CN115721425A - Optical stimulation fluorine-releasing orthodontic accelerator - Google Patents
Optical stimulation fluorine-releasing orthodontic accelerator Download PDFInfo
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- CN115721425A CN115721425A CN202211470145.9A CN202211470145A CN115721425A CN 115721425 A CN115721425 A CN 115721425A CN 202211470145 A CN202211470145 A CN 202211470145A CN 115721425 A CN115721425 A CN 115721425A
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- Dental Tools And Instruments Or Auxiliary Dental Instruments (AREA)
Abstract
The invention relates to a photostimulation fluorine-releasing orthodontic accelerator which comprises a tooth bottom sleeve, a tooth outer periphery sleeve and a tooth inner periphery sleeve, wherein a tooth socket is arranged between the tooth outer periphery sleeve and the tooth inner periphery sleeve, a fluoridizing pad is arranged on one side of the tooth bottom sleeve, the tooth outer periphery sleeve and the tooth inner periphery sleeve, which is close to the tooth socket, the fluoridizing pad is made of a combined rubber material or food-grade silica gel synthesized by fluororubber and fluorosilicone rubber and is of a microporous structure, sodium fluoride is filled in the fluoridizing pad, a concave orthodontic bracket containing cavity is arranged on one surface of the fluoridizing pad, which is positioned on the tooth outer periphery sleeve, and a carbon dioxide laser lamp strip and a near infrared laser lamp strip are arranged in the tooth outer periphery sleeve side by side. The invention can not only accelerate the tooth movement by using low-intensity near-infrared illumination, but also monitor the use time of a patient, simultaneously enhance the binding capacity of the tooth surface and fluorine by using carbon dioxide laser, improve enamel demineralization by slowly releasing fluorine ions, can be repeatedly filled with fluorine and released with fluorine, has simple and convenient operation, and can effectively reduce the caries risk.
Description
The technical field is as follows:
the invention relates to the technical field of orthodontic appliances, in particular to a light stimulation fluorine-releasing orthodontic accelerator.
The background art comprises the following steps:
with the continuous satisfaction of the basic requirements of people in China, the attention of people on the beauty of the jaw face is continuously increased, and the demand of oral orthodontics in China is increased year by year. Enamel demineralization is a common side effect of orthodontic fixation, especially occurs to teenager patients, and becomes a common clinical problem, so that the enamel demineralization attracts wide attention. Enamel demineralization refers to the phenomenon that after the pH value of the tooth surface is reduced, the solubility of the tooth enamel is increased, calcium and phosphorus are separated out, so that chalky or yellowish white plaques appear on the surface of the tooth, and even the tooth can be decayed if the lesion is further developed. Investigation shows that the demineralization ratio of enamel of a patient is as high as 74 percent after orthodontic treatment is finished, the beauty of the tooth surface is greatly influenced, the caries risk is increased, and the oral health is harmed. The reason is mainly that (1) the fixing and correcting technology needs to bond a bracket, and the acid etching step before bonding can cause the precipitation of calcium and phosphorus in the enamel, thereby causing the enamel to be demineralized; (2) The bracket and the arch wire increase the difficulty of cleaning teeth, cause the accumulation of dental plaque, cause the imbalance of oral flora and cause the demineralization of tooth enamel by bacteria acidic metabolites.
Enamel demineralization not only seriously affects the beauty, but also can accumulate dentin if the defects are not treated in time, so that dentin sensitivity is caused, and a series of symptoms of soreness, pain and the like of teeth of a patient occur. If the lesion continues to progress, the lesion will cause dental caries, and the fourth national oral health epidemiological survey report shows that more than half of the population in the country suffers from caries. Once enamel demineralization progresses to the cavity, irreversible tooth damage results, which not only incurs high treatment costs, but can also cause pulpitis, periapical periodontitis, and even tooth loss. Meanwhile, oral health and general health are closely related. After the decayed tooth becomes an infection focus, harmful metabolites or bacterial toxins in a focus area can be transferred to other organs through blood or lymph, so that systemic diseases such as rheumatic arthritis, endocarditis, chronic nephritis, retinitis and the like are caused, and the physical and psychological health of a patient is seriously influenced. Therefore, it is very important to prevent enamel demineralization and caries in orthodontic treatment.
