WO2009151276A2 - Drill for implant operations - Google Patents

Drill for implant operations Download PDF

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Publication number
WO2009151276A2
WO2009151276A2 PCT/KR2009/003116 KR2009003116W WO2009151276A2 WO 2009151276 A2 WO2009151276 A2 WO 2009151276A2 KR 2009003116 W KR2009003116 W KR 2009003116W WO 2009151276 A2 WO2009151276 A2 WO 2009151276A2
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WO
WIPO (PCT)
Prior art keywords
alveolar bone
cutting
drill
drilling
maxillary sinus
Prior art date
Application number
PCT/KR2009/003116
Other languages
French (fr)
Korean (ko)
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WO2009151276A3 (en
Inventor
이순호
Original Assignee
주식회사 메가젠임플란트
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Publication of WO2009151276A2 publication Critical patent/WO2009151276A2/en
Publication of WO2009151276A3 publication Critical patent/WO2009151276A3/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C8/00Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools
    • A61C8/0089Implanting tools or instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C3/00Dental tools or instruments
    • A61C3/02Tooth drilling or cutting instruments; Instruments acting like a sandblast machine
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C1/00Dental machines for boring or cutting ; General features of dental machines or apparatus, e.g. hand-piece design
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C3/00Dental tools or instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C8/00Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C8/00Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools
    • A61C8/0089Implanting tools or instruments
    • A61C8/0092Implanting tools or instruments for sinus lifting

