CN203943751U - Open facial pre-capping - Google Patents
Open facial pre-capping Download PDFInfo
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- CN203943751U CN203943751U CN201420371266.2U CN201420371266U CN203943751U CN 203943751 U CN203943751 U CN 203943751U CN 201420371266 U CN201420371266 U CN 201420371266U CN 203943751 U CN203943751 U CN 203943751U
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Abstract
Description
技术领域 technical field
本实用新型涉及口腔修复技术领域,尤其涉及一种开面式预成冠。 The utility model relates to the technical field of oral restoration, in particular to an open-face prefabricated crown.
背景技术 Background technique
龋齿或牙髓炎等牙体疾病是口腔诊疗中常见的病例,龋齿的治疗一般采用充填治疗,多采用树脂或玻璃离子等材料修复牙体外形,牙髓炎需要在进行根管治疗之后,再通过充填治疗修复牙体外形。经过牙体治疗后的患牙往往存在充填体固位差,易脱落,牙体脆性增大,易折裂等缺陷,因此需要后续的永久性修复治疗,即铸造冠或烤瓷冠等。对于儿童乳牙的龋齿、牙髓炎等同样采用类似的牙体治疗,由于儿童在6-13岁期间乳牙会脱落替换且永久性修复的过程复杂,费用高,因此一般对乳牙进行了充填治疗后,不再进行永久性修复。但有相当一部分经治疗后的乳牙会在儿童口内存续较长时间,为了避免发生治疗后的乳牙充填体脱落或牙齿折裂等情况,仍有必要进行过渡性修复。 Dental diseases such as dental caries or pulpitis are common cases in oral diagnosis and treatment. The treatment of dental caries generally adopts filling treatment, and materials such as resin or glass ion are often used to restore the shape of the tooth. Pulpitis needs to be treated after root canal treatment. Restoring the shape of the tooth through filling treatment. After dental treatment, the affected teeth often have defects such as poor retention of fillings, easy to fall off, increased brittleness of the tooth, and easy fracture. Therefore, follow-up permanent restoration treatment, such as casting crowns or porcelain crowns, is required. Similar dental treatment is also used for caries and pulpitis of children's deciduous teeth. Since children's deciduous teeth will fall out and be replaced during the period of 6-13 years old, and the process of permanent restoration is complicated and expensive, so the deciduous teeth are generally filled after treatment. , no more permanent fixes. However, a considerable part of the deciduous teeth after treatment will last in the child's mouth for a long time. In order to avoid the occurrence of the deciduous fillings falling off or tooth fracture after treatment, it is still necessary to carry out transitional restoration.
现有的乳牙修复方式为采用预成冠技术,预成冠是指预制成型的金属成品冠,形态模仿乳牙牙齿的外形,较为美观。现有的预成冠技术操作较为繁琐,需要先对牙齿进行充填体修复牙外形,然后才能进行预成冠修复。为了恢复乳牙外形,预成冠需具有一定的厚度,这导致了预成冠外形难以适应个性化牙齿,这就丧失了“预成”的意义。预成冠存在一定的厚度,导致戴冠时不得不磨除一部分健康牙体组织(尤其牙齿邻面),这又违反了牙体修复尽量保留健康牙体组织的原则。传统的预成冠在临床应用中存在以下缺点:1.为了形成所模仿的乳牙形态,预成冠一般需要有一定的厚度以保证强度,这就使得其外形固定,难以调整,难以适应各种形态的牙齿,并且预成冠的牙齿邻面有一定厚度,使得戴牙时需要磨除部分牙体组织,同时预成的咬合面形态难以调改,容易形成咬合高点,造成合创伤;2.预成冠虽然可以模仿乳牙牙尖形态,但预成冠的外形设计为封闭式,不能直观的观测预成冠边缘与牙齿外形吻合程度,造成了医生在选择预成冠的大小型号和试戴预成冠时的困难。 The existing method of restoring deciduous teeth is to use prefabricated crown technology. Prefabricated crown refers to a prefabricated metal crown, which imitates the shape of deciduous teeth and is more beautiful. The existing prefabricated crown technology is relatively cumbersome to operate, and it is necessary to restore the shape of the tooth with a filling body first, and then the prefabricated crown can be repaired. In order to restore the shape of deciduous teeth, the prefabricated crown needs to have a certain thickness, which makes it difficult to adapt the shape of the prefabricated crown to individual teeth, which loses the meaning of "prefabricated". The prefabricated crown has a certain thickness, so that part of the healthy tooth tissue (especially the adjacent surface of the tooth) has to be ground away when the crown is worn, which violates the principle of retaining healthy tooth tissue as much as possible in dental restoration. Traditional prefabricated crowns have the following disadvantages in clinical application: 1. In order to form the shape of the imitated deciduous teeth, the prefabricated crown generally needs to have a certain thickness to ensure the strength, which makes its shape fixed, difficult to adjust, and difficult to adapt to various shapes of teeth, and the adjacent surface of the prefabricated crown has a certain thickness , making it necessary to grind away part of the tooth tissue when wearing the teeth, and at the same time, the shape of the preformed occlusal surface is difficult to change, and it is easy to form occlusal high points and cause occlusal trauma; 2. Although the prefabricated crown can imitate the shape of the cusp of the deciduous teeth, the shape of the prefabricated crown is designed to be closed, and it is impossible to intuitively observe the degree of fit between the edge of the prefabricated crown and the shape of the tooth, causing doctors to choose the size and model of the prefabricated crown and try it Difficulties when preforming crowns.
