JPH0481462B2 - - Google Patents
Info
- Publication number
- JPH0481462B2 JPH0481462B2 JP62162119A JP16211987A JPH0481462B2 JP H0481462 B2 JPH0481462 B2 JP H0481462B2 JP 62162119 A JP62162119 A JP 62162119A JP 16211987 A JP16211987 A JP 16211987A JP H0481462 B2 JPH0481462 B2 JP H0481462B2
- Authority
- JP
- Japan
- Prior art keywords
- blade
- tip
- diameter
- tool
- drilling
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Expired - Lifetime
Links
- 238000005553 drilling Methods 0.000 claims description 27
- 230000007423 decrease Effects 0.000 claims description 3
- 230000000694 effects Effects 0.000 description 3
- 238000000034 method Methods 0.000 description 3
- 230000017074 necrotic cell death Effects 0.000 description 3
- 238000001356 surgical procedure Methods 0.000 description 3
- 210000001519 tissue Anatomy 0.000 description 3
- 238000002513 implantation Methods 0.000 description 2
- 238000002347 injection Methods 0.000 description 2
- 239000007924 injection Substances 0.000 description 2
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 2
- 229910001315 Tool steel Inorganic materials 0.000 description 1
- 229910045601 alloy Inorganic materials 0.000 description 1
- 239000000956 alloy Substances 0.000 description 1
- 210000000988 bone and bone Anatomy 0.000 description 1
- 238000001816 cooling Methods 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 239000007943 implant Substances 0.000 description 1
- 239000000463 material Substances 0.000 description 1
- 210000000214 mouth Anatomy 0.000 description 1
- 239000010935 stainless steel Substances 0.000 description 1
- 229910001220 stainless steel Inorganic materials 0.000 description 1
- UONOETXJSWQNOL-UHFFFAOYSA-N tungsten carbide Chemical compound [W+]#[C-] UONOETXJSWQNOL-UHFFFAOYSA-N 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C8/00—Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools
- A61C8/0089—Implanting tools or instruments
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C3/00—Dental tools or instruments
- A61C3/02—Tooth drilling or cutting instruments; Instruments acting like a sandblast machine
Landscapes
- Health & Medical Sciences (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Dentistry (AREA)
- Epidemiology (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Dental Tools And Instruments Or Auxiliary Dental Instruments (AREA)
- Dental Prosthetics (AREA)
Description
【発明の詳細な説明】
〔産業上の利用分野〕
本発明は、歯科治療用穿孔工具に係り、特に人
工歯根を顎骨に埋入するために好適な穿孔工具に
関する。DETAILED DESCRIPTION OF THE INVENTION [Field of Industrial Application] The present invention relates to a drilling tool for dental treatment, and particularly to a drilling tool suitable for embedding an artificial tooth root in a jawbone.
近年歯科の分野において、脱落または抜去した
歯の代わりに人工歯根を埋入し咀嚼機能の回復を
図るという治療法が検討されている。通常、人工
歯根は外科的手法により患者の顎骨に溝または穴
を形成し、その中に挿入することにより、物理的
な固定(一般的に初期固定という)が行われる。
顎骨に溝または穴を穿孔するには、通常、ドリル
が用いられる。このドリルは歯科用のエンジンに
装着され、注水下で顎骨の穿孔を行う。
In recent years, in the field of dentistry, a treatment method has been considered in which artificial tooth roots are implanted in place of fallen or extracted teeth to restore masticatory function. Usually, an artificial tooth root is physically fixed (generally referred to as initial fixation) by surgically forming a groove or hole in the patient's jawbone and inserting it into the groove or hole.
A drill is typically used to drill a groove or hole in the jawbone. This drill is attached to a dental engine and drills into the jawbone under water injection.
しかしながら、人工歯根を用いる治療法は極め
て限られた医療機関でしか行われていないのが現
状である。これは人工歯根による治療が高度な手
術テクニツクを必要とすることに起因している。
手術では前記の初期固定が特に重要で、埋入時の
初期固定が完全でないと、咬合圧、すなわち歯で
噛むときの圧力や舌圧により、人工歯根の動揺が
増幅され、最終的には人工歯根の脱落という結果
となる。 However, at present, treatment methods using artificial tooth roots are only performed in extremely limited medical institutions. This is due to the fact that treatment with artificial tooth roots requires advanced surgical techniques.
