CN110840595B - An auxiliary tool in transzygomatic implant surgery - Google Patents
An auxiliary tool in transzygomatic implant surgery Download PDFInfo
- Publication number
- CN110840595B CN110840595B CN201911075421.XA CN201911075421A CN110840595B CN 110840595 B CN110840595 B CN 110840595B CN 201911075421 A CN201911075421 A CN 201911075421A CN 110840595 B CN110840595 B CN 110840595B
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- China
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- maxillary sinus
- auxiliary tool
- intraoral
- cheekbone
- extraoral
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- 239000007943 implant Substances 0.000 title claims abstract description 24
- 238000001356 surgical procedure Methods 0.000 title claims abstract description 5
- 210000004086 maxillary sinus Anatomy 0.000 claims abstract description 44
- 210000004877 mucosa Anatomy 0.000 claims abstract description 24
- 210000000988 bone and bone Anatomy 0.000 claims abstract description 13
- 238000002513 implantation Methods 0.000 claims abstract description 12
- 230000014759 maintenance of location Effects 0.000 claims abstract description 6
- 210000000216 zygoma Anatomy 0.000 claims description 13
- 229910001069 Ti alloy Inorganic materials 0.000 claims description 3
- WAIPAZQMEIHHTJ-UHFFFAOYSA-N [Cr].[Co] Chemical class [Cr].[Co] WAIPAZQMEIHHTJ-UHFFFAOYSA-N 0.000 claims description 3
- 230000000717 retained effect Effects 0.000 claims description 2
- 210000004279 orbit Anatomy 0.000 abstract description 3
- 230000000149 penetrating effect Effects 0.000 abstract description 2
- 238000000034 method Methods 0.000 description 6
- 238000005516 engineering process Methods 0.000 description 5
- 238000010521 absorption reaction Methods 0.000 description 3
- 239000004053 dental implant Substances 0.000 description 3
- 238000005553 drilling Methods 0.000 description 2
- 230000000694 effects Effects 0.000 description 2
- 210000001847 jaw Anatomy 0.000 description 2
- 210000002050 maxilla Anatomy 0.000 description 2
- 210000005036 nerve Anatomy 0.000 description 2
- 206010003694 Atrophy Diseases 0.000 description 1
- 206010061218 Inflammation Diseases 0.000 description 1
- 208000001132 Osteoporosis Diseases 0.000 description 1
- 208000008312 Tooth Loss Diseases 0.000 description 1
- 210000003484 anatomy Anatomy 0.000 description 1
- 210000001367 artery Anatomy 0.000 description 1
- 230000037444 atrophy Effects 0.000 description 1
- 230000002146 bilateral effect Effects 0.000 description 1
- 238000007408 cone-beam computed tomography Methods 0.000 description 1
- 230000006378 damage Effects 0.000 description 1
- 230000007547 defect Effects 0.000 description 1
- 230000004064 dysfunction Effects 0.000 description 1
- 230000004054 inflammatory process Effects 0.000 description 1
- 238000007689 inspection Methods 0.000 description 1
- 229910052751 metal Inorganic materials 0.000 description 1
- 239000002184 metal Substances 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 238000004904 shortening Methods 0.000 description 1
- 210000003462 vein Anatomy 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C8/00—Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools
- A61C8/0089—Implanting tools or instruments
Landscapes
- Health & Medical Sciences (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Dentistry (AREA)
- Epidemiology (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Dental Prosthetics (AREA)
Abstract
一种穿颧种植手术中的辅助工具，依次包括：上颌窦粘膜保护部、钻针引导环部、上颌窦外侧壁固位部、连接杆部、口外指示杆部、手柄部；上颌窦粘膜保护部用于保护上颌窦粘膜；钻针引导环部为钻针备孔通道，用于引导钻针备孔方向；上颌窦外侧壁固位部是利用上颌窦外侧骨壁进行固位；连接杆部用于连接口内和口外部分，整体呈U型，能容纳嘴唇，保持本辅助工具使用不受干扰。口外指示杆部，与钻针引导环部平行，用于指示口内钻针的口内轴向；手柄部，为本辅助工具使用时的手持部位。本发明防止穿颧种植手术中上颌窦粘膜划破，可以在备孔时保护上颌窦粘膜。有效引导穿颧种植备孔的位点，确保备孔位置在颧骨上，防止穿入眼眶的手术事故。
An auxiliary tool for transzygomatic implant surgery comprises: a maxillary sinus mucosa protection part, a drill needle guide ring part, a maxillary sinus lateral wall retention part, a connecting rod part, an extraoral indicating rod part, and a handle part in sequence; the maxillary sinus mucosa protection part is used to protect the maxillary sinus mucosa; the drill needle guide ring part is a drill needle preparation channel, which is used to guide the drill needle preparation direction; the maxillary sinus lateral wall retention part is fixed by the maxillary sinus lateral bone wall; the connecting rod part is used to connect the intraoral and extraoral parts, and the whole is U-shaped, which can accommodate the lips and keep the use of this auxiliary tool undisturbed. The extraoral indicating rod part is parallel to the drill needle guide ring part and is used to indicate the intraoral axial direction of the intraoral drill needle; the handle part is the hand-held part when the auxiliary tool is used. The present invention prevents the maxillary sinus mucosa from being scratched during transzygomatic implant surgery, and can protect the maxillary sinus mucosa when preparing the hole. It effectively guides the site of the preparation hole for transzygomatic implantation, ensures that the preparation hole is located on the zygomatic bone, and prevents surgical accidents of penetrating the eye socket.
