CN113456262B - Adjustable near-infrared orthodontic accelerator for realizing precise treatment - Google Patents

Adjustable near-infrared orthodontic accelerator for realizing precise treatment Download PDF

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Publication number
CN113456262B
CN113456262B CN202110840674.2A CN202110840674A CN113456262B CN 113456262 B CN113456262 B CN 113456262B CN 202110840674 A CN202110840674 A CN 202110840674A CN 113456262 B CN113456262 B CN 113456262B
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China
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tooth
infrared
sleeve
orthodontic
precise treatment
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CN113456262A (en
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陈莉莉
彭金枫
唐清明
孙纪威
陈广进
尹盈
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Tongji Medical College of Huazhong University of Science and Technology
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Tongji Medical College of Huazhong University of Science and Technology
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C7/00Orthodontics, i.e. obtaining or maintaining the desired position of teeth, e.g. by straightening, evening, regulating, separating, or by correcting malocclusions
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C7/00Orthodontics, i.e. obtaining or maintaining the desired position of teeth, e.g. by straightening, evening, regulating, separating, or by correcting malocclusions
    • A61C7/08Mouthpiece-type retainers or positioners, e.g. for both the lower and upper arch
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00Radiation therapy
    • A61N5/06Radiation therapy using light
    • A61N5/0613Apparatus adapted for a specific treatment

Abstract

The invention relates to an adjustable near-infrared orthodontic accelerator for realizing precise treatment, which comprises a tooth bottom sleeve and a tooth peripheral sleeve, wherein the tooth bottom sleeve and the tooth peripheral sleeve form a U-shaped tooth sleeve structure, a light transmission window is arranged in the middle of the tooth peripheral sleeve, sliding grooves are formed in the tooth peripheral sleeve on the upper side and the lower side of the light transmission window, a plurality of laser emitting devices are arranged in the sliding grooves in a sliding mode side by side, each laser emitting device comprises a base and sliding plates arranged at the upper end and the lower end of the base, the sliding plates are arranged in the sliding grooves, and infrared laser lamps are arranged on the bases. The invention utilizes low-intensity near infrared light to irradiate teeth to accelerate tooth movement, and can controllably adjust the laser irradiation area while assisting orthodontic treatment, so that the laser action range is more accurate, the accuracy and speed of orthodontic treatment are ensured, the temperature rise of the material is small after long-term use, the safety is strong, the light source is tightly attached to gum, a patient does not need to realize retention by occlusion, and the orthodontic treatment device has high comfort level, small volume and convenient carrying.

Description

Adjustable near-infrared orthodontic accelerator for realizing precise treatment
The technical field is as follows:
the invention relates to the technical field of orthodontic appliances, in particular to an adjustable near-infrared orthodontic accelerator for realizing precise treatment.
Background art:
at present, the incidence rate of the dentognathic face deformity in China is more than 29.3 percent, and the physical and mental health and the oromandibular function of a patient are seriously influenced, however, research shows that the tooth moving speed in the orthodontic treatment process is generally 0.8-1.2 mm/month, the comprehensive treatment period is generally 18-36 months, the risks of enamel demineralization, decayed tooth, tooth root absorption, gingival inflammation, periodontal diseases and the like can be increased in a longer treatment process, the compliance of the patient is reduced, and the treatment effect and the oral health are seriously influenced. Therefore, the method for safely and effectively accelerating the movement of the orthodontic tooth is not easy. Most of the existing orthodontic accelerators promote tooth movement through vibration, have certain side effects, are poor in use feeling of patients, low in comfort level and limited in effect of accelerating orthodontic tooth movement.
The current commonly used schemes for accelerating orthodontic tooth movement are mainly divided into three categories, surgical treatment, physical treatment and drug treatment. The low-intensity laser therapy is one of the physical therapy methods, has the advantages of less side effect, small invasiveness, simple and convenient operation, no wound, no pain and the like, is more easily accepted by patients, is gradually used for manufacturing a near-infrared orthodontic accelerator in recent years, and provides a new idea for clinically improving orthodontic treatment effect and shortening orthodontic treatment course. The high morbidity and the long treatment period of the dentognathic face deformity bring a lot of inconvenience to patients, along with the progress of social civilization and the improvement of economic level, people have improved consciousness on oral health care and higher requirements on treatment effect, thus bringing various challenges to clinical orthodontic treatment. Adult orthodontics are rapidly increasing at present, and juvenile orthodontics become a normal state, and the consumption of blue book in Chinese orthodontics market in 2018 shows that the orthodontics market occupies about 24.7% of oral medical services in China, the number of cases in Chinese orthodontics in 2017 reaches over 206 ten thousands, and the potential market space in the orthodontics market in China is 1224-2395 million yuan.
