TWI393553B - Dental cortical microimplant - Google Patents
Dental cortical microimplant Download PDFInfo
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- TWI393553B TWI393553B TW99146528A TW99146528A TWI393553B TW I393553 B TWI393553 B TW I393553B TW 99146528 A TW99146528 A TW 99146528A TW 99146528 A TW99146528 A TW 99146528A TW I393553 B TWI393553 B TW I393553B
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Description
本發明係關於一種牙科皮質骨微植體,特別是指一種裝置,藉由螺絲將其固定於口腔內皮質骨,可供用於牙齒矯正治療以達美觀、功能之重整的臨時固定元件。The present invention relates to a dental cortical micro-implant, and more particularly to a device for securing it to the oral cortical bone by means of a screw, which can be used for orthodontic treatment for aesthetic, functional remodeling of temporary fixation elements.
按,一般人在諸如前牙擁擠、前牙錯咬或咬合不正等情況下,為了改善美觀、功能通常是以牙齒矯正居多。常見之矯正方式,係利用矯正骨釘配合矯正線材、矯正支架、及拉鉤等來進行長期牽引矯正。According to the general situation, in the case of crowded front teeth, wrong teeth of the front teeth or malocclusion, in order to improve the appearance and function, it is usually mostly orthodontic. The common method of correction is to use long-term traction correction by using corrective nails, correcting the wire, correcting the bracket, and pulling the hook.
請參閱第1圖所示,傳統上對於齒顎矯正有時會拔掉某些牙齒11(通常不是門牙)後,再藉由矯正線材13來拉牙齒12以調整其位置。其中一般均使用若干矯正支架14黏在牙齒12上,於每一個矯正支架14上均設有特殊矯正凹槽141以供容納矯正線材13。特殊矯正凹槽141的寬度與深度必須略大於矯正線材13的直徑,如此除可讓矯正線材13可以沿著特殊矯正凹槽141延伸之方向適量滑移之外,也可避免矯正線材13掉落出特殊矯正凹槽141之外。Referring to Figure 1, conventionally, for the correction of the gums, some of the teeth 11 (usually not the incisors) are sometimes pulled out, and then the teeth 12 are pulled by the correcting wire 13 to adjust its position. There are generally a plurality of correcting brackets 14 adhered to the teeth 12, and each of the correcting brackets 14 is provided with a special correcting groove 141 for receiving the correcting wire 13. The width and depth of the special correcting groove 141 must be slightly larger than the diameter of the straightening wire 13, so that the correcting wire 13 can be prevented from falling in the direction in which the straightening groove 141 extends. Out of the special correction groove 141.
為了對矯正線材13提供一拉扯力量,習用技術乃在臼齒121附近的皮質骨10上鎖固一矯正骨釘20,再將一彈簧15或橡皮筋連接於該骨釘20與矯正線材13之末端之間,以提供適量之拉扯力量。目前市售的此種骨釘20,請參閱第2圖所示,乃具有一具螺紋的尖端部21,藉由此具螺紋的尖端部21穿入兩顆牙齒12之間的牙齦,並鎖固於該二牙齒12牙根底部之皮質骨10,藉以提供矯正牙齒12之固定力量。In order to provide a pulling force to the correcting wire 13, a conventional technique is to lock a correcting nail 20 on the cortical bone 10 near the molar 121, and then connect a spring 15 or rubber band to the end of the nail 20 and the correcting wire 13. Between to provide the right amount of pulling power. Such a bone nail 20 currently commercially available, as shown in Fig. 2, has a threaded tip end portion 21 through which the threaded tip end portion 21 penetrates the gum between the two teeth 12 and locks The cortical bone 10 is fixed to the bottom of the root of the second tooth 12 to provide a fixed force for correcting the tooth 12.
然而,習用技術中或在目前翻遍全世界文獻,所有矯正用骨釘20都是以小骨釘直接鎖入皮質骨10並深入海綿組織。However, in the conventional technique or in the current literature of the world, all the correction nails 20 are directly locked into the cortical bone 10 with small nails and penetrate into the sponge tissue.
1、很容易鬆脫:現有矯正骨釘20直接鎖入皮質骨10並深入海綿組織,切削掉堅硬的皮質骨10進入鬆軟的海綿組織,很容易造成矯正骨釘20鬆脫或掉落,若有不幸甚或誤吞造成腸胃道嚴重傷害。1. It is easy to loosen: the existing correcting nail 20 directly locks into the cortical bone 10 and penetrates into the sponge tissue. The hard cortical bone 10 is cut into the soft sponge tissue, which easily causes the correcting nail 20 to loosen or fall. There are unfortunate or even swallowed serious injuries to the gastrointestinal tract.
