WO2015080505A1 - Pince de résection gingivale destinée à un implant - Google Patents

Pince de résection gingivale destinée à un implant Download PDF

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Publication number
WO2015080505A1
WO2015080505A1 PCT/KR2014/011514 KR2014011514W WO2015080505A1 WO 2015080505 A1 WO2015080505 A1 WO 2015080505A1 KR 2014011514 W KR2014011514 W KR 2014011514W WO 2015080505 A1 WO2015080505 A1 WO 2015080505A1
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WO
WIPO (PCT)
Prior art keywords
gingiva
cutting means
gingival
cutting
lever
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Application number
PCT/KR2014/011514
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English (en)
Korean (ko)
Inventor
정재봉
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정재봉
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Filing date
Publication date
Application filed by 정재봉 filed Critical 정재봉
Publication of WO2015080505A1 publication Critical patent/WO2015080505A1/fr

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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C3/00—Dental tools or instruments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C3/00—Dental tools or instruments
    • A61C3/16—Dentists' forceps or clamps for removing crowns
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32—Surgical cutting instruments
    • A61B17/3205—Excision instruments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32—Surgical cutting instruments
    • A61B17/3205—Excision instruments
    • A61B17/32053—Punch like cutting instruments, e.g. using a cylindrical or oval knife
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C3/00—Dental tools or instruments
    • A61C3/02—Tooth drilling or cutting instruments; Instruments acting like a sandblast machine
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28—Surgical forceps
    • A61B17/285—Surgical forceps combined with cutting implements

