CN107669359B - Plug-in type gothic arch tracing system and method for oral cavity restoration - Google Patents

Plug-in type gothic arch tracing system and method for oral cavity restoration Download PDF

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CN107669359B
CN107669359B CN201711058008.3A CN201711058008A CN107669359B CN 107669359 B CN107669359 B CN 107669359B CN 201711058008 A CN201711058008 A CN 201711058008A CN 107669359 B CN107669359 B CN 107669359B
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mandibular
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tracing
arch plate
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CN107669359A (en
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于海洋
陈昕
朱卓立
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Sichuan University
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C11/00Dental articulators, i.e. for simulating movement of the temporo-mandibular joints; Articulation forms or mouldings

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Abstract

The invention discloses a plug-in type gothic arch tracing system and method for oral cavity repair, comprising a maxillary arch plate and a mandibular arch plate, wherein the maxillary arch plate is of a U-shaped structure, and a T-shaped maxillary tracing plate is embedded in the inner side of the maxillary arch plate; the mandibular arch board is also of a U-shaped structure, a handle is inserted in the front of the mandibular arch board 3, a T-shaped mandibular tracing board is embedded in the inner side of the mandibular arch board 3, and a tracing needle connected through threads is arranged on the mandibular tracing board. The plug-in type gothic arch tracing system for the oral cavity restoration is beneficial to recording and transferring the fullness of the front dental area by adding and subtracting wax in the oral cavity restoration process of a patient because the lingual side of the front dental area of the maxillary arch plate is avoided and the wax bank space is reserved; the handle of the system is a plug-in type, is inserted into a clamping groove of a mandibular arch plate when a facial arch is taken out and used, and is pulled out when aesthetic information is recorded through a wax dyke. Without using
Figure ZY_1
The prongs and the occlusal silicone rubber perform facial arch transfer without interfering with the upper lip during aesthetic information transfer.

Description

Plug-in type gothic arch tracing system and method for oral cavity restoration
Technical Field
The invention relates to the technical field of oral medical appliances, in particular to a plug-in type gothic arch tracing system and method for oral repair.
Background
When the number of the missing teeth of the patient is large, the dental restoration doctor needs to acquire the position relation between the upper jaw and the lower jaw of the patient and the position relation between the upper jaw and the head of the patient, and transfer the position relation to a mechanical device for simulating the movement of the lower jaw of the person
Figure BDA0001454029360000011
And (3) on the frame.
Generally, we assume that the head is fixed, the positional relationship between the head and the upper jaw is determined by the facial arch, and the relationship between the upper jaw and the lower jaw is determined by the gothic arch, thereby completing the whole transfer process. There are two types of current gothic archers: the toothbrush has a handle and a no handle, and is suitable for the front teeth area of a patient without teeth and teeth respectively. The Gotty bow-shaped plotter with the handle is convenient to hold and operate, can be directly connected with a part of a facial bow, can transfer the relation between the upper jaw and the head without using a jaw fork and occluding silicone rubber, but the handle can often pick up the upper lip, so that a doctor cannot judge the fullness of the upper lip of a patient, and further cannot judge the position of the front teeth of the patient in the future. While the non-handled gothic archer does not hinder lip movement, he requires an additional tool, the jaw fork, to connect with the facebow, shifting the relationship of the upper jaw to the face, and is inconvenient to handle.
Disclosure of Invention
The invention aims to overcome the defects of the prior art, and provides a plug-in type gothic arch tracing system and method for repairing an oral cavity, which solve the problems that a gothic arch tracing device with a handle is convenient to hold and operate, can be directly connected with a part of a facial arch, can transfer the relation between a maxilla and a head without using a jaw fork and occluding silicone rubber, but often the handle can lift up an upper lip, so that a doctor cannot judge the fullness of the upper lip of a patient, and further cannot judge the position of the front teeth of the patient in future.
