing mark at the center of one of the perforations of the alveolar bone 5. Therefore, the perforation shape of one of the alveolar bones 5 can be clearly determined after the perforation of the pilot drill 100, and the perforated drilling tool 200, which will be described later, can also be positioned at a correct position for perforation. Further, as shown in FIGS. 1 and 2, after the guide body 110 is formed with a discharge hole 112 at one side wall thereof, an additional tool (not shown) is inserted into the discharge hole 112, and the pair of slots can be aligned. The fragments of the alveolar bone 5 which may remain when the bone 5 is perforated are easily discharged to the outside. Further, a salt solution can be directly supplied to the discharge hole 112, and the perforation can be smoothly performed. As shown in Fig. 1, the guide bar 130 is provided at its end with a coupling groove 131, which is detachably coupled to the coupling groove 131 for providing a rotational force. In addition, the guide bar 130 may be internally formed with a continuous perforation (not shown) that communicates with an interior space of the guide body 110. In the case where the through hole is formed in the guide bar 130, a salt solution can be supplied through the through hole, whereby the perforation can be smoothly performed. Thereby, the directional drilling tool 100 is accurately opposed to the center of the alveolar bone 5 by the pointing unit 120, and the perforating bone 5 is initially perforated for placing the implant, so that the perforating drilling tool will be described below. 20〇 can pierce the alveolar bone 5 at a correct position. 3 is a perspective view of a drill for a dental implant surgery according to an exemplary embodiment of the present invention. FIG. 4 is a view for explaining a drill pair for implant surgery shown in FIG. View of the perforation of the alveolar bone. As shown, a drill 2 for a dental implant operation (ie, 201004608 perforated drill 200) is inserted into a hole of a perforation of a predetermined depth by a guide drill loo according to an exemplary embodiment. Further, the alveolar bone 5 is further drilled into a portion of the alveolar bone 5 adjacent to a sinus membrane 3, and the drill 200 includes a perforated body 210 which is shaped like a hollow cylinder and is provided with a plurality of cuttings at an upper end portion. The cutter 211 is substantially similar to the cutter 111 of the guide money 100; the internal thread portion 213 is disposed inside the perforated body 210 and catches the teeth generated when the alveolar bone 5 is pierced. a coupling block body 2a; a coupling body 220' is disposed at a lower end portion of the perforated body 210 and has a coupling recess 221' to which a means for manually rotating the perforating drilling tool 2 is coupled; A perforating rod 230 extends from a lower end portion of the coupling body 220 and has a connecting groove 231 formed at one end portion thereof. As shown in Fig. 3, the perforated body 210 is formed at one of its upper end portions with a serrated cutter 211 for piercing the alveolar bone 5, and an internally threaded portion 213 is formed therein. The perforated body 210 is used to cut the alveolar bone 5 to the inside of one of the adjacent sinus membranes 3. For example, if the alveolar bone 5 to be cut has a thickness of 5 mm, the alveolar bone 5 is perforated to a depth of about 2 mm by the cutting blade 111 of the directional drilling tool 100, and then the perforated drilling tool The cutting blade 211 of 200 is perforated to a depth of about one millimeter from the sinus membrane 3 (i.e., a depth of about 4 mm from the surface of the alveolar bone 5). To this end, the perforated body 210 is preferably longer than the guide body u〇e. Further, the perforated body 210 is internally formed with an internal threaded portion 213 so that it can be broken during the capture of the perforation during the perforation. Block 5a is pulled out. In the present embodiment, the internal thread portion 213 is regularly disposed along the inner wall of one of the