TWM599151U - Dental implant mechanical set and sinus scraper for vertical movement of sinus cavity mucosa to form bone space - Google Patents

Dental implant mechanical set and sinus scraper for vertical movement of sinus cavity mucosa to form bone space Download PDF

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TWM599151U
TWM599151U TW109205324U TW109205324U TWM599151U TW M599151 U TWM599151 U TW M599151U TW 109205324 U TW109205324 U TW 109205324U TW 109205324 U TW109205324 U TW 109205324U TW M599151 U TWM599151 U TW M599151U
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bone
drill
mucosa
sinus
degrees
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陳秀國
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陳秀國
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一種供垂直挪移鼻竇腔黏膜以形成補骨空間之植牙用器械組,其包括一骨鑽以及一鼻竇刮刀。該骨鑽具有一鑽針,供於待植入人工牙根之缺牙處朝齒槽骨向上鑽孔,以露出鼻竇腔黏膜。該鼻竇刮刀具有一握持本體以及一刮刀頭部,該刮刀頭部於一端形成有一撥動部,供經由該骨鑽所鑽之孔而將所露出之鼻竇腔黏膜剝離並向內挪移,以於缺牙處上方形成一補骨空間。該撥動部以及該刮刀頭部之間係呈一第一角度,且該第一角度係介於45度至135度之間。 A dental implant instrument set for vertically moving the mucosa of the sinus cavity to form a bony space, which includes a bone drill and a sinus scraper. The bone drill is provided with a drill needle for drilling upwards towards the alveolar bone at the missing tooth of the artificial tooth root to expose the sinus cavity mucosa. The sinus scraper has a holding body and a scraper head. The scraper head is formed with a toggle part at one end for peeling and moving the exposed sinus mucosa through the hole drilled by the bone drill to move it inward. A bone space is formed above the missing tooth. A first angle is formed between the shifting part and the head of the scraper, and the first angle is between 45 degrees and 135 degrees.

Description

供垂直挪移鼻竇腔黏膜以形成補骨空間之植牙用器械組及鼻竇刮刀 Dental implant instrument set and sinus scraper for vertically moving the mucosa of the sinus cavity to form a bone space

本創作係有關一種包括鼻竇刮刀之植牙用器械組,尤指一種供垂直挪移鼻竇腔黏膜以形成補骨空間之植牙用器械組,其係以一骨鑽從待植入人工牙根之缺牙處朝齒槽骨向上鑽孔以露出鼻竇腔黏膜,並以一鼻竇刮刀將所露出之鼻竇腔黏膜剝離並向內挪移,以於缺牙處上方形成補骨空間。 This creation is related to a dental implant instrument set including sinus scrapers, especially a dental implant instrument set for vertical movement of the sinus cavity mucosa to form a bone space. It uses a bone drill from the artificial tooth root to be implanted. The teeth are drilled upward toward the alveolar bone to expose the sinus cavity mucosa, and the exposed sinus cavity mucosa is peeled off with a sinus scraper and moved inward to form a bone space above the missing tooth.

近年來,隨著植牙技術之快速發展,人工植牙已逐漸取代傳統缺牙治療方式,而蔚為主流。人工植牙係在缺牙處將植體經外科手術植入齒槽骨之缺牙區內作為人工牙根,並在植體和齒槽骨緊密結合後,再於植體基座上置上牙冠。由於植體係深植入齒槽骨內,又與齒槽骨緊密結合,因此其強度足以供正常咀嚼之用,不論於功能上或外觀上都足以媲美自然牙體。 In recent years, with the rapid development of dental implant technology, artificial dental implants have gradually replaced the traditional treatment of missing teeth and become the mainstream. Artificial dental implant system is to surgically implant the implant in the missing tooth area of the alveolar bone as an artificial tooth root. After the implant and the alveolar bone are tightly combined, the upper tooth is placed on the implant base crown. Because the implant system is deeply implanted in the alveolar bone and is tightly integrated with the alveolar bone, its strength is sufficient for normal chewing, and it is comparable to natural teeth in terms of function and appearance.

如前文所述,由於植體要深植入齒槽骨內,而與齒槽骨緊密結合,因此若齒槽骨之條件不佳(如齒槽骨萎縮),則將造成植入之人工牙根部份外露,而難以與齒槽骨緊密結合,進而將容易導致植牙手術之失敗。因此,於進行植牙手術之前,需先評估缺牙處齒槽骨之狀況,以決定是否需要進行補骨。 As mentioned above, because the implant is deeply implanted in the alveolar bone and is tightly integrated with the alveolar bone, if the condition of the alveolar bone is not good (such as alveolar bone atrophy), the implanted artificial tooth root will be caused Part of it is exposed, and it is difficult to tightly integrate with the alveolar bone, which will easily lead to failure of the implant surgery. Therefore, before performing dental implant surgery, it is necessary to evaluate the condition of the alveolar bone at the missing tooth to determine whether or not a bone replacement is needed.

