201100062 六、發明說明： 【發明所屬之技術領域】 參照相關申請案 本申請案請求優先權為2008年11月6曰提交美國專利申請案號 12/265,854名稱「快速植牙鑽頭」，2009年1月1曰提交美國專利申請 案號12/657,046名稱「植牙用植根」，以及2006年11月3〇日提交美 國專利申凊案號11/564,911名稱「植牙用植根」，每—案件的所有内容 附上參考。 〇 背景 本發明涉及牙科程序及設備，特別是涉及用於推高一鼻竇膜及應 用骨移植物至一鼻腔鼻竇的程序及設備。 【先前技術】 植牙已成為假牙所引起問題的較佳解決方案。植牙體由鈦金屬製 造’當安裝於人Μ ’它是-個高度生物相容性㈣，但不會分解為 毒性生物。因此，植牙體，經正確外科手術，可提供接近 可提供接近90%的成功 率，且能提咼耐用性、美觀、咬合力、防止骨質流失等。201100062 VI. Description of the Invention: [Technical Field of the Invention] Reference to the Related Application The priority of the present application is US Patent Application No. 12/265,854 entitled "Fast Dental Bits", November 1, 2008. US Patent Application No. 12/657,046, entitled "Planting Roots", and US Patent Application No. 11/564,911, November 3, 2006, entitled "Planting Roots," All references to the case are attached. BACKGROUND OF THE INVENTION The present invention relates to dental procedures and devices, and more particularly to procedures and apparatus for pushing a sinus membrane and applying a bone graft to a nasal sinus. [Prior Art] Dental implants have become a better solution to the problems caused by dentures. The implant body is made of titanium metal 'when installed on human Μ' it is a highly biocompatible (four), but does not decompose into toxic organisms. As a result, the implant can provide close to 90% success rate through correct surgery, and can improve durability, aesthetics, bite force, and prevent bone loss.
被固定於制賴上，使舰得以恢復。It was fixed on the system to restore the ship.
圓形凹陷在其基底部， 杈仏一孔，習知為—煙囪狀孔，由此，一個非 而支台架具有對應此形狀的非_剖面突部。 4 201100062 藉此，牙冠能以自行校對中心連接方式結合於支台架上以防止其間的 相對旋轉。一螺絲，穿入煙囪狀孔開口，干涉於支台架内的該錐狀孔， 得以在軸向上將牙冠ϋ定於支台架上。藉此，牙冠不能相對支台架旋 轉’因為其制定於支台架端部上突出的特殊輪廝，且當該螺絲已在 鎖緊位置時該牙冠也不能自支台架拉開。最後，在該螺絲上方的煙_ 狀孔被填充-硬化陳合填充物㈣’且形成該牙_雜，而看起 來像天然牙齒。The circular depression is at its base portion, and a hole is known as a chimney-shaped hole, whereby a non-section frame has a non-section projection corresponding to the shape. 4 201100062 Thereby, the crown can be coupled to the support frame in a self-calibrating center connection to prevent relative rotation therebetween. A screw penetrates into the chimney hole opening and interferes with the tapered hole in the support frame to fix the crown on the support frame in the axial direction. Thereby, the crown cannot be rotated relative to the support frame' because it is defined as a special rim projecting on the end of the support frame, and the crown cannot be pulled away from the support frame when the screw is already in the locked position. Finally, the smoke-like hole above the screw is filled-hardened with the filler (4)' and forms the tooth, which looks like a natural tooth.
在植牙體安裝賴’需執行-切骨手術以在牙槽射上造成一正 破大小的Β1孔用以-植牙體的插人。在傳統的切骨手術綱，不同大 小的鑽顯來顯-切孔。這可能轉_利_個_針來壓平牙槽 崎骨之咬合表面’且形紐牙_位置標記，然後組不同尺寸 的鑽頭以鑽出-割、於植牙體餘的城（例如，如果—植牙體直徑 是4.75 mm，則鑽頭直徑是4.25 mm)。 在以不同網鑽出-切錢，傳統上—_鑽接著觀來鑽此切 孔’至直徑與-具螺紋植牙體相等，然後，—錐體用來在牙射骨中 插入該具敎植牙體之該切肋攻出—觀。因為此傳㈣孔鑽出方 法’需要使科同尺寸的_，則手㈣間及_度㈣加，由此降 低手術成功率。 進者’鼻竇腫半位置可能太薄，不心#持—傳_植牙體根 部。早先的提高鼻竇層方法，係關於纽_窗〇經由壓裂頭骨部份以 增加進人該上竇。-旦鼻竇被露出後，1科醫生將可從一病串 峨關節取骨，且㈣至該鼻竇層。這被認為是—個重大㈣科手術， 而且需在醫院t進全身麻醉下進行。_，此程序f要8_12個月的長 201100062 時治療期。在8-12個月之後，再進行第二次外科手術在鼻竇移骨中以 放置一或更多的植牙體。之後，在最終恢復可被放置前，需要另一個 6-9個月來治療。 本發明之發明人揭露一植牙體植入手術，可允許快速植入一個植 牙體而不需要多次外科手術。為了方便達成這個快速植牙體植入手 術，本發明人創造了 一些牙科儀器，包括美國申請案號12/357/〇46名 稱「牙齒移植用的改良植根」、美國申請案號12/265,854名稱「快速植 牙用鑽頭」、台灣新型專利M3135〇2名稱「可調雙刀葉握柄單元」、台 〇 灣新型專利M313504名稱「液壓式鼻竇膜分離器」、美國專利申請案號 12/265,012名稱「植入牙骨頭混合物之振動填充設備」、台灣新型專利 M3135〇6名稱「推高鼻竇之工具組」。 