CN111388111A - Titanium material root canal plug tip and equipment - Google Patents
Titanium material root canal plug tip and equipment Download PDFInfo
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- CN111388111A CN111388111A CN202010317802.0A CN202010317802A CN111388111A CN 111388111 A CN111388111 A CN 111388111A CN 202010317802 A CN202010317802 A CN 202010317802A CN 111388111 A CN111388111 A CN 111388111A
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- 210000004262 dental pulp cavity Anatomy 0.000 title claims abstract description 56
- RTAQQCXQSZGOHL-UHFFFAOYSA-N Titanium Chemical compound [Ti] RTAQQCXQSZGOHL-UHFFFAOYSA-N 0.000 title claims abstract description 39
- 239000010936 titanium Substances 0.000 title claims abstract description 39
- 229910052719 titanium Inorganic materials 0.000 title claims abstract description 39
- 239000000463 material Substances 0.000 title claims abstract description 17
- 229910001069 Ti alloy Inorganic materials 0.000 claims abstract description 8
- 210000004746 tooth root Anatomy 0.000 claims description 7
- 238000002360 preparation method Methods 0.000 claims description 6
- 238000005259 measurement Methods 0.000 claims description 3
- 230000002146 bilateral effect Effects 0.000 claims 1
- 230000000694 effects Effects 0.000 abstract description 3
- 238000007789 sealing Methods 0.000 abstract description 3
- 239000000899 Gutta-Percha Substances 0.000 description 18
- 240000000342 Palaquium gutta Species 0.000 description 18
- 229920000588 gutta-percha Polymers 0.000 description 18
- 238000010586 diagram Methods 0.000 description 4
- 239000000945 filler Substances 0.000 description 4
- 238000000034 method Methods 0.000 description 4
- MZFIXCCGFYSQSS-UHFFFAOYSA-N silver titanium Chemical compound [Ti].[Ag] MZFIXCCGFYSQSS-UHFFFAOYSA-N 0.000 description 3
- XLOMVQKBTHCTTD-UHFFFAOYSA-N Zinc monoxide Chemical compound [Zn]=O XLOMVQKBTHCTTD-UHFFFAOYSA-N 0.000 description 2
- 239000003814 drug Substances 0.000 description 2
- 239000000835 fiber Substances 0.000 description 2
- 239000000049 pigment Substances 0.000 description 2
- 239000011347 resin Chemical class 0.000 description 2
- 229920005989 resin Chemical class 0.000 description 2
- 239000002631 root canal filling material Substances 0.000 description 2
- 238000004659 sterilization and disinfection Methods 0.000 description 2
- 241001391944 Commicarpus scandens Species 0.000 description 1
- 238000005481 NMR spectroscopy Methods 0.000 description 1
- 206010062544 Tooth fracture Diseases 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 239000012620 biological material Substances 0.000 description 1
- 239000012530 fluid Substances 0.000 description 1
- 230000002439 hemostatic effect Effects 0.000 description 1
- 239000007943 implant Substances 0.000 description 1
- 238000002357 laparoscopic surgery Methods 0.000 description 1
- 230000003902 lesion Effects 0.000 description 1
- 230000014759 maintenance of location Effects 0.000 description 1
- 239000002184 metal Chemical class 0.000 description 1
- 229910052751 metal Inorganic materials 0.000 description 1
- 239000007769 metal material Substances 0.000 description 1
- 239000000203 mixture Substances 0.000 description 1
- 230000000717 retained effect Effects 0.000 description 1
- 150000003839 salts Chemical class 0.000 description 1
- 238000002560 therapeutic procedure Methods 0.000 description 1
- 210000001114 tooth apex Anatomy 0.000 description 1
- 230000007704 transition Effects 0.000 description 1
- 239000001993 wax Chemical class 0.000 description 1
- 239000011787 zinc oxide Substances 0.000 description 1
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C5/00—Filling or capping teeth