Definitions

  • the present invention relates to a drill for implant surgery, and more particularly, to a drill for implant surgery that can easily and safely perform alveolar bone drilling, and can easily remove alveolar bone fragments generated during alveolar bone drilling. will be.
  • Implant refers to a substitute that is originally restored when human tissue is lost, but in the dentist refers to the implantation of artificial teeth.
  • the tooth root made of titanium (titanium), etc., which is not rejected by the human body, is planted in the alveolar bone where the tooth falls out, and the artificial tooth is fixed to restore the function of the tooth.
  • the surrounding teeth and bones are damaged over time, but the implants do not damage the surrounding dental tissues, and they have the advantage that they can be used semi-permanently because they have the same function or shape as natural teeth and do not cause tooth decay.
  • Implants also enhance the function of dentures and improve the aesthetic aspects of dental prosthetic restorations, as well as in single brace restorations, as well as in partial and complete teeth. Furthermore, it disperses excessive stress on surrounding supportive bone tissue and helps stabilize teeth.
  • the implant success rate in the maxillary posterior part is known to be relatively low compared to the success rate in other parts, for example, the mandibular posterior part during such implantation procedure. This is because it is not easy to implant.
  • the maxillary sinus which is located between the upper molar and, more precisely, the upper molar and the side of the nose, is a space surrounded by the mucous membrane and expands downward when the tooth is lost physiologically.
  • the amount of bone that can be implanted is insufficient due to the downward expansion, which makes it difficult to implant the implant into the maxillary posterior molar.
  • a bone graft material is implanted in the secured space, and implantation is implanted therein.
  • Such methods include a vertical approach and a lateral approach.
  • the vertical approach is a method of securing a certain amount of residual bone in the implant site, and tapping the maxilla several times with a device called a chisel and hammer-shaped osteotomes to prevent damage to the maxillary sinus lining. Then, a little bit of bone graft material through the hole.
  • the lateral approach is a method when the remaining bone of the implant site is very insufficient, forming a hole on the side of the maxillary sinus, elevating the lining of the maxillary sinus, and transplanting a bone graft material through the hole.
  • this method has the advantage that the procedure can be faster than the vertical approach, there is a concern that the edema may occur in the treatment site as well as the operation itself is difficult.
  • the maxillary sinus elevation using the general implant treatment drill has the advantage that the maxillary perforation can be easily and fast time, but when the maxillary perforation, the maxilla is not precisely cut but can be irregularly cut, and also the tip of the implant drill A problem may occur in which damage such as tearing of the maxillary sinus lining occurs in contact with the maxillary sinus lining.
  • An object of the present invention it is possible to easily perform the alveolar bone drilling operation, it is also possible to easily remove the alveolar bone fragments generated during the alveolar bone drilling operation to provide a drill for implant treatment that can shorten the time required for the alveolar bone drilling will be.
  • Another object of the present invention is to provide an implant procedure drill that can puncture the alveolar bone until the maxillary lining of the maxillary sinus is partially exposed, and can also prevent damage to the maxillary sinus lining.
  • the alveolar bone drilling operation can be easily performed, and the alveolar bone fragments generated during the alveolar bone drilling operation can be easily removed, thereby reducing the time required for the alveolar bone drilling.
  • the alveolar bone may be perforated until the maxillary sinus lining is partially exposed, and further, the maxillary sinus lining may be prevented from being damaged.
  • FIG. 1 is a perspective view of a guide drill used in maxillary sinus elevation.
  • FIG. 2 is a view for explaining the process of drilling the alveolar bone by the guide drill shown in FIG.
  • Figure 3 is a perspective view of the drill for the implant procedure according to an embodiment of the present invention.
  • FIG. 4 is a view for explaining the process of drilling the alveolar bone by the implant treatment drill of FIG.
  • FIG. 5 is a perspective view of a drill for implant surgery according to another embodiment of the present invention.
  • FIG. 6 is a view for explaining the process of drilling the alveolar bone by the implant treatment drill of FIG.
  • Fig. 7 is a perspective view showing the maxillary sinus elevation mechanism for elevating the maxillary sinus lining.
  • FIG. 8 is a view for explaining a process in which the maxillary sinus lining is elevated by the maxillary sinus elevation instrument of FIG. 7.
  • Figure 9 is a perspective view of the pressure drill for pressing the bone graft material between the maxillary sinus lining and alveolar bone.
  • FIG. 10 is a view for explaining the process of pressing the bone graft material by the pressure drill of FIG.
  • the above object is provided in a hollow cylindrical shape and a perforated body provided with a cutter on the upper end; And a female screw portion provided on the inner wall of the perforated body to catch the alveolar bone portion separated from the alveolar bone when the alveolar bone is punctured.
  • the female screw portion is preferably provided in a ratchet type to catch the alveolar bone portion only when rotating in one direction.
  • the side wall of the perforated body may be formed through the discharge hole so that the mechanism for pushing out the alveolar bone portion caught by the female screw portion to the outside by the drilling operation can be drawn in or drawn out.
  • the side wall of the perforated body may be provided with an incision section connecting the discharge hole from the upper end of the perforated body so that the upper end of the perforated body can expand and contract in the outward and inward directions.
  • the lower end of the perforated body may be provided with a coupling body provided with a coupling groove that is detachably coupled to the mechanism for manually rotating the drill for drilling.
  • the coupling body It is formed extending from the lower end of the coupling body, and further comprises a perforated rod provided with a connection groove at the end to be connectable to the handpiece for providing a rotational force, the inner side of the perforated rod as a work site during the perforation work for the alveolar bone Through holes may be formed that communicate with each other along the axial direction to provide saline.
  • a cutting body provided with a first cutting portion for cutting at least one area of the inner wall of the alveolar bone in at least one area of the outer surface; And coupled to the upper end of the cutting body, the surface is achieved by a drill for implant treatment, characterized in that it comprises an inner film contact body coated with a diamond material.
  • the upper end portion of the inner membrane contact body is provided in a substantially hemispherical shape
  • the side of the inner membrane contact body is preferably provided with a second cutting portion for performing the cutting with the first cutting portion of the cutting body.
  • the first cutting part and the second cutting part may be reverse cutters in which blades are formed to cut when the cutting drill is retracted.
  • the lower end of the intima contact body is provided with a larger diameter than the upper end of the intima contact body, and the outer periphery of the lower end of the intima contact body is rounded to prevent damage to the maxillary sinus lining when contacted with the maxillary sinus lining. rounding).
  • a cutting rod is formed extending from the lower end of the cutting body, the cutting rod is provided at the end so as to be connected to the handpiece for providing a rotational force, the cutting rod and the inner membrane contact body inside the cutting rod
  • By cutting through the alveolar bone may be formed through holes penetrating along the axial direction to provide saline to the work site.
  • Maxillary sinus elevation refers to a method of elevating the lining of the maxillary sinus located inside the alveolar bone in a direction away from the alveolar bone after perforating the alveolar bone to secure a space for implantation of the implant.
  • a number of configurations are needed to puncture the alveolar bone and elevate the maxillary sinus lining.
  • Drill 200 for implants according to an embodiment of the present invention is provided with a female threaded portion 213 therein for catching the alveolar bone (5a, see Fig.
  • Implant treatment drill according to an example (see FIGS. 5 and 6, hereinafter referred to as 'cutting drill') and the maxillary sinus lining (3) exposed by the cutting drill 300 is spaced apart from the alveolar bone Maxillary sinus elevation mechanism 400 (see FIGS. 7 and 8) that not only raises in the direction but also removes the remaining portion 5c (see FIG. 8) of the alveolar bone 5 generated by the shape of the cutting drill 300.
  • the pressure drill for uniformly pressing the bone graft material (8) between the maxillary sinus lining (3) and alveolar bone (5) after filling the bone graft material (see Fig. 10) in the space where the maxillary sinus lining (3) is elevated 500, 9 and 10) will be described in sequence.
  • FIG. 1 is a perspective view of a guide drill used for maxillary sinus elevation
  • FIG. 2 is a view for explaining a process in which the alveolar bone is punctured by the guide drill shown in FIG. 1.
  • the guide drill 100 is provided in a hollow cylindrical shape, the upper end portion is provided with a guide body 110, which is provided with a regular cutter 111, and stands in the inner center of the guide body 110 It is provided so as to protrude more than the cutter 111 of the guide body 110 is formed to extend from the lower portion of the point portion 120 and the lower end of the guide body 110 to point the center of the alveolar bone 5 to be punctured
  • a guide rod 130 having a connection groove 131 formed at an end thereof is provided.
  • the shaft center of the point portion 120 and the virtual shaft center of the guide body 110 substantially coincide so that the tip portion of the point portion 120 may accurately point the center of the alveolar bone 5 to be drilled.
  • the serrated cutter 111 provided at the upper end of the guide body 110 forms a shallow hole primarily in the alveolar bone 5 in which the implant is to be placed.
  • the guide body 110 performs a drilling operation to a depth of about 2 mm from the surface of the alveolar bone 5.
  • the point portion 120 provided in the inner center portion of the guide body 110 marks the center of the alveolar bone 5 to be perforated.
  • the guide drill 100 is removed from the alveolar bone 5, and the center of the hole of the perforated alveolar bone 5 is indicated by the point portion 120.
  • the points are marked. Therefore, the punched shape of the alveolar bone 5 can be clearly confirmed after the punching operation of the guide drill 100, and furthermore, the drilling drill 200 to be described later can be positioned at the correct position, and then the punching operation can be executed.
  • the discharge hole 212 is formed.
  • the alveolar bone (5), etc. which may remain inside the guide body 110 during the drilling operation of the alveolar bone (5) to the outside It can be taken out easily.
  • the drilling operation may proceed smoothly.
  • the guide rod 130 is provided with a connecting groove 131 at the end of which a handpiece (not shown) for detachably coupling is detachably coupled to the guide rod 130.
  • a through hole (not shown) communicating with the inner space of the guide body 110 may be formed inside the guide rod 130.
  • the guide drill 100 performs the drilling operation primarily on the alveolar bone 5 in which the implant is placed, while accurately displaying the center of the alveolar bone 5 to be drilled by the point portion 120 for drilling.
  • the drill 200 allows the drilling operation to be performed at the correct position.
  • Figure 3 is a perspective view of an implant treatment drill according to an embodiment of the present invention
  • Figure 4 is a view for explaining the process of drilling the alveolar bone by the implant treatment drill of FIG.
  • the implant drill that is, the drill drill 200 according to an embodiment of the present invention, is inserted into the hole of the alveolar bone 5 primarily drilled by the guide drill 100 A drill for drilling the alveolar bone (5) to a portion adjacent to the maxillary sinus lining (3), which is provided in a hollow cylindrical shape and has a cutter 211 substantially similar to the cutter 111 of the guide drill 100 described above at the upper end.
  • a coupling body 220 provided with a coupling groove 221 which is provided at a lower end and a mechanism for manually rotating the drill 200 for drilling is formed, and extends from a lower end of the coupling body 220 and is connected to an end of the coupling groove ( 231 has perforated rod 230 formed therein do.
  • the drilling body 210 has a sawtooth cutter 211 formed at the upper end thereof so as to perform a drilling operation on the alveolar bone 5, and an internal thread part 213 is formed inside the drilling body 210.
  • the perforated body 210 serves to cut the inner portion of the alveolar bone 5 adjacent to the maxillary sinus lining 3. That is, as described above, when the thickness of the alveolar bone 5 is 5 mm, the alveolar bone 5 is drilled by about 2 mm by the cutter 111 of the guide drill 100, and the cutter of the drill 200 for drilling.
  • 211 it is perforated to the point which is about 1 mm from the maxillary sinus lining 3, ie, the part which is 4 mm from the surface of the alveolar bone 5.
  • the perforated body 210 is preferably provided longer than the guide body 110, the female screw portion on the inner side of the perforated body 210 to be drawn out in a state of catching the carving alveolar bone (5a) generated during the drilling operation 213 is formed.
  • the female screw part 213 of this embodiment is provided regularly from the upper end of the inner wall of the perforated body 210 to a lower end direction.
  • the female screw portion 213 is provided in a ratchet type to be able to move and catch inside the alveolar bone 5 only when the perforated body 210 rotates in one direction. That is, when the perforated body 210 rotates in one direction toward the inner side of the alveolar bone 5 and moves forward, the perforated alveolar bone 5a is inserted into the female screw part 213 and caught, and the perforated body after the work is completed.
  • the alveolar bone 5a of the piece caught in the female threaded portion 213 is maintained as it is when the 210 is rotated in the opposite direction and removed from the alveolar bone 5
  • the alveolar bone 5a of the piece is perforated with the perforated body 210. It can be discharged to the outside together. Therefore, it is not necessary to remove the alveolar bone (5a) of the perforated piece from the alveolar bone (5) by dedicating a separate time after the drilling operation can shorten the time required for the drilling operation.
  • the side wall of the perforated body 210 is formed through the discharge hole 212 substantially similar to the entrance hole 112 of the above-described guide body 110 (see FIG. 2).
  • the alveolar bone 5a of the piece remains inside the perforated body 210.
  • This piece of alveolar bone 5a should be removed from the female threaded portion 213.
  • a device (not shown) for removing the alveolar bone 5a of the piece is introduced into the discharge hole 212, thereby bringing the alveolar bone 5a of the piece outward. By pushing, the alveolar bone 5a of the piece can be easily removed.
  • the perforated body 210 is provided with an incision section 215.
  • the incision section 215 is formed by cutting in an upward direction from the upper end of the perforation body 210 to the discharge hole 212, due to the incision section 215, the perforation body 210 expands outward or contracts inwardly. Can be. Therefore, for example, when the alveolar bone 5a of the piece is to be removed from the female screw part 213, the alveolar bone 5a of the piece can be easily removed by expanding the perforated body 210 by the incision section 215.
  • the accurate drilling operation is executed by the drilling drill 200 to perform X-ray (X-ray) during the operation for a more precise drilling operation.
  • X-ray X-ray
  • the drilling drill 200 to the desired depth of the alveolar bone 5 does not puncture, the drilling work should be further performed by the drilling drill 200, in which case the drilling drill 200 by the handpiece Rather than rotating it, a separate mechanism (not shown) is mounted in the coupling groove 221 of the coupling body 220 provided at the lower end of the perforated body 210 and rotates as desired.
  • the degree of advancement of the drilling drill 200 can be accurately controlled, that is, the degree of advancement can be calculated according to the number of revolutions.
  • the operator can perform the drilling operation precisely to the desired depth.
  • the coupling groove 221 may be detachably coupled with a buffer member (not shown) having a cushioning property. Therefore, when the separate mechanism is mounted in the coupling groove 221 and then the drill drill 200 is rotated using the separate mechanism, the separate mechanism is more tightly bound to the coupling groove 221 for drilling. The rotation of the drill 200 can be facilitated.
  • the drilling rod 230 is provided at its end with a connection groove 231 to which a handpiece (not shown) for providing rotational force is coupled.
  • a through hole (not shown) communicating with an inner space of the punching body 210 may be formed inside the punching rod 230.
  • the saline solution can be provided to the inside thereof, and thus a smoother drilling operation can be executed.
  • the saline solution may be provided through the through hole of the drilling rod 230, it may be provided through the discharge hole 212 of the drilling body 210 during the drilling operation.
  • the drill 200 for drilling not only can the perforated alveolar bone 5 to a portion adjacent to the maxillary sinus lining 3, but also a female screw provided inside the perforated body 210.
  • Part 213 can catch the piece alveolar bone 5 generated during the drilling operation has the advantage that it does not take a separate time for removing the piece alveolar bone (5).
  • FIG. 5 is a perspective view of an implant treatment drill according to another embodiment of the present invention
  • Figure 6 is a view for explaining the process of drilling the alveolar bone by the implant treatment drill of FIG.
  • the implant for drill operation that is, the cutting drill 300 according to another embodiment of the present invention, the inner portion of the alveolar bone 5 until the upper surface is in contact with the maxillary sinus lining 3.
  • a drill for cutting that is, a cutting body 310 in which the reverse cutter 311 of the present embodiment is formed, protrudes from an upper surface of the cutting body 310, and has an outer surface on at least one surface of the maxillary sinus lining 3.
  • a cutting rod 330 is formed with a connection groove 331 detachably coupled to an external device, that is, a handpiece (not shown).
  • an external device that is, a handpiece (not shown).
  • the inner film contact body 320 and the cutting rod 330 provided at the upper and lower portions of the cutting body 310 are provided integrally with the cutting body 310.
  • the cutting body 310 is provided in a tapered shape in which the diameter gradually decreases from the upper end to the lower direction, and the first body for cutting the alveolar bone 5 along the circumferential direction thereof.
  • the cutting portion 311, that is, the reverse cutter 311 of the present embodiment is formed regularly.
  • the cutting body 310 having such a structure is a hole of the alveolar bone 5 drilled to a predetermined depth, for example, about 1 mm from the maxillary sinus lining 3 by the drilling drill 200 described above.
  • the inner portion of the hole of the alveolar bone 5 is cut until the inner membrane contact body 320 provided at the upper end of the cutting body 310 contacts the maxillary sinus lining 3.
  • the inner membrane contact body 320 is a portion protruding from the upper surface of the cutting body 310 and is an inner portion 5b of the alveolar bone 5 between the bottom face of the hole formed by the drilling drill 200 and the maxillary sinus lining 3. 4) to serve as cutting.
  • the intimate contact body 320 is the cutting body 310 described above on the outer surface of the intima contact body 320 to cut the inner portion 5b of the alveolar bone 5 until it contacts the maxillary sinus lining 3.
  • the second cutting portion 321 extending from the first cutting portion 311 of the, i.e., the reverse cutter 321 of the present embodiment is formed.
  • the reverse cutter 311 By the structure of the 321, the alveolar bone 5 can be prevented from being excessively cut. That is, since the reverse cutter 311 of the cutting body 310 and the reverse cutter 321 of the inner membrane contact body 320 are provided so that the tip thereof has a direction opposite to the rotational direction of the cutting body 310, that is, Since the cutters 311 and 321 are arranged such that the cutting body 310 is cut by the blade when the cutting body 310 is retracted, the cutting body 310 and the inner membrane contact body 320 rotate in contact with the alveolar bone 5 to move forward. When cutting the inner portion (5b) of the alveolar bone (5) to be cut when cutting with a sharp blade can be cut through one surface of the blade is provided relatively smoothly.
  • the inner side portion 5b of the alveolar bone 5 adjacent to the maxillary sinus lining 3 may be precisely provided in a straight section of the side portion rather than the curved surface of the inner membrane contact body 320.
  • the inner membrane contact body 320 as shown in Figures 5 and 6, the upper end portion in contact with the maxillary sinus lining (3) is provided in a hemispherical shape, diamond particles 325 is evenly distributed over the entire surface of the portion. Coated. Even when the hemispherical shape of the inner membrane contact body 320 and the coating of the diamond particles 325 are in contact with the outer surface of the maxillary sinus inner membrane 3 and the inner membrane contact body 320, damage to the maxillary sinus inner membrane 3 does not occur.
  • the diamond particles 325 are uniformly coated on the outer surface of the inner membrane contact body 320, even when the maxillary sinus lining 3 and the inner membrane contact body 320 are in contact with each other, the pressure can be uniformly distributed, thereby causing the maxillary sinus lining Damage to (3) can be prevented.
  • the alveolar bone particles cut from the alveolar bone 5 are disposed between the diamond particles 325 when the drilling operation is performed using the drilling drill 300.
  • Such diamond particles 325 and the alveolar bone particles Even if the uniformly placed inner membrane contact body 320 is rotated in contact with and in contact with the maxillary sinus lining 3, the diamond particles 325 and alveolar bone particles support the balanced maxillary lining without damaging the maxillary sinus lining 3. It is possible to prevent the maxillary sinus lining 3 from being damaged by the lining contact body 320.
  • the lower end of the inner membrane contact body 320 is provided with a larger diameter than the upper end, the outer periphery of the lower end is rounded (rouding) process. This serves to limit the advancing of the intima contact body 320 in the direction of the maxillary sinus lining 3 to some extent, thereby preventing the maxillary sinus lining 3 from being damaged. In addition, since the rounding process may prevent the maxillary sinus lining 3 from being damaged even when the lower end portion of the inner membrane contact body 320 contacts the maxillary sinus lining 3.
  • the first cutting portion 311 of the cutting body 310 and the second cutting portion 321 of the inner film contacting body 320 are extended.
  • the first cutting unit 311 and the second cutting unit 321 may be applied as a reverse cutter, but may also be used as a saline solution path as needed. That is, during the drilling operation, by providing the saline solution along the reverse cutter (311, 321), the drilling operation by the cutting drill 300 can be performed more smoothly.
  • the first cutting part 311 and the second cutting part 321 are provided as reverse cutters, but may be provided as grooves instead of reverse cutters.
  • the cutting rod 330 extends from the lower end of the cutting body 310 and is connected to a handpiece (not shown) that provides rotational force. Since the cutting rod 330 of the cutting drill 300 is substantially the same as the guide rod 130 of the guide drill 100 and the drilling rod 230 of the drilling drill 200, a description thereof will be omitted. Shall be.
  • FIG. 7 is a perspective view illustrating a maxillary sinus elevation mechanism for elevating the maxillary sinus lining
  • FIG. 8 is a view for explaining a process in which the maxillary sinus lining is elevated by the maxillary sinus elevation instrument of FIG. 7.
  • the maxillary sinus elevation mechanism 400 not only rises to the maxillary sinus lining 3 which is partially exposed by the cutting drill 300 but also remains due to the shape of the cutting drill 300.
  • the handle body 410 As a mechanism for removing the alveolar bone remaining portion (5c, see Fig. 8), the handle body 410, and is provided at both ends of the handle body 410, the end of the coarse for raising the maxillary sinus lining (3)
  • the pair of coarse bodies 420 provided with the member 421 is provided.
  • a non-slip portion 411 is formed regularly.
  • the coarse body 420 has a longitudinal direction substantially the same as that of the handle body 410, but the center of the coarse member 421 provided at the end of the coarse body 420 can be easily introduced into or withdrawn from the hole of the alveolar bone 5. Is formed in the bending portion.
  • the upper member 421 has a rounded upper surface in contact with the maxillary sinus lining 3 to prevent damage to the maxillary sinus lining 3 when the maxillary sinus lining 3 is elevated in contact with the maxillary sinus lining 3. rounding).
  • at least a portion of the side end of the elevation member 421 is used to cut the remaining portion 5c of the alveolar bone 5 remaining by the shape of the cutting drill 300. It is sharply formed. That is, the coarse member 421 may be provided in the shape of a hemispherical shape.
  • a plurality of scales may be provided on the upper portion of the coarse body 420 provided with the coarse member 421 to check the degree of elevation of the maxillary sinus lining 3. 423 is indicated.
  • the maxillary sinus lining 3 can be elevated without damage, and the remaining alveolar bone 5 remaining portion 5c is cut by the shape of the cutting drill 300. This allows for a space for implant placement.
  • Figure 9 is a perspective view of the pressure drill for pressing the bone graft material between the maxillary sinus lining and alveolar bone
  • Figure 10 is a view for explaining the process of pressing the bone graft material by the pressure drill of FIG.
  • the pressure drill 500 is a drill for pressing the bone graft material 8 introduced into the space (3s, see Fig. 8) generated by raising the maxillary sinus lining 3, the bone graft material (8) and a pressing body 510 for pressurizing, and a connecting groove 531 is formed extending from the lower end of the pressing body 510 and detachably coupled with a handpiece (not shown) for providing rotational force is formed.
  • the pressing rod 530 is provided.
  • the pressing body 510 is formed with a regular groove 511 on the outer side, the upper end is provided in a convex shape for pressing the bone graft material (8) in the outward direction. Therefore, when the pressurized body 510 rotates and is pulled in the direction of the maxillary sinus lining 3, the bone graft material 8 filled in the space 3s formed by the elevation of the maxillary sinus lining 3 is the maxillary sinus lining 3 and the alveolar bone 5. It can be pressurized evenly and densely.
  • the pressure rod 530 extends from the lower end of the pressure body 510 to be connected to the handpiece providing rotational force.
  • the pressure rod 530 of the pressure drill 500 is substantially similar to the above-described guide rod 130, the punching rod 230 and the cutting rod 330, the through hole for the saline movement is not formed. Description thereof will be omitted.
  • the bone graft material 8 filled in the space 3s formed by the maxillary sinus lining 3 is elevated between the maxillary sinus lining 3 and the alveolar bone 5 while being uniform. It can be pressurized so that there is an effect that the fixture (not shown) of the implant to be later placed is firmly supported.
  • a shallow hole is formed using a guide drill 100 at a position where an implant is to be placed, for example, the alveolar bone 5 of the maxillary posterior molar, and the center of the formed hole is indicated.
  • the guide drill 100 using the guide drill 100 to form a shallow hole from the maxillary sinus lining (3) to a position adjacent to approximately 3mm, at this time, the alveolar bone (5) in which the point portion 120 protruding from the guide body 110 is drilled. Mark the position in the center of the hole.
  • holes are formed from the maxillary sinus lining 3 to a position adjacent to the maxillary sinus lining 3 using the drilling drill 200, which is a drill 200 for implant surgery according to an embodiment of the present invention.
  • the center of the drilling drill 200 should be aligned with the center of the hole indicated by the guide drill 100.
  • the drilling drill 200 forms a hole of the alveolar bone 5 to a position approximately 2 mm adjacent to the maxillary sinus lining 3
  • a hole is formed by using the rotational force of the handpiece, and then the operator has a position up to approximately 1 mm adjacent. Directly rotating the drilling drill 200 to execute the drilling operation.
  • the drilling drill 200 when rotating the drilling drill 200 with the handpiece can not accurately control the drilling operation of the drilling drill 200, but if the operator directly rotates the drilling drill 200 to work the alveolar bone to the desired depth
  • the hole of (5) can be formed.
  • the drilling drill 200 is provided with a coupling groove 221 for rotating the drilling drill 200 by the number of revolutions desired by the operator, and the operator has a separate mechanism (not shown) in the coupling groove 221. After mounting, rotate the desired number of revolutions and execute the drilling operation. At this time, the hole depth of the perforated alveolar bone 5 can be confirmed through X-ray photographing or the like.
  • the drilling drill 200 After drilling to a certain depth with the drilling drill 200, the drilling drill 200 is removed from the alveolar bone 5, and then the alveolar bone 5a of the piece inserted into the drilling body 210 of the drilling drill 200. Remove it.
  • the ratchet type female threaded portion 213 is provided inside the perforated body 210 so that the alveolar bone 5a of the perforated piece can be easily taken out to the outside.
  • the drill 300 for cutting according to the implant 300 is inserted into the hole of the alveolar bone 5 according to another embodiment of the present invention, and the inner membrane contact body 320 of the cutting drill 300 is the maxillary sinus.
  • the punching operation is performed until it contacts the inner film 3.
  • the inner portion 5b of the alveolar bone 5 by the first cutting portion 311 of the cutting body 310 and the second cutting portion 321 of the inner membrane contact body 320 during the drilling operation by the cutting drill 300. ) Can be evenly cut, and the diamond particles 325 are evenly coated on the upper surface of the intima contact body 320 so that the intima contact body 320 does not damage the maxillary sinus lining 3 and the maxillary sinus lining 3.
  • the contact state can be maintained.
  • the maxillary sinus lining 3 may be slightly elevated by the lining contact body 320.
  • the maxillary sinus elevation mechanism 400 is introduced into the hole of the alveolar bone 5 to elevate the partially exposed maxillary sinus lining 3. Furthermore, after raising the maxillary sinus lining 3, the remaining portion 5c of the alveolar bone 5 remaining by the shape of the cutting drill 300 is removed using the maxillary sinus elevation mechanism 400.
  • the bone graft material (8) using the pressure drill 500 to the maxillary sinus lining (3) and alveolar bone (5) Press evenly and uniformly between the layers.
  • the drill 200 for drilling according to an embodiment of the present invention, it is possible to easily execute the alveolar bone drilling operation, it is also possible to easily remove the alveolar bone fragments generated during the alveolar bone drilling work required for alveolar bone drilling This can shorten the time it takes.
  • the alveolar bone can be perforated until the maxillary sinus lining is partially exposed, and there is an effect of preventing the maxillary sinus lining from being damaged.
  • the alveolar bone drilling operation can be easily performed, and the alveolar bone fragments generated during the alveolar bone drilling operation can be easily removed, thereby reducing the time required for the alveolar bone drilling.
  • the alveolar bone may be perforated until the maxillary sinus lining is partially exposed, and further, the maxillary sinus lining may be prevented from being damaged.

