US20170196660A1 - Variable cross-sectioned orthodontic archwire equipped with integrated hook - Google Patents
Variable cross-sectioned orthodontic archwire equipped with integrated hook Download PDFInfo
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- US20170196660A1 US20170196660A1 US15/317,152 US201515317152A US2017196660A1 US 20170196660 A1 US20170196660 A1 US 20170196660A1 US 201515317152 A US201515317152 A US 201515317152A US 2017196660 A1 US2017196660 A1 US 2017196660A1
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- Prior art keywords
- archwire
- loop
- hook
- cross
- region
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C7/00—Orthodontics, i.e. obtaining or maintaining the desired position of teeth, e.g. by straightening, evening, regulating, separating, or by correcting malocclusions
- A61C7/12—Brackets; Arch wires; Combinations thereof; Accessories therefor
- A61C7/20—Arch wires
- A61C7/22—Tension adjusting means
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C7/00—Orthodontics, i.e. obtaining or maintaining the desired position of teeth, e.g. by straightening, evening, regulating, separating, or by correcting malocclusions
- A61C7/12—Brackets; Arch wires; Combinations thereof; Accessories therefor
- A61C7/20—Arch wires
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C7/00—Orthodontics, i.e. obtaining or maintaining the desired position of teeth, e.g. by straightening, evening, regulating, separating, or by correcting malocclusions
- A61C7/12—Brackets; Arch wires; Combinations thereof; Accessories therefor
- A61C7/28—Securing arch wire to bracket
Definitions
- the present invention relates to an orthodontic archwire. More particularly, the present invention relates to a customized archwire for loop or sliding technique.
- orthodontic therapy is to straighten crooked teeth by bonding brackets to the teeth and placing and ligating an archwire to slots of the brackets, wherein the teeth are corrected by retracting the teeth using a restoring force of the archwire or controlling torque of the archwire.
- a method for retracting six anterior teeth usually employs a loop technique or a sliding technique.
- the loop technique includes bending a portion of an archwire to form loops, ligating the archwire to brackets, and anchoring the hooks to the brackets by a ligating wire to produce a retraction force.
- FIG. 1 is a view illustrating a process of forming a loop according to the related art.
- a loop 1 ′ is formed by bending a portion of a wire 1 using a tool. If necessary, a wire hook 2 may be mounted to a portion of the wire beside the loop 1 ′.
- the wire is ligated to brackets 4 bonded to patient's teeth.
- FIG. 2A shows an early stage before the loop 1 ′ starts activation
- FIG. 2B shows an advanced stage in which retraction of the teeth is completed.
- the loop 1 ′ is supposed to be disposed at a center of both brackets. Actually, if the teeth are retracted by about 2 mm, the hook 2 abuts against the bracket 4 , so that the hook is not further retracted. As a result, the hook 2 already mounted should be removed from the wire, and a new hook should be mounted onto the wire beside the loop.
- FIG. 2C shows a new stage in which activation starts again after the hook 2 is mounted onto the wire.
- the wire hook 2 is commonly used even in the case of retracting the teeth by the sliding technique.
- the sliding technique includes ligating an orthodontic archwire to brackets and linking a closed coil spring or an elastic power chain to a hook to produce a retraction force.
- FIG. 3 shows a process of mounting a wire hook according to the related art.
- a hook 2 is mounted to a proper location of the archwire 1 , and a closed coil spring is linked to the hook 2 to produce a traction force.
- an object of the present invention is to provide an archwire which is formed integrally with hooks.
- Another object of the present invention is to provide an archwire with a varied cross-sectional structure along a region to maximize conformance of a retraction wire.
- the other object of the present invention is to provide an archwire capable of being customized by determining dimensions and kinds of a loop and a hook from coordinates of a space, from which a tooth is extracted, and bracket bonding locations which are figured out in advance from a setup model of patient's teeth.
- an archwire with a varied cross section which is formed integrally with a hook, the archwire including: a customized archwire body corresponding to a setup model of patient's teeth; and the hook which protrudes from one side of the archwire body.
- the hook is formed integrally with the archwire body, and the archwire body is formed in such a way that at least one region has a cross section different from that of other region.
- the hook has a width which is equal to or smaller than that of a slot of a bracket.
- the archwire body may be formed integrally with a loop.
- a cross-sectional area of the loop is variably determined corresponding to the setup model of the patient's teeth, and an interval between the loop and the hook is preferably within 2 mm.
- a location of each bracket is figured out from the setup model of the patient's teeth.
- the shape of the archwire is obtained from the data, and then a plate is formed to fabricate the archwire.
- the loop, the hook and the archwire are flush with each other by forming a plate.
- the customized archwire with the varied cross section is fabricated by bending the loop at about 70 to 90 degrees according to an oral cavity condition of the patient.
- a cross-sectional area of a posterior wire region of the archwire body may be configured to be larger than that of an anterior wire region.
- An inter-bracket region of the archwire body may have a cross-sectional area smaller than that of a portion which is ligated to the slot of the bracket.
- the archwire body may be formed integrally with a stop.
- the stop may further protrude from the slot of the bracket as the archwire body is ligated to the slot of the bracket.
- a portion of the stop protruding from the slot preferably has a T-shape, and one or more stops may be provided which protrude from the slots of the brackets for central incisor, lateral incisor or canine teeth.
- the stop is fixed by a ligating wire, and serves to limit horizontally sliding movement of the archwire body in the slot of the bracket.
- the archwire is made from Ti6Al4V-ELI material.
- the cross-sectional area or cross-sectional shape of the archwire is varied along the region, there is provided the archwire formed integrally with the loop, the hook or the stop.
- the customized archwire can be fabricated only by easily determining the thickness, the length and the kind of the loop and the hook based on bracket bonding positions which are figured out from the setup model of the patient's teeth, and coordinates of a tooth extracting space.
