CN113303938A - Method and device for determining mandibular protrusion position by step titration - Google Patents
Method and device for determining mandibular protrusion position by step titration Download PDFInfo
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- CN113303938A CN113303938A CN202110574199.9A CN202110574199A CN113303938A CN 113303938 A CN113303938 A CN 113303938A CN 202110574199 A CN202110574199 A CN 202110574199A CN 113303938 A CN113303938 A CN 113303938A
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- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C19/00—Dental auxiliary appliances
- A61C19/04—Measuring instruments specially adapted for dentistry
Abstract
The invention discloses a method and a device for determining the mandibular protrusion position by step titration, which relate to the technical field of medical instruments, and the main technical scheme comprises the following steps: confirming the current position of a transparent mouthpiece bite block from the minimum value in the mandibular advancement amount of the appliance, wherein the transparent mouthpiece bite block is used to determine the effective advancement position of the appliance to ensure that undesirable breathing during sleep is eliminated; detecting whether the corresponding air passage state at the current position meets a preset condition or not; if the current position does not meet the preset condition, the current position is confirmed again in a stepping mode in the mandibular advancement amount until the corresponding airway state at the current position meets the preset condition.
Description
Technical Field
The embodiment of the invention relates to the technical field of medical instruments, in particular to a method and a device for determining a mandibular protrusion position through step titration.
Background
The malposition of jaw or the malposition of teeth caused by mandible retraction not only affects the chewing function, but also affects the beauty. In particular, the retrosystole of the mandible of an adult may cause the gap between the mandible body and the cervical vertebra to be reduced, which causes the change of the position of the tongue body and the position of the soft palate, thereby causing the problem of unsmooth breathing, and further causing obstructive sleep apnea-hypopnea syndrome (OSAHS).
The purpose of the Oral Appliance (OA) is to treat obstructive sleep apnea-hypopnea syndrome (OSAHS), primary snoring and related symptoms, and also to reduce the frequency and/or duration of episodes of apnea, hypopnea, snoring, and the like.
In view of the above, it is desirable to provide a method for guiding the advancement of the mandible.
Disclosure of Invention
In view of the above, the embodiments of the present invention provide a method and a device for determining mandibular protrusion position by step titration, which are capable of finding the optimal mandibular protrusion position for different wearers to determine an individualized mandibular advancement device (appliance).
In order to solve the above problems, embodiments of the present invention mainly provide the following technical solutions:
in a first aspect, an embodiment of the present invention provides a method for determining a mandibular protrusion position by step titration, including:
confirming the current position of a transparent mouthpiece bite block from the minimum value in the mandibular advancement amount of the appliance, wherein the transparent mouthpiece bite block is used to determine the effective advancement position of the appliance to ensure that undesirable breathing during sleep is eliminated;
detecting whether the corresponding air passage state at the current position meets a preset condition or not;
if the current position does not meet the preset condition, the current position is confirmed again in a stepping mode in the mandibular advancement amount until the corresponding airway state at the current position meets the preset condition.
Optionally, detecting whether the corresponding airway state at the current position meets a preset condition includes:
detecting whether the corresponding airway state at the current position meets a preset condition or not based on portable sleep monitoring equipment or a polysomnogram;
or;
whether the corresponding airway state at the current position meets the preset condition or not is detected through the endoscope.
Optionally, the orthosis comprises: the upper jaw transparent tooth socket, the lower jaw transparent tooth socket and the occlusion blocks for fixing the upper jaw and the lower jaw and keeping the lower jaw at the forward extending position.
Optionally, the method further includes:
from 50% of the mandibular advancement of the appliance, the current position of the transparent mouthpiece bite block was confirmed.
In a second aspect, an embodiment of the present invention further provides an apparatus for determining a mandibular protrusion position by step titration, including:
a first confirming unit, which is used for confirming the current position of the transparent mouthpiece occluding block from the minimum value in the mandibular advancement amount of the appliance, wherein the transparent mouthpiece occluding block is used for confirming the effective advancement position of the appliance to ensure that bad breath is eliminated in the sleeping process;
the detection unit is used for detecting whether the corresponding air passage state at the current position meets a preset condition or not;
and the processing unit is used for confirming the current position again in a stepping mode in the mandibular advancement amount when the detection unit confirms that the corresponding airway state at the current position does not accord with the preset condition until the corresponding airway state at the current position accords with the preset condition.
