TWI487508B - Orthodontic treatment anchoring module and correcting board and surgical navigating device thereof - Google Patents
Orthodontic treatment anchoring module and correcting board and surgical navigating device thereof Download PDFInfo
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Description
本發明係關於一種齒顎矯正錨定模組及其矯正板與手術導引裝置，尤其是一種可設置於口腔內以供齒顎矯正治療用之齒顎矯正錨定模組及其矯正板，以及手術時用以導引裝設該齒顎矯正錨定模組之手術導引裝置。The invention relates to a gingival correction anchoring module, an orthodontic plate and a surgical guiding device thereof, in particular to a gingival correction anchoring module and an aligning plate thereof which can be arranged in the oral cavity for orthodontic treatment. And a surgical guiding device for guiding the gingival correction anchoring module during the operation.
請參照第1圖，係中華民國公告第M360687號「矯正骨釘裝置」所揭示之骨釘9，該習知骨釘9具有相連接之一植入段9a及一裸露段9b，該植入段9a由一螺紋91鎖植定位在顎骨及牙齦中，該裸露段9b則維持裸露於牙齦外。該習知骨釘9之裸露段9b包含由端部依序相連之一頭部92、一頸縮部93及一穿線部94，該頭部92設有一十字槽921以供置入連接各矯正器(未繪示)之一矯正鋼線W，該穿線部94設有一貫牙方孔941以供穿過一方形絞線T，該方形絞線T可纏繞緊固於該矯正鋼線W，並由該頸縮部93提供避線之功用，使該方形絞線T可縮入於該頸縮部93凹入的空間中，及抵靠在該頭部92之底部；或者，也可選擇以彈簧或橡皮筋等彈性元件取代方形絞線T而勾套在該頸縮部93，同樣可提供預期的矯正效果。Please refer to FIG. 1 , which is a bone nail 9 disclosed in the Republic of China Announcement No. M360687 "Correction bone nail device". The conventional nail 9 has a connecting portion 9a and a bare portion 9b. Segment 9a is anchored by a thread 91 in the tibia and gums, and the exposed segment 9b remains exposed outside the gums. The bare section 9b of the conventional bone nail 9 includes a head portion 92, a neck portion 93 and a threading portion 94 which are sequentially connected by the end portion. The head portion 92 is provided with a cross groove 921 for each connection correction. One of the devices (not shown) corrects the steel wire W, and the threading portion 94 is provided with a continuous tooth hole 941 for passing through a square strand T, which can be wound and fastened to the straightening wire W, And the necking portion 93 provides a function of avoiding the line, so that the square strand T can be retracted into the recessed space of the neck portion 93 and abut against the bottom of the head portion 92; or, Replacing the square strand T with an elastic member such as a spring or a rubber band and hooking the neck portion 93 can also provide a desired correcting effect.
然而，該習知骨釘9欲將其植入段9a鎖植定位入顎骨及牙齦中時，可由一旋鎖工具卡掣於該骨釘9之十字槽921並施力旋轉，而轉動的扭力需透過該骨釘9之頸縮部 93向下傳遞，因此常發生該骨釘9於其頸縮部93斷損的情況。此外，該習知骨釘9提供矯正力時，無論是抵靠在該頭部92底部之方形絞線T，或是勾套在該頸縮部93之彈性元件，都會將黏結於牙齒上之矯正器所產生的反作用力，集中施加在該頸縮部93上之預設位置，導致該習知骨釘9局部產生應力集中的現象，從而提高該習知骨釘9折損斷裂之機率。However, when the conventional nail 9 is intended to lock the implant 9a into the tibia and the gum, it can be clamped to the cross groove 921 of the nail 9 by a twisting tool and rotated by force, and the rotating torque is rotated. Need to pass through the neck of the nail 9 93 is transmitted downward, so that the nail 9 is often broken at its neck portion 93. In addition, when the conventional nail 9 provides a correcting force, whether it is a square strand T against the bottom of the head 92 or an elastic member hooked on the neck portion 93, it will adhere to the tooth. The reaction force generated by the aligner is concentrated on the predetermined position on the neck portion 93, resulting in local stress concentration of the conventional bone nail 9, thereby increasing the probability of the known bone nail 9 breaking and breaking.
另一方面，由於該習知骨釘9需同時提供穿置矯正鋼線W、方形絞線T及勾套彈性元件之功能，因此該骨釘9之頭部92、頸縮部93及穿線部94均需維持預設高度，使得該骨釘9之裸露段9b的軸向高度難以縮減，不僅過度抵觸患者之唇齦而增加不適感，該頸縮部93與牙齦之間的距離愈大，亦愈是增加方形絞線T及彈性元件所產生之力矩，使得該骨釘9之植入段9a將對顎骨產生局部高應力值的抵接關係，從而提高了顎骨局部崩壞的機率，導致該習知骨釘9失去錨定效果，影響矯正治療的效果。On the other hand, since the conventional nail 9 needs to simultaneously provide the function of piercing the correction steel wire W, the square strand T and the hook elastic member, the head portion 92, the neck portion 93 and the threading portion of the nail 9 The preset height is maintained at 94, so that the axial height of the exposed segment 9b of the bone nail 9 is difficult to be reduced, which not only excessively interferes with the lip of the patient, but also increases the discomfort. The greater the distance between the neck portion 93 and the gum, The more the torque generated by the square strand T and the elastic element is increased, so that the implant section 9a of the nail 9 will have a local high stress value abutment relationship to the tibia, thereby increasing the probability of partial collapse of the tibia, resulting in The conventional bone nail 9 loses the anchoring effect and affects the effect of the corrective treatment.
本發明目的乃解決上述習知技術之缺點，以提供一種齒顎矯正錨定模組，係可分散矯正反作用力者。The object of the present invention is to solve the above disadvantages of the prior art to provide a gingival correction anchoring module, which is capable of dispersing and correcting the reaction force.
本發明之次一目的係提供一種齒顎矯正錨定模組，其骨釘係可均勻受力地被植入顎骨，而不易在植入過程中產生斷損者。A second object of the present invention is to provide a gingival correction anchoring module in which a bone nail system can be uniformly implanted into the tibia without being easily broken during implantation.
