TWI726787B - Mandible adjustment device - Google Patents

Mandible adjustment device Download PDF

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TWI726787B
TWI726787B TW109126523A TW109126523A TWI726787B TW I726787 B TWI726787 B TW I726787B TW 109126523 A TW109126523 A TW 109126523A TW 109126523 A TW109126523 A TW 109126523A TW I726787 B TWI726787 B TW I726787B
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molar
dental
tooth
adjustment device
bending section
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TW109126523A
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Chinese (zh)
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TW202206039A (en
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許漢忠
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許漢忠
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Abstract

一種下頜骨調整裝置,係包含有一上牙套件及一下牙套件,其中該上牙套件及下牙套件係具有一上牙容置空間及一下牙容置空間,該上牙容置空間及下牙容置空間係依據牙齒造型所製成,係分別套合於人體上顎牙弓與下顎牙弓上,而該上牙套件及下牙套件的側壁處係對應於上臼齒區與下臼齒區延伸出有一黏膜保護裝置及一定位部,當配戴該上牙套件與該下牙套件後,驅使該定位部與該黏膜保護裝置相結合,並保持一活動位移空間,使人體下頜骨前移固定時,不會因緊固而造成人體下頜骨髁突處的不舒適感,同時可避免舌後根下塌,阻塞呼吸通道,及避免口腔黏膜受傷。A mandibular adjustment device includes an upper tooth set and a lower tooth set, wherein the upper tooth set and the lower tooth set have an upper tooth accommodating space and a lower tooth accommodating space, the upper tooth accommodating space and the lower tooth The accommodating space is made according to the shape of the teeth and fits on the upper and lower dental arches of the human body. The sidewalls of the upper and lower teeth are extended to correspond to the upper and lower molars. There is a mucosal protective device and a positioning part. When the upper dental kit and the lower dental kit are worn, the positioning part is driven to combine with the mucosal protective device, and a movable displacement space is maintained, so that the mandible of the human body is moved forward and fixed It will not cause discomfort at the mandibular condyle due to fastening, and at the same time, it can prevent the posterior root of the tongue from collapsing, blocking the respiratory passage, and avoiding oral mucosal injury.

Description

下頜骨調整裝置Mandible adjustment device

本發明是有關一種下頜骨調整裝置,特別是一種能夠使人體下頜骨前移定位來保持呼吸通道之暢通,同時解決睡眠時呼吸中止及打鼾問題,再藉由黏膜保護裝置避免口腔黏膜受傷。 The present invention relates to a mandibular adjustment device, in particular to a mandible adjustment device capable of positioning the mandible of the human body forward to keep the breathing passage unobstructed, while solving the problems of breathing interruption and snoring during sleep, and avoiding oral mucosal injury by a mucosal protective device.

有很多人在睡覺時,會有打鼾及呼吸中止之情況,這主要是因為睡覺期間,肌肉會放鬆,又由於重力的關係,如第1圖所示,將使得嘴巴10內部口腔101之支撐軟顎102、舌根7的肌肉往下掉,以使呼吸通道8受到擠壓,如此將無法維持空氣暢通時,因此鼾聲就會出現,甚至嚴重更會導致呼吸暫停或喘氣等狀況發生,故又稱為睡眠呼吸中止症,而睡眠呼吸中止症則可能造成影響睡眠品質,甚至可能誘發高血壓、心臟疾病等等病症。 There are many people who snore and stop breathing during sleep. This is mainly because the muscles relax during sleep, and due to the relationship of gravity, as shown in Figure 1, the support of the oral cavity 101 inside the mouth 10 will be soft. The muscles of the jaw 102 and the base of the tongue 7 fall down so that the breathing passage 8 is squeezed so that the air cannot be kept unblocked, so snoring will occur, and even severely, it will cause apnea or panting, so it is also called It is sleep apnea, and sleep apnea may affect the quality of sleep, and may even induce hypertension, heart disease and other symptoms.

為了能夠解決上述問題,市面上有販售有許多所謂的止鼾器或止鼾裝置等產品,現有的止鼾裝置,大多是透過上下牙套,並在結合一連結機構,來使下頜骨前移,用以防止顎垂下垂而堵塞呼吸通道8。 In order to solve the above problems, there are many so-called anti-snoring devices or anti-snoring devices on the market. Most of the existing anti-snoring devices use upper and lower braces and combine with a connecting mechanism to move the mandible forward. , To prevent the jaw from drooping and blocking the breathing passage 8.

但這上述習知產品都是使用一固定機構,讓上、下牙套固定不動,由於是強拉下頜骨前移,並強行固定該下頜骨無法回移,但於久戴的情況下,將會導致下頜骨髁突處極為酸痛,故使用者也將無法適應配戴此一裝置,如此對於有呼吸中止症狀的使用者來講,將是非常困擾的。 However, the above-mentioned conventional products all use a fixing mechanism to fix the upper and lower braces. Because the mandible is forced to move forward and fixed forcibly, the mandible cannot move back. However, if worn for a long time, it will As a result, the mandibular condyle is extremely sore, so the user will not be able to adapt to wearing this device, so it will be very troublesome for users with respiratory arrest symptoms.

另外,由於現有的止鼾裝置大多是定製的規格,與使用者的齒列形狀並不符合,使得牙套與牙齒間存在縫隙,因此存在位置偏移甚至脫落的情形,故會造成止鼾與避免呼吸中止之功效不佳的情況產生。 In addition, since most of the existing anti-snoring devices are of customized specifications and do not match the shape of the user’s dentition, there is a gap between the braces and the teeth, so there is a situation of positional deviation or even falling off, which will cause snoring and anti-snoring. Avoid the ineffectiveness of respiratory cessation.