The patent with the patent application number of 202110359936.3 is provided with a symmetrical Y-shaped fork consisting of a laser plate and a tray, a laser diode circuit is arranged on the inner arc surface of the main body part of the laser plate, a silica gel sheath is also arranged on the laser diode circuit to cover the main body part of the laser plate, and one part of the handle end of the Y-shaped fork is inserted into a small square box and is connected with the circuit in the box; the structure can emit low-energy infrared laser with biological effect, is used for accelerating tooth movement in orthodontics and shortening orthodontic treatment time, and has the characteristics of simple structure, simple and convenient use, low energy consumption and the like. However, the laser irradiation position in this device is fixed, since the teeth will continuously grow and shift in the orthodontic process, the fixed laser irradiation position cannot be adjusted along with the movement of the teeth, which affects the accuracy and speed of orthodontics, and the patient needs to keep the upper and lower teeth clenched when using the device to fix the accelerator, which is likely to cause fatigue of masticatory muscles and temporomandibular joints and affect pronunciation, and the circuit box outside the oral cavity greatly increases the volume and weight thereof, which is inconvenient for daily carrying and use.
The invention content is as follows:
technical problem to be solved
The invention aims to provide an adjustable near-infrared orthodontic accelerator for realizing precise treatment, and solves the problems that in the prior art, the laser irradiation position cannot be adjusted along with the movement of teeth, the accuracy and the speed of orthodontic treatment are influenced, a patient needs to keep a clenching state of upper and lower teeth to fix the accelerator when in use, the fatigue of masticatory muscles and temporomandibular joints is easily caused, the pronunciation is influenced, the volume and the weight of a circuit box outside an oral cavity are greatly increased, and the adjustable near-infrared orthodontic accelerator is inconvenient to carry and use in daily life.
(II) technical scheme
In order to solve the technical problems, the invention adopts the following technical scheme: the utility model provides a realize near infrared just abnormal accelerator of adjustable nodal pattern of accurate treatment, overlaps including tooth base cover and tooth periphery, the tooth base cover with the tooth periphery cover is constituteed the facing structure of U type, the middle part of tooth periphery cover is equipped with the light trap, both sides about the light trap be equipped with the spout on the tooth periphery cover, be equipped with a plurality of laser emission device in the spout side by side slidable, laser emission device includes the base and sets up the slide at both ends about the base, the slide sets up in the spout, be equipped with infrared laser lamp on the base, be equipped with in the tooth base cover with the power supply unit that infrared laser lamp electricity is connected.
The tooth bottom cover is used for supplying patient's tooth to bite and carry out preliminary maintenance, tooth periphery cover is used for the cover to carry out complete maintenance in patient's tooth outside, laser emission device passes through the light-permeable window is to the near infrared light of the gum department transmission low-intensity that the root of the tooth corresponds for just abnormal tooth removes, the slide can remove in the spout, the base is used for control the removal of slide is convenient for adjust according to the treatment needs the irradiation position of infrared laser lamp guarantees just abnormal treatment's degree of accuracy and speed, power supply unit is used for doing infrared laser lamp provides the power.
Furthermore, a plurality of the laser emitting devices are connected through a stay wire, a spring is arranged in the sliding groove, one end of the spring is connected with the tooth periphery sleeve, the other end of the spring is connected with one end of the stay wire, and the other end of the stay wire is connected with a stay wire device. The stay wire device is used for pulling the stay wire to realize that the laser emission device moves along the sliding groove, and the spring is used for providing back pulling force when the stay wire is loosened to realize that the laser emission device moves back and forth along the sliding groove.
