CN105310787A - Device for relieving buccal crossbite for fixed type asymmetric occlusal pad combined casting crown - Google Patents

Device for relieving buccal crossbite for fixed type asymmetric occlusal pad combined casting crown Download PDF

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CN105310787A
CN105310787A CN 201410717456 CN201410717456A CN105310787A CN 105310787 A CN105310787 A CN 105310787A CN 201410717456 CN201410717456 CN 201410717456 CN 201410717456 A CN201410717456 A CN 201410717456A CN 105310787 A CN105310787 A CN 105310787A
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jaw
tooth
lower
casting
combined
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CN 201410717456
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Chinese (zh)
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陆珮珺
赵宁
胡铮
沈刚
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赵宁
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Abstract

The invention relates to a device for relieving buccal crossbite for a fixed type asymmetric occlusal pad combined casting crown. The device comprises an upper jaw portion and a lower jaw portion, wherein the upper jaw portion comprises an casting metal combined crown of a left/right side first premolar tooth to a first molar tooth or a second molar tooth of an upper jaw, a reversely placed Hyrax expansion screw and left/right side front and back palate rods; the lower jaw portion comprises a casting metal combined crown of a first premolar tooth on a lower jaw buccal crossbite side to a first molar tooth or second molar tooth of a lower jaw; the casting metal combined crown has hollow parts corresponding to cusps; and metal drawing hooks are respectively welded to cheek and tongue sides of the casting metal combined crowns of the first premolar tooth of the lower jaw and the first molar tooth of the lower jaw. The device has the advantages that the size is small, foreign body sensation is low, requirements on compliance of patients are reduced due to adhesion fixation, and a shaping effect is stable; a plurality of back teeth of the buccal crossbite are connected to one another integrally, and side effects of vertical tooth rising possibly caused by mutual elastics can be avoided; and widths of dental arches of the upper jaw and the lower jaw can also be harmonized by the device while buccal crossbite is relieved.

Description

固定式不对称牙合垫联合铸造冠解除锁牙合装置 Fixed joint splint asymmetric metal crown occlusal unlock means

[0001] [0001]

技术领域: FIELD:

本发明涉及一种口腔正畸矫治器,尤其是涉及一种固定式不对称牙合垫联合铸造冠解除锁牙合装置。 The present invention relates to an orthodontic appliance, and more particularly, to a fixed joint splint asymmetric metal crown occlusal unlock means.

[0002] 背景技术: [0002] BACKGROUND:

根据上下后牙的颊舌位置关系,锁牙合在临床上可分为正锁牙合和反锁牙合。 The buccolingual positional relationship after the upper and lower teeth, occlusal lock can be divided clinically positive lock locked occlusion and occlusion. 其中,正锁牙合临床较为多见,正锁牙合是指上颂后牙舌尖的舌斜面位于下颂后牙颊尖的颊斜面的颊侧,牙合面无咬合接触。 Wherein, n latch occlusal clinical more common, positive locking means after the occlusion of the maxillary teeth tongue tongue ramp located retromandibular buccal cheek teeth buccal cusp slope, occlusal surface without occlusal contact. 正锁牙合又可分为个别牙正锁牙合;单侧上下第二磨牙正锁牙合、单侧多数后牙正锁牙合和双侧多数后牙正锁牙合。 Positive locking can be divided into individual bite-fitting dental occlusion; unilateral vertical occlusal-fitting the second molar, most unilateral posterior occlusal positive-locking and positive locking teeth most bilateral occlusion.

[0003] 单侧多数后牙锁牙合常因单侧多数乳磨牙重度龋损或早失,致使对侧单侧后牙咀嚼引起。 [0003] Most unilateral posterior occlusal tooth lock most often due to unilateral severe caries deciduous molar or early loss, resulting in unilateral posterior contralateral chewing caused. 这对患者下颂的功能运动和咀嚼运动有较大的不利影响。 This has a greater adverse effect on the function of the mandibular movement and chewing movement of the patient. 而单侧后牙全部正锁牙合所引起的颜面不对称畸形的患者则由于后牙全部无接触,患者只能用对侧单侧进行咬合功能,极易诱发颞下颂关节疾病,从而引发下颂骨左右发育不对称,造成面型偏斜,这将给患者造成很大的心理和精神负担。 Patients with unilateral posterior face and all the positive locking due to occlusion is due to the asymmetry of all the teeth without contact, only patients with contralateral unilateral occlusion function, easily induced temporal mandibular joint disease, causing around the mandible development asymmetry, resulting in surface deflection type, which will give the patient a big psychological and emotional burden. 本发明是主要针对这类单侧多数后牙正锁牙合并伴有上下颂牙弓宽度不协调的患者进行综合治疗用的口腔正畸矫治器。 The present invention is aimed at the most positive lock tooth dental patients with unilateral such combined vertical arch width Chung uncoordinated oral orthodontic appliance with combined therapy.