Optionally, the detecting unit includes:
the first detection module is used for detecting whether the corresponding airway state at the current position meets a preset condition or not based on the portable sleep monitoring equipment or the polysomnography;
and the second detection module is used for detecting whether the corresponding airway state at the current position meets the preset condition through the endoscope.
Optionally, the orthosis comprises: the upper jaw transparent tooth socket, the lower jaw transparent tooth socket and the occlusion blocks for fixing the upper jaw and the lower jaw and keeping the lower jaw at the forward extending position.
Optionally, the apparatus further comprises:
and the second confirmation unit is used for confirming the current position of the transparent mouthpiece occluding block from 50% of the mandibular advancement amount of the appliance.
In a third aspect, embodiments of the present invention further provide a computer device, including a memory, a processor and a computer program stored on the memory and executable on the processor, wherein the processor executes the program to implement the method for determining a mandibular protrusion position by step titration according to any one of the first aspect.
In a fourth aspect, embodiments of the present invention also provide a non-transitory computer readable storage medium, on which a computer program is stored, where the program is executed by a processor to implement the method for determining a mandibular protrusion position by step titration according to any one of the first aspect.
By the technical scheme, the technical scheme provided by the embodiment of the invention at least has the following advantages:
the method and the device for determining the mandibular protrusion position by step titration provided by the embodiment of the invention comprise the following steps: confirming the current position of a transparent mouthpiece bite block from the minimum value in the mandibular advancement amount of the appliance, wherein the transparent mouthpiece bite block is used to determine the effective advancement position of the appliance to ensure that undesirable breathing during sleep is eliminated; detecting whether the corresponding air passage state at the current position meets a preset condition or not; if the current position does not meet the preset condition, the current position is confirmed again in a stepping mode in the mandibular advancement amount until the corresponding airway state at the current position meets the preset condition. The best mandibular protrusion position can be found for different wearers to determine a personalized mandibular advancement device (appliance).
The foregoing description is only an overview of the technical solutions of the embodiments of the present invention, and the embodiments of the present invention can be implemented according to the content of the description in order to make the technical means of the embodiments of the present invention more clearly understood, and the detailed description of the embodiments of the present invention is provided below in order to make the foregoing and other objects, features, and advantages of the embodiments of the present invention more clearly understandable.
Drawings
Various other advantages and benefits will become apparent to those of ordinary skill in the art upon reading the following detailed description of the preferred embodiments. The drawings are only for purposes of illustrating the preferred embodiments and are not to be construed as limiting the embodiments of the invention. Also, like reference numerals are used to refer to like parts throughout the drawings. In the drawings:
fig. 1 shows a flowchart of a method for determining a mandibular protrusion position by means of an invasive titration according to an embodiment of the present invention;
FIG. 2 is a schematic view of an oral appliance according to an embodiment of the invention in a configuration for occlusion;
fig. 3 is a block diagram illustrating the components of an advanced titration method for determining mandibular protrusion position according to an embodiment of the present invention;
fig. 4 shows a block diagram of another method for determining the mandibular protrusion position by means of an advanced titration according to an embodiment of the present invention.
Detailed Description
Exemplary embodiments of the present disclosure will be described in more detail below with reference to the accompanying drawings. While exemplary embodiments of the present disclosure are shown in the drawings, it should be understood that the present disclosure may be embodied in various forms and should not be limited to the embodiments set forth herein. Rather, these embodiments are provided so that this disclosure will be thorough and complete, and will fully convey the scope of the disclosure to those skilled in the art.