Abstract

Disclosed is a drill for implant operations. The drill for implant operations of the present invention includes a drilling body comprising a hollow cylindrical shape and having a top with a cutter, and a female screw unit arranged on an inner wall of the drilling body to catch a part of an alveolar bone separated from the latter during the drilling of the alveolar bone. The present invention enables alveolar bone drilling processes to be carried out with ease, and enables fragments of alveolar bone to be removed with ease during the drilling of the alveolar bone, thus shortening the time required for drilling the alveolar bone.

Description

임플란트 시술용 드릴Implant Drills
본 발명은, 임플란트 시술용 드릴에 관한 것으로서, 보다 상세하게는, 치조골 천공 작업을 용이하면서도 안전하게 실행할 수 있으며, 또한 치조골 천공 작업 시 발생되는 치조골 조각을 용이하게 제거할 수 있는 임플란트 시술용 드릴에 관한 것이다.The present invention relates to a drill for implant surgery, and more particularly, to a drill for implant surgery that can easily and safely perform alveolar bone drilling, and can easily remove alveolar bone fragments generated during alveolar bone drilling. will be.
임플란트(Implant)는 원래 인체조직이 상실되었을 때, 회복시켜 주는 대치물을 의미하지만, 치과에서는 인공으로 만든 치아를 이식하는 것을 말한다. 상실된 치근(치아뿌리)을 대신할 수 있도록 인체에 거부반응이 없는 티타늄(titanium) 등으로 만든 치근을 이가 빠져나간 치조골에 심은 뒤, 인공치아를 고정시켜 치아의 기능을 회복하도록 하는 시술이다.Implant (implant) refers to a substitute that is originally restored when human tissue is lost, but in the dentist refers to the implantation of artificial teeth. In order to replace the lost tooth root (tooth root), the tooth root made of titanium (titanium), etc., which is not rejected by the human body, is planted in the alveolar bone where the tooth falls out, and the artificial tooth is fixed to restore the function of the tooth.
일반 보철물이나 틀니의 경우, 시간이 지나면 주위 치아와 뼈가 상하지만 임플란트는 주변 치아조직을 상하지 않게 하며, 자연치아와 기능이나 모양이 같으면서도 충치가 생기지 않으므로 반영구적으로 사용할 수 있는 장점이 있다.In the case of general prosthetics or dentures, the surrounding teeth and bones are damaged over time, but the implants do not damage the surrounding dental tissues, and they have the advantage that they can be used semi-permanently because they have the same function or shape as natural teeth and do not cause tooth decay.
또한 임플란트는 단일 결속치 수복은 물론이거니와 부분 무치아 및 완전 무치아 환자에게 의치의 기능을 증진시키고 치아 보철 수복의 심미적인 면을 개선시킨다. 나아가 주위의 지지골 조직에 가해지는 과도한 응력을 분산시킴은 물론 치열의 안정화에 도움을 준다. Implants also enhance the function of dentures and improve the aesthetic aspects of dental prosthetic restorations, as well as in single brace restorations, as well as in partial and complete teeth. Furthermore, it disperses excessive stress on surrounding supportive bone tissue and helps stabilize teeth.
한편, 이러한 임플란트 시술 중 상악 구치부에서의 임플란트 성공률은 다른 부위, 예를 들면 하악 구치부에서의 성공률에 비해 비교적 낮다고 알려져 있는데, 이는 상악 구치부는 비교적 골질이 약하고, 그 내측에 상악동(Sinus)이 있으므로 임플란트를 식립하기가 용이하지 않기 때문이다.On the other hand, the implant success rate in the maxillary posterior part is known to be relatively low compared to the success rate in other parts, for example, the mandibular posterior part during such implantation procedure. This is because it is not easy to implant.
다시 말해, 상악 구치부의 상부, 보다 정확히는, 윗 어금니와 코 옆에 사이에 존재하는 상악동은 점막으로 둘러싸인 공간으로서 생리적으로 치아가 상실되면 밑으로 내려오면서 확장되므로 상악 구치부의 치아가 상실되면 치아 상실에 따른 골 흡수와 함께 하방으로의 확장으로 인해 임플란트를 식립할 수 있는 골 량이 부족하게 되고, 이로 인해 상악 구치부에 임플란트를 식립하기가 어려워지게 된다.In other words, the maxillary sinus, which is located between the upper molar and, more precisely, the upper molar and the side of the nose, is a space surrounded by the mucous membrane and expands downward when the tooth is lost physiologically. As a result of the bone absorption, the amount of bone that can be implanted is insufficient due to the downward expansion, which makes it difficult to implant the implant into the maxillary posterior molar.
이와 같은 경우, 상악동 내막을 거상시켜 공간을 형성한 후, 확보된 공간에 골이식재를 이식하고 여기에 임플란트를 매식하는 방법을 이용하게 되며, 이러한 방법에는 수직접근법 및 측방접근법 등이 있다.In this case, after forming a space by elevating the maxillary sinus lining, a bone graft material is implanted in the secured space, and implantation is implanted therein. Such methods include a vertical approach and a lateral approach.
먼저, 수직접근법은 임플란트 시술 부위에 잔존골이 어느 정도 확보되었을 때의 방법으로, 상악동 내막에 손상이 발생하지 않도록 끌과 망치 형태의 오스테오톰이라는 기구로 상악을 여러 번 두드려 소정 크기의 홀을 형성한 다음, 홀을 통해 골이식재를 조금씩 넣는 방식이다.First, the vertical approach is a method of securing a certain amount of residual bone in the implant site, and tapping the maxilla several times with a device called a chisel and hammer-shaped osteotomes to prevent damage to the maxillary sinus lining. Then, a little bit of bone graft material through the hole.
그런데, 이러한 수직접근을 이용하는 경우, 시술 과정에서 상악동 내막을 직접 볼 수 없기 때문에 그 과정을 엑스레이로 확인하면서 매우 조심스럽게 작업을 진행하게 되므로 시술 시간이 오래 소요되는 문제점이 있다.However, when using such a vertical approach, because the maxillary sinus lining cannot be seen directly during the procedure, the procedure takes a long time because the operation is performed very carefully while checking the process by X-rays.
그리고, 측방접근법은 임플란트 시술 부위의 잔존골이 매우 부족할 때의 방법으로, 상악동의 측면에 홀을 형성하여 상악동 내막을 거상시킨 후 홀을 통해 골이식재를 이식하는 방법이다. 그런데, 이러한 방법은, 수직 접근법에 비해 빠른 시술이 가능하다는 장점은 있지만, 시술 부위에 부종이 발생될 우려가 있을 뿐만 아니라 수술 자체가 어렵다는 문제점이 있다.In addition, the lateral approach is a method when the remaining bone of the implant site is very insufficient, forming a hole on the side of the maxillary sinus, elevating the lining of the maxillary sinus, and transplanting a bone graft material through the hole. By the way, this method has the advantage that the procedure can be faster than the vertical approach, there is a concern that the edema may occur in the treatment site as well as the operation itself is difficult.
따라서, 이러한 문제점들을 해결하기 위해, 최근에는 일반 임플란트 시술용 드릴을 이용한 상악동 거상술이 연구되고 있으며, 나아가 실제 적용되고 있다. Therefore, in order to solve these problems, in recent years, maxillary sinus elevation using a general implant drill has been studied, and furthermore, it is actually applied.
그런데, 이러한 일반 임플란트 시술용 드릴을 이용한 상악동 거상술은 쉽고 빠른 시간에 상악골 천공이 가능하다는 장점이 있지만 상악골 천공 시 상악골이 정교하게 커팅되는 것이 아니라 불규칙하게 커팅될 수 있고, 또한 임플란트용 드릴의 선단이 상악동 내막과 접촉하여 상악동 내막이 찢기는 등의 손상이 발생될 수 있는 문제점이 발생될 수 있다.By the way, the maxillary sinus elevation using the general implant treatment drill has the advantage that the maxillary perforation can be easily and fast time, but when the maxillary perforation, the maxilla is not precisely cut but can be irregularly cut, and also the tip of the implant drill A problem may occur in which damage such as tearing of the maxillary sinus lining occurs in contact with the maxillary sinus lining.
따라서 이와 같은 상악동 거상술을 포함하여 임플란트 시술에 있어서, 치조골의 천공을 용이하면서도 안전하게 할 수 있으며, 특히 상악동 내막과 인접한 치조골의 절삭 시 상악동 내막을 손상시키지 않은 임플란트 시술용 드릴의 개발이 필요한 실정이다.Therefore, in the implant procedure including such maxillary sinus elevation, it is easy and safe to perforate the alveolar bone, and in particular, it is necessary to develop an implant procedure drill that does not damage the maxillary sinus lining when cutting the alveolar bone adjacent to the maxillary sinus lining.
본 발명의 목적은, 치조골 천공 작업을 용이하게 실행할 수 있으며, 또한 치조골 천공 작업 시 발생되는 치조골 조각을 용이하게 제거할 수 있어 치조골 천공에 소요되는 시간을 단축시킬 수 있는 임플란트 시술용 드릴을 제공하는 것이다.An object of the present invention, it is possible to easily perform the alveolar bone drilling operation, it is also possible to easily remove the alveolar bone fragments generated during the alveolar bone drilling operation to provide a drill for implant treatment that can shorten the time required for the alveolar bone drilling will be.
또한, 본 발명의 다른 목적은, 상악동 내막이 부분적으로 노출될 때까지 치조골을 천공할 수 있으며, 또한 상악동 내막이 손상되는 것을 저지할 수 있는 임플란트 시술용 드릴은 제공하는 것이다.Another object of the present invention is to provide an implant procedure drill that can puncture the alveolar bone until the maxillary lining of the maxillary sinus is partially exposed, and can also prevent damage to the maxillary sinus lining.
본 발명에 따르면, 치조골 천공 작업을 용이하게 실행할 수 있으며, 또한 치조골 천공 작업 시 발생되는 치조골 조각을 용이하게 제거할 수 있어 치조골 천공에 소요되는 시간을 단축시킬 수 있다.According to the present invention, the alveolar bone drilling operation can be easily performed, and the alveolar bone fragments generated during the alveolar bone drilling operation can be easily removed, thereby reducing the time required for the alveolar bone drilling.
또한, 상악동 내막이 부분적으로 노출될 때까지 치조골을 천공할 수 있으며, 또한 상악동 내막이 손상되는 것을 저지할 수 있다.In addition, the alveolar bone may be perforated until the maxillary sinus lining is partially exposed, and further, the maxillary sinus lining may be prevented from being damaged.
도 1은 상악동 거상술에 사용되는 가이드 드릴의 사시도이다.1 is a perspective view of a guide drill used in maxillary sinus elevation.
도 2는 도 1에 도시된 가이드 드릴에 의해 치조골이 천공되는 과정을 설명하기 위한 도면이다. 2 is a view for explaining the process of drilling the alveolar bone by the guide drill shown in FIG.
도 3은 본 발명의 일 실시 예에 따른 임플란트 시술용 드릴의 사시도이다. Figure 3 is a perspective view of the drill for the implant procedure according to an embodiment of the present invention.
도 4는 도 3의 임플란트 시술용 드릴에 의해 치조골이 천공되는 과정을 설명하기 위한 도면이다.4 is a view for explaining the process of drilling the alveolar bone by the implant treatment drill of FIG.
도 5는 본 발명의 다른 실시 예에 따른 임플란트 시술용 드릴의 사시도이다. 5 is a perspective view of a drill for implant surgery according to another embodiment of the present invention.
도 6은 도 5의 임플란트 시술용 드릴에 의해 치조골이 천공되는 과정을 설명하기 위한 도면이다.6 is a view for explaining the process of drilling the alveolar bone by the implant treatment drill of FIG.
도 7은 상악동 내막을 거상하는 상악동 거상용 기구를 도시한 사시도이다. Fig. 7 is a perspective view showing the maxillary sinus elevation mechanism for elevating the maxillary sinus lining.
도 8은 도 7의 상악동 거상용 기구에 의해 상악동 내막이 거상되는 과정을 설명하기 위한 도면이다. FIG. 8 is a view for explaining a process in which the maxillary sinus lining is elevated by the maxillary sinus elevation instrument of FIG. 7.
도 9는 골이식재를 상악동 내막 및 치조골 사이로 가압하는 가압용 드릴의 사시도이다.Figure 9 is a perspective view of the pressure drill for pressing the bone graft material between the maxillary sinus lining and alveolar bone.
도 10은 도 9의 가압용 드릴에 의해 골이식재가 가압되는 과정을 설명하기 위한 도면이다.10 is a view for explaining the process of pressing the bone graft material by the pressure drill of FIG.
상기 목적은, 본 발명에 따라, 중공의 원기둥 형상으로 마련되며 상단부에 커터가 마련되어 있는 천공몸체; 및 상기 천공몸체의 내측벽에 마련되어 상기 치조골을 천공할 때 상기 치조골로부터 분리되는 상기 치조골 부분을 캐칭(catching)하는 암나사부를 포함하는 것을 특징으로 하는 임플란트 시술용 드릴에 의해서 달성된다.The above object, according to the present invention, is provided in a hollow cylindrical shape and a perforated body provided with a cutter on the upper end; And a female screw portion provided on the inner wall of the perforated body to catch the alveolar bone portion separated from the alveolar bone when the alveolar bone is punctured.
여기서, 상기 암나사부는, 일방향으로 회전할 경우에 한해 상기 치조골 부분을 캐칭하는 래칫(ratchet) 타입으로 마련되는 것이 바람직하다.Here, the female screw portion is preferably provided in a ratchet type to catch the alveolar bone portion only when rotating in one direction.
상기 천공몸체의 측부벽에는 천공 작업에 의해 상기 암나사부에 캐칭되는 상기 치조골 부분을 외측으로 밀어내기 위한 기구가 인입되거나 인출될 수 있도록 배출공이 관통 형성될 수 있다.The side wall of the perforated body may be formed through the discharge hole so that the mechanism for pushing out the alveolar bone portion caught by the female screw portion to the outside by the drilling operation can be drawn in or drawn out.
상기 천공몸체의 측부벽에는, 상기 천공몸체의 상단부가 외측 방향 및 내측 방향으로 확장 및 축소 가능하도록 상기 천공몸체의 상단부로부터 상기 배출공을 잇는 절개구간이 마련될 수 있다.The side wall of the perforated body may be provided with an incision section connecting the discharge hole from the upper end of the perforated body so that the upper end of the perforated body can expand and contract in the outward and inward directions.
상기 천공몸체의 하단부에는 상기 천공용 드릴을 수동으로 회전시키기 위한 기구가 착탈 가능하게 결합되는 결합홈이 마련된 결합몸체가 마련될 수 있다.The lower end of the perforated body may be provided with a coupling body provided with a coupling groove that is detachably coupled to the mechanism for manually rotating the drill for drilling.
상기 결합몸체의 하단부로부터 연장 형성되며, 회전력 제공을 위한 핸드피스와 연결 가능하도록 단부에 연결홈이 마련되어 있는 천공로드를 더 포함하며, 상기 천공로드의 내측에는 상기 치조골에 대한 천공 작업 시 작업 부위로 식염수를 제공하기 위하여 축 방향을 따라 상호 연통되는 관통홀이 형성될 수 있다.It is formed extending from the lower end of the coupling body, and further comprises a perforated rod provided with a connection groove at the end to be connectable to the handpiece for providing a rotational force, the inner side of the perforated rod as a work site during the perforation work for the alveolar bone Through holes may be formed that communicate with each other along the axial direction to provide saline.
