CN105411692A - III type appliance with personalized function as well as manufacture method and application of III type appliance - Google Patents

III type appliance with personalized function as well as manufacture method and application of III type appliance Download PDF

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Publication number
CN105411692A
CN105411692A CN201510937218.4A CN201510937218A CN105411692A CN 105411692 A CN105411692 A CN 105411692A CN 201510937218 A CN201510937218 A CN 201510937218A CN 105411692 A CN105411692 A CN 105411692A
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iii type
base
appliance
personalized function
side base
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CN201510937218.4A
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CN105411692B (en
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陈建明
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Stomatological Hospital of Guangzhou Medical University
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Stomatological Hospital of Guangzhou Medical University
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C7/00Orthodontics, i.e. obtaining or maintaining the desired position of teeth, e.g. by straightening, evening, regulating, separating, or by correcting malocclusions
    • A61C7/08Mouthpiece-type retainers or positioners, e.g. for both the lower and upper arch
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C2201/00Material properties

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  • Health & Medical Sciences (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Dentistry (AREA)
  • Epidemiology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Dental Tools And Instruments Or Auxiliary Dental Instruments (AREA)

Abstract

The invention discloses an III type appliance with a personalized function as well as a manufacture method and an application of the III type appliance. The III type appliance with the personalized function comprises a maxillary outer side base 1, a maxillary tongue side base 2, an occlusal pad 3, a mandible outer side base 4 and a mandible tongue side base 5, wherein the maxillary outer side base 1 and the maxillary tongue side base 2 are integrally connected through the occlusal pad 3 to form an upper tooth space 6, and the mandible outer side base 4 and the mandible tongue side base 5 are integrally connected through the occlusal pad 3 to form a lower tooth space 7. The III type appliance with the personalized function can promote growth of maxilla and inhibit growth of mandible, and the purpose of preventive or interruptive correction of functional III type malocclusion or mild bony III type malocclusion is achieved; correction is completed under the condition that tooth extraction for subtrahend is not adopted, the conditions that the front section of the upper dental arch becomes narrower and the side face of the upper dental arch is more umbilicate can be avoided, reverse occlusion of anterior teeth can be corrected, space is regained, dentition is aligned, the face shape is improved, and the III type appliance with the personalized function has a good application prospect.