perforated bodies 21 from the upper end to the lower end. The internal thread portion 213 is of a ratchet type to move toward the inside of the alveolar bone 5 and to catch the alveolar bone fragments 5a only when the perforating plate 21 is rotated in one direction. That is, the alveolar bone fragments 5a are embedded in the internal thread portion 213 and are caught by the perforated body 210 when the perforated body 210 is rotated in one direction of 201004608 and moved toward the inside of the alveolar bone 5 and is perforated in the perforated body 210. When the rear side is rotated in the opposite direction and pulled out of the alveolar bone 5, it is caught in the internal thread portion 213, and is discharged to the outside along with the perforated body 210. Therefore, it is not necessary to use the extra time after the perforation to remove the alveolar bone fragments 5a' from the alveolar bone 5, thereby shortening the time taken for the perforation. Further, the perforated body 210 is formed with a discharge hole 212 formed on one side wall thereof, and the discharge hole 212 is substantially similar to one of the discharge holes 112 of the aforementioned guide body 11 (see 2nd Φ Lutu). As described above, when the perforation 5 is perforated, the alveolar fragments & remain in the perforated body 210. The alveolar bone fragments 5a must be removed from the internal thread portion 213. Here, an instrument (not shown) for removing the alveolar bone fragments 5a is inserted into the discharge hole 212 and pushes out the alveolar bone fragments 5a, so that the alveolar bone fragments can be easily removed. Sometimes, the alveolar bone fragments 5a are located between the threaded soils inside the regular depressions, so it may be difficult to remove the alveolar bone fragments 5a. Therefore, as shown in Fig. 4, the perforating body 210 may be provided with a cutting section 215. The cutting section 刀 is cut along a direction from the upper end of the perforated body 210 to one of the upper portions of the discharge hole 212, and causes the perforated body 210 to expand outward and contract inward. If it is desired to pull the alveolar bone fragment $ from 213, the perforated body 210 is swollen through the cutting section 215, thereby easily removing the alveolar bone fragments 5a. In order to achieve a more precise perforation using the perforated drill 200, a box of X-rays or the like is preliminarily employed. If the perforated drilling tool 200 does not perforate the alveolar bone 5 to a desired amount of torn juice, the perforation must be achieved by the perforated drilling tool 200. At this time, 'without the handle, the additional perforating tool 200 is rotated according to the requirements by using an additional tool (not shown), which is mounted to the lower end of the perforated body 210. If the coupling groove 22 of the coupling body ▲ is pierced by the additional tool mounted to the coupling groove 221, the forward movement of the piercing drilling tool 200 can be precisely controlled by 11 201004608. That is, the forward motion can be calculated based on the number of rotations so that the operator can perform the precise perforation to a desired depth. Further, the coupling groove 221 may be detachably coupled to a cushioning member (not shown) having a cushioning property. Thus, when the additional appliance is mounted to the coupling recess 221 and the perforated drill 200 is rotated, the additional appliance can be more tightly coupled to the coupling recess 221, thereby facilitating rotation of the perforating drill 200. As shown in Fig. 3, the perforating rod 230 is provided at one end thereof with a coupling recess 231 to which a handle for driving a rotational force (not shown) is coupled. In addition, the perforating rod 230 may also be formed with a continuous perforation (not shown) that communicates with an internal space of the Q perforated body 210. In the case where the through hole is formed in the perforated rod 23, a salt solution can be supplied through the through hole, whereby the perforation is smoothly performed. The