CN106618762B - Adjustable movable locking bracket and its orthodontic method with arch wire gap - Google Patents

Adjustable movable locking bracket and its orthodontic method with arch wire gap Download PDF

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Publication number
CN106618762B
CN106618762B CN201610772939.9A CN201610772939A CN106618762B CN 106618762 B CN106618762 B CN 106618762B CN 201610772939 A CN201610772939 A CN 201610772939A CN 106618762 B CN106618762 B CN 106618762B
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China
Prior art keywords
slide lock
arch wire
bracket
lock tabs
gap
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CN201610772939.9A
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CN106618762A (en
Inventor
吝德智
王江波
张亨金
袁志山
崔跃
李君涛
尚再艳
王兴权
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Medical Devices (beijing) Co Ltd
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Medical Devices (beijing) Co Ltd
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Publication of CN106618762A publication Critical patent/CN106618762A/en
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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
    • A61C7/12Brackets; Arch wires; Combinations thereof; Accessories therefor
    • A61C7/14Brackets; Fixing brackets to teeth
    • A61C7/18Brackets; Fixing brackets to teeth specially adapted to be fixed to teeth with a band; Bands therefor
    • 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
    • A61C7/12Brackets; Arch wires; Combinations thereof; Accessories therefor
    • A61C7/28Securing arch wire to bracket
    • A61C7/34Securing arch wire to bracket using lock pins

Abstract

The invention belongs to mouth cavity orthodontic medical instruments fields, more particularly to a kind of adjustable movable locking bracket with arch wire gap, bracket includes: the bracket body of different slot widths, the slide lock tabs with setting in the pedestal and bracket body of the movable disassembly of bracket body mechanical engagement, the design of slide lock tabs one end has screw rotary switch, for adjusting the gap between slide lock tabs bottom and arch wire.Individuation correcting instrument is provided for clinic, has the characteristics that by easy to operate, saving chair that operating time, accurate control tooth three-dimensional are mobile.