補骨之進行,習知係採用側窗式鼻竇增高手術進行。請參見第3圖以及第5A至5B圖。第3圖係顯示上顎生理結構之剖面示意圖,其中顯示牙齒A1、齒槽骨A2、牙齦A3、鼻竇腔A4以及鼻竇腔黏膜A5之相對位置。第5A至5B圖則係為顯示習知側窗式鼻竇增高手術之示意圖,其係由缺牙處之外側牙齦進行。於實施時,如第5A圖所示,先割開缺牙處之外側牙齦皮瓣A30並將其掀開,以露出牙齦皮瓣A30下方之齒槽骨A2。隨後,如第5B圖所示,再以骨鑽對於所露出之齒槽骨A2鑽出一骨孔A6,以露出其下的鼻竇腔黏膜A5。最後,再以適當器械將所露出之鼻竇腔黏膜與齒槽骨剝離並朝內推移,而形成一補骨空間,供置入骨粉以進行補骨之用。 The psoralen is performed by conventional side-window sinus augmentation surgery. Please refer to Figure 3 and Figures 5A to 5B. Figure 3 is a schematic cross-sectional view showing the physiological structure of the upper jaw, which shows the relative positions of teeth A1, alveolar bone A2, gingiva A3, sinus cavity A4, and sinus cavity mucosa A5. Figures 5A to 5B are schematic diagrams showing the conventional side-window sinus augmentation surgery, which is performed from the outer gingiva of the missing tooth. During implementation, as shown in Figure 5A, first cut the outer gingival flap A30 at the missing tooth and open it to expose the alveolar bone A2 under the gingival flap A30. Subsequently, as shown in Figure 5B, a bone hole A6 is drilled for the exposed alveolar bone A2 with a bone drill to expose the sinus cavity mucosa A5 below it. Finally, the exposed sinus cavity mucosa and alveolar bone are peeled off with appropriate equipment and pushed inward to form a bony space where bone powder is placed for bony bony use.

針對缺牙處齒槽骨條件不佳之問題,雖然習知已存在有採用側窗式鼻竇增高手術之補骨方式,然而由於其係從缺牙處外側牙齦進行,因此所需開創之傷口面積較大,而容易使患者具有較為強烈之不適感,亦增加了手術之複雜程度。因此,在進行補骨上,如何能夠大幅降低所需之開創傷口面積,並簡化手術之複雜程度,而得以大幅減少病患之不適感,一直為本創作人研究之方向。 In view of the poor condition of the alveolar bone in the missing tooth, although there is a conventional method of repairing the bone using the side window sinus augmentation surgery, because it is performed from the outer gingiva of the missing tooth, the wound area required to be created is larger. , And it is easy for the patient to have a stronger sense of discomfort, which also increases the complexity of the operation. Therefore, how to significantly reduce the area of wounds required for repairing bones, simplify the complexity of the operation, and greatly reduce the discomfort of patients, has always been the direction of the author's research.

本創作之主要目的在提供一種供垂直挪移鼻竇腔黏膜以形成補骨空間之植牙用器械組,其係從待植入人工牙根之缺牙處直接垂直向上進行補骨手術,而得以將補骨手術以及植牙手術併合於同一位置實施;相較於習知採用側窗式鼻竇增高術以進行補骨之方式,不僅得以大幅減少開創傷口面積,顯著降低病患之不適感,並可簡化手術之複雜程度。 The main purpose of this creation is to provide a dental implant instrument set for vertically moving the mucosa of the sinus cavity to form a bone space. It is to perform a bone repair directly and vertically upward from the missing tooth of the artificial tooth root to be implanted. Bone surgery and dental implant surgery are performed in the same place; compared with the conventional method of using side-window sinus augmentation for bone repair, it not only greatly reduces the wound area, significantly reduces the patient’s discomfort, but also simplifies The complexity of the operation.

為達上述之目的,本創作提供一種供垂直挪移鼻竇腔黏膜以 形成補骨空間之植牙用器械組,其包括一骨鑽以及一鼻竇刮刀。前述骨鑽具有一鑽針,供於待植入人工牙根之缺牙處朝齒槽骨向上鑽孔,以露出鼻竇腔黏膜;前述鼻竇刮刀具有一握持本體以及一刮刀頭部,前述刮刀頭部於一端形成有一撥動部,供經由前述骨鑽所鑽之孔而將所露出之鼻竇腔黏膜剝離並向內挪移,以於缺牙處上方形成一補骨空間;前述撥動部以及前述刮刀頭部之間係呈一第一角度,前述第一角度係介於45度至135度之間。 In order to achieve the above purpose, this creation provides a method for vertically moving the mucosa of the sinus cavity An instrument set for dental implantation for forming a bone space, which includes a bone drill and a sinus scraper. The bone drill has a drill needle for drilling upwards toward the alveolar bone at the missing tooth of the artificial tooth root to expose the sinus cavity mucosa; the sinus scraper has a holding body and a scraper head, and the scraper head A toggle portion is formed at one end of the bone drill for peeling and moving the exposed sinus cavity mucosa through the hole drilled by the bone drill to form a bone space above the missing tooth; the toggle portion and the aforementioned There is a first angle between the heads of the scraper, and the aforementioned first angle is between 45 degrees and 135 degrees.

