CN113662687A - Invisible bracket-free appliance - Google Patents

Invisible bracket-free appliance Download PDF

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Publication number
CN113662687A
CN113662687A CN202111106574.3A CN202111106574A CN113662687A CN 113662687 A CN113662687 A CN 113662687A CN 202111106574 A CN202111106574 A CN 202111106574A CN 113662687 A CN113662687 A CN 113662687A
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CN
China
Prior art keywords
orthopedic
tooth
patch
bracket
dental
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Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Withdrawn
Application number
CN202111106574.3A
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Chinese (zh)
Inventor
邱波
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Hunan Yazhengmei Technology Co ltd
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Hunan Yazhengmei Technology Co ltd
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Priority to CN202111106574.3A priority Critical patent/CN113662687A/en
Publication of CN113662687A publication Critical patent/CN113662687A/en
Withdrawn legal-status Critical Current

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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

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  • Health & Medical Sciences (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Dentistry (AREA)
  • Epidemiology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Dental Tools And Instruments Or Auxiliary Dental Instruments (AREA)

Abstract

The invention discloses a bracket-free invisible appliance, which is used for correcting deformed teeth and comprises a tooth socket body, wherein the tooth socket body comprises a lower tooth socket and an upper tooth socket, the position of the tooth socket body, corresponding to the deformed teeth to be corrected, is also provided with a correcting seat, the correcting seat simultaneously protrudes towards the inner side and the outer side of the tooth socket body, a correcting groove is formed in the correcting seat, a positioning groove is formed in the correcting groove, correcting patches are arranged in the positioning groove, the correcting patches are arranged in pairs and are clamped in the positioning groove through a clamping part, and a guide part for guiding the deformed teeth to correct is formed on the surface side of the correcting patches; the tooth sheath body and the orthopedic paster are made of thermoplastic multi-molecular materials in a molding mode, and the elastic modulus of the orthopedic paster is larger than that of the tooth sheath body. The invention can effectively reduce the tooth orthopedic cost and ensure the orthopedic quality, and has the characteristics of safety, sanitation, easy wearing and no influence on the tooth appearance.

