CN108464869A - Cast type backteeth double inclined plane guide plate appliance - Google Patents

Cast type backteeth double inclined plane guide plate appliance Download PDF

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Publication number
CN108464869A
CN108464869A CN201810518551.5A CN201810518551A CN108464869A CN 108464869 A CN108464869 A CN 108464869A CN 201810518551 A CN201810518551 A CN 201810518551A CN 108464869 A CN108464869 A CN 108464869A
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CN
China
Prior art keywords
plane
jaw
upper jaw
lower jaw
backteeth
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Pending
Application number
CN201810518551.5A
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Chinese (zh)
Inventor
华先明
夏露露
李寒月
马和
刘薇
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Wuhan University WHU
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Wuhan University WHU
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Publication date
Application filed by Wuhan University WHU filed Critical Wuhan University WHU
Priority to CN201810518551.5A priority Critical patent/CN108464869A/en
Publication of CN108464869A publication Critical patent/CN108464869A/en
Pending legal-status Critical Current

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Classifications

    • 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
    • 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

Abstract

The present invention relates to provide a kind of cast type backteeth double inclined plane guide plate appliance, include it is coordinating with upper jaw backteeth and it is preceding it is thick after the oblique upper jaw inclined-plane of thin declining forward, upper jaw snap ring upper jaw inclined-plane being fixed on upper jaw backteeth, the upper jaw connector that both sides upper jaw inclined-plane is connected, coordinate with mandible posterior and front-thin-rear-thick and the matched lower jaw inclined-plane in upper jaw inclined-plane, lower jaw snap ring lower jaw inclined-plane being fixed in mandible posterior, the lower jaw connector that both sides lower jaw inclined-plane is connected, upper jaw inclined-plane, upper jaw snap ring and upper jaw connector are integrally cast by alloy, lower jaw inclined-plane, lower jaw snap ring and lower jaw connector are integrally cast by alloy, upper jaw inclined-plane and lower jaw inclined-plane can be used in chewing.The appliance is simple in structure, and treatment is hygienic, comfortable, can be to carrying out effective function correction in Group III bone misfit of the growth and development stage based on lower jaw overdevelopment.

