CN109674545A

CN109674545A - Biological friendly oral orthodontic appliance

Info

Publication number: CN109674545A
Application number: CN201811589802.5A
Authority: CN
Inventors: 冯慧
Original assignee: Individual
Current assignee: Individual
Priority date: 2018-10-18
Filing date: 2018-12-25
Publication date: 2019-04-26

Abstract

Present patent application provides a kind of biological friendly oral orthodontic appliance, a kind of tooth repositioning system including appliance, the appliance includes polymeric shells, wherein at least one shell in the polymeric shells has occlusion end opening, so that the occlusal end for accommodating the tooth of at least one shell is exposed.

Description

Biological friendly oral orthodontic appliance

Technical field

The present invention relates to mouth cavity orthodontic technical field, espespecially a kind of biological friendly oral orthodontic appliance.

Background technique

The conventional method of repositioning teeth is that user is allowed to wear usually said " facing ".Facing includes various rescues Device, such as bracket, arch wire, binding and O-ring.The process of conventional oral correction is summarized as follows: facing is being fastened to user's tooth Before tooth, will usually make an appointment orthodontist, dentist and/or X-laboratory at least once, thus can obtain the X of user's tooth Ray and photo and lower jaw structure.In addition, during meeting for the first time herein or may later when meeting, it will usually produce use The alginic acid mold of family tooth.This mold provides the model of user's tooth, and orthodontist is in conjunction with the model and X-ray and photograph Piece makes treatment strategies.Then, orthodontist would generally arrange it is one or many make an appointment, during this period by facing install to User's tooth.

Period is met in installation facing for the first time, usually first uses weak acid treatment dental surface, the acid optimization bracket and tooth The adhesion characteristics for the dental surface that band will be bonded to.Bracket and dental strip are used as later by the anchoring of other appliances to be added Part.After acid treatment step, bracket and dental strip are adhered to user's tooth using appropriate binding material.Until cement is solidifying Gu not adding any raw power appliance.For this purpose, usually orthodontist can arrange once making an appointment later, to ensure bracket and tooth Band is bonded to tooth securely.

Main raw power appliance in one group of conventional braces is arch wire.Arch wire has resilience, and by narrow in bracket Slot is attached to bracket.Bracket is linked together by arch wire, and is exerted a force to bracket, so as to moving teeth at any time.It is usually used Wire rod or elastomeric O ring are twisted to reinforce the attachment of arch wire to bracket.In Orthodontics field, the attachment of arch wire to bracket It referred to as " ligatures ", and wire rod used in this process is known as " ligature ".Elastomeric O ring is known as " plastics ".

After arch wire is in place, need periodically to meet orthodontist, whereby by installing the different different arch wires of raw force characteristic Or the facing of user is adjusted by replacement or the existing ligature of banding.In general, every three to six week arranges once to meet.Cause This, it is a lengthy and tedious and time-consuming job that appliance, which is attached to user's tooth, and it is many to need to meet treatment orthodontist It is secondary.

Various methods are developed to simplify and reduce the cost of mouth cavity orthodontic, but it is limited to produce effects.For example, Kuroda Et al. (1996) describe a kind of laser in the 110:365-369 of U.S.'s mouth cavity orthodontic magazine (Am.J.Orthodontics) and sweep The method that gypsum tooth mould is retouched to generate the digital picture of tooth mould.In addition, special referring to the U.S. for transferring Ormco Corporation Sharp number 5,605,459, U.S. Patent number 5,533,895,5,474,448,5,454,717,5,447,432,5,431,562,5, 395,238,5,368,478 and 5,139,419 descriptions are for manipulating the digital picture of tooth to design oral orthodontic appliance Method.

Figure 1A to Fig. 1 C shows transparent appliance.Figure 1A and 1B, which is shown, to be had under labial surface/buccal surface side and maxilla/lingual surface side The transparent appliance of dental arch, wherein the number 1,2,3,4 in Figure 1A respectively corresponds as labial surface, buccal surface, lingual surface, jaw face.Fig. 1 C exhibition Show the appliance with labial surface/buccal surface side and maxilla/lingual surface side arcus dentalis maxillaris.Fig. 2 shows incisor, canine tooth, premolar teeth and grinds one's teeth in sleep The left part of the arcus dentalis inferior so marked, wherein the number 11,12,13,14,15,16,17 in Fig. 2 respectively corresponds to cut Tooth canine tooth, premolar teeth, is ground one's teeth in sleep, corona, neck, root of the tooth.

U.S. Patent number 5,011,405 describes a kind of for digital imagery tooth and to determine the best support of Orthodontic Treatment The method of slot positioning.Laser scanning molding tooth is described with generating threedimensional model in U.S. Patent number 5,338,198.Beauty State's patent No. 5,452,219 describes a kind of method for laser scanning tooth model and grinding dental mold.Contour Digital computer manipulation is described in U.S. Patent number 5,607,305 and 5,587,912.The computerization number of lower jaw at As being described in U.S. Patent number 5,342,202 and 5,340,309.Other interested patents include U.S. Patent number 5, 549,476、5,382,164、5,273,429、4,936,862、3,860,803、3,660,900、5,645,421、5,055, 039,4,798,534,4,856,991,5,035,613,5,059,118,5,186,623 and 4,755,139.

The description of U.S. Patent number 6,398,548 and 6,554,611 is predicted using computer program from initial tooth positions Tooth to final tooth position is mobile, and designs and manufactures a series of different appliances of shape and position, a set of Repositioning of the tooth from initial position to final position is realized in appliance, wherein user receives a whole set of from starting to terminating Appliance.Appliance is numbered or flag sequence is for using.Problem is if the mobile not up to expected tooth of particular tooth Position, then the difference between actual teeth position and expection (prediction) tooth position will likely be in the process of repositioning Period is increasing.In addition, the increasing tooth of difference between reality and desired location will be undergone relative to other teeth Disproportional load force, and lead to the pain and uncomfortable enhancing of patient.

