CN109528337A - It is a kind of to take flap device applied to oral cavity - Google Patents

It is a kind of to take flap device applied to oral cavity Download PDF

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Publication number
CN109528337A
CN109528337A CN201811577374.4A CN201811577374A CN109528337A CN 109528337 A CN109528337 A CN 109528337A CN 201811577374 A CN201811577374 A CN 201811577374A CN 109528337 A CN109528337 A CN 109528337A
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CN
China
Prior art keywords
blade
rotary head
oral cavity
neck
flap device
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Application number
CN201811577374.4A
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Chinese (zh)
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CN109528337B (en
Inventor
冯妍慧芝
王佐林
翁雨藤
吴迪
杨晓娟
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Tongji University
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Tongji University
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C19/00Dental auxiliary appliances
    • A61C19/06Implements for therapeutic treatment
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C3/00Dental tools or instruments

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  • Health & Medical Sciences (AREA)
  • Oral & Maxillofacial 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)
  • Prostheses (AREA)
  • Dental Tools And Instruments Or Auxiliary Dental Instruments (AREA)

Abstract

Flap device is taken applied to oral cavity the invention discloses a kind of, including hand-held part, adjust neck, rotary head and blade, one end of the hand-held part is an integral structure with the one end for adjusting neck, the other end for adjusting neck is connect with rotary head, the rotary head includes internal shaft, rotary head pedestal and blade support, the rotary head pedestal is set to one end of blade support, rotary head pedestal is an integral structure with blade support, internal shaft is fixed at the inside for adjusting neck by the first bolt, and blade is fixed on the open-ended place of blade support.The present invention innovatively creates in a kind of novel mouth and takes flap device, so as to refine, accuracy obtain the uniform free gingiva tissue or upper subcutaneous Connective tissue of thickness, it takes flap device that can obtain free gum valve tissue in the shortest time in this novel mouth, can utmostly reduce postoperative pain discomfort and infection risk.

