US2831480A - Cheek and tongue retractor - Google Patents

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Classifications

• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
  • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
  • A61B1/24—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for the mouth, i.e. stomatoscopes, e.g. with tongue depressors; Instruments for opening or keeping open the mouth
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
  • A61B13/00—Instruments for depressing the tongue

Definitions

• the present invention relates to dental instruments and is concerned primarily with a check and tongue retractor designed particularly for use when a diamond drill is used on crown work.
• a diamond drill includes a comparatively large abrasive disc that rotates under a high velocity, and practicing dentists have experienced considerable difficulty and inconvenience in keeping the cheek and tongue away from the area of the Working operation.
• a dentist has but two hands. One of these is employed to manipulate and handle the drill, leaving only the other hand free for manipulating a retractor to hold the cheek or tongue away from the working area.
• the retractors now available, it has been impractical, if not impossible, to hold both the cheek and tongue in proper position to provide a safe working space.
• the present invention has in view as its foremost objective the provision of a check and tongue retractor which will fulfill the requirements above indicated.
• the invention has as an object the provision of a check and tongue retractor which includes a handle on which is mounted a cheek-engaging element.
• a tongue-engaging element is connected to the cheekengaging element in properly spaced relation with respect thereto by a bridge.
• the cheek-engaging element, the tongue-engaging element, and the bridge cooperate to provide a safe working space for the diamond drill over and about the crown that is being finished.
• a further object in view is to provide a cheek and tongue retractor of the character aforesaid in which the bridge which joins the cheekand tongueengaging elements, respectively, is of a width of an extent sufficient to prevent such a bite that would cause engagement with the drill or other instrument.
• that portion of the bridge which spans the line of the teeth should be sufficiently great to prevent the two jaws coming close enough together to cause injury.
• Still another object of the invention is to provide a cheek and tongue retractor of the character aforesaid in which the tongue-engaging element is shaped and designed to present the most favorable angle for engagement with the tongue.
• the cheek-engaging element, the bridge, and the tongue-engaging element are integrally formed from a single piece of an appropriate material which is of such a nature as to readily lend itself to being cast or molded into the required shape. This unit is in turn secured to the handle in any appropriate manner.
• the invention therefore comprises a cheek and tongue retractor designed for use in conjunction with a diamond drill in providing a safe working space over a crown and which retractor consists essentially of a handle and a retractor unit secured thereto comprising a cheek-engaging element, a bridge integrally joined thereto, and a tongueengaging element integrally joined to the bridge, with the bridge being shaped to span the teeth and provide a suflicient extent in its width to prevent the jaws of a patient coming sufliciently close to cause the teeth to engage the drill or other instrument in the patients mouth.
• Figure 1 is a view in side elevation of a cheek and tongue retractor designed in accordance with the precepts of this invention
• Figure 2 is a view in front elevation taken normal to the showing of Figure 1;
• Figure 3 is abottom elevation looking at the retractor unit
• Figure 4 is a view looking at a portion of a patients mouth with the cheek and tongue retractor of this invention in operative position therein and showing the handle in section.
• the cheek and tongue retractor of this invention is shown as comprising a handle 10 on which is mounted a retractor unit which is referred to in its entirety by the reference character U. While it might be entirely possible to form the handle 10 and unit U as separate elements which are subsequently assembled to provide a completed instrument, the invention has in mind an integral one-piece affair in which the handle 10 and unit U are integrally formed from any appropriate material.
• the invention has particularly in mind the use of any of a large number of plastics, and particularly thermosetting plastics.
• the instrument could also be made of metal such a stainless steel, although it is believed that a plastic is particularly indicated as desirable because of the large bulk required in the unit U and the reltaive cost of the materials. Moreover, a plastic will not damage the drill if the two should accidentally become engaged.
• the handle 10 may be of any appropriate cross-sectional shape such as the fiat spatula-like construction illustrated in Figures 1 and 2. Adjacent the unit U the handle 10 should be restricted in its width as indicated at 11, as it is this portion of the instrument which passes over the lips of the patient.