salt solution may be provided through the through holes of the perforated rod 230, but is not limited thereto. Alternatively, the salt solution may be supplied through the discharge opening 212 of the perforated body 21〇 during the perforating process. Therefore, the perforating drill 200 according to an exemplary embodiment of the present invention not only perforates the alveolar bone 5 to a portion adjacent to the sinus membrane 3, but also captures the internal thread portion 213 provided in the perforated body 210. The alveolar bone fragment® 5a produced during the perforation eliminates the need for additional time to remove the alveolar bone fragments 5a. Figure 5 is a perspective view of one of the money tools for implant surgery according to another exemplary embodiment of the present invention, and Figure 6 is for explaining the drill for implant surgery shown in Figure 5. With a view of the perforation of the alveolar bone. As shown, the drill 3 for cutting surgery (ie, the cutting tool 300) cuts the inside of one of the alveolar bones 5 until its top side contacts the sinus sinus 3, cutting the drill, according to another exemplary embodiment. The tool 300 includes: a cutting body 31〇, which is formed with 12 201004608 a reverse cutter 311 in the present embodiment; a membrane contact body 320 protruding from the top surface of the cutting body 310 and cutting the hole of the alveolar bone 5 The alveolar bone 5 between the sinus membrane 3 and the outer surface of the sinus membrane 3 contacts at least one surface of the sinus membrane 3; and a cutting rod 330 extending from the lower end portion of the cutting body 310 in the longitudinal direction and forming a connecting groove An external tool (such as a handle, not shown) for providing a rotational force is detachably coupled to the coupling groove 331. Here, the film contact body 320 and the cutting rod 330 respectively disposed in the upper end portion and the lower end portion of the cutting body 310 are integrally formed with the cutting body 310.
如第5圖所示，切削本體310具有一錐形外形，換言之，切削 本體310之直徑自上端部至下端部逐漸減小。此外，用於切削齒 槽骨5之第一切削部311 (即本實施例中之反向切削刀311 )係沿 切削本體310之圓周方向規則地形成於切削本體31〇中。 將具有此種構造之切削本體310插入由前述穿孔鐵具穿黎 至一預定深度（例如，與鼻竇膜3具有約丨毫米之一相鄰距離） 的齒槽月5之孔中，藉此切削齒槽骨5之孔之内部，直至設置於 切削本體310之上端部之膜接觸本體32〇接觸鼻竇膜3。 作為突出於切削本趙31〇之頂面之一部件，膜接觸本體—切 削由穿孔鑽具2〇〇所形成之孔之底部與鼻竇膜3之間齒槽骨5之 一内部部份5b(參見第4圖）。 為切削齒槽骨5之内部部份5bJ[至膜接觸本體32〇接觸鼻寶膜 、接觸本體320之-外表面具有延伸自切削本體31〇之第一切 之第一切削部321，即本實施例中之一反向切削刀32卜 田利用切削本體31〇之反向切削刀3ιι及膜接觸本想似 之反向切削刀321切削齒槽骨5之内部部份外時，反向切削刀川 13 201004608 及321之結構可防止齒槽骨5被過分切削。亦即，因切削本體310 之反向切削刀311及膜接觸本體320之反向切削刀321分別具有 與切削本體310之一旋轉方向反向之一前端，換言之，因反向切 削刀311及321分別具有用於在切削本體31〇向後移動時達成切 削之一刀刃，當切削本體310及骐接觸本體32〇正向移動並接觸 和旋轉時，齒槽骨5之内部部分5b可被切削，而齒槽骨5並非由 一銳利之刀刃切削，而是由一相對較緩和之刀刀之一側切削。 具體而言’第二切削部321並非設置於一曲面，而是設置於膜 接觸本體320之一側向直段中，俾使其可準確地切削鄰近鼻竇膜3 之齒槽骨5之内部部份5b。 參見第5及6圖，膜接觸本體32〇具有用於接觸鼻竇膜3之一 半球形上端部，並且該上端部之整個表面塗覆有金剛石顆粒325。 即使當鼻竇膜3接觸膜接觸本體320之外表面時，膜接觸本體320 之半球形狀及所塗覆之金剛石顆粒325能防止損傷鼻竇膜3。 此外，因膜接觸本體320之外表面係均勻地塗覆有金剛石顆粒 325 ’甚至當鼻竇膜3接觸膜接觸本體時壓力亦能均勻分佈， 藉此防止損傷鼻竇膜3。詳言之，在利用穿孔鑽具3〇〇實施穿孔過 程中，切削自齒槽骨5之齒槽骨顆粒被嵌於金剛石顆粒325間之 空間中。儘管其中使金剛石顆粒325及齒槽骨顆粒均勻分佈之犋 接觸本體32G接觸鼻竇膜3並以此種接觸狀態旋轉，金剛石頻粗 325及齒槽骨顆粒仍以平衡狀態支撐鼻寶们而不造成損傷，藉此 防止膜接觸本體320損傷鼻竇膜3。 同時，膜接觸本體320之下端部所具有之一直徑大於其上端部， 並且下端部之周緣係為園形，用於在某種程度上限制膜接觸本趙 201004608 320朝鼻賨膜3正向運動，藉此防止損傷鼻竇膜3。此外，因媒接 觸本體320之下端部係為圓形，即使當膜接觸本體320之下喘部 接觸鼻竇膜3時，亦能防止損傷鼻竇膜3。 如上所述’切削本體310之第一切削部311及膜接觸本趙3扣 之第二切削部321係延伸地形成。第一切削部311及第二切削立 321係用作反向切削刀，但亦可根據需要用作一鹽溶液供給路徑 亦即，在穿孔過程中沿反向切削刀311及321提供鹽溶液，俾使 ❹ 切削鑽具300可更平順地實施穿孔。於本實施例中，第一切削部 311及第二切削部321係設置為反向切削刀，但其並非僅限於此 另一選擇為，第一及第二切削部可被設置為凹槽而非反向切削刀 如第5圖所示，切削桿33〇係自切削本體31〇之下端部沿縱向 延伸，並與用於提供一旋轉力之一把手（圖未示出）相連接。= 削鑽具300之切削桿330係實質相同於導向鑽具1〇〇之導向桿13〇 及穿孔鑽具200之穿孔桿23〇，故茲不予贅述。 因此’根據本發明另一實例性實施例之切削鑽具300能夠切削 ❹ H 5之内部部分5b ’直至膜接觸本艘320之至少-個表面接 觸鼻賨膜3。此外’金剛石顆粒325均勻地塗覆於膜接觸本體320 之外表面’因而即使鼻竇膜3與膜接觸本體320相互接觸並且以 接觸狀態_時’亦可防止損傷鼻竇膜3。 第7圖係為用於頂起一鼻竇膜之一鼻竇頂起 器具之一立體圖， 第8圖係為用於解釋第7圖所示鼻竇頂起器具頂起鼻寶膜之視圖。 不’根據本發明之一實例性實施例之鼻竇頂起器具4〇〇 不僅頂起由切削鑽具3〇〇所局部暴露出之鼻竇膜3,且亦移除由切 削鑽具300之形狀產生之殘留部分5c (參見第8圖）。鼻寶頂起 15 201004608 器具400包含一抓握本體410以及一對頂起本體 U，頂起本體 端部處具有 420係設置於抓握本體410之相對端部並於其每一 頂起構件421以用於頂起鼻竇膜3。 抓握本體410係規則地形成有一防滑部41〗，，、， 从防止抓握本體 410在被抓握住時滑離手術人員之手。 頂起本體420具有與抓握本體41〇實質相 我度方向，並在 其中間弯曲’俾使設置於頂起本體端部之項起構件似可容 易地插入和抽離齒槽骨5之孔。 