CN115211985A - Orthodontic device for depressing or extending posterior teeth - Google Patents

Orthodontic device for depressing or extending posterior teeth Download PDF

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Publication number
CN115211985A
CN115211985A CN202210765500.9A CN202210765500A CN115211985A CN 115211985 A CN115211985 A CN 115211985A CN 202210765500 A CN202210765500 A CN 202210765500A CN 115211985 A CN115211985 A CN 115211985A
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China
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main body
support
ring
cylindrical main
fixedly connected
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Granted
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CN202210765500.9A
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Chinese (zh)
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CN115211985B (en
Inventor
黄优
潘永初
侯伟
王林
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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
    • 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
    • A61C7/12Brackets; Arch wires; Combinations thereof; Accessories therefor
    • A61C7/14Brackets; Fixing brackets to teeth
    • A61C7/146Positioning or placement of brackets; Tools therefor
    • 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
    • A61C7/12Brackets; Arch wires; Combinations thereof; Accessories therefor
    • A61C7/14Brackets; Fixing brackets to teeth
    • A61C7/16Brackets; Fixing brackets to teeth specially adapted to be cemented to teeth
    • 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
    • A61C7/12Brackets; Arch wires; Combinations thereof; Accessories therefor
    • A61C7/20Arch wires
    • 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
    • A61C7/36Devices acting between upper and lower teeth

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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 relates to a correction device for pressing down or extending posterior teeth, which comprises a double-ring palatal support and vertical guides fixedly connected to one end or two ends of the double-ring palatal support, wherein the double-ring palatal support comprises a support, a palatal top support is arranged in the middle of the support, ring rings are fixedly connected to two ends of the support, a hollow buccal tube with two open ends is fixedly connected to the buccal side surface of each ring, each vertical guide comprises a hollow cylindrical main body with two open holes/openings at two ends, a buckle is fixedly connected to the outer side surface of each cylindrical main body, and each cylindrical main body penetrates through the corresponding buccal tube through the buckle to be unfolded and buckled, so that the cylindrical main body and the ring are fixedly connected together. The hollow cylindrical main body can guide the extension of the low teeth, and after the inserted occlusal pad is inserted into the vertical guider, the hollow cylindrical main body can resist the extension of the teeth and press the teeth to be assisted, so the hollow cylindrical main body has a simple, sanitary, detachable and dual-purpose structure, can be used for clinical treatment under two conditions, reduces the material production and clinical treatment cost, and is accurately controlled.

