CN106580490A - Intraoral maxillary clasp type occlusal pad reverse headgear appliance for orthodontics of skeletal crossbite - Google Patents

Intraoral maxillary clasp type occlusal pad reverse headgear appliance for orthodontics of skeletal crossbite Download PDF

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Publication number
CN106580490A
CN106580490A CN201611039206.0A CN201611039206A CN106580490A CN 106580490 A CN106580490 A CN 106580490A CN 201611039206 A CN201611039206 A CN 201611039206A CN 106580490 A CN106580490 A CN 106580490A
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China
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side base
base support
appliance
bone
mouth
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CN201611039206.0A
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CN106580490B (en
Inventor
李湘琳
司新芹
侯玉霞
李彤
张智勇
鲍庆红
俞芳华
管丽敏
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Stomatological Hospital Of Xi'an Jiaotong University
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Stomatological Hospital Of Xi'an Jiaotong 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
    • A61C7/00Orthodontics, i.e. obtaining or maintaining the desired position of teeth, e.g. by straightening, evening, regulating, separating, or by correcting malocclusions
    • A61C7/10Devices having means to apply outwardly directed force, e.g. expanders

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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)
  • Orthopedics, Nursing, And Contraception (AREA)

Abstract

The invention discloses an intraoral maxillary clasp type occlusal pad reverse headgear appliance for orthodontics of skeletal crossbite. The reverse headgear appliance has a structure as a palatal side base plate that covers all upper teeth; a back tooth occlusal pad and an incisor teeth cap are symmetrically arranged on the palatal side base plate; a permanent molar arrow clasp, a premolar arrow clasp, a front towing hook and a maxillary central incisor long arrow clasp are symmetrically embedded in the palatal side base plate, or a primary molar long arrow clasp, a front towing hook and a maxillary central incisor long arrow clasp are symmetrically embedded in the palatal side base plate, or a back tooth embrasure hook and a maxillary central incisor long arrow clasp are symmetrically embedded in the palatal side base plate. The front towing hook is located at the lip side and between a lateral incisor teeth and a canine tooth at a distance being 3-5 mm from a sulcus vestibularis, wherein an opening being inclined relative to an occlusal plane upwardly and backwardly at 45 degrees is formed in the front towing hook, and the front towing hook is bent outwardly in a U-shaped structure. The reverse headgear appliance has excellent fixation, is smart and comfort, allows people to speak and eat, reduces orthodontic time and is increased in adaptation disease, increases clinical curative rate and has excellent economic and social benefit.

Description

Rescue upper jaw snap ring-type in the mouth that bone is instead closed and close pad front dragging appliance
Technical field
The invention belongs to the assistive device of Orthodontics, is related to upper jaw snap ring-type in a kind of mouth for rescuing the anti-conjunction of bone Pad front dragging appliance (including basic model and anomaly) is closed, for treating growth and development stage milk teeth period to permanent teeth initial stage bone Angle class Ⅲ malocclusions jaw abnormality is corrected.
Background technology
China's malocclusion patient about 70%, Angle class Ⅲ malocclusion sickness rate is about 12%, and malocclusion occurs the 3rd Position, physically and mentally healthy on patient to affect larger, clinical consultation rate is high.Before the conventional correction of existing orthopedic bone Angle class Ⅲ malocclusions has Traction class appliance, SanderIII activators, head cap chin pocket appliance etc., and front haulage class appliance is to coordinate to wear Extraoral protraction face frame competence exertion maxillary advancement effect, it is existing it is conventional have fixed bonding formula expand bow front dragging appliance, Stent-type front dragging appliance, adhered conjunction pad expand bow front dragging appliance, adhered full dental arch and close pad front dragging appliance etc. Deng.Above-mentioned appliance respectively has indication, cuts both ways, for example:
Existing fixed bonding formula expands bow front dragging appliance and fixed bonding stent-type front dragging appliance, is mainly used in 10 years old or so mixed dentitions and permanent teeth initial stage bone patients, because without pad is closed, driving jawbone to front haulage with root of the tooth, rescue bone in addition Property it is counter close the initial stage, because the anti-lock knot that closes is difficult to open, the Upper Anterior Teeth drag effects initial stage rescues, and the upper jaw rescues counter blade with mandibular incisors When, because without pad is closed, affecting patients diet to swallow, in unstable conjunction, affect the treatment.