The major defect of transparent plastic oral orthodontic appliance is that this appliance for being surrounded whole teeth is worn Discomfort is worn, the occlusal end of arcus dentalis inferior tooth is caused directly to contact with the occlusal end of arcus dentalis maxillaris tooth shortage.In addition, whole tooth tables The complete encirclement in face can also cause discomfort and be possible to cause tooth hygiene problem, because besieged dental surface may It is built for oral bacteria and surrounds friendly environment, this is very undesirable.

Embodiment described below solve the problems, such as the demand recognized above and.

Summary of the invention

In terms of present patent application, a kind of tooth of user for needing to relocate by tooth is provided from initial tooth cloth The system for being repositioned to final tooth arrangement is set, the dental arch of the user includes the tooth of malalignment (" MP ") and arranges just The often tooth of (" NP "), the system comprises one or more courses for the treatment of of continuous appliance, each course for the treatment of packet of continuous appliance Include: (a) at least one first appliance, shape and position are selected to tooth being repositioned to the from initial tooth arrangement One intermediate arrangement or final tooth arrangement；(b) optionally, one or more intermediate appliances, shape and position are selected to Tooth is repositioned to continuous intermediate arrangement from the first intermediate arrangement is gradual, the continuous intermediate arrangement includes the last one Intermediate teeth arrangement；(c) at least one final appliance, shape and position are selected to arrange tooth from initial tooth Or the last one intermediate arrangement is gradual is repositioned to final tooth arrangement,

Wherein appliance includes the different continuous latch fitting of shape and position, and the latch fitting is shaped to accommodate appliance and permit Perhaps tooth is repositioned to continuous arrangement from an arrangement by appliance,

Wherein latch fitting includes polymeric shells, and the polymeric shells have shaped cavity and warp to accommodate MP tooth It shapes to accommodate the cavity of NP tooth, tooth is flexibly thus repositioned to continuous arrangement, the polymerization from an arrangement Each of object shell has labial surface/buccal surface (" L/B ") wall and maxilla/lingual surface (" P/L ") wall,

Wherein at least one shell in the polymeric shells has occlusion end opening, so that accommodating at least one The occlusal end of the tooth of shell is exposed.

In some embodiments of present patent application system, with any reality in embodiment disclosed in present patent application Scheme is applied optionally in combination with each of polymeric shells have L/B wall thickness (" L/BW thickness ") and P/L wall thickness, and (" P/LW is thick Degree), the L/BW thickness is different from P/LW thickness, and

Wherein, the hole of MP tooth is accommodated in one or more intermediate appliances in first appliance and optionally The L/BW thickness or P/LW thickness of chamber have the thickness for being greater than the cavity for accommodating the NP tooth.

In some embodiments of present patent application system, with any reality in embodiment disclosed in present patent application Scheme is applied optionally in combination with each course for the treatment of of continuous appliance, which contains the customization as defined in mouth cavity orthodontic doctor or practitioner, to be rectified Force system is controlled, the Force system of rescuing is defined by following directional pull component: the pulling on the direction labial surface/buccal surface (" L/B "), on Pulling on the direction jaw/lingual surface (" P/L "), the pulling in pulling and left direction on right direction.

In some embodiments of present patent application system, with any reality in embodiment disclosed in present patent application Scheme is applied optionally in combination with the L/B wall or P/L wall of at least one polymeric shells are partly or wholly removed, and are thus made L/B the or P/L wall that the tooth of at least one polymeric shells must be accommodated partly or wholly is exposed, it is described partly or The L/B wall or P/L wall fully removed is on the side for offseting direction of pull.

In some embodiments of present patent application system, with any reality in embodiment disclosed in present patent application Scheme is applied optionally in combination with Force system is rescued in the combination that each course for the treatment of contains degradation, upgrading and/or downgrade/upgrade.

In some embodiments of present patent application system, with any reality in embodiment disclosed in present patent application Scheme is applied optionally in combination with system includes at least two appliance courses for the treatment of.

In some embodiments of present patent application system, with any reality in embodiment disclosed in present patent application Apply scheme optionally in combination with, system include shape and position, appliance forming material and physical size it is mutually the same at least two A first appliance.

In some embodiments of present patent application system, with any reality in embodiment disclosed in present patent application Scheme is applied optionally in combination at least one of appliance includes dicoration on the labial surface surface of at least one of appliance Element.

In some embodiments of present patent application system, with any reality in embodiment disclosed in present patent application Scheme is applied optionally in combination at least one of appliance includes physiological agents.

In some embodiments of present patent application system, with any reality in embodiment disclosed in present patent application Scheme is applied optionally in combination with the L/BW thickness or P/LW thickness that accommodate the cavity of MP tooth have the thickness of about 0.1mm to about 2mm Degree, the thickness are greater than the thickness for accommodating the cavity of NP tooth.

In some embodiments of present patent application system, with any reality in embodiment disclosed in present patent application Scheme is applied optionally in combination with the L/BW thickness or P/LW thickness for accommodating the cavity of MP tooth have the cavity for being equal to and accommodating NP tooth Thickness.

In some embodiments of present patent application system, with any reality in embodiment disclosed in present patent application Scheme is applied optionally in combination with any one of course for the treatment of includes two or more appliances, and the thickness of latter appliance is with before The thickness of one appliance differs about 0.1 to about 2mm range.

In some embodiments of present patent application system, with any reality in embodiment disclosed in present patent application Scheme is applied optionally in combination with an at least region for individual latch fittings or shell includes two or more layers polymer material.

In some embodiments of present patent application system, with any reality in embodiment disclosed in present patent application Scheme is applied optionally in combination with an at least region for individual latch fittings or shell includes the structure by the group selected from the following terms composition The material of reinforcement: sheet material, band, wire rod, net, grid, network, interpenetrating networks or combinations thereof.