또한, 상기 다른 목적은, 본 발명에 따라, 외측면의 적어도 일 영역에 상기 치조골의 내측벽의 적어도 일 영역을 회전에 의해 커팅하는 제1 절삭부가 마련되어 있는 절삭몸체; 및 상기 절삭몸체의 상단부에 결합되며, 표면이 다이아몬드 재질로 코팅되는 내막접촉몸체를 포함하는 것을 특징으로 하는 임플란트 시술용 드릴에 의해서 달성된다.In addition, the other object, according to the present invention, a cutting body provided with a first cutting portion for cutting at least one area of the inner wall of the alveolar bone in at least one area of the outer surface; And coupled to the upper end of the cutting body, the surface is achieved by a drill for implant treatment, characterized in that it comprises an inner film contact body coated with a diamond material.
여기서, 상기 내막접촉몸체의 상단부는 실질적으로 반구 형상으로 마련되며, 상기 내막접촉몸체의 측부에는 상기 절삭몸체의 상기 제1 절삭부와 함께 절삭을 수행하는 제2 절삭부가 마련되는 것이 바람직하다.Here, the upper end portion of the inner membrane contact body is provided in a substantially hemispherical shape, the side of the inner membrane contact body is preferably provided with a second cutting portion for performing the cutting with the first cutting portion of the cutting body.
상기 제1 절삭부 및 상기 제2 절삭부는, 상기 절삭용 드릴이 후퇴 시 절삭이 이루어지도록 날이 형성되는 역커터일 수 있다. The first cutting part and the second cutting part may be reverse cutters in which blades are formed to cut when the cutting drill is retracted.
상기 내막접촉몸체의 하단부는 상기 내막접촉몸체의 상단부에 비해 큰 직경으로 마련되며, 상기 내막접촉몸체의 하단부의 외주연은 상기 상악동 내막과 접촉되는 경우 상기 상악동 내막이 손상되는 것을 저지하기 위해 라운딩(rounding) 처리되는 것이 바람직하다.The lower end of the intima contact body is provided with a larger diameter than the upper end of the intima contact body, and the outer periphery of the lower end of the intima contact body is rounded to prevent damage to the maxillary sinus lining when contacted with the maxillary sinus lining. rounding).
상기 절삭몸체의 하단부로부터 연장 형성되며, 회전력 제공을 위한 핸드피스와 연결 가능하도록 단부에 연결홈이 마련되어 있는 절삭로드를 더 포함하며, 상기 절삭로드의 내측에는 상기 절삭몸체 및 상기 내막접촉몸체의 회전에 의해 상기 치조골을 커팅할 때 작업 부위로 식염수를 제공하기 위하여 축 방향을 따라 관통되는 관통홀이 형성될 수 있다.A cutting rod is formed extending from the lower end of the cutting body, the cutting rod is provided at the end so as to be connected to the handpiece for providing a rotational force, the cutting rod and the inner membrane contact body inside the cutting rod By cutting through the alveolar bone may be formed through holes penetrating along the axial direction to provide saline to the work site.
본 발명과 본 발명의 동작상의 이점 및 본 발명의 실시에 의하여 달성되는 목적을 충분히 이해하기 위해서는 본 발명의 바람직한 실시 예를 예시하는 첨부 도면 및 첨부 도면에 기재된 내용을 참조하여야만 한다.In order to fully understand the present invention, the operational advantages of the present invention, and the objects achieved by the practice of the present invention, reference should be made to the accompanying drawings which illustrate preferred embodiments of the present invention and the contents described in the accompanying drawings.
이하, 첨부된 도면을 참조하여 본 발명의 바람직한 실시 예를 설명함으로써, 본 발명을 상세히 설명한다. 각 도면에 제시된 동일한 참조부호는 동일한 부재를 나타낸다.Hereinafter, exemplary embodiments of the present invention will be described in detail with reference to the accompanying drawings. Like reference numerals in the drawings denote like elements.
이하에서는, 본 발명에 따른 임플란트 시술용 드릴들을 설명하되, 본 발명에 따른 임플란트 시술용 드릴들이 상악동 거상술에 적용되는 경우에 대해 설명하기로 한다. Hereinafter, the drill for the implant procedure according to the present invention will be described, but will be described in the case where the implant treatment drill according to the present invention is applied to the maxillary sinus elevation.
상악동 거상술이란, 임플란트의 픽스츄어가 식립될 공간을 확보하기 위하여 치조골을 천공한 후 치조골 내측에 위치하는 상악동 내막을 치조골과 이격되는 방향으로 거상하는 시술 방법을 가리킨다. 따라서, 치조골을 천공하고 상악동 내막을 거상하기 위한 다수의 구성들이 필요하다. Maxillary sinus elevation refers to a method of elevating the lining of the maxillary sinus located inside the alveolar bone in a direction away from the alveolar bone after perforating the alveolar bone to secure a space for implantation of the implant. Thus, a number of configurations are needed to puncture the alveolar bone and elevate the maxillary sinus lining.
이하에서는 이러한 상악동 거상술에 적용되는 다수의 구성들, 즉, 치조골(5)에 임플란트(미도시)가 식립될 위치를 확인할 뿐만 아니라 일차적으로 천공 작업을 실행하는 가이드 드릴(100, 도 1 및 도 2 참조)과, 가이드 드릴(100)에 의해 소정 깊이 천공된 치조골(5)의 홀에 인입되어 치조골(5) 내측에 위치하는 상악동 내막(3)에 인접한 부분까지 치조골(5)을 더 천공하며 천공에 의해 발생되는 조각의 치조골(5a, 도 4 참조)을 캐칭(catching)하기 위하여 그 내측에 암나사부(213)가 마련되어 있는 본 발명의 일 실시 예에 따른 임플란트 시술용 드릴(200, 도 3 및 도 4 참조, 이하에서는 '천공용 드릴'이라 명칭함)과, 천공용 드릴(200)에 의해 천공된 치조골(5)의 홀에 인입되어 그 상면이 상악동 내막(3)에 접촉될 때까지 치조골(5)의 내측 부분을 커팅하는 본 발명의 다른 실시 예에 따른 임플란트 시술용 드릴(300, 도 5 및 도 6 참조, 이하에서는 '절삭용 드릴'이라 명칭함)과, 절삭용 드릴(300)에 의해 노출된 상악동 내막(3)을 치조골과 이격되는 방향으로 거상할 뿐만 아니라 절삭용 드릴(300)의 형상에 의해 발생되는 치조골(5)의 잔존 부분(5c, 도 8 참조)을 제거하는 상악동 거상용 기구(400, 도 7 및 도 8 참조)와, 상악동 내막(3)이 거상되어 형성되는 공간에 골이식재(8, 도 10 참조)를 채운 후 골이식재(8)를 상악동 내막(3) 및 치조골(5) 사이로 균일하게 가압하는 가압용 드릴(500, 도 9 및 도 10)에 대해서 순차적으로 설명하기로 한다. Hereinafter, a plurality of configurations applied to the maxillary sinus elevation, that is, not only to confirm the position of the implant (not shown) in the alveolar bone 5, but also to guide the drill (100, Figs. And perforating the alveolar bone 5 to a portion adjacent to the maxillary sinus lining 3 located inside the alveolar bone 5 and entering the hole of the alveolar bone 5 drilled a predetermined depth by the guide drill 100. Drill 200 for implants according to an embodiment of the present invention is provided with a female threaded portion 213 therein for catching the alveolar bone (5a, see Fig. 4) of the piece generated by the 4, hereinafter referred to as a 'drill for drilling', and the alveolar bone is inserted into the hole of the alveolar bone 5 drilled by the drill 200, and the upper surface is in contact with the maxillary sinus lining 3. Another thread of the invention for cutting the inner part of (5) Implant treatment drill according to an example (see FIGS. 5 and 6, hereinafter referred to as 'cutting drill') and the maxillary sinus lining (3) exposed by the cutting drill 300 is spaced apart from the alveolar bone Maxillary sinus elevation mechanism 400 (see FIGS. 7 and 8) that not only raises in the direction but also removes the remaining portion 5c (see FIG. 8) of the alveolar bone 5 generated by the shape of the cutting drill 300. , The pressure drill for uniformly pressing the bone graft material (8) between the maxillary sinus lining (3) and alveolar bone (5) after filling the bone graft material (see Fig. 10) in the space where the maxillary sinus lining (3) is elevated 500, 9 and 10) will be described in sequence.
도 1은 상악동 거상술에 사용되는 가이드 드릴의 사시도이고, 도 2는 도 1에 도시된 가이드 드릴에 의해 치조골이 천공되는 과정을 설명하기 위한 도면이다. 1 is a perspective view of a guide drill used for maxillary sinus elevation, and FIG. 2 is a view for explaining a process in which the alveolar bone is punctured by the guide drill shown in FIG. 1.
이들 도면에 도시된 바와 같이, 가이드 드릴(100)은, 중공의 원기둥 형상으로 마련되며 상단부에는 규칙적인 커터(111)가 마련되어 있는 가이드몸체(110)와, 가이드몸체(110)의 내측 중심에 기립되게 마련되되 가이드몸체(110)의 커터(111)보다 더 돌출되게 마련되어 천공될 치조골(5)의 센터를 포인트(point)하는 포인트부(120)와, 가이드몸체(110)의 하단부로부터 연장 형성되며 단부에 연결홈(131)이 형성되어 있는 가이드로드(130)를 구비한다. 여기서, 포인트부(120)의 축심과 가이드몸체(110)의 가상의 축심은 실질적으로 일치하여 포인트부(120)의 선단부는 천공되는 치조골(5)의 센터를 정확하게 포인트할 수 있다.As shown in these figures, the guide drill 100 is provided in a hollow cylindrical shape, the upper end portion is provided with a guide body 110, which is provided with a regular cutter 111, and stands in the inner center of the guide body 110 It is provided so as to protrude more than the cutter 111 of the guide body 110 is formed to extend from the lower portion of the point portion 120 and the lower end of the guide body 110 to point the center of the alveolar bone 5 to be punctured A guide rod 130 having a connection groove 131 formed at an end thereof is provided. Here, the shaft center of the point portion 120 and the virtual shaft center of the guide body 110 substantially coincide so that the tip portion of the point portion 120 may accurately point the center of the alveolar bone 5 to be drilled.
가이드몸체(110)의 상단부에 마련된 톱니 형상의 커터(111)는 임플란트가 식립될 치조골(5)에 일차적으로 얕은 홀을 형성한다. 가령, 치조골(5)의 표면으로부터 상악동 내막(3)까지의 길이가 대략 5mm인 경우 가이드몸체(110)는 치조골(5)의 표면으로부터 대략 2mm 정도의 깊이까지 천공 작업을 실행한다. 이 때, 가이드몸체(110)의 내측 중앙 부분에 마련되는 포인트부(120)는 천공되는 치조골(5)의 센터를 표시한다. The serrated cutter 111 provided at the upper end of the guide body 110 forms a shallow hole primarily in the alveolar bone 5 in which the implant is to be placed. For example, when the length from the surface of the alveolar bone 5 to the maxillary sinus lining 3 is approximately 5 mm, the guide body 110 performs a drilling operation to a depth of about 2 mm from the surface of the alveolar bone 5. At this time, the point portion 120 provided in the inner center portion of the guide body 110 marks the center of the alveolar bone 5 to be perforated.
즉, 가이드 드릴(100)로 소정 깊이까지의 천공 작업을 실행한 후, 가이드 드릴(100)을 치조골(5)로부터 빼내면 천공된 치조골(5)의 홀 중심에는 포인트부(120)에 의해 표시된 포인트가 표시되어 있다. 따라서 가이드 드릴(100)의 천공 작업 후 치조골(5)의 천공된 형상을 명확하게 확인할 수 있으며, 나아가 후술할 천공용 드릴(200)을 정확한 위치에 위치시킨 후 천공 작업을 실행할 수 있도록 한다.That is, after performing the drilling operation to the predetermined depth with the guide drill 100, the guide drill 100 is removed from the alveolar bone 5, and the center of the hole of the perforated alveolar bone 5 is indicated by the point portion 120. The points are marked. Therefore, the punched shape of the alveolar bone 5 can be clearly confirmed after the punching operation of the guide drill 100, and furthermore, the drilling drill 200 to be described later can be positioned at the correct position, and then the punching operation can be executed.
또한, 가이드몸체(110)의 측부벽에는, 도 1 및 도 2에 도시된 바와 같이, 배출공(212)이 형성되어 있다. 천공 작업 후 이러한 배출공(212)에 별도의 기구(미도시)를 인입함으로써 치조골(5)의 천공 작업 시 가이드몸체(110)의 내측에 잔존할 수 있는 조각의 치조골(5) 등을 외부로 용이하게 빼낼 수 있다. 또한 이러한 배출공(212)에 식염수를 직접 제공함으로써 천공 작업이 원활하게 진행될 수도 있다.In addition, the side walls of the guide body 110, as shown in Figures 1 and 2, the discharge hole 212 is formed. By inserting a separate mechanism (not shown) into the discharge hole (212) after the drilling operation, the alveolar bone (5), etc., which may remain inside the guide body 110 during the drilling operation of the alveolar bone (5) to the outside It can be taken out easily. In addition, by providing the saline solution directly to the discharge hole 212, the drilling operation may proceed smoothly.
가이드로드(130)에는, 도 1에 도시된 바와 같이, 회전력 제공을 위한 핸드피스(미도시)가 착탈 가능하게 결합되는 연결홈(131)이 그 단부에 마련되어 있다. 또한 가이드로드(130)의 내측에는 가이드몸체(110)의 내측 공간과 연통되는 관통홀(미도시)이 관통 형성될 수도 있다. 가이드로드(130)에 관통홀이 형성되는 경우, 그 내측으로 식염수를 제공할 수 있어 보다 원활한 천공 작업이 진행될 수 있다.As shown in FIG. 1, the guide rod 130 is provided with a connecting groove 131 at the end of which a handpiece (not shown) for detachably coupling is detachably coupled to the guide rod 130. In addition, a through hole (not shown) communicating with the inner space of the guide body 110 may be formed inside the guide rod 130. When the through-hole is formed in the guide rod 130, the saline solution can be provided to the inside of the guide rod 130 can be carried out a more smooth drilling operation.
이와 같이, 가이드 드릴(100)은, 임플란트가 식립된 치조골(5)에 일차적으로 천공 작업을 실행하면서, 포인트부(120)에 의해 천공될 치조골(5)의 센터를 정확히 표시함으로써 후술할 천공용 드릴(200)이 정확한 위치에서 천공 작업을 실행할 수 있도록 한다.As described above, the guide drill 100 performs the drilling operation primarily on the alveolar bone 5 in which the implant is placed, while accurately displaying the center of the alveolar bone 5 to be drilled by the point portion 120 for drilling. The drill 200 allows the drilling operation to be performed at the correct position.
도 3은 본 발명의 일 실시 예에 따른 임플란트 시술용 드릴의 사시도이고, 도 4는 도 3의 임플란트 시술용 드릴에 의해 치조골이 천공되는 과정을 설명하기 위한 도면이다. Figure 3 is a perspective view of an implant treatment drill according to an embodiment of the present invention, Figure 4 is a view for explaining the process of drilling the alveolar bone by the implant treatment drill of FIG.