Description

It is a kind of to take flap device applied to oral cavity
Technical field
The present invention relates to dental instrument technical field, it is related specifically to a kind of take flap device applied to oral cavity.
Background technique
Gingival recession is one of the common disease that current clinical oral is faced.Traumatic agent such as brushes teeth, dental floss, just Abnormal, occlusion, reparation etc., merge bacterium or virus infection is that clinic causes gingival recession Etiological.Gingival recession leads to root face Exposure, attached gingiva needed for cold and hot sensitive, plantation or/and reparation is insufficient, further influences dummy or planting body is healthy.
A kind of operation for solving gingival recession clinically used at present is referred to as membrane surgery.It is broadly divided into: free gum valve Operation, Connective tissue operation, lateral indexable valve art, coronally repositioned flap operation, frenulum Trimming, lengthening surgery.Its middle reaches It requires to obtain corresponding tissue from jaw portion from the operation of gum valve and Connective tissue operation.Due in surgical procedure, taking valve technology Complexity and uncertainty, need exist for higher seniority periodontal specialist complete.First, upper jaw jaw portion takes valve maximum Risk is greater palatine artery, and traveling is in far middle corresponding soft, hard palate intersection the deep of proximal surface of maxillary second molar.Taking valve hand It is preoperative, it is necessary to greater palatine artery be gone out at bone face and positioned;Second, palate side tissue is that clinical most common tissue obtains source. For root face covering transplanting connective tissue thickness view clinical setting and it is different, generally from 1mm to 2mm, thickness is differed.Clinic is multi-purpose No. 15 blades, need patient to have accurate technology, could obtain thickness uniform free gum valve or upper subcutaneous Connective tissue. It is clinical common since taken gum valve contains excess fat and gland tissue, to be difficult to obtain the connective tissue of adequate thickness; Third, clinically obtains gum transplanting tissue or connective tissue graft is generally cut by blade, but due to individual dissection Difference, palatal vault difference in height is larger, and fixed knife handle, which can not adapt to preferably dissect, to be changed.
Summary of the invention
It is an object of the invention to aiming at the shortcomings in the prior art, provide it is a kind of take flap device applied to oral cavity, with Solve problems of the prior art.
Technical problem solved by the invention can be realized using following technical scheme:
It is a kind of to take flap device applied to oral cavity, including hand-held part, fit in the towering Z-type of human body palatal vault adjust neck, Rotary head and blade, one end of the hand-held part are an integral structure with the one end for adjusting neck, and the other end and rotary head for adjusting neck connect It connects, the rotary head includes internal shaft, rotary head pedestal and blade support, and the rotary head pedestal is set to one end of blade support, interior Portion's shaft is fixed at the inside for adjusting neck by the first bolt, and blade is fixed on the open-ended place of blade support.
Further, it is not directly contacted between the adjusting neck and internal shaft, adjusts and be equipped between neck and internal shaft Convenient for the annular spaces of adjusting, and the first bolt is worn by adjusting the side of neck to the inside fixing internal shaft for adjusting neck.
Further, the oral cavity jaw portion of the length specification of the blade of the blade and patient be adapted, the blade be to Curved globoidal structure on the inside of blade support, and the intermediate hollow out of blade, the blade of blade are set to the downside of intermediate hollow part, and The blade of blade is upward.
Further, the width of the blade and jaw portion mucosal epithelium and fiber layer thickness are adapted.
Further, the open-ended two sides of the blade support symmetrically offer the first circular hole, and the centre of blade is engraved The left and right sides in vacancy symmetrically offers the second circular hole, and blade is bolted with blade support by second, and the second bolt according to It is secondary to wear the first circular hole and the second circular hole is fixedly connected.
Further, the hand-held part is column construction, and the side of hand-held part is equipped with the waveform being adapted with hand-type Structure.
Further, the both sides external of the blade support is equipped with the third bolt of control rotary head up and down adjustment.
Compared with prior art, beneficial effects of the present invention are as follows:
The present invention innovatively creates in a kind of novel mouth and takes flap device, so as to refine, accuracy obtain it is thick Spend uniform free gingiva tissue or upper subcutaneous Connective tissue.Free Graft Of Gingiva and the transplanting of upper subcutaneous connective tissue are current Solve the most effective solution of gingival recession.Simultaneously as interpolated flap materials irregularity and lead to the risk of the operative failure For highest level, thus most easy method obtain interpolated flap will be for the key point of future membrane surgery.Skin is taken in this novel mouth Valve device can obtain free gum valve tissue in the shortest time, can utmostly reduce postoperative pain discomfort and infection wind Danger.
Detailed description of the invention
Fig. 1 is a kind of single unit system figure for taking flap device applied to oral cavity of the present invention.
Fig. 2 is the internal structure chart of the present invention for adjusting neck.
Fig. 3 is the structure chart of rotary head of the present invention and blade.
Specific embodiment
To be easy to understand the technical means, the creative features, the aims and the efficiencies achieved by the present invention, below with reference to Specific embodiment, the present invention is further explained.
