CN109394362A - The device of maxillary molar is far moved using implant anchorage - Google Patents

The device of maxillary molar is far moved using implant anchorage Download PDF

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Publication number
CN109394362A
CN109394362A CN201811482349.8A CN201811482349A CN109394362A CN 109394362 A CN109394362 A CN 109394362A CN 201811482349 A CN201811482349 A CN 201811482349A CN 109394362 A CN109394362 A CN 109394362A
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CN
China
Prior art keywords
implant anchorage
palate side
maxillary molar
side connector
anchorage
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
CN201811482349.8A
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Chinese (zh)
Inventor
潘杰
刘月华
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SHANGHAI STOMATOLOGICAL DISEASE CENTER
Original Assignee
SHANGHAI STOMATOLOGICAL DISEASE CENTER
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
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Publication date
Application filed by SHANGHAI STOMATOLOGICAL DISEASE CENTER filed Critical SHANGHAI STOMATOLOGICAL DISEASE CENTER
Priority to CN201811482349.8A priority Critical patent/CN109394362A/en
Publication of CN109394362A publication Critical patent/CN109394362A/en
Pending legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C8/00Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools
    • A61C8/0018Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools characterised by the shape
    • A61C8/0027Frames
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C8/00Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools
    • A61C8/0018Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools characterised by the shape
    • A61C8/0033Expandable implants; Implants with extendable elements
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C8/00Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools
    • A61C8/0083Intra-gingival inserts

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  • Health & Medical Sciences (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Dentistry (AREA)
  • Epidemiology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Dental Tools And Instruments Or Auxiliary Dental Instruments (AREA)

Abstract

The present invention provides a kind of device that maxillary molar is far moved using implant anchorage characterized by comprising cast type bracket has positioned at two sides facing fixed part and the palate side connector being arranged between two facing fixed parts;Implant anchorage is fixed on the upper jaw;Palate side connector draw hook has elasticity, and one end is connected with implant anchorage, and the other end is hooked on the connector of palate side, applies elastic force to palate side connector.Present invention employs cast type brackets to be covered on the conjunction face ground one's teeth in sleep two sides, and cast type bracket can cover more than two backteeth and close face, form a plane body, ensure that not run-off the straight is mobile to the greatest extent in distal molar movement.

