CN109938988A - It is placed in the tic disorder therapeutic equipment of cavity interior - Google Patents

It is placed in the tic disorder therapeutic equipment of cavity interior Download PDF

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Publication number
CN109938988A
CN109938988A CN201910197838.7A CN201910197838A CN109938988A CN 109938988 A CN109938988 A CN 109938988A CN 201910197838 A CN201910197838 A CN 201910197838A CN 109938988 A CN109938988 A CN 109938988A
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China
Prior art keywords
inner sidewall
tooth
lateral wall
therapeutic equipment
tic disorder
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CN201910197838.7A
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Chinese (zh)
Inventor
王红星
尹志臣
王玉平
杨晓桐
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Xuanwu Hospital
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Xuanwu Hospital
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Priority to CN201910197838.7A priority Critical patent/CN109938988A/en
Publication of CN109938988A publication Critical patent/CN109938988A/en
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Abstract

The present invention relates to medical instruments fields, provide a kind of tic disorder therapeutic equipment for being placed in cavity interior.Including the fixed part being set on maxilla and/or lower jaw teeth, fixed part includes the lateral wall on the outside of the tooth, the inner sidewall on the inside of tooth and the occlusal surface connecting positioned at tooth end and respectively with lateral wall and inner sidewall, inner sidewall can form the procephalic edge of tongue and wrap up, if being equipped with dry contact on the inside of the outside of lateral wall and inner sidewall.When oral cavity is static, the stimulation that contact is formed constantly regulate the Muscle tensility degree of cerebral dominance;When oral cavity activity, stimulus signal increases adjusting of the brain to Muscle tensility degree;To reduce " it is of short duration, rapidly, repeat muscle twitch " generation;By maxillomandibular biting force and skeleton buccale locomotor stimulatory muscle, tendon, mucous membrane excitement brain centres, active feedback adjusts the output of nerve information, adjusts mouth movements tension, to reduce the generation that do not twitch independently.