Description

Adjustable movable locking bracket and its orthodontic method with arch wire gap
Technical field
The invention belongs to mouth cavity orthodontic medical instruments field more particularly to it is a kind of it is adjustable with arch wire gap it is movable from Lock bracket and its orthodontic method.
Background technique
Locking bracket effectively reduces the frictional resistance that arch wire slides in bracket, rescues tooth early period to improve Speed is come into line, and closing locking plate is easily simple, saves the Chairtime of orthodontist ligation arch wire.Although the part of early stage is faced Bed experiment display locking bracket is more efficient in terms of straightening of teeth, but then higher perspective randomized clinical trial is not sent out Existing locking bracket is obviously shortened during entirely rescuing rescues the time, and tracing it to its cause is because of most of self-ligating brackets Structure design defect, there is no do not cope with different cases of rescuing to orthodontist to provide accurate effective tooth three-dimensional direction control System, results in locking bracket and compensates for the deficiency for rescuing the later period in the advantage for rescuing early period.
Current clinically widely used appliance mainly has edgewise appliance and straight wire appliance, square silk begg appliance The feature of device maximum be can be bent by orthodontist it is various to rescue the bent three-dimensional to control tooth mobile, straight wire appliance Distinguishing feature is that the song that will be bent on arch wire has been accomplished on bracket, i.e., different angle of torsion and axial rake isogonism are preset in bracket Degree, effectively saves the time that each koji is bent using edgewise appliance.However, no matter what type of rectifier is used, It is inevitable requirement according to the movement for needing effective Goblin really to control tooth is actually rescued.More and more orthodontists are gradually realized It cannot be referring only to normal value, it is also contemplated that treatment Tooth will receive the strength in what direction to bracket angle.
Orthodontic appliance in the world has 0.018 system and 0.022 system, and the orthodontist using 0.018 system is thought Filament low force can realize effective movement of tooth, also recognize that the arch wire within 0.018 can using the orthodontist of 0.022 system Effective moving teeth, but more think thick square silk more resistant against elastic traction power may to the deformation force that arch wire generates so as to With effectively stable dental arch.However, the bracket width of homologous ray does not need to rescue needs in conjunction with actual and match different rulers Very little arch wire is just able to achieve being precisely controlled for tooth.Such as 0.018 × 0.025 square silk in 0.022 × 0.028 groove The angle of clearance near and far direction is 2.0 °, near and far direction of 0.019 × 0.025 square silk in 0.022 × 0.028 groove Angle of clearance is 1.5 °.But compared with the angle of clearance near and far direction, the angle of clearance of torque direction is then much bigger, 0.018 × 0.025 The angle of clearance of torque direction of the square silk in 0.022 × 0.028 groove be 9.8 °, 0.019 × 0.025 square silk is 0.022 The angle of clearance of torque direction in groove is 7.2 °, and therefore, 0.018 × 0.025 or 0.019 × 0.025 side silk is in 0.022 groove In torque expression it is poor.For Beijing University oral cavity Xu Tianmin professor in order to overcome this difficulty, the bracket width at incisor is changed in proposition At 0.020 system, different angle of torsion and axial rake are designed on bracket and various sizes of arch wire is cooperated effectively to enhance The control of tooth torque direction.But it still needs to ligature using ligature, be required further improvement in terms of operation ease.
Summary of the invention
To solve the above-mentioned problems, the invention proposes a kind of adjustable movable locking bracket with arch wire gap and its Orthodontic method.
A kind of adjustable movable locking bracket with arch wire gap, including pedestal, bracket body and slide lock tabs;Its In, pedestal and the movable disassembly of bracket body mechanical engagement, there are many selections to fix difference for the slot width in bracket body The arch wire of size, bracket body is interior to be arranged slide lock tabs, and the design of slide lock tabs one end has screw rotary switch, slides for adjusting Gap between locking plate bottom and arch wire.
Design limit is threadedly coupled between the pedestal and bracket body, prevents bracket body from sliding along groove direction It is de-.
The outfit on and off of the slide lock tabs dedicated unlocking pincers, and unlock pincers also rotatable screw switch, can Rotate bracket body and limit screw thread.
The angle of torsion in slot width and bracket body, axial rake in the bracket body cooperate, and realize different The expression of torque.
The bottom of the slide lock tabs includes wedge-shaped slide lock tabs attachment, rotates clockwise screw switch, wedge-shaped slide lock Piece attachment, which screws in below slide lock tabs, reduces slide lock tabs and arch wire gap, rotary screw switch counterclockwise, wedge-shaped slide lock Piece attachment screws out slide lock tabs and expands slide lock tabs and arch wire gap, realize horizontal direction adjustable sliding locking plate and arch wire it Between gap.
The locking bracket slot width includes: 0.018 inch, 0.020 inch and 0.022 inch, meets difference and rescues Scheme realizes that the adjusting in the gap between vertical direction bracket slot wall and arch wire controls to the different demands of slot width.
The base bottom of the locking bracket has the net bottom of laser printing tooth position coding.