• the unit U comprises a cheek-engaging element 12, which has its narrowest dimension at 13 where it is integrally joined to the restricted portion 11 of the handle and from which it gradually widens into the tapered formation depicted at 14 in Figure 2.
• a bridge portion of the unit U is designated 15 and is clearly shown in Figures 3 and 4.
• One end of the bridge 15 is integrally joined to the end of the cheekengaging element 12 remote from the handle 11.
• the bridge portion 15 extends in a direction away from the handle.
• This bridge portion 15 is restricted in its width by the curved recesses 16 and 17 on the opposite side edges thereof; and it is intended that this restricted portion extend over the teeth when an instrument is being used as shown in Figure 4.
• there should be sufficient extent between the recesses 16 and 17 to afford ample insurance that the jaws of a patient cannot come sufliciently close to engage a drill or other instrument in the patients mouth.
• the tongue-engaging element is represented at 18. It is integrally joined to the outer end of the bridge and this line of joinder assumes the angle of inclination represented at 19 in Figure 2. From this line of joinder the tongue-engaging element is returned backwardly in the direction of the handle and outwardly. Its free edge, which is depicted at 26, is preferably substantially normal to the axis of the handle 10.
• FIG. 4 The manner of using the cheek and tongue retractor of this invention is depicted in Figure 4.
• the check of a patient is represented at 21, the tongue at 22, and a tooth at 23.
• the crown of the tooth 23 is to be finished by a diamond drill.
• the retractor is inserted in the patients mouth so that the cheek-engaging element 12 engages the cheek while the tongue-engaging element 18 engages the tongue 22 so as to remove these parts of the mouth from close proximity to the tooth 23.
• the bridge spans the tooth line in the manner depicted in Figure It will be understood that the particular shape of the cheek-engaging element 12, the bridge 15, and tongueengaging element 18 may be varied within certain limits and still perform the offices required of them.
• the angle of line 19 relative to a normal to the axis of the handle is of importance because it enables the dentist to hold the rctractor in eifective position for long periods with aminimurn of discomfort. This is true regardless of which side of the patients mouth is being treated because when the right side is being worked upon the dentist will be positioned in front of the patient and the inclination of the line 19 will cause the handle to assume a downwardly slanted position which is the one of maximum comfort to the dentist. When the left side is being treated, the dentist will stand at the rear of the patient and the handle will be tilted upwardly, which is the position of maximum comfort for this side.
• a handle in a cheek and tongue retractor, a handle, a retractor unit integrally joined to said handle at one end thereof, said handle and unit being made of plastic, said unit comprising a cheek-engaging element of flat tapered formation with the smaller portion thereof being located at the joinder to said handle, a bridge outstanding from and integrally joined to said cheek-engaging element, and a tongue-engaging element integrally joined to the outer end of said bridge along an inclined line with the tongueengaging element being returned in the direction of said handle and outwardly and away therefrom.
• a handle a retractor unit integrally joined to said handle at one end thereof, said handle and unit being made of plastic, said unit comprising a cheek-engaging element of flat tapered formation with the smaller portion thereof being located at the joinder to said handle, a bridge outstanding from and integrally joined to said cheek-engaging element, and a tongue-engaging element integrally joined to the outer end of said bridge along an inclined line with the tongueengaging element being returned in the direction of said handle and outwardly and away therefrom, said bridge having side edges defined by inwardly curved lines presenting the narrowest portion of the bridge substantially midway between said cheekand tongue-engaging elements.

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• Health & Medical Sciences (AREA)
• Life Sciences & Earth Sciences (AREA)
• Surgery (AREA)
• Public Health (AREA)
• Heart & Thoracic Surgery (AREA)
• Medical Informatics (AREA)
• Molecular Biology (AREA)
• Biomedical Technology (AREA)
• Animal Behavior & Ethology (AREA)
• General Health & Medical Sciences (AREA)
• Engineering & Computer Science (AREA)
• Veterinary Medicine (AREA)
• Dentistry (AREA)
• Oral & Maxillofacial Surgery (AREA)
• Physics & Mathematics (AREA)
• Biophysics (AREA)
• Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
• Optics & Photonics (AREA)
• Pathology (AREA)
• Radiology & Medical Imaging (AREA)
• Dental Tools And Instruments Or Auxiliary Dental Instruments (AREA)

Description

Priority Applications (1)

Applications Claiming Priority (1)

Publications (1)

Family

ID=24482058

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Cited By (22)

Citations (2)

• 1956
  • 1956-10-31 US US619468A patent/US2831480A/en not_active Expired - Lifetime

Patent Citations (2)

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