- A61C5/50—Implements for filling root canals; Methods or instruments for medication of tooth nerve channels
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C19/00—Dental auxiliary appliances
- A61C19/04—Measuring instruments specially adapted for dentistry
- A61C19/041—Measuring instruments specially adapted for dentistry for measuring the length of the root canal of a tooth
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C5/00—Filling or capping teeth
- A61C5/60—Devices specially adapted for pressing or mixing capping or filling materials, e.g. amalgam presses
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- Oral & Maxillofacial Surgery (AREA)
- Public Health (AREA)
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- Biophysics (AREA)
- Dental Tools And Instruments Or Auxiliary Dental Instruments (AREA)
Abstract
本发明提出了一种钛材料根管塞尖及设备,旨在解决现有技术充填细微根管时效率较低、难度较大等难题。该钛材料根管塞尖,整体由医用纯钛或钛合金制成(一体件),轴向上分为根尖段和手柄段;所述根尖段为圆锥形,并在根尖段的尖端部分设置有外螺纹;所述手柄段设置有刻度标记或结构,手柄段还设置有至少一处槽口,以便于在钛材料根管塞尖充填到位后进行牙冠多余部分截断。本发明能够有效减少对牙体根管内壁的预备切削损伤量,降低根充难度,且能够达到紧密、稳定的根尖封闭效果,无须反复试尖,可实现一步到位。
The invention proposes a titanium root canal plug tip and equipment, which aims to solve the problems of low efficiency and high difficulty in filling fine root canals in the prior art. The titanium material root canal plug tip is made of medical pure titanium or titanium alloy as a whole (one piece), and is divided into an apical segment and a handle segment in the axial direction; the apical segment is conical, and the The tip part is provided with an external thread; the handle segment is provided with a scale mark or structure, and the handle segment is also provided with at least one notch, so that the excess part of the crown can be cut off after the titanium root canal tip is filled in place. The invention can effectively reduce the amount of preparative cutting damage to the inner wall of the root canal of the tooth, reduce the difficulty of root filling, and can achieve a tight and stable root apex sealing effect without repeated apex testing, and can achieve one-step completion.
Description
技术领域technical field
本发明涉及一种牙科根管治疗根管充填器材。The invention relates to a root canal filling device for dental root canal treatment.
背景技术Background technique
根管治疗是牙髓、牙根病变的主要治疗手段。Root canal therapy is the main treatment for pulp and root lesions.
目前牙科根管治疗的标准流程是:牙齿开髓,去髓,测量牙长,根管预备,消毒,最后用根管充填材料(牙胶尖)醮根充药剂严密填充每个牙根,最后形成如图1所示的结构。At present, the standard process of dental root canal treatment is: tooth pulp opening, pulp removal, tooth length measurement, root canal preparation, disinfection, and finally filling each tooth root with root canal filling material (gut gum tip) and root filling agent. The structure shown in Figure 1.
目前,市场上不论哪个品牌的牙胶尖,其尖端直径精度都不理想,使用时需反复试尖修剪,且质地较软,在根管内遇阻或遇湿后牙胶尖根尖端易弯折变形,充填细微根管时费时费力更浪费材料。At present, no matter which brand of gutta percha tip is on the market, the precision of the tip diameter is not ideal. It needs to be trimmed repeatedly when used, and the texture is soft, and the tip of the gutta-percha tip is easy to bend when it encounters resistance in the root canal or gets wet. It is time-consuming, labor-intensive, and material-wasting when filling tiny root canals.
在临床上,一个根管的充填耗时少则数分钟,多则数十分钟,还会浪费掉许多牙胶尖,费时费力也不一定能完全填充到位;有时为了填充到位还不得不加大牙根管内壁的切削预备量,损伤掉更多根管内健康的牙体组织,同时也对牙医提出了很高的技术要求。In clinical practice, the filling of a root canal can take as little as a few minutes to tens of minutes, and a lot of gutta-percha tips will be wasted. The cutting preparation of the inner wall of the root canal damages more healthy tooth tissue in the root canal, and also puts forward high technical requirements for the dentist.