本發明之再一目的係提供一種齒顎矯正錨定模組， 係可縮減其骨釘之裸露段的軸向高度者。Still another object of the present invention is to provide a gingival correction anchoring module, It can reduce the axial height of the bare section of the nail.
本發明之又一目的係提供一種手術導引裝置，係可導引該齒顎矯正錨定模組之骨釘準確植入顎骨中的預設位置者。Another object of the present invention is to provide a surgical guiding device for guiding a nail of the gingival correction anchoring module to be accurately implanted in a predetermined position in the tibia.
為達到前述發明目的，本發明之齒顎矯正錨定模組，包含：二骨釘，各該骨釘具有相連接之一裸露段及一植入段，該骨釘之裸露段設有一第一旋鎖部、一扣合部及一第二旋鎖部，該第一旋鎖部與該骨釘之植入段相鄰，該第一旋鎖部之環周面呈非圓形，該扣合部位於該第一旋鎖部及第二旋鎖部之間；及一矯正板，具有相連接之一橋接段、一定位段及一旋扣段，該橋接段位於該定位段及旋扣段之間，該橋接段設有至少一勾套部，該定位段及旋扣段分別卡扣於該二骨釘之扣合部；其中，該定位段設有一開槽，該開槽可以連通至該定位段未連接該橋接段之端部，該開槽中設有數個相連通之抵持部，其中一骨釘之扣合部可由該數個抵持部中之任一抵持部之內周面夾持；該旋扣段設有一缺槽，該缺槽可以連通至該旋扣段之外周面，另一骨釘之扣合部可由該缺槽之內周面夾持。In order to achieve the foregoing object, the gingival correction anchoring module of the present invention comprises: two nails, each of the bone nails having a bare section and an implanting section, the exposed section of the nail is provided with a first a locking portion, a fastening portion and a second locking portion, the first locking portion is adjacent to the implanting portion of the bone nail, and the circumferential surface of the first locking portion is non-circular, the fastening portion Located between the first and second locking portions; and a correcting plate having a connecting portion, a positioning portion and a rotating portion, the bridge portion is located in the positioning portion and the rotating portion The splicing portion is provided with at least one hooking portion, and the positioning portion and the shackle portion are respectively fastened to the fastening portion of the two bone nails; wherein the positioning portion is provided with a slot, the slot can be connected to the The positioning section is not connected to the end of the bridging section, and the slot is provided with a plurality of connected abutting portions, wherein the fastening portion of the bone nail can be the inner circumference of any one of the plurality of resisting portions Face clamping; the buckle segment is provided with a notch, the notch can be connected to the outer circumferential surface of the buckle segment, and the fastening portion of the other bone nail can be omitted The inner circumferential surface of the holder.
本發明之齒顎矯正錨定模組，其中，該缺槽之開口方向與該開槽之延伸方向可以不同。又，該缺槽之開口方向較佳與該開槽之延伸方向互呈正交形態。In the gingival correction anchoring module of the present invention, the opening direction of the vacant groove and the extending direction of the grooving may be different. Moreover, the opening direction of the notch is preferably orthogonal to the extending direction of the groove.
本發明之齒顎矯正錨定模組，其中，該第一旋鎖部的外徑可以大於相鄰之植入段的外徑。In the gingival correction anchoring module of the present invention, the outer diameter of the first shackle portion may be larger than the outer diameter of the adjacent implant segment.
本發明之齒顎矯正錨定模組，其中，該第二旋鎖部可以設有呈凹陷之卡溝或呈凸起之凸條。In the gingival correction anchoring module of the present invention, the second shackle portion may be provided with a concave groove or a convex ridge.
本發明之齒顎矯正錨定模組，其中，該橋接段相較於該定位段及旋扣段可以呈凸起之形態。In the gingival correction anchoring module of the present invention, the bridging section may have a convex shape compared to the positioning section and the slewing section.
本發明另提供一種手術導引裝置，用以導引前述該齒顎矯正錨定模組，該手術導引裝置包含：一導引基座，具有一導引件及一夾扣件，該導引件設有一導引溝槽，該夾扣件連接該導引件並對應該導引溝槽之底部，該夾扣件設有一夾扣槽，該夾扣槽連通至未與該導引溝槽相對之外周面；及一活動扣件，具有一握持部、一移行部及一置釘部，該移行部及置釘部均與該握持部連接，該移行部可滑動地容置於該導引溝槽中，該置釘部與該握持部共同形成一開放狀之穿孔以供穿置一骨釘。The present invention further provides a surgical guiding device for guiding the gingival correction anchoring module, the surgical guiding device comprising: a guiding base having a guiding member and a clamping member, the guiding The guiding member is provided with a guiding groove, the clamping member is connected to the guiding member and should guide the bottom of the groove, the clamping member is provided with a clamping groove, and the clamping groove is connected to the guiding groove The movable portion has a grip portion, a moving portion and a nail portion, and the moving portion and the nailing portion are connected to the holding portion, and the moving portion is slidably received In the guiding groove, the nailing portion and the grip portion together form an open perforation for receiving a nail.
本發明之手術導引裝置，其中，該夾扣件之下表面可以與該導引件之下表面位於同一平面。In the surgical guiding device of the present invention, the lower surface of the clip member may be in the same plane as the lower surface of the guiding member.
本發明之手術導引裝置，其中，該夾扣槽中可以設有數個相連通之扣持部，用以由其中任一扣持部之內周面扣持於一骨釘之扣合部。In the surgical guiding device of the present invention, the clamping groove may be provided with a plurality of engaging portions connected to each other for holding the inner circumferential surface of any of the fastening portions to the fastening portion of the bone nail.
本發明之手術導引裝置，其中，該夾扣件之下表面在與該夾扣槽相對處可以呈向上凹入之形態。In the surgical guiding device of the present invention, the lower surface of the clip member may be in an upwardly concave shape opposite to the clip groove.
本發明之手術導引裝置，其中，該活動扣件之上表面可以另凸設有一限位部，該限位部與該置釘部之水平高度不同，且該限位部凸伸超過該置釘部與該夾扣件相對之邊緣。In the surgical guiding device of the present invention, the upper surface of the movable fastener may be further provided with a limiting portion, the limiting portion is different from the horizontal height of the nailing portion, and the limiting portion protrudes beyond the position The edge of the nail opposite the clip.