另外,由於現有的止鼾裝置是以牙套方式配戴於上顎及下顎的兩排齒列周圍,但由於牙套會具有一定厚度,若是一旦使下頜骨前移,上下牙套本身的厚度,將會使得門牙區域的咬合產生明顯的異物感,若是使用者是睡眠時要配戴此一裝置,將也會導致不易輕鬆入眠。 In addition, because the existing anti-snoring device is worn around the two rows of dentitions of the upper and lower jaws with braces, the braces will have a certain thickness. Once the mandible is moved forward, the thickness of the upper and lower braces will make The occlusion of the front teeth produces an obvious foreign body sensation. If the user wears this device while sleeping, it will also make it difficult to fall asleep easily.

另外,目前更有另一種止鼾裝置,是將連結機構設置於門牙區域處,也就是透過將上下門牙的拉扣,以強拉下頜骨前移,但如此設置,將會使得門牙區域受力過大,因此在長期久戴之下,門牙區域對於如此的強力拉扯,將會導致使用者極其難受,故如此這也不是一可長期使用的裝置類型。 In addition, there is currently another anti-snoring device, which is to install the connecting mechanism at the incisor area, that is, by pulling the upper and lower incisor pull buckles to force the mandible to move forward, but this setting will force the incisor area If it is too large, the incisor area will be extremely uncomfortable for the user after being worn for a long time. Therefore, this is not a type of device that can be used for a long time.

因此,為了解決上述問題,本發明於上牙套及下牙套處各搭配有一黏膜保護裝置及定位部,並於上、定位部各延伸出一立柱及勾部,當上、定位部之勾部相勾合後,將能夠使下頜骨處於前移位置,來保持呼吸通道8之暢通,同時解決呼吸中止及打鼾問題;另外,由於上、定位部並非緊配,而是活動勾合,因此,具有一全方位的活動空間,避免因緊固而導致人體下頜骨之關節處(髁突處)的不舒適感,因此本發明應為一最佳解決方案。 Therefore, in order to solve the above problems, the present invention is equipped with a mucosal protection device and a positioning part at the upper and lower braces, and a post and a hook part are extended from the upper and the positioning parts respectively, when the hook parts of the upper and the positioning parts correspond to each other. After the engagement, the mandible can be placed in the forward position to keep the breathing passage 8 unblocked, and at the same time solve the problem of breathing interruption and snoring; in addition, because the upper and positioning parts are not tightly matched, they are movably engaged. Therefore, it has A full range of movement space avoids discomfort at the joints (condyles) of the mandible caused by fastening. Therefore, the present invention should be an optimal solution.

本發明為一種下頜骨調整裝置,係包含:一上牙套件,係具有一上牙容置空間,該上牙容置空間係依據牙齒造型所形成,用以套合於人體上顎牙弓上,而該上牙套件側壁處係對應於上臼齒區延伸出有一黏膜保護裝置,該 黏膜保護裝置具有一弧形外壁面,而該黏膜保護裝置係設有一穿透孔;一下牙套件,係具有一下牙容置空間,該下牙容置空間係依據牙齒造型所形成,用以套合於人體下顎牙弓上,該下顎牙弓位於一下頜骨上,而該下牙套件側壁處係對應於下臼齒區延伸出有一定位部,該定位部朝向該黏膜保護裝置處延伸出一立柱,該立柱前端部朝一人體髁突處延伸出一彎折段,該立柱與該彎折段間形成有一彎折角度;其中,該黏膜保護裝置之該穿透孔之孔徑大於該定位部,當配戴該上牙套件與該下牙套件後,係驅使該彎折段及該立柱貫穿過該穿透孔,使該立柱後移時會受到該穿透孔壁面阻擋而無法後移,而彎折段會受到該黏膜保護裝置頂端表面的阻擋,導致該下牙套件無法下移,相對使人體下頜骨被固定在設定的位置,而該穿透孔之孔徑大於該立柱,使該立柱在該穿透孔內自由活動,相對使下頜骨可以自由活動,避免長時間配戴使該髁突處產生不適感。 The present invention is a mandibular adjustment device, which includes: an upper tooth set with an upper tooth accommodating space formed according to the tooth shape and used to fit on the upper jaw dental arch of the human body, A mucosal protective device extends from the side wall of the upper dental kit corresponding to the upper molar area. The mucosal protective device has an arc-shaped outer wall, and the mucosal protective device is provided with a penetration hole; the lower tooth set has a lower tooth accommodating space, which is formed according to the tooth shape for covering Fit on the dental arch of the lower jaw of the human body, the dental arch of the lower jaw is located on the lower jaw, and the side wall of the mandible set extends a positioning portion corresponding to the lower molar area, and the positioning portion extends toward the mucosal protective device. A bending section extends from the front end of the column toward a human condyle, and a bending angle is formed between the column and the bending section; wherein the aperture of the penetration hole of the mucosal protection device is larger than the positioning portion, when After wearing the upper dental kit and the lower dental kit, the bending section and the upright post are driven to pass through the penetration hole, so that when the upright post moves backward, it will be blocked by the wall of the penetration hole and cannot move backward. The fold section will be blocked by the top surface of the mucosal protection device, causing the lower teeth set to be unable to move down, so that the mandible of the human body is fixed at a set position, and the diameter of the penetration hole is larger than that of the upright, so that the upright is in the Free movement in the penetrating hole, relatively allowing the mandible to move freely, and avoiding discomfort at the condyle caused by long-time wearing.