Description

It is placed in the tic disorder therapeutic equipment of cavity interior
Technical field
The present invention relates to medical instruments fields, and in particular to a kind of tic disorder therapeutic equipment for being placed in cavity interior.
Background technique
Tic disorder (Tic Disorder, TD) is one group of onset in the most commonly seen nerve in Children and teenager period Developmental disorder.Clinic can be divided into 3 seed types: transience tic disorder (also known as Gilles de la Tourette's syndrome), chronic exercise or sounding twitch, Tourette syndrome (Tourette Syndrome, TS, tourette's syndrome) i.e. sounding combines twitch with multi-motion Obstacle, wherein the most typical with TS.Be mainly shown as it is involuntary, repeatedly, a quick position or multiple location muscle fortune Dynamic property is twitched and/or sounding twitches (including dry cough sound, sound of clearing one's throat, inhale twang etc.), can with it is absent minded, more it is dynamic, Mandatory movement or thinking and other behavior symptoms.Be mainly shown as it is not autonomous, without purpose, repetition, quick contractive action;Hair Interpretation of the cause, onset and process of an illness system is not yet clear.Disease incidence is 0.5-1/10 ten thousand, and the ratio between men and women is 3-5:1.The disease course of disease is long, generally at 1 year or more, Be 10 years or more long, and fluctuation be strong, when it is hidden when it is aobvious, but disappear after preadolescence mostly.Continue to adult person, takes out Dynamic seriousness also mitigates.
The disease bring family and burden on society are huge, while bringing huge psychological burden to children and youth, It is unfavorable for the growth of infant and becomes a useful person.
The cause of disease of this disease not yet illustrates, newest research prompt, the obstacle may with inherent cause, neural biochemical factors, Nerve immunity factor, stress and the result that interacts during child development such as environmental factor.
Lack effective therapeutic agent and means at present.
The current treatment of the disease include the antipsychotics such as Tiapride, Aripiprazole, psychotherapy, behaviour therapy, with And neuromodulation treatment.The use of antipsychotics from initial dose, therapeutic dose, maintenance dose, to decrement until drug withdrawal, It must be executed in accordance with doctor's advice.Non-drug therapy more needs the cooperation and investment of guardian.
Nevertheless, the therapeutic effect for TD is limited.Outstanding behaviours are as follows:
1, parent has many doubts in growth stage Taking Antipsychotics for child, including influences normal growth hair Educate and antipsychotics caused by adverse reaction.And the antipsychotics as prescription drug, it is often necessary to band infant Go to a doctor in insane asylum, and go to a doctor in insane asylum can allow the people around child and family members be considered " infant or oneself with essence Refreshing disease " and feel " shame ".Therefore many infants are in the state of no any treatment.
2, as a kind of most commonly seen neurodevelopmental disorder, existing non-drug effect is extremely limited.
Current non-drug therapy, mainly psychotherapy, behaviour therapy and neuromodulation treatment, including educate, practise It is used to reverse training, callisthenics set to rhythmic music practice, positive reinforcement, relaxation training, negative exercise method, self-supervision method, cognitive behavioral therapy etc. Various Psychology and behavior treatment methods and transcranial magnetic stimulation treatment.
2.1 psychotherapy
Intervene including supportive psychotherapy, Familial intervention and school.
2.2 behaviour therapy
A variety of behavior intervention methods have been applied to treat TD, and have obtained good efficacy.Mainly include positive reinforcement, subside Method, intensive practice, relaxation training, self-supervision, reversed based on function or context management method, habit it is trained, response prevention Exposure, cognitive behavioral therapy.
The treatment of 2.3 neuromodulations
The neuromodulations such as EEG feedback, deep brain stimulation, transcranial magnetic stimulation treatment method is just being increasingly subject to both at home and abroad The concern of many researchers, but its curative effect is still uncertain.And deep brain stimulation is invasive technology, cost is high, and curative effect needs to be seen It examines, infant and family members are generally difficult to receive.
It to sum up analyzes, is directed to the treatment of TS at present, at present still in the treatment technology that shortage is effective and is easily accepted by.
Currently, the neuromodulations treatment method such as EEG feedback, deep brain stimulation, transcranial magnetic stimulation controlling for TS It treats.The curative effect of EEG Biofeedback Training TS is extremely limited, and effect is not yet by internal authority mechanism --- using psychology physiological with Biofeedback association (AAPB) and international neural biofeedback research association (ISNR) --- approve.
Deep brain stimulation is invasive technology, spends high, and curative effect has to be seen, and infant and family members are generally difficult to receive.
Stimulation location, frequency of stimulation, stimulus intensity, the stimulation course for the treatment of of transcranial magnetic stimulation treatment TS is still not clear, and needs to suffer from Er Lai medical institutions are treated, it is important to the adverse reactions such as big, headache, dizziness that there are also noises, be clinically difficult to by infant with Family members receive.
Summary of the invention
In order to solve the above-mentioned technical problem or it at least is partially solved above-mentioned technical problem, this application provides one kind to put It is placed in the tic disorder therapeutic equipment of cavity interior.
The above-mentioned tic disorder therapeutic equipment for being placed in cavity interior includes the fixation being set on maxilla and/or lower jaw teeth Portion, the fixed part include the lateral wall on the outside of tooth, the inner sidewall on the inside of tooth and are located at tooth end and divide The occlusal surface not connecting with the lateral wall and inner sidewall, the inner sidewall can form the procephalic edge of tongue and wrap up, described If being equipped with dry contact on the inside of the outside of lateral wall and the inner sidewall.
Optionally, the fixed part is set on the tooth on front side of maxilla and lower jaw.
Optionally, the occlusal surface is equipped with the venthole of the inside through the outside and inner sidewall of the lateral wall.
Optionally, the middle part bottom edge of the inner sidewall is equipped with the gasket extended to the bottom of tongue.
Optionally, the middle part of the top edge of the inner sidewall is equipped with first groove.
Optionally, the middle part at the lateral wall edge is equipped with second groove.
