CN113413223A - Functional appliance capable of dynamically monitoring correction force value based on flexible electronic system and preparation method thereof - Google Patents
Functional appliance capable of dynamically monitoring correction force value based on flexible electronic system and preparation method thereof Download PDFInfo
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- CN113413223A CN113413223A CN202110640326.0A CN202110640326A CN113413223A CN 113413223 A CN113413223 A CN 113413223A CN 202110640326 A CN202110640326 A CN 202110640326A CN 113413223 A CN113413223 A CN 113413223A
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- A—HUMAN NECESSITIES
- 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
- A61C7/08—Mouthpiece-type retainers or positioners, e.g. for both the lower and upper arch
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- A—HUMAN NECESSITIES
- 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
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- A—HUMAN NECESSITIES
- 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
- A61C7/12—Brackets; Arch wires; Combinations thereof; Accessories therefor
- A61C7/28—Securing arch wire to bracket
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Abstract
The invention discloses a flexible electronic system-based functional appliance capable of dynamically monitoring an appliance force value and a preparation method thereof, and belongs to the technical field of functional appliance. Comprises a retention device, a flexible electronic chip system, resin bases for upper jaw and lower jaw, an upper jaw closing pad, an upper jaw and lower jaw inclined guide plate; the upper jaw resin base is covered on the upper jaw palatal side of the oral cavity, the lower jaw resin base is covered on the lower jaw lingual side, and the tail end of the retention device is embedded in the base. The upper jaw inclined guide plate is arranged on the upper jaw closing pad, corresponds to the lower jaw inclined guide plate, and monitors the stress between the upper jaw inclined guide plate and the lower jaw inclined guide plate on the two sides through a sensor; the functional appliance is manufactured by adopting a novel injection molding process, the retention device and the sensor are embedded in the resin base to form an integral structure, the correction force value can be dynamically monitored, the damage to the temporomandibular joint caused by overlarge correction force in the correction process is prevented, and the correction appliance can be adjusted according to the correction force data, so that a child patient can wear the appliance comfortably.
Description
Technical Field
The invention belongs to the technical field of tooth correction, and particularly relates to a functional corrector capable of dynamically monitoring a correction force value based on a flexible electronic system and a preparation method thereof.
Background
In 1982, Clark, scotland scholars, first proposed a double-pad appliance as an important component of a functional appliance, which plays an important role in the early correction of juvenile malocclusion deformity, and can fully utilize masticatory muscles to generate corrective force, transmit the force to bone tissues, stimulate mandible growth and limit maxilla growth. The traction force generated by the inclined guide plate continuously stimulates the jaw bone and promotes the bone tissue adaptability reconstruction. However, the amount of tractive effort generated by the appliance ramp guide, typically derived from the experience of the clinician, is currently a dispute, 32429. Generally, the sum of the mandibular advancement amount and the vertical opening amount is 8 to 10mm, and it is also believed by scholars that the sum of the mandibular advancement amount and the vertical opening amount is not more than 12mm, which is a safe traction force.
The Anurag scholars take a malocclusion patient as a research object to simulate the joint stress condition when the functional appliance opens the occlusion and guides the lower jaw forwards. It has been found that when the mandible is advanced, there is greater tensile stress on the superior posterior aspect of the condyles, and as the bite height opens up, the tensile stress on the condyles increases. The Kanghong et al have found that the change of the tensile stress in the range of 5% strain of the articular disc belongs to the physiological strain and the tensile rigidity is 9.04-13.65MPa by the uniaxial tensile test of the articular disc. Excessive stress or abnormal directional stress can lead to degeneration of the joint disc, and the occurrence and development of temporomandibular joint disorder. Studies by scholars have found that the greater the degree of displacement of the articular disc, the more evident the structural changes of the articular disc and the more severe the symptoms of the temporomandibular joint disorder.
Therefore, in order to avoid the excessive stress of the joint area, it is necessary to dynamically monitor the force applied to the mandibular area by the functional appliance, so as to avoid the joint lesion caused by the excessive stress of the temporomandibular joint area, and simultaneously promote the reconstruction of the temporomandibular joint area under the stimulation of proper traction force, so as to realize the early correction of the malocclusion deformity and the beautiful occlusal surface effect.
Disclosure of Invention
In order to solve the above problems, the present invention provides a functional appliance capable of dynamically monitoring an appliance force value based on a flexible electronic system and a method for manufacturing the same. The invention combines the biomechanics, the behavior science and the material mechanics of the human body, can dynamically monitor the correction force value in the correction process, can efficiently promote the mandibular development of a malocclusion malformation patient, avoids the damage to the temporomandibular joint area as much as possible, and realizes the correction effects of early recovery of the chewing function and beautiful occlusal surface. In addition, the appliance of the invention does not affect the comfort of the patient.
