TWI847941B - Fixed device for ridge augmentation - Google Patents
Fixed device for ridge augmentation Download PDFInfo
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- TWI847941B TWI847941B TW112149855A TW112149855A TWI847941B TW I847941 B TWI847941 B TW I847941B TW 112149855 A TW112149855 A TW 112149855A TW 112149855 A TW112149855 A TW 112149855A TW I847941 B TWI847941 B TW I847941B
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- regeneration
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- 230000003416 augmentation Effects 0.000 title abstract 3
- 230000008929 regeneration Effects 0.000 claims description 35
- 238000011069 regeneration method Methods 0.000 claims description 35
- 210000000988 bone and bone Anatomy 0.000 claims description 25
- 239000007943 implant Substances 0.000 claims description 21
- 239000000463 material Substances 0.000 claims description 9
- 230000010478 bone regeneration Effects 0.000 claims description 7
- 230000008468 bone growth Effects 0.000 abstract description 9
- 210000001847 jaw Anatomy 0.000 description 7
- 210000001519 tissue Anatomy 0.000 description 7
- 210000003254 palate Anatomy 0.000 description 5
- 238000000034 method Methods 0.000 description 4
- 239000004053 dental implant Substances 0.000 description 3
- 210000000214 mouth Anatomy 0.000 description 3
- 239000000843 powder Substances 0.000 description 3
- 230000001681 protective effect Effects 0.000 description 3
- 238000001356 surgical procedure Methods 0.000 description 3
- 229910052751 metal Inorganic materials 0.000 description 2
- 239000002184 metal Substances 0.000 description 2
- 238000004904 shortening Methods 0.000 description 2
- 230000017423 tissue regeneration Effects 0.000 description 2
- 206010065687 Bone loss Diseases 0.000 description 1
- 208000037408 Device failure Diseases 0.000 description 1
- 101000827703 Homo sapiens Polyphosphoinositide phosphatase Proteins 0.000 description 1
- 102100023591 Polyphosphoinositide phosphatase Human genes 0.000 description 1
- 208000002847 Surgical Wound Diseases 0.000 description 1
- RTAQQCXQSZGOHL-UHFFFAOYSA-N Titanium Chemical compound [Ti] RTAQQCXQSZGOHL-UHFFFAOYSA-N 0.000 description 1
- 210000002449 bone cell Anatomy 0.000 description 1
- 230000001055 chewing effect Effects 0.000 description 1
- 230000007812 deficiency Effects 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 230000035876 healing Effects 0.000 description 1
- 238000002513 implantation Methods 0.000 description 1
- 238000012977 invasive surgical procedure Methods 0.000 description 1
- 238000012423 maintenance Methods 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 239000010936 titanium Substances 0.000 description 1
- 229910052719 titanium Inorganic materials 0.000 description 1
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Abstract
Description
本發明係關於一種固定裝置,特別是關於一種用於顎骨再生的固定裝置。The present invention relates to a fixation device, and in particular to a fixation device for palatal regeneration.
目前,植牙是將人工牙根(植體)植入齒槽骨中,於植體植入齒槽骨的過程中,需將牙齦翻開再將植體植入,屬於侵入性的手術療程,植體植入後需等待數個月,讓植體與骨質充分結合,再於植體上裝戴人工齒冠。Currently, dental implants involve implanting artificial tooth roots (implants) into the alveolar bone. During the implantation process, the gum needs to be turned over and the implant needs to be implanted. This is an invasive surgical procedure. After the implant is implanted, it is necessary to wait for several months to allow the implant to fully integrate with the bone before an artificial crown can be placed on the implant.