2、具高比例的傷害性:現有矯正骨釘20的操作,一不小心就很容易傷到鄰牙12牙根或上顎竇,甚至造成神經、血管之傷害。2, a high proportion of noxious: the existing correction of the nail 20 operation, accidentally it is easy to hurt the adjacent tooth 12 root or upper sinus, and even cause nerve and blood vessel damage.
3、使用功能受局限:只有點狀凸出物,無法輕易達成扶正或上壓或下拉的功能,若要達成上述功能必須多植入很多骨釘20,不但增加病人的痛苦,也增加醫師造成傷害的風險。3, the use of functions is limited: only point-like projections, can not easily achieve the function of righting or pressing or pull-down, to achieve the above functions must be implanted a lot of bone nails 20, not only increase the patient's pain, but also increase the physician's The risk of injury.
是以,由此可見,上述習用技術仍有諸多缺失,實非一良善之設計,而亟待加以改良。Therefore, it can be seen that there are still many shortcomings in the above-mentioned conventional techniques, which is not a good design and needs to be improved.
鑑於上述習用技術所衍生的各項缺點,本案發明人乃亟思加以改良創新,並經多年苦心孤詣潛心研究後,終於成功研發完成本件極具創新的發明”牙科皮質骨微植體”。In view of the shortcomings derived from the above-mentioned conventional technologies, the inventor of this case was improved and innovated, and after years of painstaking research, he finally succeeded in researching and developing this highly innovative invention "dental cortical micro-implant".
針對現有矯正骨釘的缺點,我們發明的目的:In view of the shortcomings of existing correction nails, the purpose of our invention is:
本發明之一目的,在於提供一種牙科皮質骨微植體,係可萬無一失的固定在矯正者所要的位置,該發明係將微植體藉由至少一組螺絲鎖固於皮質骨上,由堅硬的皮質骨與強靭的骨膜將該微植體牢牢的固定在皮質骨之上,而不像現有的骨釘鎖入皮質骨僅藉由鬆散海綿骨當固持。An object of the present invention is to provide a dental cortical micro-implant which can be fixed in a position required by a corrector, and the invention fixes the micro-tissue to the cortical bone by at least one set of screws, and is hardened. The cortical bone and the strong periosteum firmly hold the micro-implant on the cortical bone, unlike the existing bone nail locked into the cortical bone, which is only held by the loose sponge bone.
本發明之次一目的,在於提供一種牙科皮質骨微植體,係可將該微植體鎖固於皮質骨較淺之位置處,藉以避免傷害鄰牙牙根或上顎竇,甚或避免造成神經、血管之傷害。A second object of the present invention is to provide a dental cortical micro-implant which can be locked at a shallow position of the cortical bone to avoid damage to the adjacent or maxillary sinus, or even to avoid nerves. Damage to blood vessels.
本發明之另一目的,在於提供一種牙科皮質骨微植體,係可將矯正時所需的施力模式完全發揮,無須重複植入骨釘,藉以大幅降低矯正者的痛苦及傷害性。Another object of the present invention is to provide a dental cortical micro-implant which can fully exert the force-applying mode required for correction without repeating the implantation of the nail, thereby greatly reducing the pain and injury of the corrector.