- FIG. 1 is a view illustrating a process of forming a loop according to the related art.
- FIG. 2 is a view illustrating a process of activating the loop according to the related art and a drawback thereof.
- FIG. 3 is a view illustrating a process of mounting a wire hook according to the related art.
- FIG. 4 is a view schematically illustrating an archwire with a varied cross section which is formed integrally with hooks according to one embodiment of the present invention.
- FIG. 5 is an enlarged view illustrating a loop and a hook of the archwire in FIG. 4 .
- FIG. 6 is an enlarged view illustrating a process of fabricating the archwire in FIG. 4 and a cross-sectional structure thereof.
- FIG. 7 is an enlarged view illustrating the archwire in FIG. 4 which is ligated to a slot of a bracket.
- FIG. 8 is a view illustrating examples of loops which can be applied to the present invention and cannot be applied to the present invention.
- FIG. 9 is a view schematically illustrating an archwire with a varied cross section which is formed integrally with hooks according to another embodiment of the present invention.
- FIG. 10 is a view illustrating the archwire in FIG. 9 which is ligated to slots of brackets.
- FIG. 11 is a view of a modified embodiment of the hook.
- An orthodontic archwire with a varied cross section which is formed integrally with hooks according to the present invention has a cross section varied along a region, contrary to an orthodontic archwire according to the related art.
- a loop, a hook or a stop can be formed by reducing a cross-sectional area of an inter-bracket region or varying a cross section of a desired region.
- cross-sectional area can be varied by dividing the wire into an anterior region and a posterior region.
- the present invention can be applied to a customized orthodontic appliance.
- the archwire according to the present invention is ligated to a customized bracket.
- the orthodontic archwire with the varied cross section according to the present invention is formed integrally with at least one hook.
- the orthodontic archwire has a rectangular wire of a rectangular cross-sectional structure, but a shape of the cross section of the archwire is varied along a region.
- the orthodontic archwire with a varied cross section which is formed integrally with hooks according to the present invention will now be described in detail with reference to FIGS. 4 to 8 .
- FIG. 4 is a view schematically illustrating the archwire with the varied cross section which is formed integrally with hooks according to one embodiment of the present invention.
- the embodiment of the present invention is provided with an integral loop which is further formed within a desired distance from the hook, and can be applied to loop technique.
- the archwire with the varied cross section which is formed integrally with the hooks according to the embodiment of the present invention at least one hook 120 and at least one loop 130 which are formed integrally with an archwire body 110 .
- FIG. 4 relates to a customized archwire which is fabricated in view of a position of a bracket for each tooth or the like, in particular, an archwire for lingual orthodontic treatment when seen from the hook 120 facing an internal direction.
- the orientation of the hook 120 is not limited, and, of course, the embodiment can be used as an archwire for buccolingual orthodontic treatment since the hook faces an external direction.
- the location of the loop 130 is determined according to a location of a tooth extracting space of a patient.
- a pair of loops 130 and a pair of hooks 120 are provided to be opposite to each other, but the locations are illustrated to help interesting.
- the hook 120 and the loop 130 can be provided at only one side, or the location can be changed, according to whether a tooth is extracted or not, or a location where a tooth is extracted.
- the loop 130 is formed in front of the tooth extracting space. If the loop is activated to retract the teeth, the tooth extracting space is closed. The loop 130 is positioned at the center between both brackets 4 .
- FIG. 7 shows the state in which the archwire is ligated to the bracket after the tooth is extracted, and it can be recognized that the loop 130 is positioned before the tooth extracting space.
- FIG. 5 is an enlarged view illustrating the loop and the hook of the archwire in FIG. 4 .
- the archwire body 110 includes a rectangular cross-sectional structure, and the hook 120 and the loop 130 protrude from any one side among four sides of the archwire body 110 .
- the hook 120 is arranged to be flush with the archwire body 110 , but the loop 130 is bent upwardly at an angle of about 70 to 90 degrees.
- FIG. 6 A process of fabricating the archwire with the varied cross section which is formed integrally with the hooks according to the embodiment of the present invention will be more clearly understood from FIG. 6 .
- FIG. 6 shows the shape of the archwire which is fabricated by shaping a plate of 0.18 inch in thickness.
- a setup model of a patient is made, and then is converted into 3D data, thereby setting a location of a bracket for each tooth.
- the location of the loop 130 is determined according to coordinates of the tooth extracting space. A kind of the loop 130 can be selected at this time.
- FIG. 6 is showed in the shape of a delta loop, but various shapes of loops can be used.
- FIG. 8 illustrates examples of loops which can be applied to the present invention and cannot be applied to the present invention.
- FIG. 8A shows the loops including a bull loop, an open vertical loop, an omega loop, and a key hole loop, in order from the left in the figure, as well as the delta loop in FIGS. 4 to 6 , which can be applied to the present invention.
- a height, a width and a thickness of the loop can be adjusted in order to impart a retraction force to the teeth when the wire is activated by 1 mm to 1.5 mm.
- the adjustment of the height, the width and the thickness can be determined by simulation using dedicated software, in view of a space in an oral cavity of the patient.
- an orthodontic wire of the related art is formed by manually bending a wire fabricated by a drawing method, it is not possible to adjust the thickness of the loop.
- the present invention can achieve the retraction force by adjusting the height or the thickness of the loop, while the width of the loop remains intact.
- the location and the kind of the hook 120 are set.
- the hook 120 is set to have a width equal to or smaller than a width of a slot of the bracket 4 .
- an interval between the hook 120 and the loop 130 is set within the range of 2 mm.
- the interval between the hook 120 and the loop 130 is designed not to exceed the half thereof.
