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CN116327393A - Novel oral implant and implantation device suitable for narrow alveolar ridge - Google Patents

Novel oral implant and implantation device suitable for narrow alveolar ridge
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CN116327393A
CN116327393ACN202310191128.XACN202310191128ACN116327393ACN 116327393 ACN116327393 ACN 116327393ACN 202310191128 ACN202310191128 ACN 202310191128ACN 116327393 ACN116327393 ACN 116327393A
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implant
implant body
guide ring
section
diameter
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郭维维
汪昆
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Second Affiliated Hospital of Army Medical University
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Abstract

The invention provides a novel oral implant suitable for narrow alveolar ridge, which comprises an implant body (10), a connecting area (11) and a thread section (12), wherein the cross section of the implant body (10) is rectangular-like, and four corners of the implant body are rounded structures; the longitudinal section of the implant body (10) is of an isosceles trapezoid-like structure which gradually decreases from top to bottom, and two corners of the bottom of the implant body are provided with rounding structures; the middle part of the upper end surface of the implant body (10) is downwards sunken to form a connecting area (11) and a threaded section (12), and the connecting area (11) is positioned on the upper side of the threaded section (12). Aiming at narrow alveolar ridge cases, the oral implant can directly perform implantation operation without bone grafting, and an unnecessary bone extraction operation area is not increased, so that the operation wound is small; meanwhile, the cross section area of the implant structure is effectively increased on the premise that the implant structure is ensured to be suitable for narrow alveolar ridges. The mechanical strength of the implant structure is improved, and the occurrence of mechanical complications is avoided.

Description

Translated fromChinese
适用于窄牙槽嵴的新型口腔种植体及植入装置New Oral Implants and Implant Devices for Narrow Alveolar Ridges

技术领域technical field

本发明涉及医疗用品技术领域,具体涉及一种适用于窄牙槽嵴的新型口腔种植体及植入装置。The invention relates to the technical field of medical supplies, in particular to a novel oral implant suitable for narrow alveolar ridges and an implant device.

背景技术Background technique

种植牙,即以植入到缺牙区牙槽骨内的人工牙根作为基桩,完成上部牙冠的恢复,其形态及结构与自然牙非常接近,具有功能好、美观、舒适等优点。Dental implant is to use the artificial tooth root implanted in the alveolar bone of the edentulous area as the foundation post to complete the restoration of the upper crown. Its shape and structure are very close to natural teeth, and it has the advantages of good function, beauty and comfort.

目前,种植牙逐渐成为修复牙列缺损与缺失的优选方案;然而,临床上许多拟进行种植牙治疗患者的牙槽骨宽度变窄,给种植牙治疗带来诸多困难。牙槽骨宽度变窄主要由下述三个原因造成:一是牙齿缺失前便存在牙周疾病、牙周疾病导致牙槽骨吸收变窄;二是患者没能及时进行种植牙治疗、缺牙时间较长,牙齿缺失后牙槽骨持续吸收、其宽度随着时间的推延而变得越来越窄;三是患者缺牙后选择活动义齿修复、义齿基托长期压迫缺牙区牙槽嵴而加重骨吸收,导致牙槽嵴变窄。At present, dental implants have gradually become the preferred solution for repairing dentition defects and loss; however, in clinical practice, the alveolar bone width of many patients who intend to undergo dental implant treatment has narrowed, which brings many difficulties to dental implant treatment. The narrowing of alveolar bone width is mainly caused by the following three reasons: first, periodontal disease exists before tooth loss, and periodontal disease leads to narrowing of alveolar bone resorption; After a long time, the alveolar bone continues to resorb after tooth loss, and its width becomes narrower and narrower with time; third, the patient chooses a removable denture for repair after tooth loss, and the denture base presses the alveolar ridge in the edentulous area for a long time And aggravate bone resorption, resulting in narrowing of the alveolar ridge.

牙种植体行使其功能的前提是其植入到颌骨内并与骨组织发生骨结合;为保证种植体能顺利实现骨结合与长期稳定性,种植体植入后在其颊舌侧至少需要有厚度为1.0 mm的骨组织;因此,窄牙槽嵴患者的种植牙治疗属于复杂治疗、面临较大挑战;当牙槽嵴宽度不大于6.0mm时、常出现常规直径种植体(即直径为3.5~4.5mm的种植体)无法植入的问题。The prerequisite for dental implants to perform their functions is that they are implanted into the jawbone and osseointegrated with bone tissue. The bone tissue with a thickness of 1.0 mm; therefore, the implant treatment of patients with narrow alveolar ridges is a complex treatment and faces great challenges; when the width of the alveolar ridge is not greater than 6.0 mm, implants with conventional diameters (that is, with a diameter of 3.5 ~4.5mm implants) cannot be implanted.

目前,解决窄牙槽嵴种植的方法主要包括:植骨种植技术和选用小直径种植体。植骨种植技术,即在常规直径种植体植入后在其骨缺损的部位植入骨替代材料,其极大的扩展了种植的适应证;然而,植骨种植技术往往需要取自体骨、存在两个术区(即取骨区和植骨区),导致手术创伤大,对于老年患者、患有严重基础疾病的患者而言伤害大、无法进行种植。小直径种植体(即直径为3.0~3.5mm的种植体)的强度远低于常规径种植体,易发生力学并发症(如折断、松动等),因此小直径种植体仅适用于上颌侧切牙和下颌切牙位置的种植、适用范围窄。At present, the methods to solve narrow alveolar ridge implants mainly include: bone graft implant technology and selection of small diameter implants. Bone graft implantation technology, that is, to implant bone substitute materials in the bone defect after implantation of conventional diameter implants, which greatly expands the indications of implantation; however, bone graft implantation technology often requires autogenous bone, existing Two operation areas (namely, bone extraction area and bone grafting area) lead to large surgical trauma, and for elderly patients and patients with serious underlying diseases, the damage is large and implantation cannot be performed. Small-diameter implants (i.e. implants with a diameter of 3.0-3.5mm) are much weaker than regular-diameter implants, and are prone to mechanical complications (such as fracture, loosening, etc.), so small-diameter implants are only suitable for maxillary lateral incisors And the implantation of mandibular incisor position, the scope of application is narrow.