Description
[ Field of technology ]
The invention belongs to the technical field of medical instruments, and particularly relates to an auxiliary tool in a cheekbone-wearing implantation operation.
[ Background Art ]
With the loss of teeth of more and more people, the implanted teeth as internationally accepted 'third teeth of human' gradually strike over various large networks and oral hospitals, and various propaganda are also layered endlessly. More and more people begin to receive the implant and also experience the benefits of the implant.
However, although the dental implant restoration is good, not everyone can reach the conditions of dental implant, such as the situation of serious alveolar bone absorption or osteoporosis, etc., the dental implant is very troublesome to perform. The clinically advanced method is to fix the implant teeth through the cheekbone, so that the implant effect which is not achieved by the conventional implant can be better solved, and the method is called 'cheekbone-penetrating implant', and is also called 'soilless culture' technology.
The cheek-wearing implant is simply a technique for fixing the implant teeth through the cheekbones, and is a difficult implant technique nowadays, and a specific implant is implanted into the cheekbones which are positioned outside and below the eyebox of a human and are diamond-shaped. In general, a person with heavy jawbone absorption needs 2 implants penetrating cheekbones, and 23 common implants are vertically implanted in cooperation with the front tooth area, so that the half-mouth dental restoration can obtain a better retention effect, as shown in fig. 1. For very severe jawbone absorbing patients, four through-the-cheekbone implants may be used for retention implantation. The technology is suitable for the toothless jaw patients with maxillary excision, serious maxillary atrophy and little bone quantity, and the conventional bone grafting and internal and external lifting cannot reach the planting condition. The cheek-wearing planting has the advantages of avoiding additional operations such as taking bones, planting bones and the like, being capable of wearing fixed teeth in a short time on the same planting day, realizing immediate load and greatly shortening the treatment time. Is an effective alternative treatment method under the condition of serious bone absorption of the maxilla, can also be used for repairing and treating the maxilla defect, avoids a large number of bone grafting operations and can obviously shorten the planting treatment period.
Although the cheekbone-penetrating planting technology has obvious advantages, the difficulty is very high, and the used implant is 3-4 times that of the traditional implant, so that a small error can cause serious deviation of the tail end. It is necessary to know in detail the adjacent arteries, veins and nerves in the surgical field, and once damaged, these anatomical structures can lead to various complications such as ocular damage or nerve-related dysfunction.
At present, the domestic oral institutions rarely develop cheekbone-penetrating planting, the cheekbone-penetrating planting technology has extremely severe requirements on software and hardware and doctors, professional oral CBCT is required to provide three-dimensional support assurance, surgical planning is required to be performed in detail before operation, the situation of bilateral cheekbones is required to be known, conventional whole-body and special inspection of the oral jaw face is required to be performed, and the existence of related contraindications is eliminated, so that the smooth implementation of planting operation can be ensured.
At present, only a few doctors operate the cheekbone-penetrating implantation operation in China, and doctors operating the cheekbone-penetrating implantation operation operate the operation by hands, when the implantation hole is prepared, the drill needle penetrates into the mucosa of the maxillary sinus to be easily scratched, and surgical complications such as inflammation and the like can be possibly caused. In the manual preparation of the implant holes, artificial deviation is easily generated, and the final implant implantation site is inconsistent with the planned site (optimal site).
