CN109394360B - Manufacturing method of teethridge positioner and teethridge positioner - Google Patents
Manufacturing method of teethridge positioner and teethridge positioner Download PDFInfo
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- CN109394360B CN109394360B CN201811309234.9A CN201811309234A CN109394360B CN 109394360 B CN109394360 B CN 109394360B CN 201811309234 A CN201811309234 A CN 201811309234A CN 109394360 B CN109394360 B CN 109394360B
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- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C7/00—Orthodontics, i.e. obtaining or maintaining the desired position of teeth, e.g. by straightening, evening, regulating, separating, or by correcting malocclusions
- A61C7/36—Devices acting between upper and lower teeth
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Abstract
The invention discloses a manufacturing method of a teethridge positioner and the teethridge positioner, wherein the manufacturing method comprises the following steps: acquiring a first occlusion relation of the upper jaw and the lower jaw of a recorded person under normal occlusion; acquiring a second occlusion relation of the upper jaw and the lower jaw of the recorded lower jaw of the person under the positions of the front extension position, the left side and the right side and a motion track of the lower jaw; determining a final bite relationship of the upper jaw and the lower jaw according to the first bite relationship and the second bite relationship; and designing a gum positioner according to the final occlusion relation and the motion trail of the lower jaw. According to the manufacturing method of the gum positioner, the gum positioner is designed according to the first occlusion relation under normal occlusion, the second occlusion relation of the lower jaw at the forward extending position, the left side position and the right side position and the movement track of the lower jaw, the movement of the lower jaw can be simulated in the design process, the abrasion of the gum positioner in the wearing process is reduced, and the precision of the gum positioner is improved.
Description
Technical Field
The invention relates to the technical field of oral medical appliances, in particular to a manufacturing method of a teethridge positioner and the teethridge positioner.
Background
The gum locator is also called jaw pad, and is a prosthesis which is worn in the mouth and prevents the upper and lower teeth from biting together and is made by doctors.
The existing gum positioner is manufactured by the following method: obtaining a median relation occlusion recording model by an empirical method, transferring the median relation by a face bow to a model maxilla frame, drawing a base support coverage area outline on a mandible model, making a vinyl base support on the mandible model, and removing the redundant part of the base support; the lower jaw model and the base support are put back on the jaw frame, the cutting guide pin of the jaw frame is adjusted to ensure that all the posterior teeth are not contacted with the base support, and the center relation is not influenced by the change of the vertical distance because the model is the jaw frame transferred by the facebow; the resin was mixed well and placed on the base of the tongue of the upper anterior teeth. Ensuring that the amount of resin is sufficient to have light contact with the lower anterior teeth in the mesial relationship, allowing the resin to be hard set; and (3) shaping the resin into a small plane which is slightly contacted with the lower anterior teeth, grinding and polishing the small plane to ensure that the lower incisors are uniformly contacted with the resin plane and the cuspids can also be contacted, taking down the small plane, and finishing and polishing the edge to finish the manufacture of the jaw pad.
The gum positioner is manufactured by searching for the median relationship position through an empirical method, and the obtained result is usually determined empirically because the method is different and the condition of the patient is different according to the experience of each person. When in design, the vinyl resin only ensures that the thickness of the jaw pad can keep the center relation in a static occlusion state through manually polishing the jaw pad. After the jaw pad is worn, the lower jaw in the mouth moves, the jaw pad can generate movement abrasion in the movement, and the jaw pad manufactured in a static occlusion state can block certain normal movement in the mouth, so that a wearer can feel uncomfortable.
Disclosure of Invention
The invention aims to provide a manufacturing method of a teethridge positioner, and the teethridge positioner manufactured by the manufacturing method of the teethridge positioner is not worn in the lower jaw movement process of a user after being worn.
Another object of the present invention is to provide a gum positioner that is precisely dimensioned and does not wear during jaw movement of the user when worn.
The invention is realized by the following technical scheme:
a first aspect of the present invention provides a method of making a gum locator, the method comprising:
acquiring a first occlusion relation of the upper jaw and the lower jaw of a recorded person under normal occlusion;
acquiring a second occlusion relation of the upper jaw and the lower jaw of the recorded lower jaw of the person under the positions of the front extension position, the left side and the right side and a motion track of the lower jaw;
determining a final bite relationship of the upper jaw and the lower jaw according to the first bite relationship and the second bite relationship;
and designing a gum positioner according to the final occlusion relation and the motion trail of the lower jaw.