可達成上述發明目的之牙科皮質骨微植體,包括有:一固定件、一連接桿及一伸縮件;其中,該固定件具有一縱柱,該縱柱底部二側向外延伸設有至少一組骨板,每一骨板上分別具有一螺孔,該縱柱近中央設有一翼部,該翼部在該縱柱近中央二側分別設有一左側翼及一右側翼,該左、右側翼分別具有一向前微彎之前端;而該連接桿下端連接於該縱柱上端;該伸縮件具有一縱桿,該縱桿下端連接於該連接桿上端,使該伸縮件藉其縱桿於該連接桿中上、下位移,藉以調整定位出最佳之住置,該縱桿頂部設有一中空橫桿,該橫桿具有一貫穿孔,用以供矯正線材穿設於該貫穿孔中;當鎖固該微植體時,係透過複數個螺絲穿入各骨板之螺孔並鎖固於皮質骨較淺之位置處,再調整該伸縮件之上、下位置,使矯正線材穿設於該伸縮件之貫穿孔中,即可將一施力元件(如:彈簧或橡皮筋)連接於該微植體與一矯正線材之間,以提供適量之拉扯力量。如此,該微植體藉由複數個螺絲鎖固於皮質骨的方式,故可大幅增加其固定的強度與穩固力,不會發生鎖固不易牢固之問題,並因增加固定的強度與穩固力,使可鎖固於皮質骨較淺之位置處,而大幅降低矯正者的痛苦,以避免傷害鄰牙牙根或上顎竇,甚或避免造成神經、血管之傷害。The dental cortical micro-implants of the above-mentioned objects, comprising: a fixing member, a connecting rod and a telescopic member; wherein the fixing member has a longitudinal column, and the bottom portion of the vertical column extends outwardly from at least two sides a set of bone plates, each of which has a screw hole, and a vertical portion is disposed at a center of the vertical column, and the wing portion is respectively provided with a left side wing and a right side wing on two sides of the vertical column, the left side, The right wing has a forwardly curved front end; and the lower end of the connecting rod is connected to the upper end of the longitudinal column; the telescopic member has a longitudinal rod, and the lower end of the longitudinal rod is connected to the upper end of the connecting rod, so that the telescopic member is supported by the longitudinal rod Displacement in the connecting rod up and down, thereby adjusting and positioning the best living place, the top of the longitudinal rod is provided with a hollow cross bar, the cross bar has a consistent perforation for the correcting wire to pass through the through hole; When the micro-implants are locked, the screws are inserted into the screw holes of each bone plate through a plurality of screws and locked at a shallow position of the cortical bone, and then the upper and lower positions of the telescopic member are adjusted to make the correcting wire pass through. In the through hole of the telescopic member, a force applying element (Eg: a spring or rubber band) connected between the micro implant with a wire correction, to provide the appropriate amount of pulling force. In this way, the micro-plants are locked to the cortical bone by a plurality of screws, so that the fixing strength and the stabilizing force can be greatly increased, the problem that the locking is not easy to be solid is not caused, and the fixing strength and the stabilizing force are increased. It can be locked at the shallower position of the cortical bone, and greatly reduce the pain of the corrector to avoid damage to the adjacent or upper sinus, or even to avoid nerve and blood vessel damage.
請參閱以下有關本發明一較佳實施例之詳細說明及其附圖,將可進一步瞭解本發明之技術內容及其目的功效:Please refer to the following detailed description of a preferred embodiment of the present invention and the accompanying drawings, which will further understand the technical content of the present invention and its effect:
本發明所提供之一種「牙科皮質骨微植體」,請參閱第3、4圖所示,該微植體5主要包括有:一固定件51、一連接桿52及一伸縮件53。A "dental cortical micro-implant" provided by the present invention, as shown in Figures 3 and 4, the micro-invigoration 5 mainly comprises: a fixing member 51, a connecting rod 52 and a telescopic member 53.
其中,該固定件51具有一縱柱511,該縱柱511底部二側向外延伸設有至少一組骨板512,每一骨板512上分別具有一螺孔5121,又,該縱柱511近中央設有一翼部510,該翼部510在該縱柱511近中央二側分別設有一左側翼513及一右側翼514,該左側翼513具有一向前微彎之前端5131,且該右側翼514具有一向前微彎之前端5141。The fixing member 51 has a longitudinal column 511, and at least two sets of bone plates 512 extend outwardly from the bottom side of the vertical column 511. Each of the bone plates 512 has a screw hole 5121, and the vertical column 511. A wing portion 510 is disposed in the center of the vertical portion 511, and a left side wing 513 and a right side wing 514 are respectively disposed on two sides of the vertical column 511. The left side wing 513 has a forward slightly curved front end 5131, and the right side wing 514 has a forward slightly curved front end 5141.
該連接桿52下端連接於該固定件51之縱柱511上端,該連接桿52之長度為4mm。The lower end of the connecting rod 52 is connected to the upper end of the longitudinal column 511 of the fixing member 51, and the connecting rod 52 has a length of 4 mm.
該伸縮件53具有一縱桿531,該縱桿531之長度為4mm,該縱桿531下端連接於該連接桿52上端,該連接桿52可為一中空套筒,使該伸縮件53藉其縱桿531於該連接桿52中上、下位移,而有調整其上下高度之功能;該縱桿531頂部設有一中空橫桿532,該橫桿532具有一貫穿孔5321,用以供一矯正線材61穿設於該貫穿孔5321中。The extension member 53 has a longitudinal rod 531 having a length of 4 mm. The lower end of the longitudinal rod 531 is connected to the upper end of the connecting rod 52. The connecting rod 52 can be a hollow sleeve, so that the telescopic member 53 can The longitudinal rod 531 is displaced up and down in the connecting rod 52, and has the function of adjusting the height of the upper and lower sides; the top of the longitudinal rod 531 is provided with a hollow crossbar 532 having a consistent perforation 5321 for a correcting wire. The 61 is inserted into the through hole 5321.
