CN113545871A - Invisible tooth appliance and manufacturing method and using method thereof - Google Patents
Invisible tooth appliance and manufacturing method and using method thereof Download PDFInfo
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- CN113545871A CN113545871A CN202010331160.XA CN202010331160A CN113545871A CN 113545871 A CN113545871 A CN 113545871A CN 202010331160 A CN202010331160 A CN 202010331160A CN 113545871 A CN113545871 A CN 113545871A
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- 238000000034 method Methods 0.000 title claims description 18
- 238000004519 manufacturing process Methods 0.000 title claims description 15
- 230000000694 effects Effects 0.000 claims abstract description 20
- 239000012528 membrane Substances 0.000 claims abstract description 11
- 238000013461 design Methods 0.000 claims abstract description 8
- 238000012937 correction Methods 0.000 claims description 46
- 210000001951 dura mater Anatomy 0.000 claims description 25
- 239000000463 material Substances 0.000 claims description 11
- 238000012795 verification Methods 0.000 claims description 10
- 210000000214 mouth Anatomy 0.000 claims description 6
- 210000003781 tooth socket Anatomy 0.000 claims description 4
- 230000003247 decreasing effect Effects 0.000 claims description 3
- 238000002360 preparation method Methods 0.000 claims description 2
- 210000003446 pia mater Anatomy 0.000 description 3
- 230000008569 process Effects 0.000 description 3
- 230000004048 modification Effects 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 230000002787 reinforcement Effects 0.000 description 2
- 230000008859 change Effects 0.000 description 1
- 230000007547 defect Effects 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 230000037213 diet Effects 0.000 description 1
- 235000005911 diet Nutrition 0.000 description 1
- 230000004069 differentiation Effects 0.000 description 1
- 239000012780 transparent material Substances 0.000 description 1
- 239000002699 waste material Substances 0.000 description 1
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Classifications
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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
- A61C7/002—Orthodontic computer assisted systems
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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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- B—PERFORMING OPERATIONS; TRANSPORTING
- B29—WORKING OF PLASTICS; WORKING OF SUBSTANCES IN A PLASTIC STATE IN GENERAL
- B29C—SHAPING OR JOINING OF PLASTICS; SHAPING OF MATERIAL IN A PLASTIC STATE, NOT OTHERWISE PROVIDED FOR; AFTER-TREATMENT OF THE SHAPED PRODUCTS, e.g. REPAIRING
- B29C64/00—Additive manufacturing, i.e. manufacturing of three-dimensional [3D] objects by additive deposition, additive agglomeration or additive layering, e.g. by 3D printing, stereolithography or selective laser sintering
- B29C64/30—Auxiliary operations or equipment
- B29C64/386—Data acquisition or data processing for additive manufacturing
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- B—PERFORMING OPERATIONS; TRANSPORTING
- B33—ADDITIVE MANUFACTURING TECHNOLOGY
- B33Y—ADDITIVE MANUFACTURING, i.e. MANUFACTURING OF THREE-DIMENSIONAL [3-D] OBJECTS BY ADDITIVE DEPOSITION, ADDITIVE AGGLOMERATION OR ADDITIVE LAYERING, e.g. BY 3-D PRINTING, STEREOLITHOGRAPHY OR SELECTIVE LASER SINTERING
- B33Y50/00—Data acquisition or data processing for additive manufacturing
Abstract
The invention discloses an invisible orthodontic appliance, which comprises a soft membrane invisible appliance for correcting teeth and a hard membrane invisible appliance for verifying the orthodontic effect, wherein the soft membrane invisible appliance comprises a first-stage appliance, a second-stage appliance, a third-stage appliance and a fourth-stage appliance, the first-stage appliance, the second-stage appliance, the third-stage appliance and the fourth-stage appliance are sequentially used for correcting the teeth, and the hard membrane invisible appliance is worn after the fourth-stage appliance is corrected, namely a 4+1 correcting mode. The shape of the epidural invisible appliance is consistent with that of the fourth-stage appliance, when teeth are corrected, a doctor can design four stages to correct according to tooth conditions, theoretically, when the fourth-stage appliance is worn, the teeth can reach an expected target to be corrected, the fourth-stage appliance is taken down at the moment, and the epidural invisible appliance is worn to verify whether the teeth are corrected to reach the expected target.