實施時,前述撥動部以及前述刮刀頭部之間之第一角度係為45度、90度或135度。 In implementation, the first angle between the aforementioned toggle portion and the aforementioned scraper head is 45 degrees, 90 degrees or 135 degrees.

實施時,前述刮刀頭部與前述握持本體之間係呈一第二角度,前述第二角度係介於120度至170度之間。 In implementation, a second angle is formed between the scraper head and the holding body, and the second angle is between 120 degrees and 170 degrees.

實施時,前述骨鑽更包括一套設於前述鑽針上之一擋止環;前述擋止環係以可分離方式套設於前述鑽針上,供限制骨鑽之鑽針所鑽入之深度。 In implementation, the bone drill further includes a stop ring set on the drill bit; the stop ring is detachably set on the drill bit for restricting the drill bit of the bone drill. depth.

實施時,前述擋止環更包括有一定位件,供將前述骨鑽之鑽針固定於前述擋止環內。於一實施例中,前述定位件係穿壁設置於前述擋止環之環壁上,且可沿一垂直於前述環壁之方向移動,以將前述鑽針固定於前述擋止環內或解除對其之固定。 During implementation, the stop ring further includes a positioning member for fixing the drill bit of the bone drill in the stop ring. In one embodiment, the positioning member is provided through the wall on the ring wall of the stop ring, and can move in a direction perpendicular to the ring wall to fix the drill bit in the stop ring or release Fix it.

實施時,前述供垂直挪移鼻竇腔黏膜以形成補骨空間之植牙用器械組更包括一輔助調整器,供輔助調整前述擋止環套合於前述骨鑽之鑽針上之位置。於一實施例中,前述輔助調整器包括有複數條長度不同之孔道以及至少一標記;前述複數條長度不同之孔道係形成於前述輔助調整器之內部,且每一條孔道於前述輔助調整器之外表面上開設有一開口;前 述至少一標記係形成於前述輔助調整器之外表面上,供指示前述複數條孔道中至少一者之長度;藉此,依據前述骨鑽之鑽針所預設要鑽入之深度,將前述骨鑽之鑽針置入具有相應於前述深度之長度之孔道內,再將前述擋止環套設於前述骨鑽之鑽針上緊鄰前述孔道開口之位置,即可限制鑽針之鑽入深度。 In implementation, the aforementioned dental implant instrument set for vertically moving the mucosa of the sinus cavity to form the bone space further includes an auxiliary adjuster for assisting in adjusting the position of the stop ring on the drill needle of the bone drill. In one embodiment, the auxiliary adjuster includes a plurality of holes with different lengths and at least one mark; the plurality of holes with different lengths are formed inside the auxiliary adjuster, and each hole is in the auxiliary adjuster. There is an opening on the outer surface; the front The at least one mark is formed on the outer surface of the auxiliary adjuster to indicate the length of at least one of the plurality of holes; thereby, according to the preset depth of the drill bit of the bone drill, the The drill bit of the bone drill is inserted into a hole with a length corresponding to the aforementioned depth, and the stop ring is set on the drill bit of the bone drill next to the opening of the hole to limit the penetration depth of the drill bit .

本創作另提供有一種供垂直挪移鼻竇腔黏膜以形成補骨空間之鼻竇刮刀,其包括一握持本體以及一刮刀頭部,前述刮刀頭部於一端形成有一撥動部,前述撥動部以及前述刮刀頭部之間係呈一第一角度,前述第一角度係介於45度至135度之間;前述撥動部係供於一骨鑽在待植入人工牙根之缺牙處對齒槽骨鑽孔處,將所露出之鼻竇腔黏膜剝離並向內挪移,以於缺牙處上方形成一補骨空間。 This creation also provides a sinus spatula for vertically moving the mucosa of the sinus cavity to form a bony space. The spatula includes a holding body and a spatula head. The spatula head is formed with a toggle portion at one end, the toggle portion and The heads of the spatula are at a first angle, and the first angle is between 45 degrees and 135 degrees; the toggle part is used for a bone drill to align the teeth at the missing tooth of the artificial tooth root to be implanted At the place where the groove bone is drilled, the exposed sinus cavity mucosa is peeled off and moved inward to form a bony space above the missing tooth.

於實施時,前述刮刀頭部與前述握持本體之間係呈一第二角度,前述第二角度係介於120度至170度之間。 In implementation, a second angle is formed between the scraper head and the holding body, and the second angle is between 120 degrees and 170 degrees.

為進一步瞭解本創作,以下舉較佳之實施例,配合圖式、圖號,將本創作之具體構成內容及其所達成的功效詳細說明如下。 In order to further understand the creation, the following is a preferred embodiment, in conjunction with the drawings and figure numbers, the specific content of the creation and the effects achieved are described in detail as follows.

