CN115969545A - Hot-pressing film template for bonding multifunctional accessories and forming method and application thereof - Google Patents

Hot-pressing film template for bonding multifunctional accessories and forming method and application thereof Download PDF

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Publication number
CN115969545A
CN115969545A CN202211656565.6A CN202211656565A CN115969545A CN 115969545 A CN115969545 A CN 115969545A CN 202211656565 A CN202211656565 A CN 202211656565A CN 115969545 A CN115969545 A CN 115969545A
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hot
bonding
multifunctional
template
accessory
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潘晓岗
吴晓伟
吕皓冉
房兵
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Ninth Peoples Hospital Shanghai Jiaotong University School of Medicine
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Ninth Peoples Hospital Shanghai Jiaotong University School of Medicine
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    • YGENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y02TECHNOLOGIES OR APPLICATIONS FOR MITIGATION OR ADAPTATION AGAINST CLIMATE CHANGE
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Abstract

The invention relates to a hot-pressing membrane template for bonding multifunctional accessories and a forming method and application thereof. The molding method comprises the following steps: acquiring a multifunctional accessory bonding model (6); 3D printing is carried out on the dentition model containing the bonding model (6) to obtain a solid substrate; and (3) hot-pressing the elastic polymer membrane on the solid substrate to form the hot-pressed membrane template (7) for bonding the multifunctional accessory. The bonding method comprises the following specific steps: putting the prefabricated multifunctional accessory (0) into the hot-pressing film template (7), putting the hot-pressing film template (7) with the multifunctional accessory (0) into the oral dentition, and carrying out photocuring on the adhesive; and (4) taking down the hot-pressing film template (7) to complete the bonding of the multifunctional accessory (0). Compared with the prior art, the template has elasticity, and solves the problem of wearing in irregular dentition; meanwhile, the buckle design facilitates the taking down of the template after bonding. And simultaneously accords with the habit of adhering the accessories of the invisible orthodontic appliance.