Description
Technical Field
The invention belongs to the technical field of orthodontics, and particularly relates to an invisible orthodontics device and a manufacturing method and a using method thereof.
Background
The correction effect of the invisible orthodontics is related to the compliance of the patient, and the patient obtains the correction effect by wearing the invisible orthodontics regularly. The patient does not wear the appliance on time for a long time, which causes deviation of the correction process of the patient and leads to restart of the whole case (re-manufacturing of the scheme and the appliance). Many doctors in charge will regularly remind and ask about the patient, but it is very troublesome to follow up with many cases.
Currently, orthotics are produced in two situations:
1. after all the products are produced according to the correction scheme, the products are placed at a doctor and are worn under the supervision of the doctor.
2. Directly and completely sent to the patient, and worn by the patient.
Disclosure of Invention
Aiming at the defects in the prior art, the invention aims to provide the invisible orthodontic appliance which is simple in structure and convenient to use, and also provides a manufacturing method and a using method of the invisible orthodontic appliance.
In order to achieve the above object, the present invention provides a concealed orthodontic appliance, comprising: including the stealthy ware of rescaling of mantle and the stealthy ware of rescaling of dura mater that is used for verifying orthodontics effect of correcting tooth, the stealthy ware of rescaling of mantle includes first stage unscrambler, second stage unscrambler, third stage unscrambler and fourth stage unscrambler, uses first stage unscrambler, second stage unscrambler, third stage unscrambler and fourth stage unscrambler in proper order during the orthodontic tooth to correct, the stealthy ware of rescaling of dura mater is worn again after the fourth stage unscrambler is corrected and is accomplished.
Further, the shape of the dural concealed appliance is consistent with that of the fourth stage appliance.
Further, the difference between the thickness of the hard film invisible appliance and the thickness of the soft film invisible appliance is larger than 0.1 mm.
Further, the thickness of the dura mater invisible appliance is 0.85 mm-1.0 mm, the thickness of the pia mater invisible appliance is 0.7 mm-0.8 mm, and the thickness of the first stage appliance, the second stage appliance, the third stage appliance and the fourth stage appliance is the same.
Furthermore, ware is rescued in the stealthy ware of rescuring of mantle and the stealthy ware of rescuring of dura mater all include the facing main part that is used for being connected with the tooth, are equipped with the denture fixing device who is used for correcting with the tooth agrees with in the facing main part.
Furthermore, the sizes of the denture bases on the first-stage corrector, the second-stage corrector, the third-stage corrector and the fourth-stage corrector are sequentially decreased, and the increment amount is 0.2-0.3 mm.
The invention also provides a manufacturing method of the invisible dental appliance, which is characterized by comprising the following steps: the preparation method comprises
Step 1, scanning an upper bed and a lower bed of an oral cavity by using an oral cavity scanner, and collecting gum and tooth data of a user;
and 4, retaining gum and tooth data of the fourth-stage appliance in the 3D printer, injecting a base material for manufacturing the hard film invisible appliance into the 3D printer, and printing the hard film invisible appliance by the 3D printer according to the gum and tooth data of the fourth-stage appliance.
The invention also provides a using method of the invisible dental appliance, which is characterized in that: the using method comprises the following steps:
s1, gradually using a first-stage corrector, a second-stage corrector, a third-stage corrector and a fourth-stage corrector by a patient to correct teeth, and wearing a hard film invisible appliance after the fourth-stage corrector finishes correction;
s2, when the patient wears the dura mater invisible appliance, if the patient does not wear the dura mater invisible appliance or does not fit the dura mater invisible appliance, the correction effect can be judged to be separated from expectation;
and S3, the patient or the doctor enables the patient to wear a certain pair of previous orthotics again, the moving state between the teeth and the orthotics is evaluated, and backtracking verification is carried out to judge which stage has a problem.