The invention is realized by the following technical scheme:
the plug-in type gothic arch tracing system for the dental restoration comprises a maxillary arch board and a mandibular arch board, wherein the maxillary arch board is of a U-shaped structure, and a T-shaped maxillary tracing board is embedded in the inner side of the maxillary arch board; the mandibular arch board is also of a U-shaped structure, a handle is inserted in the front of the mandibular arch board 3, a T-shaped mandibular tracing board is embedded in the inner side of the mandibular arch board 3, and a tracing needle connected through threads is arranged on the mandibular tracing board.
The plug-in type gothic arch tracing system for the oral cavity restoration is beneficial to recording and transferring the fullness of the front dental area by adding and subtracting wax in the oral cavity restoration process of a patient because the lingual side of the front dental area of the maxillary arch plate is avoided and the wax bank space is reserved; the handle of the system is a plug-in type, is inserted into a clamping groove of a mandibular arch plate when a facial arch is taken out and used, and is pulled out when aesthetic information is recorded through a wax dyke. Without using
Figure BDA0001454029360000012
The prongs and the occlusal silicone rubber perform facial arch transfer without interfering with the upper lip during aesthetic information transfer.
Furthermore, one side of the front part of the maxillary arch plate is provided with a through H-shaped hole; the other side of the front part of the upper jaw arch plate is provided with an X-shaped hole which is communicated.
Furthermore, one side of the front part of the mandibular arch plate is provided with an H-shaped hole corresponding to the H-shaped hole on the maxillary arch plate; the other side of the front part of the mandibular arch plate is provided with an X-shaped hole corresponding to the X-shaped hole on the maxillary arch plate.
Furthermore, the two ends of the rear part of the maxillary arch plate are smoothly designed.
Furthermore, two ends of the rear part of the maxillary arch plate are provided with square holes which are communicated.
Furthermore, two ends of the rear part of the mandibular arch plate are provided with square holes which are communicated.
Furthermore, the front end part of the maxillary arch plate is provided with a front tooth area lingual side avoiding groove, and a wax bank space is reserved through the front tooth area lingual side avoiding groove, so that the front tooth area fullness can be recorded and transferred by adding and subtracting wax in the mouth rehabilitation process of a patient.
Further, the handle is of a U-shaped structure, the front end of the handle is provided with a slot, the front end of the maxillary arch plate is provided with an inserting block matched with the slot, and the handle is inserted on the inserting block of the maxillary arch plate through the slot arranged at the front end and connected with the inserting block.
The invention is realized by the following another technical scheme:
a plug-in type Gotty type bow tracing method for oral cavity restoration comprises the following steps: the method comprises the following steps:
preliminary setting the oral cavity primary model of the patient
Figure BDA0001454029360000021
A frame, a layer of photo-curing or self-setting resin is paved on the model to manufacture a temporary base, a maxillary arch plate and a mandibular arch plate are fixed on the temporary base by wax, a handle is inserted, the temporary base is taken off the model, and an oral impression material is put into a mouth of a patient to be worn into the mouth of the patient to manufacture a mandibular final impression and a mandibular final impression respectively;
taking out the temporary base after the mandibular final impression and the mandibular final impression are solidified, installing a maxillary tracing plate on the maxillary arch plate, installing a mandibular tracing plate and a tracing needle on the mandibular arch plate, and wearing back into the mouth of a patient;
then the lower jaw is subjected to the actions of tapping, extending forwards, laterally and retreating; taking down the device to check the track of the Gotty bow, and putting back the device into the mouth of the patient if the device is umbrella-shaped;
determining the position of the front teeth of the future prosthesis by adding wax and subtracting wax according to the lip fullness of a patient in the front teeth area of the upper jaw, describing facial midline, smile and facial angle line mark lines on the wax after the position is determined, and fixing the upper jaw arch plate and the lower jaw arch plate on the position by using occluding silicone rubber; inserting a handle to connect the facial arch to transfer the relationship between the mandible and the head;
to this end, the relationship between the head and the lower jaw is determined by the facial arch, the relationship between the lower jaw and the upper jaw is determined by the gothic archer, and the positional relationship of the entire head, upper jaw and lower jaw is determined and transferred to
Figure BDA0001454029360000022
And (3) on the frame.