Description

Invisible bracket-free appliance
Technical Field
The invention relates to the field of oral clinical orthodontics, in particular to a bracket-free invisible appliance for orthodontics.
Background
With the change of the eating habits and the life styles of people and the insufficient attention on the oral hygiene, the teeth deformity is common, and the occurrence of the teeth deformity causes great adverse effect on the life quality of patients. The orthodontics in oral clinical medicine refers to the orthodontics of the originally irregular teeth of a patient by a tooth appliance, so that the teeth are arranged in order. The traditional tooth orthodontic mode is orthodontic bracket, each bracket is fixed on the surface of the tooth through adhesive, and an arch wire passes through the groove of each bracket to exert various types of orthodontic force on the tooth, so that the tooth is straightened.
In recent years, with the development of digitalization, more and more digitalization technologies are applied to oral clinics, bracket-free invisible appliances appear on the market, the bracket-free invisible appliances are tooth sheath structures which are attached to orthopedic structures and obtained by combining a computer-aided printing design and a 3D scanning technology, and are customized by taking high polymer plastics as raw materials, so that the material is high in transparency, safe, sanitary, moderate in strength and elasticity, and capable of controlling the magnitude of orthodontic force and controlling the time of orthodontic force action. Compared with the traditional orthodontic bracket correction, the bracket-free transparent tooth socket can be automatically taken off and worn, does not influence food intake, does not influence the cleanness and sanitation of the oral cavity, pays attention to the attractive appearance of the teeth, does not contain foreign matters such as brackets, steel wires and the like, and does not cause wound to the oral cavity, thereby being widely applied.
However, the bracket-free invisible appliance has advantages when correcting a plurality of teeth, but has the defects that the elasticity formed by the macromolecular plastics in the correcting process is weaker than the correcting force formed by the arch wire in the traditional orthodontic bracket, and when the number of teeth needing to be corrected is less and the teeth are seriously dislocated, a plurality of correcting steps are needed to be decomposed, and more transparent tooth sockets are manufactured in a matching way, so that the correcting efficiency is low, the correcting period is long and the correcting cost is high.
Disclosure of Invention
The technical problem to be solved by the invention is to provide a bracket-free invisible appliance to solve the defects in the technical background.
The technical problem solved by the invention is realized by adopting the following technical scheme:
a bracket-free invisible appliance comprises a dental socket body, wherein the dental socket body comprises a lower dental socket and an upper dental socket, the lower dental socket and the upper dental socket are respectively formed with a lower dental socket and an upper dental socket, the lower dental socket is attached to a lower dental model of a wearer so that lower teeth of the wearer are inserted and fixed in position, and the upper dental socket is attached to an upper dental model of the wearer with a margin so that jaw teeth of the wearer are inserted and an upper jaw is moved forwards or backwards by a preset distance to shape a jaw;
the tooth socket body is provided with a convex part formed on the tooth socket body, the convex part is projected towards the inner side and the outer side of the tooth socket body, an orthopedic groove is formed in the orthopedic seat, the orthopedic groove is larger than the size of the deformed tooth to be orthopedic, positioning grooves with inner necks are formed in the orthopedic groove and corresponding to the tooth surface side and the tooth back side, orthopedic patches are attached to the inner sides of the positioning grooves, the orthopedic patches are arranged in pairs, a clamping part is formed on the back side of each orthopedic patch and used for clamping in the positioning grooves, and a guide part for guiding the deformed tooth to be orthopedic is formed on the surface side of each orthopedic patch;
the orthopedic patch is of a disposable structure in the positioning groove, and can be replaced by a new orthopedic patch for replacement or further orthopedic after being broken and detached by a special tool;
the tooth sheath body and the orthopedic patch are both made of biocompatible thermoplastic multi-molecular materials through molding, and the elastic modulus of the orthopedic patch is greater than that of the tooth sheath body.
As a further limitation, the lower shell and the upper shell can be used independently to individually correct malformed teeth on the upper socket or the lower socket.
By way of further limitation, the orthopedic support is formed with smooth cambered surfaces on the inner convex part and the outer convex part of the corresponding tooth socket body and is in smooth and continuous transition with the lateral tooth socket body surface, so that discomfort of the inner convex part and the outer convex part on the tongue side and the lip side during wearing is reduced.
As a further limitation, the lower tooth socket and the upper tooth socket are formed by reverse molding according to a 3D scanning model of the teeth of the bracket-free invisible appliance user, a convex seat is reserved at the position of the teeth to be corrected, and the reserved groove seat is arranged on the inner side of the convex seat in a cutting and forming manner.
As a further limitation, the lower shell and the upper shell are provided with molar fixing grooves corresponding to the left and right molar positions, the upper portions of the molar fixing grooves are inwardly contracted and have elasticity, and friction lines are formed on the inner sides of the molar fixing grooves so as to wear and fix the corresponding lower shell and the upper shell through occlusion at the positions of the molar fixing grooves.
As a further limitation, the inner side of the positioning groove is also formed with positioning auxiliary grooves which are vertical strip-shaped grooves arranged at intervals, and the clamping part of the orthopedic patch is provided with a protruding part matched with the positioning auxiliary grooves, and can realize self-locking fixation through daily use after being clamped.