- the orientation of the hook 120 can be changed according to the lingual orthodontic treatment or the buccolingual orthodontic treatment, and also can be changed according to the bending direction, i.e., inward bending or outward bending, of the loop 130 .
- the shape of the archwire body 110 is derived therefrom. Then, locations, sizes and kinds of the hooks 120 and the loops 130 provided on the archwire body 110 are determined according to the tooth extraction and the location of the tooth extraction, and the shape as shown in FIG. 6 is shaped from a plate by electric discharge machining or laser machining.
- the customized archwire is fabricated, as illustrated in FIG. 4 , by bending the loop 130 in FIG. 5 .
- the archwire with the varied cross section which is formed integrally with the hooks according to the present invention has the cross-sectional shape varied along the region, as well as having the loops and stops which are formed integrally with the wire, the archwire cannot be fabricated by the drawing or extrusion method, but can be fabricated by the electric discharge machining or the laser machining.
- TMA titanium molybdenum alloy
- Ti6Al4V-ELI which is a kind of titanium alloys can be used in order to solve the above problem of the high frictional resistance, as well as being capable of being shaped from a plate.
- Ti6Al4V-ELI is not used as a material for the orthodontic wire. However, it is proved that the material is suitable for the orthodontic archwire with the varied cross-sectional structure according to the present invention, because of the easy machining and the high compatibility with a human body.
- Ti6Al4V-ELI has stiffness of about 0.56, which corresponds to a middle level between Nitinol of 0.17 and stainless steel of 1.
- the archwire with the varied cross section which is formed integrally with the hooks according to the present invention can be fabricated by forming a metal plate made of Ti6Al4V-ELI having a desired thickness (e.g., 0.018 inch). Since the loop 130 is not formed by manually bending the wire, it cannot be applied to an overlapped loop (multi-loop).
- FIG. 8B shows the loops including a closed helix loop, a double-delta closing loop, a closed horizontal loop, and closed T loop in order from the left in the figure.
- Any loop which is not overlapped and can be fabricated by forming the plate can be applied to the archwire with the varied cross section which is formed integrally with the hooks according to the present invention. However, if there is an overlapped region, it cannot be applied to the present invention.
- FIG. 7 shows the archwire according to the embodiment which is ligated to the slot of the bracket and is activated.
- FIG. 7 illustrates the state in which the archwire with the varied cross section which is formed integrally with the hooks according to the present invention is ligated to the brackets 4 , and it can be recognized that the loop 130 is positioned in front of the tooth extracting region.
- the archwire body 110 has a height of 0.018 inch which is equal to that of the slot of the bracket 4 , and a width which is equal to or slightly larger than that of the slot of the bracket 4 .
- the archwire body 110 can have the width of 0.029 inch or 0.035 inch along the region, as illustrated in FIG. 6 .
- the hook 120 has a height of 0.018 inch which is equal to that of the slot of the bracket 4 , so that the hook 120 does not abut against the slot of the bracket 4 for molar teeth in the process of retracting the anterior teeth.
- the loop 120 and the hook 130 can be formed to have a sufficient small size, thereby solving a problem in that whenever the teeth are retracted by about 1 to 2 mm, the hook should be detached and mounted onto the wire.
- the archwire with the varied cross section which is formed integrally with the hooks according to the present invention may include a stop 140 protruding from one side of the archwire body 110 , as illustrated in FIG. 7 .
- the stop 140 may further protrude from the slot of the bracket, as the archwire body 110 is ligated to the slot of the bracket.
- the portion protruding from the slot may be formed of a T-shape, as illustrated in FIG. 7 .
- the stop 140 may be provided at a position corresponding to the slot of the bracket for central incisor, lateral incisor or canine so as to further protrude from the slot of interest.
- One or more stops may be provided on the wire.
- the stop 140 is fixed by a ligating wire, as illustrated in FIG. 7 , and serves to limit horizontally sliding movement of the archwire body 110 in the slot of the bracket.
- the stop 140 is formed integrally with the archwire body 110 .
- the archwire in FIGS. 4 to 7 is customized for the lingual orthodontic treatment.
- the portion ligated to the slot of the bracket 4 has the same size (e.g., 0.018 inch in height and 0.025 inch in width) as that of the slot so that the portion can be interference-fitted into the slot.
- the cross-sectional area of the region between the brackets it is possible to allow the cross-sectional area of the region between the brackets to have the size smaller than the above size.
- the width of the inter-bracket region can be set to 0.018 inch, while the height is fixed to 0.018 inch.
- the wire can be designed to have the above size since the bracket ligating position can be figured out in advance through the setup model of the patient.
- the archwire body 110 may be formed such that an anterior wire region 111 and a posterior wire region 112 have a different cross-sectional area on the basis of the loop 130 .
- the cross-sectional area of the posterior wire region 112 can be increased by setting the width of the anterior wire region 111 to 0.029 inch and the width of the posterior wire region 112 to 0.035 inch while the height is fixed to 0.018 inch.
- the loop may not support the force and thus be bent.
- the archwire is formed integrally with the hook, and can be applied to the sliding technique.
- FIG. 9 is a view schematically illustrating an archwire with a varied cross section which is formed integrally with hooks according to another embodiment of the present invention.
- the archwire body 110 is provided with the hook 120 on one side thereof.
- the archwire body 110 may be divided into an anterior region and a posterior region.
- the archwire body 110 is divided into a portion which is ligated to posterior brackets, and a portion which is ligated to anterior brackets.
- the cross-sectional area of the posterior wire region 112 can be set to be larger than that of the anterior wire region 111 .
- FIG. 10 is a view illustrating the archwire in FIG. 9 which is ligated to the slots of the brackets.
- the hook 120 faces upward, contrary to the embodiment illustrated in FIG. 7 .