Further, the method comprises the steps of:
before the lower jaw is required to perform the actions of tapping, extending forwards and backwards, the patient is instructed to bite two cotton lumps for 5min.
Compared with the prior art, the invention has the following advantages and beneficial effects:
1. the invention relates to a description system of an oral cavity restoration plug-in type gothic arch, which adopts a gothic arch description method to calculate a central relation position so as to determine a horizontal jaw relation, which is a comparatively scientific method for determining the horizontal jaw relation which is accepted at present;
2. the plug-in type gothic arch tracing system for the oral cavity restoration is beneficial to recording and transferring the fullness of the front dental area by adding and subtracting wax in the oral cavity restoration process of a patient because the lingual side of the front dental area of the maxillary arch plate is avoided and the wax bank space is reserved;
3. the invention relates to a description system of an oral cavity repairing plug-in type Gotty type bow, which is characterized in that a handle of the system is a plug-in type and is inserted when a facial bow is taken and usedThe mandibular arch board clamping groove is pulled out when aesthetic information is recorded through the wax dyke. Without using
Figure BDA0001454029360000031
The fork and the occlusion silicone rubber carry out facial arch transfer, and the upper lip is not interfered during aesthetic information transfer;
4. the dental restoration plug-in type gothic arch tracing system is characterized in that the upper and lower jaw plates are fixed through the fixing holes, and patients with smaller jaw spacing can also use the dental restoration plug-in type gothic arch tracing system.
Drawings
The accompanying drawings, which are included to provide a further understanding of embodiments of the invention and are incorporated in and constitute a part of this application, illustrate embodiments of the invention. In the drawings:
FIG. 1 is a schematic top view of a schematic illustration of a dental restoration plug-in gothic arch tracing system of the present invention;
FIG. 2 is a schematic diagram of a dental restoration plug-in type Gotty's bow tracing system according to the present invention;
FIG. 3 is a schematic view of the structure of the mandibular archboard of the present invention;
in the drawings, the reference numerals and corresponding part names:
1-maxillary arch plate, 2-T-shaped maxillary arch plate, 3-mandibular arch plate, 4-handle, 5-mandibular arch plate, 6-needle, 7-lingual side avoidance groove.
Detailed Description
For the purpose of making apparent the objects, technical solutions and advantages of the present invention, the present invention will be further described in detail with reference to the following examples and the accompanying drawings, wherein the exemplary embodiments of the present invention and the descriptions thereof are for illustrating the present invention only and are not to be construed as limiting the present invention.
Example 1
As shown in fig. 1-3, the dental restoration plug-in type gothic arch tracing system comprises a maxillary arch board 1 and a mandibular arch board 3, wherein the maxillary arch board 1 is of a U-shaped structure, and a T-shaped maxillary tracing board 2 is embedded in the inner side of the maxillary arch board 1; the mandibular arch plate 3 is also of a U-shaped structure, a handle 4 is inserted in the front of the mandibular arch plate 3, a T-shaped mandibular tracing plate 5 is embedded in the inner side of the mandibular arch plate 3, and a tracing needle 6 connected through threads is arranged on the mandibular tracing plate 5.
One side of the front part of the upper jaw arch plate 1 is provided with a through H-shaped hole; the other side of the front part of the upper jaw bow plate 1 is provided with an X-shaped hole which is communicated. One side of the front part of the mandibular arch plate 3 is provided with an H-shaped hole corresponding to the H-shaped hole on the maxillary arch plate 1; the other side of the front part of the mandibular arch plate 3 is provided with an X-shaped hole corresponding to the X-shaped hole on the maxillary arch plate 1. The two ends of the rear part of the maxillary arch plate 1 are smoothly designed. Two ends of the rear part of the upper jaw arch plate 1 are provided with square holes which are communicated. Two ends of the rear part of the mandibular arch plate 3 are provided with square holes which are communicated.