[0004] 发明内容: [0004] SUMMARY OF THE INVENTION:

本发明的目的是针对现有技术不足之处而提供一种固定式不对称牙合垫联合铸造冠解除锁牙合装置。 The present invention is directed to the shortcomings of the prior art and to provide a fixed joint splint asymmetric metal crown occlusal unlock means. 该装置采用固定式的后牙牙合垫升高咬合,打开锁牙合处牙尖锁结关系,解除锁牙合,且对于伴有上下颂牙弓宽度不协调的患者,可同时协调后牙段牙弓宽度,进行上颂缩弓、下颂扩弓。 The device uses the stationary pad raising the occlusal bite, open cusp keying occlusal relationship lock, the lock is released occlusion, and for patients with upper and lower arch width uncoordinated Chung, tooth segment can be coordinated simultaneously arch width, a song on the bow reduction, mandibular arch expansion.

[0005] 本发明的目的通过以下措施来实现:一种固定式不对称牙合垫联合铸造冠解除锁牙合装置,其特征在于,它包括上颂部分、下颂部分,其中: [0005] The object of the present invention is achieved by the following measures: a fixed-type joint splint asymmetric metal crown occlusal unlock means, characterized in that it comprises a portion of the maxillary, the next song portion, wherein:

上颂部分包括上颂左/右侧第一前磨牙至第一磨牙或第二磨牙铸造金属联冠、反向放置的Hyrax螺旋扩大器、左/右侧前后两根腭杆;上颂左/右侧铸造金属联冠在对应的牙尖处镂空,上颂左/右侧中锁牙合侧的第一前磨牙、第一磨牙的金属冠的颊侧均设有金属牵引钩,上颂左/右侧中非锁牙合侧的铸造金属联冠加铺塑料牙合垫、牙合垫的高度与使锁牙合牙脱离牙尖锁结相对应,所述左/右侧前腭杆一端固定在螺旋扩大器上、另一端与对应的左/右侧第一前磨牙铸造金属联冠的冠腭侧连接,所述左/右侧后腭杆一端固定在螺旋扩大器上、另一端与对应的左/右侧第一磨牙铸造金属联冠的冠腭侧连接; The maxillary portion including the maxillary left / right first premolar to the first or second molar teeth with cast metal crowns, oppositely arranged spiral Hyrax amplifier, left / right two longitudinal rods palate; maxillary left / right cast metal crown with the corresponding cusp of the hollow, the maxillary left / first premolar locks occlusal side right, buccal side of the first molar has a metal to metal crown towing hook, left maxillary overlay with cast metal crown plastic splint / right of Africa locking occlusal side, the height of the occlusal pad the locking occlusion departing cusp lock junction corresponding to the left / right side front end TPA fixing the spiral to expand, and the other end of the corresponding left / right first premolar crown with the crown of the cast metal palatal connector, the rear left / right palatal spiral rod is fixed to the end amplifier, and the other end corresponding left / right first molar crown with the crown of the cast metal connecting palatal;

下颂部分包括下颂锁牙合侧的第一前磨牙至下颂第一磨牙或第二磨牙铸造金属联冠,铸造金属联冠在对应的牙尖处镂空,下颂第一前磨牙、下颂第一磨牙的铸造金属联冠的颊、舌侧分别焊有金属牵引钩。 Mandibular front portion including a first locking the mandibular occlusal side to the mandibular first molar teeth or second molars with cast metal crowns, cast metal crown with the corresponding cusp of the hollow, a first mandibular premolars, lower Chung first molar cast metal crown with buccal, lingual welded metal are traction hook.

[0006] 所述上颂部分铸造金属联冠的冠边缘离牙銀缘0.5〜1.0mm。 [0006] The edge of the crown portion of the maxillary cast metal crown from the tooth with a silver edge 0.5~1.0mm.

[0007] 所述下颂部分铸造金属联冠的冠边缘离牙龈缘0.5〜1.0_。 [0007] The edges of the cast metal crown with the crown portion away from the gingival margin Chung 0.5~1.0_.