【發明内容】 依此植牙方法及工具的不同實施例將在下面的詳細說明中記 載。例如，-個實施例，包括鑽出—孔穿過在相槽·的牙槽崎骨、 〇 ^由脈衝水穿人該孔而自牙槽嵴骨切開鼻竇膜錢鼻竇膜自該牙槽嵴 骨分離、然後經由該孔且在鼻竇膜及牙槽嵴骨之間塞入骨頭混合物以 增加牙槽射厚度。之後，該孔可被㈣—第—餘且—具有螺紋及 側切部之植牙體可被放置入該孔内。在植牙體放置後，經自切開接近 該牙凹槽的鋪骨之特組織後而可將該牙齦組赌直雜，在該牙 齦組織側旁的緒壯側哺牙齦域，且移_牙齦域使其鄰接 於植牙體。在此方財，—植牙射在—次手術被植入。 此總結所提供的將概念是—簡化形式，將在以下_細說明中 201100062 進-步記載。麟結不傾向定義所請拉題事物_鍵特徵或本質特 徵，也不傾向用以限制對所請求的主題事物限制範圍。進者，請求的 主題事物並不限於解決任何或所有被制在此揭露任—部份之缺點的 實現。 【實施方式】 第-圖(A)S(F)是-系列圖式，展示一液壓鼻竇壓縮技術以植入可 被用於五合一植牙程序之植牙體。 〇 上頜鼻竇（maxillaiysinus)具有-鼻竇膜，在鼻竇穴及周圍骨頭 之間形成-辦。後職射頭（pGsteriOT — bGne)實質上較 牙槽嵴骨（crestal bone)其他部份為厚，因此無法提供足夠的骨厚度 以永久性地安置一植牙體。一種傳統方案，在這薄的骨頭中放置一植 牙體，係鼻竇推高程序’特到打破該骨麵時希望不穿破該 膜’然後移開骨頭以允許進入該鼻竇膜，且之後自附著的骨頭切開或 剝離該膜。此方案既是侵入的，且更與外科手術牽涉，並需要額外的 程序u包括-液壓鼻賨推高程序之範例，是較少侵人性的也 u 可被利用在結合外科手術以放置一植牙體。 第-圖(A)顯示了 -相對薄的齒槽骨頭15、一被拔除牙齒5及一在 該上頜鼻竇内且連接於齒槽骨頭1S的鼻竇膜10。在此例液壓鼻寶推 高’牙齒5被拔除，且任何在牙齒5根部的感染（infecti〇n)被清除。 之後第一圖(B)顯示了一結合鑽頭25及水喷頭，以供給一壓力水流 24通過一相對較小的第一孔而進入該鼻竇穴及鼻竇膜1〇下方。在一些 實施例中，壓力水流24以脈衝式提供，不同壓力流及分給一攻入力量 201100062 於鼻竇膜上。此外，在_些實施例’也可使用_單獨的水喷頭及鑽頭 台體。參考之後的第二圖較詳細記載了綱25的—實例。在這些實施 例之’-個第-孔貫通該鼻寶穴可被達成，係經由齡式地鑽出該 第孔’或經由利用_具足夠壓力之水喷頭打穿齒槽骨頭15。其他實 施例並不限制’且該第_孔可湘其他方案完成。此外，壓力水流24 可以是適合利用於類似牙科程序的其他液體。 一旦一孔被產生，該壓力水流24分給一溫和力量於鼻竇膜1〇上， 且自齒槽麵15上_，在鼻竇駭骨頭之驢生-空間20。在第-圖(B)中’ 一弧形根部牙凹槽被顯示。在鑽頭乃末端的一圓頭銼由於 在該圓頭娃上的-側切表面，允許相對較小的第—孔被形成 ，同時參 考第二圖的較詳細說明來解釋。 第一圖(C)顯示兩個較大的孔3〇、4〇，經由一較大的圓頭經鑽出， 而可接受其他植牙體。此外，—綱或树頭或其他設備可被用來在 該較大的孔3G末端產生—相對較小的第二或第三孔35,且該水的壓力 水",L 24可再_欠使用以自骨頭上切開鼻寶膜類似於第一圖⑼所描述。 其次，在第-圖(D)中’-讎縮器5〇具有壓縮端55可被用來在 切開的鼻麵1G及鄰接骨_形賴空_放置骨獅植物（bone graft) 60。在一較佳的實施例中，塵縮端跖具有較第一孔、第二孔、 第三孔等大的紐’且直徑小於較趙3G。纽絲下，骨頭移植物 邠可利用壓縮器5〇❿被壓縮入空間2〇，但同時降低穿孔或損壞鼻竇 膜10的機會。骨頭移植物6〇可以與骨頭結合，可以是多孔狀或顆 粒狀。與鼻竇膜1〇接觸的雛的骨頭移植物6〇，是多孔狀骨頭，以降 低對鼻竇膜1〇潛在損害。 201100062 在第圖(E)中，顯示了一鑽出孔65，係延伸入在鼻竇膜下方的骨 頭移植物，且可接收一植牙體7〇如第一圖(F)所示。一些植牙體的 實施例較詳細的記載於以下，並參考第三圖。通常地，植牙體印的槽 化侧切部允許足夠架構支揮在接近該植牙體相對薄的齒槽骨頭巧，允 許該骨頭移植物在骨頭内成型，同時一臨時牙冠75被放置於植牙體％ 上提供一「即時負荷（immediatel〇ad)」。在一些實施例中臨時牙冠 75可能具有一較鄰近天然牙齒大的咬合間隙，而不會分配太多的力量 給臨時牙冠75、植牙體70硬化的骨頭移植物60、薄的齒槽骨頭15等 〇 等。 在一些實施例中，臨時牙冠75可能綁縳於一鄰接的牙齒，或植牙 體，或多個鄰接牙齒或植牙體，係為了提供較強化的結構，當骨頭移 植物轉化成齒槽骨頭時及當奥西歐整合（〇sse〇integrati〇n)與植牙體 70根部發生時。 第二圖是一種改良鑽頭200的一立體視圖，係用於第一圖顯示實 施例插入一植牙體。鑽頭2〇〇顯示包括：一形狀可快速連接於一牙科 ◎ 手機（dental handpiece)的連接頭21〇、一佈置在該連接頭21〇底部 的止擋塊211、一佈置在最末端的圓形圓頭銼（r〇uncj bur) 260、以及 一連續的主動鑽頭本體部220至250，係自圓形圓頭銼260軸向向上延 伸至止擋塊211的底側，而同軸線連接於連接頭21〇，以在自圓形圓頭 銼260至連接頭210方向上形成最小的直徑至最大直徑。圓形圓頭銼 260可被用來位置標記，以及產生一齒槽骨頭置換點以減少跳離。如一 非限定實施’圓形圓頭銼260可具有螺紋設計，當使用於細緻的皮質 骨時’用以降低或限制跳離。主動鑽頭本體部22〇至25〇可用來鑽出 9 201100062 垂直孔，例如，在牙床（alveolarridge)中。 主動鎖頭本體部220至250顯示一圓錐形狀。一個v槽221、231 或241圍繞設置在錢頭200週面，並在主動鑽頭本體部220至250上 以每兩相鄰方式設置，使得中心點相對偏移以在鑽孔期間產生準確孔 位。最頂端的主動鐵頭本體部250具有一相同直徑的柱狀形態。在主 動鑽頭本體部220至250之間，最頂端的主動鑽頭本體部25〇具有最 大的直徑及長度，用以鑽出一孔，足夠插入一開孔頭（tap)(圖未示）。 0 在一些實施例中，最頂端的主動鑽頭本體部25〇的直徑等於開孔 a (tap)(圖未示）’使得綱可鐵出—等於—植牙體直徑的切孔， 且該切孔可被該植牙體插入而開孔。 在切骨手術（osteotomy)期間，-切孔以鐵頭2〇〇成型於齒槽骨 頭上’然後該切孔可被開孔頭開出以直接使植牙體插入。經由鑽頭· 的應用’手術時間可被大幅縮短，節省工具零件交換時間，消除潛在 的失誤，且提高植牙成功率。 〇 4第三圖係為—改良植牙體3⑻的立體視圖，其上方區域具有一連 接P 10該連接部310在其外表具有一細的螺紋部，且該植牙體删 15在“下方區域具有一粗螺紋部32〇。連接部細可連接—牙冠的 支台架(abutment)。在-些實施例中，粗螺紋部挪表面具有銳利螺 紋’可經由旋轉而植人患者的齒槽骨頭（alveolarbone)内。 …傳統植牙體被設計成為了治療骨頭，且不具有職表面，使其 ^女4於相對較薄骨頭。因此，某些實施例可能包括—或多個螺旋 面33〇 (在其令切面是平的表面），係成型於粗螺紋部义〇表面 201100062 上垂直延伸。在某些實施财，這些職處理表面可似粗化塗佈處 理，例如，以氫氧構灰石(Hydroxyapatite, HA)塗佈。此外，某些實施 例中，可具有多個螺旋處_自330在粗螺紋部32〇長度方向延伸。 經由粗化賴旋處理表面33〇區獻於—财__—傳統水平處 理表面，财部的麵可相賴快縣纽封錄牙體· 之根部。 進者’粗化的螺旋處理表面33〇在垂直方向延伸，增加植牙體腳 根部植人骨財頭（medullarybGne)㈣贿，齡絲牙冠至該 财體的等待時間。