The technical scheme adopted by the invention has the advantages that:
1. the shape of the hard film invisible appliance is consistent with that of the fourth-stage appliance, when teeth are corrected, a doctor can design four stages to correct according to tooth conditions, each stage corresponds to one appliance, namely the first-stage appliance, the second-stage appliance, the third-stage appliance and the fourth-stage appliance are used for gradually correcting the teeth, theoretically, when the fourth-stage appliance is worn, the teeth should reach an expected target to be corrected, at the moment, the fourth-stage appliance is taken down, and the hard film invisible appliance is worn to verify whether the teeth are corrected to reach the expected target. The dura mater invisible appliance also has the function of maintaining the correction effect of the first four stages, namely playing a role in reinforcement.
2. When the patient wears the dura mater invisible appliance, if the patient does not wear the dura mater invisible appliance or does not fit the dura mater invisible appliance, the correction effect can be judged to be deviated from the expected target. Therefore, the doctor can evaluate to let the patient wear a certain pair of the previous orthotics again, and perform backward pursuit verification to judge which stage has the problem; such wearing mode avoids correcting the in-process and produces the problem of losing steps because of the patient wears the problem and prolong and correct the cycle, lets the patient have better compliance, and this kind of 4+ 1's correction mode is difficult to appear the treatment deviation to reach better correction effect.
3. The 4+1 stage of the present invention effectively verifies that the +1 stage is the previous four stages of correction, and ninety percent of the unintended movements are within the previous four correction stages from clinical data. The unintended movement of the appliances in the first three stages is minimal and therefore the composition of the fourth stage of the pia correction plus a pair of epidural contact appliances 5 is clinically proven.
Drawings
The invention is described in further detail below with reference to the following figures and detailed description:
FIG. 1 is a schematic view of a first stage orthotic of the present invention;
FIG. 2 is a schematic view of a second stage orthotic of the present invention;
FIG. 3 is a schematic view of a third stage orthotic of the present invention;
FIG. 4 is a diagram illustrating a fourth stage orthotic of the present invention;
fig. 5 is a schematic view of the epidural invisible appliance of the invention.
The labels in the above figures are respectively: 1. a first stage orthotic; 2. a second stage orthotic; 3. a third stage orthotic; 4. a fourth stage orthotic; 5. a dura mater invisible appliance; 6. a mouthpiece main body; 7. a dental tray.
Detailed Description
In the present invention, it is to be understood that the terms "length", "width", "upper", "lower", "front", "rear", "left", "right", "vertical", "horizontal", "top", "bottom", "inner", "outer", "clockwise", "counterclockwise", "axial", "planar direction", "circumferential", etc., indicate orientations or positional relationships based on those shown in the drawings, and are only for convenience of description and simplicity of description, but do not indicate or imply that the device or element being referred to must have a particular orientation, be constructed and operated in a particular orientation, and thus, should not be construed as limiting the present invention.
As shown in fig. 1, a contact orthodontic appliance is characterized in that: including the stealthy ware of rescaling of mantle and the stealthy ware of rescaling 5 of dura mater that is used for verifying orthodontics effect of correcting tooth, the stealthy ware of rescaling of mantle includes first stage unscrambler 1, second stage unscrambler 2, third stage unscrambler 3 and fourth stage unscrambler 4, use first stage unscrambler 1 during the orthodontic tooth in proper order, second stage unscrambler 2, third stage unscrambler 3 and fourth stage unscrambler 4 correct, wear the stealthy ware of rescrambler 5 of dura mater again after the fourth stage unscrambler 4 is corrected and is accomplished, for 4+1 orthodontics mode promptly. The shape of the epidural invisible appliance 5 is consistent with that of the fourth-stage appliance 4, when teeth are corrected, a doctor can design four stages to correct according to tooth conditions, each stage corresponds to one appliance, namely the first-stage appliance 1, the second-stage appliance 2, the third-stage appliance 3 and the fourth-stage appliance 4 are used for gradually correcting the teeth, theoretically, when the fourth-stage appliance 4 is worn, the teeth should reach an expected target to be corrected, at the moment, the fourth-stage appliance 4 is taken down, and the epidural invisible appliance 5 is worn to verify whether the teeth are corrected to reach the expected target. The epidural invisible appliance 5 also has the function of maintaining the correction effect of the first four stages, namely playing a role in reinforcement. The first-stage corrector 1, the second-stage corrector 2, the third-stage corrector 3, the fourth-stage corrector 4 and the dura mater invisible corrector 5 are all made of transparent materials or made of other invisible materials so as to achieve the aim of invisibility.