1:骨鑽 1: bone drill

10:鑽針 10: Drill needle

12:擋止環 12: stop ring

120:環壁 120: Ring Wall

122:定位件 122: locator

2:鼻竇刮刀 2: sinus scraper

20:握持本體 20: Hold the body

22:刮刀頭部 22: Scraper head

220:撥動部 220: Toggle part

3:輔助調整器 3: auxiliary adjuster

30:外表面 30: outer surface

32:孔道 32: Hole

34:開口 34: opening

36:標記 36: mark

38:階梯部 38: Step

380:凹槽 380: Groove

A1:牙 A1: Teeth

A2:齒槽骨 A2: Alveolar bone

A3:牙齦 A3: gums

A30:牙齦皮瓣 A30: Gingival flap

A4:鼻竇腔 A4: Sinus cavity

A5:鼻竇腔黏膜 A5: Sinus cavity mucosa

A6:骨孔 A6: Bone hole

A7:補骨空間 A7: Bu bone space

θ 1:第一角度 θ 1: the first angle

θ 2:第二角度 θ 2: second angle

第1A至1C圖係顯示本創作之供垂直挪移鼻竇腔黏膜以形成補骨空間之植牙用器械組中鼻竇刮刀之不同實施態樣。 Figures 1A to 1C show the different implementations of the sinus scraper in the dental implant instrument group for vertically moving the sinus cavity mucosa to form the psoral space.

第2圖係顯示本創作之供垂直挪移鼻竇腔黏膜以形成補骨空間之植牙用器械組中骨鑽和輔助調整器之使用狀態圖。 Figure 2 is a diagram showing the use state of the bone drill and auxiliary adjuster in the dental implant instrument set for vertically moving the sinus cavity mucosa to form the bone space.

第3圖係為上顎生理結構之剖面示意圖。 Figure 3 is a schematic cross-sectional view of the physiological structure of the upper jaw.

第4A至4B圖係顯示以本創作之植牙用器械挪移鼻竇腔黏膜以形成補骨空間之示意圖。 Figures 4A to 4B are schematic diagrams showing how to move the mucosa of the sinus cavity with the dental implant device of this creation to form a space for bones.

第5A至5B圖係顯示習知側窗式鼻竇增高手術之示意圖。 Figures 5A to 5B are schematic diagrams showing the conventional side-window sinus augmentation surgery.

本創作提供一種供垂直挪移鼻竇腔黏膜以形成補骨空間之植牙用器械組及鼻竇刮刀。該植牙用器械組包括一骨鑽以及一鼻竇刮刀。該骨鑽具有一鑽針,供於待植入人工牙根之缺牙處朝齒槽骨向上鑽孔,以露出鼻竇腔黏膜;該鼻竇刮刀具有一握持本體以及一刮刀頭部,該刮刀頭部於一端形成有一撥動部,供經由前述骨鑽所鑽之孔而將所露出之鼻竇腔黏膜剝離並向內挪移,以於缺牙處上方形成一補骨空間;該撥動部以及該刮刀頭部之間係呈一第一角度,該第一角度係介於45度至135度之間。 This creation provides a dental implant instrument set and sinus scraper for vertically moving the mucosa of the sinus cavity to form a bone space. The dental implant instrument set includes a bone drill and a sinus scraper. The bone drill has a drill needle for drilling upwards toward the alveolar bone at the missing tooth of the artificial tooth root to expose the sinus cavity mucosa; the sinus scraper has a holding body and a scraper head, the scraper head A toggle portion is formed at one end of the bone drill for peeling and moving the exposed sinus cavity mucosa through the hole drilled by the bone drill to form a bone space above the missing tooth; the toggle portion and the There is a first angle between the scraper heads, and the first angle is between 45 degrees and 135 degrees.

於一實施例,本創作之供垂直挪移鼻竇腔黏膜以形成補骨空間之植牙用器械組包括有一骨鑽1、一鼻竇刮刀2以及一輔助調整器3。請參見第1A至1C圖,其係顯示前述鼻竇刮刀2之不同實施態樣。如第1A圖所示,鼻竇刮刀2具有一握持本體20以及一刮刀頭部22,前述刮刀頭部22於一端形成有一撥動部220,且前述撥動部220以及前述刮刀頭部22之間所呈之第一角度θ 1係為45度。第1B圖所示之鼻竇刮刀2,其撥動部220與刮刀頭部22之間所呈之第一角度θ 1則為135度。如第1C圖所示,鼻竇刮刀2同樣具有握持本體20、刮刀頭部22以及撥動部220等結構,惟其撥動部220與刮刀頭部22之間的第一角度θ 1為90度,且刮刀頭部22與握持本體20則另呈一第二角度;前述第二角度可介於120度至170度之間,於本實施例中為135度。 In one embodiment, the dental implant set for vertically moving the mucosa of the sinus cavity to form a bone space includes a bone drill 1, a sinus scraper 2 and an auxiliary adjuster 3. Please refer to Figures 1A to 1C, which show different implementations of the aforementioned sinus curette 2. As shown in Figure 1A, the sinus scraper 2 has a holding body 20 and a scraper head 22. The scraper head 22 is formed with a toggle portion 220 at one end, and the toggle portion 220 and the scraper head 22 The first angle θ 1 between the two is 45 degrees. In the sinus scraper 2 shown in Figure 1B, the first angle θ 1 formed between the dial 220 and the scraper head 22 is 135 degrees. As shown in Figure 1C, the sinus scraper 2 also has a structure such as a holding body 20, a scraper head 22, and a toggle portion 220, but the first angle θ 1 between the toggle portion 220 and the scraper head 22 is 90 degrees , And the squeegee head 22 and the holding body 20 form a second angle; the aforementioned second angle may be between 120 degrees and 170 degrees, which is 135 degrees in this embodiment.

