TWM570691U - Minimally invasive water pressure upper sinus lifting device - Google Patents

Minimally invasive water pressure upper sinus lifting device

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TWM570691U
TWM570691U TWM570691U TW M570691 U TWM570691 U TW M570691U TW M570691 U TWM570691 U TW M570691U
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Taiwan
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sinus
round
diamond
drill
bone
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Abstract

本創作係有關一種微創水壓上顎竇提升設備,係包括有高速圓鑽、鑽石圓鑽、水壓噴頭、植體鑽頭及骨材填充器;係藉由高速圓鑽藉由高速圓鑽連接桿組裝於一牙科手機上,使其於牙齦骨上鑽磨出一圓槽,較小直徑之鑽石圓鑽於該圓槽中央位置,利用臥式磨削方式循序研磨使其恰磨穿齒槽骨,再將凸型柱體之水壓噴頭置入該凸型槽體內部,使水注入鼻竇腔中使鼻竇膜脫離腔壁,使該鼻竇膜與鼻竇腔間形成一容置空間,再以植體鑽頭鑽入該凸型槽體,並藉骨材填充器將人工骨材藉由該孔隙注入於該容置空間,增加齒槽骨厚度,以提升植牙手術成功機率,具有重量較輕、高度力道回饋感知及提高手術安全性…等功能。 This creation is about a minimally invasive hydraulic sinus lift device that includes high-speed round diamonds, diamond round drills, hydraulic nozzles, implant bits and aggregate fillers; it is connected by high-speed round diamonds with high-speed round diamonds. The rod is assembled on a dental handpiece to drill a circular groove on the gingival bone. The smaller diameter diamond is drilled in the center of the circular groove, and is ground and ground by the horizontal grinding method to make it wear the alveolar bone. Then, the water pressure nozzle of the convex cylinder is placed into the convex cavity body, so that water is injected into the sinus cavity to make the sinus membrane out of the cavity wall, so as to form an accommodation space between the sinus membrane and the sinus cavity, and then plant The body bit drills into the convex groove body, and the artificial bone material is injected into the accommodating space through the hole by the bone material filling device, thereby increasing the thickness of the alveolar bone to improve the success rate of the dental implant operation, and having the light weight, High-powered feedback and improved surgical safety...

Description

微創水壓上顎竇提升設備 Minimally invasive water pressure upper sinus lifting device

本創作係有關一種上顎竇提升手術設備,尤指一種可降低鼻竇膜刺穿破裂機率、提高患者舒適度、增加操作醫師手感力道回饋感知以提高手術安全性之微創水壓上顎竇提升設備。 The present invention relates to a supraorbital sinus lifting surgery device, in particular to a minimally invasive hydraulic sinus sinus lifting device which can reduce the probability of sinus membrane puncture rupture, improve patient comfort, and increase the sense of feedback of the operator's hand to improve the safety of surgery.

植牙,是一種藉由在牙槽骨內植入人工牙根後將假牙安裝於該牙根上以彌補缺牙的牙科修復技術,係藉由人工牙根植入缺齒部位的牙槽骨中,使牙槽骨與人工牙根緊密結合後,便可裝設假牙冠,使植牙後的假牙可具備接近自然牙之咬合力及固定力,具有不易脫落、長期使用以及自然美觀的人工牙冠,舒適度較活動假牙及牙橋為佳,成為目前患者缺牙後較優的治療方法。 Implantation is a dental restoration technique in which a denture is attached to the root of the alveolar bone to fix the missing tooth by implanting the artificial tooth root. The artificial tooth root is implanted into the alveolar bone of the edentulous part. After the alveolar bone is tightly combined with the artificial root, the false crown can be installed, so that the denture after the implant can have the bite force and the fixing force close to the natural tooth, and the artificial crown which is not easy to fall off, long-term use and natural appearance is comfortable. It is better than active dentures and bridges, and it is the preferred treatment for patients with missing teeth.

但,由於上顎後牙區上方係為上顎竇,亦稱鼻竇,若口腔內齒槽骨後天嚴重萎縮或先天上顎竇較大,容易於植牙時有牙床骨深度不足承載人工牙根之情形,根據研究指出,人工牙根植入於齒槽骨內部的長度與植牙成功率有極大關聯性,當人工牙根植入長度大於10mm以上時,成功機率平均可達95%以上,因此,人工牙根植入齒槽骨的長度越深,成功機率越高,猶如蓋房子需要深且強大的地基進行支撐一般。 However, because the upper gingival area is the upper sinus, also known as the sinus, if the orthodontic alveolar bone is severely atrophic or the congenital upper sinus is large, it is easy to have the dental carcass depth insufficient to carry the artificial root when implanting, according to The study pointed out that the length of the artificial root implanted in the alveolar bone has a great correlation with the success rate of the implant. When the length of the artificial root implant is more than 10mm, the success rate can reach more than 95%. Therefore, the artificial root implant The deeper the length of the alveolar bone, the higher the chance of success, as if the building requires a deep and strong foundation for support.