이들 도면에 도시된 바와 같이, 본 발명의 일 실시 예에 따른 임플란트 시술용 드릴, 즉 천공용 드릴(200)은, 가이드 드릴(100)에 의해 일차적으로 천공된 치조골(5)의 홀에 인입되어 상악동 내막(3)에 인접한 부분까지 치조골(5)을 천공하는 드릴로서, 중공의 원기둥 형상으로 마련되며 상단부에 전술한 가이드 드릴(100)의 커터(111)와 실질적으로 유사한 커터(211)가 마련되어 있는 천공몸체(210)와, 천공몸체(210)의 내측에 마련되어 치조골(5)에 대한 천공 작업 시 발생되는 조각의 치조골(5a)을 캐칭하는 암나사부(213)와, 천공몸체(210)의 하단부에 마련되어 천공용 드릴(200)을 수동을 회전시키기 위한 기구가 결합되는 결합홈(221)이 마련되어 있는 결합몸체(220)와, 결합몸체(220)의 하단부로부터 연장 형성되며 단부에 연결홈(231)이 형성되어 있는 천공로드(230)를 구비한다. As shown in these drawings, the implant drill, that is, the drill drill 200 according to an embodiment of the present invention, is inserted into the hole of the alveolar bone 5 primarily drilled by the guide drill 100 A drill for drilling the alveolar bone (5) to a portion adjacent to the maxillary sinus lining (3), which is provided in a hollow cylindrical shape and has a cutter 211 substantially similar to the cutter 111 of the guide drill 100 described above at the upper end. The female body 213 and the inner threaded portion (213) for catching the alveolar bone (5a) of the pieces generated during the drilling operation for the alveolar bone (5) provided in the inner side of the perforated body (210), and the perforated body (210) A coupling body 220 provided with a coupling groove 221 which is provided at a lower end and a mechanism for manually rotating the drill 200 for drilling is formed, and extends from a lower end of the coupling body 220 and is connected to an end of the coupling groove ( 231 has perforated rod 230 formed therein do.
천공몸체(210)는, 도 3에 도시된 바와 같이, 그 상단부에 치조골(5)에 대한 천공 작업을 실행할 있도록 톱니 형상의 커터(211)가 형성되어 있으며, 그 내측에는 암나사부(213)가 형성되어 있다. 이러한 천공몸체(210)는 상악동 내막(3)과 인접한 치조골(5)의 내측 부분까지 커팅하는 역할을 한다. 즉, 전술한 바와 같이, 치조골(5)의 두께가 5mm인 경우, 가이드 드릴(100)의 커터(111)에 의해 치조골(5)이 대략 2mm 정도 천공되는 것이며, 천공용 드릴(200)의 커터(211)에 의해 상악동 내막(3)으로부터 대략 1mm인 지점, 즉 치조골(5)의 표면으로부터 4mm인 부분까지 천공되는 것이다.As shown in FIG. 3, the drilling body 210 has a sawtooth cutter 211 formed at the upper end thereof so as to perform a drilling operation on the alveolar bone 5, and an internal thread part 213 is formed inside the drilling body 210. Formed. The perforated body 210 serves to cut the inner portion of the alveolar bone 5 adjacent to the maxillary sinus lining 3. That is, as described above, when the thickness of the alveolar bone 5 is 5 mm, the alveolar bone 5 is drilled by about 2 mm by the cutter 111 of the guide drill 100, and the cutter of the drill 200 for drilling. By 211, it is perforated to the point which is about 1 mm from the maxillary sinus lining 3, ie, the part which is 4 mm from the surface of the alveolar bone 5.
따라서 천공몸체(210)는 가이드몸체(110)에 비해 길게 마련되는 것이 바람직하며, 천공 작업 시 발생되는 조각 치조골(5a)을 캐칭한 상태로 인출될 수 있도록 천공몸체(210)의 내측에는 암나사부(213)가 형성되어 있다. Therefore, the perforated body 210 is preferably provided longer than the guide body 110, the female screw portion on the inner side of the perforated body 210 to be drawn out in a state of catching the carving alveolar bone (5a) generated during the drilling operation 213 is formed.
본 실시 예의 암나사부(213)는, 천공몸체(210)의 내측벽 상단으로부터 하단 방향으로 규칙적으로 마련되어 있다. 이러한 암나사부(213)는 천공몸체(210)가 일방향으로 회전할 때만 치조골(5) 내측으로 이동하여 캐칭할 수 있도록 래칫(ratchet) 타입으로 마련된다. 즉, 천공몸체(210)가 치조골(5)의 내측 방향을 향해 일방향으로 회전하며 전진할 때 천공된 조각의 치조골(5a)이 암나사부(213)에 인입되어 캐칭되는 것이고, 작업 완료 후 천공몸체(210)를 반대 방향으로 회전시키며 치조골(5)로부터 빼낼 때 암나사부(213)에 캐칭된 조각의 치조골(5a)이 그 상태를 그대로 유지함으로써 조각의 치조골(5a)이 천공몸체(210)와 함께 외부로 배출될 수 있는 것이다. 따라서 천공 작업 후 별도의 시간을 할애하여 치조골(5)로부터 천공된 조각의 치조골(5a)을 제거할 필요가 없어 천공 작업에 소요되는 시간을 단축시킬 수 있다.The female screw part 213 of this embodiment is provided regularly from the upper end of the inner wall of the perforated body 210 to a lower end direction. The female screw portion 213 is provided in a ratchet type to be able to move and catch inside the alveolar bone 5 only when the perforated body 210 rotates in one direction. That is, when the perforated body 210 rotates in one direction toward the inner side of the alveolar bone 5 and moves forward, the perforated alveolar bone 5a is inserted into the female screw part 213 and caught, and the perforated body after the work is completed. When the alveolar bone 5a of the piece caught in the female threaded portion 213 is maintained as it is when the 210 is rotated in the opposite direction and removed from the alveolar bone 5, the alveolar bone 5a of the piece is perforated with the perforated body 210. It can be discharged to the outside together. Therefore, it is not necessary to remove the alveolar bone (5a) of the perforated piece from the alveolar bone (5) by dedicating a separate time after the drilling operation can shorten the time required for the drilling operation.
또한, 천공몸체(210)의 측부벽에는, 전술한 가이드몸체(110, 도 2 참조)의 출입공(112)과 실질적으로 유사한 배출공(212)이 관통 형성되어 있다. 전술한 바와 같이, 치조골(5)에 대한 천공 작업 시 천공몸체(210)의 내측에는 조각의 치조골(5a)이 잔존하게 된다. 이러한 조각의 치조골(5a)은 암나사부(213)로부터 제거되어야 하는데, 배출공(212)에 조각의 치조골(5a) 제거를 위한 기구(미도시)를 인입하여 조각의 치조골(5a)을 외측으로 밀어냄으로써 조각의 치조골(5a)을 쉽게 제거할 수 있다. In addition, the side wall of the perforated body 210 is formed through the discharge hole 212 substantially similar to the entrance hole 112 of the above-described guide body 110 (see FIG. 2). As described above, during the drilling operation for the alveolar bone 5, the alveolar bone 5a of the piece remains inside the perforated body 210. This piece of alveolar bone 5a should be removed from the female threaded portion 213. A device (not shown) for removing the alveolar bone 5a of the piece is introduced into the discharge hole 212, thereby bringing the alveolar bone 5a of the piece outward. By pushing, the alveolar bone 5a of the piece can be easily removed.
그런데, 이 때 조각의 치조골(5a)이 규칙적으로 함몰 형성된 암나사부(213)에 끼인 상태로 잔존하는 것이기 때문에 경우에 따라 제거가 용이하게 이루어지지 않을 수 있다. 따라서, 이를 위해 천공몸체(210)에는, 도 4에 도시된 바와 같이, 절개구간(215)이 마련되어 있다. 절개구간(215)은, 천공몸체(210)의 상단부로부터 배출공(212) 상부 방향으로 절개되어 형성되며, 이러한 절개구간(215)으로 인해 천공몸체(210)는 외측으로 확장하거나 또는 내측으로 수축될 수 있다. 따라서, 가령 암나사부(213)로부터 조각의 치조골(5a)을 빼내야 하는 경우 절개구간(215)에 의해 천공몸체(210)를 확장시킴으로써 조각의 치조골(5a)을 용이하게 제거할 수 있다.However, at this time, since the alveolar bone 5a of the pieces remain in a state sandwiched in the female threaded portion 213 formed regularly, it may not be easily removed in some cases. Therefore, for this purpose, as shown in FIG. 4, the perforated body 210 is provided with an incision section 215. The incision section 215 is formed by cutting in an upward direction from the upper end of the perforation body 210 to the discharge hole 212, due to the incision section 215, the perforation body 210 expands outward or contracts inwardly. Can be. Therefore, for example, when the alveolar bone 5a of the piece is to be removed from the female screw part 213, the alveolar bone 5a of the piece can be easily removed by expanding the perforated body 210 by the incision section 215.
한편, 천공용 드릴(200)에 의해 정확한 천공 작업이 실행될 때 보다 정밀한 천공 작업을 위해 작업 중 엑스레이(X-ray) 촬영 등을 한다. 이 때 치조골(5)의 원하는 깊이까지 천공용 드릴(200)이 천공을 하지 못한 경우 천공용 드릴(200)에 의해 천공 작업을 더 실행하여야 하는데, 이 때는 핸드피스에 의해 천공용 드릴(200)을 회전시키는 것이 아니라 천공몸체(210) 하단부에 마련된 결합몸체(220)의 결합홈(221)에 별도의 기구(미도시)를 장착한 후 원하는 만큼 회전시킨다. On the other hand, when the accurate drilling operation is executed by the drilling drill 200 to perform X-ray (X-ray) during the operation for a more precise drilling operation. At this time, if the drilling drill 200 to the desired depth of the alveolar bone 5 does not puncture, the drilling work should be further performed by the drilling drill 200, in which case the drilling drill 200 by the handpiece Rather than rotating it, a separate mechanism (not shown) is mounted in the coupling groove 221 of the coupling body 220 provided at the lower end of the perforated body 210 and rotates as desired.
여기서, 결합홈(221)에 별도의 기구를 장착한 후 치조골(5)을 천공하게 되면 천공용 드릴(200)의 전진 정도를 정확하게 제어할 수 있어, 즉 회전수에 따라 전진 정도를 계산할 수 있어 시술자가 원하는 깊이까지 천공 작업을 정확하게 실행할 수 있다. Here, if the alveolar bone 5 is drilled after installing a separate mechanism in the coupling groove 221, the degree of advancement of the drilling drill 200 can be accurately controlled, that is, the degree of advancement can be calculated according to the number of revolutions. The operator can perform the drilling operation precisely to the desired depth.
그리고, 결합홈(221)에는 완충성을 지닌 완충부재(미도시)가 착탈 가능하게 결합될 수 있다. 따라서 별도의 기구를 결합홈(221)에 장착한 후 별도의 기구를 이용하여 천공용 드릴(200)을 회전시킬 때 별도의 기구가 결합홈(221)에 보다 타이트(tight)하게 결속되어 천공용 드릴(200)의 회전을 용이하게 할 수 있게 된다.In addition, the coupling groove 221 may be detachably coupled with a buffer member (not shown) having a cushioning property. Therefore, when the separate mechanism is mounted in the coupling groove 221 and then the drill drill 200 is rotated using the separate mechanism, the separate mechanism is more tightly bound to the coupling groove 221 for drilling. The rotation of the drill 200 can be facilitated.
천공로드(230)에는, 도 3에 도시된 바와 같이, 회전력 제공을 위한 핸드피스(미도시)가 결합되는 연결홈(231)이 그 단부에 마련되어 있다. 또한 천공로드(230)의 내측에는 천공몸체(210)의 내측 공간과 연통되는 관통홀(미도시)이 관통 형성될 수도 있다. 관통홀이 형성되는 경우, 그 내측으로 식염수를 제공할 수 있으며, 따라서 보다 원활한 천공 작업을 실행할 수 있다. 한편, 식염수는 천공로드(230)의 관통홀을 통해 제공될 수도 있지만, 천공 작업 시 천공몸체(210)의 배출공(212)을 통해 제공될 수도 있을 것이다.As shown in FIG. 3, the drilling rod 230 is provided at its end with a connection groove 231 to which a handpiece (not shown) for providing rotational force is coupled. In addition, a through hole (not shown) communicating with an inner space of the punching body 210 may be formed inside the punching rod 230. When the through-hole is formed, the saline solution can be provided to the inside thereof, and thus a smoother drilling operation can be executed. On the other hand, the saline solution may be provided through the through hole of the drilling rod 230, it may be provided through the discharge hole 212 of the drilling body 210 during the drilling operation.
이와 같이, 본 발명의 일 실시 예에 따른 천공용 드릴(200)에 의하면, 상악동 내막(3)과 인접한 부분까지 치조골(5)을 천공할 수 있을 뿐만 아니라 천공몸체(210)의 내측에 마련된 암나사부(213)가 천공 작업 시 발생되는 조각 치조골(5)을 캐칭할 수 있어 조각 치조골(5) 제거를 위한 별도의 시간이 소요되지 않는다는 장점이 있다.As such, according to the drill 200 for drilling according to an embodiment of the present invention, not only can the perforated alveolar bone 5 to a portion adjacent to the maxillary sinus lining 3, but also a female screw provided inside the perforated body 210. Part 213 can catch the piece alveolar bone 5 generated during the drilling operation has the advantage that it does not take a separate time for removing the piece alveolar bone (5).
도 5는 본 발명의 다른 실시 예에 따른 임플란트 시술용 드릴의 사시도이고, 도 6은 도 5의 임플란트 시술용 드릴에 의해 치조골이 천공되는 과정을 설명하기 위한 도면이다.5 is a perspective view of an implant treatment drill according to another embodiment of the present invention, Figure 6 is a view for explaining the process of drilling the alveolar bone by the implant treatment drill of FIG.
이들 도면에 도시된 바와 같이, 본 발명의 다른 실시 예에 따른 임플란트 시술용 드릴, 즉 절삭용 드릴(300)은, 상면이 상악동 내막(3)과 접촉될 때까지 치조골(5)의 내측 부분을 커팅(cutting)하는 드릴로서, 즉 본 실시 예의 역커터(311)가 형성되어 있는 절삭몸체(310)와, 절삭몸체(310)의 상면으로부터 돌출 형성되며 상악동 내막(3)의 적어도 일면에 그 외면이 접면될 때까지 치조골(5)의 홀과 상악동 내막(3) 사이의 치조골(5)을 커팅하는 내막접촉몸체(320)와, 절삭몸체(310)의 하단부로부터 길게 연장 형성되며 회전력 제공을 위한 외부장치, 즉 핸드피스(미도시)와 착탈 가능하게 결합되는 연결홈(331)이 형성되어 있는 절삭로드(330)를 포함한다. 여기서, 절삭몸체(310)의 상하부에 각각 마련되는 내막접촉몸체(320) 및 절삭로드(330)는 절삭몸체(310)와 일체로 마련된다. As shown in these figures, the implant for drill operation, that is, the cutting drill 300 according to another embodiment of the present invention, the inner portion of the alveolar bone 5 until the upper surface is in contact with the maxillary sinus lining 3. As a drill for cutting, that is, a cutting body 310 in which the reverse cutter 311 of the present embodiment is formed, protrudes from an upper surface of the cutting body 310, and has an outer surface on at least one surface of the maxillary sinus lining 3. The inner body contact body 320 for cutting the alveolar bone 5 between the hole of the alveolar bone 5 and the maxillary sinus lining 3 until it is folded, and is formed to extend from the lower end of the cutting body 310 to provide rotational force. It includes a cutting rod 330 is formed with a connection groove 331 detachably coupled to an external device, that is, a handpiece (not shown). Here, the inner film contact body 320 and the cutting rod 330 provided at the upper and lower portions of the cutting body 310 are provided integrally with the cutting body 310.