The adhered pad that closes expands bow front dragging appliance, adhered full dental arch conjunction pad front dragging appliance, is primarily adapted for use in mixed Denture initial stage bone patient is closed, because of the full dental arch of fixed bonding, although solve without the shortcoming for closing pad front haulage, but because rescuing in mouth Device is not easy to clean, there is problem of bad breath;Again the period of rescuing is mixed dentition initial stage bone patient, and permanent teeth root growth deficiency root 1/2 is rectified At the end of controlling, go appliance easily to make neoformative permanent tooth come off, cause malpractice.
SanderIII activators be the eighties in last century German doctor Sander invention, opposite of having reported for work long hair Educate phase light moderate bone patient outcome affirmative, but two parts closed up and down because appliance is split type, volume shared by proper oral cavity compared with Greatly, indication is limited, and individually limits lower jaw development curative effect with head cap chin pocket appliance disputable.
The content of the invention
The defect existed for above-mentioned prior art or deficiency, it is an object of the present invention to provide one kind to rescue bone anti- Upper jaw snap ring-type closes pad front dragging appliance in the mouth of conjunction, for treating growth and development stage milk teeth period to permanent teeth initial stage bone Angle class Ⅲ malocclusions jaw abnormality is corrected.
In order to realize foregoing invention purpose, the present invention adopts following technical solution:
The first technical scheme:
A kind of to rescue upper jaw snap ring-type conjunction pad front dragging appliance in the mouth that bone is instead closed, this is rescued in the mouth that bone is instead closed It is a palate side base support for covering all upper teeth that upper jaw snap ring-type closes pad front dragging appliance, is divided into lip side base support, cheek side base support With it is remote in base, the palate side base support matches with upper dental arch radian, it is characterised in that:
There is symmetrical rear Occlusal pad in palate side base support;
Symmetrical plunge grinding tooth haircut card, premolarss haircut card are embedded with palate side base support, on front haulage hook and one in cut The long arrow card of tooth, wherein, front haulage hook is located at lip side at vestibule ditch 3-5mm between lateral incisor and canine tooth, front haulage hook shape shape Cheng Yuhe planes in 45 degree angles it is oblique afterwards on outward opening U-bend.
Second technical scheme:
A kind of to rescue upper jaw snap ring-type conjunction pad front dragging appliance in the mouth that bone is instead closed, this is rescued in the mouth that bone is instead closed It is a palate side base support for covering all upper teeth that upper jaw snap ring-type closes pad front dragging appliance, is divided into lip side base support, cheek side base support With it is remote in base, the palate side base support matches with the radian of upper tooth, it is characterised in that:
There is symmetrical rear Occlusal pad in palate side base support;
The long arrow card of symmetrical deciduous molar is embedded with palate side base support, the long arrow card of central incisor on front haulage hook and, Wherein, front haulage hook is located at lip side at vestibule ditch 3-5mm between lateral incisor and canine tooth, and front haulage hook shape forms and is in conjunction plane Outward opening U-bend on after 45 degree of angles are oblique.
The third technical scheme:
A kind of to rescue upper jaw snap ring-type conjunction pad front dragging appliance in the mouth that bone is instead closed, this is rescued in the mouth that bone is instead closed It is a palate side base support for covering all upper teeth that upper jaw snap ring-type closes pad front dragging appliance, is divided into lip side base support, cheek side base support With it is remote in base, the palate side base support matches with upper dental arch radian, it is characterised in that:
There is symmetrical rear Occlusal pad in palate side base support;
The long arrow card of central incisor on symmetrical backteeth embrasure hook and one is embedded with palate side base support, wherein, front haulage hook Positioned at lip side at vestibule ditch 3-5mm between lateral incisor and canine tooth, front haulage hook shape formed with close plane in 45 degree of angles it is oblique after On outward opening U-bend.
