TWI519278B - Sinus special implant - Google Patents
Sinus special implant Download PDFInfo
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- TWI519278B TWI519278B TW103113970A TW103113970A TWI519278B TW I519278 B TWI519278 B TW I519278B TW 103113970 A TW103113970 A TW 103113970A TW 103113970 A TW103113970 A TW 103113970A TW I519278 B TWI519278 B TW I519278B
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Description
本發明有關一種鼻竇專用植牙體,尤指一種特適使用於上牙床的鼻竇專用植牙體,能在有效預防鼻竇層穿透下,同步將不同數量骨粉或填充物推入鼻竇層與上牙床所推開的空隙中。 The invention relates to a special implant for sinus, in particular to a special sinus implant for the upper gum bed, which can synchronously push different amounts of bone powder or filler into the sinus layer and the upper layer while effectively preventing the penetration of the sinus layer. In the gap pushed open by the gums.
一般在植牙過程中,牙醫在植入牙體前,通常會進行牙床條件檢查,若發現皮質骨頭厚度不足時,就必須先補充骨粉或填充物以墊高皮質骨頭厚度,同時,依據植牙病患的牙骨區域的不同狀態,可經由選擇決定填入不同數量的骨粉或填充物形成植牙體的骨粉層厚度。 Generally, during the implant process, the dentist usually performs the condition of the gum before the implant is implanted. If the thickness of the cortical bone is found to be insufficient, the bone powder or filler must be added to increase the thickness of the cortical bone. Different states of the patient's dental region can be determined by filling in different amounts of bone powder or filler to form the thickness of the bone layer of the implant.
所附第1圖顯示鼻竇層(sinus floor)100植牙區域的皮質骨頭(如上牙床)101厚度不足須加以增高時,現有方式主要是進行在皮質骨頭101鑽出設定大小開孔102的切骨手術(osteotomy);然後如第2圖所示般,先將鼻竇層100分離後,再於該鼻竇層100與皮質骨頭101之間填充骨粉(bone growth powder)103或填充物,以增加皮質骨頭101厚度,方便後續植牙程序,在此一骨粉或填充物填入過程中,可依據病患的植牙部分狀況填充不同數量的骨粉或填充物來形成所需的骨粉層成長厚度。同時,在上述的鼻竇層100分離以形成骨粉或填充物的填置空間程序中,牙醫要非常謹慎小心的進行鼻竇層100推離手續,避免穿透鼻竇層100的狀況發生,造成嚴重後遺症。 Attached to Fig. 1 shows that the thickness of the cortical bone (such as the gums) 101 of the sinus floor 100 implant region is insufficient to be increased, and the prior art mainly performs the cutting of the bone of the set size opening 102 in the cortical bone 101. Osteotomy; then, as shown in Fig. 2, the sinus layer 100 is first separated, and then a bone growth powder 103 or filler is filled between the sinus layer 100 and the cortical bone 101 to increase the cortical bone. The thickness of 101 is convenient for the subsequent dental implant procedure. During the process of filling the bone powder or filling, different amounts of bone powder or filler can be filled according to the condition of the implanted part of the patient to form the desired thickness of the bone powder layer. At the same time, in the above-described filling space procedure in which the sinus layer 100 is separated to form bone powder or filling, the dentist must perform the procedure of pushing the sinus layer 100 away with great care, avoiding the situation of penetrating the sinus layer 100 and causing serious sequelae.
早期的植牙骨粉工具主要是在一握把的端部設有推針104供將骨粉103填充於已分離的鼻竇層下方空間。但使用這種習用手工具進行骨粉填充的動作十分困難,而且緩慢耗時,除了使病人的不適感提高之外,對於醫師在時間及體力上也是相當大的負擔。 The early implant bone cement tool was mainly provided with a push pin 104 at the end of a grip for filling the bone powder 103 in the space below the separated sinus layer. However, the use of such a hand tool for bone powder filling is very difficult and slow and time consuming, in addition to improving the patient's discomfort, it is also a considerable burden on the doctor in terms of time and physical strength.
