CN102648875A - Method for manufacturing personalized tongue side corrector and tongue side corrector - Google Patents
Method for manufacturing personalized tongue side corrector and tongue side corrector Download PDFInfo
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- CN102648875A CN102648875A CN201210135495XA CN201210135495A CN102648875A CN 102648875 A CN102648875 A CN 102648875A CN 201210135495X A CN201210135495X A CN 201210135495XA CN 201210135495 A CN201210135495 A CN 201210135495A CN 102648875 A CN102648875 A CN 102648875A
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Abstract
The invention relates to a method for manufacturing a personalized tongue side corrector and a tongue side corrector. The method for manufacturing the personalized tongue side corrector comprises the following step of: 1) making a correcting plan; 2) manufacturing an impression, and manufacturing a plaster model to obtain a tooth arranging model; 3) according to the tooth arranging model, obtaining an ideal arch diagram; 4) selecting a bracket resin type and a bracket backplate model; 5) according to the ideal arch diagram, bending a full-size arch wire into an ideal arch; 6) manufacturing a personalized bracket; 7) resetting the personalized bracket on the tooth arranging model and manufacturing a transferring tray; and 8) according to the ideal arch diagram, manufacturing a series of arch wires. By the method for manufacturing the personalized tongue side corrector, a ribbon arch or an edgewise is selected according to requirements of different patients on torque and the width of the bracket is properly regulated according to a requirement on axis inclination; the personalized bracket backplate which is manufactured according to anatomical structure of a radula surface corresponds to the teeth of the patient one by one; and the bracket backplate is in complete fit with a cambered shape of the radula surface, so that the adhering stability and the positioning precision of the bracket are improved, the bracket can fit with the tooth surface to the maximum extent, the comfort and the attraction of the patient are ensured, and the clinical operation is facilitated.
Description
Technical field
The present invention relates to a kind of tongue side appliance manufacture method and product that is used for the mouth cavity orthodontic field, be specifically related to a kind of individual tongue-side appliance manufacture method and tongue side appliance.
Background technology
Along with the just abnormal patient of adult requires very highly to the aesthetic property of appliance, stealth is rescued more and more by abnormal doctor just and is paid close attention to.Occurred several kinds of cryptomorphic technology of rescuing for this reason,, but can accomplish that the real stealthy appliance that can treat various patho-occlusions again has only tongue side appliance like ceramic bracket appliance, Invisalign appliance, tongue side appliance etc.The tongue side is rescued technology and started from the seventies in last century, and is once fashionable for a time in the eighties, but very fast owing to its complicated operations, is difficult to accurately to control problems such as tooth moves and abandoned by most of clinician.Over surplus in the of nearly ten year, the advocate that the tongue side is rescued technology has made the tongue side rescue technology with pioneers through the lots of clinical practice and exploring to become a kind of maturation, fixedly rescues technology efficiently, and the while also is a hot technology in the mouth cavity orthodontic clinical field.Tongue side appliance bonding accurately, the accuracy of manufacture of bending of arch edgewise precision and tongue side appliance itself all directly influences the effect of rescuing.
Standardized linguoplate groove in the prior art all is that the linguoplate groove is bonded on the tongue side of tooth through colloid afterwards, carries out levelling through colloid by the linguoplate groove of factory according to the standard of the meansigma methods making of the form angle of human teeth.But owing to the lateral angle of everyone tooth tongue, form have very big personalized difference; In order to adapt to this species diversity; Usually use more colloid to fill bracket base and interdental space, thereby remedy linguoplate groove and tooth in modal difference.Because the colloid occupy-place is more, make the linguoplate groove can not be close to the tongue side of tooth like this, cause the location of linguoplate groove not accurate enough, simultaneously because colloid is thicker, make the linguoplate groove stick back anti-shearing force decline on tooth, the linguoplate groove comes off from tooth easily.
Summary of the invention
The present invention is directed to the deficiency of prior art; A kind of tongue side form according to patient's tooth has been proposed; Making the linguoplate groove of individuation, fits fully in the tongue side of bracket backboard and tooth, tries one's best near the tongue side of tooth at the bottom of making the bracket groove; The individual tongue-side appliance manufacture method of " lockmaking " sense is arranged between bracket and facing, and the tongue side appliance that uses this method to make.