令As shown in Fig. 5, the cutting body 310 has a tapered outer shape, in other words, the diameter of the cutting body 310 gradually decreases from the upper end portion to the lower end portion. Further, the first cutting portion 311 for cutting the tooth bone 5 (i.e., the reverse cutting blade 311 in this embodiment) is regularly formed in the cutting body 31A along the circumferential direction of the cutting body 310. Inserting the cutting body 310 having such a configuration into the hole of the cogging month 5 which is pierced by the aforementioned perforated iron to a predetermined depth (for example, adjacent to the sinus membrane 3 by about one mm), thereby cutting The inside of the hole of the alveolar bone 5 is reached until the membrane contact body 32 disposed at the upper end of the cutting body 310 contacts the sinus membrane 3. As one of the components protruding from the top surface of the cutting machine, the membrane contacts the body-cutting the inner portion 5b of the alveolar bone 5 between the bottom of the hole formed by the perforated drilling tool 2 and the sinus membrane 3 ( See Figure 4). For the inner portion 5bJ of the cutting alveolar bone 5 [to the membrane contact body 32 〇 contact the nasal membrane, the outer surface of the contact body 320 has a first cutting portion 321 extending from the cutting body 31 ,, ie, the present In the embodiment, the reverse cutter 32 is cut by the reverse cutter 3 ιι of the cutting body 31 and the film is in contact with the inner portion of the tooth cutter 5 which is the reverse cutter 321 of the original. The structure of Kawagawa 13 201004608 and 321 prevents the alveolar bone 5 from being excessively cut. That is, the reverse cutting blade 311 of the cutting body 310 and the reverse cutting blade 321 of the film contacting body 320 respectively have one front end opposite to the rotation direction of one of the cutting bodies 310, in other words, the reverse cutting blades 311 and 321 There is respectively a cutting edge for cutting when the cutting body 31 is moved backward, and when the cutting body 310 and the crucible contact body 32 are moving forward and contacting and rotating, the inner portion 5b of the alveolar bone 5 can be cut, and The alveolar bone 5 is not cut by a sharp blade but is cut by one side of a relatively gentle knife. Specifically, the second cutting portion 321 is not disposed on a curved surface, but is disposed in a lateral straight section of the membrane contact body 320 so that it can accurately cut the inner portion of the alveolar bone 5 adjacent to the sinus membrane 3 Part 5b. Referring to Figures 5 and 6, the membrane contact body 32A has a hemispherical upper end portion for contacting the sinus membrane 3, and the entire surface of the upper end portion is coated with diamond particles 325. Even when the sinus membrane 3 contacts the outer surface of the membrane contacting body 320, the hemispherical shape of the membrane contacting body 320 and the coated diamond particles 325 can prevent damage to the sinus membrane 3. Further, since the outer surface of the film contact body 320 is uniformly coated with the diamond particles 325' even when the sinus membrane 3 contacts the film to contact the body, the pressure can be uniformly distributed, thereby preventing damage to the sinus membrane 3. In particular, during the perforation using the perforated drill 3, the alveolar bone particles cut from the alveolar bone 5 are embedded in the space between the diamond particles 325. Although the contact body 32G in which the diamond particles 325 and the alveolar bone particles are uniformly distributed contacts the sinus membrane 3 and rotates in such a contact state, the diamond frequency coarse 325 and the alveolar bone particles support the nasal treasures in a balanced state without causing Damage, thereby preventing the membrane from contacting the body 320 from damaging the sinus membrane 3. At the same time, the lower end of the membrane contact body 320 has a diameter larger than the upper end portion thereof, and the periphery