The difference between the thickness of the invisible dura mater appliance 5 and the thickness of the invisible pia mater appliance is greater than 0.1mm, that is, the diaphragm with the thickness of 0.75 needs to pass through the diaphragm with the thickness greater than 0.85, so that the verification can be carried out. Preferably, the thickness of the dura mater invisible appliance 5 is 0.85mm to 1.0mm, the thickness of the pia mater invisible appliance is 0.7mm to 0.8mm, and the thickness of the first stage appliance 1, the second stage appliance 2, the third stage appliance 3 and the fourth stage appliance 4 are the same. The soft membrane invisible appliance and the hard membrane invisible appliance 5 both comprise a tooth socket main body 6 connected with teeth, and a denture 7 matched with the teeth for correction is arranged on the tooth socket main body 6. The sizes of the denture bases 7 on the first-stage appliance 1, the second-stage appliance 2, the third-stage appliance 3 and the fourth-stage appliance 4 are sequentially decreased, and the increment and decrement are 0.2-0.3 mm.
First stage unscrambler 1 is worn at first during the correction, corrects when first stage unscrambler 1 and accomplishes, takes off first stage unscrambler 1, wears second stage unscrambler 2 again, then wears third stage unscrambler 3 and fourth stage unscrambler 4 in proper order, wears the stealthy ware of correcting of dura mater 5 again after fourth stage unscrambler 4 corrects the completion. When the patient wears the epidural invisible appliance 5, if the patient is not worn or attached, the correction effect can be judged to be deviated from the expected target. The doctor can then evaluate to allow the patient to re-wear a previous pair of orthotics and perform a back-tracking verification to determine which stage has the problem. For example, when the first-stage appliance 1 is worn, if the first-stage appliance 1 can be easily attached to teeth and loose from the teeth, and the first-stage appliance 1 can be easily removed from the teeth, it indicates that the orthodontic effect of the first-stage appliance 1 meets the expectation and achieves the aim of orthodontics, and indicates that the first-stage appliance has no problem; if the first-stage appliance 1 is difficult to be attached to the teeth and is in close contact with the teeth, and the first-stage appliance 1 cannot be easily removed from the teeth, it indicates that the orthodontic effect of the first-stage appliance 1 is not expected and the orthodontic purpose is not achieved, and indicates that the first-stage appliance has a problem. The verification method of the correction effect of the second-stage corrector 2, the third-stage corrector 3 and the fourth-stage corrector 4 is the same as the verification method of the correction effect of the first-stage corrector 1.
Such wearing mode avoids correcting the in-process and produces the problem of losing steps because of the patient wears the problem and prolong and correct the cycle, lets the patient have better compliance, and this kind of 4+ 1's correction mode is difficult to appear the treatment deviation to reach better correction effect.
In production, the invisible orthotics are sent by 4 pairs once, so that the material waste caused by case restart or correction scheme change possibly generated subsequently is avoided.
