CN114886586A - Manufacturing method of occlusal pad of invisible appliance - Google Patents

Manufacturing method of occlusal pad of invisible appliance Download PDF

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Publication number
CN114886586A
CN114886586A CN202210618113.2A CN202210618113A CN114886586A CN 114886586 A CN114886586 A CN 114886586A CN 202210618113 A CN202210618113 A CN 202210618113A CN 114886586 A CN114886586 A CN 114886586A
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China
Prior art keywords
occlusal pad
manufacturing
occlusal
pad
teeth
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CN202210618113.2A
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Chinese (zh)
Inventor
邹蕊
丁蓉
牛林
柴桢
何思雨
王译婕
陈晨
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Hospital of Stomatology of Xian Jiaotong University
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Hospital of Stomatology of Xian Jiaotong University
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Priority to CN202210618113.2A priority Critical patent/CN114886586A/en
Publication of CN114886586A publication Critical patent/CN114886586A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C7/00Orthodontics, i.e. obtaining or maintaining the desired position of teeth, e.g. by straightening, evening, regulating, separating, or by correcting malocclusions
    • A61C7/002Orthodontic computer assisted systems
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C7/00Orthodontics, i.e. obtaining or maintaining the desired position of teeth, e.g. by straightening, evening, regulating, separating, or by correcting malocclusions
    • A61C7/08Mouthpiece-type retainers or positioners, e.g. for both the lower and upper arch
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C7/00Orthodontics, i.e. obtaining or maintaining the desired position of teeth, e.g. by straightening, evening, regulating, separating, or by correcting malocclusions
    • A61C7/002Orthodontic computer assisted systems
    • A61C2007/004Automatic construction of a set of axes for a tooth or a plurality of teeth

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  • 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)
  • Engineering & Computer Science (AREA)
  • General Engineering & Computer Science (AREA)
  • Dental Tools And Instruments Or Auxiliary Dental Instruments (AREA)

Abstract

A method for manufacturing an occlusal pad of an invisible appliance comprises the following steps of firstly, manufacturing preparation work; then stirring the glass ionomer cement to be dough-shaped; then making a pre-occlusion cushion; finally, manufacturing a bracket-free invisible appliance integrating the occlusal pad and the appliance according to the pre-occlusal pad; according to the method, the pre-occlusal pad is directly manufactured in advance in the mouth of the patient, and then the invisible appliance is manufactured by acquiring the three-dimensional digital model in the mouth, so that the bracket-free invisible appliance integrating the occlusal pad and the appliance can be produced, and each pair of appliances is not required to be polished, filled and occluded for adjustment, so that the repeated re-diagnosis of the patient due to the falling of the occlusal pad is avoided, the time of the patient is saved, the satisfaction degree of the patient is improved, meanwhile, the workload of a doctor is greatly reduced, and the working efficiency of the doctor is improved; has the advantages of simple operation method and easy mastering.