[0008] 所述上/下颂部分铸造金属联冠与牙冠之间均使用玻璃离子粘结剂粘接。 [0008] the upper / lower parts are Chung glass cast metal ion with an adhesive bond between crown and crown.

[0009] 所述塑料牙合垫牙合面上设有数个直径1mm的溢出孔。 [0009] The plastic splint occlusal surface provided with a plurality of vent holes 1mm in diameter.

[0010] 与现有技术相比,采用了本发明提出的一种固定式不对称牙合垫联合铸造冠解除锁牙合装置,具有如下优点:本矫形装置与临床上采用的活动式前牙平导或者后牙牙合垫相比,体积较小,异物感较小;同时粘结固定,对患者的依从性要求降低,从而减少了主观影响因素的干扰,矫形效果更为稳定。 [0010] Compared with the prior art, uses a fixed asymmetrical tooth splint proposed by the invention jointly unlock crown occlusal casting apparatus has the following advantages: a movable front teeth employed on this clinical orthopedic devices after the blunt guide or occlusal pad compared to smaller, less foreign body sensation; simultaneously bonded and fixed, reduced requirements for patient compliance, thereby reducing the interference of subjective factors, orthopedic effect more stable. 该矫正装置将锁牙合的多个后牙连接为一整体,还可避免因交互牵引可能引起的牙齿垂直向升高的副作用。 The plurality of posterior occlusal correction means connected to the lock as a whole, but also to avoid side effects due to elevated Traction vertical teeth may be caused. 此外,在解除锁牙合的同时,该装置还可以协调上下颂牙弓宽度。 Further, while the unlock occlusion, the device may also coordinate the vertical Chung arch width.

[0011] 附图说明: [0011] BRIEF DESCRIPTION OF DRAWINGS:

图1是本发明提出的一个实施例上颂部分结构示意图。 FIG 1 is a schematic view of the partial structure Chung embodiment of a proposed embodiment of the present invention.

[0012] 图2是图1实施例下颂部分结构示意图。 [0012] FIG. 2 is a schematic diagram of the structure of the mandible part 1 embodiment.

[0013] 具体实施方式: [0013] DETAILED DESCRIPTION:

下面结合附图对具体实施方式作详细说明:图1〜图2示出了本发明的一个实施例。 In conjunction with the accompanying drawings of specific embodiments described in detail: Figure 1 ~ Figure 2 shows an embodiment of the present invention. 图中,一种固定式不对称牙合垫联合铸造冠解除锁牙合装置,它包括上颂部分1、下颂部分2 ;其中: FIG, a fixed joint splint asymmetric metal crown occlusal unlock means comprising a portion of the maxillary, mandibular portion 2; wherein:

上颂部分1包括上颂左/右侧第一前磨牙至第一磨牙或第二磨牙铸造金属联冠11、反向放置的Hyrax螺旋扩大器12、左/右侧前两根腭杆13/14、左/右侧后两根腭杆18/19 ;上颂左/右侧铸造金属联冠在对应的牙尖处镂空15,上颂左/右侧中锁牙合侧的第一前磨牙、第一磨牙的金属冠11的颊侧均设有金属牵引钩16,上颂左/右侧中非锁牙合侧的铸造金属联冠加铺塑料牙合垫17、牙合垫17的高度与使锁牙合牙脱离牙尖锁结相对应,所述左/右侧前腭杆13/14 —端固定在螺旋扩大器上12、另一端与对应的左/右侧第一前磨牙铸造金属联冠11的冠腭侧连接,所述左/右侧后腭杆18/19 —端固定在螺旋扩大器12上、另一端与对应的左/右侧第一磨牙铸造金属联冠11的冠腭侧连接。 1 includes an upper portion of the maxillary Chung left / right first premolar to the first or second molar teeth with cast metal crown 11, oppositely arranged spiral Hyrax expander 12, the left / right front two rods 13 palatal / 14, the left / right two rods palatal 18/19; maxillary left / right molar crown of the cast metal with the corresponding front teeth of the first hollow at the tip 15, the maxillary left / right side of the latch occlusal , first molars buccal metal crown 11 has a height of the metal traction hook 16, with the cast metal crown plastic overlay the maxillary left teeth / locking Africa occlusal side right bond pads 17, 17 of the splint occlusion with the lock disengaged cusp lock junction corresponding to the left / right front TPA 13/14 - end fixed to the spiral amplifier 12, the other end of the corresponding left / right first premolar casting Lianguan metal crown palatal side connector 11, the rear left / right TPA 18/19 - end fixed to the spiral amplifier 12, the other end of the corresponding left / right side of the cast metal with a first molar crown 11 coronal palatal connector. 本结构中,上颂部分铸造金属联冠的冠边缘离牙龈缘0.5〜1.0mm,本实施例取1mm。 In this configuration, edge of the crown portion of the maxillary cast metal crown from the gingival margin associated 0.5~1.0mm, the present embodiment taken 1mm. 两侧铸造金属联冠中间反向放置Hyrax螺旋扩大器,Hyrax螺旋扩大器放置前打开的宽度与上颂后牙段需要缩窄的宽度一致,协调上下颂牙弓宽度不调。 Intermediate casting oppositely arranged sides of the crown with a metal spiral expander Hyrax, consistent with the width of the maxillary front coil expander Hyrax tooth segments need to support the open narrow width, the width of the arch Chung vertical coordinate is not adjusted. 反向放置的Hyrax螺旋扩大器每隔一天旋动一下,即每两天缩弓0.25_。 Oppositely arranged spiral expander Hyrax rotating about every other day, every two days, i.e. bow 0.25_ reduced. 另,上颂左/右侧中锁牙合侧的第一前磨牙、第一磨牙的金属冠11的颊侧均设有金属牵引钩,是为了便于交互牵引解除锁牙合关系。 Also, the maxillary left / first premolar tooth of the locking engagement of the right side, the first molars buccal metal crown 11 are provided with a metal towing hook, in order to facilitate Traction unlock occlusal relationship.