Technical scheme of the present invention is following:
A kind of individual tongue-side appliance manufacture method, its step comprises:
1) plan is rescued in formulation: draw out patient's plan incisor position, the interior receipts amount of central incisor, central incisor depression amount in the calculating; And last incisor labial surface tangent line and bite plane angle;
2) produce die, turn over the system plaster model, and carry out the test of anatomic type row tooth, the row's of obtaining dental cast according to the said relation of planning incisor position and bite plane in the works of rescuing;
3) said row's dental cast is scanned, obtain the denture plane graph; On said denture plane graph, connect each tooth tongue side central point, obtain desirable arc figure;
4) select bracket resin type that is fit to and the bracket backboard model of making personalization;
5), full-scale bending of arch edgewise is become desirable arc according to the arc figure of said ideal; Make all said bracket resin types be matched with said full-scale arch wire; And said bracket resin type is connected fixing with said bracket backboard model;
6),, obtain personalized bracket with bracket and bracket backboard casting according to said bracket resin type and bracket backboard model;
7) said individual tongue-side bracket and the said full-scale arch wire with each tooth carries out the ligation binding, at the enterprising horizontal reset of said row's dental cast; After all said individual tongue-side brackets all accurately reset, make transfer tray again;
8) make serial arch wire according to the arc figure of said ideal.
Said step 2) in, the step of anatomic type row tooth test comprises: die is produced and mounting: produce die, turn over the system plaster model, adopt facebow transfer occlusal position to be recorded to tooth and close frame; According to midline position, plan incisor position, the canine tooth base position of bone is put, and drawing standard is arc; Carry out upper dental arch row tooth according to said Standard arch wire; Carry out lower dental arch row tooth according to the upper dental arch position afterwards.
When shifting the occlusal position record, at first carry out the transfer of eye-ear plane and bite plane relation, require the prominent joint of condyle frame parallel, close fork with tooth and carry out the occlusal position record, both are fixed through gimbal suspension with eye-ear plane; Afterwards gimbal suspension is taken off, through transfer station said tooth transferred in said occlusal position record and close on the frame.
In the said step 4), said bracket resin type is selected banded bow or side's silk bow according to the patient to the requirement of torque; According to the nearly middle width far away of the countershaft requirement adjustment bracket that inclines of patient.
The said bracket backboard lateral anatomic form of tooth tongue of will fitting fully.
In said step 8), the method for making said serial arch wire comprises: said full-scale arch wire is carried out high-precision laser scanning, obtain the arc figure of digitized; According to the arc figure of said digitized, adopt the method for laser engraving to make circle silk template and Fang Si template respectively; Arch wire is put into corresponding template finalizes the design.
Setting temperature is 520 °, and the time is 10 minutes.
A kind of tongue side appliance that adopts said method to make is characterized in that: it comprises a plurality of individual tongue-side brackets and the personalized arch wire of a cover, and each individual tongue-side bracket comprises a bracket and a bracket backboard, and said bracket and bracket backboard are fixed together; The tongue side anatomical structure coupling of wherein said bracket backboard and tooth.
Said bracket backboard can be fitted with the tongue side of tooth fully.
At the bottom of the groove of said bracket near the tongue side of tooth.
Technique effect of the present invention is following:
A kind of tongue side appliance manufacture method of the present invention, its step comprises: 1) formulate the plan of rescuing; 2) produce die, turn over the system plaster model, the row's of obtaining dental cast; 3) obtain desirable arc figure according to row's dental cast; 4) select personalized bracket resin type and bracket backboard model; 5), full-scale bending of arch edgewise is become desirable arc according to the arc figure of ideal; 6) preparation individual tongue-side bracket; 7) bracket and full-scale arch wire ligation are bound, at the enterprising horizontal reset of row's dental cast; After all individual tongue-side brackets all accurately reset, make transfer tray; 8) make serial arch wire according to the arc figure of said ideal.The personalized bracket backboard that the present invention produces according to the tongue side form of tooth be with patient's tooth one to one; The curve form of tooth lingual surface because the bracket backboard is fitted fully; Try one's best near the tongue side of tooth at the bottom of making the bracket groove; Making has a kind of " lockmaking " sense between the tongue side of bracket and tooth, improved the bonding stability and the location accuracy of bracket, has guaranteed that bracket integral body is fit to the anatomic form of tooth more.