於一較佳實施例中,其中該上臼齒區及該下臼齒區係皆包含有第一小臼齒、第二小臼齒、第一大臼齒、第二大臼齒,而該黏膜保護裝置及該定位部之位置係能夠對應於第一大臼齒、第二大臼齒之任一臼齒或是任兩個臼齒之間的一側處。 In a preferred embodiment, the upper molar area and the lower molar area both include a first molar, a second molar, a first molar, and a second molar, and the mucosal protection device and the positioning The position of the part can correspond to the first molar, any molar of the second molar, or one side between any two molars.

於一較佳實施例中,其中該黏膜保護裝置及該定位部之較佳位置係對應於第一大臼齒周邊一側處。 In a preferred embodiment, the preferred positions of the mucosal protection device and the positioning portion correspond to one side of the periphery of the first molar.

於一較佳實施例中,其中該上牙套件或/及該下牙套件相對於人體上顎牙弓或/及人體下顎牙弓的前牙區係設置有一開口,用以能夠露出該前牙區之齒面。 In a preferred embodiment, the upper dental kit or/and the lower dental kit is provided with an opening relative to the anterior region of the human upper jaw dental arch or/and the human lower dental arch for exposing the anterior teeth region The tooth surface.

於一較佳實施例中,其中該上牙套件及該下牙套件相對於人體上顎牙弓及人體下顎牙弓的前牙區之咬合面的厚度係小於1mm。 In a preferred embodiment, the thickness of the occlusal surface of the upper dental set and the lower dental set relative to the anterior region of the human upper dental arch and the human lower dental arch is less than 1 mm.

於一較佳實施例中,其中該定位部之立柱與彎折段的角度為30~110度,最佳為接近90度。 In a preferred embodiment, the angle between the post of the positioning portion and the bending section is 30 to 110 degrees, preferably close to 90 degrees.

於一較佳實施例中,其中該定位部的立柱上可套設一調整器,該調整器的厚度大小係用以微調整下頜骨前移定位的位置。 In a preferred embodiment, an adjuster can be sleeved on the post of the positioning portion, and the thickness of the adjuster is used to fine-adjust the position of the mandible forward positioning.

如於一較佳實施例中,其中該黏膜保護裝置靠近該髁突處的頂端壁面上設置有一定位槽,該定位槽一端與該穿透孔的內壁面相連接,另一端設置有一扣槽,並於該定位部之該彎折段的端部設置有一扣塊;該定位槽係用以與該彎折段結合定位,而該扣塊會扣合於該扣槽中,以增加該上牙套件及該下牙套件結合時的穩定性。 As in a preferred embodiment, a positioning groove is provided on the top wall surface of the mucosal protection device near the condyle, one end of the positioning groove is connected with the inner wall surface of the penetration hole, and the other end is provided with a buckle groove, A buckle block is provided at the end of the bent section of the positioning portion; the positioning groove is used for positioning in combination with the bent section, and the buckle block is buckled in the buckle groove to increase the upper brace The stability of the combined parts and the lower teeth set.

於一較佳實施例中,其中該黏膜保護裝置靠近該髁突處的頂端壁面大於該彎折段,使彎折段不會裸露出該黏膜保護裝置的該弧形外壁面,避免該彎折段端部與口腔黏膜接觸。 In a preferred embodiment, the top wall surface of the mucosal protective device near the condyle is larger than the bending section, so that the bending section will not expose the arc-shaped outer wall surface of the mucosal protective device and avoid the bending The end of the segment is in contact with the oral mucosa.

1:上牙套件 1: Upper teeth kit

11:上牙容置空間 11: Upper tooth accommodation space

12:黏膜保護裝置 12: Mucosal protection device

121:弧形外壁面 121: Curved outer wall

122:穿透孔 122: penetration hole

123:頂端壁面 123: Top wall

124:定位槽 124: positioning slot

125:扣槽 125: Buckle slot

13:開口 13: opening

2:下牙套件 2: Lower teeth kit

21:下牙容置空間 21: Lower tooth accommodating space

22:定位部 22: Positioning Department

221:立柱 221: Column

222:彎折段 222: bending section

223:扣塊 223: buckle block

23:開口 23: opening

31:前牙區 31: Anterior area

311:上正門牙 311: Upper Front Teeth

312:上側門牙 312: upper front teeth

313:上犬齒 313: Upper Canine

32:上臼齒區 32: Upper molar area

321:第一小臼齒 321: first molar

322:第二小臼齒 322: second molar

323:第一大臼齒 323: The first molar

324:第二大臼齒 324: The second largest molar

41:前牙區 41: Anterior area

411:下正門牙 411: Lower Front Teeth

412:下側門牙 412: lower incisor

413:下犬齒 413: lower canine

42:下臼齒區 42: Lower molar area

421:第一小臼齒 421: first molar

422:第二小臼齒 422: second molar

423:第一大臼齒 423: The first molar

424:第二大臼齒 424: The second largest molar

5:下頜骨 5: Mandible

51:髁突 51: Condyle

6,6’,6”:調整器 6,6’,6”: adjuster

61,61’,61”:孔洞 61,61’,61”: Hole

7:舌根 7: The base of the tongue

8:呼吸通道 8: Breathing channel

10:嘴巴 10: Mouth

101:口腔 101: Oral

1011:口腔黏膜 1011: Oral mucosa

102:支撐軟顎 102: Support the soft jaw

A1:原始位置 A1: Original position

A2:第一前移位置 A2: The first forward position

A3:第二前移位置 A3: Second forward position

[第1圖]係人體呼吸通道受到擠壓之肌肉示意圖。 [Figure 1] A schematic diagram of the muscles squeezed into the human respiratory passages.

[第2圖]係人體頭骨之齒列及下頜骨示意圖。 [Figure 2] A schematic diagram of the dentition and mandible of the human skull.