综上所述,目前针对窄牙槽嵴种植的两种主要方法均存在不可避免的缺陷:即植骨种植技术手术创伤大、无法完全适用于老年患者与患有严重基础疾病的患者,小直径种植体力学强度低、适用范围窄、无法普遍适用窄牙槽嵴病例。To sum up, the two main methods for narrow alveolar ridge implantation have inevitable defects: the bone graft implantation technique has a large surgical trauma, cannot be fully applied to elderly patients and patients with serious underlying diseases, and the small diameter The mechanical strength of the implant is low, the scope of application is narrow, and it cannot be generally applied to cases with narrow alveolar ridges.

发明内容Contents of the invention

针对以上现有技术存在的问题,本发明的目的在于提供一种适用于窄牙槽嵴的新型口腔种植体,该口腔种植体无需进行植骨、进而不会增加多余的手术术区、手术创伤相较于植骨种植技术小;同时,该口腔种植体能够有效确保植体的力学强度,有效避免力学并发症(如折断、松动等)的发生。In view of the above problems in the prior art, the object of the present invention is to provide a novel oral implant suitable for narrow alveolar ridges, which does not require bone grafting, and does not increase redundant surgical areas and surgical trauma. Compared with bone graft implant technology, it is smaller; at the same time, the oral implant can effectively ensure the mechanical strength of the implant and effectively avoid the occurrence of mechanical complications (such as fracture, loosening, etc.).

本发明的另一个目的在于提供一种上述新型口腔种植体的植入装置,从而确保新型口腔种植体的有效植入。Another object of the present invention is to provide an implanting device for the above-mentioned novel oral implant, so as to ensure effective implantation of the novel oral implant.

本发明的目的通过以下技术方案实现:The object of the present invention is achieved through the following technical solutions:

一种适用于窄牙槽嵴的新型口腔种植体,其特征在于:包括种植体本体、连接区与螺纹段,种植体本体横截面呈类矩形且其四角为倒圆角结构;种植体本体纵向截面为由上至下逐渐减小的类等腰梯形结构且其底部两个角设置为倒圆角结构;种植体本体上端面中部向下凹陷形成连接区与螺纹段且连接区位于螺纹段上侧。A new type of oral implant suitable for narrow alveolar ridges, characterized in that: it includes an implant body, a connection area and a threaded section, the cross section of the implant body is rectangular and its four corners are rounded; the longitudinal direction of the implant body is The cross-section is an isosceles trapezoidal structure that gradually decreases from top to bottom, and the bottom two corners are rounded; the middle part of the upper end surface of the implant body is recessed downwards to form a connection area and a threaded section, and the connection area is located on the threaded section side.

作进一步优化,所述种植体本体的总长度为10~13mm,其最大颊舌径(即种植体本体顶端类矩形横截面的宽度)为3~4mm,其最大近远中向径(即种植体本体顶端类矩形横截面的长度)为4~5.5mm。For further optimization, the total length of the implant body is 10-13 mm, its maximum buccal-lingual diameter (i.e. the width of the rectangular cross-section at the top of the implant body) is 3-4 mm, and its maximum mesial-distal diameter (i.e. implant The length of the rectangular cross-section at the top of the body body) is 4-5.5mm.

作进一步优化,所述种植体本体纵向截面两条腰部的聚合角度为3~6°。For further optimization, the convergent angle of the two waists in the longitudinal section of the implant body is 3-6°.

为保证种植体本体植入过程中的金属切割性以及植入后的初期稳定性,作进一步优化,所述种植体本体外壁设置多根棱嵴结构,棱嵴结构绕种植体本体中心轴线均匀分布在种植体本体外表面且同一棱嵴结构的厚度一致。In order to ensure the metal cutability of the implant body during implantation and the initial stability after implantation, further optimization is carried out. The outer wall of the implant body is provided with multiple ridge structures, and the ridge structures are evenly distributed around the central axis of the implant body. On the outer surface of the implant body and the same thickness of the ridge structure.

优选的,所述棱嵴结构横截面呈类等腰三角形,其顶角朝外且为倒圆角结构,其底边边长为0.3~0.4mm、腰长为0.2~0.3mm。Preferably, the cross section of the ridge structure is similar to an isosceles triangle, its apex faces outward and is a rounded structure, its base length is 0.3-0.4 mm, and its waist length is 0.2-0.3 mm.

一种用于上述新型口腔种植体的植入装置,其特征在于:包括种植导板与骨钻;种植导板包括两侧固位基托与中部金属导环,两个固位基托分别与金属导环固定连接且固位基托中部开设与待种植区域的左、右邻牙牙冠结构相对应的定位孔;金属导环为类矩形结构且其内壁设置为倾斜结构,金属导环上端(类矩形结构)的长度、宽度分别大于下端(类矩形结构)的长度、宽度;骨钻由带有刻度的刃部和柄部组成,且刃部为圆柱状结构。An implanting device for the above-mentioned novel oral implant, characterized in that: it includes a planting guide plate and a bone drill; the planting guide plate includes two sides of the retention base and a metal guide ring in the middle, and the two retention bases are connected with the metal guide ring respectively. The ring is fixedly connected and the middle part of the retention base is provided with positioning holes corresponding to the crown structures of the left and right adjacent teeth in the area to be implanted; the metal guide ring is a rectangular structure and its inner wall is set to an inclined structure, and the upper end of the metal guide ring (rectangular The length and width of the structure) are respectively greater than the length and width of the lower end (like rectangular structure); the bone drill is composed of a graduated blade and a handle, and the blade is a cylindrical structure.

作进一步优化,所述金属导环内壁形状与种植体本体外壁形状对应且金属导环内壁最下端的颊舌向径、近远中向径尺寸(即金属导环最小的颊舌向径、近远中向径)与种植体本体顶端的颊舌向径、近远中向径(即种植体本体最大的颊舌向径、近远中向径)尺寸一致,颊舌向径为3~4mm、近远中向径为4~5.5mm。For further optimization, the shape of the inner wall of the metal guide ring corresponds to the shape of the outer wall of the implant body, and the innermost end of the inner wall of the metal guide ring has a buccal-lingual diameter and a mesial-distal diameter (that is, the smallest buccal-lingual diameter, mesio-distal diameter of the metal guide ring). Distal diameter) is the same size as the buccolingual and mesial-distal diameter of the top of the implant body (that is, the largest buccal and mesio-distal diameter of the implant body), and the buccal and lingual diameter is 3 to 4mm , The mesial-distal diameter is 4-5.5mm.