By way of further limitation, the clamping portion is of a disposable clamping structure, and the orthopedic patch is disposable to be removed and used by breaking the clamping portion.
As a further limitation, the glove body and the orthopedic patch are made of transparent PEEK, PEKK or POM of medical prosthesis grade.
Has the advantages that: the bracket-free invisible appliance disclosed by the technical scheme of the invention has the advantages of transparency, comfort and taking off and wearing, can effectively ensure that a user furthest ensures the normal oral hygiene habit, can take food at will, cannot obstruct the protection of oral hygiene, cannot stimulate buccal mucosa and surrounding soft tissues like a bracket and an arch wire, and can reduce the discomfort of the wearer when in use; simultaneously, advanced correction can be carried out by replacing the correction paster, different tooth correction forces and different tooth moving modes can be provided on the premise of not increasing the number of the tooth correction devices, the number of the bracket-free invisible correction devices which are matched and used in a single correction treatment course can be effectively reduced while the correction effect is ensured, the correction cost of the teeth is further reduced, and the correction paster is particularly suitable for correcting the cases with less teeth and serious teeth dislocation.
Drawings
Fig. 1 is a schematic structural diagram of a preferred embodiment of the present invention.
Wherein: 1. a gum; 2. teeth to be shaped; 3. an orthopedic seat; 4. assembling a seam at a fillet; 5. an anterior orthopedic patch; 6. positioning a groove; 7. positioning the auxiliary groove; 8. posterior orthopedic patches.
Detailed Description
In order to make the technical means, the creation characteristics, the achievement purposes and the effects of the invention easy to understand, the invention is further explained below by combining the specific drawings.
It should be noted that if directional indications (such as according to the upper, lower, left, right, front and rear … …) are involved in the embodiment of the present invention, the directional indications are only used to explain the relative positional relationship, movement, etc. of the components in a specific posture (according to the figure), and if the specific posture is changed, the directional indications are changed accordingly.
In the following examples, it will be understood by those skilled in the art that, unless otherwise defined, all terms (including technical and scientific terms) used herein have the same meaning as commonly understood by one of ordinary skill in the art to which this application belongs. It will be further understood that terms, such as those defined in commonly used dictionaries, should be interpreted as having a meaning that is consistent with their meaning in the context of the prior art and will not be interpreted in an idealized or overly formal sense unless expressly so defined herein.
Referring to fig. 1, a bracket-less invisible appliance is shown in a cross-sectional view of an upper shell of a shell at the location of a tooth 2 to be reshaped. In this embodiment, before the bracket-free invisible appliance is used for orthopedic patients, one of the upper teeth is moved backwards due to bad habits, and the dental caries caused by the backward movement of the teeth can increase the pain of the correction process when excessive tooth correction force is applied to the dental caries. Therefore, the bracket-free invisible appliance of the embodiment is adopted for correction.
The bracket-free invisible appliance should include a complete shell including a lower shell and an upper shell, the upper and lower shells having upper and lower sockets therein which are fitted with teeth of a patient, the lower socket fitting a mandibular teeth form of the wearer to insert and positionally fix the mandibular teeth of the wearer, and the upper socket fitting an maxillary teeth form of the wearer with a margin to insert and advance or retreat the maxillary teeth by a predetermined distance to correct the jawbone. Considering that the patient only needs to correct one tooth, the lower tooth socket can be not prepared or can be selectively worn after being prepared so as to improve the aesthetic degree; the upper tooth socket comprising the teeth to be corrected can be directly prepared, and the upper tooth socket can be worn to correct the teeth after being prepared and can also be taken down automatically according to the situation.
The upper tooth socket and the lower tooth socket of the tooth socket body are obtained by scanning the jaw part of a patient through optical equipment 3D to obtain a tooth jaw model of the patient, performing inversion according to the tooth jaw model and formulating an orthopedic scheme, wherein transparent polyether ketone (PEKK) with relatively small elastic modulus is used as a material for performing hot press molding on an inverted mold body of the tooth jaw model according to the orthopedic scheme, spaces are reserved on two sides of the position of a tooth 2 to be orthopedic during molding, an orthopedic seat 3 with a bulging convex part in the front and the rear is obtained, and a cavity with the size larger than the tooth 2 to be orthopedic is molded on the inner side of the orthopedic seat 3 to serve as an orthopedic groove. In the present embodiment, the thickness of the upper shell except for the position of the orthopedic base 3 is uniform, so that the upper shell has better comfort during the wearing process of the patient; the thickness thereof may be selected according to the material properties or the distortion state of the tooth 2 to be corrected, and the softer the material, the thicker the thickness should be, and the more severe the distortion of the tooth 2 to be corrected, the thicker the thickness.
The orthopedic base 3 is provided with a bulge at the position of the tooth 2 to be orthopedic, so that a positioning groove 6 can be reserved in the bulge positions at the two sides of the orthopedic groove of the orthopedic base 3, the notch of the positioning groove 6 is provided with an inward shrinkage neck, and a positioning auxiliary groove 7 is arranged at the bottom of the positioning groove 6. And the positioning pair 7 grooves are vertical strip-shaped grooves arranged at intervals.