若病患缺牙需進行植牙手術但齒槽骨厚度不足10mm時,承 載人工牙根力度較小,便容易降低植牙成功的機率,因此牙科醫師便須實行上顎竇底部增高術加入人工骨粉以增加齒槽骨的骨質含量,增加齒槽骨的厚(深)度以提高人工牙根植入的深度,因此,針對齒槽骨厚度不足的狀況,目前大多以上顎竇提升術為主,係主要將上顎竇底部的薄膜往上推擠,再填充骨頭或骨粉墊在上顎竇膜下方以增加齒槽骨厚度,始能進行植牙手術,目前上顎竇提升術的手術方法大致上可分為上顎開窗術(Open window technique)、骨鑿增高術(Osteotome technique)、上顎竇氣球擴張術(Balloon Sinus Lift technique)、旋轉器械鼻竇增高術及水壓鼻竇提升術(Hydraulic Sinus Condensing簡稱HSC)…等,茲敘述如下: If the patient has a tooth implant that requires dental implant surgery but the thickness of the alveolar bone is less than 10 mm, If the artificial roots are small, it is easy to reduce the chance of successful implants. Therefore, the dentist must add artificial bone powder to increase the bone content of the alveolar bone and increase the thickness (depth) of the alveolar bone. Improve the depth of artificial root implants. Therefore, for the condition of insufficient alveolar bone thickness, most of the current sinus sinus lift is the main method, which mainly pushes the film at the bottom of the superior sinus upwards, and then fills the bone or bone powder pad on the upper jaw. Under the sinus membrane to increase the thickness of the alveolar bone, the implant surgery can be performed. At present, the surgical methods of the superior sinus lift can be roughly divided into the open window technique, the Osteotome technique, and the upper jaw. The Balloon Sinus Lift technique, the sinus augmentation of the rotating instrument and the Hydrostatic Sinus Condensing (HSC) are described as follows:

(1)上顎開窗術(Open window technique) (1) Open window technique

主要將牙齦切開大範圍翻瓣後,於上顎竇側邊骨面以器械進行鑿穿一小圓窗,再以手動器械將鼻竇膜剝離並填充人工骨材,就醫師手術情況而言,視野較佳且手術方便,但術後患者臉部較易腫脹及疼痛。 Mainly cut the gingiva into a wide range of flaps, and then cut a small round window on the side of the upper sinus side of the sinus, and then use the manual instrument to peel off the sinus membrane and fill the artificial bone. Good and easy to operate, but the patient's face is prone to swelling and pain after surgery.

(2)骨鑿增高術(Osteotome technique) (2) Osteotome technique

係利用骨槌敲打骨鑿並將鼻竇底部齒槽骨敲碎後慢慢推入鼻竇腔內以升高鼻竇膜,再將人工骨材置入鼻竇腔內以墊高鼻竇腔底部,對於患者而言,不需要大範圍翻瓣手術,但由於需要敲擊容易有暈眩、嘔吐甚至腦震盪…等不適的症狀產生。 Using the osteophyte to beat the osteotome and crushing the alveolar bone at the bottom of the sinus, slowly push it into the sinus cavity to raise the sinus membrane, and then place the artificial bone into the sinus cavity to raise the bottom of the sinus cavity. In other words, there is no need for extensive flap surgery, but it is prone to dizziness, vomiting, and even concussion due to the need to tap.

(3)上顎竇氣球擴張術(Balloon Sinus Lift technique) (3) Balloon Sinus Lift technique

係利用橡皮氣球置入上顎竇內再以生理食鹽水注入橡皮球內,再藉由橡皮球鼓起撐高鼻竇膜後將橡皮球排水取出,再將人工骨材 置入鼻竇腔底部,以進行植牙手術,但橡皮球價格相對高昂且須置入人體鼻竇腔內部安全疑慮較高。 The rubber balloon is placed in the upper sinus sinus and then injected into the rubber ball with physiological saline. After the sinus membrane is raised by the rubber ball, the rubber ball is drained and the artificial bone material is removed. Placed in the bottom of the sinus cavity for dental implant surgery, but the rubber ball is relatively expensive and must be placed inside the human sinus cavity for safety concerns.

(4)旋轉器械鼻竇增高術 (4) Rotating device sinus augmentation

係利用旋轉式鑽頭破壞上顎竇底部骨質將其鑽開,並於中央孔洞噴水冷卻鑽頭,並同時將水壓灌注到鼻竇腔中使鼻竇膜剝離,再將人工骨材填入,此手術方法病患較為舒適無感,但操作醫師手感及技巧要求相對較高,且偶而容易產生鑽穿鼻竇膜產生破裂之情形。 The rotary drill bit is used to break the bone of the upper sinus sinus and drill it, and the water is cooled in the central hole to cool the drill bit, and at the same time, water pressure is poured into the sinus cavity to peel off the sinus membrane, and the artificial bone material is filled in. The patient is more comfortable and uncomfortable, but the operator's hand and skill requirements are relatively high, and occasionally it is easy to produce a situation in which the sinus membrane is broken.

