CN203736340U - Multipurpose space retainer for premature shedding of deciduous tooth - Google Patents
Multipurpose space retainer for premature shedding of deciduous tooth Download PDFInfo
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- CN203736340U CN203736340U CN201420112184.6U CN201420112184U CN203736340U CN 203736340 U CN203736340 U CN 203736340U CN 201420112184 U CN201420112184 U CN 201420112184U CN 203736340 U CN203736340 U CN 203736340U
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Abstract
本实用新型提供一种多用途乳牙早失间隙保持器,包括带环(1)、设置在带环上的套管(2)和与套管(2)其配套的支撑臂;所述套管(2)为空筒状,其一端与带环(1)连接,另一端开口;所述支撑臂包括支撑杆(3)和支撑面(4),支撑杆(3)一端通过套管(2)的开口端插入套管(2)中,支撑杆(3)与套管(2)滑动连接,支撑杆(3)另一端和支撑面(4)连接,支撑面(4)为与牙齿外形相配合的凹面。本实用新型结构简单、使用方便、可一次性完成保持器的制作和佩戴,简化治疗过程,减少患者复诊次数,并且可以用于间隙丧失的治疗。
The utility model provides a multipurpose space maintainer for premature loss of deciduous teeth, which comprises a belt ring (1), a sleeve (2) arranged on the belt ring and a supporting arm matched with the sleeve (2); the sleeve (2) is a hollow cylinder, one end of which is connected to the belt ring (1), and the other end is open; the support arm includes a support rod (3) and a support surface (4), and one end of the support rod (3) passes through the sleeve (2) ) is inserted into the sleeve (2), the support rod (3) is slidingly connected to the sleeve (2), and the other end of the support rod (3) is connected to the support surface (4). Matching concave. The utility model has the advantages of simple structure and convenient use, and can complete the production and wearing of the retainer at one time, simplifies the treatment process, reduces the number of follow-up visits of patients, and can be used for the treatment of gap loss.
Description
技术领域 technical field
本实用新型属于儿童口腔咬合诱导技术领域,尤其涉及一种多用途乳牙早失间隙保持器。 The utility model belongs to the technical field of children's oral occlusal induction, in particular to a multipurpose space maintainer for premature loss of deciduous teeth. the
背景技术 Background technique
乳牙早失是儿童口腔科常见病例。龋齿在儿童口腔诊疗中最为常见,简单的龋坏可以通过适当的治疗保存患牙,直至乳牙替换。但严重的乳牙龋坏会导致乳牙根尖周炎,牙根吸收,牙冠崩解,牙齿松动等症状,最终牙齿提前脱落或因无法保留而提前治疗性拔除。乳牙早失后如不予处理,则可导致相邻牙向缺隙侧移位,甚至完全占据缺如间隙,而在未来本应沿此位置萌出的继承恒牙缺乏萌出间隙,萌出困难。一部分的恒牙形成异常,牙根异常吸收,恒牙异位萌出就是由此导致。因此乳牙早失后制作间隙保持器已经成为儿童口腔科诊疗常规。 Premature loss of primary teeth is a common case in pediatric dentistry. Dental caries is the most common in children's oral diagnosis and treatment. Simple caries can save the affected teeth through appropriate treatment until the deciduous teeth are replaced. However, severe caries of deciduous teeth will lead to apical periodontitis of deciduous teeth, root resorption, crown disintegration, tooth loosening and other symptoms, and eventually the teeth will fall out early or be extracted therapeutically in advance because they cannot be preserved. If the deciduous teeth are not dealt with prematurely, the adjacent teeth may shift to the side of the gap, or even completely occupy the gap, and the successor permanent teeth that should erupt along this position in the future will lack the eruption gap, making eruption difficult. Part of the permanent teeth are abnormally formed, and the roots are abnormally resorbed, which is the result of ectopic eruption of the permanent teeth. Therefore, the production of space maintainers after the premature loss of deciduous teeth has become a routine practice in pediatric dentistry. the