[ Invention ]
The technical problem to be solved by the invention is to provide an auxiliary tool in the cheekbone-wearing implantation operation, which can help doctors to increase accuracy, stability and safety during the cheekbone-wearing operation.
The invention is realized in the following way:
An auxiliary tool in a cheekbone-penetrating implantation operation sequentially comprises a maxillary sinus mucosa protecting part, a drill needle guiding ring part, a maxillary sinus outer side wall retaining part, a connecting rod part, an extraoral indicating rod part and a handle part;
the maxillary sinus mucosa protecting part is used for protecting maxillary sinus mucosa when the cheek-penetrating planting hole is prepared;
The drill point guide ring part is a drill point hole preparation channel and is used for guiding the drill point hole preparation direction;
the maxillary sinus outer side wall retention portion is retained by using a maxillary sinus outer side bone wall;
The connecting rod part is used for connecting the intraoral part and the extraoral part of the auxiliary tool, is U-shaped as a whole, can accommodate lips and keeps the auxiliary tool from being disturbed in use.
The external indication rod part is parallel to the drill point guiding ring part and is used for indicating the intraoral axial direction of the intraoral drill point;
the handle part is a handheld part when the auxiliary tool is used.
Further, the outer side wall retaining part of the maxillary sinus is of a clamping groove structure, and the clamping groove structure is clamped on the outer side wall of the maxillary sinus for retaining.
Further, the auxiliary tool is integrally formed.
Further, the auxiliary tool is of a sectional design, and all the parts are connected into a whole through screws.
Further, the auxiliary tool is made of titanium alloy or cobalt-chromium alloy.
The invention has the advantages that 1, the mucosa of the maxillary sinus is prevented from being scratched in the cheekbone planting operation, and the mucosa of the maxillary sinus can be protected when the hole is prepared. 2. The site of the spare hole for the cheekbone seed to be planted is effectively guided, the spare hole is ensured to be positioned on the cheekbone, and the operation accident of the eye socket is prevented.
[ Description of the drawings ]
The invention will be further described with reference to the accompanying drawings, in conjunction with examples.
FIG. 1 is a schematic view of two implants for a cheekbone implant procedure.
Fig. 2 is a schematic structural view of the present invention.
Fig. 3 is a schematic view of the use state of the present invention.
[ Detailed description ] of the invention
As shown in FIG. 2, an auxiliary tool 100 for use in a cheekbone-crossing implant surgery comprises, in order, a maxillary sinus mucosa protecting portion 1, a drill guide ring portion 2, a maxillary sinus outer side wall retaining portion 3, a connecting rod portion 4, an extraoral indication rod portion 5, and a handle portion 6.
The maxillary sinus mucosa protecting part 1 is used for protecting the maxillary sinus mucosa when the cheek planting hole is prepared.
The drill point guiding ring part 2 is a drill point hole preparation channel and is used for guiding the drill point hole preparation direction.
The maxillary sinus outer side wall retaining part 3 is a clamping groove structure, and the clamping groove structure is clamped on the maxillary sinus outer side bone wall for retaining.
The connecting rod part 4 is used for connecting the intraoral part and the extraoral part of the auxiliary tool, is U-shaped as a whole, can contain lips and keeps the auxiliary tool from being disturbed in use.
An out-of-mouth indication rod part 5 is parallel to the drill point guiding ring part 2 and is used for indicating the in-mouth axial direction of the in-mouth drill point.
The handle part 6 is a hand-held part when the auxiliary tool is used.
The auxiliary tool 100 is formed integrally or is designed in a segmented manner, and the parts are connected into a whole through screws.
The auxiliary tool 100 is made of a metal with good biocompatibility, such as titanium alloy or cobalt-chromium alloy.
The invention is used in the cheek-wearing planting operation, and performs auxiliary operation on the cheek-wearing planting operation. As shown in fig. 3, the main operation steps are:
And 1, after the maxillary sinus outer side wall is windowed and the maxillary sinus mucosa is peeled off, placing the cheekbone-penetrating planting tool in the maxillary sinus, and propping up the maxillary sinus mucosa outside a drilling path, and propping up the maxillary sinus mucosa protecting part 1 at the maxillary sinus for protecting the maxillary sinus mucosa when the cheekbone-penetrating planting hole is prepared.
And 2, fixing the clamping groove of the outer side wall part 3 of the maxillary sinus on the bone plate of the outer side wall of the maxillary sinus.