中国专利文献CN204501016U公开了一种牙胶尖,如图2、图3所示,其锥状圆柱牙胶尖本体1沿轴向从大径端起至25mm处之间,每间距5mm设置一环形凹槽2,各5mm轴段上呈轴对称设置有两排弧形凹槽3,各排中弧形凹槽的数量为四个,以1mm为间距等分该轴段,各弧形凹槽的弧长为所对应圆周的四分之一。环形凹槽以及弧形凹槽主要起到刻度标识的作用,同时还便于在截断牙胶尖长度时避免引起牙胶尖变形。Chinese patent document CN204501016U discloses a gutta-percha tip. As shown in Figures 2 and 3, the conical cylindrical gutta-
中国专利文献CN108354681A公开了一种含银钛合金根管内固位、根尖封闭一体化牙胶尖。如图4、图5所示,其圆锥形牙胶尖由上到下依次设有固位段1、封闭段2,固位段1由银钛合金制成,封闭段2由牙胶制成,固位段下端面向下延伸有用于将固位段1、封闭段2结合在一起的连接段3,且连接段也由银钛合金制成,在固位段上端设有用于显示牙胶尖长度的刻度段4。在连接段处设置有向外凸起的螺旋叶片5,以利于在制备该牙胶尖的过程中封闭段(牙胶)与连接段3轴向连接紧密。Chinese patent document CN108354681A discloses an integrated gutta-percha tip containing silver-titanium alloy root canal retention and root apex sealing. As shown in Figures 4 and 5, the conical gutta-percha tip is provided with a
然而,上述文献提供的方案仍然无法从根本上解决充填细微根管时效率较低、难度较大等难题。However, the solutions provided in the above-mentioned documents still cannot fundamentally solve the problems of low efficiency and difficulty when filling tiny root canals.
发明内容SUMMARY OF THE INVENTION
本发明提出了一种钛材料根管塞尖,旨在解决现有技术充填细微根管时效率较低、难度较大等难题。The invention proposes a titanium root canal plug tip, which aims to solve the problems of low efficiency and high difficulty in filling fine root canals in the prior art.
为了实现以上目的,本发明提出以下解决方案。In order to achieve the above objects, the present invention proposes the following solutions.
一种钛材料根管塞尖,整体由医用纯钛或钛合金制成(一体件),轴向上分为根尖段和手柄段;所述根尖段为圆锥形,并在根尖段的尖端部分设置有外螺纹;所述手柄段设置有刻度标记或结构,手柄段还设置有至少一处槽口,以便于在钛材料根管塞尖充填到位后进行牙冠多余部分截断。A titanium root canal plug tip, which is made of medical pure titanium or titanium alloy as a whole (one piece), and is divided into an apical segment and a handle segment in the axial direction; the apical segment is conical and is in the apical segment The tip part of the crown is provided with an external thread; the handle segment is provided with a scale mark or structure, and the handle segment is also provided with at least one notch, so as to cut off the excess part of the crown after the titanium root canal tip is filled in place.
进一步地,所述根尖段的整体均设置有外螺纹。Further, the whole of the apical segment is provided with external threads.
进一步地,所述外螺纹为V形螺纹(Sharp V Thread)。其次还可以考虑惠氏螺纹(whitworth Thread)等。Further, the external thread is a V-shaped thread (Sharp V Thread). Secondly, you can also consider the whitworth thread (whitworth Thread).
进一步地,所述根尖段的锥度与牙科根管预备用的同规格手扩针及机扩针锥度保持一致。Further, the taper of the apical segment is consistent with the taper of the hand-expanding needle and the machine-expanding needle of the same specification used for dental root canal preparation.
进一步地,所述刻度标记为数字式环形刻度线。或者,也可以考虑通过设置凹/凸颜色线条形成刻度指示结构。Further, the scale marks are digital annular scale lines. Alternatively, it can also be considered to form a scale indicating structure by setting concave/convex color lines.
进一步地,所述槽口位于手柄段中部。Further, the notch is located in the middle of the handle section.