當鎖固該微植體5時,請參閱第5、6圖所示,係利用開刀方式將兩顆牙齒62之間的牙齦63割開,將該微植體5之骨板512置入牙齦63內後,透過複數個螺絲64穿入各骨板512之螺孔5121並鎖固於皮質骨65較淺之位置處,使各骨板512定位於各螺絲64上,再將牙齦63縫回使牙齦63平貼包覆於該等骨板512上;嗣再調整該伸縮件53之上、下位置,令矯正線材61穿設於該伸縮件53之貫穿孔5321中,而使該微植體5固定於皮質骨65上,即可將一施力元件71連接於該微植體5與該矯正線材61之間,藉以提供適量之矯正牙齒的拉扯力量。When the micro-implants 5 are locked, as shown in Figures 5 and 6, the gingiva 63 between the two teeth 62 is cut by a knife-cutting method, and the bone plate 512 of the micro-implant 5 is placed in the gums. After 63, the plurality of screws 64 are inserted into the screw holes 5121 of the bone plates 512 and locked at the shallower positions of the cortical bones 65, so that the bone plates 512 are positioned on the screws 64, and the gums 63 are sewn back. The gingiva 63 is evenly wrapped on the bone plate 512; the upper and lower positions of the telescopic member 53 are adjusted, and the correcting wire 61 is inserted into the through hole 5321 of the telescopic member 53 to make the micro-plant The body 5 is fixed to the cortical bone 65, and a force applying member 71 is connected between the micro implant 5 and the correcting wire 61 to provide an appropriate amount of the pulling force for correcting the teeth.
如此,該微植體5藉由複數個螺絲64鎖固於皮質骨65的方式,故可大幅增加其固定的強度與穩固力,不會發生鎖固不易牢固之問題,並因增加固定的強度與穩固力,使螺絲64可鎖固於皮質骨65較淺之位置處,而大幅降低矯正者的痛苦,以及大幅降低牙根傷害及皮質骨65上神經之傷害。In this way, the micro-implant 5 is locked to the cortical bone 65 by a plurality of screws 64, so that the fixing strength and the stabilizing force can be greatly increased, the locking is not easy to be solid, and the fixing strength is increased. With the firming force, the screw 64 can be locked at the shallower position of the cortical bone 65, which greatly reduces the pain of the corrector and greatly reduces the damage of the root and the nerve on the cortical bone 65.
另,該施力元件71可為一彈簧、一橡皮筋或任何可提供彈力之物件。In addition, the force applying element 71 can be a spring, a rubber band or any object that can provide elasticity.
此外,本發明之牙科皮質骨微植體還可提供多元的矯正施力點,減少植入的骨釘數目,避免不必要的傷害。且,固定件固定期間,骨板上覆蓋有癒合之骨膜及附著牙齦,亦可補強該微植體之保持性,具有絕佳的防鬆脫效果,降低臨床運用的失敗、不適與糾紛。In addition, the dental cortical bone micro-implants of the present invention can also provide multiple corrective force points, reduce the number of implanted bone nails, and avoid unnecessary damage. Moreover, during the fixation of the fixing member, the bone plate is covered with a healing periosteum and attached gums, which can also reinforce the retention of the micro-implant, has an excellent anti-loose effect, and reduces clinical failure, discomfort and disputes.
本發明所提供之牙科皮質骨微植體,與前述習用技術相互比較時,更具有下列之優點:The dental cortical micro-implants provided by the present invention have the following advantages when compared with the prior art:
1.該微植體藉由至少一組螺絲鎖固於皮質骨上,可大幅增加該微植體之固定的強度與穩固力,防止鬆脫、吞食。1. The micro-implant is locked on the cortical bone by at least one set of screws, which can greatly increase the fixation strength and stability of the micro-implant to prevent loosening and swallowing.
2.由於增加該微植體之固定的強度與穩固力,使可將該微植體鎖固於皮質骨較淺之位置處,而可大幅降低矯正者的痛苦。2. Due to the increased strength and stability of the micro-implant, the micro-implant can be locked at a shallow position of the cortical bone, which can greatly reduce the pain of the corrector.