Description

Cast type backteeth double inclined plane guide plate appliance
Technical field
The invention belongs to Orthodontic Treatments to rescue field, and in particular to a kind of cast type backteeth double inclined plane guide plate is rescued Device.
Background technology
The incidence of iS-One Group III misfit is 9~19% in Asia[1]【Uslu, O.and M.O.Akcam, Long-term follow-up of patients with a skeletal Angle Class III relationship treated With chin caps.World J Orthod, 2009.10 (4):p.317-22】, it is 1~5% in white people[2]【Danaie, S.M.and P.Salehi, Cephalometric evaluation of class-III patients with chin cap And tongue guard.J Indian Soc Pedod Prev Dent, 2005.23 (2):p.63-6】.Due to iS-One III Class misfit face type is poor, is in concave, therefore the hope that patient requests rescue is strongly.
IS-One Group III misfit is mainly the upper jaw and lower jaw in the uncomfortable of arrowhead, it is mainly characterized by upper jaw hypodevelopment And (or) it is moved behind upper jaw position or the Forward of lower jaw overdevelopment and (or) mandibular location[3]【Arat, Z.M., M.O.Akcam, and H.Gokalp, Long-term effects of chin-cap therapy on the Temporomandibular joints.Eur J Orthod, 2003.25 (5):p.471-5】.With the uncomfortable iS-One in cranium face Group III misfit, treatment is extremely difficult and has tendency of recurrence.
The early treatment of Group III misfit is extremely important, wrong to the bone Group III of upper jaw hypodevelopment in growth and development stage Apparent clinical effectiveness can be received using the method for Anterior crossbite (or before being led again after Maxillary Expansion) by closing;It is over-developed to lower jaw Group III misfit is using head cap-chin pocket treatment[4]【Altug, Z., D.Erdem, and M.Rubenduz, [Investigation of the effect of functional treatment in skeletal Class III cases on the Profile facial esthetics] .Turk Ortodonti Derg, 1990.3 (1):p.39-44】, there is certain curative effect But there are still disputes[5]【Liu Ping (summary), influence Orthodontics of the chin pocket to remporomandibular joint, 2006.13:p.191- 193】。
Currently, " optical force " device of clinical treatment iS-One Group III bone misfit leads dress before having head cap-chin pocket, the upper jaw It sets, double baffle-wall magnetic force orthoses etc., but " function power " appliance is considerably less, clinically used only Frankel III (FRIII )[6]【Miethke, R.R., S.Lindenau, and K.Dietrich, The effect of Frankel ' s function Regulator type III on the apical base.Eur J Orthod, 2003.25 (3):p.311-8】.FR III The lip cheekpressure for hindering maxillary growth is mainly released, maxillary growth is promoted by the stretching of periosteum, utilizes lower lip Pressure forces lower jaw to retreat.Therefore, FR III are mainly iS-One Group III bone to growth and development stage maxilla of children hypodevelopment It is effective in cure with functional misfit.
From the foregoing, it will be observed that at present to still not having in Group III bone misfit of the growth and development stage based on lower jaw overdevelopment There is selectable, effective activator.Therefore, a kind of growth that can inhibit lower jaw need be designed and in chewing Novel " function power " appliance of lower jaw energy 3 D auto movement.
Invention content
The object of the present invention is to provide a kind of cast type backteeth double inclined plane guide plate appliances, and the appliance is simple in structure, controls Treatment is hygienic, comfortable, can be to carrying out effective function in Group III bone misfit of the growth and development stage based on lower jaw overdevelopment It rescues.
The technical solution adopted in the present invention is:
A kind of cast type backteeth double inclined plane guide plate appliance includes thin declining forward after thickness coordinate with upper jaw backteeth and preceding Oblique upper jaw inclined-plane, the upper jaw snap ring that upper jaw inclined-plane is fixed on upper jaw backteeth, the upper jaw for connecting both sides upper jaw inclined-plane connect Lower jaw inclined-plane is fixed on lower jaw by junctor and mandible posterior the coordinate and matched lower jaw inclined-plane of front-thin-rear-thick and upper jaw inclined-plane Lower jaw snap ring on backteeth, the lower jaw connector for connecting both sides lower jaw inclined-plane, upper jaw inclined-plane, upper jaw snap ring and upper jaw connector Be integrally cast by alloy, lower jaw inclined-plane, lower jaw snap ring and lower jaw connector are integrally cast by alloy, upper jaw inclined-plane and Lower jaw inclined-plane can be used in chewing.
Further, the length on upper jaw inclined-plane be since Maxillary first premolar mesial surface backward on finally ground to the upper jaw Facies distalis dentis, the length on lower jaw inclined-plane are since lower jaw finally grinds one's teeth in sleep distal surface to front lower to lower jaw first bicuspid and lower jaw Between canine tooth.
Further, the length on upper jaw inclined-plane and lower jaw inclined-plane is 25-35mm.
Further, the width on upper jaw inclined-plane and lower jaw inclined-plane can cover the conjunction face of backteeth.
Further, the width on upper jaw inclined-plane and lower jaw inclined-plane is 6-12mm.
Further, the overall thickness of the thinnest part 0.5mm on upper jaw inclined-plane and lower jaw inclined-plane, upper jaw inclined-plane and lower jaw inclined-plane with Upper lower incisor can be opened subject to 1mm.
Further, the thickness on upper jaw inclined-plane and lower jaw inclined-plane is 3-6mm.
Further, upper jaw snap ring is the both arms of the packet rich upper jaw posterior dental crown cheek side and tongue side stretched out from upper jaw inclined-plane Snap ring, lower jaw snap ring are the two-arm clasps of packet rich mandible posterior the corona cheek side and tongue side stretched out from lower jaw inclined-plane.