Description

A kind of III type personalized function appliance and preparation method thereof and application
Technical field
The invention belongs to oral cavity medical apparatus technical field.More specifically, a kind of III type personalized function appliance and preparation method thereof and application is related to.
Background technology
Functionality III class malocclusion has another name called false III property fastening deformity, is the one of iS-One class Ⅲ malocclusion jaw abnormality.IS-One class Ⅲ malocclusion jaw abnormality is a kind of oral deformity comparatively common clinically, can be divided into false III property wrong jaw, tooth class Ⅲ malocclusion jaw, skeletal Class Ⅲ jaw.The wrong jaw of false III property has another name called functionality III class patho-occlusion, it is because the lip of mandibular anterior teeth inclines, or the tongue of premanillary teeth inclines, or the two combines, or indivedual tooth interference, force lower jaw to shift forward, thus cause labial teeth anti-, grinding one's teeth in sleep is III class occluding relation, and upper mandibular bone normal in size, lower jaw has functional displacement.Along with the attention degree of people to face form constantly increase, the development of the oral status of keeping fit, the state that keeps mental health and orthodontics and mouth medical technology, to rescue as early as possible for iS-One class Ⅲ malocclusion jaw abnormality.
At present, the primary treatments for functionality III class patho-occlusion is that Anterior crossbite rescues method and lip bends removeable appliance method to expansion.But Anterior crossbite is rescued method and is had following defect: (1) Anterior crossbite requires to wear more than 14h as extaloral appliance every day, and comfort level is poor; (2) time of rescuing is long; (3) Anterior crossbite requires that rubber band is changed in timing, and can not wear when going out and can only wear at home, so require that patient compliance's degree is relatively high; (4) existence of traction apparatus can cause certain potential safety hazard.
Although compared with rescuing method with Anterior crossbite, lip uses appliance in mouth to expansion bow removeable appliance method, have the time of rescuing shorter, comfort level relatively better, the more high advantage of patient compliance's degree, but, still there is following defect: (1) is used for tooth sex deviation, to functional or slight bone weak effect; (2) not there is promotion maxillary growth, suppress Mandibular Growth effect; (3) need to wear for 24 hours, comprise diet etc.
Summary of the invention
The technical problem to be solved in the present invention is the defect and the deficiency that overcome existing capability class Ⅲ malocclusion jaw abnormality Therapeutic Method, there is provided a kind of can III type personalized function appliance of specific aim prevention or treatment functionality III class or slight skeletal Ⅲ malocclusion malocclusion, can reach preventative or object that barrier is rescued.
The object of this invention is to provide a kind of III type personalized function appliance.
Another object of the present invention is to provide the manufacture method of described III type personalized function appliance.
Another object of the present invention is to provide described III type personalized function appliance (III type appliance) and is preventing and/or treating the application in functionality III class malocclusion or slight skeletal Ⅲ malocclusion malocclusion.
Above-mentioned purpose of the present invention is achieved through the following technical solutions:
A kind of III type personalized function appliance, comprises base (4) and lower jaw tongue side base (5) outside base outside the upper jaw (1), upper jaw tongue side base (2), occlusal pad (3), lower jaw; Outside the upper jaw, base (1) and upper jaw tongue side base (2) are connected as one by occlusal pad (3) and form upper teeth groove (6), and outside lower jaw, base (4) and lower jaw tongue side base (5) are connected as one by occlusal pad (3) and form lower teeth groove (7).
Upper lower jaw base connects as a whole by occlusal pad 3, can coordinate development of mandible, the object simultaneously realize promoting maxillary development, suppressing Mandibular Growth.
Further, base (1) distance gingival mucosa 3 ~ 5mm outside the described upper jaw; And extend 3 ~ 5mm to vestibule bottom of trench, the periosteum of stretching upper jaw bone, promote upper jaw bone cheek side skeletonization.
Preferably, described upper jaw tongue side base (2) all contacts with gingival mucosa with tooth, and palate side adjusts according to practical situation.
In addition preferably, outside described lower jaw, base (4) and lower jaw tongue side base (5) all contact with tooth and gingival mucosa, do not do and extend.
Further preferably, described occlusal pad (3) is also provided with several air-vents (8), more unimpeded to ensure respiration.
In addition, outside the described upper jaw, base (1) comprises base portion, the upper jaw cheek side (9) on both sides and middle base portion, upper jaw lip side (10); Base portion, upper jaw cheek side (9) and base portion, upper jaw lip side (10) all with distance gingival mucosa 3 ~ 5mm, and extend 3 ~ 5mm to vestibule bottom of trench.
Outside described lower jaw, base (4) comprises base portion, the lower jaw cheek side (11) on both sides and middle base portion, lower jaw lip side (12); Base portion, lower jaw cheek side (11) and base portion, lower jaw lip side (12) all contact with tooth and gingival mucosa, do not do and extend.The shape of different parts, size and elongation thereof, can do suitable adjustment according to actual teeth situation.
Preferably can embodiment as one, above-mentioned III type personalized function appliance is made up of silica gel material.
Particularly, the manufacture method of above-mentioned III type personalized function appliance comprises the steps:
1) in clinical, produce the mouth inner model comprising patient oral cavity data, the wax namely comprising upper jaw bone and mandibular bone position relationship closes;
2) three-dimensional data of patient's oral cavity structure is changed out according to mouth inner model, and determine the relation of upper mandibular bone, suitably can arrange tooth if desired, obtain the mathematical model of the integration of the position relationship of upper mandibular dentition containing relative position relation and alveolar bone;
3) on mathematical model, design the Structure and form of activator;
4) utilize 3D printing technique the profile of appliance to be printed, namely print the appliance model that an inside is hollow-core construction;
5) in the hollow appliance model obtained, inject silica gel, after sclerosis, removing model, namely obtains the III type personalized function appliance be made up of silica gel material.