In surgery, the above-mentioned initial fixation is particularly important. If the initial fixation at the time of implantation is not complete, the movement of the artificial tooth root will be amplified due to occlusal pressure, that is, the pressure when biting with the teeth and the pressure of the tongue, and eventually the artificial tooth root will deteriorate. This results in the tooth root falling out.
上記の初期固定を完全に行うには、人工歯根の
直径より僅かに(0.1mm程度)小さい寸法の穴を
精度良く開け、そこに人工歯根を骨の弾力を利用
して挿入する必要がある。ところが、実際にはエ
ンジンの軸ぶれ、術者の手ぶれ、患者の動き等が
あり、また口腔内での空間的な制約があるため、
正確な穿孔は困難である。 In order to achieve the above initial fixation completely, it is necessary to precisely drill a hole that is slightly (about 0.1 mm) smaller than the diameter of the artificial tooth root, and insert the artificial tooth root there using the elasticity of the bone. However, in reality, there are engine shaft shakes, operator hand shakes, patient movements, etc., and there are spatial constraints within the oral cavity.
Accurate drilling is difficult.
人工歯根埋入用穿孔工具としてはいろいろなも
のが知られている。スパイラルドリル状の穿孔工
具の場合には、小径のもので先ず穿孔し、順次大
径のもので穴径の拡大を行う。このような穿孔工
具では3mm程度までは比較的簡単に穿孔すること
ができるが、それ以上の穴径では、患者の埋入部
とエンジンが固定されていない状態で穿孔してい
ることから、穿孔時に刃先の振動が起こりやすく
精度の良い穿孔は出来ない。また、穿孔時に手ぶ
れ等により工具が傾斜した場合、側面にも刃が付
いているので穴径が拡大されてしまうという欠点
がある。また、数本のドリルの交換とそれと同じ
数の穿孔作業が必要なため、失敗する可能性も高
く問題である。
Various types of drilling tools for implanting artificial tooth roots are known. In the case of a spiral drill-like drilling tool, the hole is first drilled with a small diameter tool, and then the hole diameter is enlarged with a larger diameter tool. Such a drilling tool can relatively easily drill holes up to about 3 mm, but for holes larger than that, the patient's implant and the engine are not fixed when drilling, so The cutting edge tends to vibrate, making it impossible to drill with high precision. Furthermore, if the tool is tilted due to camera shake or the like during drilling, there is a drawback that the hole diameter will be enlarged because the blade is also attached to the side surface. In addition, since it is necessary to replace several drills and perform the same number of drilling operations, there is a high possibility of failure.
更に、実開昭60−13113号公報により、刃体を
円筒状に形成し、刃体の下端面に縫歯状の刃部を
設けた穿孔工具が知られている。この工具の場合
には、中心に顎骨の芯を残しながら切り進むた
め、その芯の存在により刃部の振動を抑制でき、
比較的に大径の穴でもかなり精度の良い穿孔が可
能である、しかし、鋸状刃部での摩擦熱が大き
く、しかも注水による冷却効果も小さいので、生
体組織を熱壊死させる危険性がある。 Furthermore, a drilling tool is known from Japanese Utility Model Application Publication No. 60-13113, in which the blade is formed into a cylindrical shape and a tooth-shaped blade is provided on the lower end surface of the blade. This tool cuts while leaving the core of the jawbone in the center, so the presence of the core suppresses the vibration of the blade.
Even relatively large-diameter holes can be drilled with high precision. However, the frictional heat generated by the serrated blade is large, and the cooling effect of water injection is also small, so there is a risk of thermal necrosis of living tissue. .
本発明の目的は、上記の問題点および欠点を解
消し、人工歯根埋入用として好適な穿孔工具を提
供することである。 An object of the present invention is to solve the above-mentioned problems and drawbacks and to provide a drilling tool suitable for implanting an artificial tooth root.