更進者，如果粗螺紋部32〇上的螺旋處理表面· 是在垂直方向延伸’之後，在植人植牙體根部進人齒射頭期間， 任何自生骨棚粒在齒财购骨传準備綱，將停留在職處理 表面330内，並允許植牙體3〇〇根部平順插入骨頭内。 範例實施例’具有多螺旋處理表面33〇可以具有三個螺旋處理 表面330 ’以等角間隔模式佈置，且全部在垂直方向上延伸。在一些實 施例中，該二個螺旋處理表面可以氫氧磷灰石卿士❶乂卿础e,HA) 塗佈處理。此外’在該三個職處理表面33〇上的切面，可以是内縮 派形表面’而進—步增加該處理表面的區域及空間，用以保持自生性 骨頭顆粒以提供植牙體3〇〇根部平順插入齒槽骨頭内。 在些實施例中’連接部310提供一多角形孔，而一螺絲孔可被 提供在該多角形孔的底部表面。在財法下，鮮角狐的多角形態 可與一支台架連接部份形態相配合，當與植牙體3〇〇根部連接時使 得支台架可快速且正確的定位。然後，在支台架底部的一栓子可平順 地旋轉而連接進入在植牙體3〇〇根部内的一螺絲孔，藉此鎖緊組合支 201100062 台架於植牙體300根部。 第四圖係為-流程圊以顯示一方法4〇〇，以在外科手術中放置植牙 體之方法。首先，如方塊41〇指示，方法4〇〇包括自—牙凹槽拔除一 牙齒。 μ 方法_也包括在牙哺頂部鑽出―第―孔穿過牙_骨其中 該第孔連通該上領鼻竇，且該第一孔相對小於該牙凹槽的直徑，如 方塊420指示。 Ο 接著’方法400包括自該牙槽崎骨切開鼻竇膜，使用-液壓牙科 儀器在些實施例中，液壓牙科儀器脈衝水通入該第一孔内，且將 鼻竇膜自該牙槽崎骨分離，如430指示。 方法_也包括’通麟骨祕合物（bGnemixture) 鼻竇膜及該牙槽喷骨之間，該骨頭混合個以增加牙槽嵴骨的厚 度，如方塊440指示。 接著，方法400包括挖出該第一孔至一第一直徑，如45〇指示。 〇 方法400也包括，放置一植牙體於具有該第一直徑的第一孔内， ^植牙體具有螺紋部及側切部’該侧切部用以安全鎖緊第一孔周圍之 月員如方塊460指不。在方法4〇〇中的方塊41〇〜46〇可發生在一液 壓鼻竇壓縮方案中，參考上述第一圖記載。 —在-些實施例中，方法可進—步包括，綁縳雜牙體於至少 相4的牙齒或植牙體，以構成支撐，至該骨頭混合物成型於骨頭 而該牙槽崎骨。在另一個實施例中，方法400可進-步包括增 牙槽嵴θ硬度，財頭移植物提供該植牙體顺更多骨頭。 12 201100062 接著方法400包括垂直移植牙銀組織，經由自接近於牙凹槽的 牙槽喷3 _斷齦喊’在該牙料骨侧面職牙敏織執行側切 該牙齦組織，且移植該牙齦組織，使其鄰接於該植牙體，如470指示。 400然後包括，在該植牙體上放置一臨時牙冠如方塊*指示。 進—步的理解，在此記載的配置及/或方案，係為較佳的性質， 這二特殊實施例或實例不以此為料n兄，目為可能有大量的變 在此-己載在特殊方法，可代表程序一或多個任何數量。因此，不 同的動作說明可被以接續的說明執行，在其他接續，平行，或在某些 障况下省略。同制^Λ記程序之轉*是必舰被要求來達到在此 記載實施例的該特點及/或結果，但為便於說明及記載。本揭露之主題 事物包括所有賴的及細著的獨轉、H及佈置之結合及次 結合’及在此揭露的其他特點、功能、動作、及/或屬性，以及任何及 所有等效物。 【圖式簡單說明】 〇 f—圖(Α)至(F)是一系列圖式’展示—液壓鼻竇壓縮技術用以插入該植 牙體，可利用於一五合一植牙程序。 第二圖係為一改良鑽頭之立體視圖，用以插入一植牙體。 第三圖係為一改良植牙體之立體圖。 第四圖係為流程圖，展示一種五合—植牙程序。 13 201100062 【主要元件符號說明】 牙齒5 鼻竇膜10 齒槽骨頭15 空間20 壓力水流24 鑽頭25 較大的孔30 第二或第三孔35 壓縮器50 壓縮端55 骨頭移植物60 鐵出孔65 植牙體70 牙冠75 鑽頭200 連接頭210 止擋塊211 圓形圓頭娃260 鑽頭本體部220至250 V 槽 221、231 或 241 植牙體300 連接部310 粗螺紋部320 螺旋處理表面330 方法400 方塊 410-480In the implant body, it is necessary to perform a bone-cutting operation to create a smashed hole in the alveolar shot for the insertion of the implant. In the traditional osteotomy program, drills of different sizes are used to show-cut holes. This may turn the _ _ _ needle to flatten the occlusal surface of the alveolar sulcus and shape the dent position mark, and then group different sizes of drill bits to drill-cut, in the city of the implant (for example, If the implant diameter is 4.75 mm, the drill diameter is 4.25 mm). Drilling in different nets - cutting money, traditionally - drilling and then drilling to cut the hole to the diameter is equal to the threaded implant, and then - the cone is used to insert the file in the tooth bone The rib of the implant body is attacked - view. Because this (four) hole drilling method needs to make the same size _, then the hand (four) and _ degree (four) plus, thereby reducing the success rate of surgery. Into the sinus swelling half position may be too thin, not heart #持_传_ implant roots. The earlier method of improving the sinus layer was to increase the entry of the upper sinus by fracturing the skull portion. Once the sinus is exposed, a surgeon will be able to take bone from a diseased ankle joint and (d) to the sinus layer. This is considered to be a major (four) surgery, and it needs to be performed under general anesthesia in the hospital. _, this procedure f is 8_12 months long 201100062 when the treatment period. After 8-12 months, a second surgical procedure is performed in the sinus bone to place one or more implants. After that, another 6-9 months will be required for treatment before the final recovery