The present invention is with the facebow technology that originally is used for prosthetic dentistry in the prior art; In the row's of being diverted to tooth test; The anatomy relationship of tooth, jawbone and bite plane is united, reach the correct purpose of confirming the anatomy relationship between tooth and jawbone, tooth and the bite plane.
Bracket resin type of the present invention is selected banded bow or side's silk bow according to the patient to the requirement of torque; Adjust the nearly middle width far away of bracket according to the countershaft requirement of inclining of patient, thereby also meet the rectification requirement of particular patient according to the bracket of above-mentioned bracket resin type manufacturing.
Test obtain desirable arc according to above-mentioned row's tooth, adopt the linear cutting technique of laser, make personalized bending of arch edgewise template, both guaranteed the accuracy of bending of arch edgewise, reduced cost of manufacture again.
Description of drawings
Fig. 1 is row's dental cast manufacturing process sketch map of the present invention
Fig. 2 is a tongue side appliance manufacturing process sketch map of the present invention
The specific embodiment
The present invention will be described below in conjunction with accompanying drawing.
The step of tongue side appliance manufacture method of the present invention is following:
1) select case, to the conventional head lateral projection of taking of selected case, the VTO analytical method is formulated and is rescued plan, comprises the plan incisor position (PIP) of drawing out the patient, and the interior receipts amount of central incisor, central incisor depression amount are represented with mm in the calculating; And go up incisor labial surface tangent line and bite plane angle, with a ° expression.
2) accurate die and the test of anatomic type row tooth: the patient is carried out accurate die produce, and carry out the test of anatomic type row tooth, the row's of obtaining dental cast 6 according to the relation of formulating of planning incisor position and bite plane in the works of rescuing.
3) will arrange dental cast 6 and scan, obtain the denture plane graph; On the denture plane graph, connect each tooth tongue side central point, draw and obtain desirable arc figure.
4) select suitable bracket resin type and also make personalized bracket backboard model; When selecting the bracket resin type, according to the countershaft requirement adjustment bracket that inclines of patient near far away in width, bracket width and tooth size are complementary, with tooth near far away in directly 1/3 as choice criteria; According to the patient banded bow or side's silk bow are selected in the requirement of torque, the sipes ditch side of holding silk bow, narrow groove holds banded bow; The groove opening direction be divided into far away in two kinds of the tooth sides of closing, it is that level goes into vertical to go into the position that corresponding arch wire is gone into a mode.For example, 1. when the control that strengthens shaft rake, can suitably increase bracket near far away in width, scope 0.5mm ~ 1.0mm; 2. strengthen when torque controlled, select the banded bow of sipes ditch vertically to go into the position, this mode also more helps receiving in the labial teeth in the extraction cases; Bracket backboard model can also can be wax pattern for resin mould, and thickness is about 0.5mm, and the bracket backboard model lateral anatomic form of tooth tongue of will fitting fully.
5) according to the arc figure of ideal; Full-scale arch wire 9 is bent into desirable arc; Make the bracket resin type of all teeth be matched with the full-scale arch wire 9 of this root, and make it as far as possible to guarantee simultaneously that near tooth tongue side each bracket resin type is positioned at the lateral center of tooth tongue; Confirm position, volume, the form of each bracket backboard model on this basis, and be connected fixing with the bracket resin type.
6) according to bracket resin type and bracket backboard model, select for use cochrome with bracket 7 and bracket backboard 8 castings thereof, obtain the individual tongue-side bracket; The adhesive surface of bracket backboard 8 adopts the net bottom structure, thereby has set up higher adhesive strength; If molar locations does not have significant change, the bracket backboard of can selecting to grind one's teeth in sleep is connected in one.The individual tongue-side bracket is whole in addition gives its splendid anti-rotten characteristic through electrobrightening.
7) as shown in Figure 2, bracket of each tooth 7 and full-scale arch wire 9 are carried out ligation bind, at row's dental cast 6 enterprising horizontal resets; After all brackets 7 all accurately reset, adopt the secondary pressed film method to make to be used for the individual tongue-side bracket in the oral cavity accurate localized indirect bonding transfer tray, can make the indivedual hard transfer trays of each tooth for crowded case.