进一步地,所述手柄段为具有单侧或双侧剖切平面的圆柱体,所述剖切平面与所述圆柱体轴向平行,以便于手持操作。Further, the handle segment is a cylinder with a single-sided or double-sided cutting plane, and the cutting plane is axially parallel to the cylinder, so as to facilitate hand-held operation.
或者,所述手柄段也可以整体或部分为与手柄轴向平行的扁平部,以便于手持操作。Alternatively, the handle segment can also be a flat part in whole or in part that is parallel to the axial direction of the handle, so as to facilitate hand-held operation.
本发明还相应提供一种牙科根管治疗设备,包括上述的钛材料根管塞尖和电子根长测量仪器,所述电子根长测量仪器与钛材料根管塞尖的手柄段电连接,用于直接测量牙体长度。The present invention also correspondingly provides a dental root canal treatment device, comprising the above-mentioned titanium material root canal plug tip and an electronic root length measuring instrument, wherein the electronic root length measuring instrument is electrically connected to the handle section of the titanium material root canal plug tip, using for direct measurement of tooth length.
相比现有技术,本发明具有以下有益效果:Compared with the prior art, the present invention has the following beneficial effects:
1、整体由医用纯钛或钛合金制成,且根管塞尖的根尖段设置外螺纹,一方面外螺纹旋刃利于嵌入牙体,有效减少对牙体根管内壁的预备切削损伤量,降低根充难度,且由于根管塞尖本身具有良好的导电性,还可直接与电子根长测量仪器连接,边测量边旋转,无须反复试尖,实现快速精准根充到位;另一方面螺纹沟天然具有更大的表面积和空间,螺纹沟内充满药剂,可长期保持根管内填充物的最大密度,达到最紧密完善稳定的根尖封闭效果,且一次携带药量通常能够满足要求,从而可实现一步到位(而无需多次蘸药)。1. The whole is made of medical pure titanium or titanium alloy, and the apical section of the root canal plug is provided with an external thread. On the one hand, the external thread rotating edge is conducive to embedding the tooth, effectively reducing the amount of preparative cutting damage to the inner wall of the root canal of the tooth. , reducing the difficulty of root filling, and because the root canal tip itself has good electrical conductivity, it can also be directly connected to the electronic root length measuring instrument, and rotate while measuring, without repeated testing of the tip, to achieve fast and accurate root filling in place; on the other hand The thread groove naturally has a larger surface area and space, and the thread groove is filled with medicine, which can maintain the maximum density of the root canal filling for a long time, and achieve the most compact, complete and stable root apex sealing effect, and the amount of medicine carried at one time can usually meet the requirements. Thus, it can be achieved in one step (without the need for multiple dips).
2、纯钛根管塞尖的手柄部分保留在牙冠窝洞里,可取代根管钉或纤维桩。一体化的根尖螺纹和手柄设计,无须二次打根管钉或纤维桩,减少过多地切削牙体健康组织,省事省料,还可提高牙体抗破折能力。2. The handle part of the pure titanium root canal plug is retained in the crown cavity, which can replace root canal nails or fiber posts. The integrated apical thread and handle design eliminates the need for secondary root canal nails or fiber posts, reduces excessive cutting of healthy tooth tissue, saves time and money, and improves tooth fracture resistance.
3、钛材无磁场,安全性更好,且不影响做x光和核磁共振等医学检查;3. Titanium material has no magnetic field, better safety, and does not affect medical examinations such as X-ray and nuclear magnetic resonance;
另外,传统永久性根充材料牙胶尖由β相牙胶(20%)、氧化锌(大部分)、蜡、树脂、金属盐、色素颜料等成分组成,成分复杂,其安全性和生物相容性理论上讲存在着一定的不确定性;In addition, the traditional permanent root filling material gutta-percha tip is composed of beta-phase gutta-percha (20%), zinc oxide (mostly), wax, resin, metal salt, pigment and pigment, etc. The composition is complex, and its safety and biocompatibility In theory, there is a certain uncertainty;
而本发明整体为医用纯钛或钛合金材质,其生物相溶性和安全性更可靠。纯钛金属在医学领域应用广泛,如种植牙的人工牙根、骨科用的人工关节、颅骨补片、腹腔镜手术后的止血钛夹等,是目前最理想的植入人体的生物材料。The present invention is made of medical pure titanium or titanium alloy as a whole, and its biocompatibility and safety are more reliable. Pure titanium is widely used in the medical field, such as artificial roots for implants, artificial joints for orthopaedics, cranial patches, hemostatic titanium clips after laparoscopic surgery, etc. It is currently the most ideal biological material implanted in the human body.