can be placed. The inventors of the present invention have revealed that a dental implant surgery allows rapid implantation of a dental implant without requiring multiple surgical procedures. To facilitate the achievement of this rapid implant implant procedure, the inventors have created a number of dental instruments, including U.S. Application Serial No. 12/357/46, entitled "Improved Rooting for Dental Transplantation", U.S. Application Serial No. 12/265,854 The name "fast dental implant drill bit", Taiwan's new patent M3135〇2 name "adjustable double blade handle unit", Taiwan's new patent M313504 name "hydraulic sinus membrane separator", US Patent Application No. 12/ 265,012 name "Vibration filling device for implanted bone mixture", Taiwan's new patent M3135〇6 name "Tool group for pushing up the sinuses". SUMMARY OF THE INVENTION Various embodiments of the dental implant method and tool will be described in the following detailed description. For example, an embodiment includes drilling-aperture through the alveolar sulcus in the phase slot, 〇^ is pierced by the pulsed water, and the sinus membrane is cut from the alveolar tibia from the alveolar ridge. The bone is separated, and then the bone mixture is inserted through the hole and between the sinus membrane and the alveolar tibia to increase the alveolar ejection thickness. Thereafter, the hole can be placed into the hole by (4) - the first - and the implant having the thread and the side cut. After the implant body is placed, the gingival group can be gamified by self-cutting the special bone-laying tissue close to the tooth groove, and the gingival area of the gingival tissue side is moved to the gingival area, and the gingival sputum is moved. The domain is adjacent to the implant. In this case, the implant is implanted in the same operation. The concept provided in this summary is a simplified form, which will be described in the following _ Detailed Description 201100062. Lin Jie does not tend to define the _ key features or essential features of the topic, nor is it intended to limit the scope of the subject matter requested. Further, the subject matter of the request is not limited to the resolution of any or all of the shortcomings of the disclosure. [Embodiment] Fig. (A)S(F) is a series of drawings showing a hydraulic sinus compression technique for implanting a dental implant that can be used in a five-in-one dental implant procedure.上 The maxillary sinus (maxillaiysinus) has a sinus membrane that forms between the sinus and the surrounding bone. The post-shot (pGsteriOT - bGne) is essentially thicker than the rest of the crestal bone and therefore does not provide sufficient bone thickness to permanently place a implant. A conventional solution in which a dental implant is placed in the thin bone, and the sinus push-up procedure is 'unexpected to break the membrane when breaking the bone' and then remove the bone to allow access to the sinus membrane, and then The attached bone cuts or peels the film. This program is both invasive and more involved in surgery and requires additional procedures including an example of a hydraulic nasal procrastination procedure that is less invasive and can be utilized in conjunction with surgery to place a dental implant. body. Fig. (A) shows a relatively thin alveolar bone 15, a tooth 5 removed, and