(5)水壓鼻竇提升術(hydrodynamic piezoelectric internal sinus elevation簡稱HPISE) (5) Hydrodynamic piezoelectric internal sinus elevation (HPISE)

首先牙科醫師利用超音波骨刀將上顎竇底部骨質磨穿形成至少一孔洞,再藉由水壓灌注將鼻竇膜剝離並向上推升,再將人工骨材填入,以增加齒槽骨厚度提升植牙手術成功率,患者在手術過程中並無任何感覺,但超音波骨刀價格相對高昂、振動大且力回饋不佳,操作醫師技巧需要經過長時間練習,避免鑿穿齒槽骨過程中刺破鼻竇膜。 First, the dentist uses an ultrasonic bone knife to wear the bone at the bottom of the superior sinus to form at least one hole, and then peels the sinus membrane and pushes it up by water pressure perfusion, and then fills the artificial bone material to increase the thickness of the alveolar bone. The success rate of implant surgery, the patient does not have any feeling during the operation, but the ultrasonic bone knife is relatively expensive, vibration and poor feedback. The doctor's skills need to be practiced for a long time to avoid the process of cutting through the alveolar bone. Puncture the sinus membrane.

就目前常見的鼻竇提升術而言,上顎開窗術須將牙齦大範圍翻瓣,容易造成患者臉部腫脹及疼痛;骨鑿增高術須將骨槌敲打骨鑿並將鼻竇底部齒槽骨敲碎,由於鼻竇腔係在人體頭部,在敲擊過程中容易造成患者暈眩或腦震盪的情形產生;上顎竇氣球擴張術則需要將橡皮球置入鼻竇腔內,一般患者對於異物置入人體內部有較高疑慮,萬一發生膜破損情形,將產生極大破裂傷口,亦可能會有過敏現象產生;旋轉器械鼻竇增高 術主要利用旋轉式鑽頭破壞上顎竇底部骨質將其鑽開,容易產生鼻竇膜破裂情形;水壓鼻竇提升術係利用超音波骨刀進行切割,再利用水壓將其鼻竇膜向上提升,但超音波骨刀價格相對高昂、振動大且力回饋不佳,操作醫師技巧需要經過長時間練習以避免鑿穿齒槽骨過程中刺破鼻竇膜,因此,如何能夠降低鼻竇膜刺穿破裂、避免患者產生暈眩或大面積手術區域或降低手術成本則為目前現今相關業者持續努力的方向。 As far as the current common sinus augmentation surgery is concerned, the sacral fenestration has to open the gingiva in a wide range, which is easy to cause swelling and pain in the patient's face; the osteotome is necessary to beat the osteophyte and the alveolar bone at the bottom of the sinus. Broken, because the sinus cavity is in the human head, it is easy to cause dizziness or concussion in the process of tapping; the balloon sinus expansion requires placing the rubber ball into the sinus cavity, and the patient usually puts in the foreign body. There is a high degree of suspicion inside the human body. In the event of membrane damage, there will be a great rupture wound, and there may be an allergic reaction; the sinus of the rotating instrument is increased. The main purpose is to use the rotary drill bit to break the bone at the bottom of the superior sinus and drill it, which is easy to produce rupture of the sinus membrane. The hydrostatic sinus lift is performed by using the ultrasonic bone knife to cut, and then use the water pressure to lift the sinus membrane upward, but super The price of the sonic bone knife is relatively high, the vibration is large and the force feedback is not good. The technician's skills need to be practiced for a long time to avoid piercing the sinus membrane during the process of cutting the alveolar bone. Therefore, how to reduce the rupture of the sinus membrane and avoid the patient Producing dizziness or large area of surgery or reducing the cost of surgery is the current direction of ongoing efforts by current practitioners.

亦有相關業者研發一種鼻竇增高器械,係主要由單一支自上向下直徑漸增單一鑽頭所製成,可與一牙科手機連接,首先利用此鑽頭在牙齦骨上鑽出一圓孔,鑽孔同時以機上噴出的水柱降溫並分離鼻竇膜,再以一水壓分離器噴頭伸入圓孔內使水噴出,將鼻竇膜牙齦骨剝離,接著利用一振動式骨材填充器之針頭伸入圓孔,將骨粉填充入剝離的鼻竇膜下方空間,以增加牙齦骨頭的厚度;但,該鑽頭係為由上而下直徑漸增的單一鑽頭,鑽頭頂部距離旋轉中心位置長且旋轉範圍大、產生振動相對較強,且複合式鑽頭相對較重,操作較為不易,操作醫師必須要訓練一定時間才能達到穩定的手感避免刺破鼻竇膜,提高手術風險。 There is also a related industry to develop a sinus augmentation device, which is mainly made up of a single drill bit with a diameter increasing from the top to the bottom. It can be connected with a dental handpiece. First, a drill hole is drilled in the gingival bone. At the same time, the water column sprayed on the machine is cooled and the sinus membrane is separated, and then a water pressure separator nozzle is inserted into the round hole to eject the water, the sinus membrane gingival bone is peeled off, and then the needle of the vibrating aggregate filler is used. a round hole that fills the space under the sinus membrane to remove the thickness of the gingival bone; however, the drill bit is a single drill bit whose diameter is increased from top to bottom, and the top of the drill bit is long from the center of rotation and has a large rotation range. The vibration is relatively strong, and the composite drill bit is relatively heavy, and the operation is relatively difficult. The operator must train for a certain period of time to achieve a stable hand feeling to avoid puncturing the sinus membrane and improve the risk of surgery.