The locking bracket not buckle or 3,4,5 tooth position buckles.
A kind of orthodontic method based on adjustable and arch wire gap movable locking bracket, comprising:
Step 1 judges according to the classification of tooth mistake jaw relationship, determines that overall process rescues scheme, rescues rank according to different Section, selects the arch wire of different bracket width, angle of torsion, axial rake and required size;
The pedestal that different tooth position encodes is bonded at different dental facing by step 2 using binder, and bracket body is pacified It is packed into pedestal, tightens and limits screw thread between bracket body and pedestal, the slide lock tabs in bracket body is opened, is built into groove Arch wire;
Step 3 in orthodontic early period, according to demand of rescuing select 0.012 inch, 0.014 inch, 0.016 inch and 0.018 inch of NiTi round wire, and NiTi round wire is placed in groove, the bracket body of different bracket width is selected, Adjust the gap between vertical direction bracket slot wall and arch wire;Slide lock tabs attachment is screwed in below slide lock tabs, water is adjusted Square to the gap between slide lock tabs and arch wire;In time according to the practical mobile feelings of the round wire size of merging and tooth Condition adjusts the gap of vertical direction, horizontal direction, creates and is conducive to round wire low-frictional force ring free to slide in groove Quickly coming into line for tooth is realized using the low friction of round wire is free to slide in border;
Step 4 selects 0.014 × 0.025 inch, 0.016 × 0.016 English in the orthodontic later period, according to demand of rescuing Very little, 0.016 × 0.022 inch, 0.017 × 0.022 inch, 0.017 × 0.025 inch, 0.018 × 0.018 inch, 0.018 × 0.022 inch, 0.018 × 0.025 inch, 0.019 × 0.025 inch of NiTi square arch wire, and by NiTi square arch wire It is placed in groove, selects the bracket body of different bracket width, adjusts the gap between vertical direction bracket slot wall and arch wire;It will Slide lock tabs attachment screws in below slide lock tabs, adjusts the gap between horizontal direction slide lock tabs and arch wire;Utilize bracket master Angle of torsion, the axial rake of body design, different square arch wire sizes, while vertical direction, horizontal direction gap are adjusted, creation is conducive to Environment of the square arch wire in groove expression torque;
Step 5 selects 0.017 × 0.025 inch, 0.019 × 0.025 in the tooth intense adjustment stage, according to demand of rescuing β-Ti the square arch wire or stainless steel square arch wire of inch, and β-Ti square arch wire or stainless steel square arch wire are placed in groove, The bracket body of different bracket width is selected, the gap between vertical direction bracket slot wall and arch wire is adjusted;By slide lock tabs Attachment screws in below slide lock tabs, adjusts the gap between horizontal direction slide lock tabs and arch wire;Utilize bracket body design Angle of torsion, axial rake, different square arch wire sizes, while vertical direction, horizontal direction gap are adjusted, so that β-Ti square arch wire Or stainless steel square arch wire accurately adjusts teeth occluding relation in bracket.
The correcting method needs periodically to open locking bracket slide lock tabs, replaces arch wire, replaces bracket body, until complete It is rescued at all.
The beneficial effects of the present invention are: different bracket body width, the angle of bracket body, arch wire size are used, Adjust the gap in vertical direction between bracket slot wall and arch wire;It screwed in below slide lock tabs using screw switch, screw out and slide Dynamic locking plate attachment, adjusts the gap in horizontal direction between slide lock tabs and arch wire, it is intended to which exploration is designing personalized oral cavity just Abnormal medical instrument.Angle of torsion and axial rake and slot width cooperate in diversified forms bracket body, match various sizes of Arch wire realizes the expression of low torque, standard torque and high torque (HT), provides individuation correcting scheme.It is compiled with laser printing tooth position The net bottom of code, it is ensured that with the good combination of binder and the identification of tooth position is easier.Locking bracket buckle, provides and rescues attachment, Abundant treatment means.The present invention reduces the operating time of orthodontist, take full advantage of different appliance structures tooth not With the advantages of rescuing the stage, improves and rescue efficiency, can effectively shorten and rescue the time.
Detailed description of the invention
Fig. 1 a~1d is the three-view diagram and perspective view of locking bracket structure of the invention respectively.
Fig. 2 is the dedicated unlocking pincers schematic diagram of locking bracket of the present invention.
Fig. 3 is the not homologous ray bracket body structural schematic diagram of locking bracket of the present invention.
Fig. 4 is the base schematic diagram of locking bracket of the present invention.
Fig. 5 is that locking bracket pedestal of the present invention and bracket body limit screw thread schematic diagram.
Fig. 6 a~6b is the main view and top view of the bracket body structure of locking bracket in the present invention respectively, and A is torque Angle, B are axial rake, and a is slot width.
Fig. 7 a~7d is the three-view diagram and perspective view of the slide lock tabs of locking bracket in the present invention.
Fig. 8 a~8d is the three-view diagram and perspective view of locking bracket and the cooperation of NiTi round wire in the present invention.
Fig. 9 a~9d is the three-view diagram and perspective view of locking bracket and the cooperation of NiTi square arch wire in the present invention.
Specific embodiment
With reference to the accompanying drawing, it elaborates to embodiment.
