CN102648875B - 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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- CN102648875B CN102648875B CN201210135495.XA CN201210135495A CN102648875B CN 102648875 B CN102648875 B CN 102648875B CN 201210135495 A CN201210135495 A CN 201210135495A CN 102648875 B CN102648875 B CN 102648875B
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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 for mouth cavity orthodontic field, be specifically related to a kind of Customized lingual appliance manufacture method and tongue side appliance.
Background technology
Along with orthodontics in adults patient is very high to the aesthetic property requirement of appliance, invisalign is paid close attention to by orthodontist more and more.The technology of rescuing that has for this reason occurred several stealths, as ceramic bracket appliance, Invisalign appliance, tongue side appliance etc., but can accomplish that the real stealthy appliance that can treat again various patho-occlusions only has tongue side appliance.Tongue side is rescued technology and is started from the seventies in last century, once fashionable for a time in the eighties, but very soon due to the operation of its complexity, is difficult to accurately to control the problems such as Tooth Movement and is abandoned by most of clinician.In the recent decade, tongue side is rescued the advocate of technology and pioneers by a large amount of clinical practices and is explored and made tongue side rescue technology to become a kind of maturation, fixedly rescue technology efficiently, and the while is also a hot technology in 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 affects the effect of rescuing.
The lingual bracket of prior art Plays, the lingual bracket of the standard that Jun Shiyou factory makes according to the meansigma methods of the form angle of human teeth, lingual bracket is bonded on the tongue side of tooth by colloid afterwards, by colloid, carries out levelling.But because angle, the form of everyone tooth tongue side has very large personalized difference, in order to adapt to this species diversity, conventionally with more colloid, fill bracket base and interdental space, thereby make up lingual bracket and tooth in modal difference.Because colloid occupy-place is more, make lingual bracket can not be close to the tongue side of tooth like this, cause the location of lingual bracket not accurate enough, simultaneously because colloid is thicker, make lingual bracket stick rear anti-shearing force on tooth and decline, lingual bracket easily comes off from tooth.
Summary of the invention
The present invention is directed to the deficiencies in the prior art, proposed a kind of according to the tongue side form of patient's tooth, manufacture the lingual bracket of individuation, fit completely in the tongue side of bracket backboard and tooth, make to try one's best near the tongue side of tooth at the bottom of bracket groove, the Customized lingual appliance manufacture method that has " lockmaking " sense between bracket and facing, and the tongue side appliance that uses the method to make.
Technical scheme of the present invention is as follows:
A Customized lingual appliance manufacture method, its step comprises:
1) formulate and rescue plan: draw out patient's plan incisor position, the interior receipts amount of central incisor, central incisor depression amount in calculating; And upper incisor labial surface tangent line and bite plane angle;
2) produce die, turn over plaster model processed, and carry out the test of anatomic type row tooth, the row's of obtaining dental cast according to the described relation of planning in the works incisor position and bite plane of rescuing;
3) described row's dental cast is scanned, obtain denture plane graph; On described denture plane graph, connect each tooth tongue side central point, obtain desirable arc figure;
4) select applicable bracket resin type and make personalized bracket backboard model;
5), according to the arc figure of described ideal, full-scale bending of arch edgewise is become to desirable arc; Make all described bracket resin types be matched with described full-scale arch wire; And described bracket resin type and described bracket backboard model are connected and fixed;
6), according to described bracket resin type and bracket backboard model, by bracket and bracket backboard casting, obtain personalized bracket;
7) the described individual tongue-side bracket of each tooth and described full-scale arch wire are carried out to ligation binding, at the enterprising horizontal reset of described row's dental cast; When all described individual tongue-side brackets are all after parking position accuracy, then make transfer tray;
8) according to the arc figure of described ideal, make serial arch wire.
Described step 2) in, the step of anatomic type row tooth test comprises: impression making and mounting: produce die, turn over plaster model processed, 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; According to described Standard arch wire, carry out upper dental arch row tooth; According to upper dental arch position, carry out lower dental arch row tooth afterwards.
When transfer occlusal position records, first carry out the transfer of eye-ear plane and bite plane relation, require the prominent joint of condyle frame parallel with eye-ear plane, with tooth, close fork and carry out occlusal position record, by gimbal suspension, both are fixed; Afterwards gimbal suspension is taken off, by transfer station, described occlusal position record is transferred to described tooth and close on frame.
In described step 4), described bracket resin type is selected banded bow or side's silk bow according to patient to the requirement of torque; According to the countershaft requirement of inclining of patient, adjust the nearly middle width far away of bracket.
Will fit the completely anatomic form of tooth tongue side of described bracket backboard.