[第3A圖]係本發明下頜骨調整裝置之上牙套件立體結構示意圖。 [Figure 3A] is a schematic diagram of the three-dimensional structure of the upper dental kit of the mandible adjustment device of the present invention.

[第3B圖]係本發明下頜骨調整裝置之上牙套件上視結構示意圖。 [Figure 3B] is a schematic diagram of the upper structure of the upper dental kit of the mandibular adjustment device of the present invention.

[第4A圖]係本發明下頜骨調整裝置之下牙套件立體結構示意圖。 [Figure 4A] is a schematic diagram of the three-dimensional structure of the dental kit under the mandibular adjustment device of the present invention.

[第4B圖]係本發明下頜骨調整裝置之下牙套件上視結構示意圖。 [Figure 4B] is a schematic diagram of the upper structure of the lower jaw set of the mandibular adjustment device of the present invention.

[第5A圖]係本發明下頜骨調整裝置之穿戴狀態之骨骼位移示意圖。 [Figure 5A] is a schematic diagram of bone displacement in the wearing state of the mandibular adjustment device of the present invention.

[第5B圖]係本發明下頜骨調整裝置之穿戴狀態之骨骼位移示意圖。 [Figure 5B] is a schematic diagram of bone displacement in the wearing state of the mandibular adjustment device of the present invention.

[第6A圖]係本發明下頜骨調整裝置之上牙套件與下牙套件連結示意圖。 [Figure 6A] is a schematic diagram of the connection between the upper tooth set and the lower tooth set of the mandibular adjustment device of the present invention.

[第6B圖]係本發明下頜骨調整裝置之上牙套件與下牙套件於口腔黏膜之實施示意圖。 [Figure 6B] is a schematic diagram of the implementation of the upper and lower teeth set on the oral mucosa of the mandibular adjustment device of the present invention.

[第7圖]係本發明下頜骨調整裝置之穿戴後之呼吸通道狀態示意圖。 [Figure 7] is a schematic diagram of the breathing channel state of the mandibular adjustment device of the present invention after being worn.

[第8A圖]係本發明下頜骨調整裝置之上牙套件之開口結構示意圖。 [Figure 8A] is a schematic view of the opening structure of the upper dental kit of the mandibular adjustment device of the present invention.

[第8B圖]係本發明下頜骨調整裝置之下牙套件之開口結構示意圖。 [Figure 8B] is a schematic diagram of the opening structure of the dental kit under the mandibular adjustment device of the present invention.

[第9圖]係本發明下頜骨調整裝置之套設調整器示意圖。 [Figure 9] is a schematic diagram of the sleeve adjuster of the mandibular adjustment device of the present invention.

[第10A-C圖]係本發明下頜骨調整裝置之調整器示意圖。 [Figure 10A-C] is a schematic diagram of the adjuster of the mandibular adjustment device of the present invention.

[第11圖]係本發明下頜骨調整裝置之黏膜保護裝置另一實施示意圖。 [Figure 11] is another schematic diagram of the mucosal protection device of the mandibular adjustment device of the present invention.

有關於本發明其他技術內容、特點與功效,在以下配合參考圖式之較佳實施例的詳細說明中,將可清楚的呈現。 Other technical content, features and effects of the present invention will be clearly presented in the following detailed description of the preferred embodiment with reference to the drawings.

如第2圖所示,人體口腔內具有上顎牙弓及下顎牙弓,而上顎牙弓及下顎牙弓的齒列如下: As shown in Figure 2, the human oral cavity has upper and lower dental arches, and the dentition of the upper and lower dental arches is as follows:

1.上顎牙弓係具有以下齒列:(a)前牙區31,係包含有上正門牙311、上側門牙312、上犬齒313;(b)上臼齒區32,係包含有第一小臼齒321、第二小臼齒322、第一大臼齒323、第二大臼齒324(及第三大臼齒)。 1. The dental arch of the upper mandible has the following dentitions: (a) the anterior area 31, which contains the upper orthodontic incisors 311, the upper incisors 312, and the upper canine teeth 313; (b) the upper molar area 32, which contains the first molars 321, the second molar 322, the first molar 323, the second molar 324 (and the third molar).

2.下顎牙弓係具有以下齒列:(a)前牙區41,係包含有下正門牙411、下側門牙412、下犬齒413;(b)下臼齒區42,係包含有第一小臼齒421、第二小臼齒422、第一大臼 齒423、第二大臼齒424(及第三大臼齒)。 2. The dental arch of the mandible has the following dentitions: (a) Anterior teeth area 41, which includes lower front teeth 411, lower incisor teeth 412, and lower canine teeth 413; (b) Lower molar area 42, which includes the first small Molars 421, second molars 422, first molars Tooth 423, second molar 424 (and third molar).