优选的,所述金属导环内壁的聚合角度为3~6°、厚度为4~6mm。Preferably, the convergence angle of the inner wall of the metal guide ring is 3-6°, and the thickness is 4-6 mm.

作进一步优化,所述骨钻长度为20~30mm,刃部采用直径为1.0mm、1.5mm、2.0mm、2.5mm、3.0mm、3.5mm、4.0mm中的任一种。For further optimization, the length of the bone drill is 20-30 mm, and the diameter of the blade is any one of 1.0 mm, 1.5 mm, 2.0 mm, 2.5 mm, 3.0 mm, 3.5 mm, and 4.0 mm.

作进一步优化,所述种植体本体(包括棱嵴结构)、金属导环均采用生物相容性金属、金属合金或陶瓷材料制成;固位基托采用树脂材料制成;骨钻柄部采用不锈钢材料制成,刃部采用金刚砂材料制成。For further optimization, the implant body (including the ridge structure) and the metal guide ring are all made of biocompatible metal, metal alloy or ceramic material; the retention base is made of resin material; the bone drill handle is made of Made of stainless steel, the blade is made of emery.

本发明具有如下技术效果:The present invention has following technical effect:

本申请提供的种植体结构采用颊舌向径为3~4mm,适用于牙槽嵴宽度不大于6.0mm(即5.0~6.0mm)的窄牙槽嵴,能够在不植骨的情况下直接进行种植体的植入手术,确保植入种植体后、其颊舌侧均有1mm厚的骨组织,保证种植体结构植入稳固性的同时、减小手术创伤,进而缩短治疗与康复流程、节省费用;同时,本申请种植体结构的近远中向径为4~5.5mm、形成横截面呈类矩形结构,在确保种植体结构适用于窄牙槽嵴的前提下,有效增大种植体结构横截面面积(即尺寸),进而提高种植体结构的机械强度、避免发生力学并发症(如折断、松动等);此外,通过类矩形结构的设计,能够提供种植体结构的抗旋能力,避免旋拧螺丝过程中种植体本体出现松动,进而影响种植体结构的整体性能、降低其使用寿命。本申请种植体结构通过棱嵴结构的设置,一是种植过程中通过棱嵴结构提供金属切割作用,从而便于种植体结构更方便、顺利嵌入种植牙窝中;二是在植入种植体后,通过棱嵴结构增加种植体本体与种植牙窝内壁的摩擦力,进而在旋拧螺丝过程中(即安装基台过程中)、配合类矩形结构进一步提供抗旋能力,进而确保种植体本体的初期稳固性。The implant structure provided by this application adopts a buccal-lingual diameter of 3-4 mm, which is suitable for narrow alveolar ridges with a width of no more than 6.0 mm (5.0-6.0 mm), and can be directly implanted without bone grafting. The implant implantation operation ensures that after the implant is implanted, there is 1mm thick bone tissue on the buccal and lingual side, which ensures the stability of the implant structure while reducing surgical trauma, thereby shortening the treatment and rehabilitation process and saving cost; at the same time, the mesial-distal diameter of the implant structure of this application is 4-5.5 mm, forming a rectangular cross-section structure, effectively increasing the implant structure under the premise of ensuring that the implant structure is suitable for narrow alveolar ridges The cross-sectional area (that is, the size) can improve the mechanical strength of the implant structure and avoid mechanical complications (such as breaking, loosening, etc.); in addition, the design of the rectangular structure can provide the anti-rotation ability of the implant structure, avoid The implant body becomes loose during screwing, which affects the overall performance of the implant structure and reduces its service life. The implant structure of this application is set by the ridge structure. First, the metal cutting effect is provided by the ridge structure during the implantation process, so that the implant structure is more convenient and smoothly embedded in the implant socket; second, after the implant is implanted, The ridge structure increases the friction between the implant body and the inner wall of the implant socket, and then in the process of screwing the screw (that is, the process of installing the abutment), it cooperates with the rectangular structure to further provide anti-rotation ability, thereby ensuring the initial implant body. stability.

附图说明Description of drawings

图1为现有技术小直径种植体植入窄牙槽嵴的示意图。Fig. 1 is a schematic diagram of a prior art small-diameter implant implanted into a narrow alveolar ridge.

图2为本申请种植体植入窄牙槽嵴的示意图。Fig. 2 is a schematic diagram of the implant implanted in the narrow alveolar ridge of the present application.

图3为本申请实施例中口腔种植体(含基台、固位螺丝与种植牙冠)的结构示意图。Fig. 3 is a schematic structural diagram of an oral implant (including abutment, retaining screw and implant crown) in an embodiment of the present application.

图4为图3的A-A向剖视图。Fig. 4 is a sectional view taken along line A-A of Fig. 3 .

图5为本申请实施例中口腔种植体(不含基台、固位螺丝与种植牙冠,即种植体结构)的结构示意图。Fig. 5 is a schematic structural diagram of the oral implant (excluding the abutment, retaining screw and implant crown, ie, the implant structure) in the embodiment of the present application.

图6为本申请实施例中植入装置的结构示意图。Fig. 6 is a schematic structural diagram of the implant device in the embodiment of the present application.

图7为图6的B-B向剖视图。Fig. 7 is a sectional view taken along the line B-B of Fig. 6 .

其中,10、种植体本体;11、连接区;12、螺纹段;13、棱嵴结构;20、基台;30、固位螺丝;40、种植牙冠;50、种植导板;51、固位基托;510、定位孔;52、金属导环。Among them, 10. Implant body; 11. Connection area; 12. Thread segment; 13. Ridge structure; 20. Abutment; 30. Retention screw; 40. Implant crown; 50. Implant guide plate; 51. Retention base; 510, positioning hole; 52, metal guide ring.