In described step 8), the method for making described serial arch wire comprises: described full-scale arch wire is carried out to high-precision laser scanning, obtain the arc figure of digitized; According to the arc figure of described digitized, adopt the method for laser engraving to make respectively circle silk template and Fang Si template; Arch wire is put into corresponding template shapes.
Setting temperature is 520 °, and the time is 10 minutes.
A tongue side appliance that adopts said method to make, is characterized in that: it comprises a plurality of individual tongue-side brackets and a set of personalized arch wire, each individual tongue-side bracket comprises a bracket and a bracket backboard, and described bracket and bracket backboard are fixed together; Wherein said bracket backboard mates with the tongue side anatomical structure of tooth.
Described bracket backboard can be fitted completely with the tongue side of tooth.
At the bottom of the groove of described bracket near the tongue side of tooth.
Technique effect of the present invention is as follows:
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 plaster model processed, the row's of obtaining dental cast; 3) according to row's dental cast, obtain desirable arc figure; 4) select personalized bracket resin type and bracket backboard model; 5), according to the arc figure of ideal, full-scale bending of arch edgewise is become to desirable arc; 6) prepare individual tongue-side bracket; 7) by bracket and full-scale arch wire ligation binding, at the enterprising horizontal reset of row's dental cast; When all individual tongue-side brackets are all after parking position accuracy, make transfer tray; 8) according to the arc figure of described ideal, make serial arch wire.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, due to fit the completely curve form of tooth lingual surface of bracket backboard, make to try one's best near the tongue side of tooth at the bottom of bracket groove, making has a kind of " lockmaking " sense between the tongue side of bracket and tooth, improved bonding stability and the location accuracy of bracket, guaranteed that bracket integral body is applicable to the anatomic form of tooth more.
The present invention is by prior art, this is used for the facebow technology of prosthetic dentistry, in the row's of being diverted to tooth test, the anatomy relationship of tooth, jawbone and bite plane is combined, reach the correct object of determining the anatomy relationship between tooth and jawbone, tooth and bite plane.
Bracket resin type of the present invention is selected banded bow or side's silk bow according to patient to the requirement of torque; According to the countershaft requirement of inclining of patient, adjust the nearly middle width far away of bracket, thereby according to the bracket of above-mentioned bracket resin type manufacture, also meet the rectification requirement of particular patient.
The ideal obtaining according to above-mentioned row's tooth test is arc, adopts the linear cutting technique of laser, makes personalized bending of arch edgewise template, has both guaranteed the accuracy of bending of arch edgewise, has reduced again cost of manufacture.
Accompanying drawing explanation
Fig. 1 is row's dental cast manufacturing process schematic diagram of the present invention
Fig. 2 is tongue side appliance manufacturing process schematic diagram of the present invention
The specific embodiment
Below in conjunction with accompanying drawing, the present invention will be described.
The step of tongue side appliance manufacture method of the present invention is as follows:
1) select case, to the conventional study of lateral skull radiography sheet of taking of selected case, VTO analytical method is formulated and is rescued plan, comprises the plan incisor position (PIP) of drawing out patient, and in calculating, the interior receipts amount of central incisor, central incisor depression amount, represent with mm; And upper incisor labial surface tangent line and bite plane angle, with a ° expression.
2) accurate die and the test of anatomic type row tooth: patient is carried out to accurate impression making, and according to the relation that rescuing of formulating planned incisor position and bite plane in the works, carry out anatomic type row tooth and test, the row's of obtaining dental cast 6.
3) row's dental cast 6 is scanned, obtain denture plane graph; On denture plane graph, connect each tooth tongue side central point, draw and obtain desirable arc figure.
4) select applicable bracket resin type and and make personalized bracket backboard model; While selecting bracket resin type, according to the countershaft requirement of inclining of patient adjust bracket near far away in width, bracket width and Tooth Size match, the tooth of usining closely far central diameter 1/3 as choice criteria; According to patient, the requirement of torque is selected to banded bow or side's silk bow, the sipes ditch side of holding silk bow, narrow groove holds banded bow; Groove opening direction be divided into far away in and two kinds of tooth sides of closing, it is that level enters with vertical to enter position that corresponding arch wire enters a mode.For example, 1. when the control strengthening shaft rake, can suitably increase bracket near far away in width, scope 0.5mm ~ 1.0mm; 2. strengthen when torque is controlled, select the banded bow of sipes ditch vertically to enter position, this mode is also more conducive to receive in the labial teeth in extraction cases; Bracket backboard model can be also wax pattern for resin mould, and thickness is about 0.5mm, and will fit the completely anatomic form of tooth tongue side of bracket backboard model.
5) according to the arc figure of ideal, full-scale arch wire 9 is bent into desirable arc, make bracket resin type dentulous be matched with the full-scale arch wire 9 of this root, and make it as far as possible close tooth tongue side, guarantee that each bracket resin type is positioned at the center of tooth tongue side simultaneously; Determine on this basis position, volume, the form of each bracket backboard model, and be connected and fixed with bracket resin type.