The 4+1 stage may effectively verify the correction of the previous four stages through the +1 stage, with ninety percent of the unintended movement being within the previous four correction stages through clinical data. The unexpected movement of the orthodontic appliances in the first three stages is very little, so that the fourth stage of the soft membrane correction plus a pair of the dural invisible appliances 5 is in accordance with the clinical verification, and the difference of the thicknesses of the soft membrane and the hard membrane is required to be more than 0.1mm, namely, the diaphragm with the thickness of 0.75 needs to pass through the diaphragm with the thickness of more than 0.85 for verification.
The manufacturing method of the invisible dental appliance comprises the following steps:
step 1, scanning an upper bed and a lower bed of an oral cavity by using an oral cavity scanner, and collecting gum and tooth data of a user;
and 4, reserving gum and tooth data of the fourth-stage appliance 4 in the 3D printer, injecting a base material for manufacturing the hard film invisible appliance 5 into the 3D printer, and printing the hard film invisible appliance 5 by the 3D printer according to the gum and tooth data of the fourth-stage appliance 4.
The use method of the invisible dental appliance comprises the following steps:
s1, gradually using a first-stage corrector 1, a second-stage corrector 2, a third-stage corrector 3 and a fourth-stage corrector 4 by a patient to correct teeth, and wearing a dura mater invisible appliance 5 after the fourth-stage corrector 4 finishes correction;
s2, when the patient wears the dura mater invisible appliance 5, if the patient is not worn or attached, the correction effect can be judged to be separated from the expectation;
and S3, the patient or the doctor enables the patient to wear a certain pair of previous orthotics again, the moving state between the teeth and the orthotics is evaluated, and backtracking verification is carried out to judge which stage has a problem.
The current clinically validated methods are:
if the four-stage soft film appliance is designed to have low anterior tooth pressure and cannot reach the expected pressure after wearing, when the '1-4 stage appliance' is worn, the anterior tooth position of the appliance is difficult to be in place, and the wrapping property is poor;
for example, the four-stage soft film appliance designs the front teeth to twist the teeth, the expected twisting angle is not achieved after the appliance is worn, the actual state of the teeth is greatly different from the appliance state, and the appliance in the 1-4 stages cannot be worn;
for example, the four-stage soft film appliance designs the adducted anterior teeth, the expected state is not reached after wearing, the actual positions of the teeth are greatly different from the appliance, and the appliance in the 1-4 stages cannot be worn;
for example, when the four-stage soft film appliance is designed to move a certain tooth and cannot achieve the expected correction effect after being worn, the appliance can bounce at the position and is difficult to be in place and poor in wrapping property when the 1-4 stage appliance is worn.
Since the amount of movement of each pair of the four-stage appliances is 0.2 to 0.3mm, the treating doctor can perform a back-and-forth movement according to the tooth movement state after the fourth-stage appliance (4) has occurred as described above.
Clinical studies show that in cases treated with the "4 + 1" orthodontic mode, the case restart rate is significantly improved: the restart rate of the traditional invisible orthodontic complex case is about 30 percent, and the restart rate can be reduced to 10 percent by the correction mode of 4+ 1; the traditional simple case of the invisible orthodontic has the restart rate of about 10 percent, and the 4+1 correction mode can directly avoid the restart theoretically.
The noun explanations referred to in the present invention:
1. case/case restart: the method refers to the situation that a patient has a correction scheme and a correction plan which are seriously deviated from the original targets and a subsequent appliance cannot be worn completely in the tooth correction process. This occurs and the patient needs to re-plan the correction with the planning physician.
2. Compliance: refers to the patient wearing the appliance according to the doctor's requirements, including but not limited to diet, wearing time, wearing duration, wearing occasion, etc.
3. The correction scheme comprises the following steps: the orthodontic plan refers to a doctor straightening teeth by analyzing the final straightening objective of a patient.
4. Differentiation of simple and complex cases: simple cases generally refer to cases that can be corrected by invisible correction within one year, complex cases generally refer to cases in which the correction process exceeds one year, and generally 25 pairs of orthotics are used as a boundary.
The invention is described above with reference to the accompanying drawings, it is obvious that the specific implementation of the invention is not limited by the above-mentioned manner, and it is within the scope of the invention to adopt various insubstantial modifications of the technical solution of the invention or to apply the concept and technical solution of the invention directly to other occasions without modification.