In order to achieve the purpose, the invention adopts the following technical scheme:
a functional appliance capable of dynamically monitoring an appliance force value based on a flexible electronic system comprises an upper jaw retention device, a lower jaw retention device, a flexible electronic chip system, an upper jaw resin base, a lower jaw resin base, an upper jaw closing pad, an upper jaw spiral arch expander, an upper jaw inclined guide plate and a lower jaw inclined guide plate;
the upper jaw resin base support covers the upper jaw palatal side of the oral cavity and extends to the middle of the upper jaw molar, and the tail end of the upper jaw retention device is embedded in the upper jaw resin base support; the lower jaw resin base is covered on the lingual side of the lower jaw and extends to the far middle of the lower jaw premolar, and the tail end of the lower jaw retention device is embedded in the lower jaw resin base; the upper jaw resin base supports comprise upper jaw palatal side resin base supports on the left side and the right side, and the upper jaw palatal side resin base supports on the two sides are connected through an upper jaw spiral arch expander;
the upper jaw closing pad is arranged on the upper jaw second premolar, the first molar and the second molar, the upper jaw inclined guide plate is positioned on one side of the upper jaw closing pad between the upper jaw first premolar and the upper jaw second premolar, and the upper jaw inclined guide plate and the closing plane form an angle of 45-70 degrees; the lower jaw inclined guide plate is arranged between the lower jaw second premolar and the lower jaw first molar and corresponds to the upper jaw inclined guide plate; the sensor is embedded into the upper jaw inclined guide plates on the two sides and is used for monitoring the stress between the upper jaw inclined guide plates and the lower jaw inclined guide plates on the two sides;
the flexible electronic chip system comprises at least one chip, a lead and a sensor, wherein the chip is connected with the tail end of the maxillary retention device and the sensor through the lead.
Preferably, the upper jaw retention device comprises a hyperbolic labial arch, an upper jaw adjacent hook and an upper jaw arrow card; the hyperbolic labial arch is arranged between the left and right canine teeth of the upper jaw, and the tail end of the hyperbolic labial arch is embedded in the upper jaw resin base; the upper jaw adjacent hook is arranged between the first premolar and the second premolar on the two sides, and the tail end of the upper jaw adjacent hook is embedded in the upper jaw resin base; the upper jaw arrow card is arranged on the first upper jaw molars on the two sides, and the tail end of the upper jaw arrow card is embedded in the upper jaw resin base.
As a preferred aspect of the present invention, the flexible electronic chip system includes a first chip, a second chip, a lead and a sensor; the first chip is connected with the double-curved lip arch tail end on one side of the upper jaw, the hook tail end between the upper jaw and the adjacent upper jaw, the upper jaw arrow card tail end and a sensor positioned on the upper jaw inclined guide plate through leads; the second chip is connected with the sensor on the hyperbolic lip bow tail end of the other side of the upper jaw, the hook tail end of the adjacent upper jaw, the upper jaw arrow card tail end and the upper jaw inclined guide plate of the other side through the lead.
Preferably, the lead is connected by silver soldering.
The device preferably further comprises a reader, wherein the reader is provided with three metal probes which are respectively contacted with the double-curved labial arch on the maxillary labial buccal side, the adjacent maxillary interhook and the retention steel wire of the maxillary arrow card and are used for reading the correction force value.
Preferably, the lower jaw retention device comprises an adjacent lower jaw hook and a lower jaw arrow card; the lower jaw adjacent space hook is arranged between the lateral incisors and the canine teeth of the lower jaw at two sides, and the tail end of the lower jaw adjacent space hook is embedded in the lower jaw resin base; the lower jaw arrow is clamped on the first premolars of the lower jaws at two sides, and the tail end of the lower jaw arrow is embedded in the lower jaw resin base.
Preferably, the maxillary resin bases include maxillary palatal resin bases on both left and right sides, and the maxillary palatal resin bases on both sides are connected by a maxillary spiral expander.
The invention also aims to provide a functional appliance capable of dynamically monitoring an orthodontic value based on a flexible electronic system and a preparation method thereof, wherein the functional appliance comprises the following steps:
step 1: preparing an upper and lower jaw working model according to the complete denture requirement;
step 2: recording the occlusion relation of the mandible protrusion position to change the protrusion amount of the mandible from the molar relation of class II into the relation of class I;
and step 3: trimming the working model: checking the occlusion relation of the upper and lower jaw working models, and then trimming the bottom surfaces of the upper and lower jaw working models to be parallel to the jaw plane; superposing the upper and lower jaw working models according to the occlusion relation, and trimming the rear walls of the upper and lower jaw working model seats to enable the upper and lower jaw working models to be positioned on the same plane;
and 4, step 4: fixing the trimmed working model on a combined frame according to the occlusion wax recording relation;
and 5: bending a hyperbolic labial arch, upper and lower jaw arrow cards and an adjacent hook, and respectively fixing the hyperbolic labial arch, the upper and lower jaw arrow cards and the adjacent hook at corresponding positions in a working model by using a medical wax sheet heating and fixing mode, wherein the hyperbolic labial arch is arranged between the left and right canine teeth of the upper jaw, and the tail end of the hyperbolic labial arch extends to the maxilla side; respectively installing upper jaw arrow cards on first upper jaw molars on two sides, and extending the tail ends to the upper jaw palate side; respectively arranging an upper jaw adjacent hook between a first premolar and a second premolar of the upper jaw on two sides, and extending the tail end to the upper jaw palate side; respectively arranging the lower jaw arrow clamps on the first premolars of the lower jaw at two sides, and extending the tail ends of the lower jaw arrow clamps to the lingual side of the lower jaw; arranging a lower jaw adjacent space hook between lower jaw lateral incisors and canine teeth on two sides, and extending the tail end to the lower jaw lingual side; placing a spiral arch expander in the center of the upper jaw of the working model, and embedding the spiral arch expander in an upper jaw resin base;