Further, upper jaw snap ring is mounted on Maxillary first premolar and maxillary first molar, and lower jaw snap ring is mounted on On lower jaw first bicuspid and mandibular first molar.
Further, upper jaw connector and the bar that lower jaw connector is width 3mm, thickness 0.5-1mm, upper jaw connector are located at upper On jaw and close to the gingival margin 1mm that goes forward, lower jaw connector is located at lower labial teeth tongue side away from gum edge 1mm.
The beneficial effects of the invention are as follows:
When chewing, in backteeth area, masticatory force is decomposed through lower jaw inclined-plane, and horizontal direction component guides lower jaw backward, the component The reconstruction for completing joint by branch acts on remporomandibular joint is risen by lower jaw, can vertically be forced down down and be ground one's teeth in sleep to component, be conducive to bone Property Group III misfit with the 1/3 long patient side's shape of height under face improvement;Similarly, masticatory force is decomposed through upper jaw inclined-plane, horizontal Upper alveolar bone is acted on through upper backteeth to component, guiding maxilla moves forward.Wherein, upper jaw snap ring and lower jaw snap ring are given respectively Upper jaw inclined-plane and lower jaw inclined-plane provide retention, and upper jaw connector and lower jaw connector make the related anchorage in both sides, improve safety.Cause And cast type backteeth double inclined plane guide plate appliance acts on backteeth area the result is that being conducive to rescuing for Group III bone misfit.
When chewing, in labial teeth area, lower jaw because tongue side has lower inclined plane to postpone tooth backward, or less labial teeth pressure reduce and to tongue To mobile or slope trend;On the contrary, Upper Anterior Teeth by lip to power and labiad to mobile or tilt.Thus, cast type backteeth diclinic Face guide plate appliance acts on labial teeth area the result is that being conducive to rescuing for bone or tooth Group III misfit.
When chewing, when upper jaw inclined-plane and lower jaw inclined-plane meet, the power of generation is initiatively acted on reaction force by denture In alveolar bone, jawbone, remporomandibular joint, reaching influences the maxillomandibular speed of growth and the direction of growth, in correction before and after mandibular To position relationship effect.
From the foregoing, it will be observed that the configuration of the present invention is simple, treatment is hygienic, comfortable, can be developed with lower jaw to being in growth and development stage Group III bone misfit based on degree carries out effective function correction.
Description of the drawings
Fig. 1 is the structural schematic diagram of the embodiment of the present invention.
Fig. 2 is the side view after installation of the embodiment of the present invention.
Fig. 3 is the action principle figure of the embodiment of the present invention.
In figure:1- upper jaws inclined-plane;2- upper jaw snap rings;3- upper jaw connectors;4- lower jaws inclined-plane;5- lower jaw snap rings;6- lower jaws Connector.
Specific implementation mode
The present invention is further illustrated with reference to the accompanying drawings and examples.
As shown in Figure 1 to Figure 3, a kind of cast type backteeth double inclined plane guide plate appliance, include coordinate with upper jaw backteeth and It is preceding it is thick after the oblique upper jaw inclined-plane 1 of thin declining forward, upper jaw inclined-plane 1 is fixed on upper jaw backteeth upper jaw snap ring 2, will be on both sides The upper jaw connector 3 and mandible posterior that jaw inclined-plane 1 connects coordinate and 1 matched lower jaw inclined-plane of front-thin-rear-thick and upper jaw inclined-plane 4, by lower jaw snap ring 5 that lower jaw inclined-plane 4 is fixed in mandible posterior, the lower jaw connector 6 for connecting both sides lower jaw inclined-plane 4, on Jaw inclined-plane 1, upper jaw snap ring 2 and upper jaw connector 3 are integrally cast by alloy, and lower jaw inclined-plane 4, lower jaw snap ring 5 and lower jaw connect Junctor 6 is integrally cast by alloy, and upper jaw inclined-plane 1 and lower jaw inclined-plane 4 can use (alloy rigidity satisfaction use in chewing It is required that).
As shown in figure 3, when chewing, in backteeth area, masticatory force is decomposed through lower jaw inclined-plane 4, and horizontal direction component guides lower jaw Backward, which rises the reconstruction that joint is completed by branch acts on remporomandibular joint by lower jaw, vertically can force down lower mill to component Tooth is conducive to improvement of the bone Group III misfit with the 1/3 long patient side's shape of height under face;Similarly, masticatory force is oblique through the upper jaw Face 1 is decomposed, and horizontal direction component acts on upper alveolar bone through upper backteeth, and guiding maxilla moves forward.Wherein, 2 He of upper jaw snap ring Lower jaw snap ring 5 gives upper jaw inclined-plane 1 and lower jaw inclined-plane 4 to provide retention respectively, and upper jaw connector 3 and lower jaw connector 6 make both sides Related anchorage improves safety.Thus, cast type backteeth double inclined plane guide plate appliance acts on backteeth area the result is that being conducive to Group III bone misfit is rescued.
As shown in figure 3, chewing when, in labial teeth area, lower jaw because tongue side has lower inclined plane to postpone tooth backward, or less labial teeth pressure Reduce and to tongue to mobile or slope trend;On the contrary, Upper Anterior Teeth by lip to power and labiad to mobile or tilt.Thus, casting Formula backteeth double inclined plane guide plate appliance acts on labial teeth area the result is that being conducive to rescuing for bone or tooth Group III misfit.