請參見第2圖,其係顯示前述骨鑽1以及輔助調整器3之使用 狀態圖。前述骨鑽1具有一鑽針10以及一套設於該鑽針10上之擋止環12。前述擋止環12係以可分離方式套設於前述鑽針10上,以限制骨鑽1之鑽針10所鑽入之深度。此外,前述擋止環12另設有一定位件122,供將前述骨鑽1之鑽針10固定於前述擋止環12內。 Please refer to Figure 2, which shows the use of the aforementioned bone drill 1 and auxiliary adjuster 3 State diagram. The aforementioned bone drill 1 has a drill needle 10 and a stop ring 12 set on the drill needle 10. The stop ring 12 is detachably sleeved on the drill bit 10 to limit the depth of the drill bit 10 of the bone drill 1. In addition, the stop ring 12 is additionally provided with a positioning member 122 for fixing the drill bit 10 of the bone drill 1 in the stop ring 12.

於本實施例中,前述擋止環12之環壁120設有一穿孔,穿孔內設有螺紋,而該定位件122為一螺絲,其可與螺合入穿孔內,以穿壁進入該擋止環12內(即沿著垂直於環壁120之方向移動),藉此可將鑽針10固定於擋止環12內。於實施時,前述定位件與擋止環之結合除可採用螺合方式外,亦可採用如夾合、彈扣、磁性吸附等結合方式。 In this embodiment, the ring wall 120 of the stop ring 12 is provided with a through hole, the through hole is provided with a thread, and the positioning member 122 is a screw, which can be screwed into the through hole to penetrate the wall into the stopper Inside the ring 12 (that is, move along the direction perpendicular to the ring wall 120), the drill bit 10 can be fixed in the stop ring 12 by this. In implementation, the aforementioned positioning element and the stop ring can be combined by screwing, but also by clamping, snapping, magnetic adsorption, etc.

此外,如第2圖所示,前述輔助調整器3係用於輔助調整擋止環12套合於骨鑽1之鑽針10上之位置。於本實施例中,前述輔助調整器3包括有外表面30、複數條長度不同之孔道32、孔道之開口34、標記36以及階梯部38。前述複數條長度不同之孔道32係形成於該輔助調整器3之內部,且每一條孔道於該輔助調整器3之外表面30(側邊外表面)上開設有一開口34。前述輔助調整器3於外表面30(頂部外表面)上則另設有複數個標記,供分別指示孔道之長度。於此實施例中,前述標記和孔道開口係分別位於側邊以及頂部之外表面上;惟於實施時,上述二者亦可皆設置於側邊外表面上。 In addition, as shown in FIG. 2, the aforementioned auxiliary adjuster 3 is used to assist in adjusting the position of the stop ring 12 fitted on the drill needle 10 of the bone drill 1. In this embodiment, the aforementioned auxiliary adjuster 3 includes an outer surface 30, a plurality of channels 32 with different lengths, an opening 34 of the channel, a mark 36 and a step 38. The aforementioned plurality of holes 32 with different lengths are formed inside the auxiliary adjuster 3, and each hole has an opening 34 on the outer surface 30 (side outer surface) of the auxiliary adjuster 3. The aforementioned auxiliary adjuster 3 is additionally provided with a plurality of marks on the outer surface 30 (top outer surface) for indicating the length of the channel respectively. In this embodiment, the aforementioned marks and the openings of the tunnel are respectively located on the outer surface of the side and the top; however, in implementation, both of the above can also be provided on the outer surface of the side.

前述輔助調整器3之階梯部38則係設置於鄰近孔道32之開口34處,且該階梯部38設有相應於孔道之開口34之凹槽380,供容置擋止環12之用。於操作時,先依據骨鑽1之鑽針10所預設要鑽入之深度,而按照標記36以選出具有相應長度之孔道32。當將鑽針10置入該孔道32內後,將擋止環12移動至鑽針10上緊鄰孔道32開口34之位置,而容置於該階梯部38之凹槽 380內,再使用該定位件122將鑽針10固定於擋止環12內。此時,擋止環套合於鑽針上之位置,即與鑽針所預設要鑽入之深度相符。 The step portion 38 of the aforementioned auxiliary adjuster 3 is disposed adjacent to the opening 34 of the channel 32, and the step portion 38 is provided with a groove 380 corresponding to the opening 34 of the channel for accommodating the stop ring 12. During operation, firstly, according to the preset depth to be drilled by the drill needle 10 of the bone drill 1, select the hole 32 with the corresponding length according to the mark 36. After the drill bit 10 is placed in the hole 32, the stop ring 12 is moved to a position on the drill bit 10 that is next to the opening 34 of the hole 32, and is accommodated in the groove of the step 38 In 380, the positioning member 122 is then used to fix the drill bit 10 in the stop ring 12. At this time, the position where the stop ring fits on the drill bit matches the preset depth of the drill bit.