Description

Orthodontic device for depressing or extending posterior teeth
Technical Field
The invention relates to the technical field of dental correcting and treating auxiliary instruments, in particular to a correcting device for depressed or elongated posterior teeth.
Background
Before oral restoration or implantation, individual tooth movement is often required to be corrected so as to obtain gaps and adjust occlusion, and thus, better treatment effect of implantation or restoration treatment can be achieved. For example, a missing occlusal (all "teeth" and "occlusal" are words taken together and refer to occlusal relationships in the art as he) tooth often has an elongated condition due to the absence of occlusal contact between teeth for a long period of time, and requires the elongated occlusal tooth to be depressed before restoration or implantation. In addition, the lower sunken teeth need to be stretched or drawn in place, so that the lower sunken teeth can obtain better adjacent relation with adjacent teeth and can restore the occlusion relation between the lower sunken teeth and the contra-occlusal teeth.
The traditional treatment scheme for depressing the upper posterior teeth adopts a plurality of anchorage nails, the upper molars are depressed in multiple directions, however, the lower molars are difficult to implant the implant nails due to the particularity of anatomical positions, and therefore, the orthodontic correction is difficult, and the positions of the depressed lower molars are adjusted by combining complex fixed correction. Conventional extended or pulled low profile treatment regimens are also often complicated by the need to incorporate complex fixed appliances for precise adjustment and control of three-dimensional position adjustment, since full occlusions or teeth (i.e., involving multiple adjacent teeth) require bonded appliances that are neither comfortable nor conducive to oral hygiene.
In view of the above problems, the present invention provides a depressed or extended posterior teeth appliance which has a dual-purpose structure, not only has a definite therapeutic effect, but also can reduce the production of materials and the clinical treatment cost.
Disclosure of Invention
The present invention is directed to overcoming the problems of the prior art and providing an orthodontic appliance for depressing or extending posterior teeth.
In order to achieve the technical purpose and achieve the technical effect, the invention is realized by the following technical scheme:
the utility model provides an orthotic devices of tooth after pushing down or extension, the device includes double-ring palatal support and rigid coupling in the perpendicular director at double-ring palatal support one end or both ends, double-ring palatal support includes the support, the middle part of support is equipped with palatal top and holds in the palm, and the both ends rigid coupling of support has the belt loop for cup joint on the abutment, the rigid coupling has both ends opening and hollow buccal surface pipe on the buccal surface of belt loop, perpendicular director includes both ends trompil/mouthful and hollow cylindrical main part, the rigid coupling has the buckle on the lateral surface of cylindrical main part, cylindrical main part passes buccal surface pipe through the buckle and expandes the lock joint for cylindrical main part and belt loop rigid coupling are in the same place.
Further, the device still includes bayonet bite and closes the pad, bayonet bite closes the pad and closes pad body coupling by the bite and form, bite closes pad neck and step multidimension bite, bite closes pad body portion sets up in the cavity intracavity of cylindrical main part, bite closes pad neck cross-under on the joint hole of cylindrical main part one end, step multidimension bite closes the pad and passes the joint hole and extend to outside cylindrical main part one end.
Furthermore, the shape of joint hole is plum blossom hole, the shape of occlusal pad neck is the plum blossom key, mei Huajian and plum blossom hole gomphosis mutually, be convenient for adjust and fix the relative rotational position between bayonet occlusal pad and the perpendicular director.
Furthermore, at least two stepped surfaces with different heights are formed on the outer end surface of the stepped multi-dimensional occlusal pad and correspond to the requirements of different forces in different sizes and directions when the extending teeth are pressed down respectively.
Furthermore, the plug-in type occlusal pad is made of elastic silica gel materials, so that the stepped multi-dimensional occlusal pad can conveniently pass through the clamping hole and recover after being elastically deformed.
Furthermore, one end of the buckle is of an umbrella-shaped wing structure, and a high-elasticity metal memory material is adopted, so that the buckle can be conveniently and elastically unfolded and buckled after the buckle penetrates through the buccal tube.
The invention has the beneficial effects that:
1. simple and sanitary, can be disassembled, only relates to a plurality of adjacent teeth, and utilizes the palate top support as anchorage force.