The method for manufacturing the gum positioner for obtaining the first occlusion relation of the upper jaw and the lower jaw of the recorded person under normal occlusion comprises the following steps:
and recording occlusion position points of the upper jaw and the lower jaw under normal occlusion through multiple occlusion, and determining the occlusion position point with the most overlap as the first occlusion relation according to the occlusion position points of the upper jaw and the lower jaw recorded through multiple occlusion.
The method for manufacturing the gum positioner for acquiring the second occlusion relationship between the upper jaw and the lower jaw of the recorded lower jaw in the extending position, the left side position and the right side position and the movement track of the lower jaw comprises the following steps:
and acquiring occlusion position points of the upper jaw and the lower jaw of the recorded person when the lower jaw is at the front extending position, the left side and the right side for multiple times, and determining the occlusion position point with the most overlap as the second occlusion relation.
According to the manufacturing method of the gum positioner, the gum positioner is designed according to the final occlusion relation and the motion trail of the lower jaw, and the manufacturing method comprises the following steps of;
recording the final bite relationship of the upper jaw and the lower jaw using a bite recording material;
leading the upper jaw model and the lower jaw model under the final occlusion relation of the upper jaw and the lower jaw into appliance design software;
guiding the movement track of the mandible into appliance design software;
and designing the gum positioner through the appliance design software.
In the method for manufacturing the gum positioner, the appliance design software is 3shape appliance design software.
After the gum positioner is designed according to the final occlusion relation and the motion trail, the method for manufacturing the gum positioner further comprises the following steps: and (5) manufacturing and molding the designed gum positioner.
According to the manufacturing method of the teethridge positioner, the teethridge positioner is formed by cutting.
According to the manufacturing method of the gum positioner, the gum positioner is printed and molded through a 3D printer.
A second aspect of the present invention provides a gum locator, which is manufactured by the above gum locator manufacturing method.
According to the manufacturing method of the gum positioner, the gum positioner is designed according to the first occlusion relation under normal occlusion, the second occlusion relation of the lower jaw at the forward extending position, the left side position and the right side position and the movement track of the lower jaw, the movement of the lower jaw can be simulated in the design process, the abrasion of the gum positioner in the wearing process is reduced, and the precision of the gum positioner is improved.
The gum positioner is manufactured by the manufacturing method of the gum positioner, is accurate and stable, does not wear in the lower jaw movement process of a user after being worn, and is comfortable to wear.
Drawings
In order to more clearly illustrate the embodiments of the present invention or the technical solutions in the prior art, the drawings used in the description of the embodiments or the prior art will be briefly described below, and it is obvious that the drawings in the following description are some embodiments of the present invention, and those skilled in the art can also obtain other drawings according to the drawings without creative efforts.
FIG. 1 is a flow chart of a method for manufacturing a gum positioner according to an embodiment of the present invention;
fig. 2 is a flowchart of a method for manufacturing a gum positioner according to an embodiment of the present invention.
Detailed Description
In order to make the objects, technical solutions and advantages of the embodiments of the present invention clearer, the technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are some, but not all, embodiments of the present invention. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.
In the description of the present invention, it is to be understood that the terms "comprises" and "comprising," and any variations thereof, as used herein, are intended to cover a non-exclusive inclusion, such that a process, method, system, article, or apparatus that comprises a list of steps or elements is not necessarily limited to those steps or elements expressly listed, but may include other steps or elements not expressly listed or inherent to such process, method, article, or apparatus. Wherein, the plurality of times refers to two times or more than two times.
Furthermore, unless explicitly stated or limited otherwise, the terms "first," "second," and the like are used for descriptive purposes only and are not to be construed as indicating or implying relative importance or implicitly indicating the number of technical features indicated.