实施方式Implementation

下面将结合本发明实施例中的附图,对本发明实施例中的技术方案进行清楚、完整地描述,显然,所描述的实施例仅仅是本发明一部分实施例,而不是全部的实施例。基于本发明中的实施例,本领域普通技术人员在没有做出创造性劳动前提下所获得的所有其他实施例,都属于本发明保护的范围。The following will clearly and completely describe the technical solutions in the embodiments of the present invention with reference to the accompanying drawings in the embodiments of the present invention. Obviously, the described embodiments are only some, not all, embodiments of the present invention. Based on the embodiments of the present invention, all other embodiments obtained by persons of ordinary skill in the art without making creative efforts belong to the protection scope of the present invention.

实施例Example

如图2~5所示:一种适用于窄牙槽嵴的新型口腔种植体,其特征在于:包括种植体本体10、连接区11与螺纹段12,种植体本体10横截面呈类矩形且其四角为倒圆角结构(如图4所示);种植体本体10的总长度L为10~13mm、优选11.5mm,其最大颊舌向径(即种植体本体10顶端类矩形横截面的宽度)N为3~4mm、优选3.5mm,其最大近远中向径(即种植体本体10顶端类矩形横截面的长度)M为4~5.5mm、优选4.7mm。种植体本体10纵向截面为由上至下逐渐减小的类等腰梯形结构且其底部两个角设置为倒圆角结构(如图3、图5所示);种植体本体10纵向截面两条腰部的聚合角度T为3~6°、优选4.5°。As shown in Figures 2 to 5: a new type of oral implant suitable for narrow alveolar ridges is characterized in that it includes animplant body 10, aconnection area 11 and a threadedsection 12, and the cross section of theimplant body 10 is rectangular and Its four corners are rounded corners (as shown in Figure 4); the total length L of theimplant body 10 is 10-13 mm, preferably 11.5 mm, and its maximum buccal-lingual diameter (that is, the top of theimplant body 10 is similar to the rectangular cross-section of the implant body 10). Width) N is 3-4 mm, preferably 3.5 mm, and its maximum mesial-distal diameter (that is, the length of the rectangular cross-section at the top of the implant body 10) M is 4-5.5 mm, preferably 4.7 mm. The longitudinal section of theimplant body 10 is an isosceles trapezoidal structure that gradually decreases from top to bottom, and the two bottom corners are rounded (as shown in Figure 3 and Figure 5); the longitudinal section of theimplant body 10 has two The convergence angle T of the waist portion is 3-6°, preferably 4.5°.

为保证种植体本体10植入过程中的金属切割性以及植入后的初期稳定性,种植体本体10外壁设置多根棱嵴结构13(棱嵴结构13的数量根据实际种植体本体10外壁的面积以及所需的力学强度进行设置,本领域技术人员能够理解),棱嵴结构13绕种植体本体10中心轴线均匀分布在种植体本体10外表面且同一棱嵴结构13的厚度一致(即如图3、图5所示:棱嵴结构13由上向下倾斜);棱嵴结构13横截面呈类等腰三角形,其顶角朝外且为倒圆角结构,其底边边长l为0.3~0.4mm(优选0.3mm)、腰长n为0.2~0.3mm(优选0.2mm)。In order to ensure the metal cutability of theimplant body 10 during implantation and the initial stability after implantation, the outer wall of theimplant body 10 is provided with multiple ridge structures 13 (the number ofridge structures 13 depends on the actual size of the outer wall of the implant body 10). Area and the required mechanical strength are set, those skilled in the art can understand), theridge structure 13 is evenly distributed on the outer surface of theimplant body 10 around the central axis of theimplant body 10, and the thickness of thesame ridge structure 13 is consistent (that is, as As shown in Fig. 3 and Fig. 5: theridge structure 13 is inclined from top to bottom); the cross section of theridge structure 13 is an isosceles triangle, its top angle is outward and is a rounded structure, and its base length l is 0.3-0.4mm (preferably 0.3mm), waist length n is 0.2-0.3mm (preferably 0.2mm).

种植体本体10上端面中部向下凹陷形成连接区11与螺纹段12且连接区11位于螺纹段12上侧。如图5所示:连接区11包括第一锥体结构及第一抗旋结构,且第一锥体结构位于第一抗旋结构上端,第一锥体结构高度为2~3mm、优选2.5mm,锥度角为6~10°、优选8°;第一抗旋结构为六面体结构,且第一抗旋结构的高度为1mm。The middle part of the upper end surface of theimplant body 10 is recessed downwards to form theconnection area 11 and the threadedsection 12 , and theconnection area 11 is located on the upper side of the threadedsection 12 . As shown in Figure 5: theconnection area 11 includes a first cone structure and a first anti-rotation structure, and the first cone structure is located at the upper end of the first anti-rotation structure, and the height of the first cone structure is 2-3mm, preferably 2.5mm , the taper angle is 6-10°, preferably 8°; the first anti-rotation structure is a hexahedral structure, and the height of the first anti-rotation structure is 1mm.

种植体本体10(包括棱嵴结构13)采用生物相容性金属、金属合金或陶瓷材料制成;例如:纯钛、纯钽、钛铝钒合金、钽钛合金、氧化锆等中的任一种。The implant body 10 (including the ridge structure 13) is made of biocompatible metal, metal alloy or ceramic material; for example: any of pure titanium, pure tantalum, titanium aluminum vanadium alloy, tantalum titanium alloy, zirconia, etc. kind.