먼저, 절삭몸체(310)는, 도 5에 도시된 바와 같이, 상단으로부터 하부 방향으로 갈수록 직경이 점차적으로 작아지는 테이퍼 형상으로 마련되며, 그 둘레 방향을 따라 치조골(5)의 커팅하기 위한 제1 절삭부(311), 즉 본 실시 예의 역커터(311)가 규칙적으로 형성되어 있다.First, as shown in FIG. 5, the cutting body 310 is provided in a tapered shape in which the diameter gradually decreases from the upper end to the lower direction, and the first body for cutting the alveolar bone 5 along the circumferential direction thereof. The cutting portion 311, that is, the reverse cutter 311 of the present embodiment is formed regularly.
이러한 구조의 절삭몸체(310)는, 전술한 천공용 드릴(200)에 의해 소정 깊이 천공된, 예를 들면 상악동 내막(3)으로부터 대략 1mm 정도의 인접거리를 갖도록 천공된 치조골(5)의 홀에 인입되어, 절삭몸체(310)의 상단부에 마련된 내막접촉몸체(320)가 상악동 내막(3)에 접촉될 때까지 치조골(5)의 홀의 내측 부분을 커팅하게 된다.The cutting body 310 having such a structure is a hole of the alveolar bone 5 drilled to a predetermined depth, for example, about 1 mm from the maxillary sinus lining 3 by the drilling drill 200 described above. The inner portion of the hole of the alveolar bone 5 is cut until the inner membrane contact body 320 provided at the upper end of the cutting body 310 contacts the maxillary sinus lining 3.
내막접촉몸체(320)는, 절삭몸체(310)의 상면으로부터 돌출 형성된 부분으로서, 천공용 드릴(200)에 의해 형성된 홀의 저면과 상악동 내막(3) 사이의 치조골(5)의 내측 부분(5b, 도 4 참조)을 커팅하는 역할을 담당한다.The inner membrane contact body 320 is a portion protruding from the upper surface of the cutting body 310 and is an inner portion 5b of the alveolar bone 5 between the bottom face of the hole formed by the drilling drill 200 and the maxillary sinus lining 3. 4) to serve as cutting.
이러한 내막접촉몸체(320)는 상악동 내막(3)에 접촉될 때까지 치조골(5)의 내측 부분(5b)을 커팅하기 위해, 내막접촉몸체(320)의 외측면에는 전술한 절삭몸체(310)의 제1 절삭부(311)로부터 연장 형성된 제2 절삭부(321), 즉 본 실시 예의 역커터(321)가 형성되어 있다. The intimate contact body 320 is the cutting body 310 described above on the outer surface of the intima contact body 320 to cut the inner portion 5b of the alveolar bone 5 until it contacts the maxillary sinus lining 3. The second cutting portion 321 extending from the first cutting portion 311 of the, i.e., the reverse cutter 321 of the present embodiment is formed.
따라서, 이러한 절삭몸체(310)의 역커터(311)와, 내막접촉몸체(320)의 역커터(321)를 이용하여 치조골(5)의 내측 부분(5b)을 커팅 시, 역커터(311, 321)의 구조에 의해 치조골(5)이 과도하게 커팅되는 것을 방지할 수 있다. 즉, 절삭몸체(310)의 역커터(311) 및 내막접촉몸체(320)의 역커터(321)는 그 선단이 절삭몸체(310)의 회전 방향과 반대 방향을 갖도록 마련되기 때문에, 다시 말해 역커터(311, 321)는 절삭몸체(310)가 후퇴 시 날에 의해 절삭이 이루어지도록 배치된 것이기 때문에, 절삭몸체(310) 및 내막접촉몸체(320)가 치조골(5)에 접촉되어 회전하며 전진할 때 커팅되어야 할 치조골(5)의 내측 부분(5b)을 날카로운 날로 커팅하는 것이 아니라 상대적으로 완만하게 마련되는 날의 일면을 통해 커팅할 수 있다.Therefore, when cutting the inner portion 5b of the alveolar bone 5 using the reverse cutter 311 of the cutting body 310 and the reverse cutter 321 of the inner membrane contact body 320, the reverse cutter 311, By the structure of the 321, the alveolar bone 5 can be prevented from being excessively cut. That is, since the reverse cutter 311 of the cutting body 310 and the reverse cutter 321 of the inner membrane contact body 320 are provided so that the tip thereof has a direction opposite to the rotational direction of the cutting body 310, that is, Since the cutters 311 and 321 are arranged such that the cutting body 310 is cut by the blade when the cutting body 310 is retracted, the cutting body 310 and the inner membrane contact body 320 rotate in contact with the alveolar bone 5 to move forward. When cutting the inner portion (5b) of the alveolar bone (5) to be cut when cutting with a sharp blade can be cut through one surface of the blade is provided relatively smoothly.
특히, 제2 절삭부(321)의 경우 내막접촉몸체(320)의 곡면이 아닌 측부의 직선 구간에 마련되어 상악동 내막(3)과 인접한 치조골(5) 내측 부분(5b)을 정확히 커팅할 수 있다. In particular, in the case of the second cutting part 321, the inner side portion 5b of the alveolar bone 5 adjacent to the maxillary sinus lining 3 may be precisely provided in a straight section of the side portion rather than the curved surface of the inner membrane contact body 320.
한편, 내막접촉몸체(320)는, 도 5 및 도 6에 도시된 바와 같이, 상악동 내막(3)과 접촉되는 상단부가 반구 형상으로 마련되고, 그 부분의 표면 전체에 다이아몬드 입자(325)가 고르게 코팅되어 있다. 이러한 내막접촉몸체(320)의 반구 형상과 다이아몬드 입자(325)의 코팅에 의해 상악동 내막(3)과 내막접촉몸체(320)의 외면이 접촉되더라도 상악동 내막(3)에 손상이 발생되지 않는다. On the other hand, the inner membrane contact body 320, as shown in Figures 5 and 6, the upper end portion in contact with the maxillary sinus lining (3) is provided in a hemispherical shape, diamond particles 325 is evenly distributed over the entire surface of the portion. Coated. Even when the hemispherical shape of the inner membrane contact body 320 and the coating of the diamond particles 325 are in contact with the outer surface of the maxillary sinus inner membrane 3 and the inner membrane contact body 320, damage to the maxillary sinus inner membrane 3 does not occur.
아울러, 내막접촉몸체(320)의 외면에 다이아몬드 입자(325)가 고르게 코팅되어 있기 때문에 상악동 내막(3)과 내막접촉몸체(320)가 접촉되더라도 압력을 균일하게 분산시킬 수 있으며, 이로 인해 상악동 내막(3)에 손상이 발생되는 것을 저지할 수 있다. 보다 상세히 설명하면, 천공용 드릴(300)을 이용하여 천공 작업을 할 때 치조골(5)로부터 커팅된 치조골 입자가 다이아몬드 입자(325) 사이사이로 배치되게 되는데, 이러한 다이아몬드 입자(325)와 치조골 입자가 균일하게 배치된 내막접촉몸체(320)가 상악동 내막(3)과 접촉되고 또한 접촉된 상태로 회전하게 되더라도 다이아몬드 입자(325) 및 치조골 입자가 상악동 내막(3)을 손상시키지 않고 밸런스 있게 지지하기 때문에 상악동 내막(3)이 내막접촉몸체(320)에 의해 손상되는 것을 저지할 수 있는 것이다.In addition, since the diamond particles 325 are uniformly coated on the outer surface of the inner membrane contact body 320, even when the maxillary sinus lining 3 and the inner membrane contact body 320 are in contact with each other, the pressure can be uniformly distributed, thereby causing the maxillary sinus lining Damage to (3) can be prevented. In more detail, the alveolar bone particles cut from the alveolar bone 5 are disposed between the diamond particles 325 when the drilling operation is performed using the drilling drill 300. Such diamond particles 325 and the alveolar bone particles Even if the uniformly placed inner membrane contact body 320 is rotated in contact with and in contact with the maxillary sinus lining 3, the diamond particles 325 and alveolar bone particles support the balanced maxillary lining without damaging the maxillary sinus lining 3. It is possible to prevent the maxillary sinus lining 3 from being damaged by the lining contact body 320.
한편, 내막접촉몸체(320)의 하단부는 상단부에 비해 큰 직경으로 마련되며, 하단부의 외주연은 라운딩(rouding) 처리된다. 이는 내막접촉몸체(320)가 상악동 내막(3) 방향으로 전진하는 것을 일정 정도 제한하는 역할을 하며, 따라서 상악동 내막(3)이 손상되는 것을 저지할 수 있다. 또한 라운딩 처리되기 때문에 내막 접촉몸체(320)의 하단부가 상악동 내막(3)에 닿더라도 상악동 내막(3)이 손상되는 것을 저지할 수 있다. On the other hand, the lower end of the inner membrane contact body 320 is provided with a larger diameter than the upper end, the outer periphery of the lower end is rounded (rouding) process. This serves to limit the advancing of the intima contact body 320 in the direction of the maxillary sinus lining 3 to some extent, thereby preventing the maxillary sinus lining 3 from being damaged. In addition, since the rounding process may prevent the maxillary sinus lining 3 from being damaged even when the lower end portion of the inner membrane contact body 320 contacts the maxillary sinus lining 3.
한편, 전술한 바와 같이, 절삭몸체(310)의 제1 절삭부(311)와, 내막접촉몸체(320)의 제2 절삭부(321)는 연장 형성되어 있다. 이러한 제1 절삭부(311) 및 제2 절삭부(321)는 역커터로 적용될 수 있으나, 필요에 따라 식염수의 이동로로도 이용될 수 있다. 즉, 천공 작업 시, 역커터(311, 321)를 따라 식염수를 제공함으로써 절삭용 드릴(300)에 의한 천공 작업이 보다 원활하게 진행될 수 있다. 다만, 본 실시 예에서는 제1 절삭부(311) 및 제2 절삭부(321)가 역커터로 마련된다고 상술하였으나, 역커터가 아닌 그루브(Groove)로 마련되어도 무방하다 할 것이다. Meanwhile, as described above, the first cutting portion 311 of the cutting body 310 and the second cutting portion 321 of the inner film contacting body 320 are extended. The first cutting unit 311 and the second cutting unit 321 may be applied as a reverse cutter, but may also be used as a saline solution path as needed. That is, during the drilling operation, by providing the saline solution along the reverse cutter (311, 321), the drilling operation by the cutting drill 300 can be performed more smoothly. However, in the present exemplary embodiment, the first cutting part 311 and the second cutting part 321 are provided as reverse cutters, but may be provided as grooves instead of reverse cutters.
절삭로드(330)는, 도 5에 도시된 바와 같이, 절삭몸체(310)의 하단부로부터 길게 연장 형성되어 회전력을 제공하는 핸드피스(미도시)와 연결되는 부분이다. 절삭용 드릴(300)의 절삭로드(330)는 전술한 가이드 드릴(100)의 가이드로드(130) 및 천공용 드릴(200)의 천공로드(230)와 실질적으로 동일하므로 이에 대한 설명은 생략하기로 한다. As shown in FIG. 5, the cutting rod 330 extends from the lower end of the cutting body 310 and is connected to a handpiece (not shown) that provides rotational force. Since the cutting rod 330 of the cutting drill 300 is substantially the same as the guide rod 130 of the guide drill 100 and the drilling rod 230 of the drilling drill 200, a description thereof will be omitted. Shall be.
이와 같이, 본 발명의 다른 실시 예에 따른 절삭용 드릴(300)에 의하면, 내막접촉몸체(320)의 적어도 일면이 상악동 내막(3)에 접촉될 때까지 치조골(5) 내측 부분(5b)을 커팅할 수 있으며, 내막접촉몸체(320)의 외면에 다이아몬드 입자(325)가 고르게 코팅되어 상악동 내막(3)과 내막접촉몸체(320)가 접촉되고 나아가 접촉된 상태로 회전하더라도 상악동 내막(3)이 손상되는 것을 저지할 수 있는 효과가 있다.Thus, according to the cutting drill 300 according to another embodiment of the present invention, the inner portion 5b of the alveolar bone 5 until at least one surface of the inner membrane contact body 320 is in contact with the maxillary sinus lining 3. Can be cut, evenly coated with the diamond particles 325 on the outer surface of the inner membrane contact body 320, the maxillary sinus lining (3) and the inner membrane contact body 320, even if rotated in contact with the maxillary sinus lining (3) There is an effect that can prevent this damage.
도 7은 상악동 내막을 거상하는 상악동 거상용 기구를 도시한 사시도이고, 도 8은 도 7의 상악동 거상용 기구에 의해 상악동 내막이 거상되는 과정을 설명하기 위한 도면이다. FIG. 7 is a perspective view illustrating a maxillary sinus elevation mechanism for elevating the maxillary sinus lining, and FIG. 8 is a view for explaining a process in which the maxillary sinus lining is elevated by the maxillary sinus elevation instrument of FIG. 7.
이들 도면에 도시된 바와 같이, 상악동 거상용 기구(400)는, 절삭용 드릴(300)에 의해 부분적으로 노출된 상악동 내막(3)으로 거상할 뿐만 아니라 절삭용 드릴(300)의 형상에 의해 잔존하는 치조골(5) 잔존 부분(5c, 도 8 참조)을 제거하는 기구로서, 손잡이몸체(410)와, 손잡이몸체(410)의 양단부에 마련되며 그 단부에는 상악동 내막(3)을 거상하기 위한 거상부재(421)가 마련되어 있는 한 쌍의 거상몸체(420)를 구비한다.As shown in these figures, the maxillary sinus elevation mechanism 400 not only rises to the maxillary sinus lining 3 which is partially exposed by the cutting drill 300 but also remains due to the shape of the cutting drill 300. As a mechanism for removing the alveolar bone remaining portion (5c, see Fig. 8), the handle body 410, and is provided at both ends of the handle body 410, the end of the coarse for raising the maxillary sinus lining (3) The pair of coarse bodies 420 provided with the member 421 is provided.
손잡이몸체(410)에는, 파지 시 손잡이몸체(410)로부터 시술자의 손이 미끄러지는 것을 방지하기 위해, 미끄럼 방지부(411)가 규칙적으로 형성되어 있다.In the handle body 410, in order to prevent the operator's hand from slipping from the handle body 410 when gripping, a non-slip portion 411 is formed regularly.
거상몸체(420)는, 손잡이몸체(410)와 실질적으로 동일한 길이 방향을 갖되 거상몸체(420)의 단부에 마련된 거상부재(421)가 치조골(5)의 홀로 용이하게 인입되거나 인출될 수 있도록 중앙 부분에서 절곡 형성된다. The coarse body 420 has a longitudinal direction substantially the same as that of the handle body 410, but the center of the coarse member 421 provided at the end of the coarse body 420 can be easily introduced into or withdrawn from the hole of the alveolar bone 5. Is formed in the bending portion.
거상부재(421)는, 상악동 내막(3)과 접촉된 상태로 상악동 내막(3)을 거상할 때 상악동 내막(3)이 손상되는 것을 저지하기 위해 상악동 내막(3)과 접촉되는 상면이 라운딩(rounding) 처리된다. 또한, 상악동 내막(3)을 거상한 후, 절삭용 드릴(300)의 형상에 의해 잔존하는 치조골(5)의 잔존 부분(5c)을 커팅하기 위해 거상부재(421)의 측단부 중 적어도 일부분은 날카롭게 형성된다. 즉, 거상부재(421)는, 반구 형상과 같은 형상으로 마련될 수 있다.The upper member 421 has a rounded upper surface in contact with the maxillary sinus lining 3 to prevent damage to the maxillary sinus lining 3 when the maxillary sinus lining 3 is elevated in contact with the maxillary sinus lining 3. rounding). In addition, after raising the maxillary sinus lining 3, at least a portion of the side end of the elevation member 421 is used to cut the remaining portion 5c of the alveolar bone 5 remaining by the shape of the cutting drill 300. It is sharply formed. That is, the coarse member 421 may be provided in the shape of a hemispherical shape.