A doctor customizes a multi-section correcting scheme according to the situation of teeth to be corrected, wherein each section of correcting scheme uses a group of correcting patches, and the multi-section correcting scheme uses the same upper tooth socket (usually, the same upper tooth socket is used for 2-4 sections of correcting schemes). The orthopedic patch group is matched with the upper dental sleeve for use, each orthopedic patch group comprises an anterior orthopedic patch 5 and a posterior orthopedic patch 8 which are arranged in pairs, and in the embodiment, the anterior orthopedic patch 5 and the posterior orthopedic patch 8 are both made of transparent polyether ketone (PEKK) with high elastic modulus through molding; so that the elasticity of the anterior and posterior orthopedic patches 5 and 8 is greater than the elasticity of the upper shell. The back sides of the front orthopedic patch 5 and the back orthopedic patch 8 are both clamping parts which are respectively matched with the positioning grooves 6 on the corresponding tooth surface side and the tooth back side in the orthopedic groove, the end surface of the clamping part is formed with a protrusion matched with the positioning auxiliary groove 7, and the surface sides of the front orthopedic patch 5 and the back orthopedic patch 8 are formed with a guide part for guiding the tooth 2 to be orthopedic.
The stealthy ware of rescuring in groove of no support of this embodiment is when using, with the front correction paster 5 of customization in the constant head tank 6 position behind the orthopedic paster 8 go into the constant head tank 6 through adduction neck card, go into the arch on the terminal surface of card portion after the card goes into and correspond in embedding location auxiliary groove 7, then the patient can wear, and for convenient wearing, it is provided with the molar fixed slot in corresponding left and right molar position to go up the facing, this molar fixed slot upper portion adduction has elasticity, and there is the friction line at the inboard shaping of molar fixed slot, with come to wear and the rigidity to the upper dental cover that corresponds through the interlock at the molar fixed slot position. And after the patient wears the upper tooth socket, because the elasticity of the front orthopedic patch 5 and the rear orthopedic patch 8 is larger than that of the upper tooth socket, the back side clamping parts of the front orthopedic patch 5 and the rear orthopedic patch 8 generate continuous pressure along with the progress of the orthopedic process in the continuous wearing process, and the protrusions on the end surfaces of the clamping parts are continuously pressed and deformed in the positioning auxiliary grooves 7, so that the front orthopedic patch 5 and the rear orthopedic patch 8 are tighter and tighter.
In the present embodiment, since the tooth 2 to be straightened needs to be pushed forward, the guide portion of the rear orthopedic patch 8 abuts against the back surface of the tooth 2 to be straightened, and the forward corrective force is continuously applied through the rear orthopedic patch 8, the orthopedic base 3, and the upper shell body when the dental prosthesis is worn, while the front orthopedic patch 5 leaves a return space in a return position corresponding to the tooth 2 to be straightened.
And when the tooth 2 to be shaped has no shaping space under the action of the front shaping patch 5 and the rear shaping patch 8, the shaping patch group can be replaced to enter a next shaping scheme. At this moment, the original front orthopedic patch 5 and the original rear orthopedic patch 8 need to be removed, the front orthopedic patch 5 is taken as an example for explanation when being removed, firstly, the round corner assembling seam 4 is opened on the upper edge of the front orthopedic patch 5, namely, a contact pin with a blade surface at the front end is inserted into a gap between the front orthopedic patch 5 and the orthopedic seat 3, then the blade surface at the front end of the contact pin is used for damaging the connecting part of the front orthopedic patch 5 body and the clamping part at the inward neck position of the positioning groove 6, and then the body of the orthopedic patch 5 can be removed, and then, as the body of the orthopedic patch 5 is removed, the clamping part can be taken out conveniently by using a needle or a pair of tweezers, and then, a new front orthopedic patch 5 is clamped; and replacement of the posterior orthopedic patch 8 may be performed in the same manner.
In addition, in the present embodiment, since the orthopedic base 3 has a certain protrusion on both sides, in order to reduce the uncomfortable feeling of the inner protrusion and the outer protrusion on the lingual side and the labial side when the upper dental shell is worn, the orthopedic base 3 is formed with smooth curved surfaces on the inner protrusion and the outer protrusion on the corresponding dental shell body and smoothly and continuously transits to the lateral dental shell surface.
In summary, compared with the prior art, the bracket-free invisible appliance manufactured by the technical scheme of the embodiment is used for a patient, the patient can select different orthopedic patch groups to replace the traditional customized tooth socket in each orthopedic stage, the orthopedic process is cut into more stages to realize the orthopedic operation, discomfort in the orthopedic process can be further relieved, and personalized setting is performed according to specific conditions such as different degrees, different dimensionalities, different oral health degrees, different pain sensitivities and the like.
The technical scheme can effectively reduce the customized number of tooth sockets under the condition of the same correction scheme, and effectively saves the treatment cost; under the condition of the same correction cost, the correction comfort degree of the patient can be effectively reduced and obviously improved, the treatment time is optimized and reduced, and the correction efficiency and the correction effect are greatly improved.
The foregoing shows and describes the general principles, essential features, and advantages of the invention. It will be understood by those skilled in the art that the present invention is not limited to the embodiments described above, which are described in the specification and illustrated only to illustrate the principle of the present invention, but that various changes and modifications may be made therein without departing from the spirit and scope of the present invention, which fall within the scope of the invention as claimed. The scope of the invention is defined by the appended claims and equivalents thereof.