The existing gum positioner is manufactured by the following method: taking a median relation occlusion record through an empirical method, transferring the median relation by a facial arch, putting a maxilla model and a mandible model on a maxilla frame, drawing a base support coverage outline on a mandible model, making a vinyl base support on the mandible model, and removing the redundant part of the base support; the lower jaw model and the base support are put back on the jaw frame, the cutting guide pin of the jaw frame is adjusted to ensure that all the posterior teeth are not contacted with the base support, and the center relation is not influenced by the change of the vertical distance because the model is the jaw frame transferred by the facebow; the resin was mixed well and placed on the base of the tongue of the upper anterior teeth. Ensuring that the amount of resin is sufficient to have light contact with the lower anterior teeth in the mesial relationship. Hardening the resin; and (3) shaping the resin into a small plane which is slightly contacted with the lower anterior teeth, grinding and polishing the small plane to ensure that the lower incisors are uniformly contacted with the resin plane and the cuspids can also be contacted, taking down the small plane, and finishing and polishing the edge to finish the manufacture of the jaw pad.
The gum positioner is manufactured by searching for the median relationship position through an empirical method, and the obtained result is usually determined by experience, wherein the experience of each person is different, the method is different, and the condition of a patient is different. In the design, the vinyl resin manually polishes the jaw pad, and only the relation that the thickness of the jaw pad can be kept in a static occlusion state can be ensured. After the jaw pad is worn, the lower jaw in the mouth moves, the jaw pad can generate movement abrasion in the movement, and the jaw pad manufactured in a static occlusion state can block certain normal movements in the mouth.
The invention provides a manufacturing method of a teethridge positioner and the teethridge positioner manufactured by the method based on the problems.
Some terms in the present application are explained below in order to be understood by those skilled in the art.
The relationship of the centre, also called as the mandibular retroversion, refers to the relationship of the mandible to the maxilla when the mandible is not left or right, and the condyloid process is in the posterior position of the glenoid fossa, when the mandible is in the right vertical distance. It is a stable and reproducible position, a functional receding margin, and if the mandible is forced further posteriorly, discomfort can be felt due to the compression of the soft tissue behind the condyloid process, as the muscles attached to the mandible are pulled. The condyloid process is referred to in this position as the median relationship position.
The jaw pad has the action mechanism that direct contact between upper and lower teeth is mechanically isolated, chewing collision pressure is buffered (the jaw pad is rich in elasticity and toughness), the action of relaxing muscle tension is continuously exerted, the generation of bruxism is prevented, and the damage to tooth bodies and periodontal tissues is avoided.
The face bow is a medical appliance name used in medical ophthalmology and otorhinolaryngology, and is a tool for transferring the position relation of the upper jaw of a patient to the temporomandibular joint to a closed frame.
Bite recording material, fast setting elastomeric recording material.
The following describes the method for manufacturing a gum locator and the gum locator manufactured by the method in detail with reference to specific embodiments.
The first embodiment is as follows:
fig. 1 is a flowchart of a manufacturing method of a gum positioner according to an embodiment of the present invention, and referring to fig. 1, the manufacturing method of the gum positioner according to the embodiment includes the following steps:
s1, acquiring a first occlusion relation of the upper jaw and the lower jaw of the recorded person under normal occlusion;
specifically, the first occlusion relation obtained in this step is recorded by the electronic facebow device,
the first occlusion relationship is an occlusion relationship of a median relationship position, and the present embodiment does not specifically describe the electronic facial arch device and the operation process, and further, in order to improve the accuracy of the first occlusion relationship of the upper jaw and the lower jaw under normal occlusion, occlusion position points of the upper jaw and the lower jaw under normal occlusion of the recorded person are obtained through multiple occlusions, and the occlusion position point with the most overlap is determined as the first occlusion relationship according to the occlusion position points recorded through the multiple occlusions.
S2, acquiring a second occlusion relation of the upper jaw and the lower jaw of the recorded lower jaw of the person in the extending position, the left side direction and the right side direction and the movement track of the lower jaw;
specifically, in this step, the second occlusion relationship of the lower jaw in the extended position, the left side position and the right side position, and the movement trajectory of the lower jaw during the movement of the lower jaw in the extended position, the left side position and the right side position are obtained through the electronic facebow device. Furthermore, in order to improve the accuracy of the second occlusion relationship at the forward extending position, the left side position and the right side position, the occlusion position points of the upper jaw and the lower jaw of the recorded person at the forward extending position, the left side position and the right side position are obtained for multiple times, and the occlusion position point with the largest overlap is determined to be the second occlusion relationship.