3.由於增加該微植體之固定的強度與穩固力,使可將該微植體鎖固於皮質骨較淺之位置處,而可避免傷害鄰牙牙根或上顎竇,甚或避免造成神經、血管之傷害。3. Due to the increased strength and stability of the micro-implant, the micro-implant can be locked at a shallow position of the cortical bone, thereby avoiding damage to the adjacent or maxillary sinus, or even avoiding nerves, Damage to blood vessels.
上列詳細說明係針對本發明之一可行實施例之具體說明,惟該實施例並非用以限制本發明之專利範圍,凡未脫離本發明技藝精神所為之等效實施或變更,例如:等變化之等效性實施例,均應包含於本案之專利範圍中。The detailed description above is a detailed description of a possible embodiment of the present invention, and is not intended to limit the scope of the present invention, and equivalents and modifications, such as variations, etc., without departing from the spirit of the invention. Equivalent embodiments are to be included in the scope of the patent.
5...微植體5. . . Micro-implant
51...固定件51. . . Fastener
510...翼部510. . . Wing
511...縱柱511. . . Column
512...骨板512. . . Bone plate
5121...螺孔5121. . . Screw hole
513...左側翼513. . . Left wing
5131...前端5131. . . front end
514...右側翼514. . . Right wing
5141...前端5141. . . front end
52...連接桿52. . . Connecting rod
53...伸縮件53. . . Telescopic member
531...縱桿531. . . Longitudinal rod
532...中空橫桿532. . . Hollow crossbar
5321...貫穿孔5321. . . Through hole
61...矯正線材61. . . Orthotic wire
62...牙齒62. . . tooth
63...牙齦63. . . Gum
64...螺絲64. . . Screw
65...皮質骨65. . . Cortical bone
71...施力元件71. . . Force component
第1圖為習用使用示意圖。Figure 1 is a schematic diagram of the conventional use.
第2圖為習用螺絲示意圖。Figure 2 is a schematic view of a conventional screw.
第3圖為本發明之立體圖。Figure 3 is a perspective view of the present invention.
第4圖為本發明之立體分解圖。Figure 4 is a perspective exploded view of the present invention.
第5、6圖為本發明之使用示意圖。Figures 5 and 6 are schematic views of the use of the present invention.
5‧‧‧微植體5‧‧‧Micro-implants
51‧‧‧固定件51‧‧‧Fixed parts
510‧‧‧翼部510‧‧‧ wing
5121‧‧‧螺孔5121‧‧‧ screw hole
513‧‧‧左側翼513‧‧‧left wing
5131‧‧‧前端5131‧‧‧ front end
514‧‧‧右側翼514‧‧‧ right wing
5141‧‧‧前端5141‧‧‧ front end
52‧‧‧連接桿52‧‧‧ Connecting rod
53‧‧‧伸縮件53‧‧‧Flexible parts
531‧‧‧縱桿531‧‧‧longitudinal rod
532‧‧‧中空橫桿532‧‧‧ hollow rail
5321‧‧‧貫穿孔5321‧‧‧through holes
61‧‧‧矯正線材61‧‧‧Correct wire
Claims (6)
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
TW99146528A TWI393553B (en) | 2010-12-29 | 2010-12-29 | Dental cortical microimplant |
Applications Claiming Priority (1)
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TW99146528A TWI393553B (en) | 2010-12-29 | 2010-12-29 | Dental cortical microimplant |
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TW201225929A TW201225929A (en) | 2012-07-01 |
TWI393553B true TWI393553B (en) | 2013-04-21 |
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TW99146528A TWI393553B (en) | 2010-12-29 | 2010-12-29 | Dental cortical microimplant |
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Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US20040147931A1 (en) * | 2001-05-17 | 2004-07-29 | Hugo De Clerck | Orthodontic implant |
US20080138759A1 (en) * | 2006-09-19 | 2008-06-12 | Kravitz Neal D | Eyelet for coil spring and methods associated therewith |
TW200835468A (en) * | 2006-11-02 | 2008-09-01 | Ok-Kyoung Kim | Orthodontic device and orthodontic method |
-
2010
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Patent Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US20040147931A1 (en) * | 2001-05-17 | 2004-07-29 | Hugo De Clerck | Orthodontic implant |
US20080138759A1 (en) * | 2006-09-19 | 2008-06-12 | Kravitz Neal D | Eyelet for coil spring and methods associated therewith |
TW200835468A (en) * | 2006-11-02 | 2008-09-01 | Ok-Kyoung Kim | Orthodontic device and orthodontic method |
Also Published As
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TW201225929A (en) | 2012-07-01 |
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