Claims (8)

1. A bracket-free invisible appliance is characterized by comprising a dental brace body, wherein the dental brace body comprises a lower dental brace and an upper dental brace, the lower dental brace and the upper dental brace are respectively provided with a lower dental socket and an upper dental socket, the lower dental socket is attached to a lower dental model of a wearer so as to enable lower dental teeth of the wearer to be inserted and fixed in position, the upper dental socket is attached to an upper dental model of the wearer and leaves a margin so as to enable upper dental teeth of the wearer to be inserted and enable the upper jaw to advance or retreat by a preset distance so as to shape a jaw;
the tooth socket body is provided with a convex part formed on the tooth socket body, the convex part is projected towards the inner side and the outer side of the tooth socket body, an orthopedic groove is formed in the orthopedic seat, the orthopedic groove is larger than the size of the deformed tooth to be orthopedic, positioning grooves with inner necks are formed in the orthopedic groove and corresponding to the tooth surface side and the tooth back side, orthopedic patches are attached to the inner sides of the positioning grooves, the orthopedic patches are arranged in pairs, a clamping part is formed on the back side of each orthopedic patch and used for clamping in the positioning grooves, and a guide part for guiding the deformed tooth to be orthopedic is formed on the surface side of each orthopedic patch;
the orthopedic patch is of a disposable structure in the positioning groove, and can be replaced by a new orthopedic patch for replacement or further orthopedic after being broken and detached by a special tool;
the tooth sheath body and the orthopedic patch are both made of biocompatible thermoplastic multi-molecular materials through molding, and the elastic modulus of the orthopedic patch is greater than that of the tooth sheath body.
2. The bracket-free invisible appliance of claim 1, wherein the lower shell and the upper shell are separately usable to separately correct the malformed teeth on the upper or lower sockets.
3. The bracket-free invisible appliance of claim 1, wherein the orthopedic brace is formed with smooth curved surfaces on both the medial and lateral projections on the corresponding shell and smoothly and continuously transitions with the lateral shell surface.
4. The bracket-free invisible appliance of claim 1, wherein the lower gullet and the upper gullet are formed by reverse molding according to a 3D scanning model of the teeth of a user of the bracket-free invisible appliance, a boss is reserved at the position of the tooth to be corrected, and the reserved gullet seat is arranged on the inner side of the boss in a cutting and forming mode.
5. The bracket-free invisible appliance according to claim 1, wherein the lower shell and the upper shell are provided with molar fixing grooves at positions corresponding to left and right molar teeth, upper portions of the molar fixing grooves are inwardly contracted and have elasticity, and friction lines are formed inside the molar fixing grooves so as to wear and fix the corresponding lower shell and upper shell by occlusion at the positions of the molar fixing grooves.
6. The bracket-free invisible appliance of claim 1, wherein the positioning auxiliary grooves are formed on the inner sides of the positioning grooves, the positioning auxiliary grooves are vertical strip-shaped grooves arranged at intervals, and the clamping portion of the orthopedic patch is provided with a protruding portion matched with the positioning auxiliary grooves, and can realize self-locking fixation through daily use after being clamped.
7. The bracket-free invisible appliance of claim 1, wherein the clamping portion is a disposable clamping structure, and the orthopedic patch is disposable to be removed and used by breaking the clamping portion.
8. The bracket-free invisible appliance of claim 1, wherein the glove body and the orthopedic patch are made of transparent PEEK, PEKK, or POM in the grade of a medical prosthesis.
CN202111106574.3A 2021-09-22 2021-09-22 Invisible bracket-free appliance Withdrawn CN113662687A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202111106574.3A CN113662687A (en) 2021-09-22 2021-09-22 Invisible bracket-free appliance

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202111106574.3A CN113662687A (en) 2021-09-22 2021-09-22 Invisible bracket-free appliance

Publications (1)

Publication Number Publication Date
CN113662687A true CN113662687A (en) 2021-11-19

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CN202111106574.3A Withdrawn CN113662687A (en) 2021-09-22 2021-09-22 Invisible bracket-free appliance

Country Status (1)

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CN (1) CN113662687A (en)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN114407258A (en) * 2022-01-20 2022-04-29 上海马可菲斯医疗技术有限公司 Tooth socket with different correction moduli and preparation method thereof

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN114407258A (en) * 2022-01-20 2022-04-29 上海马可菲斯医疗技术有限公司 Tooth socket with different correction moduli and preparation method thereof

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Application publication date: 20211119