雖然透過齒槽骨細胞的復原再生能使齒槽骨組織再生將植體包覆,但因牙齒在進行咀嚼動作時,會對牙齒造成各種不定方向之外力或各種旋轉方向之扭矩,對植入的植體有軸向以外的施力,而此偏軸力並非平均分部到植體周圍,這會對周圍骨頭產生 應力集中的推擠與振動作用,而引發骨流失情形發生,植體因此發生鬆脫現象,而導致植牙失敗。Although the alveolar bone tissue can be regenerated to cover the implant through the restoration and regeneration of alveolar bone cells, the teeth will be subjected to various indeterminate external forces or torques in various rotational directions when chewing, which will exert forces other than the axial force on the implant. This eccentric force is not evenly distributed around the implant, which will produce concentrated stress, pushing and vibrating effects on the surrounding bones, causing bone loss, causing the implant to loosen, and leading to implant failure.
對此,植牙中存在引導骨再生的方法。 在該方法中,將一骨移植材料放置在顎骨中,並將金屬器具放置在區域周圍,於骨再生期間容納和保護該骨移植材料,例如由生物相容性金屬(鈦)製成的薄保護網殼。 因此,植牙的傳統方法可包括首先進行硬組織再生手術,等待一段合適的時間以允許骨生長,然後進行後續手術程序以移除骨移植物上的任何空間維持裝置,將植體放置在骨移植物上。In response to this, there is a method of guided bone regeneration in dental implants. In this method, a bone graft material is placed in the jaw bone and a metal device is placed around the area to contain and protect the bone graft material during bone regeneration, such as a thin protective mesh shell made of a biocompatible metal (titanium). Therefore, the traditional method of dental implants may include first performing a hard tissue regeneration surgery, waiting a suitable period of time to allow bone growth, and then performing a subsequent surgical procedure to remove any space maintenance devices on the bone graft and place the implant on the bone graft.
然而,薄保護網殼放置在區域周圍需先經過特定形狀的裁剪,而且容易由口腔中的空間限制使得操作複雜。另外,薄保護網殼需利用銷釘固定,其結構不僅容易變形,也較難以定位,因而造成整體的手術時間增加。However, the thin protective mesh shell needs to be cut into a specific shape before being placed around the area, and the space in the oral cavity is easily limited, making the operation complicated. In addition, the thin protective mesh shell needs to be fixed with pins, and its structure is not only easy to deform, but also difficult to position, thereby increasing the overall operation time.
因此,為克服現有技術中的缺點和不足,本發明有必要提供改良的一種用於顎骨再生的固定裝置,以解決上述習用技術所存在的問題。Therefore, in order to overcome the shortcomings and deficiencies in the prior art, the present invention is necessary to provide an improved fixation device for palatal regeneration to solve the problems existing in the above-mentioned conventional technology.
本發明之主要目的在於提供一種用於顎骨再生的固定裝置,透過將該固定裝置的翼板放置在一顎骨上方,能夠形成提供骨生長的一再生腔室,以及縮短整體的手術時間並增加骨生長之穩定性。The main purpose of the present invention is to provide a fixation device for palatal regeneration, which can form a regeneration chamber for bone growth by placing the wing plate of the fixation device above a palatal bone, shorten the overall operation time and increase the stability of bone growth.
為達上述之目的,本發明提供一種用於顎骨再生的固定裝置,該固定裝置包括一固定座、一通孔及一翼板;其中該固定座配置為組合一植體,該植體植入一顎骨內;該通孔形成在該固定座上,該通孔配置為供一螺栓穿伸而固定在該植體中;該翼板自該固定座的一側緣向外延伸,而且位於該顎骨上方;其中該固定座及該翼板之間界定有一再生腔室,該再生腔室配置為填充一骨移植材料而提供該顎骨再生。To achieve the above-mentioned purpose, the present invention provides a fixing device for palatal regeneration, which includes a fixing seat, a through hole and a wing plate; wherein the fixing seat is configured to be combined with an implant, and the implant is implanted in a palatal bone; the through hole is formed on the fixing seat, and the through hole is configured to allow a bolt to extend through and be fixed in the implant; the wing plate extends outward from a side edge of the fixing seat and is located above the palatal bone; wherein a regeneration chamber is defined between the fixing seat and the wing plate, and the regeneration chamber is configured to be filled with a bone transplant material to provide the palatal bone regeneration.