In the another aspect of present patent application, the tooth of user for needing to relocate tooth a kind of is provided from first Beginning tooth arrangement is repositioned to the system forming method of final tooth arrangement, the method includes

Appliance is provided, the appliance includes the different latch fitting of shape and position, and the latch fitting is configured to accommodate institute It states appliance and allows the appliance that tooth is repositioned to continuous arrangement from an arrangement, wherein the latch fitting includes poly- Close object shell, the polymeric shells have it is shaped with accommodate the tooth of malalignment (" MP ") cavity and it is shaped with hold It receives the cavity for arranging the tooth of normal (" NP "), tooth is flexibly thus repositioned to continuous arrangement, institute from an arrangement Each of polymeric shells are stated with labial surface/buccal surface (" L/B ") wall and maxilla/lingual surface (" P/L ") wall, and wherein described At least one shell in polymeric shells has occlusion end opening, so that accommodating the occlusion of the tooth of at least one shell End is exposed；With

The system is formed,

Wherein the system comprises one or more courses for the treatment of of continuous appliance, each course for the treatment of of continuous appliance includes: (a) at least one first appliance, shape and position are selected to tooth being repositioned to first from initial tooth arrangement Intermediate arrangement or final tooth arrangement；(b) optionally, one or more intermediate appliances, shape and position be selected to by Tooth is repositioned to continuous intermediate arrangement from the first intermediate arrangement is gradual, and the continuous intermediate arrangement includes in the last one Between tooth arrange；(c) at least one final appliance, shape and position be selected to arrange tooth from initial tooth or The last one intermediate arrangement is gradual to be repositioned to final tooth arrangement,

Wherein latch fitting includes polymeric shells, and the polymeric shells have shaped cavity and warp to accommodate MP tooth It shapes to accommodate the cavity of NP tooth, tooth is flexibly thus repositioned to continuous arrangement, the polymerization from an arrangement Each of object shell has labial surface/buccal surface (" L/B ") wall and maxilla/lingual surface (" P/L ") wall, and

In some embodiments of present patent application method, with any reality in embodiment disclosed in present patent application Scheme is applied optionally in combination with each of polymeric shells have L/B wall thickness (" L/BW thickness ") and P/L wall thickness, and (" P/LW is thick Degree), the L/BW thickness is different from P/LW thickness, and

In some embodiments of present patent application method, with any reality in embodiment disclosed in present patent application Scheme is applied optionally in combination with each course for the treatment of of continuous appliance, which contains the customization as defined in mouth cavity orthodontic doctor or practitioner, to be rectified Force system is controlled, the Force system of rescuing is defined by the pulling force component in following direction: the pulling on the direction labial surface/buccal surface (" L/B "), Pulling on the direction maxilla/lingual surface (" P/L "), the pulling in pulling and left direction on right direction.

In some embodiments of present patent application method, with any reality in embodiment disclosed in present patent application Scheme is applied optionally in combination with the L/B wall or P/L wall of at least one polymeric shells are partly or wholly removed, and are thus made L/B the or P/L wall that the tooth of at least one polymeric shells must be accommodated partly or wholly is exposed, it is described partly or The L/B wall or P/L wall fully removed is on the side for offseting direction of pull.

In some embodiments of present patent application method, with any reality in embodiment disclosed in present patent application Scheme is applied optionally in combination with Force system is rescued in the combination that each course for the treatment of contains degradation, upgrading and/or downgrade/upgrade.

In some embodiments of present patent application method, with any reality in embodiment disclosed in present patent application Scheme is applied optionally in combination with system includes at least two appliance courses for the treatment of.

In some embodiments of present patent application method, with any reality in embodiment disclosed in present patent application Apply scheme optionally in combination with, system include shape and position, appliance forming material and physical size it is mutually the same at least two A first appliance.

In some embodiments of present patent application method, with any reality in embodiment disclosed in present patent application Scheme is applied optionally in combination at least one of appliance includes dicoration on the labial surface surface of at least one of appliance Element.

In some embodiments of present patent application method, with any reality in embodiment disclosed in present patent application Scheme is applied optionally in combination at least one of appliance includes physiological agents.

In some embodiments of present patent application method, with any reality in embodiment disclosed in present patent application Scheme is applied optionally in combination with the L/BW thickness or P/LW thickness that accommodate the cavity of MP tooth have the thickness of about 0.1mm to about 2mm Degree, the thickness are greater than the thickness for accommodating the cavity of NP tooth.

In some embodiments of present patent application method, with any reality in embodiment disclosed in present patent application Scheme is applied optionally in combination with the L/BW thickness or P/LW thickness for accommodating the cavity of MP tooth have the cavity for being equal to and accommodating NP tooth Thickness.

In some embodiments of present patent application method, with any reality in embodiment disclosed in present patent application Scheme is applied optionally in combination with any one of course for the treatment of includes two or more appliances, and the thickness of latter appliance is with before The thickness of one appliance differs about 0.1 to about 2mm range.

In some embodiments of present patent application method, with any reality in embodiment disclosed in present patent application Scheme is applied optionally in combination with an at least region for individual latch fittings or shell includes two or more layers polymer material.

In some embodiments of present patent application method, with any reality in embodiment disclosed in present patent application Scheme is applied optionally in combination with an at least region for individual latch fittings or shell includes the structure by the group selected from the following terms composition The material of reinforcement: sheet material, band, wire rod, net, grid, network, interpenetrating networks or combinations thereof.