According to the present invention, described lip side base support is embedded in incisor and cuts 1/3, and cheek side base support embeds conjunction 1/3 of grinding one's teeth in sleep, remote middle base Support embedding ECDC face is connected at pterygomaxillary fissure ditch to maxillary tuberosity and is connected integral with to base side, remote middle base embedding Jing Maxillary tuberosity is connected to pterygomaxillary fissure ditch, and closing padded degree need to open depending on 1mm-2mm distances according to the conjunction of upper mandibular anterior teeth.
Described palate side base support is made of self-curing plastic, palate side base support thickness 1.5mm-2mm;
Described front haulage hook is bent with 1.2 stainless steel silks, and described front haulage hook is U-shaped to be:The long 5mm of cut end, gum end are long 8mm, U-shaped bottom width 3mm.
Described backteeth closes padded degree and need to be opened depending on 1mm-2mm distances according to the conjunction of upper mandibular anterior teeth, departs from anti-conjunction and locks knot Relation.
In first, second kind of technical scheme, the long arrow card of described upper central incisor is curved with the stainless steel silk of 0.9mm diameters System.
The lip side of described front haulage hook at vestibule ditch 3-5mm, leave mucosa 1-3mm distances, across and leave lateral incision 1-2mm between tooth and canine tooth, U-shaped mouth opens outward.
In the first technical scheme, described premolarss haircut card is bent with the stainless steel silk of 0.8mm diameters, described horizontal stroke The stainless steel silk of haircut card 0.9mm diameters of grinding one's teeth in sleep bends.
In second technical scheme, the long arrow card of described deciduous molar is bent with 0.9mm stainless steel silks.
The upper jaw snap ring-type in the mouth that bone is instead closed of rescuing of the present invention closes pad front dragging appliance, before coordinating during use Traction face frame, solves and closes pad because having for treating growth and development stage, and easily disengaging is anti-closes lock junction relationship, can take food, hygiene; The remote middle wrapping Jing maxillary tuberosities of palate side base support that plastic cement makes are connected at pterygomaxillary fissure ditch, and extraoral protraction face frame is worn in cooperation, Upper jaw bone can be made integrally to be achieved to front haulage, additionally it is possible to fixed appliance can be coordinated to continue to arrange tooth, bone has been rescued anti- Close, skull, conjunction, jaw, face three dimensional structure is grown to normal type.Its compact conformation, comfortable, wearing can speak and take food, expand It is big to rescue subject range, patient Yi Hezuo's, clinical efficacy is improved, clinical efficacy is good, achieved with good economy effect Benefit and social benefit.Show that China reports without pertinent literature from literature search at present.
Description of the drawings
Fig. 1 is that the upper jaw snap ring-type in the mouth that bone is instead closed of rescuing of the present invention closes pad front dragging appliance (the first technology Scheme, abbreviation basic model) structural representation;
Fig. 2 is that the upper jaw snap ring-type in the mouth that bone is instead closed of rescuing of the present invention closes pad front dragging appliance (second technology Scheme, referred to as the first anomaly) structural representation;
Fig. 3 is that the upper jaw snap ring-type in the mouth that bone is instead closed of rescuing of the present invention closes pad front dragging appliance (the third technology Scheme, referred to as the second anomaly) structural representation.
Fig. 4 is to close pad front dragging appliance (basic model) using the upper jaw snap ring-type in the mouth that bone is instead closed of rescuing of the present invention Prebone is counter closes patient face photo and intra-oral film for treatment, wherein, it is respectively from left to right:(a) full face, (b) side photograph Piece, (c) mouth medial surface photo, (d) full face in mouth.
Fig. 5 is to close pad front dragging appliance (basic model) using the upper jaw snap ring-type in the mouth that bone is instead closed of rescuing of the present invention Bone anti-conjunction wears upper jaw snap ring-type conjunction pad front dragging appliance picture in the mouth for rescuing the anti-conjunction of bone in treatment in patient's mouth, its In, it is respectively from left to right:Full face is worn in (a) mouth, (b) left surface photo, (c) right flank photo (d) opens in mouth Full face.
Fig. 6 be using the present invention rescue upper jaw snap ring-type in the mouth that bone is instead closed close pad front dragging appliance (basic model, But three kinds of technical schemes are suitable for) bone is counter in treatment closes outside patient's mouth wearing front haulage face frame photo, it is respectively from left to right: (a) full face, (b) side photo.