在申請人所有的M440763號「植牙骨粉填充器」新型專利案中則提供了一種植牙骨粉填充工具,經由所預設的送料槽道及多數導推螺牙,使骨粉或填充物以更為均勻即快速的方式填充到分離的鼻竇層下方空間,以更為快捷的作業方式,能有效減輕醫師的疲累感以及縮短病患不適感的期間。但此一填充器仍為單一個體工具,而且是在進行該骨粉填充之後才進行植牙體的置入程序。 In the applicant's new patent application No. M440763 "Bone Dental Powder Filler", a dental bone filling tool is provided, which allows the bone powder or filling to be made through the preset feeding channel and most guiding screw teeth. Filling the space below the separated sinus layer in a uniform and rapid manner, in a faster way, can effectively reduce the fatigue of the physician and shorten the period of patient discomfort. However, this filler is still a single individual tool, and the implantation procedure of the implant is performed after the bone powder is filled.
本發明目的即在提供一種鼻竇專用植牙體,能在植牙體置入過程中同時推入骨粉或填充物,並有效避免傷及穿透鼻竇層。 The object of the present invention is to provide a dental implant body for sinus, which can simultaneously push bone powder or filler during the implantation of the implant body, and effectively avoid injury and penetration of the sinus layer.
本發明另一目的即在提供一種鼻竇專用植牙體,可在植牙體置入過程中選擇所要的骨粉或填充物的填充數量。 Another object of the present invention is to provide a dental implant for a sinus which can be used to select the desired amount of bone powder or filler to be filled during implantation of the implant.
為達到以上目的,本發明植牙體外周設有多數定位螺牙,以及在內部設有一作動組裝孔;所述植牙體沿著整個所述多數定位螺牙設有一個以上以交叉向穿過所述定位螺牙的間隔螺旋槽道;所述植牙體在所述多數定位螺牙的端部設有一縮小徑的頂推部,所述頂推部配合設置於所述多數定位螺牙的螺牙末端,並形成一平滑的頂推端面,並由所述頂推端面設有一與外部開放相通的凹入空間,並使所述凹入空間與所述的螺旋送料槽道盡端相通;所述植牙體由螺旋送料槽道以及頂推部配合所述凹入空間 將骨粉或填充物由切骨手術開孔中推入,同時推開鼻竇層即使骨粉或填充物受力進入已推開的鼻竇層及上牙床之間的空隙中,完成填入骨粉或填充物的作業並將植牙體定位。 In order to achieve the above object, the implant has a plurality of positioning screws on the outer circumference of the implant, and an actuating assembly hole is disposed inside; the implant body is provided with more than one through the entire positioning screw a spacing spiral channel of the positioning screw; the implant body is provided with a reducing diameter pushing portion at an end of the plurality of positioning screws, the pushing portion being cooperatively disposed on the majority positioning thread a threaded end, and forming a smooth pushing end surface, and the pushing end surface is provided with a concave space communicating with the outside, and the concave space is communicated with the end of the spiral feeding channel; The implant body is engaged with the concave space by a screw feeding channel and a pushing portion Pushing the bone powder or filler into the opening of the osteotomy, and pushing the sinus layer at the same time, even if the bone powder or filler is forced into the gap between the opened sinus layer and the upper gum, complete the filling of the bone powder or filler. Work and position the implant.
於可行實施例中,所述頂推端面設有圓滑端部,包括在所述頂推端面端部外周邊設有圓弧外導邊,並在所述凹入空間設置圓弧內導邊以形成安全預防結構。 In a possible embodiment, the ejector end surface is provided with a rounded end portion, and includes an outer edge of the arc at the outer periphery of the end portion of the ejector end face, and a guide inner edge of the arc is disposed in the concave space. Form a safety prevention structure.
於可行實施例中,所述凹入空間設為開口朝外部相通的半球狀或其他幾何形狀。 In a possible embodiment, the recessed space is configured as a hemispherical or other geometric shape in which the opening communicates to the outside.
於可行實施例中,所述定位螺牙的螺牙盤旋方向可選擇與所述的每一螺旋槽道為同向或反向設置,以形成不同大小數量的骨粉或填充物推入結構。 In a possible embodiment, the screwing direction of the positioning screw may be set in the same direction or opposite direction to each of the spiral channels to form different sizes of bone powder or filler pushing structure.