a sinus membrane 10 connected to the alveolar bone 1S in the maxillary sinus. In this case, the hydraulic nose pushes up the 'tooth 5' is removed, and any infection (infecti〇n) at the root of the tooth 5 is removed. The first Figure (B) shows a combined bit 25 and water jet to supply a flow of pressurized water 24 through a relatively small first hole into the sinus cavity and below the sinus membrane. In some embodiments, the pressurized water flow 24 is provided in pulses, with different pressure flows and a tapping force on the sinus membrane. In addition, separate nozzles and drill bits may be used in the embodiments. The second figure after the reference describes the example of the outline 25 in more detail. It is achieved that the '-th hole-holes of these embodiments are penetrated through the nose hole, or the tooth hole 15 is drilled through the age hole or by using a water jet having sufficient pressure. Other embodiments are not limited to the 'and the other methods are completed. Additionally, the pressurized water stream 24 can be other liquids suitable for use in a similar dental procedure. Once a hole is created, the pressure water flow 24 is given a gentle force on the sinus membrane 1 且, and from the sinus surface 15 _, in the sinus humeral head - space 20. In the figure - (B), an arcuate root tooth groove is displayed. A round head at the end of the drill bit allows a relatively small first hole to be formed due to the side cut surface on the round head, as explained with reference to the more detailed description of the second figure. The first figure (C) shows two larger holes 3〇, 4〇, drilled through a larger round head, and other implants can be accepted. In addition, a class or tree head or other device can be used to create a relatively small second or third hole 35 at the end of the larger hole 3G, and the pressure water of the water ", L 24 can be further _ Underuse to cut the nasal membrane from the bone is similar to that described in Figure 1 (9). Next, in the first-figure (D), the '-the retractor 5' has a compression end 55 which can be used to place a bone graft 60 on the cut nose surface 1G and the adjacent bone___. In a preferred embodiment, the dust-reducing end turns have a larger diameter than the first hole, the second hole, the third hole, and the like, and the diameter is smaller than that of the Zhao 3G. Under the neon, the bone graft can be compressed into the space by using a compressor 5〇❿, but at the same time reduces the chance of perforation or damage to the sinus membrane 10. The bone graft 6 can be bonded to the bone and can be porous or granular. The bone graft of the young sinus membrane, which is in contact with the sinus membrane, is a porous bone to reduce the potential damage to the sinus membrane. 201100062 In Figure (E), a drilled hole 65 is shown extending into the bone graft below the sinus membrane and receiving a dental implant 7 as shown in Figure (F). Some embodiments of implants are described in more detail below and reference is made to the third figure. Typically, the grooved side cut of the implanted tooth allows sufficient structural support to approximate the relatively thin alveolar bone of the implant, allowing the bone graft to be formed within the bone while a temporary crown 75 is placed An "immediate load" is provided on the implant