BR102017015024A2 - mandibular advancement device for the treatment of snoring and obstructive sleep apnea - confort sleep - Google Patents
mandibular advancement device for the treatment of snoring and obstructive sleep apnea - confort sleep Download PDFInfo
- Publication number
- BR102017015024A2 BR102017015024A2 BR102017015024-0A BR102017015024A BR102017015024A2 BR 102017015024 A2 BR102017015024 A2 BR 102017015024A2 BR 102017015024 A BR102017015024 A BR 102017015024A BR 102017015024 A2 BR102017015024 A2 BR 102017015024A2
- Authority
- BR
- Brazil
- Prior art keywords
- treatment
- snoring
- mandibular advancement
- sleep
- advancement device
- Prior art date
Links
- 208000001797 obstructive sleep apnea Diseases 0.000 title claims abstract description 5
- 206010041235 Snoring Diseases 0.000 title abstract description 7
- PXHVJJICTQNCMI-UHFFFAOYSA-N Nickel Chemical compound [Ni] PXHVJJICTQNCMI-UHFFFAOYSA-N 0.000 claims description 4
- NIXOWILDQLNWCW-UHFFFAOYSA-N acrylic acid group Chemical group C(C=C)(=O)O NIXOWILDQLNWCW-UHFFFAOYSA-N 0.000 claims description 3
- VYZAMTAEIAYCRO-UHFFFAOYSA-N Chromium Chemical compound [Cr] VYZAMTAEIAYCRO-UHFFFAOYSA-N 0.000 claims description 2
- 229910000684 Cobalt-chrome Inorganic materials 0.000 claims description 2
- 210000004763 bicuspid Anatomy 0.000 claims description 2
- 239000010952 cobalt-chrome Substances 0.000 claims description 2
- 229910052759 nickel Inorganic materials 0.000 claims description 2
- WAIPAZQMEIHHTJ-UHFFFAOYSA-N [Cr].[Co] Chemical compound [Cr].[Co] WAIPAZQMEIHHTJ-UHFFFAOYSA-N 0.000 claims 1
- 208000008784 apnea Diseases 0.000 abstract description 4
- 201000002859 sleep apnea Diseases 0.000 abstract description 4
- 206010047700 Vomiting Diseases 0.000 abstract description 3
- 229910001092 metal group alloy Inorganic materials 0.000 abstract description 3
- 239000002184 metal Substances 0.000 description 4
- 229910052751 metal Inorganic materials 0.000 description 4
- 238000005498 polishing Methods 0.000 description 2
- 230000000750 progressive effect Effects 0.000 description 2
- 239000004925 Acrylic resin Substances 0.000 description 1
- 229920000178 Acrylic resin Polymers 0.000 description 1
- 208000000112 Myalgia Diseases 0.000 description 1
- 235000009508 confectionery Nutrition 0.000 description 1
- 230000003247 decreasing effect Effects 0.000 description 1
- 210000002455 dental arch Anatomy 0.000 description 1
- 229920001971 elastomer Polymers 0.000 description 1
- 210000004373 mandible Anatomy 0.000 description 1
- 239000000463 material Substances 0.000 description 1
- 210000003205 muscle Anatomy 0.000 description 1
- 208000013465 muscle pain Diseases 0.000 description 1
- 230000002232 neuromuscular Effects 0.000 description 1
- 230000000414 obstructive effect Effects 0.000 description 1
- 210000003300 oropharynx Anatomy 0.000 description 1
- 239000011505 plaster Substances 0.000 description 1
- 230000001737 promoting effect Effects 0.000 description 1
- 239000005060 rubber Substances 0.000 description 1
- 210000001584 soft palate Anatomy 0.000 description 1
- 238000004448 titration Methods 0.000 description 1
- 210000002396 uvula Anatomy 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
- A61F5/56—Devices for preventing snoring
- A61F5/566—Intra-oral devices
Abstract
a presente patente de modelo de utilidade consiste em um aparelho intra-oral, de avanço mandibular para tratamento de ronco e síndrome da apneia e hipopneia obstrutiva do sono, aplicado nas áreas odontológica e médica e tem por objetivo reunir em um só produto as qualidades necessárias para um aparelho de avanço mandibular para tratamento de ronco e apneia e que permite conforto adequado para o paciente não apresentar reflexo de vômito. é constituído por liga metálica que liga os dois expansores posicionados na região dos pré-molares na região vestibular,The present utility model patent consists of an intra-oral, mandibular advancement device for the treatment of snoring and obstructive sleep apnea and hypopnea syndrome, applied in the dental and medical areas and aims to bring together the necessary qualities in one product. for a mandibular advancement device for the treatment of snoring and apnea that allows adequate comfort for the patient not to have a vomiting reflex. consists of a metal alloy that connects the two expanders positioned in the premolar region in the buccal region,