10、10a‧‧‧植牙體 10, 10a‧‧‧ implant body
11、110‧‧‧定位螺牙 11, 110‧‧‧ positioning thread
12‧‧‧作動組裝孔 12‧‧‧Activity assembly hole
13‧‧‧底基部 13‧‧‧ base
14、140‧‧‧螺旋槽道 14, 140‧‧‧ spiral channel
15‧‧‧頂推部 15‧‧‧Pushing Department
151‧‧‧頂推端面 151‧‧‧Pushing end face
152‧‧‧凹入空間 152‧‧‧ recessed space
153‧‧‧圓弧外導邊 153‧‧‧Circular outer edge
154‧‧‧圓弧內導邊 154‧‧‧Arc inner guide
20‧‧‧上牙床 20‧‧‧Upper gums
21‧‧‧鼻竇 21‧‧‧Sinus
22‧‧‧鼻竇層 22‧‧‧ sinus layer
30‧‧‧骨粉 30‧‧‧ bone meal
100‧‧‧鼻竇層 100‧‧‧ sinus layer
101‧‧‧皮質骨頭 101‧‧‧Cortical bones
102‧‧‧開孔 102‧‧‧Opening
103‧‧‧骨粉 103‧‧‧ bone meal
104‧‧‧推針 104‧‧‧ push pin
第1圖顯示習用鼻竇層進行切骨手術在皮質骨頭上形成開孔的斷面示意圖。 Figure 1 is a schematic cross-sectional view showing the formation of an opening in a cortical bone by a conventional sinus layer.
第2圖顯示在第1圖鼻竇層下方填充骨粉示意圖。 Figure 2 shows a schematic diagram of filling the bone powder below the sinus layer in Figure 1.
第3圖顯示本發明一較佳實施例立體圖。 Figure 3 is a perspective view showing a preferred embodiment of the present invention.
第4圖顯示第3圖的正視圖。 Figure 4 shows a front view of Figure 3.
第5圖顯示第3圖的斷面剖視圖。 Fig. 5 is a cross-sectional view showing the third drawing.
第6圖顯示第3圖的俯視圖。 Fig. 6 shows a plan view of Fig. 3.
第7圖顯示置入上牙床及與鼻竇層的相關位置示意圖。 Figure 7 shows a schematic representation of the position of the upper gum and the sinus layer.
第8圖顯示第7圖A部分放大詳圖。 Figure 8 shows an enlarged detail of the portion of Figure 7A.
第9圖顯示本發明植牙動作狀態示意圖。 Fig. 9 is a view showing the state of action of the dental implant of the present invention.
第10圖顯示本發明另一可行實施例立體圖。 Figure 10 shows a perspective view of another possible embodiment of the present invention.
第11圖顯示第10圖植牙動作狀態示意圖。 Fig. 11 is a view showing the state of the tooth movement in Fig. 10.
如第3至6圖所示,於圖示較佳實施例中,本發明植牙體10材質可為二氧化鋯,並在外周設有多數定位螺牙11,以及在內部設有一作動組裝孔12(參第5圖),所述植牙體10可預設一底基部13,並由所述底基部13由下向上設置多數定位螺牙11,使所述多數定位螺牙11由圖式底端向上端逐漸縮小寬度,形成一牙床鑽入結構。於此一實施例中,所述定位螺牙11在圖式中為固定節距以設定方向由上往下盤旋的順時針方向(正向)螺牙;惟此僅用為方便舉例說明,所述定位螺牙11當然亦可為另一種設定方向,如逆時針方向的(反向)螺牙。 As shown in the third embodiment, in the preferred embodiment, the implant body 10 of the present invention may be made of zirconium dioxide, and has a plurality of positioning screws 11 on the outer circumference and an actuation assembly hole in the inner portion. 12 (refer to FIG. 5), the implant body 10 can be preset with a bottom base portion 13, and a plurality of positioning screws 11 are disposed from the bottom base portion 13 from the bottom to the top, so that the plurality of positioning screw teeth 11 are patterned. The bottom end is gradually narrowed to the upper end to form a dental bed drilling structure. In this embodiment, the positioning screw 11 is a clockwise (forward) screw thread with a fixed pitch in the set direction from the top to the bottom in the figure; however, this is only for convenience of illustration. The positioning screw 11 can of course also be set in another direction, such as a counterclockwise (reverse) thread.