綜上所述,若能夠將齒槽骨鑽孔及鼻竇膜上升的技術加以改良,利用特殊器械降低齒槽骨鑽孔穿透鼻竇膜的風險,使患者能夠以較為舒適無感或避免患者產生排斥反應的方式進行手術,實為目前牙科醫師主要需求。 In summary, if the technique of drilling the alveolar bone and the sinus membrane is improved, special equipment is used to reduce the risk of the alveolar bone drilling through the sinus membrane, so that the patient can be more comfortable or avoid the patient. Surgery in the manner of rejection is the main need of current dentists.

本創作基於以上技術問題,提供一種藉由複數不同尺寸、功能之鑽頭及相關器械以改善習知鼻竇提升術之缺失,提高手術成功率、縮 小手術傷口並提升牙科醫師操作手感。 Based on the above technical problems, the present invention provides a plurality of drill bits and related instruments of different sizes and functions to improve the lack of conventional sinus lift and improve the success rate and contraction of the operation. Small surgical wounds and improved dentistry feel.

本創作之微創水壓上顎竇提升設備係包括有高速圓鑽、鑽石圓鑽、水壓噴頭、植體鑽頭及骨材填充器,首先,將牙齦部分切開一小區塊並翻瓣,將高速圓鑽藉由高速圓鑽連接桿組裝於一牙科手機上,使其於牙齦骨上鑽磨出一圓槽,但尚未鑽透齒槽骨,接著利用較小直徑之鑽石圓鑽於該圓槽中央位置,利用臥式磨削方式循序研磨使其恰磨穿齒槽骨,使其形成一內細外寬之凸型槽體,再將凸型柱體之水壓噴頭置入該凸型槽體內部,藉由頂端之穿孔藉由出水管路將水注入鼻竇腔中使鼻竇膜脫離腔壁,使該鼻竇膜與鼻竇腔間形成一容置空間,再以植體鑽頭鑽入該凸型槽體,使其形成一適合植入人工牙根之孔隙,並藉骨材填充器將人工骨材藉由該孔隙注入於該容置空間,增加齒槽骨厚度,以提升植牙手術成功機率。 The minimally invasive hydraulic sinus sinus lifting equipment of the present invention includes a high-speed round drill, a diamond round drill, a water pressure nozzle, an implant drill bit and an aggregate filler. First, the gingival part is cut into a block and the flap is turned, and the high speed is high. The round diamond is assembled on a dental handpiece by a high-speed round drill connecting rod, which drills a circular groove on the gingival bone, but has not yet drilled through the alveolar bone, and then drills the center of the circular groove with a smaller diameter diamond. Position, using the horizontal grinding method to sequentially grind the grooved bone so that it forms a convex groove with a thin inner and outer width, and then put the water pressure nozzle of the convex cylinder into the convex groove body. The sinus membrane is separated from the lumen wall by the perforation of the apex through the effluent line, so that an accommodating space is formed between the sinus membrane and the sinus cavity, and then the convex groove is drilled by the implant drill bit. The body is formed into a hole suitable for implanting the artificial root, and the artificial bone material is injected into the accommodating space by the bone filler to increase the thickness of the alveolar bone to improve the success rate of the dental implant operation.

本創作之實施過程中,係以安全性較高之高速圓鑽以及鑽石圓鑽穿透齒槽骨,並藉由水壓噴頭注入食鹽水使該鼻竇膜與鼻竇腔體間產生一容置空間,再將其孔隙藉由植體鑽頭擴大,並藉由該擴大後之孔隙置入人工骨材填充;鑽頭與鼻竇膜接觸範圍、時間較短,可大幅降低穿刺鼻竇膜之情況產生,且鑽頭分別使用可降低操作牙科手機之重量及減少機器因振動或手震所產生刺穿鼻竇膜之機率,且利用較微型之鑽頭可降低操作醫師手部支撐重量,提高操作手感以降低醫師手部抖動造成鼻竇膜破裂之機率。 During the implementation of this creation, high-speed round diamonds and diamond round drills with high safety penetrate the alveolar bone, and the saline nozzle is used to inject saline to create an accommodation space between the sinus membrane and the sinus cavity. Then, the pores are enlarged by the implant drill bit, and the enlarged pores are placed into the artificial bone material; the contact range of the drill bit and the sinus membrane is short, and the situation of puncture the sinus membrane can be greatly reduced, and the drill bit is generated. Separate use can reduce the weight of the operation of the dental handpiece and reduce the chance of the machine piercing the sinus membrane due to vibration or hand shock, and the use of a smaller drill bit can reduce the weight of the operator's hand support and improve the operating feel to reduce the hand shake of the physician. Causes the rupture of the sinus membrane.