然而现有的乳牙间隙保持器的制作流程繁琐,疗程长,影响了间隙保持器的临床应用的开展。其治疗过程首先待拔牙创愈合后,制取口内印模,试带环,灌取石膏模型,然后交由技工弯制保持器臂端,并焊接,打磨抛光,最后再由医生在患者口内试戴,粘结。整个过程在临床上应用一般持续一周,患者至少需要两次复诊时间。并且由于此种焊接式间隙保持器,由于有咬合接触侧焊接点,而此位置又是咬合受力部位,长时间的咬合压力容易引起脱焊,保持器损坏。 However, the manufacturing process of the existing space maintainer for deciduous teeth is cumbersome and the course of treatment is long, which affects the development of clinical application of the space maintainer. In the treatment process, after the tooth extraction wound is healed, the intraoral impression is made, the ring is tested, and the plaster model is poured, and then the arm end of the retainer is bent by the technician, welded, polished and polished, and finally the doctor tries it in the patient's mouth. To wear, to bond. The whole process generally lasts one week in clinical application, and patients need at least two follow-up visits. And because of this kind of welded gap retainer, because there is a welding point on the occlusal contact side, and this position is the occlusal force part, long-term occlusal pressure is likely to cause desoldering and damage to the retainer. the
实用新型内容 Utility model content
针对现有技术存在的不足,本实用新型提出了一种多用途乳牙早失间隙保持器。 Aiming at the deficiencies in the prior art, the utility model proposes a multi-purpose space maintainer for premature loss of deciduous teeth. the
为了解决上述技术问题,本实用新型采用如下的技术方案: In order to solve the above technical problems, the utility model adopts the following technical solutions:
一种多用途乳牙早失间隙保持器,其特征在于:包括带环(1)、设置在带环上的套管(2)和与套管(2)其配套的支撑臂;所述套管(2)为空筒状,其一端与带环(1)连接,另一端开口;所述支撑臂包括支撑杆(3)和支撑面(4),支撑杆(3)一端通过套管(2)的开口端插入套管(2)中,支撑杆(3)与套管(2)滑动连接,支撑杆(3)另一端和支撑面(4)连接,支撑面(4)为牙齿外形相配合的凹面。 A multi-purpose space maintainer for premature loss of deciduous teeth, characterized in that it includes a belt ring (1), a sleeve (2) arranged on the belt ring, and a supporting arm matched with the sleeve (2); the sleeve (2) is a hollow cylinder, one end of which is connected to the belt ring (1), and the other end is open; the support arm includes a support rod (3) and a support surface (4), and one end of the support rod (3) passes through the sleeve (2) ) is inserted into the sleeve (2), the support rod (3) is slidingly connected to the sleeve (2), and the other end of the support rod (3) is connected to the support surface (4), which is shaped like a tooth Fitted concave.
所述支撑杆(3)插入套管一端的表面为粗糙面或螺纹状。 The surface of one end of the support rod (3) inserted into the casing is rough or threaded. the
所述支撑杆(3)与套管(2)之间可以设置有镊钛弹簧。 A tweezers titanium spring may be arranged between the support rod (3) and the casing (2). the
所述带环(1)、套管(2)和支撑臂的材料为不锈钢。 The materials of the belt ring (1), the casing (2) and the support arm are stainless steel. the
使用时,先选择适合大小的带环,然后将支撑臂的支撑杆插入带环上的套管中一同试戴于固位基牙上,调整支撑臂伸缩长短,使其紧贴于另一侧基牙。使用正畸钳钳夹套管,使其形变后将支撑杆固定。整体取下后涂抹粘固材料,重新带入使其粘结固位。 When using, first select the appropriate size of the belt ring, then insert the support rod of the support arm into the sleeve on the belt ring and try it on the retained abutment together, adjust the length of the support arm to make it close to the other side abutment. Use orthodontic pliers to clamp the cannula, deform it and secure the struts. After the whole is removed, apply a cementing material, and bring it back in to make it bonded and fixed. the
上述使支撑臂固定的装置可采用专用钳,持针器,技工钳等均可,所使用的专用钳内径略小于套管外径。 The above-mentioned device for fixing the support arm can adopt special-purpose pliers, needle holders, technician pliers, etc., and the inner diameter of the special-purpose pliers used is slightly smaller than the sleeve outer diameter. the
所述的保持器的套管和支撑杆的连接界面为连接紧密的滑动连接。支撑杆近保持器体部端表面有粗糙内陷纹路,两部分间的滑动链接可通过套管的形变,内陷,使两者相对固定。 The connection interface between the sleeve of the retainer and the support rod is a tightly connected sliding connection. The end surface of the support rod near the body of the holder has rough indented lines, and the sliding link between the two parts can be deformed and indented through the deformation of the sleeve, so that the two parts are relatively fixed.