또한, 거상부재(421)로 상악동 내막(3)을 거상할 때 상악동 내막(3)이 거상되는 정도를 확인할 수 있도록 거상부재(421)가 마련되는 거상몸체(420)의 상부에는 다수의 눈금(423)이 표시되어 있다. In addition, when raising the maxillary sinus lining 3 with the coarse member 421, a plurality of scales may be provided on the upper portion of the coarse body 420 provided with the coarse member 421 to check the degree of elevation of the maxillary sinus lining 3. 423 is indicated.
이와 같이, 상악동 거상용 기구(400)에 의하면, 상악동 내막(3)을 손상 없이 거상할 수 있을 뿐만 아니라 절삭용 드릴(300)의 형상에 의해 잔존하는 치조골(5) 잔존 부분(5c)을 커팅할 수 있어, 임플란트 식립을 위한 공간을 확보할 수 있도록 한다.As described above, according to the maxillary sinus elevation mechanism 400, the maxillary sinus lining 3 can be elevated without damage, and the remaining alveolar bone 5 remaining portion 5c is cut by the shape of the cutting drill 300. This allows for a space for implant placement.
도 9는 골이식재를 상악동 내막 및 치조골 사이로 가압하는 가압용 드릴의 사시도이고, 도 10은 도 9의 가압용 드릴에 의해 골이식재가 가압되는 과정을 설명하기 위한 도면이다.Figure 9 is a perspective view of the pressure drill for pressing the bone graft material between the maxillary sinus lining and alveolar bone, Figure 10 is a view for explaining the process of pressing the bone graft material by the pressure drill of FIG.
이들 도면에 도시된 바와 같이, 가압용 드릴(500)은, 상악동 내막(3)을 거상함으로써 발생되는 공간(3s, 도 8 참조)에 인입된 골이식재(8)를 가압하는 드릴로서, 골이식재(8)를 가압하기 위한 가압몸체(510)와, 가압몸체(510)의 하단부로부터 연장 형성되며 회전력 제공을 위한 핸드피스(미도시)와 착탈 가능하게 결합되는 연결홈(531)이 형성되어 있는 가압로드(530)를 구비한다.As shown in these figures, the pressure drill 500 is a drill for pressing the bone graft material 8 introduced into the space (3s, see Fig. 8) generated by raising the maxillary sinus lining 3, the bone graft material (8) and a pressing body 510 for pressurizing, and a connecting groove 531 is formed extending from the lower end of the pressing body 510 and detachably coupled with a handpiece (not shown) for providing rotational force is formed. The pressing rod 530 is provided.
가압몸체(510)는, 외측면에 규칙적인 그루브(511)가 형성되어 있으며, 상단부는 골이식재(8)를 외측 방향으로 가압하기 위하여 볼록 형상으로 마련된다. 따라서 가압몸체(510)가 회전하며 상악동 내막(3) 방향으로 인입될 때 상악동 내막(3) 거상 작업에 의해 형성된 공간(3s)에 채워진 골이식재(8)가 상악동 내막(3) 및 치조골(5) 사이사이로 균일하면서도 밀도 있게 가압될 수 있다. The pressing body 510 is formed with a regular groove 511 on the outer side, the upper end is provided in a convex shape for pressing the bone graft material (8) in the outward direction. Therefore, when the pressurized body 510 rotates and is pulled in the direction of the maxillary sinus lining 3, the bone graft material 8 filled in the space 3s formed by the elevation of the maxillary sinus lining 3 is the maxillary sinus lining 3 and the alveolar bone 5. It can be pressurized evenly and densely.
가압로드(530)는, 도 9에 도시된 바와 같이, 가압몸체(510)의 하단부로부터 길게 연장 형성되어 회전력을 제공하는 핸드피스와 연결되는 부분이다. 가압용 드릴(500)의 가압로드(530)는 전술한 가이드로드(130), 천공로드(230) 및 절삭로드(330)와 실질적으로 유사하되, 식염수 이동을 위한 관통홀이 형성되어 있지 않다. 이에 대한 설명은 생략하기로 한다.As shown in FIG. 9, the pressure rod 530 extends from the lower end of the pressure body 510 to be connected to the handpiece providing rotational force. The pressure rod 530 of the pressure drill 500 is substantially similar to the above-described guide rod 130, the punching rod 230 and the cutting rod 330, the through hole for the saline movement is not formed. Description thereof will be omitted.
이와 같이, 가압용 드릴(500)에 의하면, 상악동 내막(3) 거상 작업에 의해 형성되는 공간(3s)에 채워진 골이식재(8)를 상악동 내막(3) 및 치조골(5) 사이사이로 균일하면서도 밀도 있게 가압할 수 있어 이후 식립될 임플란트의 픽스츄어(미도시)가 견고히 지지될 수 있도록 하는 효과가 있다.As described above, according to the pressure drill 500, the bone graft material 8 filled in the space 3s formed by the maxillary sinus lining 3 is elevated between the maxillary sinus lining 3 and the alveolar bone 5 while being uniform. It can be pressurized so that there is an effect that the fixture (not shown) of the implant to be later placed is firmly supported.
이하에서는 본 발명에 따른 임플란트용 드릴들의 사용 방법에 대하여 임플란트 시술들 중 하나인 상악동 거상술과 관련하여 설명하기로 한다.Hereinafter, a method of using an implant drill according to the present invention will be described with reference to maxillary sinus elevation, which is one of the implant procedures.
먼저, 임플란트가 식립될 위치, 예를 들면 상악 구치부의 치조골(5)에 가이드 드릴(100)을 이용하여 얕은 홀을 형성하고 형성된 홀의 센터를 위치 표시한다. 다시 말해, 가이드 드릴(100)을 이용하여 상악동 내막(3)으로부터 대략 3mm 인접한 위치까지 얕은 홀을 형성하는데, 이 때 가이드몸체(110)에 비해 돌출 형성된 포인트부(120)가 천공된 치조골(5)의 홀 중심에 위치를 표시한다.First, a shallow hole is formed using a guide drill 100 at a position where an implant is to be placed, for example, the alveolar bone 5 of the maxillary posterior molar, and the center of the formed hole is indicated. In other words, using the guide drill 100 to form a shallow hole from the maxillary sinus lining (3) to a position adjacent to approximately 3mm, at this time, the alveolar bone (5) in which the point portion 120 protruding from the guide body 110 is drilled. Mark the position in the center of the hole.
이어서, 본 발명의 일 실시 예에 따른 임플란트 시술용 드릴(200)인 천공용 드릴(200)을 이용하여 상악동 내막(3)으로부터 대략 1mm 인접한 위치까지 홀을 형성한다. 이 때 천공용 드릴(200)의 중심은 가이드 드릴(100)에 의해 표시된 홀의 중심에 얼라인(align)되어야 한다. 한편, 천공용 드릴(200)이 상악동 내막(3)으로부터 대략 2mm 인접한 위치까지 치조골(5)의 홀을 형성할 때는 핸드피스의 회전력을 이용하여 홀을 형성하고, 이후 대략 1mm 인접한 위치까지는 시술자가 직접 천공용 드릴(200)을 회전하며 천공 작업을 실행한다.Subsequently, holes are formed from the maxillary sinus lining 3 to a position adjacent to the maxillary sinus lining 3 using the drilling drill 200, which is a drill 200 for implant surgery according to an embodiment of the present invention. In this case, the center of the drilling drill 200 should be aligned with the center of the hole indicated by the guide drill 100. On the other hand, when the drilling drill 200 forms a hole of the alveolar bone 5 to a position approximately 2 mm adjacent to the maxillary sinus lining 3, a hole is formed by using the rotational force of the handpiece, and then the operator has a position up to approximately 1 mm adjacent. Directly rotating the drilling drill 200 to execute the drilling operation.
즉, 핸드피스로 천공용 드릴(200)을 회전시키는 경우 천공용 드릴(200)의 천공 작업을 정확히 제어할 수 없으나, 시술자가 직접 천공용 드릴(200)을 회전하며 작업하는 경우 원하는 깊이까지 치조골(5)의 홀을 형성할 수 있다. 이를 위해, 천공용 드릴(200)에는 천공용 드릴(200)을 시술자가 원하는 회전수만큼 회전시키기 위한 결합홈(221)이 마련되어 있으며 시술자는 결합홈(221)에 별도의 기구(미도시)를 장착한 후 원하는 회전수만큼 회전시키며 천공 작업을 실행한다. 이 때 엑스레이 촬영 등을 통해 천공된 치조골(5)의 홀 깊이를 확인할 수 있다.That is, when rotating the drilling drill 200 with the handpiece can not accurately control the drilling operation of the drilling drill 200, but if the operator directly rotates the drilling drill 200 to work the alveolar bone to the desired depth The hole of (5) can be formed. To this end, the drilling drill 200 is provided with a coupling groove 221 for rotating the drilling drill 200 by the number of revolutions desired by the operator, and the operator has a separate mechanism (not shown) in the coupling groove 221. After mounting, rotate the desired number of revolutions and execute the drilling operation. At this time, the hole depth of the perforated alveolar bone 5 can be confirmed through X-ray photographing or the like.
천공용 드릴(200)로 일정 깊이까지 천공한 후, 천공용 드릴(200)을 치조골(5)로부터 빼낸 후, 천공용 드릴(200)의 천공몸체(210) 내에 인입된 조각의 치조골(5a)을 제거한다. 여기서, 천공몸체(210)의 내측에는 래칫(ratchet) 타입의 암나사부(213)가 마련되어 천공된 조각의 치조골(5a)을 외부로 용이하게 빼낼 수 있다.After drilling to a certain depth with the drilling drill 200, the drilling drill 200 is removed from the alveolar bone 5, and then the alveolar bone 5a of the piece inserted into the drilling body 210 of the drilling drill 200. Remove it. Here, the ratchet type female threaded portion 213 is provided inside the perforated body 210 so that the alveolar bone 5a of the perforated piece can be easily taken out to the outside.
이후, 치조골(5)의 홀에 본 발명의 다른 실시 예에 임플란트 시술용 드릴(300)인 따른 절삭용 드릴(300)을 인입하여, 절삭용 드릴(300)의 내막접촉몸체(320)가 상악동 내막(3)에 접면될 때까지 천공 작업을 진행한다. 절삭용 드릴(300)에 의한 천공 작업 시 절삭몸체(310)의 제1 절삭부(311) 및 내막접촉몸체(320)의 제2 절삭부(321)에 의해 치조골(5)의 내측 부분(5b)은 균일하게 커팅될 수 있으며, 또한 내막접촉몸체(320)의 상면에 다이아몬드 입자(325)가 고르게 코팅되어 내막접촉몸체(320)가 상악동 내막(3)을 손상시키지 않고 상악동 내막(3)과 접촉 상태를 유지할 수 있다. 이 때 상악동 내막(3)은 내막접촉몸체(320)에 의해 약간 거상될 수도 있다.Thereafter, the drill 300 for cutting according to the implant 300 is inserted into the hole of the alveolar bone 5 according to another embodiment of the present invention, and the inner membrane contact body 320 of the cutting drill 300 is the maxillary sinus. The punching operation is performed until it contacts the inner film 3. The inner portion 5b of the alveolar bone 5 by the first cutting portion 311 of the cutting body 310 and the second cutting portion 321 of the inner membrane contact body 320 during the drilling operation by the cutting drill 300. ) Can be evenly cut, and the diamond particles 325 are evenly coated on the upper surface of the intima contact body 320 so that the intima contact body 320 does not damage the maxillary sinus lining 3 and the maxillary sinus lining 3. The contact state can be maintained. At this time, the maxillary sinus lining 3 may be slightly elevated by the lining contact body 320.
다음으로, 상악동 거상용 기구(400)를 치조골(5)의 홀에 인입하여 부분적으로 노출된 상악동 내막(3)을 거상시킨다. 또한 상악동 내막(3)을 거상시킨 후 절삭용 드릴(300)의 형상에 의해 잔존하는 치조골(5)의 잔존 부분(5c)을 상악동 거상용 기구(400)를 이용하여 제거한다. Next, the maxillary sinus elevation mechanism 400 is introduced into the hole of the alveolar bone 5 to elevate the partially exposed maxillary sinus lining 3. Furthermore, after raising the maxillary sinus lining 3, the remaining portion 5c of the alveolar bone 5 remaining by the shape of the cutting drill 300 is removed using the maxillary sinus elevation mechanism 400.
이후, 상악동 내막(3) 거상 작업에 의해 형성된 공간(3s)에 골이식재(8)를 채운 후, 가압용 드릴(500)을 이용하여 골이식재(8)를 상악동 내막(3) 및 치조골(5) 사이사이로 균일하면서도 밀도 있게 가압한다. Then, after filling the bone graft material (8) in the space (3s) formed by the maxillary sinus lining (3) elevation operation, the bone graft material (8) using the pressure drill 500 to the maxillary sinus lining (3) and alveolar bone (5) Press evenly and uniformly between the layers.
이와 같이, 본 발명의 일 실시 예에 따른 천공용 드릴(200)에 의하면, 치조골 천공 작업을 용이하게 실행할 수 있으며, 또한 치조골 천공 작업 시 발생되는 치조골 조각을 용이하게 제거할 수 있어 치조골 천공에 소요되는 시간을 단축시킬 수 있는 효과가 있다.As such, according to the drill 200 for drilling according to an embodiment of the present invention, it is possible to easily execute the alveolar bone drilling operation, it is also possible to easily remove the alveolar bone fragments generated during the alveolar bone drilling work required for alveolar bone drilling This can shorten the time it takes.
또한 본 발명의 다른 실시 예에 따른 절삭용 드릴(300)에 의하면, 상악동 내막이 부분적으로 노출될 때까지 치조골을 천공할 수 있으며, 또한 상악동 내막이 손상되는 것을 저지할 수 있는 효과가 있다.In addition, according to the drill 300 for cutting according to another embodiment of the present invention, the alveolar bone can be perforated until the maxillary sinus lining is partially exposed, and there is an effect of preventing the maxillary sinus lining from being damaged.
한편, 본 발명은 기재된 실시 예들에 한정되는 것이 아니고, 본 발명의 사상 및 범위를 벗어나지 않고 다양하게 수정 및 변형할 수 있음은 이 기술의 분야에서 통상의 지식을 가진 자에게 자명하다. 따라서 그러한 수정 예 또는 변형 예들은 본 발명의 특허청구범위에 속한다 하여야 할 것이다.On the other hand, the present invention is not limited to the described embodiments, it will be apparent to those skilled in the art that various modifications and variations can be made without departing from the spirit and scope of the present invention. Therefore, such modifications or variations will have to be belong to the claims of the present invention.
본 발명에 따르면, 치조골 천공 작업을 용이하게 실행할 수 있으며, 또한 치조골 천공 작업 시 발생되는 치조골 조각을 용이하게 제거할 수 있어 치조골 천공에 소요되는 시간을 단축시킬 수 있다.According to the present invention, the alveolar bone drilling operation can be easily performed, and the alveolar bone fragments generated during the alveolar bone drilling operation can be easily removed, thereby reducing the time required for the alveolar bone drilling.
또한, 상악동 내막이 부분적으로 노출될 때까지 치조골을 천공할 수 있으며, 또한 상악동 내막이 손상되는 것을 저지할 수 있다.In addition, the alveolar bone may be perforated until the maxillary sinus lining is partially exposed, and further, the maxillary sinus lining may be prevented from being damaged.