所述植牙體10沿著整個所述多數定位螺牙11設有一個(含)以上以交叉向穿過所述定位螺牙11的間隔螺旋槽道14,於此一實施例中,包括三條間隔的螺旋槽道14,同時,於此一實施例中,所述的每一螺旋槽道14以與所述定位螺牙11同向的方式由上往下延伸。所述植牙體10在所述多數定位螺牙11的端部(圖示實施例的上端)設有一縮小徑的頂推部15,所述頂推部15配合設置於所述多數定位螺牙11的螺牙末端,且最好形成一平滑的頂推端面151,並由所述頂推端面151設有一與外部開放相通的凹入空間152,並使所述凹入空間152與所述的螺旋槽道14盡端相通。 The implant body 10 is provided with one or more (including) or more than the entire positioning screw 11 to intersect the spaced spiral channel 14 of the positioning screw 11, and in this embodiment, includes three The spaced spiral channels 14 are simultaneously extended from top to bottom in the same manner as the positioning threads 11 in this embodiment. The implant body 10 is provided with a reduced diameter pushing portion 15 at an end portion of the plurality of positioning screws 11 (upper end of the illustrated embodiment), and the pushing portion 15 is cooperatively disposed on the plurality of positioning threads The end of the thread of the elbow, and preferably a smooth pushing end surface 151, and the pushing end surface 151 is provided with a recessed space 152 open to the outside, and the recessed space 152 and the The spiral channels 14 are connected at the end.
為形成安全的頂推及骨粉或填充物堆送作業,所述頂推端面151最好設為圓滑端部,於此一實施例中,包括在所述頂推端面151端部外周邊設有圓弧外導邊153,並在所述凹入空間152設置圓弧內導邊154。 In order to form a safe push-up and bone powder or filler stacking operation, the pushing end surface 151 is preferably provided as a rounded end portion. In this embodiment, the top surface of the pushing end surface 151 is provided at the outer periphery of the end portion. A circular outer guiding edge 153 is disposed, and an arc inner guiding edge 154 is disposed in the concave space 152.
於圖示一可行實施例中,所述凹入空間152設為半球狀,但此僅用以方便舉例說明,並非加以限制,其他可用以置入骨粉或填充物的任何幾何形狀當然亦屬可行。 In a possible embodiment, the recessed space 152 is set to be hemispherical, but this is only for convenience of illustration and is not limited, and any other geometry that can be used for placing bone powder or filler is of course feasible. .
如第7圖所示,在進行上牙床20的植牙體(如圖式的本發明植牙體10)手術中,植牙體10必須鑽入上牙床20,並使植牙體10端部到達人體鼻竇21部位,並頂推鼻竇層(黏膜層)22,方便填充骨粉。本發明在牙醫將由預先以切骨手術所鑽設的開孔中填入骨粉30後,在本發明整個植牙體10置入過程中,可經由預設的螺旋槽道14以及頂推部15的頂推端面151配合所述凹入空間152將骨粉30推入,同時使頂推部15逐漸推開鼻竇層22,使骨粉30受力進入已推開的鼻竇層22及上牙床20之間的空隙中,同步完成填入骨粉30的作業並將植牙體10定位(參考第8圖)。 As shown in Fig. 7, in the operation of the implant of the upper gum 20 (the implant 10 of the present invention as shown in the drawing), the implant 10 must be drilled into the upper gum 20 and the end of the implant 10 Arrive at the 21 part of the human sinus and push the sinus layer (mucosa layer) 22 to facilitate filling of the bone powder. In the present invention, after the dentist fills the bone powder 30 into the opening drilled by the bone cutting operation in advance, during the entire implant body 10 of the present invention, the predetermined spiral channel 14 and the pushing portion 15 can be passed through. The pushing end surface 151 pushes the bone powder 30 into the concave space 152, and at the same time causes the pushing portion 15 to gradually push away the sinus layer 22, so that the bone powder 30 is forced into between the pushed sinus layer 22 and the upper gums 20 In the gap, the operation of filling the bone powder 30 is completed simultaneously and the implant body 10 is positioned (refer to Fig. 8).