In the another aspect of present patent application, a kind of Orthodontic Treatment method is provided, the method includes being used for Tooth is arranged to the system for being repositioned to final tooth arrangement from initial tooth to user in need, the system comprises even One or more courses for the treatment of of continuous appliance, each course for the treatment of of continuous appliance includes: (a) at least one first appliance, shape Shape and position are selected to tooth being repositioned to the first intermediate arrangement or final tooth arrangement from initial tooth arrangement；(b) Optionally, one or more intermediate appliances, shape and position are selected to tooth is gradual heavy from the first intermediate arrangement For new definition to continuous intermediate arrangement, the continuous intermediate arrangement includes the last one intermediate teeth arrangement；(c) at least one is most Whole appliance, shape and position are selected to arrange tooth from initial tooth or the last one intermediate arrangement is gradual again Positioning to final tooth arranges that wherein appliance includes the different continuous latch fitting of shape and position, and the latch fitting is shaped to hold Receiving appliance and allows appliance that tooth is repositioned to continuous arrangement from an arrangement,

Detailed description of the invention

Figure 1A to 1C shows typical plastics appliance: Figure 1A and Figure 1B is directed to arcus dentalis inferior, and Fig. 1 C is directed to arcus dentalis maxillaris, In each polymeric shells accommodate and surround the full surface of the tooth on dental arch.

Fig. 2 shows the left side of incisor, canine tooth, premolar teeth and the mankind's arcus dentalis inferior so marked of grinding one's teeth in sleep.

Fig. 3 shows the orientation Orthodontic force for rescuing Force system of the embodiment of present patent application.

Fig. 4 A and Fig. 4 B show the embodiment of present patent application, and the occlusal end of one of polymeric shells has been moved It removes, and the maxilla of another polymeric shells/lingual surface wall has removed.

Specific embodiment

Definition

As used in present patent application, term " appliance " or " denture fixing device " mean shell shape and position by user dental arch The device of restriction, wherein each shell is corresponding to a tooth on dental arch and only accommodates the particle tooth.It rescues Device is made of plastic material, and normally transparent and colourless.When applying realigning or again for mouth cavity orthodontic using appliance When tooth in detent force to dental arch, appliance is also referred to as " appliance ".Figure 1A to 1C shows typical plastics appliance: Figure 1A It is directed to arcus dentalis inferior with Figure 1B, and Fig. 1 C is directed to arcus dentalis maxillaris, wherein each polymeric shells accommodate and surround the tooth on dental arch Full surface.The method for being used to form appliance has good grounds, and formed appliance digital method embodiment in the U.S. The patent No. 5,605,459,5,533,895,5,474,448,5,454,717,5,447,432,5,431,562,5,395,238, 5,368,478、5,139,419、5,338,198、5,452,219、5,607,305、5,587,912、5,342,202、5,340, 309、5,549,476、5,382,164、5,273,429、4,936,862、3,860,803、3,660,900、5,645,421、5, 055,039、4,798,534、4,856,991、5,035,613、5,059,118、5,186,623、4,755,139、6,398,548 With 6,554,611 in describe.The teaching of above-mentioned each patent is fully incorporated herein by reference herein.

Use whenever, term " copy " or " duplication " mean in shape and position, appliance forming material and/or rectify Control the mutually the same appliance of the physical size aspect of device.Relatively, " duplication " meaning of term appliance (" parent's appliance ") Refer to the duplication appliance of parent's appliance, the duplication appliance is in shape and position, appliance forming material and/or appliance Physical size in terms of it is identical as parent's appliance, also, in the context of the present patent application, term " copy appliance " can Be used interchangeably with term " copy " or " copy appliance ", and mean parent's appliance in shape and position, appliance shape At the every aspect duplication appliance identical with parent's appliance in the physical size of material and/or appliance.

As used in present patent application, term " opaque " means the original of the tooth for making appliance user of appliance of the present invention Beginning color is invisible or substantially sightless attribute.

As used in present patent application, term " translucent " means that light is allowed to pass through but diffuse, so that opposite People, object etc. can not be seen clearly.

As used in present patent application, term " physiological agents " means to be effectively formed physiology to the user of physiological agents The chemistry or biologic artifact of reflection.This physiological agents can be therapeutic agent or nontherapeutic agent.

Whenever in the present patent application in use, term " controlled release " or " controlled delivery " mean when system be exposed to it is strong It controls moisture or appliance in device user oral cavity and is exposed to a effective amount of physiology work when fluid (for example, saliva) of appliance user Property agent is discharged into user from present patent application system.For the controlled release of physiological agents in the characteristic of delivery module, this will be under Text more detailed description.

Whenever in the present patent application in use, term " effective quantity " means compared to pair for not using physiological agents According to the amount of the conspicuousness positive result under the physiological condition of user in need in generation statistical significance.In present patent application In context, the illness that physiological condition means sometimes referred to as " disease " or " disease " and medical treatment is required to pay attention to, or simultaneously should not It seeks medical advice and treats the physiological condition of attention, such as abnormal smell of body, oral peculiar smell or halitosis, pure physiology is pleasant or the pure physiology of shortage is pleased Happy illness, such as flavor, taste or desire illness, for example, property attracts or shortage property attracts.

System

In some embodiments of present patent application system, with any reality in embodiment disclosed in present patent application Scheme is applied optionally in combination with each course for the treatment of of continuous appliance, which contains the customization as defined in mouth cavity orthodontic doctor or practitioner, to be rectified Force system is controlled, the Force system of rescuing is defined by the pulling force component in following direction: the pulling on the direction labial surface/buccal surface (" L/B "), Pulling on the direction maxilla/lingual surface (" P/L "), the pulling in pulling and left direction on right direction.

In some embodiments of present patent application system, with any reality in embodiment disclosed in present patent application Scheme is applied optionally in combination with, at least one first appliance, the intermediate appliances of optional one or more or at least one is final Appliance is at least one first appliance, the optional intermediate appliance of one or more or at least one final appliance It include decorative element on labial surface side.

In some embodiments of present patent application system, with any reality in embodiment disclosed in present patent application It is that using additive or physical attachment or physically or chemically instrument is formed that scheme, which is applied, optionally in combination with, decorative element.