Definitions

  • the present invention is to heal the abutment to the implant before the mounting of the upper structure to the implant implanted during implantation and to protrude to the outside of the gingival to make the shape of the surrounding gingiva is adapted to the healing abutment in advance It is related to the gingival pliers that cut the gingiva corresponding to the area through which the gingiva penetrates.
  • an implant that makes the cutting of both sides of the gingiva smooth and semi-circular in one process to simplify the cutting process and to recover the wound quickly.
  • the gingiva relate to an ablation plier.
  • Implant is a substitute that recovers when the tissue of the human body is lost, but in the dentist, it refers to an artificial tooth implant. It is a cutting-edge procedure that restores the original function of teeth by fixing artificial teeth after planting implants made of titanium with no rejection reaction to the alveolar bone in the space where the teeth escaped so as to replace the roots of lost teeth. .
  • the surrounding teeth and bones are damaged over time, but the implants have the advantage of not damaging the surrounding tooth tissue, and they can be used semi-permanently because they have the same function or shape as natural teeth and do not cause tooth decay. It is currently widely practiced.
  • the buccal gingiva (A1) and lingual gingiva (A2) are incised to implant the implant (C) in the internal alveolar bone (B), and then foreign matter or gingiva enters the internal space of the implant (C).
  • the cover screw (not shown) after fastening the restoration of the gingival, after a certain time after the implant (C) is well attached to the alveolar bone (B) is incised again to the implant (C) Replace the cover screw with healing abutment (D). If the alveolar bone (B) condition is good, the healing abutment (D) may be fastened directly to the implant (C) without using a cover screw.
  • the healing abutment (D) is mounted to protrude to the outside through the gingival as shown in Figs. 1 and 3 in the state of being fastened to the implant (C), the reason for using it is finally mounted on the implant (C) afterwards
  • the gingiva around the upper structure, ie, the boundary where the prosthesis is mounted, functions to pre-form the gingiva so that it fits well with the prosthesis.
  • gingival resection according to the healing abutment (D) is necessary, and even if the resection of the gingival to the appropriate size, if the resection surface is uneven, wound healing is delayed, so the resection surface must be treated smoothly.
  • the conventional gingival resection method is very difficult to cut in semicircular form with scissors or a scalpel because the gingival and detached gingiva are flexible and tough as described above, and the resected portion of the gingiva that has been difficult for a long time with the scalpel or scissors
  • the ruggedness was not smooth even after the procedure, and there was a problem that the surrounding gingival was damaged when the abdominal gingival was removed when being cut into a small semicircle to fit a healing abutment (D) having a diameter of 4 to 5 mm.
  • the tissue punch for the implant of Korean Patent Publication No. 10-2012-0073069 is precisely perforated to remove the gingiva of the seat where the healing abutment is to be combined during the second procedure, and is covered in one operation. It is a technology that can separate the screw at the same time.
  • the prior art has a problem that it is very difficult to operate in a narrow mouth because of the complex structure and the length, and it is difficult to accurately find and punch the upper part of the implant even though the probe is used.
  • the present invention is to solve the problems of the gingival resection method of the conventional implant procedure as described above, the purpose of the ablation process by cutting both sides of the gingival in a semi-circular shape smoothly in one step, respectively, the structure is simple It is to provide a gingival resection pliers for implants to simplify and to quickly recover the wound of the ablation.
  • Implant gingival pliers for achieving the above object, a pair of levers are crossed as usual, the hinge axis is fixed to the intersection, any one side of the lever around the hinge axis is a handle The other side is a cutting means, the cutting means is in contact with each other when the handle is rotated close to or open to cut the object or pliers,
  • the cutting means is in close contact with each other by the operation of the handle is equipped with a cutting member having a cup shape on each end of the arm of the lever on both sides of the cutting means side to be stored after cutting the gingiva, the blade around the inlet of the cup-shaped contact with each other It is characterized by being formed.
  • a pair of levers are crossed and a hinge axis is fixed to the intersection portion, wherein one side of the lever is a handle and the other side is a cutting means around the hinge axis, thereby close the handle.
  • the cutting means is rotated or rotated apart in contact with each other to cut the object or to open the pliers,
  • the cutting means is in close contact with the other by the operation of the handle is configured to have a cup shape at the end of the arm of any one lever of the cutting means side to be stored after cutting the gingiva and a cutting member formed with a blade around the inlet of the cup shape is mounted And a flat member in close contact with the blade at the arm end of the other lever.
  • the cutting member uses a circular or semi-circular.
  • the lever on the side of the cutting means on which the cutting member is mounted comprises: a main arm extending from a hinge shaft; And a bending arm bent at the main arm and mounted with the cutting member at an end thereof.
  • the cutting member protrudes a stopper for limiting the insertion position of the gingiva so as to be able to excise the gingival in a semicircle.
  • the inclination angles of the main arm and the bending arm are in the range of 0 to 90 degrees with respect to the main arm.
  • both sides of the cutting member of the cutting means mounted on the other side of the hinge shaft can be smoothly cut in a semicircular shape, thereby allowing the implant procedure to be performed. You can do it easily.
  • the present invention is because the cutting surface of the gingiva is smoothly cut in a semicircle shape by the cutting member's blade in one step, so that the cut edge not only closely wraps the healing abutment but also the cut inner surface is alveolar bone. Covering the gap tightly removes the conventionally generated empty space has the advantage that the gingival wound is quickly recovered.