Optionally, the lateral wall is gradually increased by middle part to end height.
Optionally, the end height of shown lateral wall is greater than the middle height of the lateral wall.
If, can be in the oral cavity opposite on the outside of tooth using the dry contact being arranged on the outside of lateral wall and on the inside of inner sidewall Portion and tongue edge form irritation pressure sensation, and when oral cavity is static, these contacts are to oral cavity muscle and tongue muscle " active " shape At tactile and pressure sensation tension, these tension as stimulation, constantly regulate the Muscle tensility degree of cerebral dominance;When oral cavity activity or When movement, the stimulus signal intensity that the tactile and pressure of tongue muscle are felt is increased caused by these protrusions, thus increasing pair Adjusting of the brain to Muscle tensility degree;Adjusting by brain to Muscle tensility degree, reduce " it is of short duration, rapidly, repeat muscle take out It is dynamic " generation, the especially activity of the mimetic muscle and skeletal muscle of Head And Face;By maxillomandibular biting force, transported by skeleton buccale Dynamic excitement muscle, tendon, mucous membrane excitement brain centres, active feedback adjust the output of nerve information, adjust mouth movements tension, To reduce the generation that do not twitch independently.
Detailed description of the invention
Fig. 1 is the schematic diagram at a visual angle of the tic disorder therapeutic equipment for being placed in cavity interior of the embodiment of the present invention;
Fig. 2 is the signal at another visual angle of the tic disorder therapeutic equipment for being placed in cavity interior of the embodiment of the present invention Figure.
Appended drawing reference:
1, lateral wall;11, second groove;2, inner sidewall;21, first groove;22, gasket;3, occlusal surface;31, venthole; 4, contact.
Specific embodiment
To better understand the objects, features and advantages of the present invention, with reference to the accompanying drawings and examples The present invention is described in further detail.It is understood that described embodiment is a part of the embodiments of the present invention, Instead of all the embodiments.Described herein the specific embodiments are only for explaining the present invention, rather than limitation of the invention. Based on described the embodiment of the present invention, those of ordinary skill in the art's every other embodiment obtained belongs to this Invent the range of protection.
Referring to figs. 1 and 2, a kind of tic disorder treatment being placed in cavity interior provided in an embodiment of the present invention Device, including the fixed part being set on maxilla and/or lower jaw teeth, fixed part is overall U-shaped, the shape phase with the arrangement of tooth It adapts to, fixed part includes the lateral wall 1 on the outside of tooth, the inner sidewall 2 on the inside of tooth and is located at tooth end and divides The occlusal surface 3 not connect with lateral wall 1 and inner sidewall 2, i.e., when this physical therapy equipment is only to be set on maxilla or lower jaw teeth, Gu The cross sectional shape for determining portion is U-shaped;When physical therapy equipment is while being set on maxilla and lower jaw teeth, the cross sectional shape of fixed part is H-shaped;It is wrapped up in addition, inner sidewall 2 can be formed the procephalic edge of tongue.
Wherein, if the outside of lateral wall 1 and the inside of inner sidewall 2 are equipped with dry contact 4, contact 4 is either convex Rise salient point, be also possible to the pit being recessed inwardly, can also be other shapes certainly, as long as can make people oral cavity wall or When tongue contacts, the tactile with smooth surface contact facial difference can be generated.The effect of contact 4 is on the outside of tooth Oral cavity wall and tongue front circumference surface formed pressure sensation, when oral cavity is static, these contacts 4 are to oral cavity and tongue muscle The tactile and pressure sensation tension that " active " is formed, these tension constantly regulate the Muscle tensility degree of cerebral dominance as stimulation;Very moment When chamber activity or movement, the stimulus signal intensity felt caused by these protrusions to the tactile and pressure in oral cavity and tongue muscle increases Greatly, to increase the adjusting to brain to Muscle tensility degree;Adjusting by brain to Muscle tensility degree is reduced " of short duration, anxious The generation of speed, the twitch of repetition muscle ", the especially activity of the mimetic muscle and skeletal muscle of Head And Face;By maxillomandibular biting force, lead to Skeleton buccale locomotor stimulatory muscle, tendon, mucous membrane excitement brain centres are crossed, active feedback adjusts the output of nerve information, adjustment Mouth movements tension, to reduce the generation that do not twitch independently.
In some embodiments, fixed part is set on the tooth on front side of maxilla and lower jaw simultaneously, i.e. the section of fixed part Shape is H-shaped, and the fixed part in H-shaped section is socketed with upper tooth and lower dentification simultaneously;In addition, occlusal surface 3, which is equipped with, runs through lateral wall 1 Outside and the venthole 31 of inside of inner sidewall 2 utilize the venthole when upper tooth and lower tooth are engaged in fixed part respectively 31 can realize mouthful intracavity gas and extraneous connection, to realize the adjusting of air pressure in oral cavity.
Further, the middle part bottom edge of inner sidewall 2 is equipped with the gasket 22 extended to the bottom of tongue, which uses In the tip of tongue is padded, prevent tongue from stretching to fixing sleeve bottom and accidentally opening fixed part from lower tooth.
In some embodiments, the middle part of the top edge of inner sidewall 2 is equipped with first groove 21, in 1 edge of lateral wall Portion is equipped with second groove 11, and two grooves are respectively used to when tooth bites in fixed part, and the air-flow in fixed part is drawn, so that Tooth can smoothly bite fixed part.
In some embodiments, lateral wall is gradually increased by the height at middle part to end, to make overall U-shaped fixation Portion shows the wide shape in inswept rear end, i.e., is in from front to back certain gradient, can prevent fixed part from deviating from from mouth.
Finally, it should be noted that the above embodiments are merely illustrative of the technical solutions of the present invention, rather than its limitations;Although Present invention has been described in detail with reference to the aforementioned embodiments, those skilled in the art should understand that: it still may be used To modify the technical solutions described in the foregoing embodiments or equivalent replacement of some of the technical features; And these are modified or replaceed, technical solution of various embodiments of the present invention that it does not separate the essence of the corresponding technical solution spirit and Range.