发明内容 Contents of the invention
本实用新型的目的是提供一种开面式预成冠,能使患牙修复过程一步完成,即龋坏牙在龋坏组织去除后,直接试戴并粘结开面式预成冠,然后从开口处充填充填材料以形成咬合面,避免产生咬合高点,并且无需磨除一部分健康牙体组织,带入口内后异物感小,更为舒适。 The purpose of this utility model is to provide an open-faced prefabricated crown, which can complete the restoration process of the affected tooth in one step, that is, after the carious tooth is removed, the open-faced prefabricated crown can be directly tried on and bonded, and then The filling material is filled from the opening to form an occlusal surface, avoiding occlusal high points, and there is no need to grind away a part of healthy tooth tissue, and the foreign body sensation is small after being brought into the mouth, which is more comfortable.
为实现上述目的,本实用新型所设计的一种开面式预成冠,包括冠周和冠合面,所述冠周与冠合面一体成型,冠合面位于冠周上端,所述冠合面设置有开口,所述开口位于冠合面中央。 In order to achieve the above purpose, an open-faced prefabricated crown designed by the utility model includes a coronal circumference and a coronal joint surface. The coronal surface is provided with an opening, and the opening is located in the center of the coronal surface.
上述技术方案中,所述冠周包覆牙齿外部。 In the above technical solution, the pericoronal covers the outside of the tooth.
上述技术方案中,所述冠周下端边缘呈由外向内凹陷状。 In the above technical solution, the lower edge of the coronal circumference is concave from outside to inside.
上述技术方案中,所述冠合面呈由外向内水平凹陷状。 In the above technical solution, the coronal surface is horizontally concave from outside to inside.
上述技术方案中,所述开口边缘与牙齿咬合面相吻合。 In the above technical solution, the edge of the opening coincides with the occlusal surface of the teeth.
上述技术方案中,所述冠周侧壁设置有开孔,所述开孔穿透冠周下端边缘。 In the above technical solution, the pericoronal sidewall is provided with an opening, and the opening penetrates the lower end edge of the coronal circumference.
进一步地,所述开孔对称设置于冠周两侧壁中部。所述开孔边缘与牙齿邻接面相吻合。 Further, the openings are arranged symmetrically in the middle of the two side walls around the crown. The edge of the opening coincides with the adjacent surface of the tooth.
上述技术方案中,所述冠周和冠合面为不锈钢材质。 In the above technical solution, the crown circumference and the coronal surface are made of stainless steel.
上述技术方案中,所述冠周唇舌面冠壁略厚,近远中邻面略薄。所述冠周下端边缘经过热处理。 In the above technical solution, the coronal wall of the pericoronal labial and lingual surface is slightly thicker, and the mesial and distal proximal surfaces are slightly thinner. The lower edge of the coronal circumference is heat-treated.