S3, determining the final occlusion relation of the upper jaw and the lower jaw according to the first occlusion relation and the second occlusion relation;
specifically, the point with the most overlap is selected to determine the final bite relationship based on the first bite relationship of the upper jaw and the lower jaw under normal occlusion and the second bite relationship of the upper jaw and the lower jaw under the positions of protrusion, left side and right side.
And S4, designing a gum positioner according to the final occlusion relation and the movement track of the lower jaw.
Specifically, after the final occlusion relationship is determined in the step, a model under the occlusion relationship is recorded by using an occlusion recording material, the model is scanned into a computer, meanwhile, a motion track is led into the computer, and a gum positioner is designed through appliance design software.
According to the manufacturing method of the gum positioner, the gum positioner is designed according to the first occlusion relation under normal occlusion, the second occlusion relation of the lower jaw at the forward extending position, the left side position and the right side position and the motion track of the lower jaw, the gum positioner manufactured by the manufacturing method of the gum positioner is accurate and stable, and is not worn in the lower jaw motion process of a user after being worn, so that the gum positioner is comfortable to wear.
Example two:
fig. 2 is a flowchart of a method for manufacturing a gum positioner according to an embodiment of the present invention, please refer to fig. 2, the overall steps of the present embodiment are the same as those of the first embodiment, the present embodiment mainly describes step S4, and step S4 specifically includes the following steps:
s41, recording the final occlusion relation of the upper jaw and the lower jaw by using occlusion recording materials;
specifically, the bite recording material in this step is a rapidly solidified elastic recording material, and the form of the bite recording material is not particularly limited in this embodiment.
S42, leading the upper jaw model and the lower jaw model under the final occlusion relation of the upper jaw and the lower jaw into appliance design software;
specifically, after the final occlusion relationship is determined, the determined upper jaw model and lower jaw model are imported into appliance design software, the appliance design software of the embodiment is 3shape appliance design software, and the embodiment does not specifically introduce the specific operation process of the appliance design software.
S43, importing the mandibular movement track into appliance design software;
specifically, the movement tracks of the mandible of the recorded person in the processes of the forward extending position, the left side position and the right side position are led into the appliance design software.
And S44, designing the gum positioner through the appliance design software.
Specifically, the appliance design software can accurately design different thicknesses of different positions of the gum positioner, and meanwhile, the motion of the mandible can be simulated in the appliance design software through the motion tracks of the introduced mandible in the forward extending position, the left side and the right side position motion process, so that the abrasion generated in the motion is removed, and the designed gum positioner is more comfortable.
According to the manufacturing method of the gum positioner, the gum positioner is designed according to the first occlusion relation under normal occlusion, the second occlusion relation of the lower jaw at the forward extending position, the left side position and the right side position and the motion track of the lower jaw, the gum positioner manufactured by the manufacturing method of the gum positioner is accurate and stable, and is not worn in the lower jaw motion process of a user after being worn, so that the gum positioner is comfortable to wear.
After the gum locator designed in the first and second embodiments is designed, the designed gum locator is manufactured and molded. Alternatively, the gum locator may be formed by cutting, or the gum locator may be formed by printing with a 3D printer. The above embodiments do not limit the way of forming the gum locator.
Example III,
The present embodiment provides a gum locator, which is manufactured by the manufacturing method of the gum locator according to the first embodiment or the second embodiment.
For example, the manufacturing method of the gum positioner comprises the following steps:
s1, acquiring a first occlusion relation of the upper jaw and the lower jaw of the recorded person under normal occlusion;
specifically, the first occlusion relation obtained in this step is recorded by the electronic facebow device,
the first engagement relationship is an engagement relationship of a neutral relationship position, and the present embodiment does not specifically describe the electronic facebow apparatus and the operation process.
S2, acquiring a second occlusion relation of the upper jaw and the lower jaw of the recorded lower jaw of the person in the extending position, the left side direction and the right side direction and the movement track of the lower jaw;
specifically, in this step, the second occlusion relationship of the lower jaw in the extended position, the left side position and the right side position, and the movement trajectory of the lower jaw in the extended position, the left side position and the right side position are obtained through the electronic facebow device.