实施例Example

作为对本申请方案的进一步优化,在实施例1方案的基础上,如图3所示:口腔种植体还包括基台20、固位螺丝30与种植牙冠40。如图3所示:基台20由下至上依次为连接部分、穿龈部与固位部分,连接部分包括第二锥体结构与第二抗旋结构,且第二锥体结构、第二抗旋结构分别与第一锥体结构、第一抗旋结构匹配,穿龈部分为从种植体本体10上端起始延展至牙龈水平部分,穿龈部分表面为光滑连续的凹面形态且其直径从种植体本体上端至牙龈水平部分逐步增大,固位部分为上小下大的圆台状、其表面设置抗旋斜面,固位部分下端与穿龈部分上端承接且承接处设置修复肩台(即穿龈部分上端最大直径处与固位部分下端形成修复肩台),基台20内部设置螺丝通孔、用于安装固位螺丝30。第二锥体结构高度为2~3mm、优选2.5mm,锥度角为6~10°、优选8°;第二抗旋结构为六面体结构,其高度为1mm,厚度为0.4~0.5mm、优选0.5mm;穿龈部分高度为1~3mm、优选2mm;修复肩台的宽度为0.3~0.5mm、优选0.4mm;固位部分高度为4~6mm、优选5mm,聚合角为6~10°、优选8°;基台20的最大直径为4.5~6.5mm、优选5.5mm。As a further optimization of the solution of the present application, on the basis of the solution of Example 1, as shown in FIG. 3 : the oral implant also includes anabutment 20 , a retainingscrew 30 and adental implant crown 40 . As shown in Figure 3: theabutment 20 is the connection part, the gingival part and the retention part from bottom to top, the connection part includes the second cone structure and the second anti-rotation structure, and the second cone structure, the second anti-rotation The rotation structure is matched with the first cone structure and the first anti-rotation structure respectively. The gingival part extends from the upper end of theimplant body 10 to the level of the gingiva. The surface of the gingival part is a smooth and continuous concave shape with a diameter from the implant The part from the upper end of the body to the level of the gingiva gradually increases. The retaining part is in the shape of a circular platform with a small top and a large bottom, and an anti-rotation slope is set on the surface. The maximum diameter of the upper end of the gingiva part and the lower end of the retention part form a repair shoulder), and a screw through hole is provided inside theabutment 20 for installing theretention screw 30 . The height of the second cone structure is 2-3mm, preferably 2.5mm, and the taper angle is 6-10°, preferably 8°; the second anti-rotation structure is a hexahedron structure, its height is 1mm, and its thickness is 0.4-0.5mm, preferably 0.5mm. mm; the height of the transgingival part is 1-3mm, preferably 2mm; the width of the repair shoulder is 0.3-0.5mm, preferably 0.4mm; the height of the retention part is 4-6mm, preferably 5mm, and the convergence angle is 6-10°, preferably 8°; the maximum diameter of theabutment 20 is 4.5-6.5 mm, preferably 5.5 mm.

固位螺丝30包括头部、螺杆部及螺纹部,且螺杆部的直径小于头部、螺纹部的直径,螺纹部与螺纹段12旋合匹配且直径相同,螺杆部表面光滑。头部为圆柱结构、上表面凹陷形成内六角凹槽,用于扭矩扳手与固位螺丝结合、进而旋钮螺丝;头部直径为2.5~3.0mm、优选2.7mm,高度为1.5~2.0mm、优选1.7mm;头部与所述螺杆部过渡部分为光滑的倒锥体斜面、锥度角为45~60°、优选55°;螺纹段高度为2.5~3.5mm、优选3.0mm,直径为1.5~1.6mm、优选1.5mm;螺杆部直径为1.4~1.5mm(优选1.4mm)、稍小于螺纹部的直径1.5~1.6mm(优选1.5mm),螺杆部的长度为4~7mm、优选5.5mm,螺纹部的高度为2.5~3.5mm、优选3.0mm。螺纹部螺距为0.35mm或0.4mmm(与此对应的螺纹段的螺距为0.35mm或0.4mmm),螺纹牙型均为等边三角形,牙型角为60°,牙高为螺距的0.866倍,螺纹部的螺纹数为5~6个。The retainingscrew 30 includes a head, a screw part and a threaded part, and the diameter of the screw part is smaller than the diameters of the head and the threaded part, the threaded part and the threadedsegment 12 are screwed to match and have the same diameter, and the surface of the screw part is smooth. The head is a cylindrical structure, and the upper surface is concave to form an inner hexagonal groove, which is used for the combination of the torque wrench and the retaining screw, and then the knob screw; the diameter of the head is 2.5-3.0mm, preferably 2.7mm, and the height is 1.5-2.0mm, preferably 1.7mm; the transition part between the head and the screw part is a smooth inverted cone slope, the taper angle is 45-60°, preferably 55°; the height of the thread section is 2.5-3.5mm, preferably 3.0mm, and the diameter is 1.5-1.6 mm, preferably 1.5mm; the diameter of the screw part is 1.4-1.5mm (preferably 1.4mm), slightly smaller than the diameter of the thread part 1.5-1.6mm (preferably 1.5mm), the length of the screw part is 4-7mm, preferably 5.5mm, the thread The height of the portion is 2.5 to 3.5 mm, preferably 3.0 mm. The pitch of the thread part is 0.35mm or 0.4mmm (the pitch of the corresponding thread segment is 0.35mm or 0.4mmm), the thread profile is an equilateral triangle, the profile angle is 60°, and the tooth height is 0.866 times the pitch. The number of threads of the threaded part is 5-6.

种植牙冠40为根据临床咬合情况而个性化制作的牙冠,其组织面形状与基台的固位部分完全相同,通过粘接剂将种植牙冠40粘结至固位部分,种植牙冠40的边缘线止于基台20的肩台,临床佩戴后,牙冠的边缘线一般位于牙龈缘下方0.5~1.0mm;牙冠舌面留有孔道,其与固位螺丝30通道相通,树脂材料封闭此孔道,需要时可去除树脂露出固位螺丝30通道,螺丝刀伸入其中可旋松固位螺丝30,实现对种植修复体的维护。Thedental implant crown 40 is a dental crown customized according to clinical occlusal conditions. Its tissue surface shape is exactly the same as the retention part of the abutment. The edge line of 40 ends at the shoulder of theabutment 20. After clinical wearing, the edge line of the crown is generally located 0.5-1.0 mm below the gingival margin; there is a hole on the lingual surface of the crown, which communicates with the channel of the retainingscrew 30, and the resin The material seals the channel, and when necessary, the resin can be removed to expose the channel of the retainingscrew 30, and the screwdriver can be inserted into the channel to loosen the retainingscrew 30, so as to realize the maintenance of the implant restoration.