Description

Manufacturing method of occlusal pad of invisible appliance
Technical Field
The invention belongs to the technical field of orthodontic tooth correction, and particularly relates to a manufacturing method of an invisible appliance occlusal pad.
Background
In the orthodontic treatment process, for the case with the anti-occlusion or other occlusion interference of teeth, according to the degree of occlusion interference, the fixed correction can adopt temporary occlusion rise by a small amount of glass ions or blue gel; for patients with large occlusion interference, the retention snap ring bent by the stainless steel wire and the denture base material can be used for manufacturing the tooth combination cushion for auxiliary treatment in the correction process. However, the bracket-free invisible orthodontic appliance used for treatment is a conventional occlusal pad with a snap ring and cannot be retained in the mouth, so in the prior art, some bracket-free invisible orthodontic technologies adopt occlusal pad accessories to raise occlusion, but the preformed occlusal pad accessories have single shape and limited height, and the occlusal pad accessories have higher dropping rate in the process of taking off and wearing the appliance, thereby influencing the orthodontic process; some orthodontists can choose to use the self-setting denture base material to line the occlusal surface of the invisible appliance to manufacture the occlusal pad, but the invisible appliance without the bracket has a long correction period, and the new appliances need to be replaced in sequence every 1-2 weeks, and in the process, the manufacturing of the occlusal pad increases huge workload for the doctors.
The Chinese patent application with the application number of 202111367425.2 discloses a method for manufacturing an occlusal pad, wherein a silicon rubber impression technology is adopted, the occlusal pad can be manufactured on a plurality of pairs of orthodontic devices when a patient is subjected to a re-diagnosis, although the technology does not need to adjust and grind occlusion of each pair of orthodontic devices, each pair of orthodontic devices still need to be pre-ground and self-setting denture base material is re-lined, the workload of doctors is still large, and the silicon rubber impression can not be attached to each pair of orthodontic devices; in addition, the self-setting resin base material is re-lined on the surface of the bracket-free invisible appliance, and a certain shedding rate also exists in the using process of a patient, so that the correction effect is influenced.
Disclosure of Invention
In order to overcome the defects of the prior art, the invention aims to provide a method for manufacturing an occlusal pad of an invisible appliance, which comprises the steps of manufacturing a pre-occlusal pad on an occlusal surface of a tooth position needing to be manufactured so as to lift occlusion, then acquiring a three-dimensional digital model in a mouth of a patient, submitting three-dimensional digital model data to a manufacturer, customizing the invisible appliance and obtaining the invisible appliance integrating the occlusal pad and the appliance.
In order to achieve the above purpose, the technical scheme adopted by the invention is as follows:
a manufacturing method of an occlusal pad of an invisible appliance specifically comprises the following steps:
step one, preparation work is carried out;
step two, mixing the glass ionomer cement into a dough shape;
step three, manufacturing a pre-occlusion cushion 1;
and step four, manufacturing the bracket-free invisible orthodontic appliance integrating the occlusal pad and the orthodontic appliance according to the pre-occlusal pad 1.
The specific method of the first step is to pre-treat the teeth position which needs to be made into the occlusal pad to lift occlusion: drying and moisture-proof the occlusal surface of the tooth; drying the occlusal surface of the tooth position to be occluded by the occlusal pad, placing cotton balls under the tongue and on the buccal and lingual sides of the tooth position for drying and moisture insulation.
The specific method of the second step is as follows: according to the technical requirements of the clinical stirring of the glass ion cement, the glass ion cement is stirred to be in a dough shape.
The third step is specifically as follows: placing the glass ion cement prepared and mixed in the step two on the occlusal surface of the teeth dried in the step one, slightly pressing and finishing the mixture by using an alcohol cotton ball for forming, advising a patient to slightly bite when the glass ion cement is about to solidify, observing the occlusion opening degree of the teeth with occlusion interference, controlling the distance between upper and lower teeth to be 0-1mm, and if the distance is less than 1mm, mixing the glass ion cement again and adding the glass ion cement to the occlusal surface of the teeth; if the thickness exceeds 1mm, the redundant glass ion materials are removed by grinding, and the teeth are ensured to be uniformly contacted with the glass ion cement; in addition, redundant glass ion cement is ground off on the buccodental side of the teeth, and the shape of the pre-occlusion pad 1 is trimmed; thus, the pre-occlusal pad 1 is manufactured;