of the lower end portion is circular, for limiting the membrane contact to some extent to the positive direction of the sinus membrane 3 201004608 320 Exercise to prevent damage to the sinus membrane 3. Further, since the lower end portion of the medium contact body 320 is circular, the sinus membrane 3 can be prevented from being damaged even when the membrane contacts the sinus membrane 3 under the body 320. As described above, the first cutting portion 311 of the cutting body 310 and the second cutting portion 321 of the film contact lens are extended. The first cutting portion 311 and the second cutting stand 321 are used as a reverse cutter, but may also be used as a salt solution supply path as needed, that is, a salt solution is provided along the reverse cutters 311 and 321 during the perforation process. The boring cutting tool 300 can perform the perforation more smoothly. In the present embodiment, the first cutting portion 311 and the second cutting portion 321 are provided as reverse cutters, but it is not limited thereto. The first and second cutting portions may be provided as grooves. Non-reverse cutting blade As shown in Fig. 5, the cutting rod 33 is longitudinally extended from the lower end portion of the cutting body 31, and is connected to a handle (not shown) for providing a rotational force. = The cutting rod 330 of the drilling tool 300 is substantially the same as the guiding rod 13 of the guiding drilling tool 1 and the perforating rod 23 of the perforating drilling tool 200, and therefore will not be described. Thus, the cutting tool 300 according to another exemplary embodiment of the present invention is capable of cutting the inner portion 5b' of the H5 until the film contacts at least one surface of the ship 320 to contact the nasal membrane 3. Further, the 'diamond particles 325 are uniformly applied to the outer surface of the membrane contact body 320' and thus the sinus membrane 3 can be prevented from being damaged even if the sinus membrane 3 and the membrane contact body 320 are in contact with each other and in a contact state. Fig. 7 is a perspective view showing one of the sinus abutment devices for jacking up a sinus membrane, and Fig. 8 is a view for explaining the sinus jacking device shown in Fig. 7 for lifting the nasal mask. The sinus lifting device 4 according to an exemplary embodiment of the present invention not only lifts up the sinus membrane 3 partially exposed by the cutting tool 3, but also removes the shape of the cutting tool 300. The remaining portion 5c (see Fig. 8). Nasal Top 15 201004608 The appliance 400 includes a grip body 410 and a pair of jacking bodies U having 420-seams disposed at opposite ends of the grip body 410 and each of the jacking members 421 For use in jacking up the sinus membrane 3. The grip body 410 is regularly formed with a non-slip portion 41, which prevents the grip body 410 from slipping away from the operator's hand when grasped. The jacking body 420 has a substantially opposite direction to the grip body 41 and is bent in the middle thereof so that the member provided at the end of the jacking body can be easily inserted and extracted from the hole of the alveolar bone 5. . make
接觸鼻竇膜3的頂起構件421之一頂面係為圓形，以防止當接 觸並頂起鼻竇膜3時損傷鼻賨膜3β於頂起鼻竇臈3後，為切除因 切削鑽具300之形狀而殘留之齒槽骨5之殘留部分氕，頂起構件 421之側端部至少其中之一係形成為銳利#。亦#，頂起構件 可具有一半球形狀。 此外，設置有頂起構件421的頂起本體420之一上部具有複數 個刻度423 ’以便可在項起構件421抬起鼻寶膜3時確定鼻寅膜3 被頂起之程度。 因此’本實施例之鼻竇頂起器具 400不僅無損傷地頂起鼻竇膜 3 ’且亦切除因切削鑽* 3〇〇之形狀而殘留之齒槽骨5之殘留部分 5c，藉此穩固-料放置植人體之空間。 第9圖係為用於在鼻竇膜與齒槽骨之間擠歷-骨移植材料之- 擠壓鑽具之立體圖’第圓係為用於解釋第9圖所示擠壓鑽具擠 壓骨移植材料之視圖。 如圖所不，根據本發明之一實例性實施例之擠壓鑽具5〇〇用於 將骨移植材料8擠髮插人於藉由頂起鼻㈣3而產生之-空間 16 201004608 中。