Further, be equipped with vertical spout on the base, infrared laser lamp slidable ground sets up in the vertical spout, the back of infrared laser lamp is connected with the operation piece through the connecting rod that passes vertical spout, be equipped with the cushion in the vertical spout. The infrared laser lamp can pass through operation piece control is in along vertical spout reciprocates, realizes infrared light irradiation range's accurate adjustment, simultaneously the operation piece can rotate the regulation infrared laser lamp's intensity of illumination can be according to just abnormal treatment's needs, with every infrared laser lamp adjusts to the different intensity of illumination, realizes the different intensity laser irradiation to different positions tooth.
Further, the side of the sliding plate is provided with a roller wheel, and the roller wheel can be arranged in the sliding groove in a rolling manner. The gyro wheel can guarantee the smooth and easy nature of the removal of slide in the spout avoids taking place the jamming when removing.
Furthermore, an inner tooth periphery sleeve is arranged on the tooth bottom sleeve, and tooth sockets are formed among the outer tooth periphery sleeve, the tooth bottom sleeve and the inner tooth periphery sleeve. The tooth socket is used for placing teeth, the tooth outer periphery sleeve, the tooth bottom sleeve and the tooth inner periphery sleeve can keep surrounding three surfaces of the teeth, a patient can freely move the oral cavity in the orthodontic treatment process, the tooth bottom sleeve does not need to be bitten at all times, and the daily life of the patient is facilitated.
Furthermore, the wire drawing device comprises a wire winding wheel arranged in the tooth periphery sleeve, the wire winding wheel is connected with a knob arranged outside the tooth periphery sleeve, a clamping block is arranged on the side face of the wire winding wheel, and a clamping groove matched with the clamping block is arranged in the tooth periphery sleeve. The knob is used for controlling the rotation of the winding wheel so as to control the tightening and loosening of the stay wire and realize the position adjustment of the laser emission device, and the clamping block is matched with the clamping groove and can be clamped after the rotation adjustment of the winding wheel is finished so as to prevent the winding wheel from rotating under the tension of the spring.
Further, the power supply device is a wireless rechargeable battery or a miniature ceramic piezoelectric power generation device. The power supply device adopts a wireless rechargeable storage battery, is convenient to charge when not in use, and can utilize the occlusion pressure between the teeth of a patient to charge if a miniature ceramic piezoelectric power generation device is adopted, so that the use durability is improved.
Further, the distance between each laser emitting device is 5-10 mm. The proper spacing is adjusted according to the distance between the Chinese teeth.
Further, the width of a light source emitted by each infrared laser lamp is matched with the tooth root anatomical morphology of Asian population, wherein the width of the middle incisor is as follows: 8.5mm, lateral incisor: 7mm, cuspid: 8mm, premolar: 7.5mm, molar: 10.5 mm.
Further, the light emitted by the infrared laser lamp is near-infrared laser with the wavelength of 810nm, and the intensity is 50mW-100mW/cm2. The strength is safe and reliable, and pain can not be caused.
Furthermore, the tooth bottom sleeve, the tooth outer circumference sleeve and the tooth inner circumference sleeve are made of flexible heat-conducting silica gel materials with plasticity and elasticity. The device can be suitable for the tooth arrangement condition of malocclusion patients of different types, has good universality, and the silica gel material with high heat conductivity coefficient can reduce the temperature rise caused by near-infrared heat radiation in the use process of the device, thereby ensuring the safety and the comfort.
Furthermore, the tooth bottom sleeve, the tooth outer circumference sleeve and the tooth inner circumference sleeve are detachably connected. The laser can be detached and spliced according to the tooth malformation condition of a patient, the laser irradiation treatment can be pertinently carried out on the area needing to accelerate the movement of the orthodontic tooth, and the application range is widened.
Further, the laser emitting device can be arranged in the sliding groove in an adhesive mode. Because the arrangement of the teeth of different types of malocclusion patients is different, the positions where the accelerated orthodontics is needed are also different, the laser emitting device can be arranged in the sliding groove in a sticking way, and the laser emitting device can be manually installed and disassembled, so that the treatment is more targeted.