the concrete method of the fourth step is as follows: according to the tooth closes 1 preparation tooth of filling up in advance and fills up and the stealthy ware 2 of rescuring of no support groove of ware integral type: after the pre-occlusion cushion 1 is manufactured, three-dimensional digital model acquisition is carried out in the mouth of a patient, and the invisible appliance 2 is manufactured according to the three-dimensional digital model data.
Compared with the prior art, the invention has the beneficial effects that:
1. the method for manufacturing the invisible orthodontic appliance by acquiring the intraoral three-dimensional digital model after the occlusal pad is directly manufactured in advance in the mouth of the patient can be used for producing the bracket-free invisible orthodontic appliance integrating the occlusal pad and the orthodontic appliance, and the operation method is simple and is easy to master.
2. In the process of manufacturing the occlusal pad, a doctor only needs to adjust the shape, the height and the occlusion in the process of manufacturing the pre-occlusal pad 1, and compared with the mode of manufacturing the occlusal pad by using self-setting denture base materials for the traditional invisible appliance, the invention does not need to polish, fill and occlude each pair of appliances, thereby greatly reducing the workload of the doctor and improving the working efficiency of the doctor.
3. According to the bracket-free invisible orthodontic device, other materials are not required to be added on the orthodontic device, the risk of falling of the occlusal pad is not required to be considered, repeated consultation of a patient due to falling of the occlusal pad is avoided, the time of the patient is saved, and the satisfaction degree of the patient is improved.
4. The method is not only suitable for manufacturing the occlusal pad in the bracket-free invisible correction process, but also can be used for adding other auxiliary devices, and the method can be used for operating the upper jaw or the lower jaw in the manner, so that the application range is wide.
5. The shape and the height of the occlusal pad of the invention are controllable and adjustable, and can be adjusted according to the specific treatment requirements of different patients, thus having higher practicability.
Drawings
Fig. 1 is a schematic view of the completed intraoral pre-bite pad 1 of the present invention looking down.
Fig. 2 is a schematic view showing the side view effect of the completed intraoral pre-bite pad 1 of the present invention.
FIG. 3 is a schematic diagram of the integration of the occlusal pad and the appliance of the present invention.
In the figure: 1. pre-bite-block; 2. provided is a hidden appliance.
Detailed Description
The technical scheme of the invention is clearly and completely described below with reference to the accompanying drawings.
Referring to fig. 1 to 3, a method for manufacturing an occlusal pad of an invisible appliance specifically includes the following steps:
step one, preparation work: pre-treating the teeth position needing to be made into the occlusal pad to lift occlusion: drying and moisture-proof the occlusal surface of the tooth; drying the occlusal surface of the tooth position to be occluded by the occlusal pad to be manufactured, placing cotton balls under the tongue and on the buccal and lingual sides of the tooth position for drying and moisture insulation;
step two, mixing the glass ion cement into a dough shape according to the technical requirement of mixing of the clinical glass ion cement;
step three, manufacturing a pre-occlusion cushion 1: placing the glass ion cement prepared and mixed in the step two on the occlusal surface of the teeth dried in the step one, slightly pressing and finishing the mixture by using an alcohol cotton ball for forming, advising a patient to slightly bite when the glass ion cement is about to solidify, observing the occlusion opening degree of the teeth with occlusion interference, controlling the distance between upper and lower teeth to be 0-1mm, and if the distance is less than 1mm, mixing the glass ion cement again and adding the glass ion cement to the occlusal surface of the teeth; if the thickness exceeds 1mm, the redundant glass ion materials are removed by grinding, and the uniform contact between the teeth and the glass ion cement is ensured; in addition, redundant glass ion cement is ground off on the buccodental side of the teeth, and the shape of the pre-occlusion pad 1 is trimmed; thus, the pre-occlusal pad 1 is manufactured;
step four, according to the tooth closes the stealthy ware 2 of correcting in no support groove of 1 preparation tooth of pad and correcting the ware integral type of tooth in advance closing the pad: after the pre-occlusion cushion 1 is manufactured, three-dimensional digital model acquisition is carried out in the mouth of a patient, the invisible appliance 2 is manufactured according to the three-dimensional digital model data, and the appliance is completed as shown in fig. 3.
Although embodiments of the present invention have been shown and described, it will be appreciated by those skilled in the art that changes, modifications, substitutions and alterations can be made in these embodiments without departing from the principles and spirit of the invention, the scope of which is defined in the appended claims and their equivalents.