Fluoride is a commonly used clinical caries-preventing antibacterial substance and plays an important role in preventing orthodontic enamel demineralization. The fluoride ions with proper concentration can replace hydroxyapatite in the enamel to form more stable fluorapatite so as to reduce the solubility of the enamel and effectively prevent the enamel from demineralizing. Meanwhile, the fluoride ions can be combined with calcium and phosphorus in saliva to promote the redeposition of apatite crystals and facilitate the remineralization of demineralized parts. Moreover, researches show that the fluoride ions can inhibit the storage of polysaccharide in cariogenic bacteria cells and the synthesis of extracellular polysaccharide, influence the bacteria to produce acid and metabolism and reduce the risk of caries. The main way of preventing enamel demineralization at present is to regularly coat fluorine on the tooth surface in a medical institution, but the treatment times and the chair-side operation time are increased. The main products used in medical institutions are fluorinated foam and fluorinated gel, wherein the fluorinated foam has poor acid resistance and caries prevention effects, and the fluorinated gel has relatively good effects, but is forbidden to water within 2 hours and is fasted within 4 hours after use, so that inconvenience is brought to patients to a certain extent. In addition, the patient can use the fluorine-containing mouth wash by himself, but the concentration of saliva fluorine ions is reduced quickly after the mouth wash is finished, and the absorption of fluorine ions by tooth enamel is limited.
At present, the incidence rate of oral malocclusion in China is up to 72.97%, the physical and mental health and the chewing function of a patient are seriously influenced, however, the current orthodontic treatment has the clinical problems of long treatment period, more complications and the like. The patent No. ZL202110840674.2 issued to the applicant provides an adjustable near-infrared orthodontic accelerator for precise treatment, which shortens the orthodontic treatment period by slidably moving a plurality of laser emitting devices. However, the existing orthodontic accelerators have no obvious effect on improving enamel demineralization. Meanwhile, clinicians have no effective means to visually monitor patient compliance with medical orders for daily use of near-infrared orthodontic accelerators.
The invention content is as follows:
technical problem to be solved
The invention aims to provide a light-stimulated fluorine-releasing orthodontic accelerator, which solves the problems that dental enamel demineralization and dental caries caused by orthodontic treatment cannot be improved in the prior art, extra chair-side operation time is required for fluorine coating, the number of times of patient treatment is increased, the time required for full action of fluoride and teeth is long, the food intake is influenced, and the compliance of a patient cannot be visually monitored.
(II) technical scheme
In order to solve the technical problems, the invention adopts the following technical scheme: a photostimulation fluorine-releasing orthodontic accelerator comprises a tooth bottom sleeve, a tooth outer periphery sleeve and a tooth inner periphery sleeve, wherein the tooth bottom sleeve, the tooth outer periphery sleeve and the tooth inner periphery sleeve form a U-shaped tooth sleeve structure, a tooth socket is arranged between the tooth outer periphery sleeve and the tooth inner periphery sleeve, a fluorine-adding cushion is arranged on one side, close to the tooth socket, of the tooth inner periphery sleeve, the fluorine-adding cushion is made into a microporous structure and is made of a rubber material or food-grade silica gel which is synthesized by fluororubber and fluorosilicone rubber, sodium fluoride is filled in the fluorine-adding cushion, a concave orthodontic bracket containing cavity is arranged on one surface, located on the tooth outer periphery sleeve, of the fluorine-adding cushion, a carbon dioxide laser lamp strip and a near infrared laser lamp strip are arranged in the tooth outer periphery sleeve side by side, the near infrared laser lamp strip is arranged in the tooth inner periphery sleeve, a controller for controlling the carbon dioxide laser lamp strip and the near infrared laser lamp strip is arranged on the outer side of the tooth outer periphery sleeve, and an indicator groove is detachably provided with an indicator capsule.
The dental bottom sleeve, the outer dental periphery sleeve and the inner dental periphery sleeve form a U-shaped dental sleeve structure which is used for being sleeved on teeth of an orthodontic patient, the teeth of the patient are located in the dental alveolus, the fluoridation pad is attached to the tooth surface of the patient and an orthodontic bracket, and fluorine ions are slowly released to coat the tooth surface of the patient under the illumination stimulation of the carbon dioxide laser lamp strip. The controller is used for controlling the working modes of the carbon dioxide laser lamp strip and the near-infrared laser lamp strip so as to control the irradiation time of the carbon dioxide laser lamp strip and the near-infrared laser lamp strip and ensure the fluorine coating effect and the acceleration effect at the same time. The indicator capsule color may be faded by saliva rinsing, and the range of colors exhibited over time is predicted based on the average saliva flow rate of the population. During the return visit, the use time of the orthodontic accelerator of the patient can be estimated through the color of the indicator capsule, and the compliance of the patient can be visually monitored.