Referring to Fig. 1 to Fig. 3, it is of the present invention it is a kind of take flap device applied to oral cavity, including hand-held part 1, fit in The towering Z-type of human body palatal vault adjusts neck 2, rotary head 3 and blade 4, and one end of the hand-held part 1 and the one end for adjusting neck 2 are one Body formula structure, the other end for adjusting neck 2 are connect with rotary head 3, and the rotary head 3 includes internal shaft 31, rotary head pedestal 32 and blade Bracket 33, the blade support 33 are U-shaped structure, and rotary head pedestal 32 is set to one end of blade support 33, rotary head pedestal 32 and knife Plate rack 33 is an integral structure, and internal shaft 31 is fixed at the inside for adjusting neck 2 by the first bolt 51, and blade 4 is fixed In the open-ended place of blade support 33.
It is not directly contacted between the adjusting neck 2 and internal shaft 31, adjusts to be equipped between neck 2 and internal shaft 31 and be convenient for The annular spaces of adjusting, and the first bolt 51 is worn by adjusting the side of neck 2 to the inside fixing internal shaft for adjusting neck 2 31。
The length specification of the blade of the blade 4 and the oral cavity jaw portion of patient are adapted, and the blade 4 is to blade support The 33 curved globoidal structures in inside, the front of blade 4 are rectangular ring structure, and side is arc mechanism, are had and in blade 4 Between hollow out, the blade of blade 4 is set to the downside of intermediate hollow part, and the blade of blade 4 is upward.Flap device blade can will be taken to be divided into Three kinds of specifications, respectively 5mm, 10mm and 15mm.
The width and jaw portion mucosal epithelium and fiber layer thickness of the blade 4 are adapted, and the width of the blade 4 can be used Several specifications, respectively 0.5mm, 1mm, 1.5mm and 2mm.
The open-ended two sides of the blade support 33 symmetrically offer the first circular hole 41, the intermediate hollow part of blade The left and right sides symmetrically offers the second circular hole 42, and blade 4 is connect with blade support 33 by the second bolt 52, and the second bolt 52 The first circular hole 41 is successively worn to be fixedly connected with the second circular hole 42.
The hand-held part 1 is column construction, and the side of hand-held part 1 is equipped with the wavy shaped configuration being adapted with hand-type.
The both sides external of the blade support 33 is equipped with the third bolt 53 of control 3 up and down adjustment of rotary head.
Palatal vault is made of maxilla, palatine bone, descending lamina of sphenoid bone, inside there is the important anatomy structures such as palate macropore, nose palate hole.Wherein Palate macropore is 1/3 boundary left and right lattice, one bone hole in outer from Palatal suture to second molar lateral margin 0.5 centimetre before hard palate rear, Anterior palatine nerve blood vessel is distributed in forward glutinous periosteum and palate side gum after canine tooth by this hole.Clinically to take free gingiva tissue The main important anatomy structure avoided.According to document and domestic textbook, palate macropore in third molar is close, palate side and it is remote in Distributive law be 17.22%, 64.59% and 18.18% respectively.Male and female palate macropore to crest of alveolar ridge (GPF-AC) away from From for (14.02 ± 2.69) mm and (12.29 ± 2.41) mm.Thus, the present invention devises in a kind of mouth and takes valve device.
Free Graft Of Gingiva and the transplanting of upper subcutaneous connective tissue are the current solution most effective solutions of gingival recession.Trip It is to increase attached gingiva width from gum valve operation main purpose, to obtain better bacterial plaque control, effectively reduces around dummy Infection.Generally comprise 1) host site and prepare 2) donor site and take tissue flap 3) transplanting of tissue flap with to suture 4) protection in art area etc. several Operating procedure.Wherein more crucial step donor site takes tissue flap, chooses the palate side angle tooth of upper jaw premolar teeth to first molar Gum.Tinfoil paper can be used to be cut into host site size and shape as template after the label of donor site, it is general shallow using No. 15 blades works of tradition Notch, sharp dissection cut gingiva tissue.The gingiva tissue thickness cut is advisable with 1.0~1.5mm, including cuticulated epithelium and its under The a little connective tissue in side.Free gingiva tissue do not answer it is blocked up, otherwise influence fitted closely with host site, be unfavorable for nutrition provide, And easily cause the too deep surface of a wound.In addition present invention can apply to the electronic of oral cavity to take flap device, more easily be applied to clinic;It takes Flap device not merely can be applied to jaw portion and take valve, and such as retromolar pad all can be used in oral cavity;It is supported according to newest document, The type of blade can further be refined.
The present invention can also take flap device using electronic, be more convenient to be applied to clinic according to practical and science and technology development;Separately Outside, the present invention not merely can be applied to jaw portion and take valve, and such as retromolar pad all can be used in oral cavity.
The above shows and describes the basic principles and main features of the present invention and the advantages of the present invention.The technology of the industry Personnel are it should be appreciated that the present invention is not limited to the above embodiments, and the above embodiments and description only describe this The principle of invention, without departing from the spirit and scope of the present invention, various changes and improvements may be made to the invention, these changes Change and improvement all fall within the protetion scope of the claimed invention.The claimed scope of the invention by appended claims and its Equivalent thereof.