本發明之手術導引裝置，其中，該夾扣件之上表面可以凹設一限位槽，該限位槽連通至該夾扣件與該導引溝槽相對之外周面，用以容置該活動扣件之限位部。In the surgical guiding device of the present invention, the upper surface of the clamping member may be recessed with a limiting slot, and the limiting slot is connected to the outer peripheral surface of the clamping member opposite to the guiding groove for receiving The limit of the activity fastener.
為讓本發明之上述及其他目的、特徵及優點能更明顯易懂，下文特舉本發明之較佳實施例，並配合所附圖式，作詳細說明如下：請參閱第2圖，其係本發明之較佳實施例，該齒顎矯正錨定模組包含二骨釘1及一矯正板2，該二骨釘1可分別鎖植於顎骨，並由該矯正板2於牙齦表面搭接該二骨釘1。The above and other objects, features and advantages of the present invention will become more <RTIgt; In a preferred embodiment of the present invention, the gingival correction anchoring module comprises a two-nail nail 1 and a correction plate 2, and the two nails 1 can be respectively locked on the tibia and overlapped by the correction plate 2 on the gingival surface. The two nails 1.
請配合參閱第3圖，各該骨釘1具有相連接之一植入段1a及一裸露段1b，該植入段1a可以設有一螺紋部11；實施時，該骨釘1可以由該植入段1a之螺紋部11鑽鎖結合在顎骨及牙齦中，該骨釘1之裸露段1b則維持裸露於牙齦外。Referring to FIG. 3, each of the bone nails 1 has a connecting portion 1a and a bare portion 1b. The implant portion 1a can be provided with a threaded portion 11; when implemented, the bone nail 1 can be constructed by the implant The threaded portion 11 of the segment 1a is drill-locked in the tibia and the gum, and the exposed segment 1b of the nail 1 remains exposed to the outside of the gum.
該骨釘1之裸露段1b設有一第一旋鎖部12、一扣合部13及一第二旋鎖部14。該第一旋鎖部12與該骨釘1之植入段1a相鄰，該第一旋鎖部12的外徑大於相鄰之植入段1a的外徑，該第一旋鎖部12之環周面可以選擇呈多邊形、梅花形或其他任意非圓形之態樣，使該第一旋鎖部12可由一旋鎖工具(未繪示)卡掣以帶動該骨釘1轉動，本實施例之圖式係以六角形之環周面表示，但不以此為限，實施上只要有可相互匹配的旋鎖工具即可。The exposed portion 1b of the bone nail 1 is provided with a first twisting portion 12, a fastening portion 13 and a second locking portion 14. The first twist lock portion 12 is adjacent to the implant segment 1a of the bone nail 1. The outer diameter of the first screw lock portion 12 is larger than the outer diameter of the adjacent implant portion 1a, and the first twist lock portion 12 The circumferential surface of the ring can be selected to be polygonal, plum-shaped or any other non-circular shape, so that the first twisting portion 12 can be locked by a twisting tool (not shown) to drive the nail 1 to rotate. The figure is represented by the circumferential surface of the hexagonal ring, but it is not limited thereto, and as long as there is a lockable tool that can be matched with each other.
該扣合部13位於該第一旋鎖部12及第二旋鎖部14之間，用以供該矯正板2卡扣定位。該第二旋鎖部14為該骨釘1之一端部且較佳呈圓弧狀，該第二旋鎖部14亦可供前述旋鎖工具卡掣，以由該旋鎖工具同時施力於該第 一旋鎖部12及第二旋鎖部14而帶動該骨釘1轉動。舉例而言，該第二旋鎖部14可選擇設有呈凹陷之卡溝141，或是呈凸起之凸條，其中以不增加該骨釘1之軸向高度的卡溝141為佳；該卡溝141或凸條可以呈一字形、十字形或其他任何可與該旋鎖工具相匹配之形態，本實施例之圖式係以一字形之卡溝141表示，但不以此為限。The fastening portion 13 is located between the first and second locking portions 12 and 14 for locking and positioning the correction plate 2 . The second twisting portion 14 is an end portion of the bone nail 1 and preferably has an arc shape. The second screw locking portion 14 is also configured to be latched by the twisting tool to simultaneously apply force to the twisting tool. The first The spinlock 12 and the second twist lock 14 drive the nail 1 to rotate. For example, the second twisting portion 14 may be provided with a recessed groove 141 or a convex ridge, wherein the groove 141 is not increased in height of the axial direction of the nail 1; The groove 141 or the rib may have a shape of a cross, a cross or any other shape that can be matched with the twisting tool. The drawing of the embodiment is represented by a letter-shaped groove 141, but not limited thereto. .
請參閱第2圖，該矯正板2具有相連接之一橋接段21、一定位段22及一旋扣段23，該橋接段21位於該定位段22及旋扣段23之間。該橋接段21之一表面凸設有至少一勾套部211，以供勾套矯正牙齒用之彈簧或橡皮筋等矯正線；當該勾套部211之數量為數個時，該數個勾套部211係間隔設置且排列方式不限，藉由設於不同位置之該數個勾套部211，供矯正線可變更勾套於該橋接段21上的位置，以調整施加於牙齒上的矯正力。Referring to FIG. 2 , the aligning plate 2 has a bridging section 21 , a locating section 22 and a slewing section 23 . The bridging section 21 is located between the positioning section 22 and the buckle section 23 . At least one hook portion 211 is protruded from one surface of the bridging portion 21 for correcting a line for correcting a spring or a rubber band for a tooth; and when the number of the hook portions 211 is several, the plurality of hooks The portions 211 are spaced apart and are not limited in arrangement. The plurality of hook portions 211 provided at different positions allow the correction line to change the position of the hook on the bridge portion 21 to adjust the correction applied to the teeth. force.