Furthermore, a micro brush velvet is arranged on the fluoridation pad, and a micro vibration motor close to the fluoridation pad is arranged in the tooth outer peripheral sleeve and the tooth inner peripheral sleeve. Under the driving of the micro vibration motor, the fluoridation pad and the micro brush velvet can remove the positions easy to accumulate for enamel demineralization, namely dead-angle soft dirt removal around the bracket through vibration, realize accurate fluorine coating and accurately prevent decayed teeth. Meanwhile, the gum is massaged through the high-frequency low-intensity vibration, so that the local blood circulation is promoted, and the pain feeling in the orthodontic process is relieved.
Furthermore, a plurality of fluorine flow channels communicated with the alveolus are arranged in the fluoridation pad. The fluorine flow channel is used for maintaining the flow speed of fluorine ions in the fluoridation pad along the concentration gradient, the fluorine ions are continuously and slowly released along the concentration gradient with the concentration of about 0.05 percent for a long time, the flow effect of the fluorine ions on the surface and in the fluoridation pad is enhanced, and the proper rates of fluorine release and fluorine recharging are maintained. The fluorine flow channel may also be used to provide more space and surface area when replenishing the fluorine-containing gel.
Furthermore, the fluoridation pad is detachably connected with the tooth bottom sleeve, the tooth outer periphery sleeve and the tooth inner periphery sleeve, one part of the orthodontic bracket accommodating cavity arranged on the fluoridation pad is a bracket part, and the bracket part is detachably connected with the fluoridation pad. The microporous structure of the fluoridation pad has the characteristics of releasing fluorine and recharging fluorine, is convenient to use, has high comfort for patients, and cannot lose gingival tissues. After repeated treatment, if the fluoridation pad is not matched with the orthodontic bracket of the orthodontic appliance due to tooth movement, the whole fluoridation pad can be detached and replaced as required, and the bracket part can also be replaced, so that the use durability and the matching performance are ensured.
Further, the carbon dioxide laser lamp strip and the near-infrared laser lamp strip can be alternately started or simultaneously started to irradiate the alveolar under the control of the controller, the duration time of one irradiation of the carbon dioxide laser lamp strip is 30 seconds, and the duration time of one irradiation of the near-infrared laser lamp strip is 10 minutes. The carbon dioxide laser is recommended to be a pulse laser, and the recommended safety parameters are 10.6 mu m of wavelength, 25Hz repetition frequency, 5ms of pulse width, 40ms of pulse period, 0.175W of peak output power and 732mJ/cm of energy density per pulse 2 . The light emitted by the near-outer laser lamp band is near-infrared laser with the wavelength of 810nm, and the power density is 50-100mW/cm 2 Alternatively or simultaneously applying fluorine and near infrared acceleration to the tooth surface of the patient.
Further, the surface of the indicator capsule is coated with an edible coating which can lighten as saliva washes out.
Further, the fluoridated cushion can be synthesized by adopting fluororubber and fluorosilicone rubber according to the proportion of 8. The polymerized product is nontoxic, stable in structure and good in safety, and the interior of the polymerized product is a microporous structure so as to increase the adsorbability and storage property of the polymerized product on fluorine ions. Compared with common silicon rubber, fluorine rubber or fluorine silicon rubber, the synthetic rubber has better adsorbability, heat resistance, cold resistance, high voltage resistance, oil resistance, acid and alkali resistance and the like. The fluoridizing pad can also be made of food-grade silica gel containing a microporous structure, sodium fluoride can be contained in the framework by the two materials, and after the accelerator is placed in the mouth, molecular motion is accelerated under the stimulation of carbon dioxide laser, so that the molecular motion is slowly diffused out of a pore channel of the framework along a concentration gradient, and the slow release of fluorine ions is realized.
Furthermore, the tooth bottom sleeve, the tooth outer circumference sleeve, the tooth inner circumference sleeve and the fluorine-added cushion are all made of flexible plastic transparent materials. Can adjust according to the tooth shape of different patients and the just abnormal support groove form of different tooth positions, on the fluoridation pad just abnormal support groove holds the chamber and caves in for the rectangular depression of dental arch form, and its degree of depth is slightly lighter than just abnormal support groove height of just abnormal unscrambler, arranges intraoral back in, its plasticity of accessible, the different patients of individualized adaptation to do benefit to carbon dioxide laser and near infrared and see through. Meanwhile, the bracket part provided with the orthodontic bracket accommodating cavity can be replaced as required along with the change of the position of the orthodontic bracket in the orthodontic process, and the new bracket part is pressed into the orthodontic bracket accommodating cavity by the orthodontic bracket again to be tightly attached to the orthodontic bracket, so that the adaptability is ensured, and the accurate fluorine coating of the tooth surface at the contact part of the orthodontic bracket in the whole orthodontic process is realized.