body %. In some embodiments, the temporary crown 75 may have a larger occlusal gap than the adjacent natural teeth without allocating too much force to the temporary crown 75, the implanted body 70 hardened bone graft 60, thin cogging The bones are equal to 15 and so on. In some embodiments, the temporary crown 75 may be tied to an adjacent tooth, or a dental implant, or a plurality of adjacent teeth or implants, in order to provide a stronger structure when the bone graft is converted into a cogging When the bone occurs and when the Ossian integration (〇sse〇integrati〇n) and the root of the implant body 70 occur. The second figure is a perspective view of a modified drill bit 200 for use in the first embodiment showing the insertion of a dental implant. The drill bit 2 〇〇 display includes: a connector 21 形状 that can be quickly connected to a dental ◎ mobile handpiece, a stop 211 disposed at the bottom of the connector 21 、, and a circular shape disposed at the extreme end a circular head 锉 260, and a continuous active bit body portion 220 to 250 extending axially upward from the circular round head 锉 260 to the bottom side of the stop block 211, and the coaxial line is connected to the connection The head 21 is formed to form a minimum diameter to a maximum diameter in the direction from the circular round head 锉 260 to the joint 210. The rounded round 锉 260 can be used to position the mark and create a cogging bone replacement point to reduce jump. As a non-limiting implementation, the rounded toroidal crucible 260 can have a threaded design that when used in a delicate cortical bone to reduce or limit the jump. The active bit body portions 22 to 25 can be used to drill 9 201100062 vertical holes, for example, in an alveolarridge. The active lock body portions 220 to 250 display a conical shape. A v-groove 221, 231 or 241 is disposed around the circumference of the head 200 and is disposed in two adjacent manners on the active bit body portions 220 to 250 such that the center point is relatively offset to produce an accurate hole position during drilling. . The topmost active iron body portion 250 has a columnar shape of the same diameter. Between the active bit body portions 220 to 250, the topmost active bit body portion 25 has the largest diameter and length for drilling a hole sufficient for insertion of a tap (not shown). In some embodiments, the diameter of the topmost active bit body portion 25A is equal to the opening a (tap) (not shown) such that the core can be ironed out to be equal to the cut hole diameter of the implant body, and the cut The hole can be inserted by the implant to open the hole. During the osteotomy, the cut-to-hole is formed on the alveolar bone with the iron head 2' and then the cut-out can be opened by the open-ended head to directly insert the implant. Through the application of the drill bit, the operation time can be greatly shortened, saving tool parts exchange time, eliminating potential errors, and improving the success rate of implants. The third figure of Fig. 4 is a perspective view of the modified implant body 3 (8), the upper portion of which has a connection P 10 which has a thin threaded portion on its outer surface, and the implant has a 15 in the "lower area" Having a thick threaded portion 32. The connecting portion is thinly connectable to the abutment