Description

Hot-pressing film template for bonding multifunctional accessories and forming method and application thereof
Technical Field
The invention relates to the technical field of oral medical treatment, in particular to a hot-pressing membrane template for bonding multifunctional accessories and a forming method and application thereof.
Background
In the traditional fixed correction, molar anchorage is kept, and molar inclination in the mesial direction is prevented, and omega curve, backward bending and outward extending bending are usually formed by bending a rear end arch wire; the strength and rigidity of the arch wire are ensured, and the arch wire is prevented from being processed on an excessively thin and soft arch wire; bending various curves with positive axis effect or using various auxiliary devices in the mesiodial of the teeth needing to move.
In recent years, with the development of orthodontic materials and biomechanics, invisible appliances are increasingly popular with orthodontists and patients. The stealthy ware of rescaling of no support groove is through the three-dimensional digital dentition model who obtains the patient, and based on digital dentition model design tooth removes, 3D prints the stealthy ware of rescaling of preparation series tooth removal mould, and the ware is rescued in the stealthy ware of applying the hot pressing membrane material preparation, and the patient wears a series of stealthy ware and reaches the effect of rescaling the dentition. The invisible appliance is worn on the surface of the tooth crown, the surface of the tooth crown is smooth and has a complex structure, and the fixation and tooth moving efficiency of the invisible appliance are generally increased by adhering attachments on the surface of the tooth crown.
The existing fixing appliance bracket bonding template determines the position of bracket bonding through a digital model of a patient dentition, and a 3D printing bonding template or a guide plate is used. Harder printing resin is used as template printing material for accurate bracket positioning. The template is provided with retention protrusions, or the bracket is fixed on the template by adopting a method of bonding silica gel and hydrosol. Harder printing resin is adopted as a template printing material for obtaining accurate bracket positioning, and the template is difficult to take down after the bracket is bonded due to harder material, so that the bracket which is bonded just now sometimes even falls off. Because the material is harder, when the dentition is disorderly arranged, a common positioning channel is difficult to form, and the tooth is difficult to accurately wear. The silica gel is adopted to fix the bracket, which may affect the accuracy of the bracket in place, the hydrosol is used to fix the bracket, and a large amount of water is needed to flush the bonded bracket, which causes discomfort to the patient and may affect the bonding strength.
The existing invisible appliance attachment bonding template designs an attachment on a dental crown through a digital model of a patient dentition, 3D prints a dentition resin model containing the attachment, and forms an attachment template by hot-pressing a hot-pressing film high polymer material. The hot pressing film accessory template is worn on the dentition in the oral cavity after being filled with light curing resin, and the resin is cured and adhered to the dental crown according to the shape of the accessory template and the position on the dental crown by resin adhesive and ultraviolet irradiation. The operation is complicated, the filling resin sometimes generates bubbles due to insufficient filling, or the filling resin is excessive to cause the resin to overflow the template to form unnecessary fins, so that the effect of accessories is influenced, and the invisible tooth socket is not tightly fitted when being worn.
Disclosure of Invention
The invention aims to overcome at least one of the defects of the prior art and provide a hot-pressing film template for adhering a multifunctional accessory, which has elasticity, solves the problem of irregular dentition wearing and conforms to the adhering habit of the accessory of an invisible appliance, and a forming method and application thereof.
The purpose of the invention can be realized by the following technical scheme:
a forming method of a hot-pressing film template for bonding multifunctional accessories comprises the following steps:
obtaining a three-dimensional digital model of a patient dentition;
determining a position of the multi-functional attachment on the tooth;
performing bonding model replacement on the multifunctional accessory to obtain a multifunctional accessory bonding model, and further obtaining a dentition model containing the multifunctional accessory bonding model for manufacturing the hot-pressing film template;
3D printing is carried out on the dentition model containing the bonding model to obtain a solid substrate;
and (3) hot-pressing the elastic polymer membrane on the solid substrate to form the hot-pressing membrane template for bonding the multifunctional accessory.
Furthermore, the multifunctional accessory comprises a base and tie wings which are positioned on the base and are separately arranged, a transverse groove for bearing an arch wire is formed between the two tie wings, an annular tie groove for sleeving a traction elastic ring or an elastic tie ring is formed in the outer side of each tie wing, and the base is fixedly arranged on teeth.
Further, the shape of the base is oval or waist-round; the ligating wings are symmetrically arranged relative to the mirror surface of the transverse groove or are symmetrically arranged at the center.
Furthermore, the teeth are cuspid teeth, and the base is oval; the tooth is premolar or molar, the base is in a waist-round shape, namely a long rectangle with two arc-shaped ends, and two sides of the base are respectively connected with the two arcs; the tooth is a cuspid or a premolar, and the ligating wings are arranged in a mirror symmetry way relative to the transverse sulcus; the teeth are molars, and the ligating wings are symmetrically arranged relative to the center of the transverse sulcus.