A kind of adjustable movable locking bracket with arch wire gap, as shown in figs. la-ld, including pedestal, bracket master Body, slide lock tabs;Wherein, as shown in figs. 34, pedestal and the movable disassembly of bracket body mechanical engagement, the slot in bracket body There are many selections for ditch width to fix various sizes of arch wire, and slide lock tabs are arranged in bracket body, sliding as shown in Fig. 7 a~7d Dynamic locking plate one end design has screw rotary switch, for adjusting the gap between slide lock tabs bottom and arch wire.
Design limit is threadedly coupled between the pedestal and bracket body, as shown in figure 5, preventing bracket body along groove side To slipping.
As shown in Fig. 2, the dedicated unlocking pincers of the outfit on and off of the slide lock tabs, and pincers also rotatable spiral shell of unlocking Nail switch, rotatable bracket body and pedestal limit screw thread.
The angle of torsion in slot width and bracket body in the bracket body, axial rake cooperate, as Fig. 6 a~ Shown in 6b, the expression of different torques is realized.
The bottom of the slide lock tabs includes wedge-shaped slide lock tabs attachment, rotates clockwise screw switch, wedge-shaped slide lock Piece attachment, which screws in below slide lock tabs, reduces slide lock tabs and arch wire gap, rotary screw switch counterclockwise, wedge-shaped slide lock Piece attachment screws out slide lock tabs and expands slide lock tabs and arch wire gap, realize horizontal direction adjustable sliding locking plate and arch wire it Between gap.
Embodiment 1: as shown in Fig. 8 a~8d, locking bracket slot width selects 0.018 inch, bracket body angle Selection Roth type.It rescues and 0.012 inch, 0.014 inch, 0.016 inch of NiTi round wire is successively placed in bracket groove early period, Slide lock tabs are closed, and using the gap between screw rotary switch adjustment slide lock tabs and NiTi round wire, so that NiTi Round wire is free to slide in groove.Rescue the later period successively by 0.016 × 0.022 inch, 0.017 × 0.022 inch, 0.018 × 0.025 inch of NiTi square arch wire is placed in bracket groove, closes slide lock tabs, and rotary screw switch closes sliding Gap between locking plate and NiTi square arch wire, so that square arch wire accurate expression torque in groove.Orthodontic is finely adjusted In the whole stage, 0.017 × 0.025 inch of stainless steel square arch wire or β-Ti square arch wire are selected, rotary screw switch closes sliding Gap between locking plate and square arch wire, so that stainless steel square arch wire or β-Ti square arch wire accurately adjust dental articulation pass System.Regular locking bracket of opening ligatures ring, replaces arch wire, until completion is all to rescue process.
Embodiment 2: as shown in Fig. 9 a~9d, locking bracket incisor selects 0.020 inch of slot width, other tooth position grooves Width is 0.022 inch, shown in the following table of bracket body angle Selection.Early period is rescued successively for 0.012 inch, 0.014 English It is very little, 0.016 inch, 0.018 inch of NiTi round wire be placed in bracket groove, close slide lock tabs, and rotate using screw Gap between switch adjustment slide lock tabs and NiTi round wire, so that NiTi round wire is free to slide in groove.It rectifys The later period is controlled successively for 0.016 × 0.016 inch, 0.017 × 0.022 inch, 0.018 × 0.022 inch of NiTi square arch wire It is placed in bracket groove, closes slide lock tabs, rotary screw switch is closed the gap between slide lock tabs and NiTi square arch wire, made Obtain square arch wire accurate expression torque in groove.The orthodontic intense adjustment stage successively selects 0.019 × 0.025 inch β-Ti square arch wire and stainless steel square arch wire, rotary screw switch are closed the gap between slide lock tabs and square arch wire, are made It obtains stainless steel square arch wire or β-Ti square arch wire accurately adjusts teeth occluding relation.It periodically opens locking bracket and ligatures ring, more Arch wire is changed, until completion is all to rescue process.
Angle of torsion, axial rake and slot width in 1 the present embodiment of table in different bracket bodies corresponding to different tooth position
Embodiment 3: locking bracket slot width selects 0.022 inch, bracket body angle Selection MBT type.Rescue early period 0.012 inch, 0.014 inch, 0.016 inch, 0.018 inch of NiTi round wire are successively placed in bracket groove, closed Slide lock tabs, and using the gap between screw rotary switch adjustment slide lock tabs and NiTi round wire, so that NiTi is round Arch wire is free to slide in groove.Rescue the later period successively by 0.016 × 0.022 inch, 0.017 × 0.025 inch, 0.018 × 0.025 inch of NiTi square arch wire is placed in bracket groove, closes slide lock tabs, and rotary screw switch closes slide lock tabs and nickel Gap between titanium square arch wire, so that the accurate expression torque in groove of NiTi square arch wire.Orthodontic intense adjustment rank Section, successively selects 0.019 × 0.025 inch of β-Ti square arch wire and stainless steel square arch wire, and rotary screw switch closes sliding Gap between locking plate and square arch wire, so that stainless steel square arch wire or β-Ti square arch wire accurately adjust dental articulation pass System.Regular locking bracket of opening ligatures ring, replaces arch wire, until completion is all to rescue process.
This embodiment is merely preferred embodiments of the present invention, but scope of protection of the present invention is not limited thereto, In the technical scope disclosed by the present invention, any changes or substitutions that can be easily thought of by anyone skilled in the art, It should be covered by the protection scope of the present invention.Therefore, protection scope of the present invention should be with scope of protection of the claims Subject to.