在本發明之一實施例中,該固定座包含一上本體及一下本體,該翼板設置在該上本體,該下本體自該上本體向下延伸,而且該下本體朝遠離該上本體的一方向漸縮。In one embodiment of the present invention, the fixing base includes an upper body and a lower body, the wing plate is disposed on the upper body, the lower body extends downward from the upper body, and the lower body tapers in a direction away from the upper body.
在本發明之一實施例中,該通孔包含一第一內環面、一第二內環面及一第三內環面,該第一內環面、該第二內環面及該第三內環面配置為接觸該螺栓的一表面,而且該第一內環面圍繞界定的一第一徑長、該第二內環面圍繞界定的一第二徑長及該第三內環面圍繞界定的一第三徑長各不相同。In one embodiment of the present invention, the through hole includes a first inner annular surface, a second inner annular surface and a third inner annular surface, and the first inner annular surface, the second inner annular surface and the third inner annular surface are configured to contact a surface of the bolt, and a first diameter defined around the first inner annular surface, a second diameter defined around the second inner annular surface and a third diameter defined around the third inner annular surface are different.
在本發明之一實施例中,該第一徑長大於該第二徑長,該第二徑長大於該第三徑長。In one embodiment of the present invention, the first path length is greater than the second path length, and the second path length is greater than the third path length.
在本發明之一實施例中,該翼板包含一平板部、一彎曲部及一延伸部,該上本體連接在該平板部的一端,該彎曲部位於該平板部及該延伸部之間。In one embodiment of the present invention, the wing plate includes a flat plate portion, a bent portion and an extended portion, the upper body is connected to one end of the flat plate portion, and the bent portion is located between the flat plate portion and the extended portion.
在本發明之一實施例中,該翼板另包含一定位孔,該定位孔形成在該彎曲部上,而且該定位孔配置為供一定位件穿設固定。In one embodiment of the present invention, the wing plate further comprises a positioning hole, the positioning hole is formed on the bent portion, and the positioning hole is configured to allow a positioning member to pass through and be fixed.
在本發明之一實施例中,該彎曲部的弧度大於0且小於1.5。In one embodiment of the present invention, the curvature of the curved portion is greater than 0 and less than 1.5.
在本發明之一實施例中,該平板部的一頂面與該上本體的一頂面齊平。In one embodiment of the present invention, a top surface of the flat plate portion is flush with a top surface of the upper body.
在本發明之一實施例中,該平板部及該延伸部之間的一夾角大於90度。In one embodiment of the present invention, an angle between the flat plate portion and the extension portion is greater than 90 degrees.
在本發明之一實施例中,該下本體與該延伸部朝同一個方向延伸。In one embodiment of the present invention, the lower body and the extending portion extend in the same direction.
如上所述,本發明固定裝置透過將該翼板放置在該顎骨上方,當該骨移植材料填充至該再生腔室之後,將一牙齦組織覆蓋在該翼板上並封閉該再生腔室,以提供骨生長。由於該翼板呈單片狀,不需經過特定形狀的裁剪,而且在口腔中的操作相對簡單,能夠有效定位在骨再生的區域,進而縮短整體的手術時間,並增加骨生長之穩定性。As described above, the fixing device of the present invention places the alar plate on the palate, and after the bone graft material is filled into the regeneration chamber, a gingival tissue is covered on the alar plate and the regeneration chamber is closed to provide bone growth. Since the alar plate is in a single piece, it does not need to be cut into a specific shape, and the operation in the oral cavity is relatively simple, and it can be effectively positioned in the bone regeneration area, thereby shortening the overall operation time and increasing the stability of bone growth.