如第3A、3B、4A、4B圖所示,本發明下頜骨調整裝置係包含一上牙套件1及一下牙套件2,由於該上牙套件1與該下牙套件2分別具有一上牙容置空間11及一下牙容置空間21,更由於該上牙套件1與該下牙套件2是以3D掃描使用者的齒型製作而成,因此人體的上顎牙弓及下顎牙弓會與該上牙容置空間11與下牙容置空間21相密合;該上牙套件1側壁處對應於上臼齒區32設置有一黏膜保護裝置12,該黏膜保護裝置12具有一弧形外壁面121,而該黏膜保護裝置12內係開設有一穿透孔122;該下牙套件2側壁處係對應於下臼齒區32設置有一定位部22,該定位部22朝該上臼齒區32延伸出一立柱221,該立柱221前端朝下頜骨5之髁突51處彎折延伸一彎折段222,該立柱221與該彎折段222具有一角度,該角度介於30-110度,其中以接近90度為最佳,且該定位部22係小於該穿透孔122的孔徑,使該定位部22的立柱221及彎折段222皆可貫穿該穿透孔122。 As shown in Figures 3A, 3B, 4A, and 4B, the mandibular adjustment device of the present invention includes an upper dental set 1 and a lower dental set 2. Because the upper dental set 1 and the lower dental set 2 each have an upper dental volume The upper dental kit 1 and the lower dental kit 2 are made by 3D scanning the user’s teeth. Therefore, the upper and lower dental arches of the human body will match the upper and lower dental arches. The upper tooth accommodating space 11 is closely connected with the lower tooth accommodating space 21; a mucosal protective device 12 is provided on the side wall of the upper dental set 1 corresponding to the upper molar area 32, and the mucosal protective device 12 has an arc-shaped outer wall 121, The mucosal protective device 12 is provided with a penetration hole 122; the side wall of the lower dental kit 2 is provided with a positioning portion 22 corresponding to the lower molar area 32, and the positioning portion 22 extends a post 221 toward the upper molar area 32 The front end of the upright post 221 is bent toward the condyle 51 of the mandible 5 to extend a bending section 222. The upright post 221 and the bending section 222 have an angle between 30-110 degrees, and the angle is close to 90 degrees. It is best, and the positioning portion 22 is smaller than the hole diameter of the penetration hole 122 so that the upright 221 and the bending section 222 of the positioning portion 22 can pass through the penetration hole 122.

當配戴該上牙套件1與該下牙套件2(下頜骨5之髁突51係位於原始位置A1)後,如第5A圖所示,使用者須透過嘴部肌肉控制下頜骨5下移,再將下頜骨5前移,帶動該下牙套件2隨之前移(由原始位置A1移動到第一前移位置A2);之後將嘴巴閉上,如第5B圖所示,該立柱111及該彎折段222會貫穿該黏膜保護裝置12的穿透孔122,使該彎折段222位於上牙套件1處,此時,該下頜骨5會藉由肌肉自動後移,後移行程該立柱111會受到該穿透孔122靠近髁突51處的內壁面阻擋,而無法後移至原始位置A1,而該彎折段222會因後移影響, 而朝髁突51移動,並受到該黏膜保護裝置12的頂端壁面123阻擋,讓該下頜骨5無法下移,使嘴巴維持在閉合狀態(髁突51處移動到第二前移位置A3,而定位之樣態如第6A圖所示),而於本實施例中,該黏膜保護裝置12及該定位部22皆是設置對應於第一大臼齒周邊一側處。該穿透孔122接近髁突51的內側壁面位置即為該下頜骨5前移定位的預設位置,該位置可為使用者量身訂製,取一個使用者能生理機能可接受的前移位置;且該立柱221的尺寸遠小於該穿透孔122,使該立柱221可在該穿透孔122內全方位移動,使該下頜骨5在睡眠狀態下仍可受潛意識影響而隨意移動,而非固定不動。而且該黏膜保護裝置12的頂端壁面123面積大於該彎折段222,使彎折段222不會裸露出該黏膜保護裝置12的弧形外壁面121,避免該彎折段222端部與口腔黏膜1011接觸(如第6B圖所示)。 After wearing the upper dental kit 1 and the lower dental kit 2 (the condyle 51 of the mandible 5 is in the original position A1), as shown in Figure 5A, the user must control the lower jaw 5 to move down through the mouth muscles , Then move the mandible 5 forward, and drive the lower teeth set 2 to move forward (from the original position A1 to the first forward position A2); then close the mouth, as shown in Figure 5B, the upright 111 and The bending section 222 will penetrate through the penetration hole 122 of the mucosal protection device 12, so that the bending section 222 is located at the upper dental set 1. At this time, the mandible 5 will automatically move back by the muscles, and the moving stroke will The post 111 will be blocked by the inner wall surface of the penetration hole 122 near the condyle 51, and cannot move back to the original position A1, and the bending section 222 will be affected by the back movement. Moving toward the condyle 51 and being blocked by the top wall surface 123 of the mucosal protection device 12, the mandible 5 cannot move down and the mouth is maintained in a closed state (the condyle 51 moves to the second forward position A3, and The positioning mode is as shown in Fig. 6A), and in this embodiment, the mucosal protection device 12 and the positioning portion 22 are both arranged at one side corresponding to the periphery of the first molar. The position of the penetrating hole 122 close to the inner wall surface of the condyle 51 is the preset position of the mandible 5 for forward positioning. The position can be tailored to the user, taking a forward movement that is acceptable for the user's physiology. Position; and the size of the upright post 221 is much smaller than the penetration hole 122, so that the upright post 221 can be moved in all directions in the penetration hole 122, so that the mandible 5 can still be affected by the subconscious and move at will in the sleep state, Rather than being immobile. Moreover, the area of the top wall surface 123 of the mucosal protective device 12 is larger than that of the bent section 222, so that the bent section 222 will not expose the arc-shaped outer wall surface 121 of the mucosal protective device 12, and avoid the end of the bent section 222 and the oral mucosa. 1011 contact (as shown in Figure 6B).

另外,該彎折段222受到該黏膜保護裝置12頂端壁面123的阻擋,使該下頜骨5無法向下移動,如此即可避免使用者在睡眠時張開嘴巴;因此,當該下頜骨5前移定位及無法下移張嘴時,即可將舌根7及支撐軟顎102向上拉移,保持睡眠時呼吸通道8的暢通,避免呼吸中止症及打鼾情況發生。 In addition, the bending section 222 is blocked by the top wall surface 123 of the mucosal protective device 12, so that the mandible 5 cannot move downwards, so as to prevent the user from opening his mouth during sleep; therefore, when the mandible 5 is in front of When the position is shifted and the mouth cannot be moved down, the base of the tongue 7 and the supporting soft palate 102 can be pulled upward to keep the breathing passage 8 unblocked during sleep and avoid apnea and snoring.