As shown in figure 3, when chewing, when upper jaw inclined-plane 1 and lower jaw inclined-plane 4 meet, power and the reaction force of generation pass through tooth Row initiatively act on alveolar bone, jawbone, remporomandibular joint, and reaching influences the maxillomandibular speed of growth and the direction of growth, correction The effect of the upper sagittal position relationship of mandibular.
From the foregoing, it will be observed that the configuration of the present invention is simple, treatment is hygienic, comfortable, can be developed with lower jaw to being in growth and development stage Group III bone misfit based on degree carries out effective function correction.
In the present embodiment, as shown in Fig. 2, the length on upper jaw inclined-plane 1 be since Maxillary first premolar mesial surface to Upper distal surface (length range on upper jaw inclined-plane 1 is usually 25-35mm) of finally grinding one's teeth in sleep to the upper jaw, the length on lower jaw inclined-plane 4 are afterwards To front lower to the (length on lower jaw inclined-plane 4 lower jaw first bicuspid and lower jaw canine tooth since lower jaw finally grinds one's teeth in sleep distal surface Range is usually 25-35mm).
In the present embodiment, the width on upper jaw inclined-plane 1 and lower jaw inclined-plane 4 can cover backteeth conjunction face (upper jaw inclined-plane 1 and under The width range on jaw inclined-plane 4 is usually 6-12mm).
In the present embodiment, the thinnest part 0.5mm on upper jaw inclined-plane 1 and lower jaw inclined-plane 4, upper jaw inclined-plane and lower jaw inclined-plane is total Thickness, which is subject to, to open 1mm by upper lower incisor.(the thickness range on upper jaw inclined-plane 1 and lower jaw inclined-plane 4 is usually 3-6mm).
In the present embodiment, as shown in Fig. 2, upper jaw snap ring 2 is the rich upper jaw posterior dental crown of packet stretched out from upper jaw inclined-plane 1 The two-arm clasp of cheek side and tongue side, upper jaw snap ring 2 are mounted on Maxillary first premolar and maxillary first molar and (can also install Elsewhere, preferably install and be conducive to promote whole fixing ability herein), lower jaw snap ring 5 is stretched out from lower jaw inclined-plane 4 The two-arm clasp of packet rich mandible posterior corona cheek side and tongue side, lower jaw snap ring 5 are mounted on lower jaw first bicuspid and lower jaw first It grinds one's teeth in sleep upper (can also install preferably to install elsewhere and be conducive to promote whole fixing ability herein).Other shapes also can be used The snap ring of formula, preferred two-arm clasp herein, because fixing ability is strong.
In the present embodiment, upper jaw connector 3 and the bar that lower jaw connector 6 is width 3mm, thickness 0.5-1mm, upper jaw connector 3 are located on maxilla and close to Upper Anterior Teeth away from gum edge 1mm, and lower jaw connector 6 is located at lower labial teeth tongue side away from gum edge 1mm.
In actual therapeutic, orthodontist first checks case, is diagnosed, and is diagnosed as growth and development stage bone Group III The patient of misfit (lower jaw overdevelopment) just selects cast type backteeth double inclined plane guide plate appliance provided by the invention to treat. The making of cast type backteeth double inclined plane guide plate appliance is with process of clinical application:
S1, conventional modulus.The pallet being of moderate size is selected, is mixed by the requirement tune of manufacturer with moulage, is then made Impression taking, artificial stone fill film.
S2, jaw relation record.It under normal circumstances, can be according to the direct upper jaw frame of occluding relation that upper lower tooth is stablized in oral cavity, system Make cast type backteeth double inclined plane guide plate appliance.But it is engaged the patient of deflection to functional lower jaw, occluding relation need to be rebuild with wax. Target:Upper mandibular center line is neat (lower jaw chin center is located on facial center line).
S3, wax pattern is prepared to upper jaw inclined-plane 1 and lower jaw inclined-plane 4 according to design respectively on jaw frame.Cast type backteeth diclinic After the areas Xie Dao of face guide plate appliance are usually first made the long inclined-plane wax pattern in unilateral side of the upper jaw or lower jaw and concoct forming, then make The wax pattern on offside inclined-plane.Wax pattern embeds, and casts, polishing, for Clinical practice after polishing.
S4, it wears with cast type backteeth double inclined plane guide plate appliance.Patient's whole day is advised to wear use, including feed and sleep.Labial teeth Anti- conjunction grinds low inclined-plane so that backteeth builds conjunction by several times after releasing.After removing cast type backteeth double inclined plane guide plate appliance, available head Cap -- chin pocket maintains 1-3.
Although there is used herein upper jaw inclined-plane 1, upper jaw snap ring 2, upper jaw connector 3, lower jaw inclined-plane 4, lower jaw snap ring 5, under The terms such as jaw connector 6, but it does not preclude the possibility of using other terms.The use of these items is only for more easily Describe and explain the essence of the present invention;Being construed as any one of the additional limitations all is disagreed with spirit of that invention 's.It should be understood that for those of ordinary skills, it can be modified or changed according to the above description, and institute There are these modifications and variations should all belong to the protection domain of appended claims of the present invention.