2. The dual-purpose structure can be used for clinical treatment under two conditions, simplifies treatment for patients who only need to correct individual teeth, can be used for fixed correction without intervention of complexity, can relieve treatment pain of the patients, and can also reduce treatment cost of the patients, different use modes and standardized design, and different treatment purposes are achieved.
3. Control is accurate to perpendicular director and bayonet occlusal pad produce unidirectional force or multidirectional force control to treatment target tooth, compensate the not enough of single power, and the effect of correcting is more accurate.
Drawings
FIG. 1 is a schematic view of the overall fit of the device of the present invention to a tooth;
FIG. 2 is a schematic diagram of the mating connection between the dual band palatal support of the present invention and a vertical guide;
FIG. 3 is a schematic view of the mating connection between the vertical guide of the present invention and an insertion bite block;
FIG. 4 is a cross-sectional view of the neck of the bite block of the present invention;
FIG. 5 is a schematic view of the device of the present invention in cooperation with a clinical operation for depressing posterior teeth;
FIG. 6 is a schematic view of the device of the present invention under pressure on posterior teeth;
FIG. 7 is a schematic view of the device of the present invention in cooperation with a clinical procedure for elongating posterior teeth;
FIG. 8 is a schematic view of the force applied to the posterior teeth of the device of the present invention during extension;
FIG. 9 is a front view of the cross-shaped through-hole buckle of the present invention;
fig. 10 is a top view of the cross through hole button of the present invention.
The reference numbers in the figures illustrate: 1. palatal support with double rings, 11, buccal surface pipe, 12, palatal top support, 13, the belt circle, 14, a support, 2, perpendicular director, 21, cylindrical main part, 22, joint hole, 23, the buckle, 3, bayonet occlusal pad, 31, occlusal pad main part, 32, occlusal pad neck, 33, step multidimension occlusal pad, 4, cross through-hole buckle, 41, the head, 411, cross recess, 412, the structure of falling concave, 42, body of rod portion, 421, cross cylinder through-hole, 43, the bottom, 5, anchorage nail, 6, abutment, 7, elasticity rubber chain.
Detailed Description
The present invention will be described in detail below with reference to the accompanying drawings in conjunction with embodiments.
As shown in fig. 1 and 2, an orthodontic device for depressing or extending posterior teeth includes a dual band palatal support 1 and a vertical guide 2 fixed to one end or both ends of the dual band palatal support 1, the dual band palatal support 1 includes a support 14, a palatal prop 12 is provided in the middle of the support 14 to resist vertical force, bands 13 are fixed to both ends of the support 14 to be coupled to the abutment 6, a buccal tube 11 having both open ends and being hollow is fixed to the buccal side surface of the band 13, in this embodiment, the buccal tube 11 is made of a metal stainless material, the hollow diameter is 2.0-2.2mm, the band 13 is made of a metal stainless material, the buccal tube 11 is welded to the band 13, the vertical guide 2 includes a hollow cylindrical body 21 having both open ends/mouth, the cylindrical body 21 is made of a transparent resin material, which can be used for observing the process of extending of the posterior teeth, a buckle 23 is fixed to the outer side surface of the cylindrical body 21, the buckle 23 is made of a metal stainless material and is embedded in the cylindrical body 21, the buckle 23 is made of a hard metal, the hard nickel resin, the buckle 23 is fastened to the cylindrical body 21, the plastic fastener is made of a hard metal material, and the plastic fastener 1-2, the plastic fastener is fastened to the metal fastener, and the plastic fastener is made of the metal fastener, and the plastic fastener 2, and the plastic fastener is made of the plastic fastener, so that the plastic fastener is made of the metal fastener, and the plastic fastener is made of the plastic fastener.
As shown in fig. 3, the device further comprises an insertion type occlusal pad 3, wherein the insertion type occlusal pad 3 is formed by integrally connecting an occlusal pad main body part 31, an occlusal pad neck part 32 and a stepped multi-dimensional occlusal pad 33, the occlusal pad main body part 31 is arranged in the hollow cavity of the cylindrical main body 21, the occlusal pad neck part 32 is connected to the clamping hole 22 at one end of the cylindrical main body 21 in a penetrating manner, and the stepped multi-dimensional occlusal pad 33 penetrates through the clamping hole 22 and extends out of one end of the cylindrical main body 21.
As shown in fig. 2 and 4, the shape of joint hole 22 is the plum blossom hole, the shape of occlusal pad neck 32 is the plum blossom key, mei Huajian and plum blossom hole gomphosis mutually, be convenient for adjust and fix the relative rotational position between bayonet occlusal pad 3 and the perpendicular director 2, rotate and adjust occlusal pad neck 32, can 360 rotatory, in this embodiment, 6 lamellas of plum blossom hole optional are concave, 3 lamellas of plum blossom key optional are protruding, 3 the rotatable back card of lamella arch goes into 6 lamellas concave for the angle of adjusting the position at every turn is 60, every check 60.