- An angle or location of the hook 120 may be optionally selected, and the embodiment in FIG. 10 corresponds to an example of the hook 120 commonly used for the sliding technique.
- FIG. 11 is a view of a modified embodiment of the hook.
- the hook 120 is ligated and tightened with a ligating wire to activate the loop 130 , and a shape or size of the hook is not limited.
- FIG. 11 Various shapes of hooks in FIG. 11 can be used.
- the hook is bent, as illustrated in FIG. 11D , to minimize feeling of irritation and discomfort within the narrow space of the oral cavity.
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Abstract
Disclosed is an archwire with a varied cross section which is formed integrally with a hook. The archwire includes a customized archwire body corresponding to a setup model of patient's teeth, and the hook which is formed integrally with the archwire body. The archwire body is formed in such a way that at least one region has a cross section different from that of other region.
Description
- The present invention relates to an orthodontic archwire. More particularly, the present invention relates to a customized archwire for loop or sliding technique.
- In general, orthodontic therapy is to straighten crooked teeth by bonding brackets to the teeth and placing and ligating an archwire to slots of the brackets, wherein the teeth are corrected by retracting the teeth using a restoring force of the archwire or controlling torque of the archwire.
- A method for retracting six anterior teeth usually employs a loop technique or a sliding technique.
- The loop technique includes bending a portion of an archwire to form loops, ligating the archwire to brackets, and anchoring the hooks to the brackets by a ligating wire to produce a retraction force.
-
FIG. 1 is a view illustrating a process of forming a loop according to the related art. - Referring to
FIG. 1 , aloop 1′ is formed by bending a portion of awire 1 using a tool. If necessary, awire hook 2 may be mounted to a portion of the wire beside theloop 1′. - And then, as illustrated in
FIG. 2 , the wire is ligated tobrackets 4 bonded to patient's teeth. - Finally, the
hook 2 is ligated to the brackets by other ligatingwire 3. -
FIG. 2A shows an early stage before theloop 1′ starts activation, andFIG. 2B shows an advanced stage in which retraction of the teeth is completed. - If the activation is completed, the
loop 1′ is supposed to be disposed at a center of both brackets. Actually, if the teeth are retracted by about 2 mm, thehook 2 abuts against thebracket 4, so that the hook is not further retracted. As a result, thehook 2 already mounted should be removed from the wire, and a new hook should be mounted onto the wire beside the loop. -
FIG. 2C shows a new stage in which activation starts again after thehook 2 is mounted onto the wire. - The
wire hook 2 is commonly used even in the case of retracting the teeth by the sliding technique. - The sliding technique includes ligating an orthodontic archwire to brackets and linking a closed coil spring or an elastic power chain to a hook to produce a retraction force.
-
FIG. 3 shows a process of mounting a wire hook according to the related art. - Referring to
FIG. 3 , ahook 2 is mounted to a proper location of thearchwire 1, and a closed coil spring is linked to thehook 2 to produce a traction force. - Since the hook is mounted to the archwire by hands, the degree of precision is lowered. In particular, since a lower end of the hook is fastened to the wire, there is a drawback in that a volume of the archwire is significantly increased.
- In particular, the above drawback is remarkable in the case of lingual orthodontic treatment in which a space is limited.
- Accordingly, the present invention has been made in view of the above-mentioned problems occurring in the related art, and an object of the present invention is to provide an archwire which is formed integrally with hooks.
- Another object of the present invention is to provide an archwire with a varied cross-sectional structure along a region to maximize conformance of a retraction wire.
- The other object of the present invention is to provide an archwire capable of being customized by determining dimensions and kinds of a loop and a hook from coordinates of a space, from which a tooth is extracted, and bracket bonding locations which are figured out in advance from a setup model of patient's teeth.
- To accomplish the above-mentioned objects, according to one aspect of the present invention, there is provided an archwire with a varied cross section which is formed integrally with a hook, the archwire including: a customized archwire body corresponding to a setup model of patient's teeth; and the hook which protrudes from one side of the archwire body.
- The hook is formed integrally with the archwire body, and the archwire body is formed in such a way that at least one region has a cross section different from that of other region.
- Preferably, the hook has a width which is equal to or smaller than that of a slot of a bracket.
- The archwire body may be formed integrally with a loop.
- A cross-sectional area of the loop is variably determined corresponding to the setup model of the patient's teeth, and an interval between the loop and the hook is preferably within 2 mm.
- In the archwire with the varied cross section which is formed integrally with the hook according to the present invention, a location of each bracket is figured out from the setup model of the patient's teeth. The shape of the archwire is obtained from the data, and then a plate is formed to fabricate the archwire.
- As a result, the loop, the hook and the archwire are flush with each other by forming a plate. In this instance, the customized archwire with the varied cross section is fabricated by bending the loop at about 70 to 90 degrees according to an oral cavity condition of the patient.
- In order to improve conformance of a retraction wire, a cross-sectional area of a posterior wire region of the archwire body may be configured to be larger than that of an anterior wire region.
- An inter-bracket region of the archwire body may have a cross-sectional area smaller than that of a portion which is ligated to the slot of the bracket.
- The archwire body may be formed integrally with a stop.
- The stop may further protrude from the slot of the bracket as the archwire body is ligated to the slot of the bracket.
- A portion of the stop protruding from the slot preferably has a T-shape, and one or more stops may be provided which protrude from the slots of the brackets for central incisor, lateral incisor or canine teeth.
- The stop is fixed by a ligating wire, and serves to limit horizontally sliding movement of the archwire body in the slot of the bracket.
- Preferably, the archwire is made from Ti6Al4V-ELI material.
- With the above configuration of according to the present invention, since the cross-sectional area or cross-sectional shape of the archwire is varied along the region, there is provided the archwire formed integrally with the loop, the hook or the stop.