[0014] 下颂部分2包括下颂锁牙合侧的第一前磨牙至下颂第一磨牙或第二磨牙铸造金属连冠21,铸造金属联冠在对应的牙尖处镂空22,下颂第一前磨牙、下颂第一磨牙的铸造金属联冠21的颊、舌侧分别焊有金属牵引钩23。 [0014] mandibular portion 2 comprises a mandibular occlusal side of the first latch premolar mandibular first molar to the second molar or 21 consecutive cast metal, the cast metal crown joint 22, corresponding to the song at a cusp hollow a first premolar, a first molar mandibular joint cast metal crown 21 of buccal, lingual welded metal are traction hook 23. 本结构中,下颂部分铸造金属联冠的冠边缘离牙龈缘0.5〜1.0mm,本实施例取1mm。 In this configuration, the lower edge of the crown portion of the cast metal with Chung crown from the gingival margin 0.5~1.0mm, the present embodiment taken 1mm. 颊、舌侧分别焊接弯向下的金属牵引钩,以便交互牵引竖直下颂后牙,解除锁牙合关系,同时增加下颂后牙段牙弓宽度。 Buccal, welded metal bent downward lingual towing hook, in order to interact with the rear vertical traction mandibular teeth, unlock occlusal relationship, while increasing retromandibular dental arch width section.

[0015] 本发明进一步采取如下措施:所述上/下颂部分铸造金属联冠与牙冠之间均使用玻璃离子粘结剂粘接。 [0015] The present invention further take the following measures: the upper / lower parts are Chung glass cast metal ion with an adhesive bond between crown and crown. 粘结固定的好处是对患者的依从性要求降低,从而减少了主观影响因素的干扰,矫形效果更为稳定。 Adhesively fixed benefit is compliance with the requirements of the patient is reduced, thereby reducing the interference of subjective factors, orthopedic effect is more stable.

[0016] 所述塑料牙合垫牙合面上设有数个直径1mm的溢出孔。 [0016] The plastic splint occlusal surface provided with a plurality of vent holes 1mm in diameter. 有利于化学粘结剂的排溢,在化学固位的同时增加机械固位。 Facilitate discharge overflow chemical binder, mechanical retention while increasing the retention of the chemical.

[0017] 本文申请中的牙合的英文名为occlus1n,在口腔医学中牙与合为一个字的左部和右部,但在普通字库中找不到这样的字,故分开书写。 [0017] As used herein application occlusal English known occlus1n, in stomatology teeth and into one word of the left and right portions, but could not find such words in normal font, the writing it separately.

[0018] 上面给出的实施例并不构成对本发明的限制,本领域内熟练的技术人员在所附权利要求的范围内做出各种变形或修改均在保护范围内。 The examples given [0018] The above does not limit the present invention, the skilled person in the art that various changes and modifications within the scope of the appended claims are within the scope of protection.