Wherein, described silica gel has certain hardness, specifically has the shore hardness of 10 to 80.
Above-mentioned III type personalized function appliance is preventing and/or treating the application in functionality III class malocclusion or slight skeletal Ⅲ malocclusion malocclusion, also should within protection scope of the present invention.Preferably, rescuing of child and teenager functionality III class or slight skeletal Ⅲ malocclusion malocclusion is more suitable for.
Further, III type personalized function appliance of the present invention is particularly useful for mixed dentition or permanent dentition initial stage and there is function and to close or slight bone is counter closes patient to anti-.
During embody rule, the using method of III type personalized function appliance of the present invention is very easy, and can arbitrarily take out during diet.
During embody rule, every day wear time at least 14 hours, suggestion night wear, daytime wears as far as possible; Need during diet to take out, after meal after cleaning oral cavity health, continue to wear.
The present invention has following beneficial effect:
The invention provides a kind of III type personalized function appliance, can maxillary growth be promoted, suppress Mandibular Growth, reach preventative or the object of the correction function class Ⅲ malocclusion jaw abnormality of barrier or slight skeletal Ⅲ malocclusion malocclusion, can underbite of anterior teeth be corrected, improve face type; Avoid the situation occurring that upper dental arch leading portion is more narrow and small, side looks cave in more.Compared with functionality III class malocclusion appliance in prior art, there is following obvious advantage:
1) can maxillary growth be promoted, suppress Mandibular Growth;
2) some tooth can be come into line time suitably;
3) instead of animi resin with silica gel, wear more comfortable;
4) 3D personalized designs, without the need to bending of arch edgewise.
Accompanying drawing explanation
Fig. 1 is (i.e. lip) longitudinal section in the middle part of appliance.
Fig. 2 is appliance sidepiece (i.e. buccal) longitudinal section.
Fig. 3 is appliance cross-sectional plan view.
Fig. 4 is that schematic diagram is seen in appliance front.
Fig. 5 is appliance using state Overall View schematic diagram.
Fig. 6 is that appliance using state coronalplane sees schematic diagram.
Fig. 7 is appliance using state norma sagittalis schematic diagram.
Fig. 8 is appliance using state anterior aspect schematic diagram.
Fig. 9 is appliance using state occlusal surfaces of teeth schematic diagram.
Detailed description of the invention
Further illustrate the present invention below in conjunction with Figure of description and specific embodiment, but embodiment does not limit in any form to the present invention.Unless stated otherwise, the present invention adopts reagent, method and apparatus are the art conventional reagent, method and apparatus.
Unless stated otherwise, following examples agents useful for same and material are commercial.
embodiment 1 III type personalized function appliance
1, an III type personalized function appliance, as shown in accompanying drawing 1 ~ 9, comprises base 4 and lower jaw tongue side base 5 outside base 1 outside the upper jaw, upper jaw tongue side base 2, occlusal pad 3, lower jaw; Outside the upper jaw, base 1 and upper jaw tongue side base 2 are connected as one by occlusal pad 3 and form upper teeth groove 6, and outside lower jaw, base 4 and lower jaw tongue side base 5 are connected as one by occlusal pad 3 and form lower teeth groove 7.
Upper lower jaw base connects as a whole by occlusal pad 3, can coordinate development of mandible, namely promotes maxillary development, suppresses Mandibular Growth.
Base (1) distance gingival mucosa 3 ~ 5mm outside the described upper jaw; And extend 3 ~ 5mm to vestibule bottom of trench, the periosteum of stretching upper jaw bone, promote upper jaw bone cheek side skeletonization.Described upper jaw tongue side base (2) all contacts with gingival mucosa with tooth, and palate side adjusts according to practical situation.
In addition, outside the described upper jaw, base 1 comprises the base portion, upper jaw cheek side 9 on both sides and middle base portion, upper jaw lip side 10; Base portion, upper jaw cheek side 9 and base portion, upper jaw lip side 10 all with distance gingival mucosa 3 ~ 5mm, and extend 3 ~ 5mm to vestibule bottom of trench.
Outside described lower jaw, base 4 comprises the base portion, lower jaw cheek side 11 on both sides and middle base portion, lower jaw lip side 12; Base portion, lower jaw cheek side 11 and base portion, lower jaw lip side 12 all contact with tooth and gingival mucosa, do not do and extend.The shape of different parts, size and elongation thereof, can do suitable adjustment according to actual teeth situation.
Base 4 and lower jaw tongue side base 5 outside described lower jaw, all contact with tooth and gingival mucosa, do not do and extend, palate side adjusts according to practical situation.
In addition, described occlusal pad 3 is also provided with several air-vents 8, more unimpeded to ensure respiration.
2, during embody rule, III type personalized function appliance of the present invention is particularly useful for mixed dentition or permanent dentition initial stage to be existed function and to close or slight bone is counter closes patient to anti-; Every day wears at least 14 hours, and suggestion is worn night, and daytime wears as far as possible; Need during diet to take out, after meal after cleaning oral cavity health, continue to wear.
the manufacture method of embodiment 2 III type personalized function appliance
Described in embodiment 1, the manufacture method of III type personalized function appliance, comprises the steps:
1) in clinical, produce the mouth inner model comprising patient oral cavity data, the wax namely comprising upper jaw bone and mandibular bone position relationship closes;
2) three-dimensional data of patient's oral cavity structure is changed out according to mouth inner model, and determine the relation of upper mandibular bone, suitably can arrange tooth if desired, obtain the mathematical model of the integration of the position relationship of upper mandibular dentition containing relative position relation and alveolar bone;
3) on mathematical model, design the Structure and form of activator;
4) utilize 3D printing technique the profile of appliance to be printed, namely print the appliance model that an inside is hollow-core construction;
5) in the hollow appliance model obtained, inject silica gel, after sclerosis, removing model, namely obtains the III type personalized function appliance be made up of silica gel material.
Wherein, described silica gel has certain hardness, specifically has the shore hardness of 10 to 80.