And 3, inserting the cheekbone-penetrating planting drill needle into the annular hole of the drill needle guide ring part 2 of the cheekbone-penetrating planting tool device.
And 4, evaluating the drilling needle hole preparation site by using the extraoral indication rod part 5, and performing cheekbone-penetrating planting hole preparation operation under the protection of the maxillary sinus mucosa protection part 1.
The invention prevents the mucosa of the maxillary sinus from being scratched in the cheekbone implantation operation and can protect the mucosa of the maxillary sinus when preparing holes. The site of the spare hole for the cheekbone seed to be planted is effectively guided, the spare hole is ensured to be positioned on the cheekbone, and the operation accident of the eye socket is prevented.
The foregoing is merely illustrative of the preferred embodiments of the present invention, and is not intended to limit the scope of the present invention. Any modification, equivalent replacement, improvement, etc. made within the spirit and principle of the present invention should be included in the protection scope of the present invention.
Claims (3)
1. An auxiliary tool in a cheekbone-penetrating implantation operation is characterized by sequentially comprising a maxillary sinus mucosa protecting part, a drill needle guiding ring part, a maxillary sinus outer side wall retaining part, a connecting rod part, an extraoral indicating rod part and a handle part;
the maxillary sinus mucosa protecting part is used for protecting maxillary sinus mucosa when the cheek-penetrating planting hole is prepared;
The drill point guide ring part is a drill point hole preparation channel and is used for guiding the drill point hole preparation direction;
the maxillary sinus outer side wall retention portion is retained by using a maxillary sinus outer side bone wall;
The connecting rod part is used for connecting the intraoral part and the extraoral part of the auxiliary tool, is U-shaped overall, can accommodate lips and keeps the auxiliary tool from being disturbed in use;
the external indication rod part is parallel to the drill point guiding ring part and is used for indicating the intraoral axial direction of the intraoral drill point;
The handle part is a handheld part when the auxiliary tool is used;
the clamping groove structure is clamped on the outer side wall of the maxillary sinus for clamping;
the auxiliary tool is integrally formed.
2. The auxiliary tool for cheekbone-wearing implant surgery according to claim 1, wherein the auxiliary tool is of a segmented design and the parts are connected into a whole by screws.
3. The auxiliary tool for cheekbone implantation operation according to claim 1 or 2, wherein the auxiliary tool is made of titanium alloy or cobalt-chromium alloy.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201911075421.XA CN110840595B (en) | 2019-11-06 | 2019-11-06 | An auxiliary tool in transzygomatic implant surgery |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201911075421.XA CN110840595B (en) | 2019-11-06 | 2019-11-06 | An auxiliary tool in transzygomatic implant surgery |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN110840595A CN110840595A (en) | 2020-02-28 |
| CN110840595B true CN110840595B (en) | 2025-01-14 |
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Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201911075421.XA Active CN110840595B (en) | 2019-11-06 | 2019-11-06 | An auxiliary tool in transzygomatic implant surgery |
Country Status (1)
| Country | Link |
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| CN (1) | CN110840595B (en) |
Citations (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN211750185U (en) * | 2019-11-06 | 2020-10-27 | 福建艾尔法医疗器械制造有限公司 | Auxiliary tool in cheekbone-wearing planting operation |
Family Cites Families (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN101801304A (en) * | 2007-09-12 | 2010-08-11 | 画像诊断株式会社 | Implant erecting drill tool, hand-piece, adapter for the hand-piece, and surgical guide |
| KR200453097Y1 (en) * | 2009-04-02 | 2011-04-05 | 이달호 | Maxillary remain bone final boring combined use maxillary sinus membrane seperator |
| KR101271703B1 (en) * | 2012-03-02 | 2013-06-05 | 안상훈 | The reamer for operating implant |
| CN107518955B (en) * | 2017-09-05 | 2023-04-25 | 广州医科大学附属口腔医院（广州医科大学羊城医院） | Oral implant positioner with alveolar ridge bone morphology measurement function |
| KR20190020600A (en) * | 2017-12-01 | 2019-03-04 | 주식회사 넥스트코어 | Guide for rhinoplasty |
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Patent Citations (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN211750185U (en) * | 2019-11-06 | 2020-10-27 | 福建艾尔法医疗器械制造有限公司 | Auxiliary tool in cheekbone-wearing planting operation |
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| CN110840595A (en) | 2020-02-28 |
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