另外,如第6B圖所示,該弧形外壁面121之彎弧角度能夠服貼於口腔黏膜1011上,當該下頜骨5微幅移動時,該弧形外壁面121不會刮傷黏膜,且弧形外壁面121會將壓力分散於口腔黏膜1011上,而非單點頂持,因此,長時間配戴,亦不會對口腔黏膜1011造成不舒適感。 In addition, as shown in Fig. 6B, the arc angle of the arc-shaped outer wall 121 can conform to the oral mucosa 1011. When the mandible 5 moves slightly, the arc-shaped outer wall 121 will not scratch the mucosa. In addition, the arc-shaped outer wall 121 disperses the pressure on the oral mucosa 1011 instead of holding it at a single point. Therefore, wearing for a long time will not cause discomfort to the oral mucosa 1011.

另外,如第8A及8B圖所示,該上牙套件1或/及該下牙套件2相對於人體上顎牙弓3及人體下顎牙弓4的前牙區31,41係設置有一開口13,23,用以能夠露出該前牙區31,41之齒面,讓使用者之下頜骨5前移時,該前牙區31,41之齒面可以相互接觸,不會因為上牙套件1或/及該下牙套件2的厚度太厚造成下頜骨5 處於一下移位置,而造成髁突51處的不舒適感。 In addition, as shown in Figures 8A and 8B, the upper dental kit 1 or/and the lower dental kit 2 are provided with an opening 13 in the anterior regions 31, 41 of the human upper jaw dental arch 3 and the human lower dental arch 4, 23. It is used to expose the tooth surfaces of the anterior teeth area 31, 41, so that when the user's lower jaw 5 moves forward, the tooth surfaces of the anterior teeth area 31, 41 can contact each other, and it will not be caused by the upper teeth set 1 or / And the thickness of the lower teeth set 2 is too thick, resulting in the mandible 5 In the lower position, causing discomfort at the condyle 51.

另外,為了避免因上牙套件1或/及該下牙套件2之厚度造成使用者的咬合不舒適感,故能夠於該上牙套件及該下牙套件相對於人體上顎牙弓及人體下顎牙弓的前牙區之咬合面的厚度設計小於1mm,如此將能夠使前牙區之咬合能夠盡可能與未配戴牙套前的咬合習慣較為類似,以降低使用者的不舒適感。 In addition, in order to avoid the user’s bite discomfort due to the thickness of the upper dental kit 1 or/and the lower dental kit 2, the upper dental kit and the lower dental kit can be compared to the human upper dental arch and the human lower jaw. The thickness of the occlusal surface of the anterior teeth area of the arch is designed to be less than 1mm, so that the occlusion of the anterior teeth area can be as similar as possible to the occlusal habits before wearing the braces, so as to reduce the user's discomfort.

請參閱第7圖、第9圖及第10A-C圖,其中,為避免下頜骨5前移定位的位置無法在睡眠時保持呼吸通道暢通,可以在立柱221上視需求套設一調整器6(如第9圖所示),藉由調整器6的厚度,即可控制下頜骨5前移定位的位置。且配戴調整器6後的立柱221整體尺寸仍小於該穿透孔122,使該立柱221仍可在該穿透孔中全方位移動。 Please refer to Figure 7, Figure 9, and Figure 10A-C, in which, in order to avoid the position of the mandible 5 moved forward and unable to keep the breathing channel unblocked during sleep, an adjuster 6 can be set on the column 221 as required. (As shown in Fig. 9), by the thickness of the adjuster 6, the position where the mandible 5 moves forward can be controlled. Moreover, the overall size of the post 221 after the adjuster 6 is worn is still smaller than the penetration hole 122, so that the post 221 can still move in all directions in the penetration hole.

再如第10A-C圖所示,該調整器6,6’,6”具有彈性,具有一孔洞61,61’,61”,係藉由孔洞61,61’,61”的設計將該調整器6,6’,6”套設於該第一立柱121或該立柱221上,並可將該調整器6,6’,6”設計成不同的厚度大小,供使用者自行選擇所需後的調整器6,6’,6”使用,達到自行調整該下頜骨5前移定位的位置,達到微調整之目的,同時在使用者可以接受的前移位置下,保持呼吸通道8的暢通,避免睡眠時的呼吸終止及達到止鼾目的。 As shown in Figure 10A-C, the adjuster 6, 6', 6" is flexible and has a hole 61, 61', 61", which is adjusted by the design of the hole 61, 61', 61" The device 6, 6', 6" is sleeved on the first column 121 or the column 221, and the adjuster 6, 6', 6" can be designed to have different thicknesses for the user to choose the desired size. The adjuster 6, 6', 6” can be used to adjust the forward positioning position of the mandible 5 by itself to achieve the purpose of fine adjustment. At the same time, the breathing channel 8 is kept unblocked at the forward position acceptable to the user. Avoid stopping breathing during sleep and achieve the purpose of stopping snoring.