6) according to bracket resin type and bracket backboard model, select cochrome by bracket 7 and bracket backboard 8 castings thereof, obtain individual tongue-side bracket; The adhesive surface of bracket backboard 8 adopts net bottom structure, thereby has set up higher adhesive strength; If molar locations without significant change, can be selected to grind one's teeth in sleep, bracket backboard is connected in one.Individual tongue-side bracket is whole in addition gives its splendid anti-rotten characteristic through electrobrightening.
7) as shown in Figure 2, the bracket of each tooth 7 and full-scale arch wire 9 are carried out to ligation binding, at the enterprising horizontal reset of row's dental cast 6; When all brackets 7 are all after parking position accuracy, adopt secondary pressed film method make for individual tongue-side bracket in oral cavity the accurate indirect bonding transfer tray of location, for crowded case, can make the indivedual hard transfer trays of each tooth.
8) by being bent into desirable arc full-scale arch wire 9, carry out high-precision laser scanning, obtain the desirable arc figure of digitized, adopt the linear cutting technique of laser to make respectively circle silk template and Fang Si template; Nitinol is put into corresponding template, under 520 degree, heat and shape for 10 minutes, obtain personalized serial arch wire.
In step 2) in the step of anatomic type model row tooth method as follows:
I) impression making and mounting: adopt silicone rubber to produce die, turn over plaster model processed; Adopt facebow to carry out the transfer of eye-ear plane and bite plane relation, require the prominent joint of condyle frame parallel with eye-ear plane, with tooth, close fork and sting out occlusal position record, by gimbal suspension, both are fixed; Afterwards gimbal suspension is taken off, by transfer station, occlusal position record is transferred on anatomic articulator;
Ii) model labelling and finishing: as shown in Figure 1, at the buccal aspect center of each tooth 1 labelling tooth major axis 2, and extend to substrate, each tooth 1 is numbered labelling; Use saw blade from base portion saw, retains opposite side tooth 1 home position as the reference of row's tooth by side central incisor to the second premolars, and each tooth 1 base portion grinds off 4 ~ 5mm, the last separation of the section of grinding one's teeth in sleep;
Iii) drawing standard is arc: at upper gnathode, upwards place a transparent plastic sheet, draw center line, and carry out labelling in plan incisor position and first molar central fossa place, then according to base bone width, determine canine tooth position, finally with reference to base bone situation, draw out initial Standard arch wire, through carefully comparing with model, do further finishing, make the tongue side of the as far as possible close tooth of arch wire;
Iv) upper dental arch is arranged tooth: remove tooth and close the mandibular model on frame, replace mouth guard 3, the arc figure of ideal is transferred to mouth guard 3, the center line position standard laid down by the ministries or commissions of the Central Government is remembered 0 scale; The central incisor that retains a side is aimed to 0 scale, according to rescuing in the works receipts amount in incisor, row's tooth side central incisor incisxal edge is placed in to the corresponding scale of mouth guard 3 place; According to rescuing upper 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 3 that represents bite plane, self-control bevel protractor 4 is tangent with incisor labial with the side 5 of different gradients, usings opposite side central incisor as reference simultaneously; According to Standard arch wire, once arrange all the other teeth; One side is drained rear as standard, arranges an other side;
V) lower dental arch is arranged tooth: separated mandibular teeth, and the foundation desirable interlock corresponding with the upper jaw; Inspection is protracted and lateral movement, when all backteeth do not have during at maximum intercuspal position early contact, lower jaw while carrying out various functional movement, not have tooth to close to disturb and on lower jaw can sting in satisfied central occlusion position time, model row tooth is complete.
The tongue side appliance of making according to above-mentioned Customized lingual appliance manufacture method comprises a plurality of individual tongue-side brackets and a set of personalized arch wire, and each individual tongue-side bracket comprises a bracket and a bracket backboard, and bracket and bracket backboard are fixed together.Wherein bracket backboard mates with the tongue side anatomical structure of tooth, and bracket is corresponding with the installation site of full-scale arch wire.When tongue side appliance is inserted in patient oral cavity, bracket backboard is fixed on tooth tongue side, and bracket is fixed on a full-scale arch wire, thereby realizes the effective correction to lopsided tooth.
It should be pointed out that the above specific embodiment can make the invention of those skilled in the art's comprehend, but do not limit the present invention in any way creation.Therefore; although this description has been described in detail the invention with reference to drawings and Examples; but; those skilled in the art are to be understood that; still can modify or be equal to replacement the invention; in a word, all do not depart from technical scheme and the improvement thereof of the spirit and scope of the invention, and it all should be encompassed in the middle of the protection domain of the invention patent.