The invention also provides an orthodontic accelerator storage box matched with the photo-stimulation fluorine-releasing orthodontic accelerator, which comprises a box body and a box cover, wherein a flexible buffer cushion is arranged in the box body, two U-shaped placing grooves are formed in the flexible buffer cushion, two U-shaped pressing blocks corresponding to the U-shaped placing grooves are arranged on the box cover, and the U-shaped pressing blocks and the flexible buffer cushion are made of gel sponge materials containing slightly more than 0.05% of sodium fluoride in consideration of loss in a gel transmission process.
The gel sponge can be replaced by itself and release fluorine for a long time. After the orthodontic accelerator is placed, the flexible buffer cushion and the U-shaped pressing block wrap the orthodontic accelerator and are slightly extruded, and the gel of the sodium fluoride seeps out of the sponge to supplement the concentration of the fluorine ions in the fluoridated pad, so that the fluorine recharging of the fluoridated pad is realized, and the orthodontic accelerator is convenient to use for a long time.
The U-shaped pressing block and the flexible buffer cushion are internally provided with ultraviolet sterilizing lamp strips, and the ultraviolet sterilizing lamp strips are used for sterilizing and disinfecting the orthodontic accelerator after use, so that cleanness and sterility during storage are guaranteed. The flexible buffer cushion with the box body U type briquetting with be detachable connection between the lid, conveniently tear out when necessary the flexible buffer cushion with U type briquetting fills fluorine.
(III) advantageous effects
Compared with the prior art, the invention has the following beneficial effects:
(1) The U-shaped tooth socket structure consisting of the tooth bottom socket, the tooth outer peripheral socket and the tooth inner peripheral socket is arranged, a fluoridated pad is arranged on one side, close to a tooth socket, of the tooth bottom socket, the tooth outer peripheral socket and the tooth inner peripheral socket, the fluoridated pad is made of a glue material synthesized by fluororubber and fluorosilicone rubber and is of a microporous structure, sodium fluoride is filled in the fluoridated pad, a concave orthodontic bracket accommodating cavity is formed in one surface, on the fluoridated pad, on the tooth outer peripheral socket, a carbon dioxide laser lamp strip and a near infrared laser lamp strip are arranged in the tooth outer peripheral socket side by side, when low-intensity near infrared light is used for irradiating teeth to assist orthodontic treatment, the surface of the teeth of a patient can be coated with fluorine through slow-release fluoride ions, the carbon dioxide laser lamp strip emits carbon dioxide laser to enhance absorption of fluoride ions by the teeth, the carbonate content of enamel is reduced, the acid resistance of the surfaces of the teeth is improved, the health of the teeth is maintained, the carbon dioxide laser mediated fluorine coating on the surfaces of the teeth is realized while the acceleration of the near orthodontic infrared light, the conventional fluorine coating method is more uniform, the range is more comprehensive, the technical sensitivity is lower, the ore removal effect is more easily achieved in the similar to the conventional method, and the targeted effect of the food taking is not influenced under the same as the conventional method.
(2) By arranging the indicator capsule on the fluoridation pad, the using time of the orthodontic accelerator of the patient can be estimated through the color of the indicator capsule during the return visit, and the compliance of the patient can be visually monitored.
(3) Through setting up the just abnormal accelerator receiver of the just abnormal accelerator collocation use of luminous stimulation release fluorine, set up flexible blotter and U type briquetting in the receiver, U type blotter and flexible blotter all adopt the gel sponge material that contains slightly more than 0.05% concentration sodium fluoride, extrude this sponge and ooze the sodium fluoride gel, fluorine pad and miniature brush fine hair follow concentration gradient and reabsorb fluorine ion, realize that fluorine is recharged, make fluorine pad be in the fluorine ion saturated condition for a long time. In addition, this fluorine-containing gel sponge can be changed by oneself, and when its fluorine deposit was not enough, the patient only needed to change by oneself the fluorine-containing gel sponge in the containing box, and the cost is extremely low, and convenient operation realizes filling fluorine for a long time. The method is simple, and the patient can operate the method by himself, so that the frequency of seeing a doctor is greatly reduced.