of the crown. In some embodiments, the thick threaded portion has a sharpened surface that can be implanted into the patient's cogging via rotation Inside the bone (alveolarbone) ... the traditional implant is designed to treat bone and has no occupational surface, making it a relatively thin bone. Therefore, some embodiments may include - or multiple helicoids 33 〇 (in the case where the cut surface is a flat surface), it is formed to extend vertically on the surface of the thick threaded portion 201100062. In some implementations, these treatment surfaces may be roughened, for example, by hydrogen oxyhydration. In addition, in some embodiments, there may be a plurality of spirals - extending from the length of the thick threaded portion 32 from 330. The surface of the roughened surface is provided by the roughening treatment. Finance __—traditional level of processing surface, wealth The face can depend on the root of the fast-filled New York Recording Body. The 'roughened spiral-treated surface 33〇 extends in the vertical direction, increasing the root of the implant's body and implanting the bones (medullarybGne) (4) bribes, silk The waiting time from the crown to the treasury. Further, if the spirally treated surface on the thick threaded portion 32 is extended in the vertical direction, any self-generated period during the entrance of the implanted dental body into the human tooth shot The bone granules are purchased in the dental treatment and will remain in the in-service treatment surface 330 and allow the root of the dental implant to be smoothly inserted into the bone. Example embodiment having a multi-spiral surface 33 can have three spirals The treatment surfaces 330' are arranged in an equiangularly spaced pattern and all extend in a vertical direction. In some embodiments, the two spiral treatment surfaces may be coated with a hydroxide, apatite, and a coating. In addition, 'the cut surface on the surface of the three treatment surfaces, which may be the indented surface,' further increases the area and space of the treated surface to maintain the autogenous bone particles to provide the implant 3 Root root In the embodiment, the connecting portion 310 provides a polygonal hole, and a screw hole can be provided on the bottom surface of the polygonal hole. Cooperating with a form of the gantry connection, the pedestal frame can be quickly and correctly positioned when connected to the root of the implant body. Then, an emboss at the bottom of the pedestal frame can be smoothly rotated. Connected to a screw hole in the root of the implant body 3, thereby locking the combination branch 201100062 gantry to the root of the implant body 300. The fourth figure is - flow 圊 to show a method 4 〇〇, in A method of placing a dental implant in a surgical procedure. First, as indicated by block 41, method 4 includes removing a tooth from the groove. The μ method _ also includes drilling a "first" hole through the tooth _ bone where the first hole communicates with the upper sinus and the first hole is relatively smaller than the diameter of the tooth groove, as indicated by block 420. Ο Next, the method 400 includes cutting the sinus membrane from the alveolar bone, using a hydraulic dental instrument. In some embodiments, a hydraulic dental instrument pulses water into the first hole, and the sinus