Claims (7)

1. a kind of adjustable movable locking bracket with arch wire gap, which is characterized in that including pedestal, bracket body and sliding Locking plate;Wherein, pedestal and the movable disassembly of bracket body mechanical engagement, there are many selections to consolidate for the slot width in bracket body Fixed various sizes of arch wire, bracket body is interior to be arranged slide lock tabs, and the design of slide lock tabs one end has screw rotary switch, for adjusting Gap between whole slide lock tabs bottom and arch wire;
The bottom of the slide lock tabs includes wedge-shaped slide lock tabs attachment, rotates clockwise screw rotary switch, wedge-shaped slide lock Piece attachment, which screws in below slide lock tabs, reduces slide lock tabs and arch wire gap, rotary screw switch counterclockwise, wedge-shaped slide lock Piece attachment screws out slide lock tabs and expands slide lock tabs and arch wire gap, realize horizontal direction adjustable sliding locking plate and arch wire it Between gap.
2. locking bracket according to claim 1, which is characterized in that design limit screw thread between the pedestal and bracket body Connection, prevents bracket body from slipping along groove direction.
3. locking bracket according to claim 2, which is characterized in that the outfit on and off of the slide lock tabs is dedicated to open Lock pincers, and unlock pincers also rotatable screw rotary switch, rotatable bracket body and limit screw thread.
4. locking bracket according to claim 1, which is characterized in that slot width and bracket body in the bracket body In angle of torsion, axial rake cooperate, realize the expression of different torques.
5. locking bracket according to claim 1, which is characterized in that the locking bracket slot width includes: 0.018 English It is very little, 0.020 inch and 0.022 inch, meet difference and rescue schemes to the different demands of slot width, realize vertical direction bracket The adjusting in the gap between slot wall and arch wire controls.
6. locking bracket according to claim 1, which is characterized in that the base bottom of the locking bracket has laser printing The net bottom of tooth position coding.
7. locking bracket according to claim 1, which is characterized in that the locking bracket not buckle or 3,4,5 tooth position bands Hook.
CN201610772939.9A 2016-08-30 2016-08-30 Adjustable movable locking bracket and its orthodontic method with arch wire gap Active CN106618762B (en)

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Families Citing this family (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107280785B (en) * 2017-07-28 2019-10-18 郝晓亮 A kind of Novel oral cavity orthodontic appliance
CN109091254B (en) * 2018-04-30 2023-09-19 广州欧欧医疗科技有限责任公司 Stop bracket and use method thereof
CN113244002B (en) * 2021-05-17 2023-06-02 浙江普特医疗器械股份有限公司 Novel initiative passive self-locking bracket
CN114209458B (en) * 2022-01-19 2024-03-22 浙江益可森医疗科技有限公司 Active and passive integrated self-locking bracket
CN114271968B (en) * 2022-01-26 2024-03-15 有研医疗器械(北京)有限公司 Digital customized self-locking bracket for tooth correction

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CN201389089Y (en) * 2009-04-28 2010-01-27 黄靖慧 Slide cover type tooth rectifier structure
CN101700198A (en) * 2009-11-05 2010-05-05 重庆医科大学 Friction force controllable bracket

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US7963768B2 (en) * 2008-09-05 2011-06-21 Jack Keith Hilliard Self-ligating orthodontic bracket assembly
CN102058439B (en) * 2011-02-01 2013-07-24 许天民 Automatic low-friction bracket

Patent Citations (3)

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Publication number Priority date Publication date Assignee Title
CN101043858A (en) * 2004-07-29 2007-09-26 正牙学界研究所J·杜兰冯阿克斯公司 Medical device for use in orthodontics
CN201389089Y (en) * 2009-04-28 2010-01-27 黄靖慧 Slide cover type tooth rectifier structure
CN101700198A (en) * 2009-11-05 2010-05-05 重庆医科大学 Friction force controllable bracket

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