Claims (8)

1. an III type personalized function appliance, is characterized in that, comprises base (4) and lower jaw tongue side base (5) outside base outside the upper jaw (1), upper jaw tongue side base (2), occlusal pad (3), lower jaw; Outside the upper jaw, base (1) and upper jaw tongue side base (2) are connected as one by occlusal pad (3) and form upper teeth groove (6), and outside lower jaw, base (4) and lower jaw tongue side base (5) are connected as one by occlusal pad (3) and form lower teeth groove (7); Base (1) distance gingival mucosa 3 ~ 5mm outside the described upper jaw, and extend 3 ~ 5mm to vestibule bottom of trench.
2. III type personalized function appliance according to claim 1, it is characterized in that, described upper jaw tongue side base (2) all contacts with gingival mucosa with tooth, and palate side adjusts according to practical situation.
3. III type personalized function appliance according to claim 1, it is characterized in that, outside described lower jaw, base (4) all contacts with gingival mucosa with tooth, does not do and extends; Described lower jaw tongue side base (5) all contacts with gingival mucosa with tooth, does not do and extends.
4. III type personalized function appliance according to claim 1, is characterized in that, described occlusal pad (3) is provided with several air-vents (8).
5. III type personalized function appliance according to claim 1, is characterized in that, outside the described upper jaw, base (1) comprises base portion, the upper jaw cheek side (9) on both sides and middle base portion, upper jaw lip side (10); Outside described lower jaw, base (4) comprises base portion, the lower jaw cheek side (11) on both sides and middle base portion, lower jaw lip side (12).
6., according to the arbitrary described III type personalized function appliance of Claims 1 to 5, it is characterized in that, be made up of silica gel material.
7. the manufacture method of the arbitrary described III type personalized function appliance of claim 1 ~ 6, is characterized in that, comprise the steps:
1) in clinical, produce the mouth inner model comprising patient oral cavity data, the wax namely comprising upper jaw bone and mandibular bone position relationship closes;
2) change out the three-dimensional data of patient's oral cavity structure according to mouth inner model, and determine the relation of upper mandibular bone, obtain the mathematical model of the integration of the position relationship of upper mandibular dentition containing relative position relation and alveolar bone;
3) on mathematical model, design the Structure and form of activator;
4) utilize 3D printing technique the profile of appliance to be printed, namely print the appliance model that an inside is hollow-core construction;
5) in the hollow appliance model obtained, inject silica gel, after sclerosis, removing model, namely obtains the III type personalized function appliance be made up of silica gel material.
8. the arbitrary described III type personalized function appliance of claim 1 ~ 6 is preventing and/or treating the application in functionality III class malocclusion or slight skeletal Ⅲ malocclusion malocclusion.
CN201510937218.4A 2015-12-15 2015-12-15 A kind of III type personalized function appliance Active CN105411692B (en)

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Cited By (5)

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Publication number Priority date Publication date Assignee Title
CN106691608A (en) * 2017-02-27 2017-05-24 四川大学 Shell-shaped dental instrument for correcting occlusal interference
CN110063803A (en) * 2019-05-23 2019-07-30 昆明蓝橙口腔医院有限责任公司 Cheek screen formula magnetic activator
CN110464489A (en) * 2018-12-27 2019-11-19 上海交通大学医学院附属第九人民医院 A kind of row's tooth device, row's braces box and its preparation method and application
CN110833459A (en) * 2019-11-04 2020-02-25 广州瑞通生物科技有限公司 Oral cavity corrector and oral cavity correcting method
WO2024140146A1 (en) * 2022-12-28 2024-07-04 正雅齿科科技(上海)有限公司 Orthodontic system for treating oral cavity and generation method therefor, electronic device, and storage medium

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CN109259877A (en) * 2018-11-30 2019-01-25 广州牙道医疗器械有限公司 A kind of digitlization customized production technique of dental product

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* Cited by examiner, † Cited by third party
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CN106691608A (en) * 2017-02-27 2017-05-24 四川大学 Shell-shaped dental instrument for correcting occlusal interference
CN110464489A (en) * 2018-12-27 2019-11-19 上海交通大学医学院附属第九人民医院 A kind of row's tooth device, row's braces box and its preparation method and application
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CN110833459A (en) * 2019-11-04 2020-02-25 广州瑞通生物科技有限公司 Oral cavity corrector and oral cavity correcting method
WO2024140146A1 (en) * 2022-12-28 2024-07-04 正雅齿科科技(上海)有限公司 Orthodontic system for treating oral cavity and generation method therefor, electronic device, and storage medium

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