所述的保持器的套管和支撑杆间可放置常规正畸用镍钛推簧作为附件,压缩弹簧,可开展两部分间的距离,此时两部分间连接为滑动连接。 A conventional orthodontic nickel-titanium push spring can be placed between the sleeve and the support rod of the retainer as an accessory, and the spring can be compressed to expand the distance between the two parts. At this time, the connection between the two parts is a sliding connection. the
保持器套管和支撑臂为相互配套,可设计为单管式或双管式,保持器支撑臂远连接端设计为契合牙齿的凹面。 The retainer sleeve and the support arm are matched to each other, and can be designed as a single-tube or double-tube type, and the distal connection end of the retainer support arm is designed to fit the concave surface of the teeth. the
与现有技术相比,本专利具有以下优点和有益效果: Compared with the prior art, this patent has the following advantages and beneficial effects:
1.现有的乳牙早失间隙保持器其制作过程繁琐,周期长。而本专利可由医生独立操作。省去了制取印模,灌制石膏模型,保持器臂端弯制,保持器焊接抛光等步骤。整个过程一次性完成,降低制作成本,减少患者复诊次数。 1. The production process of the existing space maintainer for premature loss of deciduous teeth is cumbersome and the cycle is long. And this patent can be operated independently by the doctor. The steps of making an impression, pouring a plaster model, bending the arm end of the retainer, welding and polishing the retainer are omitted. The whole process is completed at one time, reducing production costs and reducing the number of follow-up visits for patients.
2.乳牙早失间隙保持器的带用时间通常为2-3年,如乳牙缺失过早,甚至可达4-5年。因此间隙保持器的制作质量就尤为重要。现有的乳牙间隙保持器是通过银合金焊高温焊接将保持器的带环与臂端焊接。其焊点位置牢固性远不如不锈钢整体成型技术,并且与人为操作方法关系较大。并且现有的乳牙间隙保持器的两侧焊点位置中有一侧容易承受咬合压力,在患者咬合过程中容易受力脱焊。而本专利设计的新型乳牙间隙保持器可批量设计制造,无需技工操作,没有焊点,并且转折及连接位置均远离咬合受力部位,稳固耐久性大大加强。 2. The wearing time of the space maintainer for the premature loss of deciduous teeth is usually 2-3 years, and it can even reach 4-5 years if the deciduous teeth are lost prematurely. Therefore, the manufacturing quality of the space maintainer is particularly important. The existing deciduous tooth space retainer is to weld the band ring and the arm end of the retainer by silver alloy welding high temperature welding. The firmness of the solder joint position is far inferior to that of the stainless steel integral forming technology, and has a greater relationship with the human operation method. In addition, one side of the welding spot positions on both sides of the existing deciduous space maintainer is easy to bear the occlusal pressure, and it is easy to be desoldered under force during the patient's occlusal process. The new deciduous tooth space maintainer designed by this patent can be designed and manufactured in batches, without the need for technicians to operate, without solder joints, and the turning and connecting positions are far away from the occlusal force-bearing parts, and the stability and durability are greatly enhanced. the
3.本专利可作为间隙拓展器使用。使用镍钛弹簧作为附件,开展已丧失的牙间间隙。 3. This patent can be used as a gap expander. Opens lost interdental spaces using NiTi springs as attachments. the
4.与现有乳牙早失装置比,此装置更为美观,小巧,舒适性好。 4. Compared with the existing deciduous teeth premature loss device, the device is more beautiful, compact and comfortable. the
缺点:椅旁操作时间稍长(需医生在患者口内钳夹固定)。 Disadvantages: The chairside operation takes a little longer (the doctor needs to clamp and fix it in the patient's mouth). the
附图说明 Description of drawings
图1为本实用新型使用状态结构示意图; Fig. 1 is a schematic diagram of the structure of the utility model in use;
图2为图1的俯视示意图; Fig. 2 is a top view schematic diagram of Fig. 1;
图3为双管式乳牙早失间隙保持器结构示意图; Fig. 3 is a structural schematic diagram of a double-tube space maintainer for premature loss of deciduous teeth;
图4为单管式乳牙早失间隙保持器结构示意图。 Fig. 4 is a schematic diagram of the structure of a single-tube space maintainer for premature loss of deciduous teeth.
其中带环-1、套管-2、支撑杆-3、支撑面-4、镊钛弹簧-5。 Wherein belt ring-1, casing-2, support rod-3, support surface-4, tweezers titanium spring-5.