擠壓鑽具500包含：一擠壓本體51〇， 以及一擠壓桿跡延伸自擠壓本體加之―下端;並形植成材料8連 :凹槽5M，一用於提供一旋轉力之把手(圖未示出：二 合至連接凹槽531 〇 地輕 擠壓本體⑽於其外側規則地形成有一凹槽，並具有一 之上端部以向外播壓骨移植材料8β因此，當擠壓本體5、 =時沿-朝向鼻寶膜3之方向被插入時，填充於藉由The top surface of one of the jacking members 421 contacting the sinus membrane 3 is circular to prevent damage to the nasal sinus membrane 3β when the sinus membrane 3 is contacted and erected, and the cutting tool 300 is removed. At least one of the side ends of the jacking member 421 is formed as a sharp #. Also #, the jacking member may have a half ball shape. Further, an upper portion of one of the jacking bodies 420 provided with the jacking member 421 has a plurality of scales 423' so that the extent to which the nose membrane 3 is lifted can be determined when the nose member 3 lifts the nose mask 3. Therefore, the sinus jacking device 400 of the present embodiment not only erects the sinus membrane 3' without damage, but also removes the residual portion 5c of the alveolar bone 5 remaining due to the shape of the cutting drill 3, thereby stabilizing the material Place the space for planting the human body. Figure 9 is for squeezing between the sinus membrane and the alveolar bone - the bone graft material - the perspective view of the extruded drill 'the circular system is used to explain the extruded drill extruded bone shown in Figure 9 View of the transplant material. As shown, the extruded drill 5 is used to insert the bone graft material 8 into the space 16 201004608 which is produced by jacking up the nose (4) 3 according to an exemplary embodiment of the present invention. The extrusion drilling tool 500 comprises: an pressing body 51〇, and a pressing bar extending from the pressing body plus a lower end; and forming a material 8 connection: a groove 5M, a handle for providing a rotational force (not shown: the two-to-connection groove 531 is squeezing the body (10) to form a groove regularly on the outer side thereof, and has an upper end portion for squeezing the bone graft material 8β outward. When the body 5, = time edge - is inserted in the direction of the nose film 3, is filled with
膜3而形成之”3s中之骨移植材料8可在鼻竇膜3與齒槽“ 之間受到均勻且緻密之擠壓。 參見第9圖，播壓桿530係沿長度方向延伸自掩壓本體51〇之 下端部，並與用於提供旋轉力之把手相連接。擠壓鑽具之擠 壓桿530係實質相同於上文所述之導向桿13〇、穿孔桿23〇及切削 桿330’差異之處在於不具有用於提供鹽溶液之貫穿孔故茲不予 贅述。 藉由本實施例之擠壓鑽具500,填充於藉由頂起鼻竇膜3而形成 ® 之空間3s中之骨移植材料8可在鼻竇膜3與齒槽骨5之間受到均 勻且緻密之擠壓，藉此形成牢固地支撐欲嵌入植入體之一固定裝 置（圖未示出）之效果。 以下，將以鼻竇頂起手術作為其中一種植牙手術，闡述根據本 發明之一實例性實施例之一種利用該等鑽具進行植牙手術之方 法0 首先’利用導向鑽具1〇〇形成一淺孔於將嵌入一植入體之位置， 例如，於上頜臼齒區域之齒槽骨5中，並對向該孔中央。亦即， 導向鑽具100形成該淺孔至距鼻竇膜3約3毫米之一相鄰位置， 17 201004608 並且此時較導向本體m更為突出之指㈣元i2G對準齒槽骨5 之孔之中央。 然後，利用用於植牙手術之錢具200 (即穿孔錢具 骨5穿孔至距鼻竇臈3約丨毫米之—相鄰位置。此時，須使穿孔 鑽具200之中央對準由導向鑽具⑽所標記之孔之中央。在利用 把手之旋轉力形成孔之同時，穿孔錢具細將齒槽骨5穿孔至距 鼻竇膜3約2毫米之-相鄰位置，而手術人員用手驅動穿孔鑽具 200以穿孔至約1毫米之一相鄰位置。 在用把手旋轉穿孔鑽具2GG之情形中，不能精確地控制穿孔錯 具綱之穿孔操作。另一方面，在手術人員用手驅動穿孔鑽具細 進行穿孔之情形中，可形成齒槽骨5之孔至—所需深度。為此， 穿孔鐵具200設置有用於將穿孔鑽具細旋轉所需旋轉次數之叙 合凹槽22卜並且手術人員安裝—額外器具（圏未示出）至耗合凹 槽221並將穿孔鑽具200旋轉所需之旋轉次數，藉此達成穿孔。 此時，可藉由X光線等來確定齒槽骨5之穿孔之深度。 在穿孔錢具200穿馨至-預定深度後，自齒槽骨$中拉出穿孔 鑽具200,然後欲於穿孔鑽* 200之穿孔本體21〇中之齒槽骨碎塊 5a可被移除。此處，設置棘齒型内螺紋部213於穿孔本體之 内部，俾可容易地取出齒槽骨碎塊5a。 然後，將根據本發明另一實例性實施例之用於植牙手術之鑽具 300(即切削鑽具300)插入齒槽骨5之孔中，並對齒槽骨5穿孔7 直至切削錢具300之膜接觸本艘320接觸鼻寶骐3。於切削鑽具 300之穿孔過程中’切削本體310之第一切削部311*膜接觸本儀 320之第二切削部321可均勻地切削齒槽骨5之内部部分％，主 201004608 且均勻塗覆於膜接觸本體320頂面之金剛石顆粒325使膜接觸本 體320保持接觸鼻竇膜3而不造成損傷。此時，鼻竇膜3可被膜 接觸本體320頂起少許。 然後，插入鼻竇頂起器具400於齒槽骨5之孔中，以頂起局部 暴露之鼻竇膜3。於頂起鼻竇膜3後，藉由鼻竇頂起器具400移除 因切削鑽具300之形狀而殘留之齒槽骨5之殘留部分5c。 於填充骨移植材料8至藉由頂起鼻竇膜3而形成之空間3s後， 利用擠壓鑽具500均勻且緻密地擠壓鼻竇膜3與齒槽骨5間之骨 移植材料8。 因此，根據本發明之一實例性實施例之穿孔鑽具200可容易地 實施穿孔並輕易地移除當對齒槽骨穿孔時所產生之齒槽骨碎塊， 藉此形成縮短對齒槽骨穿孔所用時間之效果。 此外，根據本發明之另一實例性實施例之切削鑽具300對齒槽 骨穿孔至局部暴露出鼻竇膜，並防止損傷鼻竇膜。 如上所述，根據本發明，可容易地對一齒槽骨穿孔並可輕易地 φ 移除當對齒槽骨穿孔時所產生之齒槽骨碎塊，藉此縮短對齒槽骨 穿孔所用之時間。 此外，亦可對一齒槽骨穿孔直至局部暴露出鼻竇膜，並防止損 傷鼻竇膜。 儘管上文係參照本發明之實例性實施例來具體顯示及闡述本發 明，然而應理解，亦可在不背離下文申請專利範圍之精神及範圍 之條件下對其作出各種形式及細節上之改動。 201004608 ·- 【圖式簡單說明】 結合附圖閱讀上文之詳細說明，可更清楚地理解本發明之實例 性實施例，附圖中： 第1圖係為用以頂起一鼻竇之導向鑽具之立體圖； 第2圖係為用於說明第1圖所示導向鑽具對一齒槽骨穿孔之視 圖； 第3圖係為根據本發明之一實例性實施例，一種用於植牙手術 之鑽具之一立體圖； ❹ 第4圖係為用於說明第3圖所示用於植牙手術之鑽具對齒槽骨 穿孔之視圖， 第5圖係為根據本發明之另一實例性實施例，一種用於植牙手 術之鐵具之一立體圖； 第6圖係為用於說明第5圖所示用於植牙手術之鑽具對齒槽骨 穿孔之視圖； 第7圖係為用於頂起一鼻竇膜之一鼻竇頂起器具之一立體圖； 第8圖係為用於說明第7圖所示鼻竇頂起器具頂起鼻竇膜之視 ◎ 圖； 第9圖係為用於在鼻竇膜與齒槽骨之間擠壓一骨移植材料之一 擠壓鑽具之立體圖；以及 第10圖係為用於說明第9圖所示擠壓鑽具擠壓骨移植材料之視 圖。 