step 6: fixing the flexible electronic chip on the maxillary palate side of the working model;
and 7: the upper and lower jaw resin base, the upper and lower jaw closing pad and the upper and lower jaw inclined guide plate are manufactured by an injection molding technology, and the method comprises the following steps:
step 7.1: placing a light-cured resin molding sheet on a working model provided with a hyperbolic labial arch, upper and lower jaw arrow cards, an adjacent hook and a flexible electronic chip system;
step 7.2: spreading an upper jaw closing pad backwards from the upper jaw second premolars, and setting the upper jaw closing pad to a slope of 45-70 degrees far away and in the middle at the positions of the two side upper jaw second premolars to be used as an upper jaw slope guide plate (8); making 45-70 degree lower jaw inclined guide plates at the corresponding lower jaw second premolar teeth at two sides, enabling the upper and lower jaw inclined guide plates to be inosculated, and covering the lingual cusp with an upper jaw closing pad;
step 7.3: embedding the sensor (3) into the upper jaw inclined guide plates (8) on the two sides;
step 7.4: the chip is respectively connected with the sensor (3) and the tail ends of the hyperbolic labial arch (11), the upper jaw arrow card (7) and the upper jaw adjacent hook (9) through leads (10) by adopting a silver soldering mode;
step 7.5: carrying out photocuring for 8-12min to enable the photocuring resin molding sheet to form the shapes of an upper jaw resin base (5) and a lower jaw resin base (14), taking out, and polishing the phenanthrene edge to obtain a constant substrate; then mounting the constant substrate on the working model;
step 7.6: putting the working model provided with the constant base plate and finally obtained in the step 7.5 into an agar type box, injecting agar liquid into the agar type box, standing, opening the agar type box after the agar is completely solidified, and taking out the working model to form an agar printing film;
step 7.7: inserting 3 stainless steel pipes into three injection ports of the mold box to form an injection molding port and two exhaust holes; then taking the constant substrate off the working model, and coating a separating agent on the surface of the working model; then the working model is reset into the agar impression;
step 7.8: injecting the resin liquid into the injection molding port until the resin liquid overflows from the two exhaust holes; after the perfusion is finished, placing the agar impression mold into a condition with the temperature of 55-60 ℃ and the pressure of 2.5-3.0bar for polymerization for 30-35min, taking out, cooling to room temperature, preparing to obtain an upper jaw and lower jaw resin base support, connecting the upper jaw resin base support, a first chip, a second chip, a sensor, a lead, an upper jaw inclined plane guide plate, an upper jaw closing pad and a spiral arch expander into a whole, and embedding the tail ends of a hyperbolic labial arch, an upper jaw arrow card and an upper jaw adjacent hook into an upper jaw resin base support 5; the mandible resin base is connected with the mandible inclined guide plate into a whole, and the tail ends of the mandible arrow card and the mandible adjacent hook are embedded in the mandible resin base (14);
step 7.9: and (5) polishing the phenanthrene edge of the resin base support of the upper jaw and the lower jaw, which is prepared in the step 7.8, to be smooth, and finishing the preparation of the appliance.
Compared with the prior art, the invention has the advantages that:
(1) the invention provides a functional appliance capable of dynamically monitoring an appliance force value based on a flexible electronic system and a preparation method thereof.
(2) The appliance sensor and the upper jaw inclined guide plate are of an integrated structure, so that the correction effect is not influenced, and the change of correction force in the correction process can be well and dynamically monitored.
(3) The appliance prepared by the method is of an integrated structure, and the tail end of the upper jaw retention structure (hyperbolic labial arch, upper jaw adjacent hook and upper jaw arrow head card), the sensor and the lead are all embedded in the upper jaw resin base, so that the oral environment is not affected, the oral cavity of a child is not damaged, and the child patient can easily take and wear the appliance.
(4) The reader does not occupy the space of the correction device, and when the correction data needs to be read, the metal probe of the reader can be contacted with the retention steel wire on the maxillary labial buccal side, so that the correction force value can be obtained in real time.
Drawings
FIG. 1 is a schematic view of an appliance of the present invention;
FIG. 2 is a schematic side view of a tooth;
FIG. 3 is a schematic cross-sectional view of FIG. 2;
in the figure, 1-reader, 2-1 first metal probe, 2-2 second metal probe, 2-3 third metal probe, 3-sensor, 4-1 first chip, 4-2 second chip, 5-upper jaw resin base, 6-upper jaw closing pad, 7-upper jaw arrow card, 8-upper jaw inclined guide plate, 9-upper jaw adjacent hook, 10-lead, 11-double-curved labial arch, 12-spiral arch expander, 13-lower jaw inclined guide plate, 14-lower jaw resin base, 15-lower jaw arrow card and 16-lower jaw adjacent hook.
Detailed Description
In order to more specifically describe the present invention, the following detailed description is provided for the technical solution of the present invention with reference to the accompanying drawings and the specific embodiments.
The appliance provided by the invention comprises three parts: an appliance fixing part, an appliance force function exerting part and an appliance force dynamic monitoring part. Wherein the retention device of the upper jaw appliance is a hyperbolic labial arch, arrow head clamps at the left side and the right side and an adjacent hook; the retention device of the mandibular appliance is a left arrow head clip and a right arrow head clip and an adjacent hook. The correcting force function exerting part comprises an upper jaw spiral arch expander, an upper jaw inclined plane guide plate, a lower jaw inclined plane guide plate and an upper jaw closing pad. The dynamic monitoring part of the correcting force value comprises a sensor, a lead, a chip, a reader and the like.