In some embodiments of present patent application system, with any reality in embodiment disclosed in present patent application It includes dyestuff, particle or glittering material that scheme, which is applied, optionally in combination with, additive, wherein physical instrument include marking, mechanical engraving, Heat engraving or laser-induced thermal etching, and wherein chemical instrument includes alkali or acid etching.

In some embodiments of present patent application system, with any reality in embodiment disclosed in present patent application Scheme is applied optionally in combination with decorative element includes opaque surface.

In some embodiments of present patent application system, with any reality in embodiment disclosed in present patent application Scheme is applied optionally in combination with decorative element includes glittering material.

In some embodiments of present patent application system, with any reality in embodiment disclosed in present patent application Scheme is applied optionally in combination with decorative element includes aromatic.

In some embodiments of present patent application system, with any reality in embodiment disclosed in present patent application Scheme is applied optionally in combination with decorative element includes organic or inorganic dyestuff.

In some embodiments of present patent application system, with any reality in embodiment disclosed in present patent application Scheme is applied optionally in combination with opaque surface may include particle.

In some embodiments of present patent application system, with any reality in embodiment disclosed in present patent application Scheme is applied optionally in combination with particle includes inorganic oxide, inorganic salts or flavoring agent.

In some embodiments of present patent application system, with any reality in embodiment disclosed in present patent application Scheme is applied optionally in combination with glittering material includes organic crystal or mineral crystal.

In some embodiments of present patent application system, with any reality in embodiment disclosed in present patent application Scheme is applied optionally in combination with glittering material includes gold crystals by adopting, silver-colored crystal, diamond crystal or polymer crystals.

In some embodiments of present patent application system, with any reality in embodiment disclosed in present patent application Scheme is applied optionally in combination with decorative element includes graphic elements, digital element or alphabetic element.Such graphic elements can for Such as start shape, heart, mankind's figure, animals graphics, plant, flowers, science or technical symbol, formula or structure, art is made Product, engineering works, natural scene, model or design.Such alphabetic element can be such as name, words, phrase or such as name The name of abbreviation.

In some embodiments of present patent application system, with any reality in embodiment disclosed in present patent application Apply the tooth that scheme includes the shape for making up tooth or the colour deficient of fault of construction or tooth optionally in combination with, decorative element Odontoid or color, and decorative element includes for covering up tooth discoloration and/or covering up the shape or fault of construction of tooth Opaque or translucent white.

Fig. 3, which shows orientation, to be rescued the mouth cavity orthodontic of force component and rescues Force system: the pulling on A- labial surface/buccal surface direction, Pulling on B- maxilla/lingual surface direction, the pulling in pulling and D- left direction on C- right direction.

The embodiment that Fig. 4 A and Fig. 4 B show present patent application appliance, the occlusion portion of one of polymeric shells 101 have removed, and the maxilla of another polymeric shells/lingual surface wall 102 part has removed.

Decorative element

As used in present patent application, term " decorative element " means the user for aesthetically attracting present patent application system Or to its element with important subjective value.

It can be any aesthetic features formed by biocompatible materials for the decorative element in present patent application.It lifts For example, decorative element may include opaque surface, additive, glittering material, colour substance, such as, organic or inorganic dye Material, or the physically or chemically object of instrument, model or design.

In some embodiments, decorative element includes glittering material.The embodiment of glittering material can be or may include, For example, organic crystal or mineral crystal.In some other embodiments, glittering material may include gold crystals by adopting, silver-colored crystal or gold Hard rock crystal.

In some embodiments, decorative element may include graphic elements, digital element or alphabetic element.Such figure The embodiment of element can be beginning shape, heart, mankind's figure, animals graphics, plant, flowers, science or technical symbol, public affairs Formula or structure, artistic work, engineering works, natural landscape, model or design.In some embodiments, such pattern primitive Part can be artistic work, for example, drawing, oil painting or sculpture, building etc..In some other embodiments, such graphic elements It can be engineering works, for example, building or bridge.In some other embodiments, such graphic elements can be natural landscape, For example, ocean, mountains and rivers, river, lake, trees, trees, forest, sandy beach or park.

In some embodiments, decorative element may include aromatic.Such aromatic can provide physiology appealing Feeling, and aromatic can be, for example, smell, sex hormone and/or oral cavity smell covering agent.

Opaque surface

It can be formed by any biocompatible materials for the opaque surface in present patent application.In some embodiments In, opaque surface may include particle.This based fine particles may include such as inorganic oxide or inorganic salts.In some embodiments In, particle may include for oxide, phosphate, sulfate, fluoride, fluoride, flavoring agent, silicate or its combination etc. Material.

In some other embodiments, particle may include TiO₂、CaCO₃、Al₂O₃、SiO₂, silicate, sulfate, phosphoric acid The materials such as salt, fluoride, fluoride, flavoring agent or its combination.

Appliance forming material

Appliance can be molded of plastic material, such as polyester.The embodiment of this polyester is poly- (lactic acid) (PLA) or correlation Material.Many types of polyester material are developed to be used to form correction apparatus.United States Patent (USP) 5,605,459,5,533,895, 5,474,448、5,454,717、5,447,432、5,431,562、5,395,238、5,368,478、5,139,419、5,338, 198、5,452,219、5,607,305、5,587,912、5,342,202、5,340,309、5,549,476、5,382,164、5, 273,429、4,936,862、3,860,803、3,660,900、5,645,421、5,055,039、4,798,534、4,856, 991, it also describes in 5,035,613,5,059,118,5,186,623,4,755,139,6,398,548 and 6,554,611 this The embodiment of material.For simplicity of description, side of the teaching of appliance forming material described in above-mentioned patent to be cited in full text Formula is incorporated herein.