实施例Example

如图6、图7所示:一种用于上述新型口腔种植体的植入装置,其特征在于:包括种植导板50与骨钻;种植导板50包括两侧固位基托51与中部金属导环52,两个固位基托51分别与金属导环52固定连接且固位基托51中部开设与待种植区域的左、右邻牙牙冠结构相对应的定位孔510(如图6所示:两个开设有定位孔510的固位基托51相互固定连接且它们连接处的中部固定嵌入一金属导环52,进而实现金属导环52分别与两个固位基托51固定连接,也可以直接进行固位基托51与金属导环52连接,本领域技术人员能够理解)。金属导环52为类矩形结构且其内壁设置为倾斜结构,金属导环52内壁上端(类矩形结构)的长度、宽度分别大于下端(类矩形结构)的长度、宽度,金属导环52内壁形状与种植体本体10外壁形状对应且金属导环52内壁最下端的颊舌向径n、近远中向径尺寸m(即金属导环最小的颊舌向径n、近远中向径m)与种植体本体顶端的颊舌向径N、近远中向径M(即种植体本体最大的颊舌向径N、近远中向径M)尺寸一致(即m=M、n=N),颊舌向径为3~4mm(优选3.5mm)、近远中向径为4~5.5mm(优选4.7mm);金属导环内壁的聚合角度t为3~6°(优选4.5°)、厚度的d为4~6mm(优选5mm)。骨钻由带有刻度的刃部和柄部组成,且刃部为圆柱状结构;骨钻长度为20~30mm,刃部采用直径为1.0mm、1.5mm、2.0mm、2.5mm、3.0mm、3.5mm、4.0mm中的任一种。As shown in Fig. 6 and Fig. 7: an implanting device for the above-mentioned novel oral implant is characterized in that: it includes animplant guide plate 50 and a bone drill;Ring 52, tworetention bases 51 are respectively fixedly connected with themetal guide ring 52 and the central part of theretention base 51 is provided with apositioning hole 510 corresponding to the crown structure of the left and right adjacent teeth in the area to be implanted (as shown in Figure 6 : Tworetention bases 51 provided withpositioning holes 510 are fixedly connected to each other and ametal guide ring 52 is fixedly embedded in the middle of their connection, so that themetal guide ring 52 is fixedly connected to the tworetention bases 51 respectively, and also The connection between theretention base 51 and themetal guide ring 52 can be directly performed, which can be understood by those skilled in the art). Themetal guide ring 52 is a similar rectangular structure and its inner wall is arranged as an inclined structure. The length and width of the upper end of the inner wall of the metal guide ring 52 (like rectangular structure) and the width are respectively greater than the length and width of the lower end (like rectangular structure), and the shape of the inner wall of themetal guide ring 52 Corresponding to the shape of the outer wall of theimplant body 10, the buccal-lingual diameter n and the mesial-distal diameter m of the innermost end of the metal guide ring 52 (that is, the smallest buccal-lingual diameter n and mesial-distal diameter m of the metal guide ring) Consistent with the buccal-lingual diameter N and mesial-distal diameter M of the top of the implant body (that is, the largest buccal-lingual diameter N and mesial-distal diameter M of the implant body) (ie m=M, n=N) The buccal-lingual diameter is 3-4mm (preferably 3.5mm), the mesial-distal diameter is 4-5.5mm (preferably 4.7mm); the convergence angle t of the inner wall of the metal guide ring is 3-6° (preferably 4.5°), Thickness d is 4-6 mm (preferably 5 mm). The bone drill is composed of a graduated blade and a handle, and the blade is a cylindrical structure; the length of the bone drill is 20-30mm, and the diameter of the blade is 1.0mm, 1.5mm, 2.0mm, 2.5mm, 3.0mm, Either of 3.5mm, 4.0mm.

金属导环采用生物相容性金属、金属合金或陶瓷材料制成,例如:纯钛、纯钽、钛铝钒合金、钽钛合金、氧化锆等中的任一种;固位基托采用树脂材料制成;骨钻柄部采用不锈钢材料制成,刃部采用金刚砂材料制成。The metal guide ring is made of biocompatible metal, metal alloy or ceramic material, such as any of pure titanium, pure tantalum, titanium aluminum vanadium alloy, tantalum titanium alloy, zirconia, etc.; the retention base is made of resin material; the bone drill handle is made of stainless steel, and the blade is made of emery.

实施例Example

一种用于上述新型口腔种植体(即实施例2)的植入方法,其特征在于:An implantation method for the above-mentioned novel oral implant (i.e. embodiment 2), characterized in that:

首先,将术前口腔锥形束CT结果导入种植体设计软件,根据缺牙区颌骨的形态、骨量,确定种植体植入位置、选择合适的种植体本体10尺寸,同时设计加工出对应尺寸的种植导板50(可采用3D打印技术加工种植导板50);Firstly, import the preoperative cone-beam CT results into the implant design software, determine the position of the implant according to the shape and bone mass of the jawbone in the edentulous area, select the appropriate size of theimplant body 10, and design and process the corresponding The size of the planting guide plate 50 (the plantingguide plate 50 can be processed by 3D printing technology);

之后,按照植入的具体位置设计切口线,切开缺牙区龈组织,翻开黏骨膜瓣,暴露术区颌骨;Afterwards, the incision line was designed according to the specific location of implantation, the gingival tissue in the edentulous area was cut open, the mucoperiosteal flap was opened, and the jawbone in the operation area was exposed;

然后,将种植导板50放置在患者口腔内部,确保固位基托51的定位孔5410完全卡在左、右邻牙牙冠结构外侧,实现稳固定位;Then, theimplant guide plate 50 is placed inside the patient's oral cavity to ensure that the positioning hole 5410 of theretention base 51 is completely stuck on the outside of the crown structure of the left and right adjacent teeth to achieve stable positioning;