- Therefore, the customized archwire can be fabricated only by easily determining the thickness, the length and the kind of the loop and the hook based on bracket bonding positions which are figured out from the setup model of the patient's teeth, and coordinates of a tooth extracting space.
- Further, it is possible to solve a problem of loop technique in that since the hook abuts against the bracket, teeth cannot be further retracted, and to prevent the archwire from being released from the slot.
-
FIG. 1 is a view illustrating a process of forming a loop according to the related art. -
FIG. 2 is a view illustrating a process of activating the loop according to the related art and a drawback thereof. -
FIG. 3 is a view illustrating a process of mounting a wire hook according to the related art. -
FIG. 4 is a view schematically illustrating an archwire with a varied cross section which is formed integrally with hooks according to one embodiment of the present invention. -
FIG. 5 is an enlarged view illustrating a loop and a hook of the archwire inFIG. 4 . -
FIG. 6 is an enlarged view illustrating a process of fabricating the archwire inFIG. 4 and a cross-sectional structure thereof. -
FIG. 7 is an enlarged view illustrating the archwire inFIG. 4 which is ligated to a slot of a bracket. -
FIG. 8 is a view illustrating examples of loops which can be applied to the present invention and cannot be applied to the present invention. -
FIG. 9 is a view schematically illustrating an archwire with a varied cross section which is formed integrally with hooks according to another embodiment of the present invention. -
FIG. 10 is a view illustrating the archwire inFIG. 9 which is ligated to slots of brackets. -
FIG. 11 is a view of a modified embodiment of the hook. - Hereinafter, preferred embodiments of the present invention will now be described in detail with reference to the attached drawings, in which like reference numbers denote corresponding parts throughout the drawings.
- The terms “comprising” and “including” in the discussion directed to the present invention and the claims are used in an open-ended fashion and thus should be interrupted to mean “including”, but not limited thereto.
- An orthodontic archwire with a varied cross section which is formed integrally with hooks according to the present invention has a cross section varied along a region, contrary to an orthodontic archwire according to the related art.
- For example, a loop, a hook or a stop can be formed by reducing a cross-sectional area of an inter-bracket region or varying a cross section of a desired region.
- In addition, the cross-sectional area can be varied by dividing the wire into an anterior region and a posterior region.
- To this end, since a location of a bracket ligating portion should be determined in advance, the present invention can be applied to a customized orthodontic appliance. Preferably, the archwire according to the present invention is ligated to a customized bracket.
- The orthodontic archwire with the varied cross section according to the present invention is formed integrally with at least one hook. Preferably, the orthodontic archwire has a rectangular wire of a rectangular cross-sectional structure, but a shape of the cross section of the archwire is varied along a region.
- The orthodontic archwire with a varied cross section which is formed integrally with hooks according to the present invention will now be described in detail with reference to
FIGS. 4 to 8 . -
FIG. 4 is a view schematically illustrating the archwire with the varied cross section which is formed integrally with hooks according to one embodiment of the present invention. - The embodiment of the present invention is provided with an integral loop which is further formed within a desired distance from the hook, and can be applied to loop technique.
- Referring to
FIG. 4 , the archwire with the varied cross section which is formed integrally with the hooks according to the embodiment of the present invention at least onehook 120 and at least oneloop 130 which are formed integrally with anarchwire body 110. - The embodiment shown in
FIG. 4 relates to a customized archwire which is fabricated in view of a position of a bracket for each tooth or the like, in particular, an archwire for lingual orthodontic treatment when seen from thehook 120 facing an internal direction. - The orientation of the
hook 120 is not limited, and, of course, the embodiment can be used as an archwire for buccolingual orthodontic treatment since the hook faces an external direction. - The location of the
loop 130 is determined according to a location of a tooth extracting space of a patient. - In the embodiment in
FIG. 4 , a pair ofloops 130 and a pair ofhooks 120 are provided to be opposite to each other, but the locations are illustrated to help interesting. Thehook 120 and theloop 130 can be provided at only one side, or the location can be changed, according to whether a tooth is extracted or not, or a location where a tooth is extracted. - Preferably, the
loop 130 is formed in front of the tooth extracting space. If the loop is activated to retract the teeth, the tooth extracting space is closed. Theloop 130 is positioned at the center between bothbrackets 4. -
FIG. 7 shows the state in which the archwire is ligated to the bracket after the tooth is extracted, and it can be recognized that theloop 130 is positioned before the tooth extracting space. -
FIG. 5 is an enlarged view illustrating the loop and the hook of the archwire inFIG. 4 . - Referring to
FIG. 5 , thearchwire body 110 includes a rectangular cross-sectional structure, and thehook 120 and theloop 130 protrude from any one side among four sides of thearchwire body 110. - The
hook 120 is arranged to be flush with thearchwire body 110, but theloop 130 is bent upwardly at an angle of about 70 to 90 degrees. - A process of fabricating the archwire with the varied cross section which is formed integrally with the hooks according to the embodiment of the present invention will be more clearly understood from
FIG. 6 . -
FIG. 6 shows the shape of the archwire which is fabricated by shaping a plate of 0.18 inch in thickness. - First, a setup model of a patient is made, and then is converted into 3D data, thereby setting a location of a bracket for each tooth.
- The location of the
loop 130 is determined according to coordinates of the tooth extracting space. A kind of theloop 130 can be selected at this time. - The example in
FIG. 6 is showed in the shape of a delta loop, but various shapes of loops can be used. -
FIG. 8 illustrates examples of loops which can be applied to the present invention and cannot be applied to the present invention. -
FIG. 8A shows the loops including a bull loop, an open vertical loop, an omega loop, and a key hole loop, in order from the left in the figure, as well as the delta loop inFIGS. 4 to 6 , which can be applied to the present invention. - After the kind of the loop is determined, a height, a width and a thickness of the loop can be adjusted in order to impart a retraction force to the teeth when the wire is activated by 1 mm to 1.5 mm.