另外,請參閱第11圖所示,與上述各實施例的差異處再於該黏膜保護裝置12靠近髁突51處的頂端壁面123上設置有一定位槽124,該定位槽124一端與該穿透孔122的內壁面相連接,另一端設置有一扣槽125,並於該定位部22之彎折段222的端部設置有一扣塊223;該定位槽124係用以與該彎折段222結合定位,而該扣塊223會扣合於該扣槽25中,以增加上牙套件1及下牙套件2結合時的穩定性,其他結構與上述各實施例相同,於此不在贅述。 In addition, referring to Figure 11, the difference from the above-mentioned embodiments is that a positioning groove 124 is provided on the top wall surface 123 of the mucosal protection device 12 near the condyle 51, and one end of the positioning groove 124 is connected to the penetrating The inner wall surface of the hole 122 is connected, the other end is provided with a buckle groove 125, and the end of the bending section 222 of the positioning portion 22 is provided with a buckle block 223; the positioning groove 124 is used to combine with the bending section 222 Positioning, and the buckle block 223 will be buckled in the buckle groove 25 to increase the stability when the upper dental kit 1 and the lower dental kit 2 are combined. The other structures are the same as the above-mentioned embodiments, and will not be repeated here.

本發明所提供之下頜骨調整裝置,與其他習用技術相互比較時,其優點如下: The advantages of the lower jaw adjustment device provided by the present invention when compared with other conventional techniques are as follows:

(1)人體在睡眠時,下頜骨5會自由的移動,如果將下頜骨5固定不動,經長時間後,下頜骨5的髁突51處肯定會產生極大不舒適感,而本發明將該黏膜保護裝置12之穿透孔12孔徑大於該定位部22,使定位部22可在該穿透孔122內全方位自由活動,因此,使用者在睡眠時該下頜骨5可以全方位自由活動,長時間配戴時,下頜骨5的髁突51不會產生任何的不舒適感。 (1) When the human body sleeps, the mandible 5 will move freely. If the mandible 5 is fixed, after a long time, the condyle 51 of the mandible 5 will definitely produce a great sense of discomfort. The penetration hole 12 of the mucosal protective device 12 has a larger aperture than the positioning portion 22, so that the positioning portion 22 can move freely in all directions in the penetration hole 122. Therefore, the mandible 5 can move freely in all directions during sleep. When worn for a long time, the condyle 51 of the mandible 5 will not cause any discomfort.

(2)本發明將下頜骨5前移定位時,會將舌根7及支撐軟顎102同時向上拉移,保持呼吸通道8暢通,以解決使用者在睡眠時產生的呼吸中止及打鼾問題。 (2) When the present invention positions the mandible 5 forward, the tongue base 7 and the supporting soft jaw 102 will be simultaneously pulled upward to keep the breathing passage 8 unblocked, so as to solve the problem of the user's breathing interruption and snoring during sleep.

(3)本發明將黏膜保護裝置12設置呈弧型外壁面121,使該黏膜保護裝置12頂於口腔黏膜1011時壓力分散,不會單點頂持,造成口腔黏膜1011的不舒適感。 (3) In the present invention, the mucosal protective device 12 is provided with an arc-shaped outer wall 121, so that when the mucosal protective device 12 is pressed against the oral mucosa 1011, the pressure is dispersed, and the oral mucosa 1011 will not be supported by a single point, which causes discomfort in the oral mucosa 1011.

本發明已透過上述之實施例揭露如上,然其並非用以限定本發明,任何熟悉此一技術領域具有通常知識者,在瞭解本發明前述的技術特徵及實施例,並在不脫離本發明之精神和範圍內,不可作些許之更動與潤飾,因此本發明之專利保護範圍須視本說明書所附之請求項所界定者為準。 The present invention has been disclosed above through the above-mentioned embodiments, but it is not intended to limit the present invention. Anyone familiar with this technical field with ordinary knowledge should understand the aforementioned technical features and embodiments of the present invention without departing from the scope of the present invention. Within the spirit and scope, no changes and modifications can be made. Therefore, the patent protection scope of the present invention shall be subject to what is defined in the claims attached to this specification.

1:上牙套件 1: Upper teeth kit

11:上牙容置空間 11: Upper tooth accommodation space

12:黏膜保護裝置 12: Mucosal protection device

121:弧形外壁面 121: Curved outer wall

122:穿透孔 122: penetration hole

123:頂端壁面 123: Top wall

2:下牙套件 2: Lower teeth kit

222:彎折段 222: bending section

Claims (9)