An embodiment of the present invention provides a method for determining a mandibular protrusion position by step titration, as shown in fig. 1, including:
101. confirming the current position of a transparent mouthpiece bite block from the minimum value in the mandibular advancement amount of the appliance, wherein the transparent mouthpiece bite block is used to determine the effective advancement position of the appliance to ensure that undesirable breathing during sleep is eliminated;
the appliance includes: the upper jaw transparent tooth socket, the lower jaw transparent tooth socket and the occlusion blocks for fixing the upper jaw and the lower jaw and keeping the lower jaw at the forward extending position. As shown in fig. 2, the lower end surface of the upper jaw transparent tooth socket 1 is provided with two solid first occlusion blocks, the two first occlusion blocks are respectively positioned at the left side and the right side of the upper tooth socket, the first occlusion blocks are positioned at the molar area of the upper tooth socket, the upper end surface of the lower jaw transparent tooth socket is provided with two solid second occlusion blocks, the two second occlusion blocks are respectively positioned at the left side and the right side of the lower tooth socket, and the second occlusion blocks cross the molar area and the cuspid of the lower tooth socket; when the upper tooth socket and the lower tooth socket are occluded, the front end surface of the first occlusion block is abutted to the rear end surface of the second occlusion block, so that the lower tooth socket generates forward pulling force to the mandible.
It can be seen from the appliance shown in fig. 2 that the location of the bite block serves as a core, and thus, it is important how to determine the optimal location of the bite block for different wearers. In the specific implementation process, when the current position of the transparent mouthpiece bite block is confirmed, the detection can be performed from the minimum value within the mandibular advancement amount of the appliance, in the practical application process, the mandibular advancement amount is generally 5-10mm, and when the step-by-step titration is performed, the detection can be performed from the minimum value of 5 mm. The current position of the transparent mouthpiece bite block can be confirmed from 50% of the mandibular advancement amount, and can be used for treating mild to moderate OSAHS or Continuous Positive Airway Pressure (CPAP) intolerant wearers, or the current position of the transparent mouthpiece bite block can be confirmed from 30% of the mandibular advancement amount, and can be flexibly changed according to the actual conditions of different wearers for treating mild OSAHS or continuous positive airway pressure intolerant (CPAP) wearers.
102. Detecting whether the corresponding air passage state at the current position meets a preset condition or not;
the preset condition is a test value, and the preset condition may be that the airway state is that an Apnea Hyponea Index (AHI) Index of the wearer decreases by 50%, or may be flexibly adjusted according to the comfort level of the wearer, such as that the AHI decreases by 60%, and specifically, the embodiment of the present invention does not limit this.
103. If the current position does not meet the preset condition, the current position is confirmed again in a stepping mode in the mandibular advancement amount until the corresponding airway state at the current position meets the preset condition.
The step is an iteration step until the corresponding airway state at the current position is determined to meet the preset condition. In the implementation process, the step-by-step type can advance by 2-3mm each time or advance by each tooth, and the specific embodiment of the invention is not limited.
The method and the device for determining the mandibular protrusion position by step titration provided by the embodiment of the invention comprise the following steps: confirming the current position of a transparent mouthpiece bite block from the minimum value in the mandibular advancement amount of the appliance, wherein the transparent mouthpiece bite block is used to determine the effective advancement position of the appliance to ensure that undesirable breathing during sleep is eliminated; detecting whether the corresponding air passage state at the current position meets a preset condition or not; if the current position does not meet the preset condition, the current position is confirmed again in a stepping mode in the mandibular advancement amount until the corresponding airway state at the current position meets the preset condition. The best mandibular protrusion position can be found for different wearers to determine a personalized mandibular advancement device (appliance).
As a specific refinement to step 102, detecting whether the airway state corresponding to the current position meets a preset condition includes: detecting whether the corresponding airway state at the current position meets a preset condition or not based on portable sleep monitoring equipment or a polysomnogram; or; whether the corresponding airway state at the current position meets the preset condition or not is detected through the endoscope.
Titration (stepping) of mandibular advancement is a key step for the appliance to achieve the best results, and the bite block functions to determine the effective advancement position of the appliance to ensure that bad breath is eliminated during sleep, and the best mandibular advancement is found within the limited mandibular advancement range of the wearer to achieve the titration of the mandibular advancement. The occlusion blocks of different pairs of transparent tooth sockets have different positions, and a wearer can find the optimal mandibular protrusion position suitable for different wearers by wearing different pairs of transparent tooth sockets and by means of portable sleep detection equipment, polysomnography or endoscopy and the like, so as to determine the personalized mandibular advancement device.