8) will be bent into desirable arciform full-scale arch wire 9 and carry out high-precision laser scanning, obtain the desirable arc figure of digitized, and adopt the linear cutting technique of laser to make circle silk template and Fang Si template respectively; Nitinol is put into corresponding template, and heating was finalized the design in 10 minutes under 520 degree, obtained personalized serial arch wire.
In step 2) in the step of anatomic type model row tooth method following:
I) die is produced and mounting: adopt silicone rubber to produce die, turn over the system plaster model; Adopt facebow to carry out the transfer of eye-ear plane and bite plane relation, require the prominent joint of condyle frame parallel, close fork with tooth and sting out the occlusal position record, both are fixed through gimbal suspension with eye-ear plane; Afterwards gimbal suspension is taken off,, the occlusal position record is transferred on the anatomic articulator through transfer station;
Ii) model labelling and finishing: as shown in Figure 1, labelling tooth major axis 2 in the buccal aspect center of each tooth 1, and extend to substrate, and each tooth 1 is numbered labelling; Use saw blade with side central incisor to the second premolars from the base portion saw down, keep the reference of opposite side tooth 1 home position as row's tooth, each tooth 1 base portion grinds off 4 ~ 5mm, and the section of grinding one's teeth in sleep is last separates;
Iii) drawing standard is arc: upwards place a transparent plastic sheet at last gnathode; Draw center line, and carry out labelling, confirm the canine tooth position according to basic bone width then in plan incisor position and first molar central fossa place; The basic bone situation of last reference is drawn out initial Standard arch wire; Through carefully comparing with model, do further finishing, arch wire is tried one's best near the tongue side of tooth;
Iv) upper dental arch is arranged tooth: remove tooth and close the mandibular model on the frame, replace mouth guard 3, arc figure is transferred to mouth guard 3 with ideal, and the center line position standard laid down by the ministries or commissions of the Central Government is remembered 0 scale; The central incisor that keeps a side is aimed at 0 scale, will arrange tooth side central incisor incisxal edge and place mouth guard 3 corresponding scale places according to rescuing in the works in the incisor receipts amount; According to rescuing the last incisor labial surface tangent line and the bite plane angle number of degrees of formulating in the works; Select suitable self-control bevel protractor 4; The base of self-control bevel protractor 4 contacts with the mouth guard of representing bite plane 3; It is tangent with the central incisor labial surface that self-control bevel protractor 4 has the side 5 of different gradients, simultaneously with the opposite side central incisor as reference; Once arrange all the other teeth according to Standard arch wire; One side has been arranged the back as standard, arranges an other side;
V) lower dental arch is arranged tooth: separate mandibular teeth, and the foundation desirable interlock corresponding with the upper jaw; Inspection is protracted and lateral movement, when all backteeth not have during at maximum intercuspal position early contact, lower jaw not have tooth to close when carrying out various FM to disturb and on lower jaw can sting in satisfied central occlusion position the time, model is arranged tooth and is finished.
The tongue side appliance of making according to above-mentioned individual tongue-side appliance manufacture method comprises a plurality of individual tongue-side brackets and the personalized arch wire of a cover, and each individual tongue-side bracket comprises a bracket and a bracket backboard, and bracket and bracket backboard are fixed together.Wherein the tongue side anatomical structure of bracket backboard and tooth is mated, and bracket is corresponding with the installation site of full-scale arch wire.When tongue side appliance was inserted in the patient oral cavity, the bracket backboard was fixed on the tooth tongue side, and bracket is fixed on the full-scale arch wire, thereby realized the effective correction to lopsided tooth.
Should be pointed out that the above specific embodiment can make those skilled in the art more fully understand the invention, but do not limit the present invention in any way creation.Therefore; Although this description has been carried out detailed explanation with reference to accompanying drawing and embodiment to the invention,, those skilled in the art are to be understood that; Still can make amendment or be equal to replacement the invention; In a word, all do not break away from the technical scheme and the improvement thereof of the spirit and the scope of the invention, and it all should be encompassed in the middle of the protection domain of the invention patent.