一種下頜骨調整裝置,係包含:一上牙套件,係具有一上牙容置空間,該上牙容置空間係依據牙齒造型所形成,用以套合於人體上顎牙弓上,而該上牙套件側壁處係對應於上臼齒區延伸出有一黏膜保護裝置,該黏膜保護裝置具有一弧形外壁面,而該黏膜保護裝置係設有一穿透孔;以及一下牙套件,係具有一下牙容置空間,該下牙容置空間係依據牙齒造型所形成,用以套合於人體下顎牙弓上,該下顎牙弓位於一下頜骨上,而該下牙套件側壁處係對應於下臼齒區延伸出有一定位部,該定位部朝向該黏膜保護裝置處延伸出一立柱,該立柱前端部朝一人體髁突處延伸出一彎折段,該立柱與該彎折段間形成有一彎折角度;其中,該黏膜保護裝置之該穿透孔之孔徑大於該定位部,當配戴該上牙套件與該下牙套件後,係驅使該彎折段及該立柱貫穿過該穿透孔,使該立柱後移時會受到該穿透孔壁面阻擋而無法後移,而彎折段會受到該黏膜保護裝置頂端表面的阻擋,導致該下牙套件無法下移,相對使人體下頜骨被固定在設定的位置,而該穿透孔之孔徑大於該立柱,使該立柱在該穿透孔內自由活動,相對使下頜骨可以自由活動,避免長時間配戴使該髁突處產生不適感。 A mandibular adjustment device includes: an upper tooth set with an upper tooth accommodating space formed according to the tooth shape for fitting on the dental arch of the upper jaw of the human body, and the upper tooth accommodating space A mucosal protective device extends from the side wall of the dental set corresponding to the upper molar area, the mucosal protective device has an arc-shaped outer wall, and the mucosal protective device is provided with a penetration hole; and the lower dental set has a lower dental volume The lower tooth accommodating space is formed according to the tooth shape and is used to fit the human mandibular dental arch. The lower dental arch is located on the lower jaw, and the side wall of the lower dental set corresponds to the lower molar area A positioning portion extends, the positioning portion extends a post toward the mucosal protection device, the front end of the post extends a bending section toward a human condyle, and a bending angle is formed between the post and the bending section; Wherein, the aperture of the penetration hole of the mucosal protection device is larger than the positioning part. When the upper dental kit and the lower dental kit are worn, the bending section and the upright post are driven to penetrate through the penetration hole, so that the When the post moves backward, it will be blocked by the wall surface of the penetrating hole and cannot move backward, and the bending section will be blocked by the top surface of the mucosal protection device. The position of the penetrating hole is larger than that of the upright post, so that the upright post can move freely in the penetrating hole, relatively allowing the mandible to move freely, and avoiding discomfort at the condyle caused by wearing for a long time. 如請求項1所述之下頜骨調整裝置,其中該上臼齒區及該下臼齒區係皆包含有第一小臼齒、第二小臼齒、第一大臼齒、第二大臼齒,而該黏膜保護裝置及該定位部之位置係能夠對應於第一大臼齒、第二大臼齒之任一臼齒或是任兩個臼齒之間的一側處。 The lower jaw adjustment device according to claim 1, wherein the upper molar area and the lower molar area both include a first molar, a second molar, a first molar, and a second molar, and the mucosa protects The position of the device and the positioning part can correspond to the first molar, any molar of the second molar, or one side between any two molars. 如請求項2所述之下頜骨調整裝置,其中該黏膜保護裝置及該 定位部之較佳位置係對應於第一大臼齒周邊一側處。 The mandibular adjustment device according to claim 2, wherein the mucosal protection device and the The preferred position of the positioning part corresponds to one side of the periphery of the first molar. 如請求項1所述之下頜骨調整裝置,其中該上牙套件或/及該下牙套件相對於人體上顎牙弓或/及人體下顎牙弓的前牙區係設置有一開口,用以能夠露出該前牙區之齒面。 The mandibular adjustment device according to claim 1, wherein the upper dental kit or/and the lower dental kit is provided with an opening relative to the anterior dental arch of the human upper dental arch or/and the human lower dental arch for exposing The tooth surface of the anterior tooth area. 如請求項1所述之下頜骨調整裝置,其中該上牙套件及該下牙套件相對於人體上顎牙弓及人體下顎牙弓的前牙區之咬合面的厚度係小於1mm。 The mandibular adjustment device according to claim 1, wherein the thickness of the occlusal surface of the upper dental set and the lower dental set relative to the anterior region of the human upper dental arch and the human lower dental arch is less than 1 mm. 如請求項1所述之下頜骨調整裝置,其中該定位部之立柱與彎折段的角度為30~110度,最佳為接近90度。 The lower jaw adjustment device according to claim 1, wherein the angle between the post of the positioning part and the bending section is 30 to 110 degrees, preferably close to 90 degrees. 如請求項1所述之下頜骨調整裝置,更包含一調整器,該調整器係套設在該定位部的立柱上,該調整器的厚度大小係用以微調整下頜骨前移定位的位置。 The lower jaw adjustment device according to claim 1, further comprising an adjuster, the adjuster is sleeved on the post of the positioning part, and the thickness of the adjuster is used to fine-adjust the position of the mandible forward positioning . 如請求項1所述之下頜骨調整裝置,其中該黏膜保護裝置靠近該髁突處的頂端壁面上設置有一定位槽,該定位槽一端與該穿透孔的內壁面相連接,另一端設置有一扣槽,並於該定位部之該彎折段的端部設置有一扣塊;該定位槽係用以與該彎折段結合定位,而該扣塊會扣合於該扣槽中,以增加該上牙套件及該下牙套件結合時的穩定性。 The mandibular adjustment device according to claim 1, wherein a positioning groove is provided on the top wall surface of the mucosal protection device near the condyle, one end of the positioning groove is connected with the inner wall surface of the penetration hole, and the other end is provided with a Buckle groove, and a buckle block is provided at the end of the bending section of the positioning portion; the positioning groove is used for positioning in combination with the bending section, and the buckle block is buckled in the buckle groove to increase The stability of the upper tooth set and the lower tooth set when combined. 如請求項1所述之下頜骨調整裝置,其中該黏膜保護裝置靠近該髁突處的頂端壁面大於該彎折段,使彎折段不會裸露出該黏膜保護裝置的該弧形外壁面,避免該彎折段端部與口腔黏膜接觸。 The mandibular adjustment device according to claim 1, wherein the top wall surface of the mucosal protective device near the condyle is larger than the bending section, so that the bending section will not expose the arc-shaped outer wall surface of the mucosal protective device, Avoid contact between the end of the bent section and the oral mucosa.
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Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20180153643A1 (en) * 2015-03-20 2018-06-07 Geoffrey James Lambert Mandibular reposition device and coupling therefor
US10363160B2 (en) * 2013-05-03 2019-07-30 Resmed Sas Mandibular repositioning device
CN110769789A (en) * 2017-06-05 2020-02-07 奥托普拉斯实验室有限公司 Intraoral device for mandibular adjustment

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US10363160B2 (en) * 2013-05-03 2019-07-30 Resmed Sas Mandibular repositioning device
US20180153643A1 (en) * 2015-03-20 2018-06-07 Geoffrey James Lambert Mandibular reposition device and coupling therefor
CN110769789A (en) * 2017-06-05 2020-02-07 奥托普拉斯实验室有限公司 Intraoral device for mandibular adjustment

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