  • the present invention can be easily and smoothly resected a small area of gingival if you want to look more in accordance with the healing abutment by pulling the gingiva with tweezers after gingival resection.
  • the present invention before the phenomena of the blood swelling in the lower healing abutment when wrapped around only part of the healing abutment due to the excessive gingival obstruction due to the unsophisticated gingival resection This prevents long-standing swelling of the gingiva around the healing abutment.
  • 1 is a side cross-sectional view of the healing abutment is fastened to the internal space of the implant.
  • Figure 2 is a perspective view showing a state pulling the gingiva with tweezers to remove where the healing abutment will be accommodated.
  • Figure 3 is a perspective view showing a state in which both sides of the incision of the gingiva to be received healing healing abutment in a semicircular shape.
  • FIG. 4 is a perspective view showing a state in which the gingival is sewn with a suture thread of the gingiva wrapped around the healing abutment of FIG.
  • FIG. 5 is a cross-sectional view showing that a conventional excess gingiva protrudes above the healing abutment to form a space at the bottom.
  • FIG. 6 is a perspective view of the present invention.
  • FIG. 7 is an enlarged view showing the cutting means according to the present invention.
  • FIG. 8 is a detailed view showing a state before the cutting means in accordance with the present invention for ablation of the gingiva.
  • FIG. 9 is a detailed view showing a state in which the cutting means of FIG.
  • FIG. 10 is a detailed view showing a state before cutting the gingival according to another embodiment of the present invention.
  • FIG. 11 is a detailed view showing a state in which the cutting means of FIG.
  • FIG. 12 is a detailed view showing a state before cutting the gingiva another embodiment according to the present invention.
  • FIG. 13 is a detailed view showing a state in which the cutting means of FIG.
  • FIG. 14 is a cross-sectional view of the cutting member according to another embodiment of the present invention.
  • FIG. 15 is an exploded perspective view of a cutting member according to another embodiment of the present invention.
  • FIG. 16 is a cross-sectional view of the cutting member assembled with the stopper according to the embodiment of FIG.
  • 17 is a plan view showing a cutting means having a semi-circle in accordance with the present invention.
  • FIG. 18 is a detailed view showing a state in which the cutting means of FIG.
  • 19 is a detailed view of a state before cutting the gingiva by another embodiment cutting means having a semicircle according to the present invention.
  • FIG. 20 is a detailed view showing a state in which the cutting means of FIG.
  • Figure 21 is a detailed view showing a state before cutting the gingival cutting means equipped with a flat member on the arm end of the lever according to the present invention.
  • FIG. 22 is a detailed view showing a state in which the cutting means of FIG.
  • Figure 23 is a cross-sectional view showing a state in which the gingiva cut out by the present invention well wrapped the healing abutment.
  • Implant gingiva cutting pliers (1) is a pair of levers crossed and the hinge shaft (2) is fixed to the intersection, either side of the lever around the hinge shaft (2) the handle (3) And the other side becomes the cutting means 4, so that the cutting means 4 abut each other to cut or open the gingiva when the handle 3 is rotated close to each other.
  • the cutting means (4) is in close contact with each other by the operation of the handle (3) is mounted to the cutting member (5c) having a cup shape on the end of the arm (5) of the lever on both sides so that the gingival can be stored,
  • the blades 5c-1 are formed around the cup-shaped entrances in close contact with each other, and these blades 5c-1 abut each other by manipulation of the handle 3 to cut the gingiva introduced therein.
  • the cutting member 5c is preferably configured in a circular or semicircular shape, and a storage chamber 5c-2 having a constant depth is formed to store the cut gingiva (a-1) (a-2). Therefore, the blade 5c-1 is formed at the entrance edge of the storage chamber 5c-2.
  • the shape of the cutting member 5c may be selectively determined within a range of 180 degrees (semi-circular) to 360 (circular) without being limited to a circular or semi-circular shape. The reason for this is that semicircular cutting edges are usually required because the gingival tissues of buccal gingiva (A1) and lingual gingiva (A2) are semicircular, but in some cases, when the buccal gingiva (A1) is cut larger than the semicircular. Because there is.
  • the cup-shaped cutting member 5c having the storage chamber 5c-2 therein is mounted to both levers forming the cutting means 4 on the opposite side of the handle 3 with respect to the hinge shaft 2, respectively.
  • both blades 5c-1 abut and cut the cut gingiva a-1 and a-2 inserted into the internal storage chamber 5c-2 in a semicircular shape.
  • the cut gingiva (a-1) (a-2) is cut in the same shape as the blade (5c-1) of the cutting member (5c), if the shape of the blade (5c-1) to vary the shape Will depend on.
  • the diameter of the blade 5c-1 of the cutting member 5c is preferably 3 to 5 mm.
  • the reason for this is that the diameter of the healing abutment (D) is divided into small, medium and large, and the size is divided into 3mm, 4mm, and 5mm.
  • the cutting member 5c is mounted to a pair of levers forming cutting means 4 located opposite the handle 3 about the hinge shaft 2 as described above, the lever of the cutting means 4 being The main arm (5a) extending from the hinge shaft (2); And
  • the main arm 5a extends a certain length from the hinge shaft 2, and the extended length is enough to excise the gingival corresponding to the space when the deep molar tooth is extracted. It must have a sufficient length of.
  • the bent arm 5b is positioned on both sides of the mouth based on a straight line extending from the mouth to the throat to the premolar and the molar, the extended straight line of the handle 3 when the gingival resection of the space formed by the premolar and the molar is extracted.
  • the gingiva located on both sides can be conveniently excised without twisting or rotating the wrist.