Claims (11)

  1. 중공의 원기둥 형상으로 마련되며 상단부에 커터가 마련되어 있는 천공몸체; 및A perforated body provided in a hollow cylindrical shape and provided with a cutter at its upper end; And
    상기 천공몸체의 내측벽에 마련되어 상기 치조골을 천공할 때 상기 치조골로부터 분리되는 상기 치조골 부분을 캐칭(catching)하는 암나사부를 포함하는 것을 특징으로 하는 임플란트 시술용 드릴.And a female screw provided on the inner wall of the perforated body to catch the alveolar bone portion separated from the alveolar bone when the alveolar bone is punctured.
  2. 제1항에 있어서,The method of claim 1,
    상기 암나사부는, 일방향으로 회전할 경우에 한해 상기 치조골 부분을 캐칭하는 래칫(ratchet) 타입으로 마련되는 것을 특징으로 하는 임플란트 시술용 드릴.The female screw portion, the implant treatment drill, characterized in that provided in a ratchet (ratchet) type to catch the alveolar bone portion only when rotated in one direction.
  3. 제1항에 있어서,The method of claim 1,
    상기 천공몸체의 측부벽에는 천공 작업에 의해 상기 암나사부에 캐칭되는 상기 치조골 부분을 외측으로 밀어내기 위한 기구가 인입되거나 인출될 수 있도록 배출공이 관통 형성되어 있는 것을 특징으로 하는 임플란트 시술용 드릴.The side wall of the drilling body is drilled for implant treatment, characterized in that the discharge hole is formed so that the mechanism for pushing out or withdraw the alveolar bone portion caught to the female screw portion by the drilling operation to the outside.
  4. 제3항에 있어서,The method of claim 3,
    상기 천공몸체의 측부벽에는, 상기 천공몸체의 상단부가 외측 방향 및 내측 방향으로 확장 및 축소 가능하도록 상기 천공몸체의 상단부로부터 상기 배출공을 잇는 절개구간이 마련되어 있는 것을 특징으로 하는 임플란트 시술용 드릴.The side wall of the perforated body, the implant section drill is provided with an incision section connecting the discharge hole from the upper end of the perforated body so that the upper end of the perforated body can expand and contract in the outward and inward direction.
  5. 제1항에 있어서,The method of claim 1,
    상기 천공몸체의 하단부에는 상기 천공용 드릴을 수동으로 회전시키기 위한 기구가 착탈 가능하게 결합되는 결합홈이 마련된 결합몸체가 마련되어 있는 것을 특징으로 하는 임플란트 시술용 드릴.The lower end of the drilling body is implant drill, characterized in that the coupling body is provided with a coupling groove that is detachably coupled to the mechanism for manually rotating the drilling drill.
  6. 제5항에 있어서,The method of claim 5,
    상기 결합몸체의 하단부로부터 연장 형성되며, 회전력 제공을 위한 핸드피스와 연결 가능하도록 단부에 연결홈이 마련되어 있는 천공로드를 더 포함하며,It is formed extending from the lower end of the coupling body, and further comprises a punching rod provided with a connection groove at the end to be connectable with the handpiece for providing rotational force,
    상기 천공로드의 내측에는 상기 치조골에 대한 천공 작업 시 작업 부위로 식염수를 제공하기 위하여 축 방향을 따라 상호 연통되는 관통홀이 형성되어 있는 것을 특징으로 하는 임플란트 시술용 드릴. The inner side of the perforated rod is implant drill, characterized in that the through-hole is formed in communication with each other along the axial direction to provide the saline to the work site during the drilling operation for the alveolar bone.
  7. 외측면의 적어도 일 영역에 상기 치조골의 내측벽의 적어도 일 영역을 회전에 의해 커팅하는 제1 절삭부가 마련되어 있는 절삭몸체; 및A cutting body provided with at least one region of the outer surface a first cutting portion for cutting at least one region of the inner wall of the alveolar bone by rotation; And
    상기 절삭몸체의 상단부에 결합되며, 표면이 다이아몬드 재질로 코팅되는 내막접촉몸체를 포함하는 것을 특징으로 하는 임플란트 시술용 드릴.It is coupled to the upper end of the cutting body, the drill for implant treatment, characterized in that it comprises an inner film contact body is coated with a diamond material surface.
  8. 제7항에 있어서,The method of claim 7, wherein
    상기 내막접촉몸체의 상단부는 실질적으로 반구 형상으로 마련되며,The upper end of the inner membrane contact body is provided in a substantially hemispherical shape,
    상기 내막접촉몸체의 측부에는 상기 절삭몸체의 상기 제1 절삭부와 함께 절삭을 수행하는 제2 절삭부가 마련되어 있는 것을 특징으로 하는 임플란트 시술용 드릴.And a second cutting portion for cutting together with the first cutting portion of the cutting body on a side portion of the inner film contact body.
  9. 제8항에 있어서,The method of claim 8,
    상기 제1 절삭부 및 상기 제2 절삭부는, 상기 절삭용 드릴이 후퇴 시 절삭이 이루어지도록 날이 형성되는 역커터인 것을 특징으로 하는 임플란트 시술용 드릴.The first cutting portion and the second cutting portion, the drill for implant treatment, characterized in that the cutting cutter is a reverse cutter is formed so that the cutting is made when retreating.
  10. 제8항에 있어서,The method of claim 8,
    상기 내막접촉몸체의 하단부는 상기 내막접촉몸체의 상단부에 비해 큰 직경으로 마련되며, 상기 내막접촉몸체의 하단부의 외주연은 상기 상악동 내막과 접촉되는 경우 상기 상악동 내막이 손상되는 것을 저지하기 위해 라운딩(rounding) 처리되는 것을 특징으로 하는 임플란트 시술용 드릴.The lower end of the intima contact body is provided with a larger diameter than the upper end of the intima contact body, and the outer periphery of the lower end of the intima contact body is rounded to prevent damage to the maxillary sinus lining when contacted with the maxillary sinus lining. rounding) drill for implant treatment, characterized in that the treatment.
  11. 제8항에 있어서,The method of claim 8,
    상기 절삭몸체의 하단부로부터 연장 형성되며, 회전력 제공을 위한 핸드피스와 연결 가능하도록 단부에 연결홈이 마련되어 있는 절삭로드를 더 포함하며,It is formed extending from the lower end of the cutting body, and further comprises a cutting rod is provided with a connection groove at the end to be connectable to the handpiece for providing a rotational force,
    상기 절삭로드의 내측에는 상기 절삭몸체 및 상기 내막접촉몸체의 회전에 의해 상기 치조골을 커팅할 때 작업 부위로 식염수를 제공하기 위하여 축 방향을 따라 관통되는 관통홀이 형성되어 있는 것을 특징으로 하는 임플란트 시술용 드릴. Implant treatment, characterized in that the through-hole is formed through the axial direction in order to provide saline to the work site when cutting the alveolar bone by the rotation of the cutting body and the inner membrane contact body inside the cutting rod Drill.
PCT/KR2009/003116 2008-06-13 2009-06-10 Drill for implant operations WO2009151276A2 (en)

Applications Claiming Priority (2)

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KR10-2008-0055711 2008-06-13
KR1020080055711A KR100981718B1 (en) 2008-06-13 2008-06-13 Drill for operating implant

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CN103519912B (en) * 2013-10-25 2016-08-10 张英怀 Plane location drill for dental implantation
KR102070181B1 (en) 2017-09-20 2020-01-28 주식회사 디맥스 Manufacturing method of zirconia implant drill for rod
KR102264151B1 (en) * 2019-05-30 2021-06-11 주식회사 디오 apparatus for removing gingiva in dental implant
KR102291513B1 (en) * 2019-07-19 2021-08-20 제이든 형준 전 Dental implant procedure kit

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KR100981718B1 (en) 2010-09-13
TWI371263B (en) 2012-09-01

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