Claims (10)
1. individual tongue-side appliance manufacture method, its step comprises:
1) plan is rescued in formulation: draw out patient's plan incisor position, the interior receipts amount of central incisor, central incisor depression amount in the calculating; And last incisor labial surface tangent line and bite plane angle;
2) produce die, turn over the system plaster model, and carry out the test of anatomic type row tooth, the row's of obtaining dental cast according to the said relation of planning incisor position and bite plane in the works of rescuing;
3) said row's dental cast is scanned, obtain the denture plane graph; On said denture plane graph, connect each tooth tongue side central point, obtain desirable arc figure;
4) select bracket resin type that is fit to and the bracket backboard model of making personalization;
5), full-scale bending of arch edgewise is become desirable arc according to the arc figure of said ideal; Make all said bracket resin types be matched with said full-scale arch wire; And said bracket resin type is connected fixing with said bracket backboard model;
6),, obtain the individual tongue-side bracket with bracket and bracket backboard casting according to said bracket resin type and bracket backboard model;
7) said individual tongue-side bracket and the said full-scale arch wire that will cast each tooth of gained carry out the ligation binding, at the enterprising horizontal reset of said row's dental cast; After all said personalized brackets all accurately reset, make transfer tray;
8) make serial arch wire according to the arc figure of said ideal.
2. a kind of individual tongue-side appliance manufacture method as claimed in claim 1; It is characterized in that: said step 2); The step of anatomic type row tooth test comprises: die is produced and mounting: produce die, turn over the system plaster model, adopt facebow transfer occlusal position to be recorded to tooth and close frame; According to midline position, plan incisor position, the canine tooth base position of bone is put, and drawing standard is arc; Carry out upper dental arch row tooth according to said Standard arch wire; Carry out lower dental arch row tooth according to the upper dental arch position afterwards.
3. a kind of individual tongue-side appliance manufacture method as claimed in claim 2; It is characterized in that: when shifting the occlusal position record; At first carry out the transfer of eye-ear plane and bite plane relation; Require the prominent joint of condyle frame parallel, close fork with tooth and carry out the occlusal position record, both are fixed through gimbal suspension with eye-ear plane; Afterwards gimbal suspension is taken off, through transfer station said tooth transferred in said occlusal position record and close on the frame.
4. a kind of individual tongue-side appliance manufacture method as claimed in claim 1 is characterized in that: in the said step 4), said bracket resin type is selected banded bow or side's silk bow according to the patient to the requirement of torque; According to the nearly middle width far away of the countershaft requirement adjustment bracket that inclines of patient.
5. like claim 1 or 4 described a kind of individual tongue-side appliance manufacture methods, it is characterized in that: the said bracket backboard lateral anatomic form of tooth tongue of will fitting fully.
6. a kind of individual tongue-side appliance manufacture method as claimed in claim 1, it is characterized in that: in said step 8), the method for making said serial arch wire comprises: said full-scale arch wire is carried out high-precision laser scanning, obtain the arc figure of digitized; According to the arc figure of said digitized, adopt the method for laser engraving to make circle silk template and Fang Si template respectively; Arch wire is put into corresponding template finalizes the design.
7. a kind of individual tongue-side appliance manufacture method as claimed in claim 6, it is characterized in that: setting temperature is 520 °, the time is 10 minutes.
8. the tongue side appliance made of the method for one of an employing such as claim 1～7; It is characterized in that: it comprises a plurality of personalized brackets and a full-scale arch wire; Each personalized bracket comprises a bracket and a bracket backboard, and said bracket and bracket backboard are fixed together; The tongue side of wherein said bracket backboard and tooth is fixed, and said bracket and said full-scale arch wire are fixed.
9. a kind of tongue side appliance as claimed in claim 8, it is characterized in that: fit fully in the tongue side of said bracket backboard and tooth.
10. like claim 8 or 9 described a kind of tongue side appliances, it is characterized in that: at the bottom of the groove of said bracket near the tongue side of tooth.