此外，該矯正板2可選擇使該橋接段21相較於該定位段22及旋扣段23呈凸起之形態，以減少該矯正板2與牙齦之間的貼合面積，據以降低該矯正板2與牙齦之間因摩擦而產生的不適感；同時，凸起的該橋接段21也可以增加該勾套部211至牙齦表面之距離，使矯正線更容易勾套至該橋接段21。In addition, the correcting plate 2 can select a shape in which the bridging portion 21 is convex compared to the positioning portion 22 and the twisting portion 23 to reduce the bonding area between the orthotic plate 2 and the gum, thereby reducing the The uncomfortable feeling between the correction plate 2 and the gums due to friction; at the same time, the raised bridge portion 21 can also increase the distance between the hook portion 211 and the gum surface, so that the straightening line can be more easily hooked to the bridge portion 21 .
該定位段22設有一開槽221，該開槽221可連通至該定位段22未連接該橋接段21之端部，以供該矯正板2由側端穿套該骨釘1，並由該開槽221之內周面夾持該骨釘1之扣合部13；在本實施例中，該開槽221中可以設有數個相連通之抵持部222，以由其中任一抵持部222之 內周面夾扣該骨釘1之扣合部13。The positioning section 22 is provided with a slot 221, and the slot 221 is connectable to the end of the positioning section 22 that is not connected to the bridge section 21, so that the correcting plate 2 is sleeved by the side end of the bone nail 1 and is The inner peripheral surface of the slot 221 is engaged with the engaging portion 13 of the bone nail 1; in the embodiment, the slot 221 may be provided with a plurality of abutting portions 222 connected to each other for any of the resisting portions 222 The inner peripheral surface grips the engaging portion 13 of the nail 1 .
該旋扣段23則設有一缺槽231，該缺槽231同樣係用以夾扣該骨釘1之扣合部13；該缺槽231連通至該旋扣段23之外周面，且該缺槽231之開口方向與該定位段22之開槽221的延伸方向不同，其中較佳可互呈正交形態，以便透過旋轉之方式將該矯正板2搭接於該二骨釘1，及使該定位段22之開槽221與該旋扣段23之缺槽231分別夾扣該二骨釘1之扣合部13。The buckle section 23 is provided with a notch 231 for clamping the fastening portion 13 of the bone nail 1; the notch 231 is connected to the outer circumferential surface of the buckle segment 23, and the missing portion The direction of the opening of the slot 231 is different from the direction in which the slot 221 of the positioning section 22 extends. Preferably, the slot 231 is orthogonal to each other, so that the correcting plate 2 is lapped to the two nails 1 by rotating, and The slot 221 of the positioning segment 22 and the slot 231 of the button segment 23 respectively engage the latching portion 13 of the two nails 1 .
請參閱第4圖，本發明之齒顎矯正錨定模組可藉由一手術導引裝置之導引，而快速且精準對位地將該齒顎矯正錨定模組鎖固至齒顎之預設位置；該手術導引裝置包含一導引基座3及一活動扣件4。Referring to FIG. 4, the gingival correction anchoring module of the present invention can be quickly and accurately aligned to lock the gingival correction anchoring module to the gum by a guiding device. a preset position; the surgical guiding device comprises a guiding base 3 and a movable fastener 4.
該導引基座3包含一導引件31及一夾扣件32；該導引件31可以為一橫截面概呈L形之立柱，該導引件31之內壁面31a在轉角處設有一導引溝槽311，該導引溝槽311可貫穿該導引件31之上、下表面(依第4圖所揭示之圖式而言)，以導引該活動扣件4相對於該導引基座3位移。The guiding base 3 includes a guiding member 31 and a clamping member 32. The guiding member 31 can be a column having an L-shaped cross section. The inner wall surface 31a of the guiding member 31 is provided at a corner. a guiding groove 311, the guiding groove 311 can penetrate the upper surface and the lower surface of the guiding member 31 (in the manner disclosed in FIG. 4) to guide the movable fastener 4 relative to the guiding The susceptor 3 is displaced.
請配合參閱第5、6圖，該夾扣件32連接該導引件31並對應該導引溝槽311之底部，在本實施例中，該夾扣件32可選擇由側端連接於該導引件31之內壁面31a，並維持該夾扣件32之下表面與該導引件31之下表面位於同一平面，以於使用時共同抵接於牙齦表面。另，該夾扣件32設有一夾扣槽321，該夾扣槽321貫穿該夾扣件32之上、下表面並連通至該夾扣件32之外周面，但該夾扣 槽321之開口不與該導引溝槽311相對，以供該導引基座3由側端穿套該骨釘1，並由該夾扣槽321之內周面夾持該骨釘1之扣合部13；在本實施例中，該夾扣槽321中可以設有數個相連通之扣持部322，以由其中任一扣持部322之內周面扣持於該骨釘1之扣合部13。Please refer to the figures 5 and 6, the clip member 32 is connected to the guide member 31 and the bottom of the groove 311 is guided. In this embodiment, the clip member 32 can be selectively connected to the side by the side end. The inner wall surface 31a of the guiding member 31 maintains the lower surface of the clamping member 32 in the same plane as the lower surface of the guiding member 31 to abut against the gum surface in use. In addition, the clip member 32 is provided with a clip groove 321 which penetrates the upper surface and the lower surface of the clip member 32 and communicates with the outer peripheral surface of the clip member 32, but the clip buckle The opening of the slot 321 is not opposite to the guiding groove 311, so that the guiding base 3 is passed through the bone nail 1 from the side end, and the bone nail 1 is clamped by the inner circumferential surface of the clamping groove 321 In the embodiment, the latching groove 321 can be provided with a plurality of latching portions 322 connected thereto, so as to be fastened by the inner peripheral surface of any of the latching portions 322 to the bone nail 1 Fastening portion 13.
此外，該夾扣件32之下表面可以在與該夾扣槽321相對處呈向上凹入之形態，據以減少該夾扣件32之下表面與牙齦的接觸面積，降低因摩擦或抵壓而產生的不適感。該夾扣件32之上表面則可以凹設一限位槽323，該限位槽323連通至該夾扣件32與該導引溝槽311相對之外周面，該限位槽323可供該活動扣件4抵接，據以限制該活動扣件4在該導引溝槽311中位移之最低位置。In addition, the lower surface of the clip member 32 may be upwardly recessed at a position opposite to the clip groove 321 to reduce the contact area between the lower surface of the clip member 32 and the gum, thereby reducing friction or pressure. And the resulting discomfort. The upper surface of the clip member 32 can be recessed with a limiting slot 323. The limiting slot 323 is connected to the outer peripheral surface of the clamping member 32 opposite to the guiding groove 311. The movable fastener 4 abuts to limit the lowest position of the movable fastener 4 in the guiding groove 311.