- The adjustment of the height, the width and the thickness can be determined by simulation using dedicated software, in view of a space in an oral cavity of the patient.
- If a sufficient force cannot be obtained due to the narrow space, it can be compensated by increasing the thickness of the loop.
- Since an orthodontic wire of the related art is formed by manually bending a wire fabricated by a drawing method, it is not possible to adjust the thickness of the loop. The present invention can achieve the retraction force by adjusting the height or the thickness of the loop, while the width of the loop remains intact.
- After the kind, the height and the thickness of the
loop 130 are determined, the location and the kind of thehook 120 are set. Preferably, thehook 120 is set to have a width equal to or smaller than a width of a slot of thebracket 4. - Preferably, an interval between the
hook 120 and theloop 130 is set within the range of 2 mm. - Since a common interval between the brackets is about 4 mm, the interval between the
hook 120 and theloop 130 is designed not to exceed the half thereof. - The orientation of the
hook 120 can be changed according to the lingual orthodontic treatment or the buccolingual orthodontic treatment, and also can be changed according to the bending direction, i.e., inward bending or outward bending, of theloop 130. - After the location of the bracket is determined on the basis of the setup model of the patient, the shape of the
archwire body 110 is derived therefrom. Then, locations, sizes and kinds of thehooks 120 and theloops 130 provided on thearchwire body 110 are determined according to the tooth extraction and the location of the tooth extraction, and the shape as shown inFIG. 6 is shaped from a plate by electric discharge machining or laser machining. - Finally, the customized archwire is fabricated, as illustrated in
FIG. 4 , by bending theloop 130 inFIG. 5 . - Since the archwire with the varied cross section which is formed integrally with the hooks according to the present invention has the cross-sectional shape varied along the region, as well as having the loops and stops which are formed integrally with the wire, the archwire cannot be fabricated by the drawing or extrusion method, but can be fabricated by the electric discharge machining or the laser machining.
- Therefore, a material or a fabricating process should be considered.
- A titanium molybdenum alloy (TMA) among materials for the orthodontic wires according to the related art is suitable for other materials, but there is a drawback in that frictional resistance is high when retracting the teeth.
- Preferably, Ti6Al4V-ELI which is a kind of titanium alloys can be used in order to solve the above problem of the high frictional resistance, as well as being capable of being shaped from a plate.
- Ti6Al4V-ELI is not used as a material for the orthodontic wire. However, it is proved that the material is suitable for the orthodontic archwire with the varied cross-sectional structure according to the present invention, because of the easy machining and the high compatibility with a human body.
- Ti6Al4V-ELI has stiffness of about 0.56, which corresponds to a middle level between Nitinol of 0.17 and stainless steel of 1.
- Preferably, the archwire with the varied cross section which is formed integrally with the hooks according to the present invention can be fabricated by forming a metal plate made of Ti6Al4V-ELI having a desired thickness (e.g., 0.018 inch). Since the
loop 130 is not formed by manually bending the wire, it cannot be applied to an overlapped loop (multi-loop). - For example, the kinds of loops illustrated in
FIG. 8B cannot be applied to the present invention. -
FIG. 8B shows the loops including a closed helix loop, a double-delta closing loop, a closed horizontal loop, and closed T loop in order from the left in the figure. - Any loop which is not overlapped and can be fabricated by forming the plate can be applied to the archwire with the varied cross section which is formed integrally with the hooks according to the present invention. However, if there is an overlapped region, it cannot be applied to the present invention.
-
FIG. 7 shows the archwire according to the embodiment which is ligated to the slot of the bracket and is activated. -
FIG. 7 illustrates the state in which the archwire with the varied cross section which is formed integrally with the hooks according to the present invention is ligated to thebrackets 4, and it can be recognized that theloop 130 is positioned in front of the tooth extracting region. - As illustrated in the enlarged view of
FIG. 7 , thearchwire body 110 has a height of 0.018 inch which is equal to that of the slot of thebracket 4, and a width which is equal to or slightly larger than that of the slot of thebracket 4. - For example, the
archwire body 110 can have the width of 0.029 inch or 0.035 inch along the region, as illustrated inFIG. 6 . - The
hook 120 has a height of 0.018 inch which is equal to that of the slot of thebracket 4, so that thehook 120 does not abut against the slot of thebracket 4 for molar teeth in the process of retracting the anterior teeth. - The
loop 120 and thehook 130 can be formed to have a sufficient small size, thereby solving a problem in that whenever the teeth are retracted by about 1 to 2 mm, the hook should be detached and mounted onto the wire. - Also, the archwire with the varied cross section which is formed integrally with the hooks according to the present invention may include a
stop 140 protruding from one side of thearchwire body 110, as illustrated inFIG. 7 . - The
stop 140 may further protrude from the slot of the bracket, as thearchwire body 110 is ligated to the slot of the bracket. - The portion protruding from the slot may be formed of a T-shape, as illustrated in
FIG. 7 . - The
stop 140 may be provided at a position corresponding to the slot of the bracket for central incisor, lateral incisor or canine so as to further protrude from the slot of interest. One or more stops may be provided on the wire. - The
stop 140 is fixed by a ligating wire, as illustrated inFIG. 7 , and serves to limit horizontally sliding movement of thearchwire body 110 in the slot of the bracket. - The
stop 140 is formed integrally with thearchwire body 110. - Referring back to
FIG. 6 , the design of the cross section to improve conformance of the archwire will now be described. - The archwire in
FIGS. 4 to 7 is customized for the lingual orthodontic treatment. In order to maintain the retraction force at the lingual orthodontic treatment which is limited to the narrow space and also provide the wire with proper resilience, the portion ligated to the slot of thebracket 4 has the same size (e.g., 0.018 inch in height and 0.025 inch in width) as that of the slot so that the portion can be interference-fitted into the slot. However, it is possible to allow the cross-sectional area of the region between the brackets to have the size smaller than the above size. - For example, the width of the inter-bracket region can be set to 0.018 inch, while the height is fixed to 0.018 inch.