In some embodiments, appliance forming material may also comprise elastic material, and the elastic material may include one A or multiple polymer.Preferably, polymer is inert and biocompatibility.Polymer is also sufficiently flexible to allow user It easily removes and applies, but it is sufficiently rigid mobile to allow to control tooth.Manufacturing when dental treatment can be removed appliance process Used in any conventional material be generally used in this system.The specific embodiment of usable polymers includes any flexible polymer Object material, common elastic polymer material in such as dental field, for example, olefin polymer or copolymer, such as, poly- second Alkene, polybutene, polyisobutene, polypropylene, ethane-acetic acid ethyenyl ester, polyvinyl alcohol, polystyrene including ethylene, propylene, fourth Alkene, isobutene, amylene, styrene, vinyl acetate, two or more copolymers in vinyl alcohol, with and combinations thereof or Its mixture.Polymer material may also include to modification biological compatibility material.This kind of biocompatibility modified material includes, For example, polyethylene glycol, polypropylene glycol, polyethylene oxide or natural polymer, such as, cellulose or alginate esters, collagen etc..

In some embodiments, polymer material may also include reinforcement material, such as fiber, thin slice, wire rod, glass fibers Dimension, carbon fiber, sheet material, band, net, grid and network and interpenetrating networks.Some representativeness reinforcement materials include, for example, micro- Or or mixtures thereof nano aluminium oxide phase, carbon fiber etc..

Manufacturing method

The system is formed,

In some embodiments of present patent application method, with any reality in embodiment disclosed in present patent application Scheme is applied optionally in combination with, at least one first appliance, the intermediate appliances of optional one or more or at least one is final Appliance is at least one first appliance, the optional intermediate appliance of one or more or at least one final appliance It include decorative element on labial surface side.

In some embodiments of present patent application method, with any reality in embodiment disclosed in present patent application It is that using additive or physical attachment or physically or chemically instrument is formed that scheme, which is applied, optionally in combination with, decorative element.

In some embodiments of present patent application method, with any reality in embodiment disclosed in present patent application It includes dyestuff, particle or glittering material that scheme, which is applied, optionally in combination with, additive, wherein physical instrument include marking, mechanical engraving, Heat engraving or laser-induced thermal etching, and wherein chemical instrument includes alkali or acid etching.

In some embodiments of present patent application method, with any reality in embodiment disclosed in present patent application Scheme is applied optionally in combination with decorative element includes opaque surface.

In some embodiments of present patent application method, with any reality in embodiment disclosed in present patent application Scheme is applied optionally in combination with decorative element includes glittering material.

In some embodiments of present patent application method, with any reality in embodiment disclosed in present patent application Scheme is applied optionally in combination with decorative element includes aromatic.

In some embodiments of present patent application method, with any reality in embodiment disclosed in present patent application Scheme is applied optionally in combination with decorative element includes organic or inorganic dyestuff.

In some embodiments of present patent application method, with any reality in embodiment disclosed in present patent application Scheme is applied optionally in combination with opaque surface may include particle.

In some embodiments of present patent application method, with any reality in embodiment disclosed in present patent application Scheme is applied optionally in combination with particle includes inorganic oxide, inorganic salts or flavoring agent.

In some embodiments of present patent application method, with any reality in embodiment disclosed in present patent application Scheme is applied optionally in combination with glittering material includes gold crystals by adopting, silver-colored crystal, diamond crystal or polymer crystals.

In some embodiments of present patent application method, with any reality in embodiment disclosed in present patent application Scheme is applied optionally in combination with decorative element includes graphic elements, digital element or alphabetic element.Such graphic elements can for Such as start shape, heart, mankind's figure, animals graphics, plant, flowers, science or technical symbol, formula or structure, art is made Product, engineering works, natural scene, model or design.Such alphabetic element can be such as name, words, phrase or such as name The name of abbreviation.

In some embodiments of present patent application method, with any reality in embodiment disclosed in present patent application Apply the tooth that scheme includes the shape for making up tooth or the colour deficient of fault of construction or tooth optionally in combination with, decorative element Odontoid or color, and decorative element includes for covering up tooth discoloration and/or covering up the shape or fault of construction of tooth Opaque or translucent white.

Appliance forming method

Appliance can be formed as oral orthodontic appliance by following each step: (a) being received and needed mouth cavity orthodontic The related prescription mouth cavity orthodontic information of the user for the treatment of (b) forms the appliance course for the treatment of including individual appliances；(c) it is formed The appliance course for the treatment of.

In general, appliance can be formed by following each step: (1) generation/acquisition initial data set such as indicates initial The initial digital data set (IDDS) of tooth arrangement, (2) generate the digital data sets (DDS) or non-number for indicating intermediate teeth arrangement Digital data collection (NDDS), (3) generate the end for indicating to terminate tooth arrangement or final tooth arrangement or final data collection, such as, DDS or NDDS, and (4) are preferably based on the first digital data sets and final digital data sets and generate multiple consecutive numbers numbers of words According to collection, plurality of continuous data set representations therefrom between tooth arrangement, finally terminate tooth arrangement it is progressive to terminate tooth arrangement Or final tooth cloth sets a series of continuous teeth arrangements, and (5) are based on digital data sets and generate appliance or multiple rescue Device.In some embodiments, digital data sets are convertible into the visual pattern for indicating tooth arrangement, and appliance can be based on Visual pattern and formed.IDDS and DDS are obtained, visual pattern and view-based access control model image are generated based on DDS and form appliance Method in U.S. Patent number 6,398,548,6,544,611,5,895,893,6,244,861,6,616,444,5,645,420 With 5, it is described in 447,432, the teaching content of the patent is incorporated by reference present patent application.

Initial digital data set can be provided by any technology as known in the art, including Digitized X-ray image, logical The image for crossing computer-assisted tomography (cat scan) generation, passes through the image generated by magnetic resonance imaging (MRI) The image etc. that picture scanning generates.Image can be 3-D image, and digitizes and known technology can be used to realize.Citing comes It says, to generate the gypsum of user's tooth (before treatment) by using technology as known in the art, initial number number of words is provided According to collection.The gypsum generated in this way then can be scanned, using laser or other scanning devices to generate the stone of user's tooth The high-resolution digital of cream indicates.