再請參閱第4圖，該活動扣件4包含一握持部41、一移行部42及一置釘部43，該握持部41概呈長柄狀，該移行部42及置釘部43均與該握持部41連接；該移行部42之外形概與該導引件31之導引溝槽311的橫截面相符，該置釘部43可與該握持部41共同形成一開放狀之穿孔431，以供穿置該骨釘1，並使該骨釘1之第一旋鎖部12下表面抵接於該置釘部43之上表面。據此結構，使用者可握持於該握持部41，帶動該骨釘1透過該移行部42在該導引溝槽311中產生位移。Referring to FIG. 4 , the movable fastener 4 includes a grip portion 41 , a moving portion 42 and a nail portion 43 . The grip portion 41 has a long handle shape, and the shift portion 42 and the nail portion 43 are both The contact portion 41 is connected to the cross section of the guiding groove 311 of the guiding member 31. The nailing portion 43 can form an open shape together with the holding portion 41. The through hole 431 is configured to allow the nail 1 to be placed, and the lower surface of the first screw portion 12 of the nail 1 abuts against the upper surface of the nail portion 43. According to this configuration, the user can hold the grip portion 41 to drive the bone nail 1 to be displaced in the guiding groove 311 through the transition portion 42.
此外，該活動扣件4之上表面較佳另凸設有一限位部44，在本實施例中，該限位部44可選擇凸設在該置釘部43之上表面，使該限位部44與該置釘部43之水平高度不同，且該限位部44進一步地橫向凸伸超過該置釘部 43與該夾扣件32相對之邊緣，以於該活動扣件4在該導引溝槽311中位移至預設位置時，由該限位部44之下表面抵接該夾扣件32之上表面而形成限位，使該活動扣件4無法繼續向下位移；在本實施例中，該活動扣件4位移至預設位置時，該限位部44凸伸超過該置釘部43邊緣的部分可對位卡入該夾扣件32之限位槽323中。In addition, the upper surface of the movable fastener 4 is preferably provided with a limiting portion 44. In this embodiment, the limiting portion 44 can be selectively protruded from the upper surface of the nailing portion 43 to make the limit. The height of the portion 44 is different from the height of the nailing portion 43 , and the limiting portion 44 further protrudes laterally beyond the nail portion The edge opposite to the clip member 32 is such that when the movable fastener 4 is displaced to the preset position in the guiding groove 311, the lower surface of the limiting portion 44 abuts the clip member 32. A limit is formed on the upper surface, so that the movable fastener 4 cannot continue to be displaced downward; in the embodiment, when the movable fastener 4 is displaced to the preset position, the limiting portion 44 protrudes beyond the nailing portion 43 A portion of the edge can be snapped into the limit slot 323 of the clip member 32.
請參閱第3、7圖，為方便說明，以下依植入順序將前述二骨釘1分為一第一骨釘1f及一第二骨釘1s。實施時，醫護人員可參考患者之齒顎X光片，選定該第一骨釘1f之植入位置，並將該第一骨釘1f之植入段1a穿過牙齦G(如第12圖所示)並植入定位於顎骨中，及維持該第一骨釘1f之裸露段1b裸露於牙齦G外。其中，藉由環周面呈非圓形態樣之第一旋鎖部12，以及該第二旋鎖部14之卡溝141，使旋鎖工具可同時對該第一旋鎖部12及第二旋鎖部14施力而帶動該第一骨釘1f轉動，因此在將該第一骨釘1f植入顎骨的過程中，該第一骨釘1f可較均勻地受力，據以減少該第一骨釘1f因局部承受過大扭力而斷損的情況；再者，由於該第一骨釘1f之扣合部13並非用以勾套矯正線，不必設置呈明顯的縮徑狀，故該第一骨釘1f在扣合部13處之結構強度較習知骨釘9之頸縮部93(請配合參閱第1圖)更佳，同樣也可以減少該第一骨釘1f在扣合部13處斷損的情況。Referring to Figures 3 and 7, for convenience of explanation, the two bone nails 1 are divided into a first bone nail 1f and a second bone nail 1s in the order of implantation. In practice, the medical staff can refer to the patient's gingival radiograph, select the implantation position of the first bone nail 1f, and pass the implanted section 1a of the first bone nail 1f through the gum G (as shown in Fig. 12). And implanted in the tibia, and the exposed segment 1b of the first bone nail 1f is exposed outside the gum G. Wherein, the first locking portion 12 having a non-circular shape on the circumferential surface and the groove 141 of the second locking portion 14 enable the locking tool to simultaneously engage the first locking portion 12 and the second portion. The rotation of the first bone nail 1f is applied to the rotation of the first bone nail 1f. Therefore, during the process of implanting the first bone nail 1f into the tibia, the first bone nail 1f can be relatively uniformly stressed, thereby reducing the number. The bone nail 1f is broken due to excessive local torsion; further, since the fastening portion 13 of the first bone nail 1f is not used for hooking the correction line, it is not necessary to provide a significant diameter reduction, so the first The structural strength of the bone nail 1f at the fastening portion 13 is better than that of the neck portion 93 of the conventional nail 9 (please refer to FIG. 1), and the first bone nail 1f can also be reduced at the fastening portion 13 The situation of damage.
續將該手術導引裝置以該導引基座3之夾扣件32的夾扣槽321套入該第一骨釘1f之裸露段1b，及使預設位置之扣持部322卡掣於該第一骨釘1f之扣合部13。該導 引基座3之下表面則可以抵接於患者之牙齦G表面。接著，將該第二骨釘1s穿置於該活動扣件4之置釘部43的穿孔431中，由醫護人員握持該活動扣件4之握持部41，將該活動扣件4之移行部42從該導引件31之上表面置入該導引溝槽311，並將該活動扣件4沿該導引溝槽311朝牙齦G方向拉動。The surgical guiding device is inserted into the exposed portion 1b of the first bone nail 1f by the clamping groove 321 of the clamping member 32 of the guiding base 3, and the fastening portion 322 of the preset position is locked. The engaging portion 13 of the first bone nail 1f. The guide The lower surface of the pedestal 3 can abut the surface of the gum G of the patient. Then, the second bone nail 1s is placed in the through hole 431 of the nailing portion 43 of the movable fastener 4, and the medical staff member holds the grip portion 41 of the movable fastener 4, and the movable fastener 4 is The guiding portion 42 inserts the guiding groove 311 from the upper surface of the guiding member 31, and pulls the movable fastener 4 along the guiding groove 311 toward the gum G.