是以,藉由本創作利用高速圓鑽、鑽石圓鑽、水壓噴頭、植體鑽頭及骨材填充器所構成之微創水壓上顎竇提升設備,可提升牙科醫師於患者植牙前在鼻竇腔中填充人工骨材以增加齒槽骨厚度產生極佳效果, 茲敘述如下: Therefore, the minimally invasive hydraulic sinus sinus lifting device composed of high-speed round diamond, diamond round drill, water pressure nozzle, implant drill and bone filler can improve the dentist's sinus before the patient's implant Filling the cavity with artificial bone to increase the thickness of the alveolar bone produces excellent results. It is described as follows:

(1)重量較輕:藉由重量較小之手機搭配高速圓鑽以及鑽石圓鑽可減輕操作醫師之手部負擔。 (1) Lighter weight: The burden of the operator's hand can be reduced by using a smaller mobile phone with a high-speed round diamond and a diamond round diamond.

(2)高度力道回饋感知:藉由牙科手機裝設以臥式削磨為主的鑽石圓鑽進行齒槽骨磨穿,振動力度相對小,使其具有高度力道回饋感知,操作醫師在作業時能夠立即感受到穿透齒槽骨力度以避免刺穿鼻竇膜之機率。 (2) High-power feedback: The alveolar bone wear is performed by a round diamond drill with a horizontal shaving on the dental handpiece. The vibration intensity is relatively small, so that it has a high-power feedback, and the operator is working. The ability to penetrate the alveolar bone to avoid piercing the sinus membrane is immediately felt.

(3)接觸鼻竇膜功能:由於本創作係使用鑽石圓鑽進行臥式削磨穿透齒槽骨,並非垂直旋轉尖端鑽透,且以鑽石圓鑽進行臥式削磨時無法垂直施力作動,只能水平磨削,具有較高接觸鼻竇膜之功能,使其不易穿刺鼻竇膜。 (3) Contact with sinus membrane function: Because this creation system uses diamond round diamond for horizontal grinding through the alveolar bone, it is not drilled through the vertical rotating tip, and it cannot be applied vertically by horizontal grinding with diamond round diamond. It can only be ground horizontally and has a high function of contacting the sinus membrane, making it difficult to puncture the sinus membrane.

(4)提高手術安全性:本創作乃先藉由圓鑽磨穿產生微小孔隙,注入食鹽水後將鼻竇膜先行剝離,在以植體鑽頭進行鑽孔程序,並填充人工骨材增加齒槽骨厚度,降低鑽頭接觸鼻竇膜機率並大幅提升手術安全性。 (4) Improve the safety of surgery: This creation firstly produces tiny pores by grinding through the round drill. After injecting saline, the sinus membrane is peeled off first. The drilling procedure is carried out with the implant drill bit, and the artificial bone material is filled to increase the cogging. The thickness of the bone reduces the chance of the drill bit contacting the sinus membrane and greatly improves the safety of the operation.

(1)‧‧‧高速圓鑽 (1)‧‧‧High speed round drill

(11)‧‧‧高速圓鑽連接桿 (11)‧‧‧High speed round drill connecting rod

(12)‧‧‧圓型鑽頭 (12)‧‧‧ Round drill bits

(13)‧‧‧圓刺 (13)‧‧‧ round thorns

(2)‧‧‧牙科手機 (2) ‧ ‧ dental handpieces

(3)‧‧‧鑽石圓鑽 (3)‧‧‧ Diamond round diamonds

(31)‧‧‧鑽石圓鑽連接桿 (31)‧‧‧Diamond round drill connecting rod

(32)‧‧‧鑽石圓型鑽頭 (32)‧‧‧Diamond Round Drill

(33)‧‧‧鑽石磨削刺 (33)‧‧‧Diamond grinding thorn

(4)‧‧‧牙科手機 (4) ‧‧‧ dental handpieces

(5)‧‧‧水壓噴頭 (5) ‧‧‧Hydraulic nozzle

(51)‧‧‧穿孔 (51)‧‧‧Perforation

(52)‧‧‧出水管路 (52) ‧‧‧Water outlet

(53)‧‧‧牙科手機 (53)‧‧‧ Dental handpieces

(6)‧‧‧植體鑽頭 (6) ‧‧‧plant drill bits

(61)‧‧‧錐形鑽頭 (61)‧‧‧Cone drill bit

(62)‧‧‧牙科手機 (62)‧‧‧ Dental handpieces

(7)‧‧‧骨材填充器 (7)‧‧‧Bone filler

(71)‧‧‧管道 (71) ‧‧‧ Pipes

(7)‧‧‧牙科手機 (7) ‧‧‧ dental handpieces

(80)‧‧‧牙齦 (80) ‧ ‧ teeth

(81)‧‧‧齒槽骨 (81)‧‧‧ alveolar bone

(811)‧‧‧開槽 (811)‧‧‧ slotting

(82)‧‧‧鼻竇膜 (82) ‧ ‧ sinus membrane

(821)‧‧‧容置空間 (821) ‧‧‧ accommodating space

(83)‧‧‧人工骨材 (83) ‧‧‧Artificial timber

(84)‧‧‧人工牙根 (84) ‧ ‧ artificial roots

(9)‧‧‧牙科主機 (9) ‧‧‧Dental host

第1圖至第7圖:本創作微創水壓上顎竇提升設備之操作步驟示意圖。 Fig. 1 to Fig. 7: Schematic diagram of the operation steps of the minimally invasive hydraulic sinus sinus lifting device.