Claims (7)

1. a kind of take flap device applied to oral cavity, it is characterised in that: including hand-held part, fit in the towering Z of human body palatal vault Type adjusts neck, rotary head and blade, and one end of the hand-held part is an integral structure with the one end for adjusting neck, adjusts the other end of neck It is connect with rotary head, the rotary head includes internal shaft, rotary head pedestal and blade support, and the rotary head pedestal is set to blade support One end, internal shaft are fixed at the inside for adjusting neck by the first bolt, and blade is fixed on the open-ended place of blade support.
2. a kind of flap device is taken applied to oral cavity according to claim 1, it is characterised in that: the adjusting neck and internal It is not directly contacted between shaft, adjusts the annular spaces being equipped between neck and internal shaft convenient for adjusting, and the first bolt passes through The side for adjusting neck is worn to the inside fixing internal shaft for adjusting neck.
3. a kind of flap device is taken applied to oral cavity according to claim 1, it is characterised in that: the blade of the blade The oral cavity jaw portion of length specification and patient are adapted, and the blade is to curved globoidal structure on the inside of blade support, and blade Intermediate hollow out, the blade of blade is set to the downside of intermediate hollow part, and the blade of blade is upward.
A kind of take flap device applied to oral cavity 4. according to claim 1, it is characterised in that: the width of the blade with Jaw portion mucosal epithelium and fiber layer thickness are adapted.
5. a kind of flap device is taken applied to oral cavity according to claim 1, it is characterised in that: the end of the blade support The two sides of portion's opening symmetrically offer the first circular hole, and the left and right sides of the intermediate hollow part of blade symmetrically offers the second circular hole, Blade is bolted with blade support by second, and the second bolt successively wears the first circular hole and the second circular hole is fixedly connected.
6. a kind of flap device is taken applied to oral cavity according to claim 1, it is characterised in that: the hand-held part is cylindricality Structure, and the side of hand-held part is equipped with the wavy shaped configuration being adapted with hand-type.
A kind of take flap device applied to oral cavity 7. according to claim 1, it is characterised in that: the blade support it is outer Portion two sides are equipped with the third bolt of control rotary head up and down adjustment.
CN201811577374.4A 2018-12-19 2018-12-19 Be applied to skin flap ware of getting in oral cavity Active CN109528337B (en)

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CN109528337B CN109528337B (en) 2020-10-30

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN113440296A (en) * 2021-06-02 2021-09-28 浙江大学 Oral cavity connective tissue valve extractor

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7059852B2 (en) * 2004-05-26 2006-06-13 Atk Dental, Llc Dental measurement instruments
US20070031788A1 (en) * 2005-08-04 2007-02-08 John Chao Periodontal surgery operation methods and instruments
CN202313776U (en) * 2011-09-09 2012-07-11 烟台市口腔医院 Curette
CN202776621U (en) * 2012-04-27 2013-03-13 温世政 Composite regenerated film
CN204033516U (en) * 2014-08-26 2014-12-24 汤雨龙 A kind of manual gingiva circular cutter

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7059852B2 (en) * 2004-05-26 2006-06-13 Atk Dental, Llc Dental measurement instruments
US20070031788A1 (en) * 2005-08-04 2007-02-08 John Chao Periodontal surgery operation methods and instruments
CN202313776U (en) * 2011-09-09 2012-07-11 烟台市口腔医院 Curette
CN202776621U (en) * 2012-04-27 2013-03-13 温世政 Composite regenerated film
CN204033516U (en) * 2014-08-26 2014-12-24 汤雨龙 A kind of manual gingiva circular cutter

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN113440296A (en) * 2021-06-02 2021-09-28 浙江大学 Oral cavity connective tissue valve extractor

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