  • the bending arm 5b is bent at a predetermined angle in the main arm 5a, and the inclination angle can be determined by the implementation of the enemy, and preferably in the range of 0 to 90 degrees based on the main arm 5a. If the inclination angle is 0 degrees with respect to the main arm 5a, the main arm 5a and the bending arm 5b extend in a straight line shape. When the inclination angle is 90 degrees, the shape is bent at a right angle as shown in FIGS. 6 to 7. do. If the angle of inclination is greater than 90 degrees, it becomes an unnecessary bending form and is meaningless.
  • the length of the bent arm (5b) preferably has a length of 5 to 15mm in the oral cavity internal structure.
  • Cutting member (5c) of the present invention is a stopper (7) for limiting the insertion position of the gingiva as shown in Figures 12 to 13 so that it can be cut in the semi-circular shape of the gingiva (a-1) (a-2) cut inside It may protrude.
  • the stopper 7 protrudes integrally with the cutting member 5c to protrude upward from the bottom surface of the cutting member 5c, and a reinforcing rib 7a is formed at one side.
  • another embodiment of the stopper 7 may be separately formed detachably to the cutting member 5c as shown in FIG.
  • a projection 7b is formed at the lower end thereof, and the projection 7b is caught and fixed to the step 5c-3 formed on the bottom surface of the cutting member 5c.
  • the cutting member 5c is formed with a receiving groove 5c-4 on the bottom surface, the receiving groove 5c-4 extends to the lower part of the step 5c-3. .
  • the stopper 7 is accommodated so that the stopper 7 does not fall out arbitrarily when the protrusion 7b of the stopper 7 is caught and fixed to the step 5c-3 while being inserted into the receiving groove 5c-4 of the cutting member 5c. It is preferable that the wedge 8 is inserted in the groove
  • the fitting piece 7c is formed on the reinforcing rib 7a extending to the side of the stopper 7, and the fitting piece (c) is detachably assembled.
  • a fitting groove 5c-5 is formed at the side of the cutting member 5c to accommodate 7c).
  • the wedge 8 is removed from the receiving groove 5c-4, and then the stopper 7 is moved so that the protrusion 7b deviates from the step 5c-3. Simply separated.
  • the stopper 7 when the stopper 7 protrudes inside the cutting member 5c, the gingiva may be prevented from being excessively inserted or insufficiently inserted into the cutting member 5c. Therefore, when the gingiva is inserted in close contact with the stopper 7, the ablation can be cut into a semicircle with almost no error.
  • the stopper 7 may cut not only the semicircular shape but also the arc shape smaller than the semicircle or the shape larger than the semicircle according to the position adjustment.
  • the incision of the gingiva for a typical implant procedure is incision along the buccal gingiva (A1. Cheek teeth) and lingual teeth (A2. Tongue teeth) based on the top inflection portion,
  • the cutting blades 5c-1 of both cutting members 5c fit together by inserting the cut portions a of both gingiva inside the cutting member 5c and closing the handle 3 in a state of being in close contact with the stopper 7.
  • the excised gingiva (a-1) and (a-2) have almost no error.
  • the buccal tooth (A1) and the lingual tooth (A2) are pulled with tweezers and sewn with sutures (E), and both cut portions (a-3) of FIG. 3 are healing abutments (D). Since the outer periphery of) is uniformly wrapped, excessive gingiva occurs as a conventional problem, or the gingival shortage does not occur due to excessive ablation.
  • the implant gingiva cutting pliers 1 of another embodiment according to the present invention a pair of levers are crossed and the hinge shaft 2 is fixed to the intersection portion, the center of the lever axis 2
  • One side is the handle (3) and the other side is the cutting means (4), the cutting means (4) is in contact with each other to cut or open the gingiva when rotating the handle (3) close or open. .
  • the cutting means (4) is in close contact with the other by the operation of the handle (3) is configured in a cup shape on the end of the arm (5) of one of the levers so that the gingival can be stored after cutting the blade (
  • a cutting member 5c having a 5c-1 formed thereon is mounted, and a flat member 5d in close contact with the blade 5c-1 is mounted at the end of the arm 5 of the other lever.
  • the blade 5c-1 and the flat member 5d come into contact with each other to cut the gingiva introduced into the inside.
  • the synthetic resin material is preferable to prevent damage to the blade 5c-1, and preferably, it is stronger than metal. However, it is better to use engineering plastic that is softer than metal.
  • This planar member 5d should have a uniform planar shape to be in close contact with the blade 5c-1 when the gingival is removed.
  • the elastic member 6 is sandwiched between both levers forming the handle 3 to provide elasticity so as to open the lever when releasing the pressing operation of the handle 3.
  • the boundary between the buccal gingiva (A1) and lingual gingiva (A2) is cut to fasten the healing abutment (D) to the implant (C) attached to the alveolar bone (B), and then the bilateral buccal gingiva with tweezers ( Mark the area where the healing abutment (D) is to be positioned while pulling and matching the lingual teeth (A2) and then enter the gingival resection pliers (1) of the present invention into the buccal cavity (A1). ) And the lingual teeth (A2) are inserted into the cutting members 5c at the portions marked at each end to be aligned with the marking portions, and then the handle 3 is pressed to ablate the gingiva as shown in FIG. 3.
  • the gingiva of the portion indicated while 5c is in contact with each other is stored in the storage chamber 5c-2 of the cutting member 5c in a smoothly cut off state.
  • the gingiva shown in the same manner can be excised in a circular shape.
  • the present invention for gingivating gingiva can be easily made by inserting the portion between the two cutting members 5c when it is necessary to additionally remove the gingiva during the ablation process, and at this time, the amount of gingival ablation can be selectively adjusted. have.
  • the healer since a pair of cutting members 5c having a cup shape are mounted at the ends of the arms 5 of the levers on both sides forming the cutting means 4, the healer simply presses the handle 3. Since a portion of the gingiva in which the butt (D) is located can be smoothly resected in a semi-circular shape, the implant (C) is a beneficial invention that can reduce the fatigue of the operator and the patient by performing the procedure in a short time without pain.