【主要元件符號說明】 3 :鼻竇膜 3s :空間 5:齒槽骨 5a:齒槽骨碎塊 20 201004608 5b :内部部分 8 :骨移植材料 110 :導向本體 112:排出孔 130 :導向桿 200 :穿孔鑽具 211 :切削刀 213 :内螺紋部 • 220:耦合本體 230 :穿孔桿 300 :切削鑽具 311 :反向切削刀 321 :反向切削刀 330 :切削桿 400 :鼻竇頂起器具 @ 411:防滑部 421 :頂起構件 500 :擠壓鑽具 511 :凹槽 531 :連接凹槽 5c:齒槽骨之殘留部分 100 :導向鑽具 111 :鋸齒狀切削刀 120 :指向單元 131 :連接凹槽 210 :穿孔本體 212 :排出孔 215 :切削段 221 :耦合凹槽 231 :連接凹槽 M0 :切削本體 320 :膜接觸本體 325 :金剛石顆粒 331 :連接凹槽 410 :抓握本體 420 :頂起本體 423 :刻度 510 :擠壓本體 530 :擠壓桿 21The bone graft material 8 formed in the "3s" formed by the membrane 3 can be uniformly and densely squeezed between the sinus membrane 3 and the gullet. Referring to Fig. 9, the grading rod 530 extends from the lower end portion of the masking body 51 沿 in the longitudinal direction and is coupled to a handle for providing a rotational force. The extrusion rod 530 of the extrusion drilling tool is substantially the same as the guiding rod 13 〇, the perforating rod 23 〇 and the cutting rod 330 ′ described above, except that there is no through hole for providing a salt solution. Narration. With the extrusion drill 500 of the present embodiment, the bone graft material 8 filled in the space 3s formed by the sinus membrane 3 can be uniformly and densely squeezed between the sinus membrane 3 and the alveolar bone 5. Pressing, thereby forming an effect of firmly supporting a fixture (not shown) to be embedded in the implant. Hereinafter, a sinus anterior surgery will be performed as one of the dental implant operations, and a method for performing dental implant surgery using the drills according to an exemplary embodiment of the present invention will be described. First, a directional drilling tool 1 is used to form a dental implant. The shallow hole will be embedded in the position of an implant, for example, in the alveolar bone 5 of the maxillary molar region, and toward the center of the hole. That is, the guiding drill 100 forms the shallow hole to an adjacent position of about 3 mm from the sinus membrane 3, 17 201004608 and at this time, the finger (four) element i2G which is more prominent than the guiding body m is aligned with the hole of the alveolar bone 5 Central. Then, using the money holder 200 for implant surgery (ie, the perforated money bone 5 is perforated to an adjacent position from the sinus sinus about 3 mm. At this time, the center of the perforated drill 200 must be aligned with the guide drill The center of the hole marked with (10). While forming the hole by the rotational force of the handle, the perforating money finely perforates the alveolar bone 5 to an adjacent position of about 2 mm from the sinus membrane 3, and the operator drives it by hand. The perforating drill 200 is perforated to an adjacent position of about 1 mm. In the case of rotating the perforating drill 2GG with the handle, the perforation operation of the perforation misalignment cannot be precisely controlled. On the other hand, the operator drives by hand. In the case where the perforated drill is finely perforated, the hole of the alveolar bone 5 can be formed to a desired depth. To this end, the perforated iron 200 is provided with a refinement groove 22 for the number of rotations required to finely rotate the perforated drill. And the operator installs an additional tool (not shown) to the number of rotations required to dissipate the groove 221 and rotate the piercing drill 200, thereby achieving perforation. At this time, the tooth can be determined by X-ray or the like. The depth of the perforation of the trough 5 After the 00 wears to a predetermined depth, the perforated drill 200 is pulled out from the alveolar bone $, and then the alveolar bone fragments 5a in the perforated body 21 of the perforation drill * 200 can be removed. Here, The ratchet type internal thread portion 213 is disposed inside the perforated body, and the alveolar bone fragment 5a can be easily taken out. Then, the drilling tool 300 for implant surgery according to another exemplary embodiment of the present invention (ie, The cutting tool 300) is inserted into the hole of the alveolar bone 5, and the perforation 5 is perforated 7 until the film of the cutting tool 300 contacts the 320 contact with the nose piece 3. During the piercing process of the cutting tool 300 The first cutting portion 311* of the body 310 contacts the second cutting portion 321 of the instrument 320 to uniformly cut the inner portion % of the alveolar bone 5, the main 201004608 and uniformly coated with the diamond particles 325 on the top surface of the film contacting body 320. The membrane contact body 320 is kept in contact with the