Description

The device of maxillary molar is far moved using implant anchorage
Technical field
The present invention relates to a kind of devices that maxillary molar is far moved using implant anchorage, belong to type medical instrument for dental use.
Background technique
Mobile maxillary molar is the clinical conventional means for solving Class II malocclusion misfit and Odontogenic cysts crowded dentition case in remote, Clinically far move the method ground one's teeth in sleep at present and have: mouth external force means such as face-bow, J hook etc. can provide Enhanced anchorase, but need seriously according to Rely the cooperation of patient;Mouth internal force device such as pendulum appliance, longitudinal direction Screw formula distalization for maxillary molar removable appliance etc., to trouble Person's compliance is of less demanding, but be easy to cause premolar teeth and incisor anchorage loss, cannot provide absolute Enhanced anchorase, cannot simultaneously lip Side bonds bracket correction, and can only far move premolar teeth and labial teeth again after tooth success of turning a millstone, and anchorage is easy to lose again, time-consuming to take Power.Micro-implant provides new approaches for thrust bearing test rig.Cheek side implant anchorage method there are two types of at present, method one: If planting body is beaten between cheek side first molar and the second premolar teeth, first molar Xiang Yuanzhong is pushed away indirectly, it is necessary to which the main arch wire in lip side is Stainless steel wire, and far moved again after needing to pull out planting body there are the second premolar teeth, it is easy to lose anchorage.Method two: planting body It can beat at cheekbone alveolar ridge, position is highly difficult big, it is also necessary to which the main arch wire in lip side is stainless steel wire, and clinically some cases are not square Just stainless steel wire on early stage lip side.The position of lip side planting body and maxillary molar are very close even in its rear in a word, uncomfortable Directly drawing distal movement of molar is dynamic and traction force is easily detected by the impedance center ground one's teeth in sleep for conjunction, and the case cheek bone plate having is thin not Easy Implant.
Summary of the invention
The purpose of the present invention is to provide a kind of devices that maxillary molar is far moved using implant anchorage, to overcome above-mentioned ask Topic.
Present invention employs following technical solutions:
A kind of device far moving maxillary molar using implant anchorage characterized by comprising cast type bracket has position In two sides facing fixed part and the palate side connector being arranged between two facing fixed parts;Implant anchorage is fixed on the upper jaw; Palate side connector draw hook has elasticity, and one end is connected with implant anchorage, and the other end is hooked on the connector of palate side, to palate Side connector applies elastic force.
Further, the device of the invention that maxillary molar is far moved using implant anchorage, can also have the following features: it In, the area of facing fixed part can cover the conjunction face of two or more backteeth.
Further, the device of the invention that maxillary molar is far moved using implant anchorage, can also have the following features: kind Plant the furcation area position of the ailhead concordant maxillary molar in vertical direction of anchorage.
Further, the device of the invention that maxillary molar is far moved using implant anchorage, can also have the following features: cheek The outside of cast type bracket is arranged in facial canal.
Further, the device of the invention that maxillary molar is far moved using implant anchorage can also have the following features: also Expansion screw is included, palate side connector has the two sub- palate side connectors in left and right, and expansion screw is arranged two sub- palate sides Between connector.
Further, the device of the invention that maxillary molar is far moved using implant anchorage, can also have the following features: it In, the radian of palate side connector forward, fits with palatine mucosa.
Further, the device of the invention that maxillary molar is far moved using implant anchorage, can also have the following features: it In, palate side connector draw hook front end has hook, and hook is in front of the implant anchorage at 1cm.
Further, the device of the invention that maxillary molar is far moved using implant anchorage, can also have the following features: it In, palate side connector draw hook provides elastic force using India rubber chain or nickel titanium coil spring.
Further, the device of the invention that maxillary molar is far moved using implant anchorage, can also have the following features: it In, every side hook and implant anchorage line are parallel with the dental arch of ipsilateral backteeth.
The advantageous effect of the invention device of the invention that maxillary molar is far moved using implant anchorage:
1. be covered on the conjunction face ground one's teeth in sleep two sides present invention employs cast type bracket, cast type bracket can cover two with Upper backteeth closes face, forms a plane body, ensure that not run-off the straight is mobile to the greatest extent in distal molar movement.And show Some, which pushes away tooth-hardening apparatus, will cause the inclination of distal molar movement process Tooth.
2. the furcation area position of implant anchorage ailhead and all concordant maxillary molar of palate side connector draw hook in this method, mill It is the bio-impedance center ground one's teeth in sleep at the furcation area of tooth, ensure that the impedance that the tractive force for far moving and grinding one's teeth in sleep is ground one's teeth in sleep by two sides in parallel Center, efficiency superlatively ensure that the outside translation ground one's teeth in sleep on mechanics.
3. welding buccal tube on the net in the casting for covering of grinding one's teeth in sleep, it can choose and come into line tooth while movement is ground one's teeth in sleep in distance Tooth.
4. in distance it is mobile grind one's teeth in sleep after even simultaneously, can it is remote in mobile frist premolar and labial teeth because there is plantation The absolute anchorage of anchorage is being turned a millstone without the anchorage loss for any degree for worrying to grind one's teeth in sleep without worrying that other push away tooth-hardening apparatus Taking time and effort for premolar teeth and labial teeth is closely moved after the tooth far shifting stage again, and is easy anchorage loss.