請參閱第3、8圖，當該第二骨釘1s之植入段1a抵至牙齦G時，可透過該旋鎖工具將該第二骨釘1s旋鎖進入患者之顎骨，直至該活動扣件4之限位部44對位卡入該夾扣件32之限位槽323中，使該活動扣件4無法繼續朝牙齦G方向位移，此時，該第二骨釘1s即可與該第一骨釘1f呈平行且共平面。Referring to FIGS. 3 and 8, when the implant 1a of the second nail 1s reaches the gum G, the second nail 1s can be screwed into the patient's tibia through the twisting tool until the buckle is released. The limiting portion 44 of the member 4 is inserted into the limiting slot 323 of the clip member 32, so that the movable fastener 4 cannot continue to be displaced in the direction of the gum G. At this time, the second bone nail 1s can be The first bone nails 1f are parallel and coplanar.
請參閱第3、9圖，以該第一骨釘1f為軸心，將卡掣在該導引溝槽311中的活動扣件4，朝相反於該置釘部43之穿孔431的開口方向扳旋(依圖式而言為逆時針旋動)，使該第二骨釘1s與該活動扣件4分離，再透過該夾扣槽321，使該導引基座3之夾扣件32從該第一骨釘1f之扣合部13抽離，據以卸除該手術導引裝置。Referring to FIG. 3 and FIG. 9 , with the first bone nail 1 f as the axis, the movable fastener 4 stuck in the guiding groove 311 faces the opening of the through hole 431 opposite to the nailing portion 43 . Triggering (counter-clockwise rotation), the second bone nail 1s is separated from the movable fastener 4, and then passed through the clamping groove 321, so that the clamping member 32 of the guiding base 3 The grasping portion 13 of the first nail 1f is pulled away, whereby the surgical guiding device is removed.
請參閱第3、10圖，將該矯正板2以該定位段22之開槽221套入該第一骨釘1f之裸露段1b，及使預設位置之抵持部222卡掣於該第一骨釘1f之扣合部13。另藉該第一骨釘1f外徑大於相鄰植入段1a之第一旋鎖部12對該矯正板2形成擋止，限制該矯正板2定位於該扣合部13及抵靠於該第一旋鎖部12，而不會撞擊到患者之牙齦G。Referring to FIGS. 3 and 10, the correcting plate 2 is inserted into the exposed portion 1b of the first bone nail 1f by the slot 221 of the positioning portion 22, and the abutting portion 222 of the preset position is clamped to the first portion. A fastening portion 13 of a nail 1f. The first bone screw 1f has a larger outer diameter than the first screw locking portion 12 of the adjacent implant segment 1a, and the correcting plate 2 is blocked, and the correcting plate 2 is restricted from being positioned on the fastening portion 13 and abutting against the same The first twist lock portion 12 does not hit the gum G of the patient.
請參閱第3、11圖，以該第一骨釘1f為軸心旋轉該矯正板2，使該旋扣段23之缺槽231得以卡掣扣合於該第二骨釘1s之扣合部13，從而完成該齒顎矯正錨定模組之組裝。Referring to FIG. 3 and FIG. 11 , the correcting plate 2 is rotated with the first bone nail 1 f as an axis, so that the notch 231 of the turning portion 23 is snapped and fastened to the engaging portion of the second bone nail 1 s. 13, thereby completing the assembly of the gingival correction anchoring module.
請參閱第12圖，完成該齒顎矯正錨定模組之組裝後，醫護人員可依據欲施加於患者牙齒上的矯正力，選擇將彈簧或橡皮筋等矯正線勾套於預設位置之勾套部211。之後也可以依據需求，更換不同彈性係數之矯正線，或是變換矯正線之勾套位置，據以調整施加於患者牙齒上的矯正力，使該齒顎矯正錨定模組可提供錨定拉力，發揮提升齒顎矯正治療效率之功效。Referring to Figure 12, after the assembly of the gingival correction anchoring module is completed, the medical staff can select a hook for the correction line such as a spring or a rubber band to be placed at a preset position according to the correcting force to be applied to the patient's teeth. The sleeve portion 211. After that, the correction line of different elastic coefficients can be replaced according to the requirements, or the position of the hook of the correction line can be changed, thereby adjusting the correcting force applied to the teeth of the patient, so that the gingival correction anchoring module can provide the anchoring pulling force. To improve the efficiency of the treatment of gingival correction.
更重要的是，黏結於牙齒上之矯正器C所產生的矯正反作用力，可由該橋接段21分散至該定位段22及旋扣段23，並由該開槽221及缺槽231之內周面傳遞至該二骨釘1；如此，不僅可由該二骨釘1共同分擔該矯正反作用力，降低各該骨釘1之受力值，更可藉由該矯正板2與各該骨釘1以面接觸之方式傳遞該矯正反作用力，使各該骨釘1在植入段1a周圍的骨骼得以分散應力，從而減少應力集中造成之骨吸收現象，及有效避免該二骨釘1自顎骨中發生鬆脫的問題。More importantly, the corrective reaction force generated by the aligner C adhered to the teeth can be dispersed by the bridge section 21 to the positioning section 22 and the buckle section 23, and the inner circumference of the slot 221 and the slot 231 The surface is transmitted to the two nails 1; thus, not only the correction reaction force can be shared by the two nails 1 , but also the force value of each of the nails 1 can be reduced, and the correction plate 2 and each of the bone nails 1 can be further The corrective reaction force is transmitted in a surface contact manner, so that the bones around the implanted segment 1a are dispersed in stress, thereby reducing the bone absorption phenomenon caused by stress concentration, and effectively avoiding the two bone nails 1 from the tibia The problem of looseness occurs.