Abstract

La présente invention concerne une pince de résection gingivale destinée à un implant qui présente une structure simple, ce qui permet de simplifier un processus de résection par la résection des deux parties de la gencive dans laquelle une incision est pratiquée dans une forme semi-circulaire lisse en suivant un processus unique et permet à la blessure dans une partie de la résection de guérir rapidement. La pince de résection gingivale est conçue de sorte qu'une paire de leviers se coupent l'un avec l'autre et qu'un axe d'articulation (2) soit fixé à l'intersection, de manière qu'un côté quelconque des leviers autour de l'axe d'articulation (2) fonctionne à titre de poignées (3) et que les autres côtés des leviers autour de l'axe d'articulation (2) fonctionnent comme des moyens de coupe (4) et que les moyens de coupe (4) entrent en contact l'un avec l'autre pour réséquer un objet ou s'éloigner l'un de l'autre quand les poignées (3) tournent pour venir en contact l'une avec l'autre ou pour s'éloigner l'une de l'autre, les éléments de coupe (5c) en forme de coupelle étant montés sur les parties d'extrémité respectives des bras (5) des deux leviers des moyens de coupe (4) et les éléments de coupe (5c) en forme de coupelle venant en contact étroit l'un avec l'autre présentent des lames de coupe respectives (5c-1) formées le long des circonférences de l'entrée des éléments de coupe (5c) en forme de coupelle de manière que les moyens de coupe (4) viennent en contact étroit l'un avec l'autre pour réséquer la gencive et pour conserver la gencive réséquée par l'actionnement des poignées (3).
PCT/KR2014/011514 2013-11-30 2014-11-27 Pince de résection gingivale destinée à un implant WO2015080505A1 (fr)

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KR1020130148066A KR101375066B1 (ko) 2013-11-30 2013-11-30 임플란트용 치은 절제 플라이어
KR10-2013-0148066 2013-11-30

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN113040946A (zh) * 2021-03-08 2021-06-29 上海应用技术大学 一种电动拔牙装置
KR20210084342A (ko) * 2018-10-26 2021-07-07 3알 인터내셔널 씨오 엘티디 혈관 펀치

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Publication number Priority date Publication date Assignee Title
JPS56162670U (fr) * 1980-05-02 1981-12-03
JP2008264250A (ja) * 2007-04-20 2008-11-06 Kobe Biomedics Kk 口腔用手術用デバイス
JP2011055950A (ja) * 2009-09-08 2011-03-24 Gc Corp 歯肉切除具
KR101114735B1 (ko) * 2010-04-06 2012-02-29 김용수 임플란트 시술용 잇몸제거장치
KR20130011347A (ko) * 2011-07-21 2013-01-30 윤장훈 절개된 잇몸에 형성된 틈을 확장하는 임플란트용 잇몸 견인장치

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPS56162670U (fr) * 1980-05-02 1981-12-03
JP2008264250A (ja) * 2007-04-20 2008-11-06 Kobe Biomedics Kk 口腔用手術用デバイス
JP2011055950A (ja) * 2009-09-08 2011-03-24 Gc Corp 歯肉切除具
KR101114735B1 (ko) * 2010-04-06 2012-02-29 김용수 임플란트 시술용 잇몸제거장치
KR20130011347A (ko) * 2011-07-21 2013-01-30 윤장훈 절개된 잇몸에 형성된 틈을 확장하는 임플란트용 잇몸 견인장치

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
KR20210084342A (ko) * 2018-10-26 2021-07-07 3알 인터내셔널 씨오 엘티디 혈관 펀치
EP3870072A4 (fr) * 2018-10-26 2022-05-18 3R Life Sciences Corporation Poinçon vasculaire
KR102647635B1 (ko) 2018-10-26 2024-03-14 3알 라이프 사이언스 코퍼레이션 혈관 펀치
CN113040946A (zh) * 2021-03-08 2021-06-29 上海应用技术大学 一种电动拔牙装置

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