Claims (9)
1. a Customized lingual appliance manufacture method, its step comprises:
1) formulate and rescue plan: draw out patient's plan incisor position, the interior receipts amount of central incisor, central incisor depression amount in calculating; And upper incisor labial surface tangent line and bite plane angle;
2) produce die, turn over plaster model processed, and carry out the test of anatomic type row tooth, the row's of obtaining dental cast according to the described relation of planning in the works incisor position and bite plane of rescuing;
3) described row's dental cast is scanned, obtain denture plane graph; On described denture plane graph, connect each tooth tongue side central point, obtain desirable arc figure;
4) select applicable bracket resin type and make personalized bracket backboard model;
5), according to the arc figure of described ideal, full-scale bending of arch edgewise is become to desirable arc; Make all described bracket resin types be matched with described full-scale arch wire; And described bracket resin type and described bracket backboard model are connected and fixed;
6), according to described bracket resin type and bracket backboard model, by bracket and bracket backboard casting, obtain individual tongue-side bracket;
7) described individual tongue-side bracket and the described full-scale arch wire of each tooth of casting gained are carried out to ligation binding, at the enterprising horizontal reset of described row's dental cast; When all described personalized brackets are all after parking position accuracy, make transfer tray;
8) according to the arc figure of described ideal, make serial arch wire;
Described step 2) in, the step of anatomic type row tooth test comprises: impression making and mounting: produce die, turn over plaster model processed, 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; According to described Standard arch wire, carry out upper dental arch row tooth; According to upper dental arch position, carry out lower dental arch row tooth afterwards.
2. a kind of Customized lingual appliance manufacture method as claimed in claim 1, it is characterized in that: when transfer occlusal position records, first carry out the transfer of eye-ear plane and bite plane relation, require the prominent joint of condyle frame parallel with eye-ear plane, with tooth, close fork and carry out occlusal position record, by gimbal suspension, both are fixed; Afterwards gimbal suspension is taken off, by transfer station, described occlusal position record is transferred to described tooth and close on frame.
3. a kind of Customized lingual appliance manufacture method as claimed in claim 1, is characterized in that: described step 4), described bracket resin type is selected banded bow or side's silk bow according to patient to the requirement of torque; According to the countershaft requirement of inclining of patient, adjust the nearly middle width far away of bracket.
4. a kind of Customized lingual appliance manufacture method as described in claim 1 or 3, is characterized in that: will fit the completely anatomic form of tooth tongue side of described bracket backboard.
5. a kind of Customized lingual appliance manufacture method as claimed in claim 1, is characterized in that: in described step 8) in, the method for making described serial arch wire comprises: described full-scale arch wire is carried out to high-precision laser scanning, obtain the arc figure of digitized; According to the arc figure of described digitized, adopt the method for laser engraving to make respectively circle silk template and Fang Si template; Arch wire is put into corresponding template shapes.
6. a kind of Customized lingual appliance manufacture method as claimed in claim 5, is characterized in that: setting temperature is 520 °, and the time is 10 minutes.
7. an employing is as the tongue side appliance of the method making of one of claim 1～6, 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 described bracket and bracket backboard are fixed together; The tongue side of wherein said bracket backboard and tooth is fixed, and described bracket and described full-scale arch wire are fixed.
8. a kind of tongue side appliance as claimed in claim 7, is characterized in that: fit completely in the tongue side of described bracket backboard and tooth.
9. a kind of tongue side appliance as claimed in claim 7 or 8, is characterized in that: at the bottom of the groove of described bracket near the tongue side of tooth.
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| Application Number | Priority Date | Filing Date | Title |
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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 CN102648875A (en) | 2012-08-29 |
| CN102648875B true CN102648875B (en) | 2014-09-03 |
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Families Citing this family (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 |
| CN103356303B (en) * | 2013-07-25 | 2015-01-28 | 山东大学 | Fixing device for traumatic loosened dislocated teeth, and manufacture method thereof |
| 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 |
| CN110013332B (en) * | 2019-05-23 | 2024-01-30 | 四川大学 | Invisible appliance for cat-shaped auxiliary bow |
| US11925526B2 (en) * | 2019-12-23 | 2024-03-12 | 3M Innovative Properties Company | Custom tools for bonding orthodontic appliances and methods of bonding orthodontic appliances |
Citations (1)
| Publication number | Priority date | Publication date | Assignee | Title |
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| 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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| US6685468B1 (en) * | 2002-08-21 | 2004-02-03 | Tp Orthodontics, Inc. | Bondable orthodontic appliance with a polymer resin bonding base |
| WO2006094403A1 (en) * | 2005-03-10 | 2006-09-14 | Ceramic Sciences, Inc. | Self-ligating orthodontic bracket |
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| Publication number | Priority date | Publication date | Assignee | Title |
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| 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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