本発明は、上記目的を達成するために、歯科用
穿孔工具において、歯科用エンジンに装着される
支軸部と、複数の羽根状部材を有する刃体と、先
端に設けられた断面円形の突起部とを具備し、刃
体の先端側の端面にのみ刃部を形成し、刃体先端
側から支軸部側に向けて直径が小さくなるように
刃体の側部を形成したことを特徴とする。
In order to achieve the above-mentioned object, the present invention provides a dental drilling tool that includes a support shaft mounted on a dental engine, a blade body having a plurality of blade-like members, and a protrusion having a circular cross section provided at the tip. The blade part is formed only on the end face on the tip side of the blade body, and the side part of the blade body is formed so that the diameter becomes smaller from the tip side of the blade body toward the spindle part side. shall be.
ここで、先端の突起部と刃体の間に小径部を設
けると好都合である。更に、羽根状部材間の空間
の底につながる溝を、支軸部に形成すると好都合
である。 Here, it is convenient to provide a small diameter portion between the protrusion at the tip and the blade body. Furthermore, it is advantageous to form a groove in the support shaft that connects to the bottom of the space between the wing-like members.
本発明の穿孔用工具は、予め開けた小径の穴に
先端の突起部を挿入し、その穴をガイドにして回
転するため、刃体の振動が防止される。また、羽
根状部材間に刃体先端側から支軸部へ抜ける空間
を有するので、切り屑が効率良く支軸部側に排出
される。また、刃体の先端側の端面のみに刃部を
有し、刃体の先端側から支軸部に向い刃体の側部
が縮径しているため、工具の傾斜による穴の拡大
が防止される。また、この縮径により切削抵抗が
軽減され、それに伴い摩擦熱の発生も最低限に抑
えられる。
The drilling tool of the present invention inserts the protrusion at the tip into a pre-drilled small-diameter hole and rotates using the hole as a guide, so vibration of the blade is prevented. Moreover, since there is a space between the blade-like members that passes from the tip of the blade toward the spindle, chips are efficiently discharged toward the spindle. In addition, the blade has a blade only on the end face on the tip side, and the diameter of the side of the blade decreases from the tip of the blade toward the spindle, which prevents the hole from expanding due to tilting of the tool. be done. In addition, cutting resistance is reduced by this diameter reduction, and accordingly, generation of frictional heat is also suppressed to a minimum.
次に、図面を参照して本発明の実施例を説明す
る。第1図と第2図に示す本実施例の歯科用穿孔
工具は、図示していない歯科用エンジンに装着さ
れる支軸部1、複数の羽根状部材2を有する刃体
3、先端に設けられた突起部4、および突起部4
と刃体3を連結する小径部5から構成されてい
る。
Next, embodiments of the present invention will be described with reference to the drawings. The dental drilling tool of this embodiment shown in FIGS. 1 and 2 includes a support shaft 1 to be attached to a dental engine (not shown), a blade 3 having a plurality of blade-like members 2, and a blade provided at the tip. the protrusion 4 and the protrusion 4
and a small diameter portion 5 that connects the blade body 3.
突起部4は、ドリル等により予め正確に穿設さ
れた穴(本例2.0mm)に沿つて本穿孔工具を案内
する働きをするものであり、その直径は、ドリル
で正確に穿孔された穴径と同程度またはわずかに
小さい径であればよく、本実施例では1.95mmであ
る。突起部4の形状は、丸棒状、先端半球状等の
ように軸横断面(軸に直交する断面)が円形のも
のであればよく、図示の形に限定されない。 The protrusion 4 serves to guide the drilling tool along a hole (2.0 mm in this example) that has been accurately drilled in advance with a drill, etc., and its diameter is equal to that of the hole that has been accurately drilled with the drill. The diameter may be the same as the diameter or slightly smaller, and in this example, it is 1.95 mm. The shape of the protrusion 4 is not limited to the illustrated shape, as long as the axial cross section (cross section perpendicular to the axis) is circular, such as a round rod shape or a hemispherical tip.
突起部4と刃体3の間に小径部5を形成したこ
とにより、羽根状部材2の先端側端面に設けた刃
部6を、半径方向内側に向けて、突起部4の径を
越えて突起部4付近まで形成することができる
(第2図参照)。 By forming the small diameter portion 5 between the protrusion 4 and the blade body 3, the blade portion 6 provided on the tip side end surface of the blade-like member 2 can be directed radially inward and beyond the diameter of the protrusion 4. It can be formed up to the vicinity of the protrusion 4 (see FIG. 2).