membrane is smear from the alveolar ridge. Separate, as indicated by 430. The method _ also includes a 'bGnemixture' sinus membrane and the alveolar bone, which is mixed to increase the thickness of the alveolar tibia, as indicated by block 440. Next, method 400 includes scooping the first aperture to a first diameter, such as 45 〇 indication. The method 400 further includes placing a dental implant in the first hole having the first diameter, the implant body having a threaded portion and a side cut portion for securely locking the month member around the first hole As indicated by block 460. Blocks 41〇~46〇 in Method 4〇〇 can occur in a hydrostatic sinus compression protocol, as described above with reference to the first figure. - In some embodiments, the method can further include attaching the dental body to at least the teeth or implant of the phase 4 to form a support until the bone mixture is formed on the bone and the alveolar bone. In another embodiment, the method 400 can further include the indentation 嵴θ hardness, and the financial implant provides the implant with more bone. 12 201100062 Next, the method 400 includes vertically implanting the dental silver tissue, and performing the lateral gingival tissue on the lateral side of the dental material through the alveolar spray from the alveolar groove close to the tooth groove, and transplanting the gingival tissue. The tissue is adjacent to the implant, as indicated by 470. 400 then includes placing a temporary crown on the implant, such as a square* indication. The understanding of the steps and the configurations and/or schemes described herein are preferred. These two special examples or examples are not intended to be n-brothers. It is possible that there are a large number of changes here. In a special method, it can represent any number of programs one or more. Therefore, different descriptions of the actions can be performed with subsequent instructions, omitted in other connections, in parallel, or under certain obstacles. The same system is required to achieve the features and/or results of the embodiments described herein, but for ease of illustration and description. The subject matter of the present disclosure includes all of the singular and singular singularity, the combination of H and the arrangement, and the sub-combination and other features, functions, actions, and/or attributes disclosed herein, and any and all equivalents. [Simple description of the diagram] 〇 f—Graphics (Α) to (F) are a series of schemas. The hydraulic sinus compression technique is used to insert the implant body and can be used in a five-in-one implant procedure. The second figure is a perspective view of a modified drill bit for inserting a dental implant. The third figure is a perspective view of a modified implant. The fourth diagram is a flow chart showing a five-in-one implant procedure. 13 201100062 [Explanation of main components] Teeth 5 sinus membrane 10 alveolar bone 15 space 20 pressure water flow 24 drill bit 25 larger hole 30 second or third hole 35 compressor 50 compression end 55 bone graft 60 iron outlet 65 Implants 70 Crown 75 Drill bit 200 Connector 210 Stop 211 Round round head 260 Bit body part 220 to 250 V Slot 221, 231 or 241 Implant 300 Connection part 310 Thick threaded part 320 Spiral treated surface 330 Method 400 Block 410-480