The invention relates to a functional appliance structure capable of dynamically monitoring an appliance force value based on a flexible electronic system, which is shown in figure 1 and comprises a reader 1, a first metal probe 2-1, a second metal probe 2-2, a third metal probe 2-3, a sensor 3, a first chip 4-1, a second chip 4-2, an upper jaw resin base 5, an upper jaw closing pad 6, an upper jaw arrow card 7, an upper jaw inclined guide plate 8, an upper jaw adjacent hook 9, a lead 10, a hyperbolic lip bow 11, a spiral bow expander 12, a lower jaw inclined guide plate 13, a lower jaw resin base 14, a lower jaw arrow head card 15 and a lower jaw adjacent hook 16; the double-curved labial arch 11, the upper jaw adjacent hook 9 and the upper jaw arrow card 7 form an upper jaw retention device, the lower jaw arrow card 15 and the lower jaw adjacent hook 16 form a lower jaw retention device, and the first chip 4-1, the second chip 4-2, the lead 10 and the sensor 3 form a flexible electronic chip system.
The upper jaw resin base 5 covers the upper jaw palatal side of the oral cavity and extends to the far middle of molar teeth, and the lower jaw resin base covers the lower jaw lingual side and extends to the far middle of lower jaw premolar teeth. In one embodiment of the present invention, the maxillary resin base comprises a left and a right maxillary palatal resin bases, a maxillary spiral expander 12 is disposed between the left and the right bases, and the maxillary spiral expander 12 is embedded between and connected to the left and the right bases.
The reader is provided with three metal probes, namely a first metal probe 2-1, a second metal probe 2-2 and a third metal probe 2-3; and when the correction force is measured, the correction force is respectively contacted with the retention steel wires of the hyperbolic labial arch 11, the upper jaw adjacent hook 9 and the upper jaw arrow head card 7 on the same side. By taking advantage of the good conductor properties of the retention wire, the chip-lead-retention wire-metal probe-detector is thus integrated when the metal probe is in contact with the retention wire, and the data stored by the chip can be read through the window of the detector.
With reference to fig. 1, 2 and 3, the upper jaw closing pad 6 is disposed on the second premolar, the first molar and the second molar of the upper jaw, and an upper jaw inclined guide plate 8 is disposed between the first premolar and the second premolar of the upper jaw closing pad 6, and the upper jaw inclined guide plate 8 forms an angle of 45-70 degrees with the closing plane. A lower jaw inclined guide plate 13 is arranged between the lower jaw second premolar and the lower jaw first premolar, the lower jaw inclined guide plate 13 corresponds to the upper jaw inclined guide plate 8, the two planes are mutually contacted, and the lower jaw inclined guide plate 13 and the combined plane form an angle of 45-70 degrees.
As shown in fig. 1, the double-curved labial arch 11 of the maxillary retention device is disposed between the left and right canine teeth of the upper jaw, straddles the occlusal surface, and has its tail end embedded in the maxillary resin base 5. The upper jaw adjacent hook 9 is respectively arranged between the first front molar and the second front molar of the upper jaw at the two sides, the upper jaw arrow head card 7 is respectively arranged on the first molar of the upper jaw at the two sides, and the tail ends of the upper jaw adjacent hook 9 and the upper jaw arrow head card 7 are respectively embedded in the upper jaw resin base 5.
The lower jaw adjacent hook 16 in the lower jaw retention device is respectively arranged between lateral incisors and canine teeth of the lower jaw at two sides, the lower jaw arrow head clamp 15 is respectively arranged on the first premolars of the lower jaw at two sides, the lower jaw adjacent hook 16 and the lower jaw arrow head clamp 15 cross the occlusal surface, and the tail ends of the lower jaw adjacent hook and the lower jaw arrow head clamp are embedded in the lower jaw resin base 14.
The chips 4-1 and 4-2 are respectively positioned at the maxillary and palatal sides at the left and right sides, and the chips are respectively connected to the sensor 3 at the corresponding side and the tail ends of the hyperbolic labial arch 11, the maxillary arrow card 7 and the maxillary interproximal hook 9 through leads 10.
In one specific implementation of the invention, the hyperbolic labial arch, the upper and lower jaw molar arrow card and the upper and lower jaw adjacent hook are made of steel wires with the diameter of 0.8-1.0mm, so that the foreign body sensation of a patient can be reduced on the premise of keeping certain strength and good retention, and the retention effect can be well exerted.
In a specific implementation of the present invention, the sensor 3 may be a thin-sheet pressure sensor, and the values of the sensor are respectively transmitted to the first chip 4-1 or the second chip 4-2 corresponding to the maxillo-palatal side, so that the force applied to the mandibular area by the functional corrector can be dynamically monitored, joint diseases caused by excessive stress of the temporomandibular joint area can be avoided, reconstruction of the temporomandibular joint area can be promoted under stimulation of appropriate traction force, and the effects of early correction of malocclusion and beautiful occlusal surface can be achieved.
In one specific implementation of the invention, the sensor is embedded into the upper jaw inclined guide plate and is integrated with the upper jaw inclined guide plate, so that the correcting effect is not influenced, and the change of correcting force in the correcting process can be dynamically monitored; secondly, the tail end, the chip and the lead of the upper jaw retention device (the double-curved labial arch 11, the upper jaw arrow card 7 and the upper jaw adjacent hook 9) are all embedded in the upper jaw palatal side resin base support, so that the oral environment is not influenced, the oral cavity of the child is not damaged, and the child patient can easily take and wear the upper jaw retention device.
In one embodiment of the present invention, the reader does not occupy the space of the appliance, and when the appliance data needs to be read, the metal probe of the reader can be in contact with the retention steel wire on the maxillary labial-buccal side, so that the appliance value can be obtained in real time.