第8圖:本創作微創水壓上顎竇提升設備之高速圓鑽實施例外觀圖。 Figure 8: Appearance of the high-speed round diamond embodiment of the minimally invasive hydraulic sinus sinus lifting device.

第9圖:本創作微創水壓上顎竇提升設備之鑽石圓鑽實施例外觀圖。 Figure 9: Appearance of the diamond round drill embodiment of the minimally invasive hydraulic sinus sinus lifting device.

第10圖:本創作微創水壓上顎竇提升設備之水壓噴頭實施例外觀圖。 Figure 10: Appearance of the water pressure nozzle embodiment of the minimally invasive hydraulic sinus sinus lifting device.

第11圖:本創作微創水壓上顎竇提升設備之植體鑽頭實施例外觀圖。 Figure 11: Appearance of the embodiment of the implant bit of the minimally invasive hydraulic sinus sinus lifting device.

第12圖:本創作微創水壓上顎竇提升設備之骨材填充器實施例外觀圖。 Figure 12: Appearance of the embodiment of the bone filler of the minimally invasive hydraulic sinus sinus lifting device.

第13圖:本創作微創水壓上顎竇提升設備之連接示意圖。 Figure 13: The connection diagram of the minimally invasive water pressure upper sinus lifting device.

為了使本創作之目的、技術方案及優點更加清楚明白,係結合具體實施方式對本創作作進一步的詳細描述,但上述之創作內容範圍並不僅限於下述實施例。在不脫離本創作上述技術思想情況下,根據本領域普通技術知識和慣用手段,做出各種替換和變更,均應包括在本創作的範圍內。 In order to clarify the purpose, technical solutions, and advantages of the present invention, the present invention will be further described in detail with reference to the specific embodiments, but the scope of the above-mentioned creations is not limited to the following embodiments. Various substitutions and alterations are intended to be included within the scope of the present invention.