綜上所述，本發明之齒顎矯正錨定模組，係可藉該矯正板將黏結於牙齒上之矯正器所產生的矯正反作用力，分散及均勻傳遞至該二骨釘，從而降低該二骨釘之植入段施加於顎骨的應力值，以降低顎骨局部崩壞及產生骨吸收現象之機率，使該齒顎矯正錨定模組可維持提供錨定效 果，以達到預期之矯正治療效果。In summary, the gingival correction anchoring module of the present invention can use the correcting plate to disperse and uniformly transmit the corrective reaction force generated by the aligner adhered to the tooth to the two nails, thereby reducing the The stress value applied to the tibia by the implant of the two nails is used to reduce the local collapse of the tibia and the probability of bone resorption, so that the gingival correction anchoring module can maintain the anchor effect. In order to achieve the desired corrective treatment effect.
本發明之齒顎矯正錨定模組，其骨釘係可藉由環周面呈非圓形態樣之第一旋鎖部，使旋鎖工具可同時對該骨釘之第一旋鎖部及第二旋鎖部施力以旋動該骨釘，據以使該骨釘可均勻受力地被植入顎骨，而不易在植入過程中產生斷損。In the gingival correction anchoring module of the present invention, the bone nail system can be made by the first twisting portion of the circumferential surface of the non-circular shape, so that the twisting tool can simultaneously the first twisting portion of the nail and The second twisting portion applies a force to rotate the bone nail, so that the nail can be uniformly implanted into the tibia without being easily broken during the implantation process.
本發明之齒顎矯正錨定模組，其係將矯正線勾套於矯正板而非骨釘，因此本發明所使用之骨釘不必如習知骨釘需在裸露段維持預設高度方可提供各部位之功能，使得本發明所使用之骨釘之裸露段的軸向高度得以縮減，從而不過度抵觸患者之唇齦，降低裝設該骨釘之不適感，以及減小矯正線所產生之力矩，降低該骨釘抵接顎骨時的應力值，具有降低顎骨局部崩壞及產生骨吸收現象機率之功效。In the gingival correction anchoring module of the present invention, the correcting line is hooked on the correcting plate instead of the bone nail, so the bone nail used in the present invention does not have to maintain the preset height in the bare section as the conventional nail is required. The function of each part is provided, so that the axial height of the exposed section of the nail used in the invention is reduced, so as not to excessively resist the lip of the patient, the discomfort of installing the nail is reduced, and the correction line is reduced. The moment reduces the stress value when the bone nail abuts the tibia, and has the effect of reducing the local collapse of the tibia and the probability of bone resorption.
本發明之手術導引裝置，係可快速且精準對位地導引該齒顎矯正錨定模組之骨釘植入顎骨中的預設位置，使該二骨釘互呈平行及共平面，以便該矯正板扣合定位於該二骨釘，具有提升操作方便性及手術效率之功效。The surgical guiding device of the present invention can quickly and accurately guide the preset position of the bone nail implanted in the tibia of the gingival correction anchoring module, so that the two nails are parallel and coplanar. Therefore, the orthodontic plate is fastened and positioned on the two bone nails, and has the effects of improving the operation convenience and the operation efficiency.
雖然本發明已利用上述較佳實施例揭示，然其並非用以限定本發明，任何熟習此技藝者在不脫離本發明之精神和範圍之內，相對上述實施例進行各種更動與修改仍屬本發明所保護之技術範疇，因此本發明之保護範圍當視後附之申請專利範圍所界定者為準。While the invention has been described in connection with the preferred embodiments described above, it is not intended to limit the scope of the invention. The technical scope of the invention is protected, and therefore the scope of the invention is defined by the scope of the appended claims.
〔本發明〕〔this invention〕
1‧‧‧骨釘1‧‧‧ bone nails
1a‧‧‧植入段1a‧‧‧implantation
1b‧‧‧裸露段1b‧‧‧ bare section
1f‧‧‧第一骨釘1f‧‧‧First bone nail
1s‧‧‧第二骨釘1s‧‧‧Second bone nail
11‧‧‧螺紋部11‧‧‧Threading Department
12‧‧‧第一旋鎖部12‧‧‧First twist lock
13‧‧‧扣合部13‧‧‧Deduction Department
14‧‧‧第二旋鎖部14‧‧‧Second twist lock
141‧‧‧卡溝141‧‧‧ card ditch
2‧‧‧矯正板2‧‧‧Orthosection
21‧‧‧橋接段21‧‧‧Bridge section
211‧‧‧勾套部211‧‧‧Hooks
22‧‧‧定位段22‧‧‧ positioning segment
221‧‧‧開槽221‧‧‧ slotting
222‧‧‧抵持部222‧‧‧Responsible Department
23‧‧‧旋扣段23‧‧‧Spindle segment
231‧‧‧缺槽231‧‧‧ Missing slot
3‧‧‧導引基座3‧‧‧ Guide base
31‧‧‧導引件31‧‧‧ Guides
31a‧‧‧內壁面31a‧‧‧ inner wall
311‧‧‧導引溝槽311‧‧‧ Guide groove
32‧‧‧夾扣件32‧‧‧ Clips
321‧‧‧夾扣槽321‧‧‧ clip groove
322‧‧‧扣持部322‧‧‧Detention Department
323‧‧‧限位槽323‧‧‧Limited slot
4‧‧‧活動扣件4‧‧‧Activity fasteners
41‧‧‧握持部41‧‧‧ grip
42‧‧‧移行部42‧‧‧Migration Department
43‧‧‧置釘部43‧‧‧The nailing department
431‧‧‧穿孔431‧‧‧Perforation
44‧‧‧限位部44‧‧‧Limited
G‧‧‧牙齦G‧‧‧Tooth
C‧‧‧矯正器C‧‧‧Corner
〔習知〕[study]
9‧‧‧骨釘9‧‧‧ bone nails
9a‧‧‧植入段9a‧‧‧ implant section
9b‧‧‧裸露段9b‧‧‧ bare section
91‧‧‧螺紋91‧‧‧Thread
92‧‧‧頭部92‧‧‧ head
921‧‧‧十字槽921‧‧ ‧ cross slot
93‧‧‧頸縮部93‧‧‧neck
94‧‧‧穿線部94‧‧‧Threading Department
941‧‧‧貫牙方孔941‧‧‧ square teeth
T‧‧‧方形絞線T‧‧‧square stranded wire
W‧‧‧矯正鋼線W‧‧‧Correct steel wire
第1圖：習知骨釘之結構示意圖。Figure 1: Schematic diagram of the structure of the known bone nail.