- The wire can be designed to have the above size since the bracket ligating position can be figured out in advance through the setup model of the patient.
- The
archwire body 110 may be formed such that ananterior wire region 111 and aposterior wire region 112 have a different cross-sectional area on the basis of theloop 130. - For example, as illustrated in
FIG. 6 , the cross-sectional area of theposterior wire region 112 can be increased by setting the width of theanterior wire region 111 to 0.029 inch and the width of theposterior wire region 112 to 0.035 inch while the height is fixed to 0.018 inch. - If a rear portion of the
loop 130 is extended, the loop may not support the force and thus be bent. - It is known that a load deflection rate of the wire with a loop formed thereon is in inverse proportion to a cube of a length.
- By increasing the cross-sectional area of the
posterior wire region 112 which is positioned at the rear of theanterior wire region 112 corresponding to the front of theloop 130, it is possible to prevent the rear portion of theloop 130 from being bent. - Now, the configuration of an archwire with a varied cross section which is formed integrally with hooks according to another embodiment of the present invention will be described with reference to
FIGS. 9 to 11 . - According to this embodiment, the archwire is formed integrally with the hook, and can be applied to the sliding technique.
-
FIG. 9 is a view schematically illustrating an archwire with a varied cross section which is formed integrally with hooks according to another embodiment of the present invention. - Referring to
FIG. 9 , thearchwire body 110 is provided with thehook 120 on one side thereof. - The fabricating method and the material have been described above.
- In order to improve the conformance of the retraction wire, the
archwire body 110 may be divided into an anterior region and a posterior region. - Since a bonding location of each bracket can be figured out in advance from the setup model of the patient's teeth, the
archwire body 110 is divided into a portion which is ligated to posterior brackets, and a portion which is ligated to anterior brackets. - The cross-sectional area of the
posterior wire region 112 can be set to be larger than that of theanterior wire region 111. - With the above configuration, it is possible to impart the sufficient retraction force to the teeth when the central incisor is retracted in a rearward direction, and the resilience of the
anterior wire region 111 can be maintained. -
FIG. 10 is a view illustrating the archwire inFIG. 9 which is ligated to the slots of the brackets. - The
hook 120 faces upward, contrary to the embodiment illustrated inFIG. 7 . An angle or location of thehook 120 may be optionally selected, and the embodiment inFIG. 10 corresponds to an example of thehook 120 commonly used for the sliding technique. -
FIG. 11 is a view of a modified embodiment of the hook. - The
hook 120 is ligated and tightened with a ligating wire to activate theloop 130, and a shape or size of the hook is not limited. - Various shapes of hooks in
FIG. 11 can be used. - In particular, when the archwire is used for the sliding technique, the hook is bent, as illustrated in
FIG. 11D , to minimize feeling of irritation and discomfort within the narrow space of the oral cavity. - The technical thoughts of the present invention have been described hereinafter.
- It is to be appreciated that those skilled in the art can change or modify the embodiments from the above description.
- Although it is not clearly illustrated or described herein, it is to be appreciated that those skilled in the art can change or modify the embodiments from the above description without departing from the scope and spirit of the present invention. While the present invention has been described with reference to the particular illustrative embodiments, it is not to be restricted by the embodiments but only by the appended claims.
Claims (9)
1. An archwire with a varied cross section which is formed integrally with a hook, the archwire comprising:
a customized archwire body corresponding to a setup model of patient's teeth; and
the hook which is formed integrally with the archwire body,
wherein the archwire body is formed in such a way that at least one region has a cross section different from that of other region.
2. The archwire with the varied cross section according to claim 1 , wherein the hook has a height which is equal to or smaller than that of a slot of a bracket.
3. The archwire with the varied cross section according to claim 1 , wherein an inter-bracket region of the archwire body has a cross-sectional area smaller than that of a portion which is ligated to a slot of a bracket.
4. The archwire with the varied cross section according to claim 1 , further comprising a loop which is formed within a desired distance from the hook, wherein the loop is formed integrally with the archwire body.
5. The archwire with the varied cross section according to claim 4 , wherein the loop, the hook and the archwire are flush with each other by forming a plate, and
the loop is bent at a desired angle.
6. The archwire with the varied cross section according to claim 4 , wherein the archwire body is divided into a posterior wire region and an anterior wire region, and a cross-sectional area of the posterior wire region is larger than that of the anterior wire region.
7. The archwire with the varied cross section according to claim 4 , wherein the cross-sectional area of the loop is variably determined corresponding to the setup model of the patient's teeth.
8. The archwire with the varied cross section according to claim 4 , further comprising a stop which is provided at a portion ligating to a slot of a bracket to further protrude from the slot, wherein the stop is formed integrally with the archwire body.
9. The archwire with the varied cross section according to claim 1 , wherein the archwire is made from Ti6Al4V-ELI material.