Description
APARELHO DE AVANÇO MANDIBULAR PARA TRATAMENTOMANDIBULAR ADVANCES FOR TREATMENT
DO RONCO E DA APNEIA OBSTRUTIVA DO SONO - CONFORT SLEEPRONCO AND OBSTRUCTIVE SLEEP APNEA - CONFORT SLEEP
[001] Trata-se a presente patente de modelo de utilidade de um aparelho intra-oral, de avanço mandibular para tratamento de ronco e síndrome da apneia e hipopneia obstrutiva do sono, aplicado nas áreas odontológica e médica.[001] This patent is a utility model for an intraoral mandibular advancement device for the treatment of snoring and obstructive sleep apnea and hypopnea syndrome, applied in the dental and medical fields.
[002] Já existem no mercado aparelhos que se destinam ao tratamento de ronco e apneia; porém os mesmos não apresentam características consideradas ideais, tais como: avanço mandibular preciso e gradual, permitir abertura e fechamento mandibular, não ocasionar desalinhamento dental e apresentar alta durabilidade e resistência mecânica. A despeito de todas as opções disponíveis comercialmente, ainda há necessidade de se aprimorar esses aparelhos de avanço mandibular, os quais se apresentam no mercado como monoblocos, em que a placa superior é fixa na inferior, impedindo a realização de ajustes progressivos e provocando dor muscular intensa. Outros aparelhos, como os termo-ajustáveis, não apresentam estabilidade dimensional. Adicionalmente, naqueles em que as placas superior e inferior são conectadas pelo fio ortodôntico, a resistência mecânica está reduzida. Existem também aparelhos em que a protrusão é feita por meio de elásticos, não sendo possível a realização de ajustes progressivos exatos. Os aparelhos retentores de língua são dispositivos confeccionados com material flexível que tracionam a língua por sucção, mas não propiciam precisão na porcentagem de desobstrução da via aérea. Os aparelhos elevadores de palato possuem hastes metálicas no sentido para posterior que sustentam botão de acrílico em sua extremidade para elevar o palato mole e impedir a queda da úvula em direção à orofaringe e estão em desuso, devido ao desconforto e ao reflexo de vômito que provocam.[002] There are already devices on the market for the treatment of snoring and apnea; However, they do not have characteristics considered ideal, such as: precise and gradual mandibular advancement, allow mandibular opening and closing, do not cause dental misalignment and present high durability and mechanical resistance. Despite all the commercially available options, there is still a need to improve these mandibular advancement devices, which are marketed as monoblock, where the upper plate is fixed to the lower, preventing progressive adjustments and causing muscle pain. intense. Other devices, such as thermo-adjustable ones, do not have dimensional stability. Additionally, in those where the upper and lower plates are connected by the orthodontic wire, the mechanical resistance is reduced. There are also devices in which protrusion is done by elastic bands, and it is not possible to make exact progressive adjustments. Tongue retainers are devices made of flexible material that pull the tongue by suction, but do not provide accuracy in the percentage of airway clearance. Palate-lift devices have rearward metal rods that hold an acrylic knob at its end to raise the soft palate and prevent the uvula from falling into the oropharynx, and are in disuse due to the discomfort and vomiting reflex that causes .