Fig. 7 is that treatment end bone is counter closes patient face photo and intra-oral film, (a) full face in mouth, (b) mouth medial surface Photo, (c) full face, (d) side photo.
Below in conjunction with drawings and Examples, the present invention is described in further detail.
Specific embodiment
Referring to Fig. 1~Fig. 3, the present embodiment provides upper jaw snap ring-type conjunction pad front haulage in three kinds of mouths for rescuing the anti-conjunction of bone and rectifys Device is controlled, front haulage face frame is coordinated during use, wherein:
The first technical scheme (basic model):
A kind of to rescue upper jaw snap ring-type conjunction pad front dragging appliance in the mouth that bone is instead closed, this is rescued in the mouth that bone is instead closed It is a palate side base support for covering all upper teeth that upper jaw snap ring-type closes pad front dragging appliance, is divided into lip side base support, cheek side base support With it is remote in base, the palate side base support matches with upper dental arch radian, it is characterised in that:
There is symmetrical rear Occlusal pad in palate side base support;
Symmetrical plunge grinding tooth haircut card, premolarss haircut card are embedded with palate side base support, on front haulage hook and one in cut The long arrow card of tooth, wherein, front haulage hook is located at lip side at vestibule ditch 3-5mm between lateral incisor and canine tooth, front haulage hook shape shape Cheng Yuhe planes in 45 degree angles it is oblique afterwards on outward opening U-bend.
Second technical scheme (the first anomaly):
A kind of to rescue upper jaw snap ring-type conjunction pad front dragging appliance in the mouth that bone is instead closed, this is rescued in the mouth that bone is instead closed It is a palate side base support for covering all upper teeth that upper jaw snap ring-type closes pad front dragging appliance, is divided into lip side base support, cheek side base support With it is remote in base, the palate side base support matches with the radian of upper tooth, it is characterised in that:
There is symmetrical rear Occlusal pad in palate side base support;
The long arrow card of symmetrical deciduous molar is embedded with palate side base support, the long arrow card of central incisor on front haulage hook and, Wherein, front haulage hook is located at lip side at vestibule ditch 3-5mm between lateral incisor and canine tooth, and front haulage hook shape forms and is in conjunction plane Outward opening U-bend on after 45 degree of angles are oblique.
The third technical scheme (the second anomaly):
A kind of to rescue upper jaw snap ring-type conjunction pad front dragging appliance in the mouth that bone is instead closed, this is rescued in the mouth that bone is instead closed It is a palate side base support for covering all upper teeth that upper jaw snap ring-type closes pad front dragging appliance, is divided into lip side base support, cheek side base support With it is remote in base, the palate side base support matches with upper dental arch radian, it is characterised in that:
There is symmetrical rear Occlusal pad in palate side base support;
The long arrow card of central incisor on symmetrical backteeth embrasure hook and one is embedded with palate side base support, wherein, front haulage hook Positioned at lip side at vestibule ditch 3-5mm between lateral incisor and canine tooth, front haulage hook shape formed with close plane in 45 degree of angles it is oblique after On outward opening U-bend.
Rescue upper jaw snap ring-type in the mouth that bone is instead closed for above-mentioned three kinds and close pad front dragging appliance, lip side base support bag therein It is embedded in incisor and cuts 1/3, cheek side base support embeds conjunction 1/3 of grinding one's teeth in sleep, and remote middle base embedding ECDC face is connected to the wing upper jaw to maxillary tuberosity It is connected integral with to base side at dehiscence furrow, remote middle base embedding Jing maxillary tuberosities are connected to pterygomaxillary fissure ditch, close padded degree root Closing according to upper mandibular anterior teeth need to open depending on 1mm-2mm distances, make the extraoral protraction face frame worn with wear in healing up this Bright upper jaw snap ring-type in the mouth that bone is instead closed of rescuing closes pad front dragging appliance traction upper jaw bone integral forward lead.
Palate side base support is made of self-curing plastic, palate side base support thickness 1.5mm-2mm;
Front haulage hook is bent with 1.2mm diameter stainless steel silks, and described front haulage hook is U-shaped to be:The long 5mm of cut end, gum end are long 8mm, U-shaped bottom width 3mm.