The data stored by the first chip and the second chip are the acting force between the upper and lower jaw inclined plane guide plates on the corresponding sides and the traction force to the temporomandibular joint area when the mandible is extended forwards. This data can be sensed by the sensor, routed to the chip, and stored. By taking advantage of the good conductor properties of the retention wire when it is desired to read this data, the chip-lead-retention wire-metal probe-detector is thus integrated when the metal probe is in contact with the retention wire, and the data stored by the chip can be read through the window of the detector.
The invention adopts a novel injection molding process to manufacture the resin base support of the appliance, the hyperbolic labial arch, the arrow head clip, the adjacent hook, the lead and the sensor are all embedded in the resin base support, the upper jaw base support extends to the middle of the upper jaw molar teeth, the lower jaw base support extends to the middle of the lower jaw premolar teeth, and the upper jaw appliance and the lower jaw appliance form an integrated structure respectively.
The following description is provided of a method for manufacturing the functional appliance capable of dynamically monitoring the correction force value based on the flexible electronic system, and the method mainly includes the following steps:
firstly, preparing an upper and lower jaw working model according to the requirements of complete denture.
Recording the occlusion relation of the mandible protrusion position. The protrusion of the mandible should change the type II molar relationship into the type I relationship. Usually, the mandible is protrusively less than or equal to 10mm, and the mandible can be protrusively stretched to the position of incised anterior teeth at one time. If the mandible needs to be extended more than 10mm, the anterior approach is performed in several times.
And thirdly, finishing the working model: checking the occlusion relation of the upper and lower jaw working models, and then trimming the bottom surfaces of the upper and lower jaw working models to be parallel to the jaw plane; and (4) overlapping the upper and lower jaw working models according to the occlusion relation, and trimming the rear walls of the upper and lower jaw working model seats to enable the upper and lower jaw working models to be positioned on the same plane.
And fourthly, fixing the gypsum working model on the combined frame strictly according to the recording relation of the occlusion wax.
Adopting 0.8-1.0mm stainless steel wires, bending double-curved lip arch 11, upper and lower jaw arrow cards 7 and 15, and upper and lower jaw adjacent hooks 9 and 16. After bending is finished, heating and fixing the double-curved labial arch between the left and right sharp teeth of the upper jaw by using a medical wax sheet, wherein the tail end of the double-curved labial arch crosses the closed surface and extends to the upper jaw and palate side; respectively installing upper jaw arrow cards on first upper jaw molars on two sides, and extending the tail ends to the upper jaw palate side; respectively arranging an upper jaw adjacent hook between a first premolar and a second premolar of the upper jaw on two sides, and extending the tail end to the upper jaw palate side; respectively arranging the lower jaw arrow clamps on the first premolars of the lower jaw at two sides, and extending the tail ends of the lower jaw arrow clamps to the lingual side of the lower jaw; the lower jaw adjacent space hook is arranged between the lower jaw lateral incisor and the canine teeth on both sides, and the tail end of the lower jaw adjacent space hook extends to the lower jaw lingual side.
Sixthly, for the patients with the lack of the width of the dental arch, a spiral arch expander is arranged in the middle of the upper jaw.
And designing a flexible electronic chip system, packaging and fixing on the plaster working model.
The upper jaw and lower jaw resin base support, the upper jaw closing pad and the upper jaw and lower jaw inclined plane guide plate are manufactured by an injection molding technology, and the method comprises the following steps:
first, a light-cured resin molded piece (about 2mm thick) was placed on a work model to which a hyperbolic labial arch, an upper and lower jaw arrow card, an upper and lower jaw adjacent space hook, a spiral pantograph expander, and a flexible electronic chip system had been mounted. The maxillary joint pad was spread backward from the second premolar of the upper jaw, and the maxillary joint pad at a position between the bilateral first premolar and the second premolar was set to a 45-70 degree distal slope as the maxillary slope guide 8. The corresponding second premolar of the two lower jaws at two sides is provided with an inclined plane of 45-70 degrees, so that the inclined plane guide plates of the upper and lower jaw correctors are inosculated, and the closing pad covers the cusp of the teeth at the side of the tongue.
Designing and manufacturing a sensor, embedding the sensor into the bilateral upper jaw inclined guide plates, and welding a lead with the sensor and a retention steel wire (a hyperbolic labial arch tail steel wire, an upper jaw adjacent interval hook tail steel wire and an upper jaw arrow clamping tail steel wire) in a silver welding mode.
Carrying out photocuring on the photocuring resin molding sheet for 8-12min for molding, taking out and polishing the phenanthrene edge to obtain a constant substrate; and then mounting the polished constant substrate on a working model.
And putting the finally obtained working model into an agar type box, slowly injecting liquid agar liquid into the agar type box, standing for 2h, opening a base of the agar type box after agar is completely solidified, and taking out the working model to form an agar impression.
Manufacturing a resin injection channel and an exhaust hole: inserting 3 stainless steel pipes into three injection ports of the mold box to form an injection molding port and two exhaust holes; then taking down the constant substrate from the working model, coating a separating agent on the surface of the gypsum working model with the hyperbolic labial arch, the arrow card of the upper and lower jaws, the hook between the upper and lower jaws, the first chip, the second chip, the lead, the inclined guide plate of the upper and lower jaws and the upper jaw closing pad, accurately resetting the model into an agar impression, and then pouring resin. The separating agent is used for forming an isolating film between the surface of the working model and the resin, so that the surface of the working model and the resin are not adhered, and then the surface of the working model and the resin are conveniently separated.