5. interconnecting piece is that cast type is connected or with the connection of screw stent-type, turned a millstone than existing joint palate side implant anchorage The device that tooth far moves wants easy cleaning tooth.Existing device needs to fix palate side implant anchorage and palate side device with bonding Agent bonding, it is not easy to clean tooth and easy to raise branch is anti-infective.
6. palatine bone density is higher, cortex bone is thick, and mucous membrane is solid, can not be influenced by root of the tooth, therefore is implanted into micro- plantation in palate side The stability of anchorage is good, and safety is higher, and clinician is easier to operate to.
Detailed description of the invention
Fig. 1 is the structural schematic diagram of the device that maxillary molar is far moved using implant anchorage in embodiment one;
Fig. 2 is that the device in embodiment one covers the schematic diagram on tooth;
Fig. 3 is the structural schematic diagram of the device that maxillary molar is far moved using implant anchorage in embodiment two;
Fig. 4 is that the device in embodiment two covers the schematic diagram on tooth.
Specific embodiment
Illustrate a specific embodiment of the invention below in conjunction with attached drawing.
<embodiment one>
As shown in Figure 1, the device for far moving maxillary molar using implant anchorage includes: cast type bracket, has and be located at two sides Facing fixed part 11 and the palate side connector 12 being arranged between two facing fixed parts;Implant anchorage 13;Palate side connector is led Draw hook 14 and hook.
Cast type bracket, there are two facing fixed parts 11 and the palate side being arranged between two facing fixed parts 11 to connect for tool Junctor 12.In the initial state, the radian of palate side connector 12 forward, fits with palate side mucous membrane.The face of facing fixed part 11 Product can cover the conjunction face of two or more backteeth.
Implant anchorage 13, is fixed on the upper jaw.The furcation area position of the concordant maxillary molar of the ailhead of implant anchorage 13.Having When gymnastics is made, the position of ailhead beats implant anchorage 13 in the vertical from alveolar ridge of maxillary molar palate side usually using empirical value The place of height 6mm, this height is substantially concordant with the height at furcation area position of maxillary molar, grinds one's teeth in sleep at the furcation area ground one's teeth in sleep Bio-impedance central point.Certainly according to the concrete condition of different patients, vertical height can be adaptively adjusted.Due to upper Palate is a spherical surface, so having determined vertically to home position is just decided.Implant anchorage is in situation vertically fixed to position Under, front and back to substantially in first molar is close to second molar it is remote in position.It ensure that implant anchorage can behind hook To act on casting device backward, and it ensure that the impedance center ground one's teeth in sleep in parallel by two sides in remote move.
Palate side connector draw hook 14 has elasticity, and one end is connected with implant anchorage, and the other end is hooked on by hook On palate side connector 12, elastic force is applied to palate side connector, palate side connector converts elastic force to the facing fixed part to two sides 11 thrust, so that translation is ground one's teeth in sleep.Palate side connector draw hook 14 provides elastic force using India rubber chain or nickel titanium coil spring.Hook Son is in front of the implant anchorage at 1cm.Hook it is vertical to height, every side hook and implant anchorage concordant with the head of implant anchorage Line it is parallel with the dental arch of ipsilateral backteeth, hook generally arrives in frist premolar is close in the front 1cm or so of implant anchorage Between first molar.
As shown in Fig. 2, when in use, cast type bracket is covered on the conjunction face of backteeth, it can choose and be covered on according to the state of an illness First molar and the second premolar teeth, also can choose and are covered on the positions such as second molar and third molar.With India rubber chain or Person's nickel titanium coil spring links the implant anchorage and hook of every side, and whole remote middle movement is ground one's teeth in sleep in this way.And it is moved in distance It moves after grinding one's teeth in sleep even simultaneously, it can remote middle mobile frist premolar and labial teeth.Because there is the absolute anchorage of implant anchorage, do not have to Worry the anchorage loss for any degree ground one's teeth in sleep.
It can be treated according to the motor-driven selection of the specific state of an illness in the lip side bonds appliance of upper tooth, because some cases need Breakfast lip side is wanted to rescue, and some cases do not need lip side as early as possible and rescue, when needing to carry out lip side to rescue, in covering of grinding one's teeth in sleep The online welding buccal tube of casting can move straightening of teeth while grinding one's teeth in sleep even if buccal tube is arranged in lip side in distance in this way.
<embodiment two>
The device that maxillary molar is far moved using implant anchorage in present embodiment, overall structure and the phase in embodiment one Together.Difference place is that the centre of connector is provided with expansion screw in palate side.It is specific as follows:
Expansion screw 21, palate side connector have the two sub- palate side connectors in left and right, and expansion screw is arranged at two Between the connector of sub- palate side.Since being separated into there are palate side connector for expansion screw 21 controls two sub- palate side connectors 22。
When needing remote middle movement to grind one's teeth in sleep more than 2mm, because outer extend is in "eight" shape, institute to backteeth dental arch backward on two sides Bend device 21 (i.e. Screw expands bow device) to expand in interconnecting piece one spiral of increase, cooperates tooth of turning a millstone over long distances to two sides expansion bow It is remote to move, make to grind one's teeth in sleep and far be moved in center of ridge position always.