請參閱第4A至4B圖,其係顯示以本創作之植牙用器械挪移鼻竇腔黏膜而形成補骨空間之手術的示意圖。於手術前,先依影像學檢查結果(如X光片),決定從待植入人工牙根之缺牙處待向上鑽孔之深度(即該處鼻竇腔黏膜下方齒槽骨之厚度)。隨後,按此深度,利用輔助調整器3,將擋止環12套合至骨鑽1之鑽針10上適當的位置。進行手術之時,如第4A圖所示,先是以前述骨鑽1之套設有一擋止環12之鑽針10,在待植入人工牙根之缺牙處朝齒槽骨A2向上鑽孔,以露出鼻竇腔黏膜A5。於鑽孔期間,可藉由放大鏡(未顯示於圖中)之使用,以觀察鼻竇腔黏膜是否已經露出。 Please refer to Figures 4A to 4B, which is a schematic diagram showing the operation of removing the mucosa of the sinus cavity with the dental implant instrument of this creation to form a bone space. Before the operation, according to the results of imaging examinations (such as X-rays), determine the depth to be drilled upward from the missing tooth of the artificial root (that is, the thickness of the alveolar bone under the mucosa of the sinus cavity). Then, according to this depth, use the auxiliary adjuster 3 to fit the stop ring 12 to the proper position on the drill needle 10 of the bone drill 1. When performing the operation, as shown in Fig. 4A, first use the drill needle 10 with a stop ring 12 set on the bone drill 1 to drill upward toward the alveolar bone A2 at the missing tooth of the artificial tooth root to be implanted. To expose the sinus cavity mucosa A5. During drilling, a magnifying glass (not shown in the figure) can be used to observe whether the mucosa of the sinus cavity has been exposed.

隨後,如第4B圖所示,以前述鼻竇刮刀2,經由所鑽之骨孔A6,利用其一端的撥動部220先將鼻竇腔黏膜A5與齒槽骨A2分離,再將其逐漸向內挪移,以形成補骨空間A7。於實施時,可依序使用撥動部和刮刀頭部之間呈45度、90度以及135度之三種鼻竇刮刀,以將鼻竇腔黏膜自齒槽骨剝離並逐漸向內挪移。然而,亦可依據實際情況,僅選用上述三種鼻竇刮刀之任一或任二者進行。 Subsequently, as shown in Figure 4B, the sinus curette 2 is used to drill through the drilled bone hole A6, using the toggle 220 at one end to separate the sinus cavity mucosa A5 from the alveolar bone A2, and then gradually inward it Move to form the bone space A7. During implementation, three sinus scrapers with 45 degrees, 90 degrees, and 135 degrees between the dial and the scraper head can be used in order to peel the sinus mucosa from the alveolar bone and gradually move it inward. However, it is also possible to select only one or both of the above three types of sinus scrapers according to the actual situation.

因此,本創作具有以下之優點: Therefore, this creation has the following advantages:

1、根據本創作之供垂直挪移鼻竇腔黏膜以形成補骨空間之植牙用器械組,其係以一骨鑽從待植入人工牙根之缺牙處對齒槽骨向上鑽孔以露出鼻竇腔黏膜。藉由從待植入人工牙根之缺牙處直接垂直向上進行補骨手術,即得以將補骨手術以及植牙手術併合於同一位置實施;其相較於習知採用側窗式鼻竇增高術以進行補骨之 方式,不僅可大幅減少開創傷口面積,而顯著降低病患之不適感,並可簡化手術之複雜程度。 1. According to this creation, a dental implant instrument set for vertically moving the mucosa of the sinus cavity to form a bone space. It uses a bone drill to drill up the alveolar bone from the missing tooth of the artificial root to expose the sinus Cavity mucosa. By performing the bone repair directly and vertically upward from the missing tooth of the artificial tooth root to be implanted, the bone repair and dental implant surgery can be combined in the same position; compared to the conventional side window sinus augmentation surgery, Psoralen The method can not only greatly reduce the wound area, but also significantly reduce the patient's discomfort, and simplify the complexity of the operation.

2、根據本創作之供垂直挪移鼻竇腔黏膜以形成補骨空間之植牙用器械組,其係以一鼻竇刮刀剝離鼻竇腔黏膜並將其向內挪移,其中該鼻竇刮刀之撥動部和刮刀頭部、刮刀頭部和握持本體之間可呈一角度設置,藉以增加鼻竇刮刀於使用上之便利性與靈活性。 2. According to this creation, a dental implant instrument set for vertically moving the sinus cavity mucosa to form a psoral space, which uses a sinus scraper to peel off the sinus cavity mucosa and move it inward, wherein the dial of the sinus scraper and The squeegee head, the squeegee head and the holding body can be arranged at an angle, thereby increasing the convenience and flexibility of the sinus squeegee in use.