At least two step surfaces with different heights are formed on the outer end surface of the step type multi-dimensional occlusal pad 33, and correspond to the requirements of different magnitudes and directions of force when the extension teeth are pressed down, respectively.
The whole body of the plug-in type occlusal pad 3 is made of elastic silica gel material, so that the stepped type multidimensional occlusal pad 33 can pass through the clamping hole 22 and recover after being elastically deformed.
One end of the buckle 23 is of an umbrella-shaped wing structure, the end serves as a head, a plurality of umbrella-shaped wings can be arranged, and a high-elasticity metal memory material is adopted, so that the buckle can be conveniently and elastically unfolded and buckled after the buckle penetrates through the buccal tube 11, in the embodiment, the vertical guider 2 is made of a stainless steel material, and the other end of the buckle 23 is welded on the vertical guider 2.
Clinical operation process and principle of the device of the invention
1. Aiming at the process of depressing posterior teeth: after the double-ring palatal support 1, the vertical guide 2 and the insertion type occlusal pad 3 are matched and connected, as shown in fig. 5, the step type multi-dimensional occlusal pad 33 of the insertion type occlusal pad 3 is contacted with the cusp of the elongated tooth, the elongated tooth is pressed down by the occlusal force during the occlusal chewing movement, and the step type multi-dimensional occlusal pad 33 can be rotatably adjusted relative to the vertical guide 2 and has step surfaces with different heights, so that the fine positioning in the circumferential direction and the height direction and the force required to be pressed down can be carried out; implanting an 8mm anchorage nail 5 into the buccal side of a mandible, bonding a cross through hole buckle 4 on the buccal side of an extended tooth, and connecting the anchorage nail 5 and the cross through hole buckle 4 through an elastic rubber chain 7 to press down the extended tooth, wherein as shown in fig. 9 and 10, the cross through hole buckle 4 comprises a head part 41, a rod part 42 and a bottom part 43 which are fixedly connected together in sequence, wherein the head part 41 is hemispherical, a cross groove 411 is formed on a spherical surface at the upper end of the head part 41, a circle of inverted concave structure 412 is expanded at the bottom edge of the cross groove 411 for multi-directional fixed connection, one end of the elastic rubber chain 7 extends into the inverted concave structure 412 to complete connection, and one end of the elastic rubber chain 7 can be directly connected to the rod part 42 when being wound into a circle and is clamped by using a lower end plane of the head part 41; the rod body part 42 is in a long cylindrical shape, and a cross-shaped cylindrical through hole 421 is formed in the middle of the rod body part, so that one end of the elastic rubber chain 7 can penetrate into the cross-shaped cylindrical through hole 421 to complete connection; the bottom 43 is disc-shaped, and the outer end surface of the bottom 43 is a latticed bottom plate for increasing friction force and facilitating bonding of tooth surfaces; as shown in fig. 6, wherein F1 is lingual pressure and F2 is buccal tension, the combined limit avoids the problem that unidirectional force tends to tilt the elongated tooth during the depression, and the adjustment of the multidirectional force by the combined limit facilitates the overall depression of the elongated tooth in the direction desired by the practitioner.
2. For the process of extending posterior teeth, after the double band palatal stent 1 and the vertical guider 2 are matched and connected, as shown in fig. 7, the lower teeth are accommodated into the hollow cavity of the cylindrical main body 21 from one end opening, and the lower teeth are guided to extend into the vertical guider 2 by the cavity wall; implanting an anchorage nail 5 with the thickness of 8mm into the buccal side of the mandible, bonding a cross through hole buckle 4 on the occlusal surface of the lower teeth, and connecting the anchorage nail 5 and the cross through hole buckle 4 through an elastic rubber chain 7 passing through a clamping hole 22 to extend the lower teeth; as shown in fig. 8, wherein F1 is the edge limit pressure of the vertical guider 2 and F2 is the buccal side tension, the combined limit can avoid the problem that the one-way force is easy to incline the low teeth in the traction and extension process, and the multi-direction force adjustment control of the combined limit is convenient for the overall extension of the low teeth to adjust the eruption towards the direction desired by the doctor.
The above description is only a preferred embodiment of the present invention and is not intended to limit the present invention, and various modifications and changes may be made by those skilled in the art. Any modification, equivalent replacement, or improvement made within the spirit and principle of the present invention should be included in the protection scope of the present invention.