In this embodiment, the "H" -shaped holes, "X" -shaped holes and the through square holes are mainly used to enhance the fixation of the maxillary and mandibular arches 1 and 3 to wax.
The front end part of the maxillary arch plate 1 is provided with a front tooth area lingual side avoiding groove 7, and a wax bank space is reserved through the front tooth area lingual side avoiding groove 7, so that the front tooth area fullness can be recorded and transferred through wax addition and wax reduction in the mouth rehabilitation process of a patient.
The handle 4 is of a U-shaped structure, a slot is formed in the front end of the handle 4, an insert block matched with the slot is arranged at the front end of the maxillary arch plate 1, and the handle 4 is inserted into the insert block of the maxillary arch plate 1 through the slot formed in the front end and connected with the insert block.
The invention relates to a method for tracing an oral cavity repairing plug-in type Gotty bow, which preliminarily comprises the steps of preliminary modeling of the oral cavity of a patient
Figure BDA0001454029360000041
A frame, a layer of photo-curing or self-setting resin is paved on the model to manufacture a temporary base, the upper jaw arch plate 1 and the lower jaw arch plate 3 are fixed on the temporary base by wax, a handle 4 is inserted, the temporary base is taken down from the model, and an oral impression material is put into a mouth of a patient to be worn into the mouth of the patient to manufacture a lower jaw final impression and a lower jaw final impression respectively;
taking out the temporary base after the mandibular final impression and the mandibular final impression are solidified, installing the maxillary tracing plate 2 on the maxillary arch plate 1, installing the mandibular tracing plate 5 and the tracing needle 6 on the mandibular arch plate 3, and putting back into the mouth of a patient;
order the patient to bite two cotton sticks for 5min. Then the lower jaw is subjected to the actions of tapping, extending forwards, laterally and retreating; taking down the device to check the track of the Gotty bow, and putting back the device into the mouth of the patient if the device is umbrella-shaped;
determining the position of the front teeth of the future prosthesis by adding wax and subtracting wax according to the lip fullness of a patient in the front teeth area of the upper jaw, describing facial midlines, smile lines and facial angle line mark lines on the wax after the position is determined, and fixing the upper jaw arch plate 3 and the lower jaw arch plate 3 at the position by using occluding silicone rubber; a handle 4 is inserted, and the connection surface bow transfers the relationship between the lower jaw and the head;
to this end, the relationship between the head and the lower jaw is determined by the facial arch, the relationship between the lower jaw and the upper jaw is determined by the gothic archer, and the positional relationship of the entire head, upper jaw and lower jaw is determined and transferred to
Figure BDA0001454029360000044
And (3) on the frame.
The invention discloses a description system of an oral cavity restoration plug-in type gothic arch, which adopts a gothic arch description method to calculate a central relation position so as to determine a horizontal jaw relation, which is a relatively scientific method for determining the horizontal jaw relation; according to the system, the lingual side of the anterior tooth area of the maxillary arch plate is avoided, and the wax bank space is reserved, so that the record and transfer of the fullness of the anterior tooth area by adding and subtracting wax in the oral cavity repairing process of a patient are facilitated; the handle of the system is a plug-in type, is inserted into a clamping groove of a mandibular arch plate when a facial arch is taken out and used, and is pulled out when aesthetic information is recorded through a wax dyke. Without using
Figure BDA0001454029360000042
The fork and the occlusion silicone rubber carry out facial arch transfer, and the upper lip is not interfered during aesthetic information transfer; the retention of the upper and lower jaw archplates is achieved by retention holes, and patients with smaller jaw spacing can also use the device.