Claims (9)

1. a kind of device for far moving maxillary molar using implant anchorage characterized by comprising
Cast type bracket has positioned at two sides facing fixed part and the palate side connector being arranged between two facing fixed parts;
Implant anchorage is fixed on the upper jaw;
Palate side connector draw hook has elasticity, and one end is connected with implant anchorage, and the other end is hooked on palate side connector On, elastic force is applied to palate side connector.
2. the device of maxillary molar is far moved using implant anchorage as described in claim 1, it is characterised in that:
Wherein, the area of the facing fixed part can cover the conjunction face of two or more backteeth.
3. the device of maxillary molar is far moved using implant anchorage as described in claim 1, it is characterised in that:
The furcation area position of the ailhead of implant anchorage concordant maxillary molar in vertical direction.
4. the device of maxillary molar is far moved using implant anchorage as described in claim 1, which is characterized in that also include
The outside of cast type bracket is arranged in buccal tube.
5. the device of maxillary molar is far moved using implant anchorage as described in claim 1, which is characterized in that also include
Expansion screw, palate side connector have the two sub- palate side connectors in left and right, and the expansion screw is arranged two Between a sub- palate side connector.
6. the device of maxillary molar is far moved using implant anchorage as described in claim 1, it is characterised in that:
Wherein, the radian of palate side connector forward, fits with palatine mucosa.
7. the device of maxillary molar is far moved using implant anchorage as described in claim 1, it is characterised in that:
Wherein, the palate side connector draw hook front end has hook, and the hook is in front of plantation is followed closely at 1cm.
8. the device of maxillary molar is far moved using implant anchorage as described in claim 1, it is characterised in that:
Wherein, connector draw hook in palate side provides elastic force using India rubber chain or nickel titanium coil spring.
9. the device of maxillary molar is far moved using implant anchorage as claimed in claim 7, it is characterised in that:
Wherein, the hook and plantation nail line are parallel with the dental arch of ipsilateral backteeth.
CN201811482349.8A 2018-12-05 2018-12-05 The device of maxillary molar is far moved using implant anchorage Pending CN109394362A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201811482349.8A CN109394362A (en) 2018-12-05 2018-12-05 The device of maxillary molar is far moved using implant anchorage

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201811482349.8A CN109394362A (en) 2018-12-05 2018-12-05 The device of maxillary molar is far moved using implant anchorage

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Publication Number Publication Date
CN109394362A true CN109394362A (en) 2019-03-01

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CN201811482349.8A Pending CN109394362A (en) 2018-12-05 2018-12-05 The device of maxillary molar is far moved using implant anchorage

Country Status (1)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111529094A (en) * 2020-04-17 2020-08-14 北京大学口腔医学院 Integrated back-pushing tooth grinding device

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111529094A (en) * 2020-04-17 2020-08-14 北京大学口腔医学院 Integrated back-pushing tooth grinding device

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