Backteeth closes padded degree and need to be opened depending on 1mm-2mm distances according to the conjunction of upper mandibular anterior teeth, departs from anti-conjunction and locks junction relationship.
In first, second kind of technical scheme, the long arrow card of upper central incisor is bent with the stainless steel silk of 0.9mm diameters.
The lip side of front haulage hook at vestibule ditch 3-5mm, leave mucosa 1-3mm distances, across and leave lateral incisor and point 1-2mm between tooth, U-shaped mouth opens outward.
In the first technical scheme,
Premolarss haircut card is bent with the stainless steel silk of 0.8mm diameters, the plunge grinding tooth haircut card rustless steel of 0.9mm diameters Silk bends.
In second technical scheme, the long arrow card of deciduous molar is bent with 0.9mm diameter stainless steel silks.
Preparation method:
Prepare dental cast first, then bend arrow card and front haulage hook according to the data of model, arrow card and before lead Draw hook to be placed on model, with from gel-filled maintenance arrow card and wrapping lip buccal side, it is remote in maxillary tuberosity and pterygomaxillary fissure ditch, Palate side base support is fabricated to, palate side base support backteeth closes padded degree and need to open depending on 1mm-2mm distances according to the conjunction of upper mandibular anterior teeth.
Pad front dragging appliance is closed using upper jaw snap ring-type in the mouth for rescuing the anti-conjunction of bone prepared by above-described embodiment (basic Type) model case is referring to shown in Fig. 4 to Fig. 7.
Be given above-mentioned three kinds of the present embodiment rescue upper jaw snap ring-type in the mouth that bone is instead closed and close pad front dragging appliance, choosing With making from gel and steel wire, brand-new design is carried out at aspects such as principle, structure, manufacture method and curative effects, it is different from Traditional front dragging appliance, it is specific as follows:
1st, principle similarities and differences:
Identical point be three kinds of the present invention rescue upper jaw snap ring-type in the mouth that bone is instead closed close pad front dragging appliance and its His traditional front haulage class appliance is the same, to coordinate and wear extraoral protraction face frame competence exertion maxillary advancement effect, outside mouth Front haulage face frame, by upper jaw bone rersistant center, reaches maximum orthopedic force with the front dragging appliance line of force in mouth.
Difference is:Existing fixed bonding formula expands bow front dragging appliance, stent-type front dragging appliance, adhered conjunction pad Expand bow front dragging appliance, adhered full dental arch and close pad front dragging appliance etc., it is bonded on corona admittedly with cement The appliance that position, patient oneself can not replace;Band expands bow device and is easy to rescue backteeth Duan Fanhe;Fixed bonding formula expands bow front haulage and rectifys Control the root of the tooth drive that device, the action principle of stent-type front dragging appliance front haulage upper jaw bone are that a pair of premolarss and a pair are ground one's teeth in sleep Upper jaw bone pulls upper jaw bone sutura, makes maxillary advancement;The adhered pad that closes expands bow front dragging appliance, adhered full dental arch conjunction pad Front dragging appliance, is also intended to the appliance that cement is bonded in maintenance on corona, patient oneself can not replace, its front haulage The action principle of upper jaw bone is to lead sutura before full dental arch plastic base drive upper jaw bone entirety, makes maxillary advancement.
And it is movable that three kinds of the present invention rescue upper jaw snap ring-type in the mouth that bone is instead closed to close pad front dragging appliance, suffer from Person can voluntarily take and wear, and the action principle of its front haulage upper jaw bone is the upper jaw behind incisor, molar clasp maintenance and base embedding palate side Tuberosity and pterygomaxillary fissure ditch, to drive and lead sutura before upper jaw bone entirety, make maxillary advancement;This rescues the upper jaw in the mouth that bone is instead closed Snap ring-type closes pad front dragging appliance also additional can expand bow device.Lower jaw development is limited, lower rotation after producing can lower jaw.
Adhered conjunction pad expands bow front dragging appliance and upper jaw snap ring-type in the mouth that bone is instead closed of rescuing of the invention closes pad Front dragging appliance, pad is closed to anti-conjunction with the restricted effect of vertical growth pattern patient of folding because having, and also can make instead to close lock knot Relation is opened, and improves rectifying effect.