Claims (8)
1. A invisible dental appliance, comprising: including the stealthy ware of rescaling of mantle and the stealthy ware of rescaling (5) of dura mater that is used for verifying orthodontics effect of correcting tooth, the stealthy ware of rescaling of mantle includes first stage unscrambler (1), second stage unscrambler (2), third stage unscrambler (3) and fourth stage unscrambler (4), use first stage unscrambler (1) in proper order during orthodontic tooth, second stage unscrambler (2), third stage unscrambler (3) and fourth stage unscrambler (4) are corrected, ware (5) are rescued in stealthy of dura mater of wearing again after fourth stage unscrambler (4) are corrected and are accomplished.
2. The invisible dental appliance of claim 1, wherein: the shape of the dura mater invisible appliance (5) is consistent with that of the fourth-stage appliance (4).
3. The invisible dental appliance of claim 1 or 2, wherein: the difference between the thickness of the hard film invisible appliance (5) and the thickness of the soft film invisible appliance is larger than 0.1 mm.
4. The invisible dental appliance of claim 3, wherein: the thickness of the hard film invisible appliance (5) is 0.85 mm-1.0 mm, the thickness of the soft film invisible appliance is 0.7 mm-0.8 mm, and the thicknesses of the first stage appliance (1), the second stage appliance (2), the third stage appliance (3) and the fourth stage appliance (4) are the same.
5. The invisible dental appliance of claim 4, wherein: the soft membrane invisible appliance and the hard membrane invisible appliance (5) both comprise a tooth socket main body (6) connected with teeth, and a denture base (7) matched with the teeth for correction is arranged on the tooth socket main body (6).
6. The invisible dental appliance of claim 5, wherein: the sizes of the denture bases (7) on the first-stage corrector (1), the second-stage corrector (2), the third-stage corrector (3) and the fourth-stage corrector (4) are sequentially decreased, and the increment amount is 0.2-0.3 mm.
7. The method of manufacturing a concealed orthodontic appliance according to any one of claims 1 to 6, wherein: the preparation method comprises
Step 1, scanning an upper bed and a lower bed of an oral cavity by using an oral cavity scanner, and collecting gum and tooth data of a user;
step 2, a correction scheme is formulated according to the tooth skew and torsion conditions, the gum and tooth data collected in the step 1 are modified to design a soft film invisible appliance, and a first-stage appliance (1), a second-stage appliance (2), a third-stage appliance (3) and a fourth-stage appliance (4) are manufactured to be corrected step by step;
step 3, injecting a base material for manufacturing the soft film invisible appliance into a 3D printer, and importing the gum and tooth data modified in the step 2 into the 3D printer; the 3D printer prints a mouthpiece main body (6) connected with teeth and a dental tray (7) matched with the teeth for correction by using the base material according to the modified gum and the tooth data;
and 4, reserving gum and tooth data of the fourth-stage appliance (4) in the 3D printer, injecting a base material for manufacturing the hard film invisible appliance (5) into the 3D printer, and printing the hard film invisible appliance (5) by the 3D printer according to the gum and tooth data of the fourth-stage appliance (4).
8. The method of using the invisible dental appliance of any one of claims 1 to 7, wherein: the using method comprises the following steps:
s1, a patient gradually uses a first-stage corrector (1), a second-stage corrector (2), a third-stage corrector (3) and a fourth-stage corrector (4) to correct teeth, and wears a dura mater invisible appliance (5) after the fourth-stage corrector (4) finishes correction;
s2, when the patient wears the dura mater invisible appliance (5), if the patient is not worn or attached, the correction effect can be judged to be separated from the expectation;
and S3, the patient or the doctor enables the patient to wear a certain pair of previous orthotics again, the moving state between the teeth and the orthotics is evaluated, and backtracking verification is carried out to judge which stage has a problem.
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Application publication date: 20211026 |