為了讓本發明之上述及其他目的、特徵、優點能更明顯易懂,下文將特舉本發明實施例,並配合所附圖式,作詳細說明如下。再者,本發明所提到的方向用語,例如上、下、頂、底、前、後、左、右、內、外、側面、周圍、中央、水平、橫向、垂直、縱向、軸向、徑向、最上層或最下層等,僅是參考附加圖式的方向。因此,使用的方向用語是用以說明及理解本發明,而非用以限制本發明。In order to make the above and other purposes, features, and advantages of the present invention more clearly understood, the following will specifically cite the present invention and provide a detailed description with reference to the accompanying drawings. Furthermore, the directional terms mentioned in the present invention, such as up, down, top, bottom, front, back, left, right, inside, outside, side, periphery, center, horizontal, transverse, vertical, longitudinal, axial, radial, topmost or bottommost, etc., are only referenced to the directions of the attached drawings. Therefore, the directional terms used are used to explain and understand the present invention, but not to limit the present invention.
請參照圖1所示,為根據本發明一實施例的一種用於顎骨再生的固定裝置,可覆蓋在顎骨(上顎骨或下顎骨)上,使得該顎骨的齒槽骨之組織再生,其中該固定裝置包括一固定座2、一通孔3及一翼板4,本發明將於下文詳細說明各元件的細部構造、組裝關係及其運作原理。Please refer to FIG. 1 , which shows a fixation device for jaw regeneration according to an embodiment of the present invention, which can be covered on the jaw (upper jaw or lower jaw) to regenerate the alveolar bone tissue of the jaw, wherein the fixation device includes a fixing seat 2, a through hole 3 and a wing plate 4. The present invention will describe in detail the detailed structure, assembly relationship and operation principle of each component below.
請參照圖1、圖2及圖3所示,該固定座2配置為組合一植體102(見圖4),該植體102植入一顎骨101內,再透過一螺栓105穿伸該固定座2而螺合在該植體102上。在本實施例中,該固定座2包含一上本體21及一下本體22,而且該翼板4設置在該上本體21,該下本體22自該上本體21向下延伸,而且該下本體22朝遠離該上本體21的一方向漸縮。1, 2 and 3, the fixing base 2 is configured to be assembled with an implant 102 (see FIG4), the implant 102 is implanted in a palate 101, and then a bolt 105 is passed through the fixing base 2 and screwed on the implant 102. In this embodiment, the fixing base 2 includes an upper body 21 and a lower body 22, and the wing plate 4 is disposed on the upper body 21, the lower body 22 extends downward from the upper body 21, and the lower body 22 is gradually contracted in a direction away from the upper body 21.
請參照圖2、圖3及圖4所示,該通孔3形成在該固定座2上,而且該通孔3配置為供該螺栓105穿伸而固定在該植體102中。在本實施例中,該通孔3包含一第一內環面31、一第二內環面32及一第三內環面33,該第一內環面31、該第二內環面32及該第三內環面33配置為接觸該螺栓105的一表面,而且該第一內環面31圍繞界定的一第一徑長、該第二內環面32圍繞界定的一第二徑長及該第三內環面33圍繞界定的一第三徑長各不相同。示例地,該第一徑長大於該第二徑長,該第二徑長大於該第三徑長。Referring to FIG. 2 , FIG. 3 and FIG. 4 , the through hole 3 is formed on the fixing seat 2, and the through hole 3 is configured to allow the bolt 105 to extend and be fixed in the implant 102. In this embodiment, the through hole 3 includes a first inner annular surface 31, a second inner annular surface 32 and a third inner annular surface 33, and the first inner annular surface 31, the second inner annular surface 32 and the third inner annular surface 33 are configured to contact a surface of the bolt 105, and a first diameter defined around the first inner annular surface 31, a second diameter defined around the second inner annular surface 32 and a third diameter defined around the third inner annular surface 33 are different. For example, the first diameter is greater than the second diameter, and the second diameter is greater than the third diameter.