(III) advantageous effects
Compared with the prior art, the invention has the following beneficial effects:
(1) by arranging a U-shaped tooth socket structure consisting of a tooth bottom socket and a tooth periphery socket, a light transmission window is arranged in the middle of the tooth periphery socket, sliding grooves are arranged on the tooth periphery sockets on the upper side and the lower side of the light transmission window, a plurality of laser emitting devices are arranged in the sliding grooves in a sliding way side by side, each laser emitting device comprises a sliding plate and an infrared laser lamp, the sliding plates can slide in the sliding grooves, the emitting power of the infrared laser lamps can be flexibly adjusted, each light source corresponds to one tooth, the width of the orthodontic band is matched with the tooth anatomical form of Asian people, and when the teeth are irradiated by low-intensity near infrared light to assist orthodontic treatment, the laser action range and the output power are adjusted in multiple dimensions, so that the light source is completely attached to the gum, the tissue reconstruction activity is enhanced more pertinently, the movement speed of orthodontic teeth is increased, the time cost is saved, the side effect is reduced, the accurate personalized treatment is realized, and the accuracy and the speed of the orthodontic treatment are improved to the maximum extent;
(2) the peripheral sleeves of the teeth are fixed on the teeth by means of the self elasticity of the peripheral sleeves of the teeth, so that a patient does not need to keep clenching the upper and lower teeth all the time to provide a fixing force, the occlusion burden of masticatory muscles and temporomandibular joints is greatly relieved, and the patient can freely open the mouth; the soft elastic material is used, the surface is smooth and round, the oral mucosa can not be scratched, and the wearing experience is comfortable; the portable medical box-type power supply is small in size, has no external box-type power supply, is more convenient to wear and carry, and does not influence the daily life of a patient;
(3) the tooth bottom sleeve, the tooth outer periphery sleeve and the tooth inner periphery sleeve are made of flexible heat-conducting silica gel materials with plasticity and elasticity, so that the tooth bottom sleeve, the tooth outer periphery sleeve and the tooth inner periphery sleeve are wide in application range, tasteless and nontoxic, stable in chemical property and physical property, wear-resistant, good in waterproofness and long in service life; meanwhile, the adopted material has small temperature rise after long-term use, ensures that the temperature rise generated by near-infrared heat radiation in the use process is in a safe range, promotes blood flow and tissue repair, relieves pain, and ensures the comfort and safety of a wearer.
Description of the drawings:
in order to more clearly illustrate the technical solution in the embodiments of the present invention, the drawings required to be used in the embodiments will be briefly described below.
Fig. 1 is a schematic overall structure diagram of an adjustable near-infrared orthodontic accelerator for realizing precise treatment according to an embodiment of the invention;
FIG. 2 is a top view of an adjustable near-infrared orthodontic accelerator for precise treatment according to an embodiment of the invention;
fig. 3 is a top cross-sectional view of an adjustable near-infrared orthodontic accelerator for precise treatment according to an embodiment of the invention;
FIG. 4 is an enlarged partial cross-sectional view of the position of the wire pulling device of the adjustable near-infrared orthodontic accelerator for precise treatment according to the embodiment of the invention;
FIG. 5 is an enlarged partial cross-sectional view of the slide position of an adjustable near-infrared orthodontic accelerator for precise treatment according to an embodiment of the invention;
fig. 6 is a front view of an adjustable near-infrared orthodontic accelerator for precise treatment according to an embodiment of the invention;
fig. 7 is an elevational cross-sectional view of an adjustable near-infrared orthodontic accelerator for achieving precise treatment according to an embodiment of the invention;
fig. 8 is a cross-sectional view of the laser emitting device of the adjustable near-infrared orthodontic accelerator for precise treatment according to the embodiment of the invention;
FIG. 9 is a graph showing simulation results of a material temperature field of an adjustable near-infrared orthodontic accelerator for precise treatment according to an embodiment of the invention;
wherein (A) and (B) are simulation graphs of temperature rise of the orthodontic accelerator with a structure respectively placed in the environment (20 ℃) and the oral cavity (37 ℃); (C) and (D) a temperature rise simulation plot of an orthodontic accelerator of another configuration placed in the environment (20 ℃) and the oral cavity (37 ℃);
in the figure: 1. a tooth bottom sleeve; 2. a tooth periphery sleeve; 3. an inner tooth periphery sleeve; 4. a light transmissive window; 5. a chute; 6. a laser emitting device; 61. a base; 62. a slide plate; 63. an infrared laser lamp; 64. a vertical chute; 65. a connecting rod; 66. an operation block; 67. an elastic pad; 7. a power supply device; 8. a pull wire; 9. a spring; 10. a wire pulling device; 101. a winding wheel; 102. a knob; 103. a clamping block; 104. a card slot; 11. a roller; 12. a tooth socket;
the specific implementation mode is as follows:
the technical solution in the embodiments of the present invention will be clearly and completely described below with reference to the accompanying drawings in the embodiments of the present invention.