[003] Assim, o mercado atual carece de um aparelho que apresente características adequadas como titulação, placa superior independente da inferior, efetividade no tratamento, alta resistência mecânica e durabilidade.[003] Thus, the current market lacks a device that has adequate characteristics such as titration, upper plate independent of the lower, treatment effectiveness, high mechanical strength and durability.
[004] O objetivo do presente modelo de utilidade é reunir em um só produto as qualidades necessárias para um aparelho de avanço mandibular para tratamento de ronco e apneia, resolvendo assim os problemas elencados no atual estado da técnica.[004] The purpose of the present utility model is to bring together in one product the qualities necessary for a mandibular advancement device for the treatment of snoring and apnea, thus solving the problems listed in the current state of the art.
[005] O produto objeto da presente patente consegue reunir uma gama de requisitos que permite o avanço mandibular preciso, placa superior e inferior independentes, permitindo abertura bucal, com alta durabilidade e resistência mecânica, com o conforto adequado, no qual o paciente não apresenta reflexo de vômito. Trata-se de um aparelho intra-oral personalizado, constituído em resina acrílica termopolimerizável e uma liga metálica composta por níquel cromo ou cromo cobalto, promovendo maior resistência mecânica e durabilidade. Quanto às dimensões do aparelho, o mesmo varia de acordo com as características/necessidades anatômicas de cada indivíduo.[005] The product object of the present patent can meet a range of requirements that allows precise mandibular advancement, independent upper and lower plate, allowing mouth opening, with high durability and mechanical resistance, with adequate comfort, in which the patient does not have vomiting reflex. It is a customized intraoral device, made of thermopolymerizable acrylic resin and a metal alloy composed of nickel chrome or cobalt chrome, promoting greater mechanical resistance and durability. As for the dimensions of the device, it varies according to the anatomical characteristics / needs of each individual.
[006] Para a sua confecção, é necessária a obtenção de um modelo em gesso da arcada dentária do paciente e, a partir desse molde, é confeccionada a barra metálica, que apresenta em sua extremidade dois expansores. Em seguida, realiza-se o enceramento do aparelho com a barra metálica posicionada sobre o modelo na posição ideal e toda estrutura é levada a mufla na temperatura de 75 a 100°C para acrilização, seguido de acabamento e polimento convencional com o auxílio de pasta de polimento ou borrachas abrasivas. Cabe destacar que o aparelho será confeccionado em duas placas independentes (superior e inferior).For its making, it is necessary to obtain a plaster model of the patient's dental arch and, from this mold, the metal bar is made, which has at its end two expanders. Afterwards, the apparatus is waxed with the metal bar positioned on the model in the ideal position and the whole structure is muffled at 75 to 100 ° C for acrylization, followed by conventional finishing and polishing with the aid of paste. polishing or abrasive rubbers. It should be noted that the device will be made in two independent plates (upper and lower).
[007] Todo o preparo e confecção é feito limitando o espaço funcional livre de 2,0 a 4,0 mm, dessa forma, evita-se o desconforto neuromuscular. A parte inferior apresenta dois expansores ligados um ao outro pela liga metálica, posicionados na região dos pré-molares na região vestibular, que se encaixa na elevação que está presente na placa superior na região dos molares. Devido à necessidade de cada paciente, os expansores podem ser colocados na parte superior e a elevação na parte inferior, dependendo do caso clínico. Esses expansores têm por objetivo possibilitar o avanço gradual da mandíbula, de acordo com cada paciente, de 0 a 50 mm. Os expansores são ativados por meio de chaves apropriadas para este fim, gradativamente.[007] All preparation and confection is done by limiting the free functional space from 2.0 to 4.0 mm, thus avoiding neuromuscular discomfort. The lower part has two expanders connected to each other by the metal alloy, positioned in the premolars region in the buccal region, which fits the elevation that is present in the upper plate in the molar region. Due to the needs of each patient, expanders can be placed at the top and elevation at the bottom, depending on the clinical case. These expanders are intended to enable the gradual advancement of the mandible, according to each patient, from 0 to 50 mm. The expanders are activated by means of keys appropriate for this purpose, gradually.