Claims (6)

1. The correction device for the depressed or extended posterior teeth is characterized by comprising a double-ring palate support (1) and vertical guides (2) fixedly connected to one end or two ends of the double-ring palate support (1), wherein the double-ring palate support (1) comprises a support (14), a palate top support (12) is arranged in the middle of the support (14), rings (13) are fixedly connected to two ends of the support (14) and are used for being sleeved on an abutment (6), a hollow buccal tube (11) with two open ends is fixedly connected to the buccal side surface of each ring (13), each vertical guide (2) comprises a hollow cylindrical main body (21) with openings/openings at two ends, a buckle (23) is fixedly connected to the outer side surface of each cylindrical main body (21), and each cylindrical main body (21) penetrates through the buccal tube (11) through the buckle (23) to be buckled and unfolded, so that the cylindrical main body (21) and each ring (13) are fixedly connected together.
2. The device for straightening the depressed or extended posterior teeth as claimed in claim 1, further comprising an insertion type bite block (3), wherein the insertion type bite block (3) is formed by integrally connecting a bite block main body portion (31), a bite block neck portion (32) and a stepped multi-dimensional bite block (33), the bite block main body portion (31) is disposed in the hollow cavity of the cylindrical body (21), the bite block neck portion (32) is inserted into the engaging hole (22) at one end of the cylindrical body (21), and the stepped multi-dimensional bite block (33) is inserted into the engaging hole (22) and extends out of one end of the cylindrical body (21).
3. The device for straightening depressed or extended posterior teeth of claim 2, wherein the locking hole (22) is a quincunx hole, the bite block neck (32) is a quincunx key, and Mei Huajian is engaged with the quincunx hole, so as to adjust and fix the relative rotational position between the inserted bite block (3) and the vertical guide (2).
4. The orthodontic appliance of the depressed or elongated posterior tooth as set forth in claim 3, wherein the stepped multi-dimensional occlusal pad (33) has at least two stepped surfaces formed on the outer end surface thereof and having different heights.
5. The orthodontic device for the depressed or elongated posterior teeth as set forth in claim 4, wherein the insertion type occlusal pad (3) is entirely made of a silicone material having elasticity so that the stepped multi-dimensional occlusal pad (33) is elastically deformed and then passes through the locking hole (22) to be restored.
6. The orthodontic appliance of the depressed or elongated posterior tooth as set forth in claim 1, wherein said buckle (23) has an umbrella-shaped wing structure at one end thereof and is made of a high elastic metallic memory material so as to be elastically spread and fastened after passing through the buccal tube (11).
CN202210765500.9A 2022-07-01 2022-07-01 Correcting device for depressing or extending back teeth Active CN115211985B (en)

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CN115211985B CN115211985B (en) 2023-09-12

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Citations (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2492204Y (en) * 2001-08-16 2002-05-22 武汉市江岸区人民医院 Screw propelling molar orthopedic instrument
CN202724009U (en) * 2012-07-30 2013-02-13 赵计林 Fixed molar intrusion device used for correcting upper molar elongation
CN103230305A (en) * 2013-03-29 2013-08-07 南京医科大学附属口腔医院 Molar intrusion apparatus
CN204337063U (en) * 2014-12-19 2015-05-20 上海市徐汇区牙病防治所 Maxillary molar forces down device
CN104921821A (en) * 2015-06-29 2015-09-23 上海市口腔病防治院 Double-side depressing molar teeth device
CN206333972U (en) * 2016-08-09 2017-07-18 宁波口腔医院有限公司 A kind of entirety forces down the device of backteeth section
CN107997836A (en) * 2018-01-16 2018-05-08 四川大学 Force down Occlusal pad formula appliance of individual teeth and preparation method thereof and application method
CN108478296A (en) * 2018-01-30 2018-09-04 武汉大学 Cast type backteeth forces down appliance
CN208799342U (en) * 2018-01-26 2019-04-30 上海市徐汇区牙病防治所 Force down the device of backteeth under unilateral side

Patent Citations (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2492204Y (en) * 2001-08-16 2002-05-22 武汉市江岸区人民医院 Screw propelling molar orthopedic instrument
CN202724009U (en) * 2012-07-30 2013-02-13 赵计林 Fixed molar intrusion device used for correcting upper molar elongation
CN103230305A (en) * 2013-03-29 2013-08-07 南京医科大学附属口腔医院 Molar intrusion apparatus
CN204337063U (en) * 2014-12-19 2015-05-20 上海市徐汇区牙病防治所 Maxillary molar forces down device
CN104921821A (en) * 2015-06-29 2015-09-23 上海市口腔病防治院 Double-side depressing molar teeth device
CN206333972U (en) * 2016-08-09 2017-07-18 宁波口腔医院有限公司 A kind of entirety forces down the device of backteeth section
CN107997836A (en) * 2018-01-16 2018-05-08 四川大学 Force down Occlusal pad formula appliance of individual teeth and preparation method thereof and application method
CN208799342U (en) * 2018-01-26 2019-04-30 上海市徐汇区牙病防治所 Force down the device of backteeth under unilateral side
CN108478296A (en) * 2018-01-30 2018-09-04 武汉大学 Cast type backteeth forces down appliance

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