In this example, the infused resin was Vertex injection molded resin powder manufactured by waters corporation, netherlands, in a ratio of 1.5 g: measuring 1.0ml, pouring into a special mixing cup, and uniformly stirring for about 20 s. In the pouring process, the injection molding opening faces upwards, and resin is injected into the injection molding opening until the resin overflows from the exhaust holes on the two sides. After resin infusion is finished, putting the resin into a Vertex-MAC0001 automatic pressure cooker, polymerizing for 30min at 55 ℃ under the pressure of 2.5bar, taking out, naturally cooling to room temperature, preparing to obtain an upper jaw and lower jaw resin base support, connecting the upper jaw resin base support, a first chip, a second chip, a sensor, an upper jaw inclined guide plate and an upper jaw closing pad into a whole, and embedding the tail ends of a hyperbolic labial arch, an upper jaw arrow card and an upper jaw adjacent interhook into an upper jaw resin base support 5; the mandible resin base is connected with the mandible inclined guide plate into a whole, and the tail ends of the mandible arrow card and the mandible adjacent hook are embedded in the mandible resin base 14.
Ninthly, polishing the upper and lower jaw resin base edges after the manufacture by using the special slow-speed mobile phone for dentistry to be smooth, and finishing the preparation of the appliance after the upper and lower jaw resin base edges are positioned on the upper jaw working model again. The dental special slow-speed mobile phone adopted in the embodiment is manufactured by NSK corporation of japan, and has the model number: 1S-205, rotating speed 22000 r/min.
After the manufacture of the appliance for R is completed, the appliance is further tried on and adjusted in the mouth. When the appliance is worn, the appliance is directly taken down from the working model, the resin base support on the maxillary palate side is attached to the maxillary palate part of the oral cavity, the arrow snap rings of the maxillary molars on two sides are sleeved on the maxillary molars on two sides, and the position of the adjacent upper jaw hook is fixed. The mandibular appliance is attached to the mucous membrane of the mandibular lingual side, the mandibular arrow card is placed on the first premolar, the mandibular abutment hook is fixed between the lateral incisor and the cuspid, and the trial wearing of the appliance is completed.
The functional appliance prepared by the invention can dynamically monitor the correction force value, prevent the damage to the temporomandibular joint caused by overlarge correction force in the correction process, and adjust the appliance according to the correction force data, so that the child patient can wear the appliance comfortably.
The embodiments described above are presented to enable a person having ordinary skill in the art to make and use the invention. It will be readily apparent to those skilled in the art that various modifications to the above-described embodiments may be made, and the generic principles defined herein may be applied to other embodiments without the use of inventive faculty. Therefore, the present invention is not limited to the above embodiments, and those skilled in the art should make improvements and modifications to the present invention based on the disclosure of the present invention within the protection scope of the present invention.
Claims (8)
1. A functional appliance capable of dynamically monitoring and correcting force values based on a flexible electronic system is characterized by comprising an upper jaw retention device, a lower jaw retention device, a flexible electronic chip system, an upper jaw resin base (5), a lower jaw resin base (14), an upper jaw closing pad (6), an upper jaw spiral arch expander (12), an upper jaw inclined guide plate (8) and a lower jaw inclined guide plate (13);
the upper jaw resin base (5) covers the upper jaw palatal side of the oral cavity and extends to the far middle of the upper jaw molar, and the tail end of the upper jaw retention device is embedded in the upper jaw resin base; the lower jaw resin base (14) covers the lingual side of the lower jaw and extends to the far middle of the lower jaw premolar, and the tail end of the lower jaw retention device is embedded in the lower jaw resin base; the upper jaw resin base supports comprise upper jaw palatal side resin base supports on the left side and the right side, and the upper jaw palatal side resin base supports on the two sides are connected through an upper jaw spiral arch expander (12);
the upper jaw closing pad (6) is arranged on the upper jaw second premolar, the first molar and the second molar, the upper jaw inclined guide plate (8) is positioned on one side of the upper jaw closing pad (6) between the upper jaw first premolar and the second premolar, and the upper jaw inclined guide plate (8) and the closing plane form an angle of 45-70 degrees; the lower jaw inclined guide plate (13) is arranged between the lower jaw second premolar and the lower jaw first molar and corresponds to the upper jaw inclined guide plate (8); the sensor (3) is embedded into the two-side upper jaw inclined guide plates (8) and is used for monitoring the stress between the two-side upper jaw inclined guide plates (8) and the lower jaw inclined guide plates (13);
the flexible electronic chip system comprises at least one chip, a lead and a sensor, wherein the chip is connected with the tail end of the maxillary retention device and the sensor through the lead.
2. The functional appliance capable of dynamically monitoring the appliance force value based on a flexible electronic system as claimed in claim 1, wherein the maxillary retention device comprises a hyperbolic labial arch (11), a maxillary interproximal hook (9) and a maxillary arrow card (7); the hyperbolic labial arch (11) is arranged between the left and right cuspids of the upper jaw, and the tail end of the hyperbolic labial arch is embedded in the upper jaw resin base (5); the upper jaw adjacent hook (9) is arranged between the first premolar and the second premolar of the upper jaw on two sides, and the tail end of the upper jaw adjacent hook is embedded in the upper jaw resin base (5); the upper jaw arrow head card (7) is arranged on the first upper jaw molars on the two sides, and the tail end of the upper jaw arrow head card is embedded in the upper jaw resin base (5).