3、根據本創作之供垂直挪移鼻竇腔黏膜以形成補骨空間之植牙用器械組,其係以一擋止環套設於骨鑽之鑽針上以限制骨鑽之鑽針鑽入齒槽骨之深度,且另提供一輔助調整器,供依據鑽針所預設鑽入之深度以調整擋止環套設於鑽針上之位置,藉以輔助鑽孔之進行並增加安全性。 3. According to this creation, a dental implant instrument set for vertically moving the mucosa of the sinus cavity to form a bone space, which is set on the drill needle of the bone drill with a stop ring to restrict the drill needle of the bone drill from drilling into the tooth The depth of the grooved bone, and an auxiliary adjuster is provided for adjusting the position of the stop ring sleeve on the drill needle according to the preset drilling depth of the drill needle, so as to assist the drilling and increase the safety.

以上所述乃是本創作之具體實施例及所運用之技術手段,根據本文的揭露或教導可衍生推導出許多的變更與修正,仍可視為對本創作之構想所作之等效改變,其所產生之作用仍未超出說明書及圖式所涵蓋之實質精神,均應視為在本創作之技術範疇之內,合先陳明。 The above are the specific embodiments of this creation and the technical means used. According to the disclosure or teaching of this article, many changes and corrections can be derived, which can still be regarded as equivalent changes to the concept of this creation, and the resulting The effect of the content still does not exceed the essential spirit covered by the manual and the drawings, and it should be regarded as within the technical scope of this creation, and should be explained first.

綜上所述,依上文所揭示之內容,本創作確可達到新型之預期目的,提供一種供垂直挪移鼻竇腔黏膜以形成補骨空間之植牙用器械組及鼻竇刮刀,極具產業上利用之價值,爰依法提出新型專利申請。 To sum up, based on the content disclosed above, this creation can indeed achieve the expected purpose of the new type. It provides a dental instrument set and sinus curette for vertical movement of the sinus cavity mucosa to form a bone space. For the value of utilization, Yan filed a new patent application in accordance with the law.

2:鼻竇刮刀 2: sinus scraper

20:握持本體 20: Hold the body

22:刮刀頭部 22: Scraper head

220:撥動部 220: Toggle part

θ 1:第一角度 θ 1: the first angle

θ 2:第二角度 θ 2: second angle

Claims (10)