刃体3は羽根状部材2の先端側の端面にのみ刃
部6を備え、刃体3の側部7すなわち羽根状部材
の周面には刃が付いていない。この刃部6は第1
図に示すように、それぞれ穿孔工具の中心軸線に
対して同じ方向に傾斜している。刃体3の直径は
先端側から支軸部1側に向けて小さくなつてい
る。この縮径により、穿孔中工具が傾いても刃体
3の側部7(刃部6との境界部分を除く)が顎骨
に接触しないので、穴が大きくなることがない。
また、刃体3がその先端側の刃部6でのみ顎骨に
接触するので、接触面積が小さく、生体組織の熱
壊死を防止することができる。なお、この縮径の
程度は、傾斜角θ=1〜15゜(本実施例では約2゜)
となるように選定されている。 The blade body 3 has a blade portion 6 only on the end face on the tip side of the blade-like member 2, and no blade is attached to the side portion 7 of the blade body 3, that is, the circumferential surface of the blade-like member. This blade part 6 is the first
As shown in the figure, they are each inclined in the same direction with respect to the central axis of the drilling tool. The diameter of the blade body 3 decreases from the tip side toward the spindle portion 1 side. Due to this diameter reduction, even if the tool is tilted during drilling, the side portion 7 of the blade body 3 (excluding the boundary portion with the blade portion 6) does not come into contact with the jawbone, so the hole does not become large.
Further, since the blade body 3 contacts the jawbone only with the blade portion 6 on the distal end side, the contact area is small, and thermal necrosis of the living tissue can be prevented. The degree of diameter reduction is determined by the inclination angle θ = 1 to 15° (approximately 2° in this example).
It has been selected to be.
羽根状部材2の数は3枚以上であればよいが、
穿孔時の振動を小さくするため、好ましくは4枚
から8枚とすることが望ましく、本実施例では6
枚となつている。羽根状部材2の支軸部1側の角
部8は、穿孔作業後顎骨から工具を抜くときに引
つ掛からないようにするために、面取り加工(R
面加工)がされている。羽根状部材2の間の、横
断面がほぼV字形の空間は、刃部6で切削された
切り屑を支軸部1側に導く働きをする。切り屑の
排出性を更に高めるために、支軸部1には、ほぼ
V字形空間の底につながる溝9が形成されてい
る。この溝は刀の刃先の形をしている。 The number of wing-like members 2 may be three or more, but
In order to reduce vibration during drilling, it is desirable to use 4 to 8 pieces, and in this example, 6 pieces.
It has become one piece. The corner 8 of the wing-like member 2 on the side of the support shaft 1 is chamfered (R) to prevent the tool from getting caught when removing the tool from the jawbone after drilling.
surface processing). The space between the blade-like members 2 having a substantially V-shaped cross section functions to guide chips cut by the blade portion 6 toward the support shaft portion 1 side. In order to further improve the evacuation of chips, a groove 9 is formed in the support shaft portion 1, which substantially connects to the bottom of the V-shaped space. This groove is shaped like the tip of a sword.
支軸部1は穿孔深さを示す印としての周溝10
と、歯科用エンジンの装着部11を備えている。 The support shaft part 1 has a circumferential groove 10 as a mark indicating the drilling depth.
and a dental engine mounting part 11.
なお、上記穿孔工具の材質は例えばステンレス
鋼(SUS420J2、SUS440C)、超硬合金(炭化タ
ングステン)、合金工具鋼(JIS G4404−1983)
等である。 The materials of the above-mentioned drilling tools include, for example, stainless steel (SUS420J2, SUS440C), cemented carbide (tungsten carbide), and alloy tool steel (JIS G4404-1983).
etc.