[008] O avanço mandibular causado pelo aparelho permite que haja um aumento do espaço das vias aéreas superiores, permitindo a livre circulação de ar, diminuindo a vibração da musculatura da via aérea superior e, portanto, solucionando o ronco e apneia.[008] The mandibular advancement caused by the device allows for an increase in upper airway space, allowing free air circulation, decreasing the vibration of upper airway muscles and thus solving snoring and apnea.
[009] O modelo de utilidade poderá ser melhor compreendido através da descrição das figuras: [010] A figura 1 representa a vista superior do aparelho, com a placa superior ocluindo na inferior. A estrutura indicada na figura com letra A indica toda a estrutura metálica com os expansores. Estrutura indicada com a letra B mostra toda a parte em acrílico. Estrutura indicada com a letra C permite a visualização da engrenagem dos expansores superiores e a elevação da placa inferior.[009] The utility model can be better understood by describing the figures: [010] Figure 1 represents the top view of the apparatus, with the upper plate occluding in the lower one. The structure shown in the figure with letter A indicates the entire metal structure with the expanders. Structure indicated with the letter B shows the entire acrylic part. Structure indicated with the letter C allows the upper expander gear to be displayed and the lower plate to be raised.
[011] A figura 2 representa a vista lateral do aparelho com o expansor da placa superior (A) em contato com a elevação da placa inferior (B).[011] Figure 2 represents the side view of the apparatus with the top plate expander (A) in contact with the bottom plate elevation (B).
[012] Afigura 3 representa a vista anterior placa superior (A) ocluindo com a placa inferior (B).Figure 3 represents the anterior view of the upper plate (A) occluding with the lower plate (B).
[013] A figura 4 representa a vista lateral do expansor onde a região A representa o encaixe da chave para ativa-lo, a região B representa a parte móvel da placa que é deslocada quando ativada.Figure 4 represents the side view of the expander where region A represents the key engaging to activate it, region B represents the moving part of the plate that is displaced when activated.
[014] A figura 5 representa a placa com a elevação vista superior.[014] Figure 5 represents the plate with the elevation top view.
[015] A figura 6 representa a placa com a elevação vista anterior.[615] Figure 6 represents the plate with the elevation seen above.
REIVINDICAÇÃO APARELHO DE AVANÇO MANDIBULAR PARA TRATAMENTO DO RONCO E DA APNEIA OBSTRUTIVA DO SONO - CONFORT SLEEPMANDIBULAR ADVANCED APPLICATION FOR TREATMENT OF SLEEP AND OBSTRUCTIVE SLEEP APPLICATION - CONFORT SLEEP
Claims (1)
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
BR102017015024-0A BR102017015024A2 (en) | 2017-07-13 | 2017-07-13 | mandibular advancement device for the treatment of snoring and obstructive sleep apnea - confort sleep |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
BR102017015024-0A BR102017015024A2 (en) | 2017-07-13 | 2017-07-13 | mandibular advancement device for the treatment of snoring and obstructive sleep apnea - confort sleep |
Publications (1)
Publication Number | Publication Date |
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BR102017015024A2 true BR102017015024A2 (en) | 2019-01-29 |
Family
ID=65365495
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
BR102017015024-0A BR102017015024A2 (en) | 2017-07-13 | 2017-07-13 | mandibular advancement device for the treatment of snoring and obstructive sleep apnea - confort sleep |
Country Status (1)
Country | Link |
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BR (1) | BR102017015024A2 (en) |
-
2017
- 2017-07-13 BR BR102017015024-0A patent/BR102017015024A2/en not_active Application Discontinuation
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B03A | Publication of a patent application or of a certificate of addition of invention [chapter 3.1 patent gazette] | ||
B07A | Application suspended after technical examination (opinion) [chapter 7.1 patent gazette] | ||
B09B | Patent application refused [chapter 9.2 patent gazette] | ||
B09B | Patent application refused [chapter 9.2 patent gazette] |
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