Claims (5)

1. A manufacturing method of an occlusal pad of an invisible appliance is characterized by comprising the following steps: the method specifically comprises the following steps:
step one, preparation work is carried out;
step two, mixing the glass ionomer cement into a dough shape;
step three, manufacturing a pre-occlusion cushion (1);
and step four, manufacturing the bracket-free invisible orthodontic appliance integrating the occlusal pad and the orthodontic appliance according to the pre-occlusal pad (1).
2. The method for manufacturing the occlusal pad of the invisible orthodontic appliance according to claim 1, wherein the method comprises the following steps: the specific method of the first step comprises the following steps: pre-treating the teeth position needing to be made into the occlusal pad to lift occlusion: drying and moisture-proof the occlusal surface of the tooth; drying the occlusal surface of the tooth position to be occluded by the occlusal pad, placing cotton balls under the tongue and on the buccal and lingual sides of the tooth position for drying and moisture insulation.
3. The method for manufacturing the occlusal pad of the invisible orthodontic appliance, according to claim 1, wherein the method comprises the following steps: the specific method of the second step is as follows: according to the technical requirements of the clinical stirring of the glass ion cement, the glass ion cement is stirred to be in a dough shape.
4. The method for manufacturing the occlusal pad of the invisible orthodontic appliance, according to claim 1, wherein the method comprises the following steps: the third step is specifically as follows: placing the glass ion cement prepared and mixed in the step two on the occlusal surface of the teeth dried in the step one, slightly pressing and finishing the mixture by using an alcohol cotton ball for forming, advising a patient to slightly bite when the glass ion cement is about to solidify, observing the occlusion opening degree of the teeth with occlusion interference, controlling the distance between upper and lower teeth to be 0-1mm, and if the distance is less than 1mm, mixing the glass ion cement again and adding the glass ion cement to the occlusal surface of the teeth; if the thickness exceeds 1mm, the redundant glass ion materials are removed by grinding, and the teeth are ensured to be uniformly contacted with the glass ion cement; in addition, redundant glass ion cement is ground off on the buccodental side of the teeth, and the shape of the pre-occlusion pad (1) is trimmed; thus, the pre-occlusal pad (1) is manufactured.
5. The method for manufacturing the occlusal pad of the invisible orthodontic appliance, according to claim 1, wherein the method comprises the following steps: the concrete method of the fourth step is as follows: after the pre-occlusion cushion (1) is manufactured, three-dimensional digital model acquisition is carried out in the mouth of a patient, and the invisible appliance (2) is manufactured according to the three-dimensional digital model data.
CN202210618113.2A 2022-06-01 2022-06-01 Manufacturing method of occlusal pad of invisible appliance Pending CN114886586A (en)

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Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105919682A (en) * 2016-06-06 2016-09-07 西安博恩生物科技有限公司 Rapid forming production method of personalized customization concealed teeth correcting equipment
CN113786249A (en) * 2021-10-09 2021-12-14 上海交通大学医学院附属第九人民医院 Orthognathic postoperative does not have stealthy vertical control device of correction in groove
CN113995534A (en) * 2021-11-18 2022-02-01 刘岚 Method for manufacturing occlusal pad

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105919682A (en) * 2016-06-06 2016-09-07 西安博恩生物科技有限公司 Rapid forming production method of personalized customization concealed teeth correcting equipment
CN113786249A (en) * 2021-10-09 2021-12-14 上海交通大学医学院附属第九人民医院 Orthognathic postoperative does not have stealthy vertical control device of correction in groove
CN113995534A (en) * 2021-11-18 2022-02-01 刘岚 Method for manufacturing occlusal pad

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
周江保等: ""玻璃离子水门汀固定牙合垫在矫治个别牙反牙合中的临床应用"", 《临床口腔医学杂志》, pages 627 *

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