Since the apparatus for determining a mandibular protrusion position by step titration described in this embodiment is an apparatus that can perform the method for determining a mandibular protrusion position by step titration in the embodiment of the present invention, a person skilled in the art can understand the specific implementation of the apparatus for determining a mandibular protrusion position by step titration described in this embodiment of the present invention and various modifications thereof, and therefore, how to implement the method for determining a mandibular protrusion position by step titration in the embodiment of the present invention is not described in detail herein. It is within the scope of the present application to include devices for those skilled in the art to perform the method of determining mandibular protrusion position by step titration in the embodiments of the present invention.
An embodiment of the present invention further provides an apparatus for determining a mandibular protrusion position by step titration, as shown in fig. 3, including:
a first confirmation unit 21 for confirming a current position of the transparent mouthpiece bite block from a minimum value within the mandibular advancement amount of the appliance, wherein the transparent mouthpiece bite block is used to determine an effective advancement position of the appliance to ensure that bad breath during sleep is eliminated;
the detection unit 22 is used for detecting whether the corresponding airway state at the current position meets a preset condition;
and the processing unit 23 is configured to, when the detection unit determines that the corresponding airway state at the current position does not meet the preset condition, re-determine the current position in a stepping manner within the mandibular advancement amount until the corresponding airway state at the current position meets the preset condition.
Further, as shown in fig. 4, the detection unit 22 includes:
the first detection module 221 is configured to detect whether the state of the airway corresponding to the current position meets a preset condition based on the portable sleep monitoring device or the polysomnography;
and a second detecting module 222, configured to detect whether the state of the airway at the current position meets a preset condition through the endoscope.
Further, the orthosis comprises: the upper jaw transparent tooth socket, the lower jaw transparent tooth socket and the occlusion blocks for fixing the upper jaw and the lower jaw and keeping the lower jaw at the forward extending position.
Further, as shown in fig. 4, the apparatus further includes:
and a second confirmation unit 24 for confirming the current position of the transparent mouthpiece bite block from 50% of the mandibular advancement amount of the appliance.
The method and the device for determining the mandibular protrusion position by step titration provided by the embodiment of the invention comprise the following steps: confirming the current position of a transparent mouthpiece bite block from the minimum value in the mandibular advancement amount of the appliance, wherein the transparent mouthpiece bite block is used to determine the effective advancement position of the appliance to ensure that undesirable breathing during sleep is eliminated; detecting whether the corresponding air passage state at the current position meets a preset condition or not; if the current position does not meet the preset condition, the current position is confirmed again in a stepping mode in the mandibular advancement amount until the corresponding airway state at the current position meets the preset condition. The best mandibular protrusion position can be found for different wearers to determine a personalized mandibular advancement device (appliance).
The embodiment provides a computer device, which includes a memory, a processor, and a computer program stored in the memory and executable on the processor, and when the processor executes the program, the method provided by the above method embodiments is implemented.
The present embodiments provide a non-transitory computer-readable storage medium storing computer instructions that cause the computer to perform the methods provided by the method embodiments described above.
As will be appreciated by one skilled in the art, embodiments of the present application may be provided as a method, system, or computer program product. Accordingly, the present application may take the form of an entirely hardware embodiment, an entirely software embodiment or an embodiment combining software and hardware aspects. Furthermore, the present application may take the form of a computer program product embodied on one or more computer-usable storage media (including, but not limited to, disk storage, CD-ROM, optical storage, and the like) having computer-usable program code embodied therein.
The present application is described with reference to flowchart illustrations and/or block diagrams of methods, apparatus (systems), and computer program products according to embodiments of the application. It will be understood that each flow and/or block of the flow diagrams and/or block diagrams, and combinations of flows and/or blocks in the flow diagrams and/or block diagrams, can be implemented by computer program instructions. These computer program instructions may be provided to a processor of a general purpose computer, special purpose computer, embedded processor, or other programmable data processing apparatus to produce a machine, such that the instructions, which execute via the processor of the computer or other programmable data processing apparatus, create means for implementing the functions specified in the flowchart flow or flows and/or block diagram block or blocks.
These computer program instructions may also be stored in a computer-readable memory that can direct a computer or other programmable data processing apparatus to function in a particular manner, such that the instructions stored in the computer-readable memory produce an article of manufacture including instruction means which implement the function specified in the flowchart flow or flows and/or block diagram block or blocks.