In a preferred embodiment, also wax bite can be obtained from user by using standard method.Wax bite is permitted The gypsum of the denture up and down at family allowable is centrally disposed the position of occlusal end relative to each other.This can then be scanned to gypsum to mention For the relevant information of the relative position of lower jaw in this position.These information are subsequently incorporated into the IDDS to two dental arch.

Once getting digital data sets, image can be presented on the suitable computers equipped with computer aided design software It in system and is manipulated, more detailed description as follows.Manipulated image generally includes to limit at least one in individual teeth A little boundaries, and by manipulating image via computer, keep dental imaging mobile relative to lower jaw and other teeth.Use is also provided In the method for the cusp information of detection tooth.Manipulated image can be completed entirely subjectively, that is, user can be based only upon the observation of image And only by aesthetics and/or medicine want in a manner of repositioning teeth.Alternatively, computer system can provide auxiliary user again The rule and algorithm of positioning teeth.In some cases it is possible to provide for (that is, no user intervention) in a fully automatic manner weight The rule and algorithm of new definition tooth.Once individual teeth has relocated, the final number of desired final tooth arrangement is indicated Digital data collection will be generated and be stored.

A kind of illustrative methods for determining final tooth arrangement are that treatment expert limits final tooth position, such as logical It crosses and writes prescription.The desired result that mouth cavity orthodontic operation is limited using prescription is well known in the art.When provide prescription or When other final designs, image then can be manipulated to matching prescription.In some cases it is possible to provide can interpret prescription with It generates final image and therefore generates the software for indicating the digital data sets of final tooth arrangement.

In another embodiment, present patent application the method is provided, indicates progressive from initial tooth arrangement to generate A series of multiple digital data sets for the independent tooth arrangements arranged to final tooth.Such methods include providing to indicate initial tooth The digital data sets (can be realized according to any technology in above-mentioned technology) of tooth arrangement.Also providing indicates final tooth arrangement Digital data sets.This kind of final digital data sets can be determined by the above method.Then, multiple continuous numbers or nonnumeric number It can be generated based on initial digital data set and final digital data sets according to collection.In general, continuous number data set is to pass through judgement Initial data set and final data concentrate the position difference between selected individual teeth and execute interpolation to above-mentioned difference to generate. This kind of interpolation can be executed by many separate phases that may wish to, usually at least three, typically at least four, more generally at least Ten, at least 25 sometimes, and 40 or more once in a while.In many cases, interpolation will be for for some or all The linear interpolation of position difference.Alternatively, interpolation can be nonlinear.In a preferred embodiment, it is dispatched using path Non-linear interpolation is automatically calculated with Collision Detection, to avoid the interference between individual teeth.Position difference corresponds to It is 2mm or less that the maximum linear of any point is mobile on tooth, usually 1mm or less, and usually 0.5mm or less feelings Tooth under condition is mobile.

In general, user can specify certain target intermediate teeths of referred to as " crucial frame " to arrange that the arrangement is directly incorporated into To intermediate digital data sets.The subsequent manner described above of the method for this system determines the continuous number data between crucial frame Collection, for example, passing through the linearly or nonlinearly interpolation between crucial frame.Crucial frame can be determined by user, for example, for giving birth to At the individual frames for manipulating visual pattern at the computer of digital data sets, or can be by treatment expert to be arranged with final tooth The identical mode of prescription be provided as prescription.

In another embodiment, present patent application the method is provided to manufacture multiple dentistry incremental counter adjustment and rescue Device.The method includes providing initial digital data set, final number or non-numeric data collection, and the generation expression continuous tooth of target The multiple continuous numbers or non-numeric data collection of tooth arrangement, it is generally as described above.Then based on the continuous tooth arrangement of expression At least some of digital data sets manufacture dental appliance.Preferably, manufacturing step includes being based on continuous number data Collect and control manufacture machine, to generate the continuous formpiston of wanted tooth arrangement.Then use conventional positive or vacuum manufacturing technology To generate former of the dental appliance as formpiston.Manufacture machine may include three-dimensional illumination type machine or other similar machine, institute It states machine and depends on the volume for selectively hardening non-hardened resin by scanning laser, to be selected based on digital data sets Selecting property with a shape hardening resin.Other available manufacture machines include die machine and wax deposit in the method for this system Machine.

In another embodiment, the method for manufacturing dental appliance of this system includes providing to indicate repairing for user Adorn the digital data sets of tooth arrangement.The sun of modification tooth arrangement is then generated based on digital data sets using manufacture machine Mould.Subsequently generate former of the dental appliance as formpiston.Manufacture machine can for three-dimensional illumination type machine or it is as described above its His machine, and formpiston is generated by normal pressures or vacuum mo(u)lding technology.

In some embodiments, the method for manufacturing dental appliance described in present patent application includes providing expression First digital data sets of the modification tooth arrangement of user.The second digital data sets then are generated from the first digital data sets, In the second dataset representation modification tooth arrangement former.Subsequent manufacture machine is controlled to generate based on the second digital data sets Dental appliance.Manufacture machine usually will generate appliance dependent on selectively hardening non-hardened resin.Appliance is usual Including polymeric shells, the shell has shaped to receive tooth and flexibly determine tooth again from initial tooth arrangement The cavity that position is arranged to change tooth.

In some embodiments, mouth cavity orthodontic doctor can user undergo one or more appliance courses for the treatment of treatment it After imprint or scan the last one intermediate teeth arrangement.Therefore, last of the previous course for the treatment of can be obtained based on coining or scanning The digital data sets of a intermediate teeth arrangement.This digital data sets of the last one intermediate teeth arrangement of the previous course for the treatment of are subsequent New digital data sets and vision are generated as the new digital data sets based on the one or more new intermediate teeths arrangements of expression The initial point of image, and the final tooth arrangement for manufacturing the new appliance course for the treatment of.