本創作係為一種「微創水壓上顎竇提升設備」,請參閱第1圖至第6圖,係為微創水壓上顎竇提升設備之操作步驟示意圖;首先,將牙齦(80)藉由手術刀具切割開後進行翻瓣,以高速圓鑽(1)進行首次鑽孔作業,鑽入齒槽骨(81)至使齒槽骨(81)深度大約剩餘1mm深,使其產生較寬之開槽(811),接著利用微型鑽石圓鑽(3)於該開槽(811)上藉由臥式磨削穿透齒槽骨(81),由於微型鑽石圓鑽(3)為一橫向平移磨削器械,係藉由鑽頭前端之鑽石磨削刺(33)顆粒磨削齒槽骨(81),並未產生縱向往上之切削力,可避免鑽石圓鑽(3)穿透破壞鼻竇膜(82),接著,再藉由水壓噴頭(5)利用液體壓力灌注將鼻竇膜(82)溫和抬高,使齒槽骨(81)與鼻竇膜(82)之間產生一容置空間(821),並用組裝於一牙科手機上之植體鑽頭(6)擴大齒槽骨(81)開放部位同時以填充人工骨材(83)置入齒槽骨(81)與鼻竇膜(82)間之容置空間(821),使植體裝置進入並固定於該齒槽骨(81)及填充之人工骨材(83)中,以提升齒槽骨(81)之厚度並加深人工牙根(84)植入之深度,大幅提升植牙手術的安全性及穩定性。請再參閱第7圖至第10圖所示,係為本創作微創水壓上顎竇提升設備之高速圓鑽實施例外觀圖、微創水壓上顎竇提升設備之鑽石圓鑽實施例外觀 圖、微創水壓上顎竇提升設備之水壓噴頭實施例外觀圖及微創水壓上顎竇提升設備之植體鑽頭實施例外觀圖,主要是藉由高速圓鑽(1)、鑽石圓鑽(3)、水壓噴頭(5)、植體鑽頭(6)及骨材填充器(7)所組成係各藉由牙科手機連接於一牙科主機(9)上;該高速圓鑽(1)係包括有一高速圓鑽連接桿(11)、一圓型鑽頭(12)及凸設於該圓型鑽頭(12)表面之圓刺(13)所組成,該圓型鑽頭(12)係凸設於該高速圓鑽連接桿(11)上,其中,該圓型鑽頭(12)上係包含多數圓刺(13)凸設於該圓型鑽頭(12)表面,該高速圓鑽連接桿(11)底端係可組裝於一牙科手機(2)上,使該高速圓鑽連接桿(11)可隨著牙科手機(2)快速轉動並同時帶動該圓型鑽頭(12)旋轉產生磨削力道,高速圓鑽(1)進行首次鑽孔作業,鑽入齒槽骨(81)至使齒槽骨(81)深度大約剩餘1mm深,使其產生較寬之開槽(811);該鑽石圓鑽(3)係包括有一底端係可組裝於一牙科手機(4)上鑽石圓鑽連接桿(31)、一直徑小於圓型鑽頭(12)之鑽石圓型鑽頭(32),可裝設於該鑽石圓鑽連接桿(31)頂端及凸設於該鑽石圓型鑽頭(32)表面之鑽石磨削刺(33)進行磨削,微型鑽石圓鑽(3)於高速圓鑽(1)所鑽出之開槽(811)上藉由臥式磨削穿透齒槽骨(81),使齒槽骨(81)形成一凸型鑽孔,藉由橫向平移磨削方式以鑽頭前端之鑽石磨削刺(33)磨削齒槽骨(81),以避免鑽頭刺穿鼻竇膜(82),且藉由微型鑽石圓鑽(3)搭配輕型牙科手機(4),振動力道小,操作者可獲得較佳施力回饋;該水壓噴頭(5)係為一凸型柱體裝設於牙科手機(53)上,係可伸入該高速圓鑽(1)及鑽石圓鑽(3)所鑽出之凸型鑽孔內,頂端係開設有一穿孔(51),使該穿孔(51)延伸下向連接一出水管路(52),使其可將食鹽水藉水壓排入鼻竇膜(82)下方與齒 槽骨(81)之間,使該鼻竇膜(82)向上提升形成一較大之容置空間(821);該植體鑽頭(6)係為一自上向下直徑漸增之錐形鑽頭(61)裝設於牙科手機(62)上端,使其擴大齒槽骨(81)開放部位形成一較寬之孔洞(84);及該骨材填充器(7),係裝設於牙科手機(72)上,包括有一管道(71),使人工骨材(83)可藉由該管道(71)輸出平均壓力把人工骨材(83)自該孔洞(84)填充入鼻竇膜(82)下方之容置空間(821)內,可植入人工牙根(84)至該鼻竇膜(82)下方容置空間(821)之人工骨材(83)與齒槽骨(81)中,使患者能夠獲得較舒適的手術經驗及操作者具有較佳的操作便利性及手感,避免穿刺鼻竇膜產生患者不適。 This creation is a kind of “minimally invasive hydraulic sinus sinus lifting device”. Please refer to Fig. 1 to Fig. 6 for the operation steps of the minimally invasive hydraulic sinus lifting device. First, the gingival (80) is used. After the surgical tool is cut open, the flap is opened, and the first drilling operation is performed with the high-speed round drill (1), and the alveolar bone (81) is drilled until the depth of the alveolar bone (81) is about 1 mm deep, so that the width is wide. Slotting (811), then using a miniature diamond round diamond (3) to penetrate the alveolar bone (81) by horizontal grinding on the slot (811), since the miniature diamond round diamond (3) is a lateral translation Grinding equipment, grinding the alveolar bone (81) by diamond grinding thorn (33) particles at the front end of the drill bit, does not produce longitudinal upward cutting force, can avoid diamond round diamond (3) penetration damage sinus membrane (82), and then, by the hydraulic pressure nozzle (5), the sinus membrane (82) is gently raised by liquid pressure perfusion, so that an accommodation space is created between the alveolar bone (81) and the sinus membrane (82) ( 821), and the implant bit (6) assembled on a dental handpiece is used to enlarge the open portion of the alveolar bone (81) while filling the artificial bone material (83) into the alveolar bone (81) and the sinus membrane (82). Accommodating Space (821), the implant device is inserted into and fixed in the alveolar bone (81) and the filled artificial bone material (83) to enhance the thickness of the alveolar bone (81) and deepen the artificial root (84) implant The depth of the implant significantly improves the safety and stability of implant surgery. Please refer to Fig. 7 to Fig. 10 for the appearance of the high-speed round diamond embodiment of the minimally invasive hydraulic sinus lifting device and the appearance of the diamond round drill embodiment of the minimally invasive hydraulic sinus lifting device. Figure, the external view of the water pressure nozzle of the sinus sinus lifting device, and the external view of the implant bit of the minimally invasive hydraulic sinus lifting device, mainly by high-speed round diamond (1), diamond round diamond (3) The hydraulic pressure nozzle (5), the implant drill bit (6) and the aggregate filler (7) are each connected to a dental host (9) by a dental handpiece; the high speed round drill (1) The utility model comprises a high-speed round drill connecting rod (11), a round drill bit (12) and a round thorn (13) protruding from the surface of the round drill bit (12), the round drill bit (12) is convexly arranged on The high-speed round drill connecting rod (11), wherein the round drill bit (12) comprises a plurality of round thorns (13) protruding from the surface of the circular drill bit (12), the high-speed round drill connecting rod (11) The bottom end can be assembled on a dental handpiece (2), so that the high speed round drill connecting rod (11) can rotate rapidly with the dental handpiece (2) and simultaneously rotate the circular bit (12) to generate a grinding force. The high-speed round drill (1) performs the first drilling operation, drilling into the alveolar bone (81) to the depth of the alveolar bone (81) approximately 1 mm deep, resulting in a wider slot (811); the diamond round drill (3) The system includes a bottom end system It can be assembled on a dental handpiece (4) with a diamond round drill connecting rod (31) and a diamond round drill bit (32) having a diameter smaller than a round drill bit (12), which can be mounted on the diamond round drill connecting rod (31) The diamond grinding burr (33) on the top and protruding from the surface of the diamond round drill (32) is ground, and the miniature diamond round diamond (3) is on the slot (811) drilled by the high speed round drill (1). Through the horizontal grinding through the alveolar bone (81), the alveolar bone (81) forms a convex drill hole, and the teeth are ground by the diamond grinding thorn (33) at the front end of the drill bit by lateral translational grinding. The trough bone (81) to prevent the bit from piercing the sinus membrane (82), and with the miniature diamond round diamond (3) and the light dental handpiece (4), the vibration force is small, and the operator can obtain better force feedback; The hydraulic nozzle (5) is a convex cylinder mounted on the dental handpiece (53) and can be inserted into the convex drill hole drilled by the high speed round diamond (1) and the diamond round diamond (3). The top end is provided with a perforation (51), so that the perforation (51) extends downwardly to connect a water outlet line (52), so that the saline can be discharged into the sinus membrane (82) and the teeth by water pressure. Between the troughs (81), the sinus membrane (82) is lifted upward to form a larger accommodating space (821); the implant bit (6) is a tapered drill bit with an increasing diameter from top to bottom. (61) mounted on the upper end of the dental handpiece (62) to enlarge the open portion of the alveolar bone (81) to form a wider hole (84); and the aggregate filler (7) is attached to the dental handpiece (72), comprising a pipe (71), wherein the artificial aggregate (83) can fill the artificial bone material (83) from the hole (84) into the sinus membrane (82) by outputting an average pressure of the pipe (71). In the lower accommodation space (821), the artificial root (84) can be implanted into the artificial bone material (83) and the alveolar bone (81) of the accommodation space (821) below the sinus membrane (82), so that the patient It can obtain more comfortable surgical experience and the operator has better operation convenience and hand feeling, and avoids patient discomfort caused by puncture of the sinus membrane.