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 structural diagram of an optical stimulation fluorine-releasing orthodontic accelerator according to an embodiment of the invention;
FIG. 2 is a top cross-sectional view of a photostimulation fluorine-releasing orthodontic accelerator according to an embodiment of the invention;
FIG. 3 is a longitudinal cross-sectional view of a photostimulation fluorine-releasing orthodontic accelerator according to an embodiment of the invention;
FIG. 4 is an enlarged partial cross-sectional view of the fluorine-containing pad portion of the photo-stimulated fluorine-releasing orthodontic accelerator according to the embodiment of the invention;
FIG. 5 is an enlarged partial cross-sectional top view of the peripheral dental sleeve portion of the photostimulation fluorine-releasing orthodontic accelerator according to the embodiment of the invention;
FIG. 6 is a longitudinal cross-sectional view of a photostimulated fluorine-releasing orthodontic accelerator according to an embodiment of the invention in use;
FIG. 7 is a top view of a storage cassette according to an embodiment of the present invention;
FIG. 8 is a cross-sectional view of a storage cassette according to an embodiment of the invention;
in the figure: 1. a tooth bottom sleeve; 2. a tooth periphery sleeve; 3. an inner tooth periphery sleeve; 4. a tooth socket; 5. a fluoridized pad; 51. a slot supporting part; 6. an orthodontic bracket receiving cavity; 7. a carbon dioxide laser lamp band; 8. a near-infrared laser light band; 9. a controller; 10. an indicator groove; 11. an indicator capsule; 12. brushing velvet in a micro mode; 13. a micro vibration motor; 14. a fluorine flow channel; 15. a storage box; 16. a box body; 17. a box cover; 18. a flexible cushion; 19. a U-shaped placing groove; 20. a U-shaped pressing block; 21. an ultraviolet sterilizing lamp strip; 22. orthodontic brackets; 23. tooth or teeth
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.
The light stimulation fluorine-releasing orthodontic accelerator comprises a tooth bottom sleeve 1, a tooth outer periphery sleeve 2 and a tooth inner periphery sleeve 3, the tooth bottom sleeve 1, the tooth outer periphery sleeve 2 and the tooth inner periphery sleeve 3 form a U-shaped tooth bottom sleeve structure, a tooth socket 4 is arranged between the tooth outer periphery sleeve 2 and the tooth inner periphery sleeve 3, a fluorine-added cushion 5 is arranged on one side, close to the tooth socket 4, of the tooth bottom sleeve 1, the tooth outer periphery sleeve 2 and the tooth inner periphery sleeve 3, the fluorine-added cushion 5 is made of rubber materials synthesized by fluorine rubber and fluorine silicon rubber and is of a microporous structure, or food-grade silica gel containing a microporous structure is adopted, sodium fluoride is filled in the fluorine-added cushion 5, a concave bracket containing cavity 6 is arranged on one side, positioned on the tooth outer periphery sleeve 2, of the fluorine-added cushion 5, a carbon dioxide laser light band 7 and a near infrared laser light band 8 are arranged in the tooth outer periphery sleeve 2 side by side, a near infrared laser light band 7 and a near infrared laser light band 10 are arranged on the tooth outer periphery sleeve 2, and a detachable indicator capsule 10 is arranged on the fluorine-added base sleeve 10.
Preferably, the fluoridation pad 5 is provided with a micro brush hair 12, and the outer tooth peripheral sleeve 2 and the inner tooth peripheral sleeve 3 are provided with a micro vibration motor 13 adjacent to the fluoridation pad 5. Under the drive of the micro vibration motor 13, the fluoridation pad 5 and the micro brush velvet 12 can remove the positions easy to accumulate for enamel demineralization, namely dead-angle soft dirt removal around the bracket through vibration, realize accurate fluorine coating and accurately prevent decayed teeth. Meanwhile, the gum is massaged through the high-frequency low-intensity vibration, so that the local blood circulation is promoted, and the pain feeling in the orthodontic process is relieved.
Preferably, a plurality of fluorine flow passages 14 are provided in the fluoridation pad 5 in communication with the alveolus 4. The fluorine flow path 14 is used to maintain the flow rate of fluorine ions along the concentration gradient in the fluorine-added pad 5, and fluorine ions are continuously and slowly released along the concentration gradient of about 0.05% for a long time, thereby enhancing the flow effect of fluorine ions on the surface and inside of the fluorine-added pad 5, and controlling the release and refilling of fluorine at a proper rate. The fluorine flow channel 14 may also be used to provide more space and surface area when replenishing the fluorine-containing gel.
Preferably, the fluoridation pad 5 is detachably connected with the tooth bottom sleeve 1, the tooth outer periphery sleeve 2 and the tooth inner periphery sleeve 3, one part of the fluoridation pad 5, which is provided with the orthodontic bracket accommodating cavity 6, is a bracket part 51, and the bracket part 51 is detachably connected with the fluoridation pad 5. The microporous structure of the fluoridation pad 5 has the characteristics of releasing fluorine and recharging fluorine, is convenient to use, has high comfort for patients, and does not damage gingival tissues. After a plurality of times of return visits, if the fluoridation pad 5 is not matched with the orthodontic bracket of the orthodontic appliance due to tooth movement, the whole fluoridation pad 5 can be detached and replaced as required, and the bracket part 51 can be replaced only, so that the use durability is ensured and the matching performance is ensured.