續參照圖2、圖3及圖4所示,該翼板4自該固定座2的一側緣向外延伸,而且該翼板4位於該顎骨101上方。在本實施例中,該翼板4包含一平板部41、一彎曲部42、一延伸部43及一定位孔44,該上本體21連接在該平板部41的一端,該彎曲部42位於該平板部41及該延伸部43之間,該定位孔44形成在該彎曲部42上,而且該定位孔44配置為供一定位件(例如針具,未繪示)穿設固定,以將該翼板4定位在一特定位置。另外,該固定座2及該翼板4之間界定有一再生腔室5,該再生腔室5配置為提供一骨移植材料104(例如骨粉)進行填充而使得該顎骨101能夠再生。Continuing with reference to FIG. 2, FIG. 3 and FIG. 4, the wing plate 4 extends outward from one side edge of the fixing seat 2, and the wing plate 4 is located above the jaw 101. In this embodiment, the wing plate 4 includes a flat plate portion 41, a curved portion 42, an extension portion 43 and a positioning hole 44, the upper body 21 is connected to one end of the flat plate portion 41, the curved portion 42 is located between the flat plate portion 41 and the extension portion 43, the positioning hole 44 is formed on the curved portion 42, and the positioning hole 44 is configured to allow a positioning member (such as a needle, not shown) to be inserted and fixed to position the wing plate 4 at a specific position. In addition, a regeneration chamber 5 is defined between the fixing seat 2 and the wing plate 4, and the regeneration chamber 5 is configured to provide a bone transplant material 104 (such as bone powder) for filling so that the jaw 101 can be regenerated.
具體來說,該翼板4的彎曲部42的弧度大於0且小於1.5,該翼板4的平板部41的一頂面與該固定座2的上本體21的一頂面齊平,另外,該翼板4的平板部41及該延伸部43之間的一夾角大於90度,而且該固定座2的下本體22與該翼板4的延伸部43朝同一個方向延伸。Specifically, the curvature of the curved portion 42 of the wing plate 4 is greater than 0 and less than 1.5, a top surface of the flat portion 41 of the wing plate 4 is flush with a top surface of the upper body 21 of the fixing seat 2, and an angle between the flat portion 41 of the wing plate 4 and the extension portion 43 is greater than 90 degrees, and the lower body 22 of the fixing seat 2 and the extension portion 43 of the wing plate 4 extend in the same direction.
依據上述之結構,在進行硬組織再生手術的過程,當該骨移植材料104(例如骨粉)填充至該再生腔室5之後,將一牙齦組織103覆蓋在該翼板4上並封閉該再生腔室5,該牙齦組織103會沿著該翼板4的彎曲部42向下覆蓋至一牙齦的底部,進而透過該再生腔室5提供骨生長的空間。另外,由於該牙齦組織103沿著該翼板4的彎曲部42覆蓋,使得該牙齦組織103頂端的寬度向上漸縮,能夠限制骨再生的體積,以適配齒槽骨之形狀,並且加快手術傷口的癒合速度。According to the above structure, during the hard tissue regeneration surgery, after the bone transplant material 104 (such as bone powder) is filled into the regeneration chamber 5, a gum tissue 103 is covered on the wing plate 4 and the regeneration chamber 5 is closed. The gum tissue 103 will cover downward along the curved portion 42 of the wing plate 4 to the bottom of a gum, thereby providing a space for bone growth through the regeneration chamber 5. In addition, since the gum tissue 103 covers along the curved portion 42 of the wing plate 4, the width of the top of the gum tissue 103 gradually shrinks upward, which can limit the volume of bone regeneration to adapt to the shape of the alveolar bone and accelerate the healing speed of the surgical wound.
如上所述,本發明固定裝置透過將該翼板4放置在該顎骨101上方,當該骨移植材料104(例如骨粉)填充至該再生腔室5之後,將該牙齦組織103覆蓋在該翼板4上並封閉該再生腔室5,以提供骨生長的空間。由於該翼板4呈單片狀,不需經過特定形狀的裁剪,而且在口腔中的操作相對簡單,能夠有效定位在骨再生的區域,進而縮短整體的手術時間,並增加骨生長之穩定性。As described above, the fixing device of the present invention places the wing plate 4 on the top of the jaw 101. After the bone transplant material 104 (e.g., bone powder) is filled into the regeneration chamber 5, the gum tissue 103 is covered on the wing plate 4 and the regeneration chamber 5 is closed to provide space for bone growth. Since the wing plate 4 is in a single-piece shape, it does not need to be cut into a specific shape, and the operation in the oral cavity is relatively simple. It can be effectively positioned in the bone regeneration area, thereby shortening the overall operation time and increasing the stability of bone growth.