Example 2
As shown in fig. 1-3, the method for tracing the plug-in gothic arch for repairing an oral cavity of the present invention is characterized in that: the method comprises the following steps:
preliminary setting the oral cavity primary model of the patient
Figure BDA0001454029360000043
A frame, a layer of photo-curing or self-setting resin is paved on the model to manufacture a temporary base, the upper jaw arch plate 1 and the lower jaw arch plate 3 are fixed on the temporary base by wax, a handle 4 is inserted, the temporary base is taken down from the model, and an oral impression material is put into a mouth of a patient to be worn into the mouth of the patient to manufacture a lower jaw final impression and a lower jaw final impression respectively;
taking out the temporary base after the mandibular final impression and the mandibular final impression are solidified, installing the maxillary tracing plate 2 on the maxillary arch plate 1, installing the mandibular tracing plate 5 and the tracing needle 6 on the mandibular arch plate 3, and putting back into the mouth of a patient;
then the lower jaw is subjected to the actions of tapping, extending forwards, laterally and retreating; taking down the device to check the track of the Gotty bow, and putting back the device into the mouth of the patient if the device is umbrella-shaped;
determining the position of the front teeth of the future prosthesis by adding wax and subtracting wax according to the lip fullness of a patient in the front teeth area of the upper jaw, describing facial midlines, smile lines and facial angle line mark lines on the wax after the position is determined, and fixing the upper jaw arch plate 3 and the lower jaw arch plate 3 at the position by using occluding silicone rubber; a handle 4 is inserted, and the connection surface bow transfers the relationship between the lower jaw and the head;
to this end, the relationship between the head and the lower jaw is determined by the facial arch, the relationship between the lower jaw and the upper jaw is determined by the gothic archer, and the positional relationship of the entire head, upper jaw and lower jaw is determined and transferred to
Figure BDA0001454029360000051
And (3) on the frame.
Before the lower jaw is required to perform the actions of tapping, extending forwards and backwards, the patient is instructed to bite two cotton lumps for 5min.
The present invention relates to a kind of mouth repairing plug-in type Gotty bow tracing method, and the system adopts Gotty bow tracing method to obtain the central relation position so as to define horizontal jaw position relationA method for determining horizontal jaw position relation for the accepted comparative science; according to the system, the lingual side of the anterior tooth area of the maxillary arch plate is avoided, and the wax bank space is reserved, so that the record and transfer of the fullness of the anterior tooth area by adding and subtracting wax in the oral cavity repairing process of a patient are facilitated; the handle of the system is a plug-in type, is inserted into a clamping groove of a mandibular arch plate when a facial arch is taken out and used, and is pulled out when aesthetic information is recorded through a wax dyke. Without using
Figure BDA0001454029360000052
The fork and the occlusion silicone rubber carry out facial arch transfer, and the upper lip is not interfered during aesthetic information transfer; the retention of the upper and lower jaw archplates is achieved by retention holes, and patients with smaller jaw spacing can also use the device.
The foregoing description of the embodiments has been provided for the purpose of illustrating the general principles of the invention, and is not meant to limit the scope of the invention, but to limit the invention to the particular embodiments, and any modifications, equivalents, improvements, etc. that fall within the spirit and principles of the invention are intended to be included within the scope of the invention.

Claims (8)

1. An inserted gothic arch tracing system for repairing the mouth, comprising a maxillary arch board (1) and a mandibular arch board (3), characterized in that: the upper jaw arch plate (1) is of a U-shaped structure, and a T-shaped upper jaw tracing plate (2) is embedded into the inner side of the upper jaw arch plate (1); the mandibular arch plate (3) is also of a U-shaped structure, a handle (4) is inserted in the front of the mandibular arch plate (3), a T-shaped mandibular tracing plate (5) is embedded in the inner side of the mandibular arch plate (3), and a tracing needle (6) connected through threads is arranged on the mandibular tracing plate (5);
one side of the front part of the upper jaw arch plate (1) is provided with a through H-shaped hole; the other side of the front part of the upper jaw arch plate (1) is provided with an X-shaped hole which is communicated with the upper jaw arch plate;
the two ends of the rear part of the upper jaw arch plate (1) are smoothly designed.