Preferably, the carbon dioxide laser lamp strip 7 and the near-infrared laser lamp strip 8 are alternately started to irradiate the alveolus 4 under the control of the controller 9, the irradiation duration of the carbon dioxide laser lamp strip 7 is 30 seconds, and the irradiation duration of the near-infrared laser lamp strip 8 is 10 minutes. The carbon dioxide laser is recommended to be a pulse laser, and the recommended safety parameters are 10.6 mu m of wavelength, 25Hz repetition frequency, 5ms of pulse width, 40ms of pulse period, 0.175W of peak output power and 732mJ/cm of energy density per pulse 2 . The light emitted by the near-outer laser lamp strip 8 is near-infrared laser with the wavelength of 810nm, and the power density is 50-100mW/cm 2 Alternatively or simultaneously applying fluorine and near infrared acceleration to the tooth surface of the patient.
Preferably, the indicator capsule 11 is coated with edible paint which can be lightened along with the flushing of saliva and can be gradually discolored along with the service time of the orthodontic accelerator, so that a user can conveniently evaluate the service time of a patient according to the change of the color of the surface of the indicator capsule 11 and monitor the compliance of the patient.
Preferably, the fluorine-added cushion 5 can be synthesized by adopting fluorine rubber and fluorine silicon rubber according to the ratio of 8. The polymerized product is nontoxic, stable in structure and good in safety, and the inside of the polymerized product is a microporous structure to increase the adsorbability and storage property of the polymerized product on fluorine ions. Compared with common silicon rubber, fluorine rubber or fluorine silicon rubber, the synthetic rubber has better adsorbability, heat resistance, cold resistance, high voltage resistance, oil resistance, acid and alkali resistance and the like. The fluoridizing pad 5 can also be made of food-grade silica gel containing a microporous structure, sodium fluoride can be contained in the framework by the two materials, and after the accelerator is placed in the mouth, molecular motion is accelerated under the stimulation of carbon dioxide laser, so that the molecular motion is slowly diffused out of the pore channel of the framework along the concentration gradient, and the slow release of fluorine ions is realized.
Preferably, the bottom facing 1, the outer facing 2, the inner facing 3 and the fluorine-containing pad 5 are all made of flexible, plastic and transparent materials. Can adjust according to the tooth shape of different patients and the support groove form of different tooth positions, it is rectangular sunken that the chamber 6 is held for the dental arch form to add the just abnormal support groove on the fluorine pad 5, and its degree of depth slightly is lighter than just abnormal support groove height of just abnormal unscrambler, arranges intraoral back in, its plasticity of accessible, the different patients of individualized adaptation to do benefit to carbon dioxide laser and near infrared and see through. Simultaneously, also can be along with the change of just abnormal in-process orthodontic bracket 22 position, change as required and be equipped with just abnormal bracket and hold the support groove 51 of chamber 6, new support groove 51 is impressed just abnormal bracket by just abnormal bracket 22 again and is held chamber 6 and closely laminate with just abnormal bracket 22, guarantees the suitability to realize that whole just abnormal in-process scribbles fluorine to the accurate of the tooth face of the department of contact with just abnormal bracket 22.
The invention also discloses an orthodontic accelerator storage box 15 matched with the optical stimulation fluorine-releasing orthodontic accelerator, which comprises a box body 16 and a box cover 17, wherein a flexible buffer cushion 18 is arranged in the box body 16, two U-shaped placing grooves 19 are arranged on the flexible buffer cushion 18, two U-shaped pressing blocks 20 corresponding to the U-shaped placing grooves 19 are arranged on the box cover 17, and the U-shaped pressing blocks 20 and the flexible buffer cushion 18 are made of gel sponge materials containing slightly more than 0.05 percent of sodium fluoride in consideration of loss in a gel transmission process.
The gel sponge can be replaced by itself and release fluorine for a long time. After the orthodontic accelerator is placed, the flexible buffer cushion 18 and the U-shaped pressing block 20 wrap and slightly press the orthodontic accelerator, gel in the sponge containing sodium fluoride with concentration slightly higher than 0.05% seeps out, the fluorine ion concentration in the fluoridation pad 5 is supplemented, the fluorine recharging of the fluoridation pad 5 is realized, and the orthodontic accelerator is convenient to use for a long time. Be equipped with ultraviolet sterilization lamp area 21 in U type briquetting 20 and the flexible buffer 18, ultraviolet sterilization lamp area 21 is used for disinfecting to the just abnormal accelerator after finishing using, and the cleanness when guaranteeing to deposit is aseptic. The flexible cushion 18 is detachably connected with the box body 16, and the U-shaped pressing block 20 is detachably connected with the box cover 17, so that the flexible cushion 18 and the U-shaped pressing block 20 can be conveniently detached to be filled with fluorine when necessary.