雖然本發明已以實施例揭露,然其並非用以限制本發明,任何熟習此項技藝之人士,在不脫離本發明之精神和範圍內,當可作各種更動與修飾,因此本發明之保護範圍當視後附之申請專利範圍所界定者為準。Although the present invention has been disclosed by way of embodiments, they are not intended to limit the present invention. Any person skilled in the art may make various changes and modifications without departing from the spirit and scope of the present invention. Therefore, the protection scope of the present invention shall be subject to the scope defined in the attached patent application.
101:顎骨 102:植體 103:牙齦組織 104:骨移植材料 105:螺栓 2:固定座 21:上本體 22:下本體 3:通孔 31:第一內環面 32:第二內環面 33:第三內環面 4:翼板 41:平板部 42:彎曲部 43:延伸部 44:定位孔 5:再生腔室 101: palate 102: implant 103: gingival tissue 104: bone graft material 105: bolt 2: fixing seat 21: upper body 22: lower body 3: through hole 31: first inner ring surface 32: second inner ring surface 33: third inner ring surface 4: wing plate 41: flat plate 42: curved portion 43: extension portion 44: positioning hole 5: regeneration chamber
圖1是依據本發明一實施例的一種用於顎骨再生的固定裝置的立體圖。 圖2是依據本發明一實施例的一種用於顎骨再生的固定裝置的側視圖。 圖3是依據本發明一實施例的一種用於顎骨再生的固定裝置固定在顎骨上的立體圖。 圖4是依據本發明一實施例的一種用於顎骨再生的固定裝置固定在顎骨上的剖視圖。 FIG. 1 is a three-dimensional view of a fixing device for palatal regeneration according to an embodiment of the present invention. FIG. 2 is a side view of a fixing device for palatal regeneration according to an embodiment of the present invention. FIG. 3 is a three-dimensional view of a fixing device for palatal regeneration according to an embodiment of the present invention fixed on the palate. FIG. 4 is a cross-sectional view of a fixing device for palatal regeneration according to an embodiment of the present invention fixed on the palate.
2:固定座 2: Fixed seat
21:上本體 21: Upper body
22:下本體 22: Lower body
3:通孔 3:Through hole
4:翼板 4: Wing plate
41:平板部 41: Flat plate
42:彎曲部 42: bend
43:延伸部 43: Extension
44:定位孔 44: Positioning hole
Claims (10)
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TW112149855A TWI847941B (en) | 2023-12-20 | 2023-12-20 | Fixed device for ridge augmentation |
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TW112149855A TWI847941B (en) | 2023-12-20 | 2023-12-20 | Fixed device for ridge augmentation |
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TWI847941B true TWI847941B (en) | 2024-07-01 |
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Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN105997274A (en) * | 2015-03-26 | 2016-10-12 | 洪澄祥 | Tooth jaw orthotic device |
CN106456291A (en) * | 2014-03-28 | 2017-02-22 | 植体B有限公司 | Renewable dental implant |
TWM652871U (en) * | 2023-12-20 | 2024-03-11 | 梁師維 | Fixation device for jawbone regeneration |
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2023
- 2023-12-20 TW TW112149855A patent/TWI847941B/en active
Patent Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN106456291A (en) * | 2014-03-28 | 2017-02-22 | 植体B有限公司 | Renewable dental implant |
CN105997274A (en) * | 2015-03-26 | 2016-10-12 | 洪澄祥 | Tooth jaw orthotic device |
TWM652871U (en) * | 2023-12-20 | 2024-03-11 | 梁師維 | Fixation device for jawbone regeneration |
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