附图说明Description of drawings
图1为牙胶尖在牙齿内部的结构示意图。其中,101-牙胶尖,102-牙冠窝洞填补材料,103-根管充填药剂。Figure 1 is a schematic diagram of the structure of the gutta percha tip inside the tooth. Among them, 101- gutta-percha tip, 102- crown cavity filling material, 103- root canal filling agent.
图2、图3为专利文献CN204501016U方案的结构示意图,其中图3为图2中A-A处的截面示意图。图中标号说明:1-牙胶尖本体;2-环形凹槽;3-弧形凹槽。FIG. 2 and FIG. 3 are schematic structural diagrams of the solution of the patent document CN204501016U, wherein FIG. 3 is a schematic cross-sectional view at A-A in FIG. 2 . Description of the symbols in the figure: 1- gutta-percha tip body; 2- annular groove; 3- arc groove.
图4、图5为专利文献CN108354681A方案的结构示意图,其中图5为图4的剖视图。图中标号说明:1-固位段;2-封闭段;3-连接段;4-刻度段;5-螺旋叶片。4 and 5 are schematic structural diagrams of the solution of the patent document CN108354681A, wherein FIG. 5 is a cross-sectional view of FIG. 4 . Description of the numbers in the figure: 1-retention section; 2-closed section; 3-connection section; 4-scale section; 5-spiral blade.
图6为本发明的一个实施例的结构示意图。FIG. 6 is a schematic structural diagram of an embodiment of the present invention.
图7为图6所示实施例侧面的示意图。FIG. 7 is a schematic view of the side of the embodiment shown in FIG. 6 .
图8为图6所示实施例中手柄段的截面示意图。FIG. 8 is a schematic cross-sectional view of the handle section of the embodiment shown in FIG. 6 .
图6-图7中的附图标号说明:1-根尖段;2-手柄段;3-外螺纹;4-数字式环形刻度线;5-剖切平面;6-槽口。6-FIG. 7 description of the reference numerals: 1-apical segment; 2-handle segment; 3-external thread; 4-digital ring scale; 5-cut plane; 6-notch.
具体实施方式Detailed ways
以下结合附图,通过实施例对本发明作进一步详述。Below in conjunction with the accompanying drawings, the present invention will be further described in detail through embodiments.
如图6至图8所示,本实施例的纯钛根管塞尖由医用纯钛金属材料加工制成,轴向上分为根尖段1和手柄段2。As shown in FIG. 6 to FIG. 8 , the pure titanium root canal plug tip of this embodiment is made of medical pure titanium metal material, and is divided into a
根尖段为圆锥形,并具有外螺纹3。The apical segment is conical and has an
手柄段不带锥度和螺纹,并设有数字式环形刻度线4。The handle segment is untapered and threaded and has a
手柄段为具有单侧剖切平面5的圆柱体,剖切平面与圆柱体轴向平行,以便于手持操作。剖切平面5与圆锥形的根尖段1相接处可以是如图7所示的垂直面,也可以采用斜面过渡。The handle segment is a cylinder with a single-
纯钛根管塞尖根尖段的锥度与牙科根管预备用的手扩针、机扩针锥度保持一致,所以纯钛根管塞尖系列包括02、04、06、08锥度。The taper of the apical segment of the pure titanium root canal plug is consistent with the taper of the hand-expanding needle and the machine-expanding needle for dental root canal preparation, so the series of pure titanium root canal plugs include 02, 04, 06, and 08 tapers.