3. The functional orthosis capable of dynamically monitoring orthosis values based on a flexible electronic system according to claim 2, wherein the flexible electronic chip system comprises a first chip (4-1), a second chip (4-2), a lead (10) and a sensor (3); the first chip (4-1) is connected with the tail end of a hyperbolic labial arch (11) on one side of the upper jaw, the tail end of an adjacent upper jaw hook (9), the tail end of an upper jaw arrow card (7) and a sensor (3) positioned on the upper jaw inclined guide plate through leads; the second chip (4-2) is connected with the tail end of a hyperbolic labial arch (11) on the other side of the upper jaw, the tail end of an adjacent upper jaw hook (9), the tail end of an upper jaw arrow card (7) and a sensor on an upper jaw inclined guide plate (8) on the other side through leads.
4. The flexible electronic system-based functional orthosis capable of dynamically monitoring orthosis values according to claim 3, wherein the leads are connected by silver soldering.
5. The functional appliance capable of dynamically monitoring the orthodontic force value based on the flexible electronic system as claimed in claim 3, further comprising a reader (1), wherein the reader is provided with three metal probes which are respectively contacted with the retention steel wires of the hyperbolic labial arch (11), the maxillary adjacent hook (9) and the maxillary arrow head card (7) on the maxillary labial buccal side for reading the orthodontic force value.
6. The functional appliance with dynamic monitoring of the value of the appliance of claim 1, based on a flexible electronic system, characterized in that the mandibular retention device comprises an interproximal hook (16) and a mandibular arrow card (15); the lower jaw adjacent space hook (16) is arranged between the lateral incisors and the canine teeth of the lower jaw at two sides, and the tail end of the lower jaw adjacent space hook is embedded in the lower jaw resin base (14); the lower jaw arrow card (15) is arranged on first premolars of lower jaws at two sides, and the tail end of the lower jaw arrow card is embedded in a lower jaw resin base (14).
7. The functional appliance capable of dynamically monitoring the appliance force value based on the flexible electronic system and the preparation method thereof are characterized by comprising the following steps:
step 1: preparing an upper and lower jaw working model according to the complete denture requirement;
step 2: recording the occlusion relation of the mandible protrusion position to change the protrusion amount of the mandible from the molar relation of class II into the relation of class I;
and step 3: trimming the working model: checking the occlusion relation of the upper and lower jaw working models, and then trimming the bottom surfaces of the upper and lower jaw working models to be parallel to the jaw plane; superposing the upper and lower jaw working models according to the occlusion relation, and trimming the rear walls of the upper and lower jaw working model seats to enable the upper and lower jaw working models to be positioned on the same plane;
and 4, step 4: fixing the trimmed working model on a combined frame according to the occlusion wax recording relation;
and 5: bending a hyperbolic labial arch, upper and lower jaw arrow cards and an adjacent hook, and respectively fixing the hyperbolic labial arch, the upper and lower jaw arrow cards and the adjacent hook at corresponding positions in a working model by using a medical wax sheet heating and fixing mode, wherein the hyperbolic labial arch is arranged between the left and right canine teeth of the upper jaw, and the tail end of the hyperbolic labial arch extends to the maxilla side; respectively installing upper jaw arrow cards on first upper jaw molars on two sides, and extending the tail ends to the upper jaw palate side; respectively arranging an upper jaw adjacent hook between a first premolar and a second premolar of the upper jaw on two sides, and extending the tail end to the upper jaw palate side; respectively arranging the lower jaw arrow clamps on the first premolars of the lower jaw at two sides, and extending the tail ends of the lower jaw arrow clamps to the lingual side of the lower jaw; arranging a lower jaw adjacent space hook between lower jaw lateral incisors and canine teeth on two sides, and extending the tail end to the lower jaw lingual side; placing a spiral arch expander in the center of the upper jaw of the working model, and embedding the spiral arch expander in an upper jaw resin base;
step 6: fixing the flexible electronic chip on the maxillary palate side of the working model;
and 7: the upper and lower jaw resin base, the upper and lower jaw closing pad and the upper and lower jaw inclined guide plate are manufactured by an injection molding technology, and the method comprises the following steps:
step 7.1: placing a light-cured resin molding sheet on a working model provided with a hyperbolic labial arch, upper and lower jaw arrow cards, an adjacent hook and a flexible electronic chip system;
step 7.2: spreading an upper jaw closing pad backwards from the upper jaw second premolars, and setting the upper jaw closing pad to a slope of 45-70 degrees far away and in the middle at the positions of the two side upper jaw second premolars to be used as an upper jaw slope guide plate (8); making 45-70 degree lower jaw inclined guide plates at the corresponding lower jaw second premolar teeth at two sides, enabling the upper and lower jaw inclined guide plates to be inosculated, and covering the lingual cusp with an upper jaw closing pad;
step 7.3: embedding the sensor (3) into the upper jaw inclined guide plates (8) on the two sides;
step 7.4: the chip is respectively connected with the sensor (3) and the tail ends of the hyperbolic labial arch (11), the upper jaw arrow card (7) and the upper jaw adjacent hook (9) through leads (10) by adopting a silver soldering mode;
step 7.5: carrying out photocuring for 8-12min to enable the photocuring resin molding sheet to form the shapes of an upper jaw resin base (5) and a lower jaw resin base (14), taking out, and polishing the phenanthrene edge to obtain a constant substrate; then mounting the constant substrate on the working model;
step 7.6: putting the working model provided with the constant base plate and finally obtained in the step 7.5 into an agar type box, injecting agar liquid into the agar type box, standing, opening the agar type box after the agar is completely solidified, and taking out the working model to form an agar printing film;
step 7.7: inserting 3 stainless steel pipes into three injection ports of the mold box to form an injection molding port and two exhaust holes; then taking the constant substrate off the working model, and coating a separating agent on the surface of the working model; then the working model is reset into the agar impression;
step 7.8: injecting the resin liquid into the injection molding port until the resin liquid overflows from the two exhaust holes; after the perfusion is finished, placing the agar impression mold into a condition with the temperature of 55-60 ℃ and the pressure of 2.5-3.0bar for polymerization for 30-35min, taking out, cooling to room temperature, preparing to obtain an upper jaw and lower jaw resin base support, connecting the upper jaw resin base support, a first chip, a second chip, a sensor, a lead, an upper jaw inclined plane guide plate, an upper jaw closing pad and a spiral arch expander into a whole, and embedding the tail ends of a hyperbolic labial arch, an upper jaw arrow card and an upper jaw adjacent hook into an upper jaw resin base support 5; the mandible resin base is connected with the mandible inclined guide plate into a whole, and the tail ends of the mandible arrow card and the mandible adjacent hook are embedded in the mandible resin base (14);
step 7.9: and (5) polishing the phenanthrene edge of the resin base support of the upper jaw and the lower jaw, which is prepared in the step 7.8, to be smooth, and finishing the preparation of the appliance.