Claims (5)

  1. 1.一种固定式不对称牙合垫联合铸造冠解除锁牙合装置,其特征在于,它包括上颂部分、下颂部分,其中: 上颂部分包括上颂左/右侧第一前磨牙至第一磨牙或第二磨牙铸造金属联冠、反向放置的Hyrax螺旋扩大器、左/右侧前后两根腭杆;上颂左/右侧铸造金属联冠在对应的牙尖处镂空,上颂左/右侧中锁牙合侧的第一前磨牙、第一磨牙的金属冠的颊侧均设有金属牵引钩,上颂左/右侧中非锁牙合侧的铸造金属联冠加铺塑料牙合垫、牙合垫的高度与使锁牙合牙脱离牙尖锁结相对应,所述左/右侧前腭杆一端固定在螺旋扩大器上、另一端与对应的左/右侧第一前磨牙铸造金属联冠的冠腭侧连接,所述左/右侧后腭杆一端固定在螺旋扩大器上、另一端与对应的左/右侧第一磨牙铸造金属联冠的冠腭侧连接; 下颂部分包括下颂锁牙合侧的第一前磨牙至下颂第一磨牙或第 A fixed joint splint asymmetric metal crown occlusal unlock means, characterized in that it comprises a portion of the maxillary, the next song portion, wherein: the maxillary portions comprising the maxillary left / right first premolar to the first or second molar teeth with cast metal crowns, oppositely arranged spiral Hyrax amplifier, left / right two longitudinal rods palate; maxillary left / right side of the cast metal with the corresponding crown teeth in the hollow at the tip, the maxillary left first premolar / right side locks occlusal, buccal first molar has a metal to metal crown towing hook, the maxillary cast metal crown with a left / Africa locking occlusal side right overlay plastic splint, the splint height of the locking occlusion departing keying corresponding cusp of the left / right front end fixed to the palatal bar expanding spiral, and the other end of the corresponding left / coronal palatal right first premolar crown connection with casting metal, after the left / right palatal spiral rod is fixed to the enlarged end and the other end with the corresponding left / right side of the cast metal with a first molar crown coronal palatal connector; mandibular front portion including a first locking the mandibular occlusal side of the mandibular first molar to molar or second 二磨牙铸造金属连冠,铸造金属联冠在对应的牙尖处镂空,下颂第一前磨牙、下颂第一磨牙的铸造金属联冠的颊、舌侧分别焊有金属牵引钩。 Two consecutive teeth cast metal, cast metal crown with the corresponding cusp of the hollow, a first mandibular premolar, the cast metal with the mandibular first molar crown buccal, lingual welded metal are traction hook.
  2. 2.根据权利要求1所述固定式不对称牙合垫联合铸造冠解除锁牙合装置,其特征在于,所述上颂部分铸造金属联冠的冠边缘离牙龈缘0.5〜1.0mm。 2. The stationary asymmetrical tooth joint splint according to claim unlock crown occlusal casting apparatus, characterized in that said portion of the maxillary cast metal crown with crown margin from the gingival margin 0.5~1.0mm.
  3. 3.根据权利要求1所述固定式不对称牙合垫联合铸造冠解除锁牙合装置,其特征在于,所述下颂部分铸造金属联冠的冠边缘离牙龈缘0.5〜1.0mm。 The asymmetry of the stationary joint dental splint as claimed in claim unlock crown occlusal casting apparatus, characterized in that, the mandibular joint crown portion of the cast metal from the gingival margin of the crown margin 0.5~1.0mm.
  4. 4.根据权利要求1所述固定式不对称牙合垫联合铸造冠解除锁牙合装置,其特征在于,上/下颂部分铸造金属联冠与牙冠之间均使用玻璃离子粘结剂粘接。 The asymmetry of the stationary joint splint metal crown occlusal unlock means, characterized in that the upper / lower parts are Chung glass adhesion between the adhesive casting metal ions associated with the crown as claimed in claim crown access.
  5. 5.根据权利要求1或4所述固定式不对称牙合垫联合铸造冠解除锁牙合装置,其特征在于,所述塑料牙合垫牙合面上设有数个直径1mm的溢出孔。 4 according to claim 1 or claim stationary asymmetrical tooth joint splint metal crown occlusal unlock means, wherein a plurality of vent holes with a diameter of 1mm plastic occlusal surface of the dental splint.
CN 201410717456 2014-12-01 2014-12-01 Device for relieving buccal crossbite for fixed type asymmetric occlusal pad combined casting crown CN105310787A (en)

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CN204318948U (en) * 2014-12-01 2015-05-13 赵宁 Fixed type asymmetrical occlusal pad and cast crown combined buccal crossbite relieving device

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