S3, determining the final occlusion relation of the upper jaw and the lower jaw according to the first occlusion relation and the second occlusion relation;
specifically, the point with the most overlap is selected to determine the final bite relationship based on the first bite relationship of the upper jaw and the lower jaw under normal occlusion and the second bite relationship of the upper jaw and the lower jaw under the positions of protrusion, left side and right side.
And S4, designing a gum positioner according to the final occlusion relation and the movement track of the lower jaw.
Specifically, after the final occlusion relationship is determined in the step, a model under the occlusion relationship is recorded by using an occlusion recording material, the model is scanned into a computer, meanwhile, a motion track is led into the computer, and a gum positioner is designed through appliance design software.
The gum positioner is accurate and stable, and is comfortable to wear because the gum positioner is not worn in the lower jaw movement process of a user after being worn.
Finally, it should be noted that: the above embodiments are only used to illustrate the technical solution of the present invention, and not to limit the same; while the invention has been described in detail and with reference to the foregoing embodiments, it will be understood by those skilled in the art that: the technical solutions described in the foregoing embodiments may still be modified, or some or all of the technical features may be equivalently replaced; and the modifications or the substitutions do not make the essence of the corresponding technical solutions depart from the scope of the technical solutions of the embodiments of the present invention.
Claims (7)
1. A method of making a gum locator, comprising:
acquiring a first occlusion relation of the upper jaw and the lower jaw of a recorded person under normal occlusion;
acquiring a second occlusion relation of the upper jaw and the lower jaw of the recorded lower jaw of the person under the positions of the front extension position, the left side and the right side and a motion track of the lower jaw;
determining a final bite relationship of the upper jaw and the lower jaw according to the first bite relationship and the second bite relationship;
designing a gum positioner according to the final occlusion relation and the movement track of the lower jaw;
the acquiring of the first occlusion relation of the upper jaw and the lower jaw of the recorded person under normal occlusion comprises the following steps:
recording occlusion position points of the upper jaw and the lower jaw under normal occlusion through multiple occlusion, and determining the occlusion position points which are overlapped most as the first occlusion relation according to the occlusion position points of the upper jaw and the lower jaw recorded through the multiple occlusion;
the acquiring of the second occlusion relationship of the upper jaw and the lower jaw of the recorded lower jaw in the extending position, the left side position and the right side position and the motion trail of the lower jaw comprises:
and acquiring occlusion position points of the upper jaw and the lower jaw of the recorded person when the lower jaw is at the front extending position, the left side and the right side for multiple times, and determining the occlusion position point with the most overlap as the second occlusion relation.
2. The method of claim 1, wherein designing the gum positioner according to the final occlusion relationship and the trajectory of motion of the lower jaw comprises;
leading the upper jaw model and the lower jaw model under the final occlusion relation of the upper jaw and the lower jaw into appliance design software;
guiding the movement track of the mandible into appliance design software;
and designing the gum positioner through the appliance design software.
3. The method of claim 2, wherein the appliance design software is 3shape appliance design software.
4. The method of claim 1, wherein after designing the gum positioner according to the final occlusion relationship and the motion trajectory, the method further comprises: and (5) manufacturing and molding the designed gum positioner.
5. The method of claim 4, wherein the gum locator is formed by machining.
6. The method of claim 4, wherein the gum locator is formed by printing with a 3D printer.
7. A gum locator, comprising: the gum locator is manufactured by the gum locator manufacturing method of any one of claims 1-6.
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CN110368110B (en) * | 2019-08-14 | 2021-02-12 | 中国人民解放军第四军医大学 | Method for manufacturing appliance for keeping median relation position |
CN112043436A (en) * | 2020-04-24 | 2020-12-08 | 四川大学 | Preparation method of oral function jaw pad |
CN111544137B (en) * | 2020-05-15 | 2021-11-16 | 中国医学科学院北京协和医院 | Posterior teeth decompression occlusal plate and manufacturing method thereof |
CN111658257B (en) * | 2020-05-28 | 2022-11-01 | 北京为开数字科技有限公司 | Manufacturing method of digital guiding stable occlusion pad and stable occlusion pad |
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