2. A plug-in gothic arch tracing system for repairing oral cavity according to claim 1, wherein: one side of the front part of the mandibular arch plate (3) is provided with an H-shaped hole corresponding to the H-shaped hole on the maxillary arch plate (1); the other side of the front part of the mandibular arch plate (3) is provided with an X-shaped hole corresponding to the X-shaped hole on the maxillary arch plate (1).
3. A plug-in gothic arch tracing system for repairing oral cavity according to claim 1, wherein: two ends of the rear part of the upper jaw arch plate (1) are provided with square holes which are communicated.
4. A plug-in gothic arch tracing system for repairing oral cavity according to claim 1, wherein: two ends of the rear part of the mandibular arch plate (3) are provided with square holes which are communicated.
5. A plug-in gothic arch tracing system for repairing oral cavity according to claim 1, wherein: the front end part of the maxillary arch plate (1) is provided with a front tooth area lingual side avoiding groove (7), and a wax bank space is reserved through the front tooth area lingual side avoiding groove (7), so that the front tooth area fullness can be recorded and transferred through wax adding and wax subtracting in the mouth rehabilitation process of a patient.
6. A plug-in gothic arch tracing system for repairing oral cavity according to claim 1, wherein: the handle (4) is of a U-shaped structure, a slot is formed in the front end of the handle (4), an inserting block matched with the slot is arranged at the front end of the maxillary arch board (1), and the handle (4) is inserted into the inserting block of the maxillary arch board (1) through the slot formed in the front end and is connected with the inserting block of the maxillary arch board (1).
7. A method for tracing a plug-in gothic arch for mouth rehabilitation, characterized by: the method comprises the following steps: setting the initial oral cavity model of the patient on a frame, paving a layer of photo-curing or self-setting resin on the model to manufacture a temporary base, fixing the upper jaw arch plate (1) and the lower jaw arch plate (3) on the temporary base by using wax, inserting a handle (4), taking the temporary base off the model, putting an oral cavity impression material into the mouth of the patient, and respectively manufacturing a lower jaw final impression and a lower jaw final impression;
the mandibular final impression and the mandibular final impression are solidified, then the temporary base is taken out, a maxillary tracing plate (2) is arranged on the maxillary arch plate (1), a mandibular tracing plate (5) and a tracing needle (6) are arranged on the mandibular arch plate (3), and the mandibular arch plate is worn back into the mouth of a patient;
then the lower jaw is subjected to the actions of tapping, extending forwards, laterally and retreating; taking down the device to check the track of the Gotty bow, and putting back the device into the mouth of the patient if the device is umbrella-shaped;
according to the lip fullness of a patient, the position of the front teeth of a future prosthesis is determined by adding wax and subtracting wax in the front teeth area of the upper jaw, the facial midline, the smile and the facial angle line mark line are depicted on the wax after the position is determined, and the upper jaw arch plate (3) and the lower jaw arch plate (3) are fixed at the position by using occluding silicone rubber; a handle (4) is inserted, and the connection surface bow transfers the relationship between the lower jaw and the head;
to this end, the relationship between the head and the lower jaw is determined by the facial arch, the relationship between the lower jaw and the upper jaw is determined by the gothic archer, and the positional relationship of the entire head, upper jaw and lower jaw is determined and transferred to the frame.
8. A method of tracing a plug-in gothic arch for mouth rehabilitation according to claim 7, wherein: the method comprises the following steps:
before the lower jaw is required to perform the actions of tapping, extending forwards and backwards, the patient is instructed to bite two cotton lumps for 5min.
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