The application method of the photo-stimulation fluorine-releasing orthodontic accelerator comprises the following steps:
the patient puts into the oral cavity with this device, and in alveolus 4 was put into to the tooth, the tooth face parcel that just abnormal unscrambler will be worn to the gum cover 1, tooth periphery cover 2 and the inner periphery cover 3 of tooth, and the width of gum cover 1 sets up to slightly being less than patient's gum width, can directly block on the tooth under self elasticity effect after wearing, need not to continuously bite into, can be applicable to the tooth arrangement shape of various different deformities. The tooth is surrounded by three sides of the tooth bottom sleeve 1, the tooth outer periphery sleeve 2 and the tooth inner periphery sleeve 3, the tooth outer periphery sleeve 2 is positioned outside the tooth of a patient, the fluoridated pad 5 is attached to the tooth surface of the patient and an orthodontic bracket, the surface of the tooth of the patient is coated with fluorine by slowly releasing the fluorine ions under the illumination stimulation of the carbon dioxide laser light strip 7, the orthodontic bracket accommodating cavity 6 is used for wrapping the outer surface of an orthodontic bracket 22 of an orthodontic appliance and is a whole dent slightly shallower than the orthodontic bracket 22, therefore, when the orthodontic bracket 22 is pressed into the orthodontic bracket accommodating cavity 6, redundant materials can move towards the dent, the part of the tooth corresponding to the orthodontic bracket 22 can be easily adapted, the surface of the tooth contacted with the orthodontic bracket 22 is coated with fluorine by repeating points, sodium fluoride in the fluoridated pad 5 can increase molecular energy under the stimulation of carbon dioxide laser, the micropore structure of the fluoridated pad 5 can enable the fluoridated pad to absorb the fluorine ions under the environment of high-concentration fluorine ions, the fluoride ions can be continuously released along with the concentration gradient of about 0.05% in the fluorine laser, the absorption of the enamel can be increased, the mechanical enamel content of the fluoride, and the carbonate in the enamel can be increased, and meanwhile, the mechanical enamel performance of the fluoride-resistant enamel can be increased. Compared with common silicon rubber, fluorine rubber or fluorine-silicon rubber, the synthetic rubber material or food-grade silica gel material containing micropores adopted by the fluoridation pad 5 has better adsorbability, heat resistance, cold resistance, high voltage resistance, oil resistance, acid and alkali resistance and the like. The structure is a sea-island and micropore structure, sodium fluoride is placed in a framework, fluoride ions with safe concentration are slowly released along a concentration gradient in a manner of taking a silica gel pore passage as a speed-limiting mode, efficient, noninvasive, automatic, continuous and long-term fluoride ion release is realized, the fluoride ion release concentration is controlled to be 0.05%, the concentration is recommended for daily fluorine water mouth rinsing, and the safety is good. The long-term slow fluorine release can reduce the extra chair-side operation time occupied by the regular fluorine coating, reduce the number of times of patient treatment and not influence the patient to eat. Near-infrared laser lamp area 8 carries out near-infrared irradiation to the gum of patient's root of tooth, promotes the removal speed of tooth in just abnormal process, and controller 9 is used for controlling the mode of carbon dioxide laser lamp area 7 and near-infrared laser lamp area 8 to the irradiation time of controlling carbon dioxide laser lamp area 7 and near-infrared laser lamp area 8 guarantees to scribble fluorine effect and acceleration effect. The indicator capsule 11, coated with edible paint on its surface, can be faded by saliva rinsing, and the range of colors that can be displayed after a certain time can be predicted according to the average saliva flow rate of the population. The using time of the orthodontic accelerator of the patient can be estimated through the color of the indicator capsule 11 during the return visit, the compliance of the patient can be visually monitored, and the indicator capsule 11 can be replaced by a new indicator capsule after each return visit. In addition, if the patient is a teenager, in order to better monitor the compliance of the patient, after the householder agrees, the saliva flow rate of the patient can be measured, and a more accurate color range can be predicted, so that personalized compliance monitoring is carried out.