以上の通り、本発明の歯科治療用穿孔工具によ
れば、予め開けた小径の穴に工具先端の突起部を
挿入し、その穴をガイドにして回転するため、刃
体のぶれがなく、正確かつ安全に穿孔することが
できる。更に、刃体の側部に刃を付けず、先端か
ら支軸部に向けて縮径したので、仮に手ぶれによ
り工具が傾斜しても穴径を拡大してたしまうこと
がない。また、刃体の羽根状部材の間に、刃体先
端から支軸部に向けて空間が形成されているの
で、切り屑が支軸部の方へ効率良く容易に抜ける
ことができ、従つて深く掘り進むことができる。
また、前記の刃体の縮径と空間の形成により、切
削抵抗が小さくなるので、回転トルクの弱い歯科
用エンジンでも穿孔が可能となる。更に、顎骨と
の接触は刃体の先端側端面の刃部のみであるの
で、接触面積が小さく、従つて生体組織の熱壊死
を防止できる。上記のように、人工歯根埋入のた
めの穿孔作業において、穿孔工具に起因する不具
合を著しく低減でき、よつて手術をより容易なも
のにすることができ、人工歯根による治療法の普
及に貢献することができる。
As described above, according to the drilling tool for dental treatment of the present invention, the protrusion at the tip of the tool is inserted into a pre-drilled small diameter hole, and the tool rotates using the hole as a guide, so the blade does not shake and is accurate. and can be drilled safely. Furthermore, since there is no blade on the side of the blade, and the diameter is reduced from the tip toward the spindle, even if the tool is tilted due to camera shake, the hole diameter will not be enlarged. In addition, since a space is formed between the blade-like members of the blade from the tip of the blade toward the spindle, chips can easily and efficiently escape toward the spindle. You can dig deep.
Further, the cutting resistance is reduced by reducing the diameter of the blade and forming the space, so that even a dental engine with a weak rotational torque can perform drilling. Further, since only the blade portion on the distal end surface of the blade body comes into contact with the jawbone, the contact area is small, and therefore thermal necrosis of the living tissue can be prevented. As mentioned above, it is possible to significantly reduce the problems caused by the drilling tool during the drilling work for artificial tooth root implantation, making the surgery easier and contributing to the spread of treatment methods using artificial tooth roots. can do.
第1図は本発明の実施例に係る穿孔工具の正面
図、第2図は第1図の右側面図である。
1……支軸部、2……羽根状部材、3……刃
体、4……突起部、5……小径部、6……刃部、
7……刃体の側部、8……刃体の角部、9……
溝、10……周溝、11……エンジン装着部。
FIG. 1 is a front view of a drilling tool according to an embodiment of the present invention, and FIG. 2 is a right side view of FIG. 1. DESCRIPTION OF SYMBOLS 1...Spindle part, 2...Blade-like member, 3...Blade body, 4...Protrusion part, 5...Small diameter part, 6...Blade part,
7... Side part of the blade body, 8... Corner part of the blade body, 9...
Groove, 10... Circumferential groove, 11... Engine mounting part.
Claims (1)
し、 刃体の先端側の端面にのみ刃部を形成し、 刃体先端側から支軸部側に向けて直径が小さく
なるように刃体の側部を形成したことを特徴をす
る歯科治療用穿孔工具。[Claims] 1. A support shaft mounted on a dental engine, a blade body having a plurality of blade-like members, and a protrusion with a circular cross section provided at the tip, the tip side of the blade body A drilling tool for dental treatment, characterized in that a blade is formed only on the end face of the blade, and the side part of the blade is formed such that the diameter decreases from the tip of the blade toward the spindle.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| JP62162119A JPS645541A (en) | 1987-06-29 | 1987-06-29 | Drilling tool for dental treatment |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| JP62162119A JPS645541A (en) | 1987-06-29 | 1987-06-29 | Drilling tool for dental treatment |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| JPS645541A JPS645541A (en) | 1989-01-10 |
| JPH0481462B2 true JPH0481462B2 (en) | 1992-12-24 |
Family
ID=15748400
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP62162119A Granted JPS645541A (en) | 1987-06-29 | 1987-06-29 | Drilling tool for dental treatment |
Country Status (1)
| Country | Link |
|---|---|
| JP (1) | JPS645541A (en) |
Families Citing this family (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US4962363A (en) * | 1989-04-10 | 1990-10-09 | Littelfuse, Inc. | Surface mountable leadless fuse |
| JP4740294B2 (en) * | 2008-08-25 | 2011-08-03 | 吉継 寺内 | Cutting bar set and broken piece removal method |
| JP6707734B2 (en) * | 2014-07-07 | 2020-06-10 | 株式会社インプラントデント | Bone plane forming tool for implant |
-
1987
- 1987-06-29 JP JP62162119A patent/JPS645541A/en active Granted
Also Published As
| Publication number | Publication date |
|---|---|
| JPS645541A (en) | 1989-01-10 |
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