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| CN201210135495.XA CN102648875B (en) | 2012-05-03 | 2012-05-03 | Method for manufacturing personalized tongue side corrector and tongue side corrector |
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| CN201210135495.XA CN102648875B (en) | 2012-05-03 | 2012-05-03 | Method for manufacturing personalized tongue side corrector and tongue side corrector |
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| CN102648875A true CN102648875A (en) | 2012-08-29 |
| CN102648875B CN102648875B (en) | 2014-09-03 |
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Cited By (7)
| Publication number | Priority date | Publication date | Assignee | Title |
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| CN102920516A (en) * | 2012-10-15 | 2013-02-13 | 广州瑞通生物科技有限公司 | Tongue-side straight wire arch tooth appliance |
| CN103356303A (en) * | 2013-07-25 | 2013-10-23 | 山东大学 | Fixing device for traumatic loosened dislocated teeth, and manufacture method thereof |
| CN104783912A (en) * | 2015-03-30 | 2015-07-22 | 高原 | Manufacturing method of orthodontic brace for inner sides of teeth and combined orthodontic device |
| CN109276331A (en) * | 2018-08-31 | 2019-01-29 | 广州瑞通生物科技有限公司 | A kind of labial bracket indirect positioning methods |
| CN109823105A (en) * | 2019-01-29 | 2019-05-31 | 上海精功齿科技术有限公司 | A kind of personalized arch wire manufacturing method of customized type bracket |
| CN110013332A (en) * | 2019-05-23 | 2019-07-16 | 四川大学 | A kind of auxiliary bow invisible orthotic device of cat shape |
| CN114845660A (en) * | 2019-12-23 | 2022-08-02 | 3M创新有限公司 | Custom tool for bonding orthodontic appliances and method of bonding orthodontic appliances |
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| WO2006094403A1 (en) * | 2005-03-10 | 2006-09-14 | Ceramic Sciences, Inc. | Self-ligating orthodontic bracket |
| CN101647729A (en) * | 2009-09-11 | 2010-02-17 | 广州瑞通激光科技有限公司 | Manufacture method of individual orthodontic appliance for tongue |
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| US20040086824A1 (en) * | 2002-08-21 | 2004-05-06 | Kesling Andrew C. | Bondable orthodontic appliance with a polymer resin bonding base |
| WO2006094403A1 (en) * | 2005-03-10 | 2006-09-14 | Ceramic Sciences, Inc. | Self-ligating orthodontic bracket |
| CN101647729A (en) * | 2009-09-11 | 2010-02-17 | 广州瑞通激光科技有限公司 | Manufacture method of individual orthodontic appliance for tongue |
Cited By (11)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN102920516A (en) * | 2012-10-15 | 2013-02-13 | 广州瑞通生物科技有限公司 | Tongue-side straight wire arch tooth appliance |
| WO2014059751A1 (en) * | 2012-10-15 | 2014-04-24 | 广州瑞通生物科技有限公司 | Lingual straight wire dental appliance |
| CN103356303A (en) * | 2013-07-25 | 2013-10-23 | 山东大学 | Fixing device for traumatic loosened dislocated teeth, and manufacture method thereof |
| CN104783912A (en) * | 2015-03-30 | 2015-07-22 | 高原 | Manufacturing method of orthodontic brace for inner sides of teeth and combined orthodontic device |
| CN104783912B (en) * | 2015-03-30 | 2023-06-09 | 高原 | Method for manufacturing orthodontic tooth socket for inner side of tooth and orthodontic combined device |
| CN109276331A (en) * | 2018-08-31 | 2019-01-29 | 广州瑞通生物科技有限公司 | A kind of labial bracket indirect positioning methods |
| CN109823105A (en) * | 2019-01-29 | 2019-05-31 | 上海精功齿科技术有限公司 | A kind of personalized arch wire manufacturing method of customized type bracket |
| CN110013332A (en) * | 2019-05-23 | 2019-07-16 | 四川大学 | A kind of auxiliary bow invisible orthotic device of cat shape |
| CN110013332B (en) * | 2019-05-23 | 2024-01-30 | 四川大学 | Invisible appliance for cat-shaped auxiliary bow |
| CN114845660A (en) * | 2019-12-23 | 2022-08-02 | 3M创新有限公司 | Custom tool for bonding orthodontic appliances and method of bonding orthodontic appliances |
| CN114845660B (en) * | 2019-12-23 | 2023-04-25 | 3M创新有限公司 | Custom tool for bonding orthodontic appliances and method of bonding orthodontic appliances |
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