In some embodiments, final tooth arrangement can be realized by applying two or more appliance courses for the treatment of, And the tooth that each course for the treatment of of appliance is positioned from the last one appliance of the previous course for the treatment of arranges increment type moving teeth. Therefore, the appliance course for the treatment of can be made according to above-mentioned principle.

Application method

Although above content is the complete description of this system preferred embodiment, can be used it is various substitution, amendment and it is equivalent. Therefore, foregoing description is not construed as the limitation to the range of this system, and the range is limited by accessory claim.

Claims

1. a kind of need the tooth of the user relocated to be repositioned to final tooth arrangement from initial tooth arrangement tooth System, the dental arch of the user includes the MP tooth of malalignment and arranges normal NP tooth, and the system comprises continuous Each course for the treatment of of one or more courses for the treatment of of appliance, continuous appliance includes:

A. at least one first appliance, shape and position are selected to from the initial tooth arrange the tooth again Positioning to the first intermediate arrangement or the final tooth is arranged；

B. optionally, one or more intermediate appliances, shape and position are selected to the tooth from described first Between arrange it is gradual be repositioned to continuous intermediate arrangement, the continuous intermediate arrangement includes the last one intermediate teeth arrangement； With

C. at least one final appliance, shape and position are selected to the tooth from the initial tooth arrangement or institute State that the last one intermediate arrangement is gradual to be repositioned to the final tooth arrangement,

Wherein the appliance includes the different continuous latch fitting of shape and position, and the latch fitting is shaped to accommodate the appliance And allow the appliance that tooth is repositioned to continuous arrangement from an arrangement,

Wherein the latch fitting includes polymeric shells, and the polymeric shells have shaped cavity and warp to accommodate MP tooth It shapes to accommodate the cavity of NP tooth, tooth is flexibly thus repositioned to continuous arrangement, the polymerization from an arrangement Each of object shell has labial surface/buccal surface L/B wall and maxilla/lingual surface P/L wall,

Wherein at least one shell in the polymeric shells has occlusion end opening so that accommodate it is described at least one The occlusal end of the tooth of shell is exposed.

2. the system as claimed in claim 1, wherein each of described polymeric shells have L/BW wall thickness L/BW thickness With P/L wall thickness P/LW thickness, the L/BW thickness is different from the P/LW thickness, and

Wherein, the cavity of MP tooth is accommodated in one or more intermediate appliances in first appliance and optionally The L/BW thickness or P/LW thickness have the thickness for being greater than the cavity for accommodating the NP tooth.

3. the system as claimed in claim 1, wherein each course for the treatment of of continuous appliance contains by mouth cavity orthodontic doctor or operation Force system is rescued in customization as defined in doctor, and the Force system of rescuing is defined by following directional pull component: the labial surface/buccal surface side L/B Upward pulling, the pulling on maxilla/direction lingual surface P/L, the pulling in pulling and left direction on right direction.

4. the system as claimed in claim 1, wherein the L/B wall or P/L wall of at least one polymeric shells are by partly Or fully remove, so that L/B the or P/L wall for accommodating the tooth of at least one polymeric shells is able to partially or completely Ground exposure, the L/B wall partly or wholly removed or P/L wall are on the side for offseting direction of pull.

5. the system as claimed in claim 1, wherein each course for the treatment of contains rectifying for the combination of degradation, upgrading and/or downgrade/upgrade Control Force system.

6. the system as claimed in claim 1, at least two courses for the treatment of including appliance.

7. the system as claimed in claim 1, mutually the same including shape and position, appliance forming material and physical size At least two first appliances.

8. the system as claimed in claim 1, wherein at least one of described appliance in the appliance at least one It include decorative element on a labial surface surface.

9. the system as claimed in claim 1, wherein at least one of described appliance includes physiological agents.

10. the system as claimed in claim 1, wherein accommodating the L/BW thickness or P/LW thickness of the cavity of MP tooth With about 0.1mm to the thickness of about 2mm, the thickness is greater than the thickness for accommodating the cavity of the NP tooth.

11. the system as claimed in claim 1, wherein accommodating the L/BW thickness or P/LW thickness of the cavity of MP tooth Thickness with the cavity for being equal to receiving NP tooth.

12. the system as claimed in claim 1, wherein any one of described course for the treatment of includes two or more appliances, The thickness of the latter appliance differs about 0.1 to about 2mm range with the thickness of the previous appliance.

13. the system as claimed in claim 1, wherein an at least region for individual latch fittings or shell includes that two or more layers are poly- Close object material.

14. the system as claimed in claim 1, wherein an at least region for individual latch fittings or shell includes by selected from following The material of the structural strengthening of the group of item composition: sheet material, band, wire rod, net, grid, network, interpenetrating networks or combinations thereof.

15. a kind of for needing the tooth of the user relocated to be repositioned to final tooth from initial tooth arrangement tooth The system forming method of arrangement, the method includes

Appliance is provided, the appliance includes the different latch fitting of shape and position, and the latch fitting is configured to accommodate described rectify It controls device and allows the appliance that tooth is repositioned to continuous arrangement from an arrangement, wherein the latch fitting includes polymer Shell, the polymeric shells have it is shaped with accommodate the MP tooth of malalignment cavity and it is shaped with accommodate arrangement just Thus tooth is flexibly repositioned to continuous arrangement, the polymeric shells from an arrangement by the cavity of normal NP tooth Each of there is labial surface/buccal surface L/B wall and maxilla/lingual surface P/L wall, and wherein at least one in the polymeric shells A shell has occlusion end opening, so that the occlusal end for accommodating the tooth of at least one shell is exposed；With

Form the system as described in any one of claims 1 to 14.

16. a kind of Orthodontic Treatment method, the method includes applications to relocate for arranging tooth from initial tooth The system arranged to final tooth is to user in need, and the system is as described in any one of claims 1 to 14.