2nd, the above-mentioned appliance indication similarities and differences:
Existing fixed bonding formula expands bow front dragging appliance and fixed bonding stent-type front dragging appliance, is primarily adapted for use in 10 years old or so mixed dentitions and permanent teeth initial stage bone patients;The adhered pad that closes expands bow front dragging appliance, adhered full dental arch conjunction Pad front dragging appliance, is primarily adapted for use in mixed dentition initial stage bone patient, and the three of the present invention kinds are rescued the mouth that bone is instead closed Interior upper jaw snap ring-type closes pad front dragging appliance, rescues scope and closes to permanent teeth from deciduous teeth and closes the initial stage, i.e., can be with from -15 years old 5 years old The upper jaw snap ring-type in the mouth that bone is instead closed of rescuing for wearing the present invention closes pad front dragging appliance and rescues that bone is counter to be closed.
3rd, contour structures difference:
It is a pair of premolarss and one that fixed bonding formula expands bow front dragging appliance, stent-type front dragging appliance basic structure To molar band, front haulage hook at the canine tooth of lip side, the collateral posture of palate expands bow device or support, and said structure is welded;It is adhered Close pad expansion bow front dragging appliance, adhered full dental arch and close pad front dragging appliance, basic structure is base and conjunction pad, lip side point Tooth front haulage hook.
The upper jaw snap ring-type in the mouth that bone is instead closed of rescuing of the present invention closes pad front dragging appliance (basic model), basic structure It is accessional teeth haircut card, premolarss haircut card, front haulage hook and a long arrow card of upper central incisor;Have symmetrical in palate side base support Rear Occlusal pad;
Front haulage hook is located at lip side at vestibule ditch 3-5mm between lateral incisor and canine tooth, and front haulage hook shape is formed and closes flat Face in 45 degree angles it is oblique afterwards on outward opening U-bend.
And the first anomaly is the long arrow card of deciduous molar, front haulage hook and a long arrow card of upper central incisor;
There is symmetrical rear Occlusal pad in palate side base support;
Wherein, front haulage hook is located at lip side away from vestibule ditch 3-5mm between lateral incisor and canine tooth, front haulage hook shape formed and Close plane in 45 degree angles it is oblique afterwards on outward opening U-bend.
And the second anomaly is the long arrow card of upper central incisor of backteeth embrasure hook and, have in palate side base support it is symmetrical after Occlusal pad;
Wherein, front haulage hook is located at lip side away from vestibule ditch 3-5mm between lateral incisor and canine tooth, front haulage hook shape formed and Close plane in 45 degree angles it is oblique afterwards on outward opening U-bend.
Rescue upper jaw snap ring-type in the mouth that bone is instead closed for three kinds and close pad front dragging appliance, lip side base support therein is embedded in Incisor cuts 1/3, and cheek side base support embeds conjunction 1/3 of grinding one's teeth in sleep, and remote middle base embedding ECDC face is connected to pterygomaxillary fissure ditch to maxillary tuberosity Place is connected integral with to base side, and remote middle base embedding Jing maxillary tuberosities are connected to pterygomaxillary fissure ditch, close padded degree according to upper Mandibular anterior teeth is closed need to be opened depending on 1mm-2mm distances.
4th, manufacture method similarities and differences:
It is in mouth that traditional fixed bonding formula expands bow front dragging appliance, the basic manufacture method of stent-type front dragging appliance Upper band, delivery, bends support and welding;The adhered pad that closes expands bow front dragging appliance, adhered full dental arch conjunction pad front haulage The basic manufacture method of appliance be bend front haulage hook, from gel filling.
The upper jaw snap ring-type in the mouth that bone is instead closed of rescuing of the present invention closes pad front dragging appliance, stainless with 1.2mm diameters Steel wire bends front haulage hook, and palate side base support is made of self-curing plastic, palate side base support thickness 1.5mm-2mm;And:
In basic model, premolarss haircut card is bent with the stainless steel silk of 0.8mm diameters, and plunge grinding tooth haircut card is straight with 0.9mm The stainless steel silk in footpath bends.