具体实施方式 Detailed ways
下面结合实施例和附图对本实用新型作进一步说明。 Below in conjunction with embodiment and accompanying drawing, the utility model is further described. the
一种多用途乳牙早失间隙保持器,其特征在于:包括带环1、设置在带环上的套管2和与套管2其配套的支撑臂;所述套管2为空筒状,其一端与带环1连接,另一端开口;所述支撑臂包括支撑杆3和支撑面4,支撑杆3一端通过套管2的开口端插入套管2中,支撑杆3与套管2滑动连接,支撑杆3另一端和支撑面4连接,支撑面4为牙齿外形相配合的凹面。 A multi-purpose space maintainer for premature loss of deciduous teeth is characterized in that: it includes a belt ring 1, a sleeve 2 arranged on the belt ring and a supporting arm matched with the sleeve 2; the sleeve 2 is hollow, Its one end is connected with the belt ring 1, and the other end is open; the support arm includes a support rod 3 and a support surface 4, and one end of the support rod 3 is inserted into the sleeve 2 through the open end of the sleeve 2, and the support rod 3 slides with the sleeve 2 Connection, the other end of the support rod 3 is connected to the support surface 4, and the support surface 4 is a concave surface matched with the shape of the teeth. the
所述支撑杆3插入套管一端的表面为粗糙面或螺纹状。 The surface of one end of the support rod 3 inserted into the casing is rough or threaded. the
所述支撑杆3与套管2之间可设置有镊钛弹簧5。 A tweezers titanium spring 5 may be arranged between the support rod 3 and the casing 2 . the
所述带环1、套管2和支撑臂的材料为不锈钢。 The material of the belt ring 1, the casing 2 and the support arm is stainless steel. the
使用时,先选择适合大小的带环,然后将支撑臂的支撑杆插入带环上的套管中一同试戴于固位基牙上,调整支撑臂伸缩长短,使其紧贴于另一侧基牙。使用正畸钳钳夹套管,使其形变后将支撑杆固定。整体取下后涂抹粘固材料,重新带入使其粘结固位。 When using, first select the appropriate size of the belt ring, then insert the support rod of the support arm into the sleeve on the belt ring and try it on the retained abutment together, adjust the length of the support arm to make it close to the other side abutment. Use orthodontic pliers to clamp the cannula, deform it and secure the struts. After the whole is removed, apply a cementing material, and bring it back in to make it bonded and fixed.
支撑杆与套管之间连接方式为滑动连接。套管壁较薄,可以通过挤压变形,支撑臂近保持器体部端为内陷粗糙纹路面,可使形变的套管壁与之相嵌,从而使两者相对固定。两部分的连接部分可放置附件镍钛弹簧,使弹簧压缩,而两部分仍可相对滑动,从而增大两者间距离。当医生判断距离已经足够后,可采用前述固定的方法,拆除镍钛弹簧后,通过钳夹使之固定,根据口内牙齿排列的具体情况,可选择单臂或双臂的乳牙间隙保持器。 The connection mode between the support rod and the casing is sliding connection. The sleeve wall is relatively thin and can be deformed by extrusion, and the end of the support arm near the body of the holder is an indented rough surface, which can make the deformed sleeve wall embedded with it, so that the two are relatively fixed. The connecting part of the two parts can be placed with an accessory nickel-titanium spring to compress the spring, while the two parts can still slide relative to each other, thereby increasing the distance between them. When the doctor judges that the distance is enough, the above-mentioned fixing method can be used. After removing the nickel-titanium spring, fix it with clamps. According to the specific situation of the tooth arrangement in the mouth, you can choose a single-arm or double-arm deciduous space maintainer. the
上述使支撑臂固定的装置可采用专用钳,持针器,技工钳等均可,所使用的专用钳内径略小于套管外径。 The above-mentioned device for fixing the support arm can adopt special-purpose pliers, needle holders, technician pliers, etc., and the inner diameter of the special-purpose pliers used is slightly smaller than the sleeve outer diameter.
保持器套管和支撑臂为相互配套,可设计为单管式或双管式,保持器支撑臂远连接端设计为契合牙齿的凹面。 The retainer sleeve and the support arm are matched to each other, and can be designed as a single-tube or double-tube type, and the distal connection end of the retainer support arm is designed to fit the concave surface of the teeth. the
本实用新型主要用于单个或连续(不超过两个)乳后牙缺失后的间隙保持及间隙拓展。 The utility model is mainly used for gap maintenance and gap expansion after single or continuous (no more than two) deciduous posterior teeth are missing. the
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CN105852993A (en) * | 2016-04-01 | 2016-08-17 | 丽水市人民医院 | Gap recovering and holding device |
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CN104958113B (en) * | 2015-06-18 | 2018-02-02 | 柳州市妇幼保健院 | Pre- functional space retainer |
CN104958113A (en) * | 2015-06-18 | 2015-10-07 | 柳州市妇幼保健院 | Preformed functional space retainer |
CN107157597A (en) * | 2016-03-07 | 2017-09-15 | 重庆医药高等专科学校 | A kind of universal half wire ring formula space retainer |
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CN108433832B (en) * | 2018-04-09 | 2020-07-31 | 四川大学 | Sliding gap retainer and orthodontic device |
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CN110141388A (en) * | 2019-05-16 | 2019-08-20 | 上海交通大学医学院附属第九人民医院 | missing teeth space maintainer |
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CN114366353A (en) * | 2022-01-07 | 2022-04-19 | 黑龙江省医院 | Retainer for circular gap |
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