Claims (7)

1. a kind of tic disorder therapeutic equipment for being placed in cavity interior, which is characterized in that including being set in maxilla and/or lower jaw tooth Fixed part on tooth, the fixed part include being located at the lateral wall on the outside of tooth, the inner sidewall on the inside of tooth and positioned at tooth Tooth ends and the occlusal surface connecting respectively with the lateral wall and inner sidewall, the inner sidewall can be formed the procephalic edge of tongue Package, if being equipped with dry contact on the inside of the outside of the lateral wall and the inner sidewall.
2. the tic disorder therapeutic equipment according to claim 1 for being placed in cavity interior, which is characterized in that the fixed part It is set on the tooth on front side of maxilla and lower jaw.
3. the tic disorder therapeutic equipment according to claim 2 for being placed in cavity interior, which is characterized in that the occlusal surface Venthole equipped with the inside through the outside and inner sidewall of the lateral wall.
4. the tic disorder therapeutic equipment according to claim 2 for being placed in cavity interior, which is characterized in that the inner sidewall Middle part bottom edge be equipped with the gasket that extends to the bottom of tongue.
5. the tic disorder therapeutic equipment according to claim 4 for being placed in cavity interior, which is characterized in that the inner sidewall Top edge middle part be equipped with first groove.
6. the tic disorder therapeutic equipment according to claim 2 for being placed in cavity interior, which is characterized in that the lateral wall The middle part at edge is equipped with second groove.
7. the tic disorder therapeutic equipment according to claim 2 for being placed in cavity interior, which is characterized in that the lateral wall It is gradually increased by middle part to end height.
CN201910197838.7A 2019-03-15 2019-03-15 It is placed in the tic disorder therapeutic equipment of cavity interior Pending CN109938988A (en)

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Application Number Priority Date Filing Date Title
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Publication Number Publication Date
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Citations (12)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5584687A (en) * 1993-08-09 1996-12-17 E-Z Gard Industries, Inc. Performance enhancing dental appliance
US5624257A (en) * 1991-10-31 1997-04-29 Farrell; Christopher J. Oral appliance
US5865619A (en) * 1993-08-09 1999-02-02 Big Picture, Inc. Triple composite performance enhancing dental appliance
US6371758B1 (en) * 1996-08-05 2002-04-16 Bite Tech, Inc. One-piece customizable dental appliance
US20020082493A1 (en) * 2000-12-27 2002-06-27 Anuthep Benja-Athon Precise and correct method of treating dystonia
US20040094165A1 (en) * 2002-11-14 2004-05-20 Cook William A. Polyethylene dental appliance and mouthguard with tactifier resin
US20040103905A1 (en) * 1998-12-16 2004-06-03 Farrell Christopher John Oral appliance
CN101801305A (en) * 2007-09-14 2010-08-11 畸齿矫正圣何塞杜马冯世界研究所 Face and mouth muscle stimulator
US20130298916A1 (en) * 2010-06-23 2013-11-14 Ramiro Michael Alvarez Method and Oral Appliance for Improving Air Intake and Reducing Bruxism
WO2014017645A1 (en) * 2012-07-26 2014-01-30 Otsuka Atsushi Orthodontic device
CN205459251U (en) * 2016-01-11 2016-08-17 南京医科大学 Device is rescued with flesh function of early dentognathic face of treatment deformity to prevention
CN210170425U (en) * 2019-03-15 2020-03-24 首都医科大学宣武医院 Tic disorder therapeutic device placed in oral cavity

Patent Citations (12)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5624257A (en) * 1991-10-31 1997-04-29 Farrell; Christopher J. Oral appliance
US5584687A (en) * 1993-08-09 1996-12-17 E-Z Gard Industries, Inc. Performance enhancing dental appliance
US5865619A (en) * 1993-08-09 1999-02-02 Big Picture, Inc. Triple composite performance enhancing dental appliance
US6371758B1 (en) * 1996-08-05 2002-04-16 Bite Tech, Inc. One-piece customizable dental appliance
US20040103905A1 (en) * 1998-12-16 2004-06-03 Farrell Christopher John Oral appliance
US20020082493A1 (en) * 2000-12-27 2002-06-27 Anuthep Benja-Athon Precise and correct method of treating dystonia
US20040094165A1 (en) * 2002-11-14 2004-05-20 Cook William A. Polyethylene dental appliance and mouthguard with tactifier resin
CN101801305A (en) * 2007-09-14 2010-08-11 畸齿矫正圣何塞杜马冯世界研究所 Face and mouth muscle stimulator
US20130298916A1 (en) * 2010-06-23 2013-11-14 Ramiro Michael Alvarez Method and Oral Appliance for Improving Air Intake and Reducing Bruxism
WO2014017645A1 (en) * 2012-07-26 2014-01-30 Otsuka Atsushi Orthodontic device
CN205459251U (en) * 2016-01-11 2016-08-17 南京医科大学 Device is rescued with flesh function of early dentognathic face of treatment deformity to prevention
CN210170425U (en) * 2019-03-15 2020-03-24 首都医科大学宣武医院 Tic disorder therapeutic device placed in oral cavity

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