In first anomaly, the long arrow card of deciduous molar is bent with the stainless steel silk of 0.9mm diameters.
In basic model and the first anomaly, the long arrow card of upper central incisor is bent with the stainless steel silk of 0.9mm diameters.Front haulage The lip side of hook at vestibule ditch 3-5mm, leave mucosa 1-3mm distances, across and leave 1-2mm between lateral incisor and canine tooth, U-shaped mouth Opens outward.Make the outer face frame of mouth hang up in the rubber band of force and mouth rescue upper jaw snap ring-type in the mouth that bone is instead closed close pad before lead Draw the appliance front haulage hook line of force and close plane into 15 degree of -35 degree angle.
5th, therapeutic effect similarities and differences:
Fixed bonding formula expand bow front dragging appliance, stent-type front dragging appliance rescued 10 years old or so mixed dentition and Permanent teeth initial stage bone patient, sanitation and hygiene, but without pad is closed, because of unstable conjunction effect stepwise occlusion, rectifying effect is affected, to the angle of elevation Type patient be difficult;The adhered pad that closes expands bow front dragging appliance, adhered full dental arch conjunction pad front dragging appliance, has rescued mixing Denture initial stage bone patient, because having pad is closed, and partly limits following height, favourable to long face type patient, but adhered unhygienic, Halitosis is heavier, gingiva is rotten to the corn more.
And the present invention rescue upper jaw snap ring-type in the mouth that bone is instead closed close pad front dragging appliance (basic model and first, Second anomaly), rescue scope and close to the permanent teeth conjunction initial stage from deciduous teeth, effectively, expand and rescue subject range;Because there is snap ring to consolidate Position, patient can voluntarily pluck and wear, hygiene;Because there is conjunction pad, easily disengaging is anti-closes lock junction relationship, it may be said that words are taken food, and portion Divide and limit following height, it is favourable to long face type patient, skull, conjunction, jaw, face three dimensional structure is grown to normal type;It is prepared by plastic cement Palate side base support it is remote in wrapping ECDC face be connected at pterygomaxillary fissure ditch to maxillary tuberosity, the overall traction effect forward of upper jaw bone shows Write;Variability 2 can coordinate fixed appliance to continue to arrange tooth, shorten treatment time;Appliance is compact, patient Yi Hezuo, faces Bed curative effect is good, effective percentage 100%.
Following table is that the upper jaw snap ring-type in the mouth that bone is instead closed of rescuing of the present invention closes pad front dragging appliance (basic model and two Individual anomaly), the statistics comparable situation before and after treatment:
In table:*P<0.05, it is statistically significant;**P<0.01, there are highly significant statistical significance * P<0.05, have Significantly statistical significance has:ANB, U1-NA away from, Y-axis and below it is high;**P<0.01.There is having for highly significant statistical significance: U1-L1。
Above example is only of the invention for explanation, rather than the restriction to patent of the present invention, about the technology people of technical field Member, in the case of the spirit and scope without departing from patent of the present invention, can also make increase or the equivalent of various technical characteristics Change, should belong to the protection category of the present invention.

Claims (10)

1. a kind of to rescue upper jaw snap ring-type conjunction pad front dragging appliance in the mouth that bone is instead closed, this is rescued in the mouth that bone is instead closed It is a palate side base support for covering all upper teeth that jaw snap ring-type closes pad front dragging appliance, be divided into lip side base support, cheek side base support and Base in remote, the palate side base support matches with upper dental arch radian, it is characterised in that:
There is symmetrical rear Occlusal pad in palate side base support;
Symmetrical accessional teeth haircut card, premolarss haircut card are embedded with palate side base support, central incisor is long on front haulage hook and one Arrow card, wherein, front haulage hook is located at lip side away from vestibule ditch 3-5mm between lateral incisor and canine tooth, front haulage hook shape formed and Close plane in 45 degree angles it is oblique afterwards on outward opening U-bend.