再之后,采用骨钻穿过种植导板50的金属导环52内壁、并对待种植区域进行钻孔;钻孔过程中骨钻被金属导环内壁限位,金属导环52截面为类矩形、其尺寸大于骨钻的刃部,即骨钻的刃部在金属导环52的限制范围内进行骨组织的切割,最终形成截面为类矩形的种植窝洞。需要说明的是:传统进行种植窝洞预备时,一般先采用直径小的骨钻(例如2.0mm),再选用直径逐级增大骨钻(2.5、3.0、3.5、4.0mm);而本实施例中,首先采用直径3.0mm骨钻在导环的限制下进行骨切割,再选用2.0、1.0mm的骨钻沿着导环的内壁进行种植窝边缘的细修,确保种植窝的形态与种植体本体10结构一致;After that, a bone drill is used to pass through the inner wall of themetal guide ring 52 of theplanting guide plate 50, and the area to be planted is drilled; during the drilling process, the bone drill is limited by the inner wall of the metal guide ring, and the cross section of themetal guide ring 52 is a rectangular shape. The size is larger than the cutting edge of the bone drill, that is, the cutting edge of the bone drill cuts the bone tissue within the limit of themetal guide ring 52, and finally forms an implant cavity with a rectangular cross-section. What needs to be explained is that in traditional implant cavity preparation, bone drills with small diameters (such as 2.0 mm) are generally used first, and then bone drills with gradually increasing diameters (2.5, 3.0, 3.5, 4.0 mm) are used; In the example, the bone drill with a diameter of 3.0mm is first used to cut the bone under the restriction of the guide ring, and then the bone drill with a diameter of 2.0 and 1.0mm is used to fine-tune the edge of the implant socket along the inner wall of the guide ring to ensure that the shape of the implant socket is consistent with the implant.Body body 10 has the same structure;

最后,在种植窝预备到达预定的深度和大小后,采用按压或者敲击的方式植入种植体本体10。Finally, after the implant socket is prepared to reach a predetermined depth and size, theimplant body 10 is implanted by pressing or tapping.

在植入于牙槽骨内的种植体本体10与骨组织实现骨结合后,进行基台20的连接,将固位螺丝30穿过基台20并就位,采用扭矩扳手给固位螺丝30施加30~35Ncm扭矩、将其拧紧,制作适合患者口内咬合情况的种植牙冠40,并将种植牙冠40粘结至基台20上。临床佩戴后,种植牙冠40的边缘线一般位于牙龈缘下方0.5~1.0mm,种植牙冠40合面留有孔道,其与固位螺丝30通道相通,树脂材料封闭此孔道,需要时可去除树脂露出固位螺丝30通道,螺丝刀伸入其中可旋松固位螺丝30,对种植修复体进行维护。After theimplant body 10 implanted in the alveolar bone is osseointegrated with the bone tissue, theabutment 20 is connected, the retainingscrew 30 is passed through theabutment 20 and put in place, and the retainingscrew 30 is tightened with a torque wrench. A torque of 30-35 Ncm is applied and tightened to make animplant crown 40 suitable for the occlusion in the patient's mouth, and bond theimplant crown 40 to theabutment 20 . After being clinically worn, the edge line of theimplant crown 40 is generally located 0.5-1.0mm below the gingival margin. There is a hole on the occlusal surface of theimplant crown 40, which communicates with the channel of the retainingscrew 30. The resin material seals the hole and can be removed when necessary. The channel of the retainingscrew 30 is exposed from the resin, and a screwdriver can be inserted therein to loosen the retainingscrew 30 to maintain the implant restoration.

对于本领域的技术人员来说,在不脱离本发明结构的前提下,还可以作出若干变形和改进。例如:针对窄牙槽嵴的全口或半口无牙颌患者,对本发明中基台上部的形态和结构进行调整,使其成为locator、杆卡式、球帽式种植覆盖义齿;再例如:对种植体本体10外表面棱嵴结构13的横截面形态调整为类矩形或类梯形,以期达到本发明之效果,上述这些也应该视为本发明的保护范围,这些都不会影响本发明实施的效果和专利的范围。For those skilled in the art, several modifications and improvements can be made without departing from the structure of the present invention. For example: for patients with full or partially edentulous jaws with narrow alveolar ridges, the shape and structure of the upper part of the abutment in the present invention are adjusted to make it a locator, bar type, and ball cap type implant overdenture; another example: The cross-sectional shape of theridge structure 13 on the outer surface of theimplant body 10 is adjusted to be similar to a rectangle or a trapezoid, in order to achieve the effect of the present invention. The above should also be regarded as the protection scope of the present invention, and these will not affect the implementation of the present invention. effect and scope of the patent.

在本发明中,除非另有明确的规定和限定,术语“安装”、“设置”、“连接”、“固定”、“旋接”等术语应做广义理解,例如,可以是固定连接,也可以是可拆卸连接,或成一体;可以是机械连接,也可以是半机械连接;可以是直接相连,也可以通过中间媒介间接相连,可以是两个元件内部的连通或两个元件的相互作用关系,除非另有明确的限定,对于本领域的普通技术人员而言,可以根据具体情况理解上述术语在本发明中的具体含义。In the present invention, terms such as "installation", "installation", "connection", "fixation" and "rotation connection" should be interpreted in a broad sense unless otherwise clearly specified and limited, for example, it may be a fixed connection, or It can be a detachable connection or integrated; it can be a mechanical connection or a semi-mechanical connection; it can be a direct connection or an indirect connection through an intermediary; it can be the internal communication of two components or the interaction of two components Unless otherwise clearly defined, those skilled in the art can understand the specific meanings of the above terms in the present invention according to specific situations.

尽管已经示出和描述了本发明的实施例,对于本领域的普通技术人员而言,可以理解在不脱离本发明的原理和精神的情况下可以对这些实施例进行多种变化、修改、替换和变型,本发明的范围由所附权利要求及其等同物限定。Although the embodiments of the present invention have been shown and described, those skilled in the art can understand that various changes, modifications and substitutions can be made to these embodiments without departing from the principle and spirit of the present invention. and modifications, the scope of the invention is defined by the appended claims and their equivalents.

Claims (8)