As shown in fig. 1, fig. 2, fig. 3, fig. 4, fig. 5, fig. 6, fig. 7 and fig. 8, an adjustable near-infrared orthodontic accelerator for realizing precise treatment comprises a tooth base sleeve 1 and a tooth periphery sleeve 2, the tooth base sleeve 1 and the tooth periphery sleeve 2 form a U-shaped tooth base structure, a light-transmitting window 4 is arranged in the middle of the tooth periphery sleeve 2, sliding grooves 5 are formed in the tooth periphery sleeves 2 on the upper side and the lower side of the light-transmitting window 4, a plurality of laser emitting devices 6 are arranged in the sliding grooves 5 in a sliding mode side by side, each laser emitting device 6 comprises a base 61 and sliding plates 62 arranged at the upper end and the lower end of the base 61, the sliding plates 62 are arranged in the sliding grooves 5, an infrared laser lamp 63 is arranged on the base 61, and a power supply device 7 electrically connected with the infrared laser lamp 63 is arranged in the tooth base sleeve 1.
Preferably, the laser emitting devices 6 are connected through pull wires 8, springs 9 are arranged in the sliding grooves 5, one ends of the springs 9 are connected with the tooth periphery sleeve 2, the other ends of the springs 9 are connected with one ends of the pull wires 8, and the other ends of the pull wires 8 are connected with pull wire devices 10. The wire drawing device 10 is used for drawing the drawing wire 8 to realize that the laser emitting device 6 moves along the sliding groove 5, and the spring 9 is used for providing a back-drawing force when the drawing wire 8 is loosened to realize that the laser emitting device 6 moves back and forth along the sliding groove 5.
Preferably, the base 61 is provided with a vertical sliding groove 64, the infrared laser lamp 63 is slidably disposed in the vertical sliding groove 64, the back of the infrared laser lamp 64 is connected with an operation block 66 through a connecting rod 65 penetrating through the vertical sliding groove 64, and an elastic pad 67 is disposed in the vertical sliding groove 64. Infrared laser lamp 63 can reciprocate along vertical spout 64 through operation block 66 control, realizes the accurate adjustment of infrared light irradiation position, and operation block 66 can rotate the intensity of illumination of adjusting infrared laser lamp 63 simultaneously, can be according to just abnormal treatment's needs, adjusts every infrared laser lamp 63 to the different intensity of illumination, realizes the different intensity laser irradiation to different positions tooth.
Preferably, the side of the slide plate 62 is provided with a roller 11, and the roller 11 is rollably disposed in the chute 5. The roller 11 can ensure the smooth movement of the sliding plate 62 in the sliding groove 5, and avoid the occurrence of jamming during movement.
Preferably, the inner shell 3 is provided on the bottom shell 1, and the alveolus 12 is formed among the outer shell 2, the bottom shell 1 and the inner shell 3. The tooth socket 12 is used for placing teeth, the tooth outer periphery sleeve 2, the tooth bottom sleeve 1 and the tooth inner periphery sleeve 3 can keep surrounding three sides of the teeth, a patient can freely move in the oral cavity in the orthodontic treatment process, the tooth bottom sleeve 1 does not need to be bitten at all times, and the daily life of the patient is facilitated.
Preferably, the thread pulling device 10 comprises a winding wheel 102 disposed inside the tooth periphery sleeve 2, the winding wheel 101 is connected with a knob 102 disposed outside the tooth periphery sleeve 2, a latch 103 is disposed on a side surface of the winding wheel 101, and a slot 104 engaged with the latch 103 is disposed inside the tooth periphery sleeve 2. The knob 102 is used for controlling the rotation of the winding wheel 101 so as to control the tightening and loosening of the stay wire 8 and realize the position adjustment of the laser emitting device 6, and the clamping block 103 is matched with the clamping groove 104 and can be clamped after the rotation adjustment of the winding wheel 101 is finished, so that the winding wheel 101 is prevented from rotating under the tension of the spring 9.