These computer program instructions may also be loaded onto a computer or other programmable data processing apparatus to cause a series of operational steps to be performed on the computer or other programmable apparatus to produce a computer implemented process such that the instructions which execute on the computer or other programmable apparatus provide steps for implementing the functions specified in the flowchart flow or flows and/or block diagram block or blocks.
In a typical configuration, a computing device includes one or more processors (CPUs), input/output interfaces, network interfaces, and memory.
The memory may include forms of volatile memory in a computer readable medium, Random Access Memory (RAM) and/or non-volatile memory, such as Read Only Memory (ROM) or flash memory (flash RAM). The memory is an example of a computer-readable medium.
Computer-readable media, including both non-transitory and non-transitory, removable and non-removable media, may implement information storage by any method or technology. The information may be computer readable instructions, data structures, modules of a program, or other data. Examples of computer storage media include, but are not limited to, phase change memory (PRAM), Static Random Access Memory (SRAM), Dynamic Random Access Memory (DRAM), other types of Random Access Memory (RAM), Read Only Memory (ROM), Electrically Erasable Programmable Read Only Memory (EEPROM), flash memory or other memory technology, compact disc read only memory (CD-ROM), Digital Versatile Discs (DVD) or other optical storage, magnetic cassettes, magnetic tape magnetic disk storage or other magnetic storage devices, or any other non-transmission medium that can be used to store information that can be accessed by a computing device. As defined herein, a computer readable medium does not include a transitory computer readable medium such as a modulated data signal and a carrier wave.
It should also be noted that the terms "comprises," "comprising," or any other variation thereof, are intended to cover a non-exclusive inclusion, such that a process, method, article, or apparatus that comprises a list of elements does not include only those elements but may include other elements not expressly listed or inherent to such process, method, article, or apparatus. Without further limitation, an element defined by the phrase "comprising an … …" does not exclude the presence of other identical elements in the process, method, article, or apparatus that comprises the element.
As will be appreciated by one skilled in the art, embodiments of the present application may be provided as a method, system, or computer program product. Accordingly, the present application may take the form of an entirely hardware embodiment, an entirely software embodiment or an embodiment combining software and hardware aspects. Furthermore, the present application may take the form of a computer program product embodied on one or more computer-usable storage media (including, but not limited to, disk storage, CD-ROM, optical storage, and the like) having computer-usable program code embodied therein.
The above are merely examples of the present application and are not intended to limit the present application. Various modifications and changes may occur to those skilled in the art. Any modification, equivalent replacement, improvement, etc. made within the spirit and principle of the present application should be included in the scope of the claims of the present application.
Claims (10)
1. A method for determining mandibular protrusion position by stepwise titration, comprising:
confirming the current position of a transparent mouthpiece bite block from the minimum value in the mandibular advancement amount of the appliance, wherein the transparent mouthpiece bite block is used to determine the effective advancement position of the appliance to ensure that undesirable breathing during sleep is eliminated;
detecting whether the corresponding air passage state at the current position meets a preset condition or not;
if the current position does not meet the preset condition, the current position is confirmed again in a stepping mode in the mandibular advancement amount until the corresponding airway state at the current position meets the preset condition.
2. The method according to claim 1, wherein detecting whether the corresponding airway state at the current position meets a preset condition comprises:
detecting whether the corresponding airway state at the current position meets a preset condition or not based on portable sleep monitoring equipment or a polysomnogram;
or;
whether the corresponding airway state at the current position meets the preset condition or not is detected through the endoscope.
3. The method of claim 1 or 2, wherein the appliance comprises: the upper jaw transparent tooth socket, the lower jaw transparent tooth socket and the occlusion blocks for fixing the upper jaw and the lower jaw and keeping the lower jaw at the forward extending position.
4. The method of claim 3, further comprising:
from 50% of the mandibular advancement of the appliance, the current position of the transparent mouthpiece bite block was confirmed.