以上所論述者,僅為本創作之實施例說明而已,並非用以限定本創作實施之範圍;故在不脫離本創作之精神與範圍下所作之均等結構變化與修飾,皆應涵蓋於本創作之專利範圍內。 The above discussion is only for the description of the embodiments of the present invention, and is not intended to limit the scope of the present invention; therefore, the equivalent structural changes and modifications made without departing from the spirit and scope of the present invention should be included in the present creation. Within the scope of the patent.

綜上所述,本創作實施例確能達到所預期之功效,其揭露之具體結構尚未見於同類產品中,亦未曾公開於申請前,誠已符合專利法之規定與要求,爰依法提出新型專利之申請,懇請惠予審查,並賜准專利,始感德便。 In summary, the present embodiment can achieve the expected effect. The specific structure of the disclosure has not been found in similar products, nor has it been disclosed before the application. Cheng has already complied with the requirements and requirements of the Patent Law, and has proposed new patents according to law. The application, please give us a review, and grant a patent.

Claims (1)

一種微創水壓上顎竇提升設備,係包含:一高速圓鑽,係包括有一高速圓鑽連接桿,底端係可組裝於一牙科手機上;一圓型鑽頭,為一圓球體鑽頭,裝設於該高速圓鑽連接桿頂端;一圓刺,凸設於該圓型鑽頭表面;一鑽石圓鑽,係包括有一鑽石圓鑽連接桿,底端係可組裝於一牙科手機上;一鑽石圓型鑽頭,為一直徑小於圓型鑽頭之圓球體鑽頭,裝設於該鑽石圓鑽連接桿頂端;一鑽石磨削刺,凸設於該鑽石圓型鑽頭表面;一水壓噴頭,該水壓噴頭係為一凸型柱體,係伸入該高速圓鑽及鑽石圓鑽所鑽出之凸型鑽孔內,頂端係開設有一穿孔,使該穿孔延伸下向連接一出水管路;一植體鑽頭,係為一自上向下直徑漸增之錐形鑽頭,底端係組裝於一牙科手機上;一骨材填充器,係包括有一管道,使骨材可藉由該管道平均輸出,底端係組裝於一牙科手機上。 A minimally invasive hydraulic sinus sinus lifting device comprises: a high speed round drill comprising a high speed round drill connecting rod, the bottom end can be assembled on a dental handpiece; and a round drill bit is a round ball drill bit installed in The high-speed round drill connects the top end of the rod; a round thorn protrudes from the surface of the round drill bit; a diamond round drill includes a diamond round drill connecting rod, and the bottom end can be assembled on a dental handpiece; a diamond round drill bit a spherical ball drill having a diameter smaller than a circular drill bit, mounted on the top end of the diamond round drill connecting rod; a diamond grinding thorn protruding from the surface of the diamond round drill bit; a water pressure nozzle, the water pressure nozzle system a convex cylinder projecting into the convex drill hole drilled by the high-speed round diamond and the diamond round drill, the top end is provided with a perforation, so that the perforation extends downward to connect a water outlet pipe; The utility model relates to a tapered drill bit which is gradually increased in diameter from top to bottom, and the bottom end is assembled on a dental handpiece; the bone material filling device comprises a pipe so that the aggregate material can be outputted by the pipe at an average end. It is assembled on a dental handpiece.

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