2. a kind of to rescue upper jaw snap ring-type conjunction pad front dragging appliance in the mouth that bone is instead closed, this is rescued in the mouth that bone is instead closed It is a palate side base support for covering all upper teeth that jaw snap ring-type closes pad front dragging appliance, be divided into lip side base support, cheek side base support and Base in remote, the palate side base support matches with upper dental arch radian, it is characterised in that:
There is symmetrical rear Occlusal pad in palate side base support;
The long arrow card of symmetrical deciduous molar is embedded with palate side base support, the long arrow card of central incisor on front haulage hook and, wherein, Front haulage hook is located at lip side at vestibule ditch 3-5mm between lateral incisor and canine tooth, and it is in 45 degree that front haulage hook shape is formed and closes plane Outward opening U-bend on after angle is oblique.
3. a kind of to rescue upper jaw snap ring-type conjunction pad front dragging appliance in the mouth that bone is instead closed, this is rescued in the mouth that bone is instead closed It is a palate side base support for covering all upper teeth that jaw snap ring-type closes pad front dragging appliance, be divided into lip side base support, cheek side base support and Base in remote, the palate side base support matches with upper dental arch radian, it is characterised in that:
There is symmetrical rear Occlusal pad in palate side base support;
The long arrow card of central incisor on symmetrical backteeth embrasure hook and one is embedded with palate side base support, wherein, front haulage hook is located at Lip side at vestibule ditch 3-5mm between lateral incisor and canine tooth, front haulage hook shape formed with close plane in 45 degree angles it is oblique it is rear on Outward opening U-bend.
4. the upper jaw snap ring-type conjunction pad front haulage in the mouth that bone is instead closed of rescuing as described in one of claim 1,2,3 is rescued Device, it is characterised in that described lip side base support is embedded in incisor and cuts 1/3, and cheek side base support embeds conjunction 1/3 of grinding one's teeth in sleep, remote middle base bag Bury ECDC face and be connected at pterygomaxillary fissure ditch to maxillary tuberosity and be connected integral with to base side, the remote middle base embedding Jing upper jaws Tuberosity is connected to pterygomaxillary fissure ditch, and closing padded degree need to open depending on 1mm-2mm distances according to the conjunction of upper mandibular anterior teeth.
5. upper jaw snap ring-type in the mouth that bone is instead closed is rescued as claimed in claim 1 or 2 closes pad front dragging appliance, its feature It is that the long arrow card of described upper central incisor is bent with the stainless steel silk of 0.9mm diameters.
6. upper jaw snap ring-type in the mouth that bone is instead closed being rescued as claimed in claim 1 and closing pad front dragging appliance, its feature exists In described premolarss haircut card is bent with the stainless steel silk of 0.8mm diameters, described accessional teeth haircut card 0.9mm diameters Stainless steel silk bend.
7. upper jaw snap ring-type in the mouth that bone is instead closed being rescued as claimed in claim 2 and closing pad front dragging appliance, its feature exists In the long arrow card of described deciduous molar is bent with the stainless steel silk of 0.9mm diameters.
8. the upper jaw snap ring-type conjunction pad front haulage in the mouth that bone is instead closed of rescuing as described in one of claim 1,2,3 is rescued Device, it is characterised in that:
Described palate side base support is made of self-curing plastic, palate side base support thickness 1.5mm-2mm;
Described front haulage hook is bent with 1.2mm stainless steel silks, and described front haulage hook is U-shaped to be:The long 5mm of cut end, gum end are long 8mm, U-shaped bottom width 3mm.
9. upper jaw snap ring-type in the mouth that bone is instead closed is rescued as claimed in claim 1 or 2 closes pad front dragging appliance, its feature Be, the lip side of described front haulage hook at vestibule ditch 3-5mm, leave mucosa 1-3mm distances, across and leave lateral incisor and 1-2mm between canine tooth, U-shaped mouth opens outward.
10. the upper jaw snap ring-type in the mouth that bone is instead closed of rescuing as described in claim 1,2 or 3 closes pad front dragging appliance, its It is characterised by, described backteeth closes padded degree and need to be opened depending on 1mm-2mm distances according to the conjunction of upper mandibular anterior teeth, departs from anti-conjunction and lock knot Relation.
CN201611039206.0A 2016-11-21 2016-11-21 It rescues upper jaw snap ring-type in the anti-mouth closed of bone and closes pad front dragging appliance Active CN106580490B (en)

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