如第9圖所示,於此一實施例中,本發明在如上述的植入過程中,由於所述的每一螺旋槽道14以與所述定位螺牙11為同向設置,因此在整個植牙體10如箭頭所示方向旋轉切削植入過程中,所述的螺旋槽道14可容許作為上牙床20骨頭切削或部分骨粉的排出槽道,在植牙患者鼻竇層22通常無須填入較多及較厚骨粉或填充物層時,即適用此一實施例。 As shown in FIG. 9, in this embodiment, in the implantation process as described above, since each of the spiral channels 14 is disposed in the same direction as the positioning screw 11, The entire implant body 10 is rotated in the direction of the arrow as shown by the arrow. The spiral channel 14 can be used as a bone channel for the upper gums 20 or a part of the bone powder. The sinus layer 22 of the implant patient usually does not need to be filled. This embodiment is applicable when a larger and thicker bone powder or filler layer is incorporated.
第10圖顯示本發明另一可行實施例,主要不同在於所述的螺旋槽道140以與所述定位螺牙110為反向設置,亦即,所述定位螺牙110同樣為由上往下的順時針方向(正向)螺牙,所述螺旋槽道140則為由上往下的逆時針方向(反向)盤旋。如第11圖所示,當運用此一實施例時,整個植牙體10a以同樣方向旋轉切削植入時,所有的骨粉以及切削骨屑將由於所述定位螺牙110的反向推入,而被全數推入形成較大數量及較厚的 植牙骨粉層,而可適用於必須填充入較厚骨粉層的植牙患者。 Figure 10 shows another possible embodiment of the present invention, the main difference being that the spiral channel 140 is disposed opposite to the positioning screw 110, that is, the positioning screw 110 is also from top to bottom. The clockwise (forward) thread, the spiral channel 140 is spiraled counterclockwise (reverse) from top to bottom. As shown in Fig. 11, when this embodiment is used, when the entire implant body 10a is rotated and implanted in the same direction, all the bone powder and cutting bone chips will be pushed in by the reverse direction of the positioning screw 110. And pushed all in to form a larger number and thicker Implanted bone powder layer, but can be applied to implant patients who must be filled into thicker bone powder layer.
本發明因而形成一種嶄新的鼻竇專用植牙體,一方面能有效預防植牙手術過程中所可能造成的鼻竇層穿透之外,更可同步推入可選擇數量的骨粉或填充物及定位植牙體,整體空間型態顯屬創新與具有高度的產業上利用價值,員依法具文提出發明專利申請。 The invention thus forms a brand-new sinus-specific implant body, which can effectively prevent the sinus layer penetration which may be caused during the dental implant surgery, and can simultaneously push in a selectable amount of bone powder or filler and locate the plant. The tooth body, the overall spatial pattern is obviously innovative and has a high degree of industrial use value, and the member has filed an invention patent application according to law.
10‧‧‧植牙體 10‧‧‧ implanted body
11‧‧‧定位螺牙 11‧‧‧ Positioning thread
13‧‧‧底基部 13‧‧‧ base
14‧‧‧螺旋槽道 14‧‧‧Spiral channel
15‧‧‧頂推部 15‧‧‧Pushing Department
151‧‧‧頂推端面 151‧‧‧Pushing end face
152‧‧‧凹入空間 152‧‧‧ recessed space
153‧‧‧圓弧外導邊 153‧‧‧Circular outer edge
154‧‧‧圓弧內導邊 154‧‧‧Arc inner guide
Claims (6)
Priority Applications (4)
Application Number | Priority Date | Filing Date | Title |
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TW103113970A TWI519278B (en) | 2014-04-17 | 2014-04-17 | Sinus special implant |
CN201510105672.3A CN105078597A (en) | 2014-04-17 | 2015-03-11 | Tooth implant structure |
US14/687,014 US20150297321A1 (en) | 2014-04-17 | 2015-04-15 | Dental Implant |
JP2015084101A JP2015205180A (en) | 2014-04-17 | 2015-04-16 | dental implant body structure |
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TW103113970A TWI519278B (en) | 2014-04-17 | 2014-04-17 | Sinus special implant |
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TW201540267A TW201540267A (en) | 2015-11-01 |
TWI519278B true TWI519278B (en) | 2016-02-01 |
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US10188489B2 (en) | 2014-04-17 | 2019-01-29 | Star Generation Limited Taiwan Branch | Sinus implant |
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