Claims (10)

1. a kind of cast type backteeth double inclined plane guide plate appliance, it is characterised in that:Include it is coordinating with upper jaw backteeth and it is preceding it is thick after The oblique upper jaw inclined-plane of thin declining forward, the upper jaw snap ring being fixed on upper jaw inclined-plane on upper jaw backteeth connect both sides upper jaw inclined-plane The upper jaw connector that connects, with mandible posterior cooperation and the matched lower jaw inclined-plane of front-thin-rear-thick and upper jaw inclined-plane, by lower jaw inclined-plane The lower jaw snap ring being fixed in mandible posterior, the lower jaw connector for connecting both sides lower jaw inclined-plane, upper jaw inclined-plane, upper jaw snap ring and Upper jaw connector is integrally cast by alloy, and lower jaw inclined-plane, lower jaw snap ring and lower jaw connector are integrally cast by alloy, Upper jaw inclined-plane and lower jaw inclined-plane can be used in chewing.
2. cast type backteeth double inclined plane guide plate appliance as described in claim 1, it is characterised in that:The length on upper jaw inclined-plane is Since Maxillary first premolar mesial surface backward on finally grind one's teeth in sleep distal surface to the upper jaw, the length on lower jaw inclined-plane be from lower jaw most Distomolar distal surface starts to front lower between lower jaw first bicuspid and lower jaw canine tooth.
3. cast type backteeth double inclined plane guide plate appliance as claimed in claim 2, it is characterised in that:Upper jaw inclined-plane and lower jaw are oblique The length in face is 25-35mm.
4. cast type backteeth double inclined plane guide plate appliance as described in claim 1, it is characterised in that:Upper jaw inclined-plane and lower jaw are oblique The width in face can cover the conjunction face of backteeth.
5. cast type backteeth double inclined plane guide plate appliance as claimed in claim 4, it is characterised in that:Upper jaw inclined-plane and lower jaw are oblique The width in face is 6-12mm.
6. cast type backteeth double inclined plane guide plate appliance as described in claim 1, it is characterised in that:Upper jaw inclined-plane and lower jaw are oblique The overall thickness of the thinnest part 0.5mm in face, upper jaw inclined-plane and lower jaw inclined-plane, which are subject to, to open 1mm by upper lower incisor.
7. cast type backteeth double inclined plane guide plate appliance as claimed in claim 6, it is characterised in that:Upper jaw inclined-plane and lower jaw are oblique The thickness in face is 3-6mm.
8. cast type backteeth double inclined plane guide plate appliance as described in claim 1, it is characterised in that:Upper jaw snap ring is from the upper jaw The two-arm clasp of the packet rich upper jaw posterior dental crown cheek side and tongue side stretched out on inclined-plane, lower jaw snap ring are stretched out from lower jaw inclined-plane The two-arm clasp of packet rich mandible posterior corona cheek side and tongue side.
9. cast type backteeth double inclined plane guide plate appliance as claimed in claim 8, it is characterised in that:Upper jaw snap ring is mounted on upper On jaw first bicuspid and maxillary first molar, lower jaw snap ring is mounted on lower jaw first bicuspid and mandibular first molar.
10. cast type backteeth double inclined plane guide plate appliance as described in claim 1, it is characterised in that:Upper jaw connector is under Jaw connector is the bar of width 3mm, thickness 0.5-1mm, and upper jaw connector is located on maxilla and close to Upper Anterior Teeth away from gum edge 1mm, lower jaw Connector is located at lower labial teeth tongue side away from gum edge 1mm.
CN201810518551.5A 2018-05-25 2018-05-25 Cast type backteeth double inclined plane guide plate appliance Pending CN108464869A (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN115281862A (en) * 2022-10-10 2022-11-04 四川大学 Adjusting pad of invisible orthodontic appliance and preparation device for manufacturing adjusting pad

Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1608598A (en) * 2004-11-23 2005-04-27 武汉大学 Cheek tooth inclined guide plate appliance
US20070283967A1 (en) * 2006-06-12 2007-12-13 Bailey Dennis R Anti-Retrusion Oral Appliance
CN201216656Y (en) * 2008-07-12 2009-04-08 刘红 Fixation inverse double-baffle-wall orthopedic appliance
CN103099681A (en) * 2013-01-18 2013-05-15 上海交通大学医学院附属第九人民医院 Method for manufacturing submaxilla anterior guidance device
CN104688362A (en) * 2015-03-18 2015-06-10 西安交通大学口腔医院 Correcting appliance having both functions of aligning teeth and accelerating jawbone growth and manufacturing method thereof
CN204581556U (en) * 2015-04-22 2015-08-26 无锡时代天使医疗器械科技有限公司 A kind of oral appliance
CN105662612A (en) * 2016-02-29 2016-06-15 台州市立医院 Functional retainer

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1608598A (en) * 2004-11-23 2005-04-27 武汉大学 Cheek tooth inclined guide plate appliance
US20070283967A1 (en) * 2006-06-12 2007-12-13 Bailey Dennis R Anti-Retrusion Oral Appliance
CN201216656Y (en) * 2008-07-12 2009-04-08 刘红 Fixation inverse double-baffle-wall orthopedic appliance
CN103099681A (en) * 2013-01-18 2013-05-15 上海交通大学医学院附属第九人民医院 Method for manufacturing submaxilla anterior guidance device
CN104688362A (en) * 2015-03-18 2015-06-10 西安交通大学口腔医院 Correcting appliance having both functions of aligning teeth and accelerating jawbone growth and manufacturing method thereof
CN204581556U (en) * 2015-04-22 2015-08-26 无锡时代天使医疗器械科技有限公司 A kind of oral appliance
CN105662612A (en) * 2016-02-29 2016-06-15 台州市立医院 Functional retainer

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN115281862A (en) * 2022-10-10 2022-11-04 四川大学 Adjusting pad of invisible orthodontic appliance and preparation device for manufacturing adjusting pad

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