5. An apparatus for determining mandibular protrusion position by stepwise titration, comprising:
a first confirming unit, which is used for confirming the current position of the transparent mouthpiece occluding block from the minimum value in the mandibular advancement amount of the appliance, wherein the transparent mouthpiece occluding block is used for confirming the effective advancement position of the appliance to ensure that bad breath is eliminated in the sleeping process;
the detection unit is used for detecting whether the corresponding air passage state at the current position meets a preset condition or not;
and the processing unit is used for confirming the current position again in a stepping mode in the mandibular advancement amount when the detection unit confirms that the corresponding airway state at the current position does not accord with the preset condition until the corresponding airway state at the current position accords with the preset condition.
6. The apparatus of claim 5, wherein the detection unit comprises:
the first detection module is used for detecting whether the corresponding airway state at the current position meets a preset condition or not based on the portable sleep monitoring equipment or the polysomnography;
and the second detection module is used for detecting whether the corresponding airway state at the current position meets the preset condition through the endoscope.
7. The apparatus of claim 5 or 6, wherein the appliance comprises: the upper jaw transparent tooth socket, the lower jaw transparent tooth socket and the occlusion blocks for fixing the upper jaw and the lower jaw and keeping the lower jaw at the forward extending position.
8. The apparatus of claim 7, further comprising:
and the second confirmation unit is used for confirming the current position of the transparent mouthpiece occluding block from 50% of the mandibular advancement amount of the appliance.
9. A computer device comprising a memory, a processor and a computer program stored on the memory and executable on the processor, the processor when executing the program performing the method of step titration for determining mandibular protrusion position according to any one of claims 1 to 4.
10. Non-transitory computer-readable storage medium, on which a computer program is stored, characterized in that the program, when executed by a processor, implements a method for determining a mandibular protrusion position by step titration according to any one of claims 1 to 4.
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202110574199.9A CN113303938A (en) | 2021-05-25 | 2021-05-25 | Method and device for determining mandibular protrusion position by step titration |
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| Application Number | Priority Date | Filing Date | Title |
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| CN202110574199.9A CN113303938A (en) | 2021-05-25 | 2021-05-25 | Method and device for determining mandibular protrusion position by step titration |
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| CN113303938A true CN113303938A (en) | 2021-08-27 |
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| CN202110574199.9A Withdrawn CN113303938A (en) | 2021-05-25 | 2021-05-25 | Method and device for determining mandibular protrusion position by step titration |
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| CN103565573A (en) * | 2012-08-01 | 2014-02-12 | 上海交通大学医学院附属第九人民医院 | Adjustable mandibular advancement device |
| CN105142583A (en) * | 2013-03-14 | 2015-12-09 | Zst控股股份有限公司 | Systems and methods for providing an automated titration for oral appliance therapy |
| CN109924964A (en) * | 2019-04-16 | 2019-06-25 | 烟台凯富医疗科技有限公司 | A kind of method and system for preventing sleep apnea based on Lower jaw support |
| CN209253287U (en) * | 2018-11-12 | 2019-08-16 | 北京积水潭医院 | A kind of obstructive sleep apnea syndromes |
| CN111657948A (en) * | 2020-05-25 | 2020-09-15 | 深圳市云中飞电子有限公司 | Method, device and equipment for detecting sleep breathing state |
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2021
- 2021-05-25 CN CN202110574199.9A patent/CN113303938A/en not_active Withdrawn
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| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20050268912A1 (en) * | 2004-06-04 | 2005-12-08 | Norman Robert G | System and method for automated titration of continuous positive airway pressure |
| CN1602970A (en) * | 2004-11-19 | 2005-04-06 | 同济大学 | Curative effect prejudging system of oral cavity corrector for obstructive sleep apnea patient |
| CN103565573A (en) * | 2012-08-01 | 2014-02-12 | 上海交通大学医学院附属第九人民医院 | Adjustable mandibular advancement device |
| CN105142583A (en) * | 2013-03-14 | 2015-12-09 | Zst控股股份有限公司 | Systems and methods for providing an automated titration for oral appliance therapy |
| CN209253287U (en) * | 2018-11-12 | 2019-08-16 | 北京积水潭医院 | A kind of obstructive sleep apnea syndromes |
| CN109924964A (en) * | 2019-04-16 | 2019-06-25 | 烟台凯富医疗科技有限公司 | A kind of method and system for preventing sleep apnea based on Lower jaw support |
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Application publication date: 20210827 |