第2圖：本發明齒顎矯正錨定模組之立體分解圖。Fig. 2 is an exploded perspective view of the gingival correction anchoring module of the present invention.
第3圖：本發明齒顎矯正錨定模組之骨釘平面圖。Fig. 3 is a plan view showing the nail of the gingival correction anchoring module of the present invention.
第4圖：本發明手術導引裝置之立體分解圖。Figure 4 is an exploded perspective view of the surgical guide of the present invention.
第5圖：本發明手術導引裝置之導引基座俯視圖。Figure 5: Top view of the guide base of the surgical guide of the present invention.
第6圖：本發明手術導引裝置之導引基座前視圖。Figure 6 is a front elevational view of the guide base of the surgical guide of the present invention.
第7圖：本發明較佳實施例之實施示意圖(一)。Figure 7 is a schematic view showing the implementation of a preferred embodiment of the present invention (1).
第8圖：本發明較佳實施例之實施示意圖(二)。Figure 8 is a schematic view showing the implementation of a preferred embodiment of the present invention (2).
第9圖：本發明較佳實施例之實施示意圖(三)。Figure 9 is a schematic view showing the implementation of a preferred embodiment of the present invention (3).
第10圖：本發明較佳實施例之實施示意圖(四)。Figure 10 is a schematic view showing the implementation of a preferred embodiment of the present invention (4).
第11圖：本發明較佳實施例之實施示意圖(五)。Figure 11 is a schematic view showing the implementation of a preferred embodiment of the present invention (5).
第12圖：本發明較佳實施例之實施示意圖(六)。Figure 12 is a schematic view showing the implementation of a preferred embodiment of the present invention (6).
1‧‧‧骨釘1‧‧‧ bone nails
141‧‧‧卡溝141‧‧‧ card ditch
2‧‧‧矯正板2‧‧‧Orthosection
21‧‧‧橋接段21‧‧‧Bridge section
211‧‧‧勾套部211‧‧‧Hooks
22‧‧‧定位段22‧‧‧ positioning segment
221‧‧‧開槽221‧‧‧ slotting
222‧‧‧抵持部222‧‧‧Responsible Department
23‧‧‧旋扣段23‧‧‧Spindle segment
231‧‧‧缺槽231‧‧‧ Missing slot
Claims (16)
Priority Applications (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| TW101125632A TWI487508B (en) | 2012-07-17 | 2012-07-17 | Orthodontic treatment anchoring module and correcting board and surgical navigating device thereof |
| CN201310139412.9A CN103536370B (en) | 2012-07-17 | 2013-04-22 | Orthodontic anchoring module and orthodontic plate and surgical guiding device thereof |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| TW101125632A TWI487508B (en) | 2012-07-17 | 2012-07-17 | Orthodontic treatment anchoring module and correcting board and surgical navigating device thereof |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| TW201404364A TW201404364A (en) | 2014-02-01 |
| TWI487508B true TWI487508B (en) | 2015-06-11 |
Family
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Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| TW101125632A TWI487508B (en) | 2012-07-17 | 2012-07-17 | Orthodontic treatment anchoring module and correcting board and surgical navigating device thereof |
Country Status (2)
| Country | Link |
|---|---|
| CN (1) | CN103536370B (en) |
| TW (1) | TWI487508B (en) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| TWI682772B (en) * | 2019-03-21 | 2020-01-21 | 博美股份有限公司 | Anchorage screw extension plate |
Families Citing this family (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| EP3308736B1 (en) * | 2015-06-09 | 2022-04-06 | She, Chengxin | Fixing bone plate |
| CN104939936B (en) * | 2015-06-23 | 2017-11-17 | 广州医科大学附属口腔医院 | A kind of micro-implant is implanted into servicing unit |
| WO2018135567A1 (en) * | 2017-01-19 | 2018-07-26 | 康寛 斉宮 | Base member for orthodontic implant device |
| CN112704557A (en) * | 2019-10-25 | 2021-04-27 | 可成生物科技股份有限公司 | Customized construction method and system for modular bone plate lamination |
Citations (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20020182560A1 (en) * | 2000-07-12 | 2002-12-05 | Young-Chel Park | Implant for teeth orthodontics |
| KR20100004031U (en) * | 2008-10-08 | 2010-04-16 | 주식회사 제일메디칼코퍼레이션 | Device for orthodontics |
| KR20110121347A (en) * | 2010-04-30 | 2011-11-07 | 안장훈 | Palate-supporting device for orthodontics |
Family Cites Families (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| TW541943U (en) * | 2002-06-03 | 2003-07-11 | Fu-Yi Lin | Adjustable correction implant |
| US20070259306A1 (en) * | 2006-05-05 | 2007-11-08 | Osteomed L.P. | Orthodontic Plate and Method |
| CN201286766Y (en) * | 2008-09-27 | 2009-08-12 | 余乃昌 | Bone nail correction device |
| CN201551405U (en) * | 2009-09-10 | 2010-08-18 | 余乃昌 | Adjustable orthodontic device |
-
2012
- 2012-07-17 TW TW101125632A patent/TWI487508B/en not_active IP Right Cessation
-
2013
- 2013-04-22 CN CN201310139412.9A patent/CN103536370B/en not_active Expired - Fee Related
Patent Citations (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20020182560A1 (en) * | 2000-07-12 | 2002-12-05 | Young-Chel Park | Implant for teeth orthodontics |
| KR20100004031U (en) * | 2008-10-08 | 2010-04-16 | 주식회사 제일메디칼코퍼레이션 | Device for orthodontics |
| KR20110121347A (en) * | 2010-04-30 | 2011-11-07 | 안장훈 | Palate-supporting device for orthodontics |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| TWI682772B (en) * | 2019-03-21 | 2020-01-21 | 博美股份有限公司 | Anchorage screw extension plate |
Also Published As
| Publication number | Publication date |
|---|---|
| CN103536370B (en) | 2016-02-24 |
| CN103536370A (en) | 2014-01-29 |
| TW201404364A (en) | 2014-02-01 |
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