一種供垂直挪移鼻竇腔黏膜以形成補骨空間之植牙用器械組,其包括: An instrument set for dental implantation for vertically moving the mucosa of the sinus cavity to form a bony space, comprising: 一骨鑽,其具有一鑽針,供於待植入人工牙根之缺牙處對齒槽骨向上鑽孔,以露出鼻竇腔黏膜;以及 A bone drill with a drill needle for drilling up the alveolar bone at the missing tooth of the artificial tooth root to expose the sinus cavity mucosa; and 一鼻竇刮刀,其具有一握持本體以及一刮刀頭部,前述刮刀頭部於一端形成有一撥動部,供經由前述骨鑽所鑽之孔而將所露出之鼻竇腔黏膜剝離並向內挪移,以於缺牙處上方形成一補骨空間;前述撥動部以及前述刮刀頭部之間係呈一第一角度,前述第一角度係介於45度至135度之間。 A sinus spatula, which has a holding body and a spatula head. The spatula head is formed with a toggle portion at one end for peeling and moving the exposed sinus cavity mucosa through the hole drilled by the bone drill. , In order to form a bone space above the missing teeth; a first angle is formed between the shifting part and the head of the scraper, and the first angle is between 45 degrees and 135 degrees. 如申請專利範圍第1項所述之供垂直挪移鼻竇腔黏膜以形成補骨空間之植牙用器械組,其中前述第一角度為45度、90度或135度。 As described in item 1 of the scope of patent application, the set of dental implant devices for vertically moving the mucosa of the sinus cavity to form a bone space, wherein the aforementioned first angle is 45 degrees, 90 degrees or 135 degrees. 如申請專利範圍第1項所述之供垂直挪移鼻竇腔黏膜以形成補骨空間之植牙用器械組,其中前述刮刀頭部與前述握持本體之間係呈一第二角度,前述第二角度係介於120度至170度之間。 As described in item 1 of the scope of patent application, the set of dental implant devices for vertically moving the mucosa of the sinus cavity to form a psoral space, wherein the head of the spatula and the holding body are at a second angle, and the second The angle is between 120 degrees and 170 degrees. 如申請專利範圍第1項所述之供垂直挪移鼻竇腔黏膜以形成補骨空間之植牙用器械組,其中前述骨鑽更包括一套設於前述鑽針上之擋止環;前述擋止環係以可分離方式套設於前述鑽針上,供限制骨鑽之鑽針所鑽入之深度。 As described in item 1 of the scope of patent application, the set of dental implant devices for vertically moving the mucosa of the sinus cavity to form a bone space, wherein the bone drill further includes a set of stop rings arranged on the drill needle; The ring system is detachably sleeved on the aforementioned drill bit for limiting the depth of the drill bit of the bone drill. 如申請專利範圍第4項所述之供垂直挪移鼻竇腔黏膜以形成補骨空間之植牙用器械組,其中前述擋止環更包括有一定位件,供將前述骨鑽之鑽針固定於前述擋止環內。 As described in item 4 of the scope of patent application, the set of dental implant devices for vertically moving the mucosa of the sinus cavity to form a bone space, wherein the stop ring further includes a positioning member for fixing the drill needle of the bone drill to the Inside the stop ring. 如申請專利範圍第5項所述之供垂直挪移鼻竇腔黏膜以形成補骨空間之植牙用器械組,其中前述定位件係穿壁設置於前述擋止環之環壁上,且可沿一垂直於前述環壁之方向移動,以將前述鑽針固定於前述擋止環內 或解除對其之固定。 As described in item 5 of the scope of the patent application, the dental implant device set for vertically moving the mucosa of the sinus cavity to form a bony space, wherein the positioning member is provided through the wall on the ring wall of the stop ring, and can be along a Move perpendicular to the direction of the aforementioned ring wall to fix the aforementioned drill bit in the aforementioned stop ring Or unfix it. 如申請專利範圍第4項所述之供垂直挪移鼻竇腔黏膜以形成補骨空間之植牙用器械組,其更包括一輔助調整器,供輔助調整前述擋止環套合於前述骨鑽之鑽針上之位置。 As described in item 4 of the scope of patent application, the dental implant device set for vertically shifting the mucosa of the sinus cavity to form the bone space, which further includes an auxiliary adjuster for auxiliary adjustment of the stop ring fitted to the bone drill The position on the drill bit. 如申請專利範圍第7項所述之供垂直挪移鼻竇腔黏膜以形成補骨空間之植牙用器械組,其中前述輔助調整器包括有: As described in item 7 of the scope of patent application, the set of dental implant equipment for vertically moving the mucosa of the sinus cavity to form a bone space, wherein the aforementioned auxiliary adjusters include: 複數條長度不同之孔道,其係形成於前述輔助調整器之內部,且每一條孔道於前述輔助調整器之外表面上開設有一開口;以及 A plurality of holes with different lengths are formed inside the auxiliary adjuster, and each hole has an opening on the outer surface of the auxiliary adjuster; and 至少一標記,其係形成於前述輔助調整器之外表面上,供指示前述複數條孔道中至少一者之長度; At least one mark formed on the outer surface of the auxiliary adjuster for indicating the length of at least one of the plurality of channels; 藉此,依據前述骨鑽之鑽針所預設要鑽入之深度,將前述骨鑽之鑽針置入具有相應於前述深度之長度之孔道內,再將前述擋止環套設於前述骨鑽之鑽針上緊鄰前述孔道開口之位置,以限制前述鑽針之鑽入深度。 Thereby, according to the preset depth to be drilled by the drill bit of the bone drill, the drill bit of the bone drill is inserted into the hole having the length corresponding to the depth, and then the stop ring is sleeved on the bone The position on the drill needle of the drill is next to the opening of the aforementioned hole to limit the penetration depth of the aforementioned drill needle. 一種供垂直挪移鼻竇腔黏膜以形成補骨空間之鼻竇刮刀,其包括一握持本體 A sinus scraper for vertically moving the mucosa of the sinus cavity to form a bony space, which includes a holding body 以及一刮刀頭部,前述刮刀頭部於一端形成有一撥動部,前述撥動部以及前述刮刀頭部之間係呈一第一角度,前述第一角度係介於45度至135度之間;前述撥動部係供於一骨鑽在待植入人工牙根之缺牙處對齒槽骨鑽孔處,將所露出之鼻竇腔黏膜剝離並向內挪移,以於缺牙處上方形成一補骨空間。 And a squeegee head, the squeegee head is formed with a toggle portion at one end, the toggle portion and the squeegee head are at a first angle, and the first angle is between 45 degrees and 135 degrees ; The aforementioned toggle part is for a bone drill to drill the alveolar bone at the missing tooth of the artificial tooth root to be implanted, peel off the exposed sinus cavity mucosa and move it inward to form a bone above the missing tooth Bugu space. 如申請專利範圍第9項所述之供垂直挪移鼻竇腔黏膜以形成補骨空間之鼻竇刮刀,其中前述刮刀頭部與前述握持本體之間係呈一第二角度,前述第二角度係介於120度至170度之間。 The sinus spatula for vertically moving the mucosa of the sinus cavity to form a bone space as described in item 9 of the scope of patent application, wherein a second angle is formed between the head of the spatula and the holding body, and the second angle is related to Between 120 degrees and 170 degrees.
TW109205324U 2020-05-04 2020-05-04 Dental implant mechanical set and sinus scraper for vertical movement of sinus cavity mucosa to form bone space TWM599151U (en)

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