本实用新型的有益效果是: The beneficial effects of the utility model are:
1.能使患牙修复过程一步完成,即龋坏牙在龋坏组织去除后,直接试戴并粘结本实用新型,然后从开口处充填充填材料以形成咬合面,避免产生咬合高点; 1. The restoration process of the affected tooth can be completed in one step, that is, after the carious tooth is removed, the carious tooth can be directly tried on and glued to the utility model, and then the filling material can be filled from the opening to form an occlusal surface to avoid occlusal high points;
2.不强调模仿乳牙外形,冠周厚度较薄,增加冠周边缘热处理,便于调整冠周外形,且无需磨除牙体组织或备牙,可以直视下试戴,便于型号大小的选择; 2. It does not emphasize imitating the shape of deciduous teeth, the thickness of the crown is thinner, and the heat treatment of the periphery of the crown is increased, which is convenient for adjusting the shape of the crown, and there is no need to grind away the tooth tissue or prepare teeth, and it can be tried under direct vision, which is convenient for the selection of the model size;
3.冠合面能对患牙环抱固位,还可以防止本实用新型下沉,防止造成牙周损伤; 3. The coronal surface can embrace and retain the affected tooth, and can also prevent the utility model from sinking and prevent periodontal damage;
4.体积小,厚度薄,带入口内后异物感小,更为舒适,便于工业标准化生产,成本低,可降低治疗费用,临床操作简单,便于临床推广使用。 4. Small size, thin thickness, less foreign body sensation after being brought into the mouth, more comfortable, convenient for industrial standardized production, low cost, can reduce treatment costs, simple clinical operation, convenient for clinical promotion and use.
附图说明 Description of drawings
图1为本实用新型实施例一的结构示意图; Fig. 1 is the structural representation of the utility model embodiment one;
图2为本实用新型实施例二的结构示意图; Fig. 2 is the structural representation of the second embodiment of the utility model;
图中:1—冠周,2—冠合面,3—冠周下端边缘,4—开口,5—开孔。 In the figure: 1—coronal circumference, 2—coronal joint surface, 3—lower edge of crown circumference, 4—opening, 5—opening hole.
具体实施方式 Detailed ways
以下结合附图对本实用新型的具体实施例作进一步的详细描述: Below in conjunction with accompanying drawing, specific embodiment of the present utility model is described in further detail:
实施例一: Embodiment one:
如图1所示,一种开面式预成冠,包括冠周1和冠合面2,所述冠周1与冠合面2一体成型,冠合面2位于冠周1上端,所述冠合面2设置有开口4,所述开口4位于冠合面2中央。所述冠周1包覆牙齿外部。所述冠周下端边缘3呈由外向内凹陷状。所述冠合面2呈由外向内水平凹陷状。所述开口4边缘与牙齿咬合面相吻合。所述冠周1和冠合面2为不锈钢材质。所述冠周1的唇舌面冠壁略厚,近远中邻面略薄。所述冠周下端边缘3经过热处理。冠合面2设置有开口4,可以使患牙修复过程一步完成,即龋坏牙在龋坏组织去除后,直接试戴并粘结本实用新型,然后从开口4处充填充填材料,形成咬合面即可。由于预成冠预先成型咬合面的咬合高点调改较为困难,容易造成咬合早接触及合创伤,而本实用新型的开口4的设计没有咬合面,仅用充填材料恢复咬合面即可,避免了咬合高点的产生。冠合面2呈由外向内水平凹陷状,起到了对患牙环抱固位的作用,还可以防止冠周1下沉,防止造成牙周损伤。本实用新型不模仿乳牙外形,因此冠周1的厚度较薄,对冠周下端边缘3进行热处理,便于调整冠周1外形,且无需磨除牙体组织或备牙,可以直视下试戴本实用新型,便于选择本实用新型的型号大小。增加冠周1唇舌面厚度,减小近远中邻面厚度,可以增强本实用新型的强度,又不影响其带入就位。 As shown in Figure 1, an open-faced prefabricated crown includes a coronal circumference 1 and a coronal joint surface 2, the coronal circumference 1 and the coronal joint plane 2 are integrally formed, and the coronal joint plane 2 is located at the upper end of the coronal circumference 1. The coronal surface 2 is provided with an opening 4 located in the center of the coronal surface 2 . The pericoronal 1 covers the outside of the tooth. The lower end edge 3 of the coronal circumference is concave from outside to inside. The coronal surface 2 is horizontally concave from outside to inside. The edge of the opening 4 coincides with the occlusal surface of the teeth. The coronal circumference 1 and the coronal joint surface 2 are made of stainless steel. The labial-lingual surface of the coronal circumference 1 is slightly thicker, and the mesio-distal proximal surface is slightly thinner. The lower end edge 3 around the crown is heat-treated. The coronal surface 2 is provided with an opening 4, which can complete the restoration process of the affected tooth in one step, that is, after the carious tooth is removed, the utility model is directly tried on and bonded, and then the filling material is filled from the opening 4 to form an occlusion just face. Because it is difficult to adjust the occlusal height of the preformed occlusal surface of the preformed crown, it is easy to cause early occlusal contact and occlusal trauma. However, the design of the opening 4 of the utility model has no occlusal surface, and only filling materials can be used to restore the occlusal surface to avoid The occurrence of the bite high point. The coronal surface 2 is horizontally concave from the outside to the inside, which plays a role of encircling and retaining the affected tooth, and can also prevent the pericoronal 1 from sinking and causing periodontal damage. The utility model does not imitate the shape of deciduous teeth, so the thickness of the coronal circumference 1 is relatively thin, and the lower end edge 3 of the coronal circumference is heat-treated to facilitate the adjustment of the shape of the coronal circumference 1, and there is no need to grind away tooth tissue or prepare teeth, and it can be tried under direct vision The utility model is convenient for selecting the model size of the utility model. Increasing the thickness of the labial and lingual surface around the crown and reducing the thickness of the mesial and distal adjacent surfaces can enhance the strength of the utility model without affecting its insertion into place.