Translated fromChinese
1.一种适用于窄牙槽嵴的新型口腔种植体,其特征在于:包括种植体本体(10)、连接区(11)与螺纹段(12),种植体本体(10)横截面呈类矩形且其四角为倒圆角结构;种植体本体(10)纵向截面为由上至下逐渐减小的类等腰梯形结构且其底部两个角设置为倒圆角结构;种植体本体(10)上端面中部向下凹陷形成连接区(11)与螺纹段(12)且连接区(11)位于螺纹段(12)上侧。1. A new oral implant suitable for narrow alveolar ridges, characterized in that it includes an implant body (10), a connection area (11) and a threaded section (12), and the cross section of the implant body (10) is similar to It is rectangular and its four corners are rounded corners; the longitudinal section of the implant body (10) is an isosceles trapezoidal structure that gradually decreases from top to bottom, and its bottom two corners are rounded corners; the implant body (10 ) The middle part of the upper end surface is recessed downward to form the connecting area (11) and the threaded segment (12), and the connecting area (11) is located on the upper side of the threaded segment (12).2.根据权利要求1所述的一种适用于窄牙槽嵴的新型口腔种植体,其特征在于:所述种植体本体(10)的总长度为10~13mm,其最大颊舌向径为3~4mm,其最大近远中向径为4~5.5mm。2. A new type of oral implant suitable for narrow alveolar ridges according to claim 1, characterized in that: the total length of the implant body (10) is 10-13 mm, and its maximum buccolingual diameter is 3-4mm, and its maximum mesial-distal diameter is 4-5.5mm.3.根据权利要求1或2所述的一种适用于窄牙槽嵴的新型口腔种植体,其特征在于:所述种植体本体(10)纵向截面两条腰部的聚合角度为3~6°。3. A new oral implant suitable for narrow alveolar ridges according to claim 1 or 2, characterized in that: the convergence angle of the two waists in the longitudinal section of the implant body (10) is 3-6° .4.根据权利要求1~3任一项所述的一种适用于窄牙槽嵴的新型口腔种植体,其特征在于:所述种植体本体(10)外壁设置多根棱嵴结构(13),棱嵴结构(13)绕种植体本体(10)中心轴线均匀分布在种植体本体(10)外表面且同一棱嵴结构(13)的厚度一致。4. A new type of oral implant suitable for narrow alveolar ridges according to any one of claims 1-3, characterized in that: the outer wall of the implant body (10) is provided with multiple ridge structures (13) , the ridge structures (13) are evenly distributed on the outer surface of the implant body (10) around the central axis of the implant body (10), and the thickness of the same ridge structure (13) is the same.5.根据权利要求4所述的一种适用于窄牙槽嵴的新型口腔种植体,其特征在于:所述棱嵴结构(13)横截面呈类等腰三角形,其顶角朝外且为倒圆角结构,其底边边长为0.3~0.4mm、腰长为0.2~0.3mm。5. A new type of oral implant suitable for narrow alveolar ridges according to claim 4, characterized in that: the cross-section of the ridge structure (13) is similar to an isosceles triangle, with its apex facing outward and being Rounded corner structure, the length of the bottom side is 0.3-0.4 mm, and the length of the waist is 0.2-0.3 mm.6.一种用于如权利要求1所述的新型口腔种植体的植入装置,其特征在于:包括种植导板(50)与骨钻;种植导板(50)包括两侧固位基托(51)与中部金属导环(52),两个固位基托(51)分别与金属导环(52)固定连接且固位基托(51)中部开设与待种植区域的左、右邻牙牙冠结构相对应的定位孔(510);金属导环(52)为类矩形结构且其内壁设置为倾斜结构,金属导环(52)上端的长度、宽度分别大于下端的长度、宽度;骨钻由带有刻度的刃部和柄部组成,且刃部为圆柱状结构。6. An implanting device for a novel oral implant according to claim 1, characterized in that: it includes an implant guide plate (50) and a bone drill; the implant guide plate (50) includes two sides of the retention base (51 ) and the middle metal guide ring (52), two retention bases (51) are respectively fixedly connected with the metal guide ring (52), and the middle part of the retention base (51) is provided with the crowns of the left and right adjacent teeth in the area to be implanted. The positioning hole (510) corresponding to the structure; the metal guide ring (52) is a quasi-rectangular structure and its inner wall is set as an inclined structure, and the length and width of the upper end of the metal guide ring (52) are respectively greater than the length and width of the lower end; the bone drill is formed by It is composed of a scaled blade and a handle, and the blade is a cylindrical structure.7.根据权利要求6所述的一种用于新型口腔种植体的植入装置,其特征在于:所述金属导环(52)内壁形状与种植体本体(10)外壁形状对应且金属导环(52)内壁最下端的颊舌向径、近远中向径尺寸与种植体本体(10)顶端的颊舌向径、近远中向径尺寸一致,颊舌向径为3~4mm、近远中向径为4~5.5mm。7. An implanting device for a new type of oral implant according to claim 6, characterized in that: the shape of the inner wall of the metal guide ring (52) corresponds to the shape of the outer wall of the implant body (10) and the shape of the metal guide ring is (52) The buccolingual and mesial-distal diameters at the lowest end of the inner wall are consistent with the buccal-lingual and mesial-distal diameters at the top of the implant body (10). The distal diameter is 4-5.5mm.8.根据权利要求6所述的一种用于新型口腔种植体的植入装置,其特征在于:所述骨钻长度为20~30mm,刃部采用直径为1.0mm、1.5mm、2.0mm、2.5mm、3.0mm、3.5mm、4.0mm中的任一种。8. An implanting device for a new type of oral implant according to claim 6, characterized in that: the length of the bone drill is 20-30mm, and the cutting edge adopts a diameter of 1.0mm, 1.5mm, 2.0mm, Any of 2.5mm, 3.0mm, 3.5mm, 4.0mm.
CN202310191128.XA2023-03-022023-03-02Novel oral implant and implantation device suitable for narrow alveolar ridgePendingCN116327393A (en)

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Citations (4)

* Cited by examiner, † Cited by third party
Publication numberPriority datePublication dateAssigneeTitle
CN106510872A (en)*2016-11-072017-03-22华南理工大学Implant system under frame and implantation method thereof
US20180140389A1 (en)*2015-05-072018-05-24The University Of MelbourneDental implant
CN110638541A (en)*2019-11-132020-01-03北京诚之康医院管理有限公司Immediate-pull and immediate-planting implant and dental implantation method
CN113558797A (en)*2021-07-272021-10-29佛山市安齿生物科技有限公司Titanium net type planting guide plate and guide plate assembly

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication numberPriority datePublication dateAssigneeTitle
US20180140389A1 (en)*2015-05-072018-05-24The University Of MelbourneDental implant
CN106510872A (en)*2016-11-072017-03-22华南理工大学Implant system under frame and implantation method thereof
CN110638541A (en)*2019-11-132020-01-03北京诚之康医院管理有限公司Immediate-pull and immediate-planting implant and dental implantation method
CN113558797A (en)*2021-07-272021-10-29佛山市安齿生物科技有限公司Titanium net type planting guide plate and guide plate assembly

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