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
KR10-2015-0096277 | 2015-07-07 | ||
KR1020150096277A KR101658320B1 (en) | 2015-07-07 | 2015-07-07 | variable cross-sectioned orthodontic archwire equipped with integrated hook |
PCT/KR2015/012398 WO2017007079A1 (en) | 2015-07-07 | 2015-11-18 | Variable cross-sectioned archwire having integrated hook |
Related Parent Applications (1)
Application Number | Title | Priority Date | Filing Date |
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PCT/KR2015/012398 A-371-Of-International WO2017007079A1 (en) | 2015-07-07 | 2015-11-18 | Variable cross-sectioned archwire having integrated hook |
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Application Number | Title | Priority Date | Filing Date |
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US15/946,984 Continuation US10179036B2 (en) | 2015-07-07 | 2018-04-06 | Variable cross-sectioned orthodontic archwire equipped with integrated hook |
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Publication Number | Publication Date |
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US20170196660A1 true US20170196660A1 (en) | 2017-07-13 |
Family
ID=57102285
Family Applications (2)
Application Number | Title | Priority Date | Filing Date |
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US15/317,152 Abandoned US20170196660A1 (en) | 2015-07-07 | 2015-11-18 | Variable cross-sectioned orthodontic archwire equipped with integrated hook |
US15/946,984 Expired - Fee Related US10179036B2 (en) | 2015-07-07 | 2018-04-06 | Variable cross-sectioned orthodontic archwire equipped with integrated hook |
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Application Number | Title | Priority Date | Filing Date |
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US15/946,984 Expired - Fee Related US10179036B2 (en) | 2015-07-07 | 2018-04-06 | Variable cross-sectioned orthodontic archwire equipped with integrated hook |
Country Status (6)
Country | Link |
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US (2) | US20170196660A1 (en) |
EP (1) | EP3320876A4 (en) |
JP (1) | JP2018519088A (en) |
KR (1) | KR101658320B1 (en) |
CN (1) | CN107949340A (en) |
WO (1) | WO2017007079A1 (en) |
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US20180185120A1 (en) * | 2015-09-01 | 2018-07-05 | Suzanne Wool | Crimpable Retraction Loop |
US10219877B2 (en) | 2012-10-30 | 2019-03-05 | University Of Southern California | Orthodontic appliance with snap fitted, non-sliding archwire |
US20200146780A1 (en) * | 2018-11-12 | 2020-05-14 | Yi-Wen Chen | Dental traction device |
US10828133B2 (en) | 2016-12-02 | 2020-11-10 | Swift Health Systems Inc. | Indirect orthodontic bonding systems and methods for bracket placement |
US10881489B2 (en) | 2017-01-31 | 2021-01-05 | Swift Health Systems Inc. | Hybrid orthodontic archwires |
US11058517B2 (en) | 2017-04-21 | 2021-07-13 | Swift Health Systems Inc. | Indirect bonding trays, non-sliding orthodontic appliances, and registration systems for use thereof |
US11612458B1 (en) | 2017-03-31 | 2023-03-28 | Swift Health Systems Inc. | Method of tongue preconditioning in preparation for lingual orthodontic treatment |
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CN109223209A (en) * | 2018-10-23 | 2019-01-18 | 贺家富 | Correction moving teeth device and application method |
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- 2015-11-18 CN CN201580081499.6A patent/CN107949340A/en active Pending
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US11517405B2 (en) | 2012-10-30 | 2022-12-06 | University Of Southern California | Orthodontic appliance with snap fitted, non-sliding archwire |
US11510758B2 (en) | 2012-10-30 | 2022-11-29 | University Of Southern California | Orthodontic appliance with snap fitted, non-sliding archwire |
US11058520B2 (en) | 2012-10-30 | 2021-07-13 | University Of Southern California | Orthodontic appliance with snap fitted, non-sliding archwire |
US10219877B2 (en) | 2012-10-30 | 2019-03-05 | University Of Southern California | Orthodontic appliance with snap fitted, non-sliding archwire |
US11129696B2 (en) | 2012-10-30 | 2021-09-28 | University Of Southern California | Orthodontic appliance with snap fitted, non-sliding archwire |
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US10226312B2 (en) | 2012-10-30 | 2019-03-12 | University Of Southern California | Orthodontic appliance with snap fitted, non-sliding archwire |
US20180185120A1 (en) * | 2015-09-01 | 2018-07-05 | Suzanne Wool | Crimpable Retraction Loop |
US10278792B2 (en) * | 2015-09-01 | 2019-05-07 | Suzanne Wool | Crimpable retraction loop |
US11612459B2 (en) | 2016-12-02 | 2023-03-28 | Swift Health Systems Inc. | Indirect orthodontic bonding systems and methods for bracket placement |
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US10828133B2 (en) | 2016-12-02 | 2020-11-10 | Swift Health Systems Inc. | Indirect orthodontic bonding systems and methods for bracket placement |
US10881489B2 (en) | 2017-01-31 | 2021-01-05 | Swift Health Systems Inc. | Hybrid orthodontic archwires |
US11957536B2 (en) | 2017-01-31 | 2024-04-16 | Swift Health Systems Inc. | Hybrid orthodontic archwires |
US11612458B1 (en) | 2017-03-31 | 2023-03-28 | Swift Health Systems Inc. | Method of tongue preconditioning in preparation for lingual orthodontic treatment |
US11058517B2 (en) | 2017-04-21 | 2021-07-13 | Swift Health Systems Inc. | Indirect bonding trays, non-sliding orthodontic appliances, and registration systems for use thereof |
US20200146780A1 (en) * | 2018-11-12 | 2020-05-14 | Yi-Wen Chen | Dental traction device |
Also Published As
Publication number | Publication date |
---|---|
EP3320876A1 (en) | 2018-05-16 |
US20180221112A1 (en) | 2018-08-09 |
JP2018519088A (en) | 2018-07-19 |
US10179036B2 (en) | 2019-01-15 |
WO2017007079A1 (en) | 2017-01-12 |
CN107949340A (en) | 2018-04-20 |
EP3320876A4 (en) | 2019-01-30 |
KR101658320B1 (en) | 2016-09-20 |
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