实施例二: Embodiment two:
实施例二与实施例一基本相同,不同之处在于:与实施例一中冠周1形状不同。如图2所示,所述冠周1侧壁设置有开孔5,所述开孔5穿透冠周下端边缘3。所述开孔5对称设置于冠周1两侧壁中部。所述开孔5边缘与牙齿邻接面相吻合。开孔5的设计可以避让邻牙的邻接点,在使用本实用新型时,不用磨除邻接点过紧的牙齿邻面,避免了牙体的损伤。 The second embodiment is basically the same as the first embodiment, except that the shape of the coronal circumference 1 is different from that of the first embodiment. As shown in FIG. 2 , an opening 5 is provided on the side wall of the coronal circumference 1 , and the opening 5 penetrates the lower end edge 3 of the coronal circumference. The openings 5 are symmetrically arranged in the middle of the two side walls of the coronal circumference 1 . The edge of the opening 5 coincides with the adjacent surface of the teeth. The design of the opening 5 can avoid the adjoining points of the adjacent teeth. When using the utility model, it is not necessary to grind away the adjacent surfaces of the teeth which are too tight at the adjoining points, thus avoiding the damage of the tooth body.
本实用新型的使用原理为: The use principle of the utility model is:
使用时,先选择适合修复牙大小的开面式预成冠,在修复牙上试戴后取下,并用专用钳及医用车针调整打磨冠周1外形及冠周下端边缘3,然后将本实用新型粘结固位于修复牙上,待粘结固位后,从开口4处向修复牙内填充充填材料,压实,并形成咬合面形态。上述调整冠周1外形工具采用专用钳(带环修整钳),持针器,技工钳等均可。 When using, first select an open-faced prefabricated crown suitable for the size of the restored tooth, remove it after trying it on the restored tooth, and use special forceps and medical burs to adjust and polish the shape of the crown circumference 1 and the lower edge 3 of the crown circumference. The utility model is bonded and fixed on the restored tooth. After being bonded and fixed, the filling material is filled into the restored tooth from the opening 4, compacted, and the shape of the occlusal surface is formed. The above-mentioned tools for adjusting the shape of the crown circumference 1 can be special pliers (trippers with rings), needle holders, technician pliers, etc.
根据牙齿尺寸大小不同可将本实用新型设计不同的型号,满足不同的牙齿尺寸的需求。 The utility model can be designed with different models according to the different tooth sizes to meet the needs of different tooth sizes.
本实用新型所公布的是较佳的实施例,但并不局限于此,本领域的普通技术人员,极易根据上述实施例进行替换或变形,不能以此来限定本实用新型的权利范围,因此依本实用新型范围所作的等效变化,仍属本实用新型的保护范围。 The utility model disclosed is a preferred embodiment, but it is not limited thereto. Those skilled in the art can easily replace or modify it according to the above embodiment, and the scope of rights of the utility model cannot be limited by this. Therefore, equivalent changes made according to the scope of the utility model still belong to the protection scope of the utility model.
Claims (9)
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Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US11523888B2 (en) | 2016-10-07 | 2022-12-13 | 3M Innovative Properties Company | Ceramic dental restorations made by additive manufacturing |
WO2023216805A1 (en) * | 2022-05-10 | 2023-11-16 | 成都康美生医药科技有限公司 | Dental crown of dental implant and dental implant thereof |
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Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US11523888B2 (en) | 2016-10-07 | 2022-12-13 | 3M Innovative Properties Company | Ceramic dental restorations made by additive manufacturing |
WO2023216805A1 (en) * | 2022-05-10 | 2023-11-16 | 成都康美生医药科技有限公司 | Dental crown of dental implant and dental implant thereof |
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