8. The method for preparing the functional appliance capable of dynamically monitoring the orthodontic force value based on the flexible electronic system as claimed in claim 7, wherein if the mandibular protrusion is less than or equal to 10mm, the functional appliance is protruded to the incised anterior teeth position at one time when the working model is trimmed; if the mandible is extended more than 10mm, the front is divided into a plurality of times.
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| CN202110640326.0A CN113413223B (en) | 2021-06-09 | 2021-06-09 | Functional appliance capable of dynamically monitoring correction force value based on flexible electronic system and preparation method thereof |
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Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN113952055A (en) * | 2021-11-24 | 2022-01-21 | 宋文鹏 | Manufacturing method of packaging sensing device in soft elastic combined pad |
| CN114176805A (en) * | 2021-12-07 | 2022-03-15 | 浙江工业大学 | Orthodontic force measuring device based on flexible six-dimensional force sensor |
Citations (8)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN1608598A (en) * | 2004-11-23 | 2005-04-27 | 武汉大学 | Cheek tooth inclined guide plate appliance |
| CN104921833A (en) * | 2014-03-21 | 2015-09-23 | 李世俊 | Dental instrument system with sensor |
| CN206198065U (en) * | 2016-08-11 | 2017-05-31 | 古力巴哈·买买提力 | Anti- Upper Anterior Teeth lip incline type mandibular ncoplasms rescue it is lower close pad and pairing pad appliance |
| CN208582517U (en) * | 2017-12-30 | 2019-03-08 | 潍坊嘉德隆义齿有限公司 | A kind of spring lip begg appliance device |
| CN110063801A (en) * | 2019-05-23 | 2019-07-30 | 四川大学 | A kind of invisible orthotic device |
| CN110063802A (en) * | 2019-05-23 | 2019-07-30 | 四川大学 | Mandibular deviation invisible orthotic device |
| CN209713206U (en) * | 2018-11-01 | 2019-12-03 | 武广增 | Fixed double plate appliances |
| CN212755941U (en) * | 2020-05-12 | 2021-03-23 | 重庆医科大学附属儿童医院 | Appliance for correcting class I classification error of Anshi II in dental period |
-
2021
- 2021-06-09 CN CN202110640326.0A patent/CN113413223B/en active Active
Patent Citations (8)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN1608598A (en) * | 2004-11-23 | 2005-04-27 | 武汉大学 | Cheek tooth inclined guide plate appliance |
| CN104921833A (en) * | 2014-03-21 | 2015-09-23 | 李世俊 | Dental instrument system with sensor |
| CN206198065U (en) * | 2016-08-11 | 2017-05-31 | 古力巴哈·买买提力 | Anti- Upper Anterior Teeth lip incline type mandibular ncoplasms rescue it is lower close pad and pairing pad appliance |
| CN208582517U (en) * | 2017-12-30 | 2019-03-08 | 潍坊嘉德隆义齿有限公司 | A kind of spring lip begg appliance device |
| CN209713206U (en) * | 2018-11-01 | 2019-12-03 | 武广增 | Fixed double plate appliances |
| CN110063801A (en) * | 2019-05-23 | 2019-07-30 | 四川大学 | A kind of invisible orthotic device |
| CN110063802A (en) * | 2019-05-23 | 2019-07-30 | 四川大学 | Mandibular deviation invisible orthotic device |
| CN212755941U (en) * | 2020-05-12 | 2021-03-23 | 重庆医科大学附属儿童医院 | Appliance for correcting class I classification error of Anshi II in dental period |
Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN113952055A (en) * | 2021-11-24 | 2022-01-21 | 宋文鹏 | Manufacturing method of packaging sensing device in soft elastic combined pad |
| CN114176805A (en) * | 2021-12-07 | 2022-03-15 | 浙江工业大学 | Orthodontic force measuring device based on flexible six-dimensional force sensor |
| CN114176805B (en) * | 2021-12-07 | 2024-02-02 | 浙江工业大学 | Orthodontic force measuring device based on flexible six-dimensional force sensor |
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| CN113413223B (en) | 2022-05-10 |
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