sinus membrane 3 without causing damage. At this time, the sinus membrane 3 can be lifted a little by the membrane contact body 320. Then, the sinus jacking device 400 is inserted into the hole of the alveolar bone 5 to jack up Locally exposed sinus membrane 3. After sinus membrane 3 is lifted, sinus jacking device 400 The residual portion 5c of the alveolar bone 5 remaining due to the shape of the cutting tool 300 is removed. After filling the bone graft material 8 to the space formed by lifting the sinus membrane 3 for 3 seconds, the extruded drill 500 is uniform and The bone graft material 8 between the sinus membrane 3 and the alveolar bone 5 is densely squeezed. Thus, the perforation drill 200 according to an exemplary embodiment of the present invention can be easily perforated and easily removed as the alveolar bone The alveolar bone fragments produced during perforation thereby forming an effect of shortening the time taken for perforation of the alveolar bone. Further, the cutting tool 300 according to another exemplary embodiment of the present invention perforates the alveolar bone to local exposure. The sinus membrane is removed and the sinus membrane is prevented from being damaged. As described above, according to the present invention, a alveolar bone can be easily perforated and the alveolar bone fragments generated when perforating the alveolar bone can be easily removed. This shortens the time it takes to perforate the alveolar bone. In addition, a coronal bone can be perforated until the sinus membrane is partially exposed and the sinus membrane is prevented from being damaged. Although the invention has been particularly shown and described with reference to the exemplary embodiments of the present invention, it should be understood that various forms and details may be modified without departing from the spirit and scope of the invention . Illustrative embodiments of the present invention will be more clearly understood by reading the above detailed description in conjunction with the accompanying drawings in which: FIG. 1 is a guide drill for jacking up a sinus FIG. 2 is a view for explaining a perforation of a gully bone of the directional drilling tool shown in FIG. 1; FIG. 3 is a view for implant surgery according to an exemplary embodiment of the present invention. A perspective view of one of the drills; ❹ Figure 4 is a view for explaining the perforation of the alveolar bone for the dental implant surgery shown in Fig. 3, and Fig. 5 is another exemplary embodiment according to the present invention. Embodiments, a perspective view of a cast iron for implant surgery; Figure 6 is a view for explaining the perforation of the alveolar bone for the implant for implant surgery shown in Fig. 5; A perspective view of one of the sinus lifting devices used to lift a sinus membrane; Fig. 8 is a view for explaining the sinus membrane of the sinus jacking device shown in Fig. 7; Fig. 9 is for A perspective view of one of the bone grafting materials extruded between the sinus membrane and the alveolar bone; FIG 10 is a view for explaining the ninth line in FIG extruded drill extrusion of bone graft material view shown in FIG. [Main component symbol description] 3: sinus membrane 3s: space 5: alveolar bone 5a: alveolar bone fragment 20 201004608 5b: inner portion 8: bone graft material 110: guide body 112: discharge hole 130: guide rod 200: Perforated drill 211: Cutter 213: Female threaded portion • 220: Coupling body 230: Perforated rod 300: Cutting drill 311: Reverse cutter 321: Reverse cutter 330: Cutting rod 400: Sinus jacking device @ 411 : anti-slip portion 421 : jacking member 500 : extruded drill 511 : groove 531 : connecting groove 5c : residual portion of the tooth groove 100 : guiding drill 111 : serrated cutter 120 : pointing unit 131 : connecting concave Groove 210: perforated body 212: discharge hole 215: cutting section 221: coupling groove 231: connection groove M0: cutting body 320: film contact body 325: diamond particle 331: connection groove 410: grip body 420: jacking up Body 423: scale 510: extruded body 530: squeeze rod 21