为了更加紧密地封闭牙齿根尖孔狭窄区,将具有根尖段少量旋入根管牙体组织,02、04、06、08锥度纯钛根管塞尖尖端直径大于同锥度同规格手扩、机扩针尖端直径0.03mm,可以有(0.15+0.03)mm、(0.20+0.03、mm、(0.25+0.03)mm、(0.30+0.03)mm、(0.35+0.03)mm、(0.40+0.03)mm、(0.45+0.03)mm多种直径规格。其中02锥度根管塞尖尖端直径还可以做到更小,如0.08mm、0.10mm等,而且由于径向尺寸极小,所以其根尖段也可以不带螺纹,手柄段也可以不再设置平面,仅有环形刻度。In order to seal the apical foramen narrow area of the tooth more tightly, a small amount of the apical segment is screwed into the root canal tooth tissue. The diameter of the 02, 04, 06, and 08 taper pure titanium root canal plugs is larger than that of the same taper and the same specification. The diameter of the tip of the machine expanding needle is 0.03mm, which can be (0.15+0.03)mm, (0.20+0.03, mm, (0.25+0.03)mm, (0.30+0.03)mm, (0.35+0.03)mm, (0.40+0.03) mm, (0.45+0.03)mm diameter specifications. Among them, the diameter of the 02 taper root canal tip tip can be made smaller, such as 0.08mm, 0.10mm, etc., and because of the extremely small radial size, the root tip section is It can also be without thread, and the handle segment can no longer be provided with a flat surface, only a ring scale.
纯钛根管塞尖根尖段长度有6mm至16mm等不同规格。The length of the apical section of the pure titanium root canal plug has different specifications such as 6mm to 16mm.
纯钛根管塞尖手柄段长15mm,在手柄中间1/2处设计有槽口6(易断凹槽),可配合套管式扳手使用,以便于在纯钛根管塞尖充填到位后进行牙冠多余部分截断。The handle section of the pure titanium root canal tip is 15mm long, and a notch 6 (easy-to-break groove) is designed in the middle 1/2 of the handle. Cut off the excess part of the crown.
该纯钛根管塞尖的使用方法如下:The method of using the pure titanium root canal tip is as follows:
在常规根管预备消毒后,将纯钛根管塞尖微调到与牙齿根管方向一致,手持手柄,用根尖螺旋部分醮根充药剂插入牙根管,参照手柄上刻度将纯钛塞尖旋转到位并从手柄1/2凹槽处折断即可。下一步清理牙冠窝洞多余根充药剂,注入光固化流体树脂光照固化调整咬合,即可完成一个牙齿的全部根管治疗,需冠修复者行冠修复术。After routine root canal preparation and disinfection, fine-tune the pure titanium root canal tip to the same direction as the root canal of the tooth, hold the handle, insert the root filling agent into the root canal with the helical part of the root canal, and place the pure titanium tip according to the scale on the handle. Rotate into place and snap off 1/2 of the groove in the handle. The next step is to clean the excess root filling agent in the crown cavity, inject light-curing fluid resin to adjust the occlusion, and then complete the root canal treatment of a tooth.
本实施例能够达到更简单高效、精准以及高密度和高质量的临床根充效果,只需要传统牙胶尖根充耗时的1/2或1/3甚至更短。This embodiment can achieve a simpler, more efficient, more accurate, high-density and high-quality clinical root filling effect, and only needs 1/2 or 1/3 or even shorter time of traditional gutta-percha root filling.
Claims (9)
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| CN113069227A (en) * | 2021-03-22 | 2021-07-06 | 宁波大学医学院附属医院 | Gutta-percha point cutter capable of stretching and deforming |
| CN114288042A (en) * | 2021-12-29 | 2022-04-08 | 复旦大学附属中山医院 | A root canal filling core with layered drug-loading and sustained-release drugs |
| CN114288041A (en) * | 2021-12-20 | 2022-04-08 | 四川大学 | Individualized filler for root canal barrier surgery and manufacturing method and application thereof |
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