Preferably, the power supply device 7 is a wireless rechargeable battery or a micro ceramic piezoelectric power generation device. The power supply device 7 adopts a wireless rechargeable storage battery, is convenient to charge when not in use, and can utilize the occlusion pressure between the teeth of a patient to charge if adopting a micro ceramic piezoelectric power generation device, so that the use durability is improved.
Preferably, the spacing between each laser emitting device 6 is 5-10 mm.
Preferably, the width of the light source emitted by the infrared laser lamp 63 matches the anatomical morphology of the tooth roots of the asian population, wherein the ratio of the central incisor: 8.5mm, lateral incisor: 7mm, cuspid: 8mm, premolar: 7.5mm, molar: 10.5 mm.
Preferably, the light emitted from the infrared laser lamp 63 is near-infrared laser with a wavelength of 810nm and an intensity of 50mW-100mW/cm2. The strength is safe and reliable, and pain can not be caused.
Preferably, the bottom facing 1, the outer facing 2 and the inner facing 3 are made of flexible heat-conducting silica gel with plasticity and elasticity. The device can be suitable for the tooth arrangement condition of malocclusion patients of different types, has good universality, and the silica gel material with high heat conductivity coefficient can reduce the temperature rise caused by near-infrared heat radiation in the use process of the device, thereby ensuring the safety and the comfort.
This embodiment is except that the appearance, outside the innovation is carried out to function etc, has carried out comprehensive screening and comparison to the material that uses, guarantees that the material is tasteless nontoxic, and chemical property and physical property are stable, and is stand wear and tear, and waterproof nature is good to realize more longe life, meanwhile, has carried out the simulation to its temperature variation condition when wearing in the mouth, guarantees because the intensification that near-infrared heat radiation produced in safety range, guarantees wearer's comfort and security.
Fig. 9 shows simulation graphs of temperature rise when materials with different thermal conductivity coefficients (EVA, TPU, heat conductive silicone) are applied to an orthodontic accelerator, and table 1 shows comparison of simulation temperature rise results.
TABLE 1 comparison of simulated temperature rise of accelerators with three different materials
Figure BDA0003178813200000091
Preferably, the bottom tooth sleeve 1, the outer tooth peripheral sleeve 2 and the inner tooth peripheral sleeve 3 are detachably connected. Can be disassembled and spliced according to the tooth malformation condition of a patient, and can pertinently carry out laser irradiation treatment on the area needing to accelerate the movement of the orthodontic teeth, thereby improving the application range.
Preferably, the laser emitting device 6 is adhesively arranged in the slide groove 5. Because the tooth deformation degrees of different patients are different, the positions where orthodontic tooth movement needs to be accelerated are also different, the laser emitting device 6 can be arranged in the sliding groove 5 in a sticking way, and the laser emitting device 6 can be manually installed and detached, so that the treatment is more targeted.
The use method of the adjustable near-infrared orthodontic accelerator for realizing precise treatment comprises the following steps:
the patient puts into the oral cavity with this device, and the tooth is put into alveolus 12 in, can splice the shape that the tooth base cover 1, tooth outer periphery cover 2 and tooth inner periphery cover 3 are constituteed according to patient's tooth deformity condition, if tooth base cover 1 width broad, then in order to laminate the alveolar bone as far as possible, then can not set up tooth inner periphery cover 3, and the labial side can paste tooth outer periphery cover 2 as far as possible like this. Because the tooth bottom sleeve 1, the tooth outer peripheral sleeve 2 and the tooth inner peripheral sleeve 3 are made of flexible heat-conducting silica gel materials with plasticity and elasticity, the tooth bottom sleeve has waterproof and non-conducting performance, the width of the tooth bottom sleeve 1 is slightly smaller than the width of gum of a patient, and the tooth bottom sleeve can be directly clamped on teeth under the action of self elasticity after being worn without continuously biting and can be suitable for tooth arrangement shapes with various malformations. The teeth are surrounded by three surfaces of the tooth bottom sleeve 1, the outer tooth periphery sleeve 2 and the inner tooth periphery sleeve 3, the outer tooth periphery sleeve 2 is positioned at the outer side of the teeth of the patient, and the infrared laser lamp 63 on the laser emission device 