In conclusion, the light-stimulated fluorine-releasing orthodontic accelerator provided by the invention solves the problems that dental enamel demineralization and dental caries caused by orthodontic treatment cannot be improved in the prior art, extra operation time beside a chair is required for fluorine coating, the number of times of patients' visits is increased, the time required for full action of fluoride and teeth is long, food intake is influenced, and compliance of patients cannot be visually monitored.
The present invention has been described above by way of example, but the present invention is not limited to the above specific embodiments, and any modification or variation made based on the present invention is within the scope of the present invention as claimed.
Claims (10)
1. The utility model provides an orthodontic accelerator is released to light stimulus, includes tooth base cover, tooth periphery cover and the interior cover of tooth, the tooth base cover the tooth periphery cover with the tooth interior cover of circle constitution U type's facing structure, tooth periphery cover with be equipped with the alveolus between the cover in the tooth, its characterized in that: the dental bottom sleeve, the outer tooth periphery sleeve and the inner tooth periphery sleeve are provided with fluoridation pads on one sides close to the dental alveolus, the fluoridation pads are made of glue materials or food-grade silica gel which are synthesized by fluororubber and fluorosilicone rubber and are of a microporous structure, sodium fluoride is filled in the fluoridation pads, concave orthodontic bracket accommodating cavities are formed in one surfaces, located on the outer tooth periphery sleeve, of the fluoridation pads, carbon dioxide laser lamp belts and near infrared laser lamp belts are arranged in the outer tooth periphery sleeve side by side, the near infrared laser lamp belts are arranged in the inner tooth periphery sleeve, a controller for controlling the carbon dioxide laser lamp belts and the near infrared laser lamp belts is arranged on the outer side of the outer tooth periphery sleeve, indicator grooves are formed in one surfaces, located on the outer tooth periphery sleeve, of the fluoridation pads, and indicator capsules are detachably arranged in the indicator grooves.
2. The photostimulation fluorine-releasing orthodontic accelerator according to claim 1, characterized in that: the micro brushing velvet is arranged on the fluoridation pad, and the micro vibration motors close to the fluoridation pad are arranged in the outer tooth periphery sleeve and the inner tooth periphery sleeve.
3. The photostimulation fluorine-releasing orthodontic accelerator according to claim 2, wherein: a plurality of fluorine flow channels communicated with the alveolus are arranged in the fluoridation pad.
4. The photostimulation fluorine-releasing orthodontic accelerator as claimed in claim 1, wherein: the fluoridation pad is detachably connected with the tooth bottom sleeve, the tooth outer periphery sleeve and the tooth inner periphery sleeve, one part of the orthodontic bracket accommodating cavity is a bracket part, and the bracket part is detachably connected with the fluoridation pad.
5. The photostimulation fluorine-releasing orthodontic accelerator according to claim 1, characterized in that: the carbon dioxide laser lamp strip and the near-infrared laser lamp strip are alternately or simultaneously started to irradiate the inside of the alveolus under the control of the controller, the duration time of one irradiation of the carbon dioxide laser lamp strip is 30 seconds, and the duration time of one irradiation of the near-infrared laser lamp strip is 10 minutes.
6. The photostimulation fluorine-releasing orthodontic accelerator as claimed in claim 1, wherein: the surface of the indicator capsule is coated with an edible coating.
7. The photostimulation fluorine-releasing orthodontic accelerator as claimed in claim 1, wherein: the fluoridizing pad is synthesized by adopting fluororubber and fluorosilicone rubber according to the proportion of 8.
8. The photostimulation fluorine-releasing orthodontic accelerator according to claim 4, wherein: the tooth bottom sleeve, the tooth outer periphery sleeve, the tooth inner periphery sleeve and the fluoridation pad are all made of flexible and plastic transparent materials.
9. An orthodontic accelerator storage box matched with the optical stimulation fluorine-releasing orthodontic accelerator disclosed by any one of claims 1 to 8, which comprises a box body and a box cover, and is characterized in that: the utility model discloses a box cover, including box body, box cover, flexible blotter, U type standing groove, U type briquetting and flexible blotter is the gel sponge material that contains high concentration sodium fluoride, be equipped with flexible blotter in the box body, be equipped with two U type standing grooves on the flexible blotter, be equipped with two on the lid with the U type briquetting that U type standing groove corresponds, U type briquetting with flexible blotter is the gel sponge material that contains high concentration sodium fluoride.
10. The orthodontic accelerator storage box of claim 9, wherein: the U type briquetting with be equipped with the ultraviolet sterilizing lamp area in the flexible buffer pad, the flexible buffer pad with the box body U type briquetting with be detachable the connection between the lid.
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| CN115721425B (en) | 2024-04-02 |
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