6 emits infrared laser light with the wavelength of 810nm and the intensity of 50mW-100mW/cm2Near-infrared laser, through light-permeable window 4 directive tooth lateral surface, in order to promote the tooth to remove and realize orthodontic treatment, when the position that infrared laser shines needs to be adjusted, through pulling knob 102 on tooth periphery cover 2 outside draw off mechanism 10, make fixture block 103 deviate from draw-in groove 104, rotatory knob 102, make reel 101 rotate and tighten up 8 of acting as go-between, slide 62 removes in spout 5, laser emission device 6 overcomes the pulling force lateral shifting of spring 9, after the lateral adjustment finishes, promote knob 102, make fixture block 103 block 104 of blocking into again, prevent reel 101 gyration, control infrared laser lamp 63 through operation piece 66 and reciprocate along vertical spout 64, realize the accurate regulation of the irradiation position of infrared laser lamp 63, rotatory operation piece 66 then can adjust the intensity of shining of infrared laser lamp 63, guarantee orthodontic treatment's degree of accuracy and speed. When the laser emitting device 6 is arranged in the chute 5 in a sticking mannerThe laser emitting device 6 can be manually installed and disassembled according to different tooth deformity conditions of different patients, and the laser emitting device 6 is aligned to the part needing accelerated orthodontic treatment, so that the treatment is more targeted.
In addition, as can be seen from the simulation result chart of the material temperature field shown in FIG. 9, the high temperature region (37 ℃ or higher) is concentrated around the laser emitting device 6 by 5-20mm during the use2The range is for EVA and TPU material, and tooth bottom cover 1, tooth periphery cover 2 and tooth interior cover 3 all adopt heat conduction silica gel material for the optimal choice, have higher travelling comfort and security, and the radiating effect is good.
The application effect of the invention has the following advantages:
(1) the emitting power of the infrared laser lamp can be flexibly adjusted, each light source corresponds to one tooth, the width of each light source is matched with the tooth anatomical form of the Asian population, the laser irradiation range and the output power can be adjusted in multiple dimensions while the low-intensity near infrared light is used for irradiating the teeth to assist orthodontic treatment, so that the light sources are completely attached to the gum, the tissue reconstruction activity is enhanced more pertinently, the movement speed of the orthodontic teeth is increased, the time cost is saved, the side effect is reduced, accurate personalized treatment is realized, and the accuracy and the speed of the orthodontic treatment are improved to the maximum extent;
(2) the soft elastic material is used and fixed on the teeth by means of the elasticity of the patient, the patient does not need to keep the upper and lower teeth to bite tightly all the time to provide the fixing force, the occlusion burden is greatly reduced, meanwhile, the mouth can be freely opened, the surface is smooth and round, the oral mucosa cannot be scratched, and the wearing experience is comfortable; the portable medical box-type power supply is small in size, has no external box-type power supply, is more convenient to wear and carry, and does not influence the daily life of a patient;
(3) the used material is tasteless and nontoxic, has stable chemical property and physical property, is wear-resistant, has good waterproof property and long service life; meanwhile, after long-term use, the temperature rise is small, the temperature rise generated by the near infrared thermal radiation effect is ensured to be within a safe range, the blood flow and the tissue repair are promoted, the pain is relieved, and the comfort and the safety of a wearer are ensured.
In summary, the adjustable near-infrared orthodontic accelerator for realizing precise treatment provided by the invention solves the problems that in the prior art, the laser irradiation position cannot be adjusted along with the movement of teeth, the accuracy and speed of orthodontic treatment are affected, a patient needs to keep a clenching state of upper and lower teeth during use to fix the accelerator, the fatigue of masticatory muscles and temporomandibular joints is easily caused, the pronunciation is affected, the volume and weight of a circuit box outside an oral cavity are greatly increased, and the circuit box is inconvenient to carry and use in daily life.
The present invention has been described above by way of example, but the present invention is not limited to the above-described specific embodiments, and any modification or variation made based on the present invention is within the scope of the present invention as claimed.

Claims (13)

1. The utility model provides a realize just abnormal accelerator of adjustable nodal pattern near-infrared of accurate treatment, includes tooth bottom cover and tooth periphery cover, the tooth bottom cover with the tooth periphery cover constitutes the facing structure of U type, its characterized in that: the middle part of tooth periphery cover is equipped with the light trap, both sides about the light trap be equipped with the spout on the tooth periphery cover, be equipped with a plurality of laser emission device in the spout side by side slidable, laser emission device includes the base and sets up the slide at both ends about the base, the slide sets up in the spout, be equipped with infrared laser lamp on the base, be equipped with in the tooth bottom cover with the power supply unit that infrared laser lamp electricity is connected.
2. The adjustable near-infrared orthodontic accelerator for precise treatment according to claim 1, wherein: the laser emitting devices are connected through stay wires, springs are arranged in the sliding grooves, one ends of the springs are connected with the tooth periphery sleeve, the other ends of the springs are connected with one ends of the stay wires, and the other ends of the stay wires are connected with stay wire devices.
3. The adjustable near-infrared orthodontic accelerator for precise treatment according to claim 1, wherein: the infrared laser lamp is characterized in that a vertical sliding groove is formed in the base, the infrared laser lamp is arranged in the vertical sliding groove in a sliding mode, the back face of the infrared laser lamp is connected with an operation block through a connecting rod penetrating through the vertical sliding groove, and an elastic cushion is arranged in the vertical sliding groove.
4. The adjustable near-infrared orthodontic accelerator for precise treatment according to claim 1, wherein: the side of the sliding plate is provided with a roller wheel which can be arranged in the sliding groove in a rolling way.
5. The adjustable near-infrared orthodontic accelerator for precise treatment according to claim 1, wherein: the tooth bottom sleeve is provided with an inner tooth periphery sleeve, and tooth sockets are formed among the outer tooth periphery sleeve, the tooth bottom sleeve and the inner tooth periphery sleeve.
6. The adjustable near-infrared orthodontic accelerator for realizing precise treatment according to claim 2, characterized in that: the wire drawing device comprises a wire winding wheel arranged in the tooth peripheral sleeve, the wire winding wheel is connected with a knob arranged outside the tooth peripheral sleeve, a clamping block is arranged on the side face of the wire winding wheel, and a clamping groove matched with the clamping block is arranged in the tooth peripheral sleeve.
7. The adjustable near-infrared orthodontic accelerator for precise treatment according to claim 1, wherein: the power supply device is a wireless rechargeable storage battery or a miniature ceramic piezoelectric power generation device.
8. The adjustable near-infrared orthodontic accelerator for precise treatment according to claim 1, wherein: the distance between every two laser emitting devices is 5-10 mm.
9. The adjustable near-infrared orthodontic accelerator for precise treatment according to claim 1, wherein: the width of a light source emitted by each infrared laser lamp is matched with the tooth root anatomical form of Asian people, wherein the width of the light source is as follows: 8.5mm, lateral incisor: 7mm, cuspid: 8mm, premolar: 7.5mm, molar: 10.5 mm.
10. The adjustable near-infrared orthodontic accelerator for precise treatment according to claim 1, wherein: the light emitted by the infrared laser lamp is near-infrared laser with the wavelength of 810nm, and the power density is 50mW-100mW/cm2
11. The adjustable near-infrared orthodontic accelerator for realizing precise treatment according to claim 5, characterized in that: the tooth bottom sleeve, tooth periphery sleeve with the tooth interior cover all adopts the flexible heat conduction silica gel material that has plasticity and elasticity.
12. The adjustable near-infrared orthodontic accelerator for realizing precise treatment according to claim 5, characterized in that: the tooth bottom sleeve, the tooth outer circumference sleeve and the tooth inner circumference sleeve are detachably connected.
13. The adjustable near-infrared orthodontic accelerator for precise treatment according to claim 1, wherein: the laser emitting device can be arranged in the sliding groove in a sticking mode.
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CN114391987B (en) * 2022-02-28 2023-04-11 南昌大学附属口腔医院(江西省口腔医院) Adjustable orthodontic accelerator for realizing precise treatment
CN114795523A (en) * 2022-04-13 2022-07-29 华中科技大学同济医学院附属协和医院 Micro-magnetic orthodontic accelerator
CN115281861B (en) * 2022-08-26 2023-07-18 华中科技大学同济医学院附属协和医院 Multifunctional near infrared orthodontic accelerator for inhibiting formation of dental plaque
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