The cuspid base is oval because the cuspid is located the position of angle of mouth and dental arch corner, and often misplaces, therefore the oval design of cuspid annex can reduce the stimulation to the angle of mouth mucous membrane. The oval attachment can facilitate the tipping movement of the cuspid arch during the dentition alignment and flattening stage.
The premolar base is in a waist-round shape and is close to a rectangle, because the premolar is positioned at the rear section of the dental arch, the position of the premolar base needs to be stabilized in the correcting process, and the rectangle design can form
Figure BDA0004011697730000031
The gum is a force couple to control the inclination of the tooth axis.
The diagonal wing on the molar base is characterized in that the molar crown is shorter and wider, the size of the accessory can be reduced due to the design of the diagonal wing, a near-far-middle directional couple is formed, and the inclination of the molar is controlled.
Further, the outer edge of the ligating wing is in a rounded structure, the chamfer R =0.6-0.7mm, and preferably R =0.65mm; the width of the transverse groove is 0.5-0.6mm, preferably 0.56mm, the depth is 0.7-0.75mm, preferably 0.71mm, and the depth of the annular ligation groove is 0.4-0.6mm, preferably 0.5mm.
Further, the upper surface of the bonding model is abutted with the surface of the transverse groove; the transverse groove is filled and leveled up equivalently to a straight line, the side surface of the bonding model extends outwards relative to the ligating wing, the depth of the bonding model is changed to be shallow relative to the inward depth of the annular ligating groove, and the bonding model extends in a triangular mode relative to the base.
The multifunctional accessory can be fixed by the template formed after the polymer membrane is pressed and formed by the modification based on the multifunctional accessory. The arc-shaped buckle of the template corresponding to the ligation wing of the multifunctional accessory can fix the multifunctional accessory and can take down the template after the multifunctional accessory is bonded by utilizing the elasticity of the template material and the arc-shaped buckle structure.
The existing fixing appliance bracket bonding template does not reshape the shape of a bonding object so that the bonding object can be conveniently taken down when generating a retention effect. The existing film pressing type fixing appliance bracket bonding template adopts a double-film method of an inner soft film and an outer hard film to obtain retention, and the two films are often separated easily to cause inaccurate positioning.
Further, the maximum extent of the outward extension is 0.4-0.6mm, preferably 0.5mm; the maximum amplitude of depth change is 0.2-0.3mm, preferably 0.25mm;
the base extension of the triangular extension has a maximum extent of 0.2-0.3mm, preferably 0.25mm, and the high extension has a maximum extent of 0.2-0.3mm, preferably 0.25mm.
Further, the multifunctional accessory is made of ceramic or high-temperature-resistant resin.
The hot-pressing film template for bonding the multifunctional accessory prepared by the forming method comprises a dentition part abutted with the dentition and an accessory part abutted with the multifunctional accessory.
The application of the hot-pressing film template for bonding the multifunctional accessory is used for bonding the multifunctional accessory to teeth, and comprises the following specific steps:
putting the prefabricated multifunctional accessory into a hot-pressing film template, and coating an adhesive and an adhesive resin on a base; cleaning and drying the tooth surface, and then coating an adhesive; putting the hot pressing film template with the multifunctional accessory into the dentition of the oral cavity, and carrying out photocuring on the adhesive; causing the multi-functional attachment to adhere to the tooth; and taking down the hot pressing film template to complete the bonding of the multifunctional accessory.
Compared with the prior art, the invention has the following advantages:
(1) In the invention, the multifunctional accessory can be fixed by a template formed after the polymer membrane is subjected to film pressing and forming based on the modification of the multifunctional accessory; the arc-shaped buckle of the template corresponding to the multifunctional accessory ligation wing can fix the multifunctional accessory and can take down the template after the multifunctional accessory is adhered by utilizing the elasticity of the template material and the arc-shaped buckle structure;
(2) The multifunctional accessory template is manufactured by using the elastic film pressing diaphragm, and the elasticity of the diaphragm avoids the difficulty in taking down the template; meanwhile, the template forming model is modified, and the bayonet structure is designed at the ligation wing part, so that the single-layer membrane can be used for integral wrapping, and the positioning accuracy is improved.
Drawings
FIG. 1 is a diagram showing the positions of the acid etching treatment of the dentition and the corresponding portions of the teeth where the adhesive attachments are required in the example;
FIG. 2 is a schematic view of a hot-press molding plate according to an embodiment;
FIG. 3 is an assembly view of the hot-pressing mold plate and the multifunctional accessory in the embodiment;
FIG. 4 is a schematic diagram of a bonding process of the multifunctional attachment in the embodiment;
FIG. 5 is a schematic view of a photo-curing process for bonding the multifunctional attachment in the embodiment;
FIG. 6 is a schematic view showing the completion of the bonding of the multifunctional accessory in the embodiment;
FIG. 7 is a comparison of the multi-functional attachment, the contour of the bonding mold, and the contour of the hot-pressing mold plate in the embodiment;
FIG. 8 is a perspective comparison of the profile of the multi-functional molar attachment, bonding model and hot-pressing die plate in the example;
FIG. 9 is a schematic plan view of the multifunction accessory in the embodiment;
FIG. 10 is a perspective view of an embodiment of the cuspid attachment;
FIG. 11 is a perspective view of an embodiment of an premolar attachment;
figure 12 is a perspective view of a molar attachment according to an embodiment;
the reference numbers in the figures indicate: the multifunctional accessory 0, the base 1, the ligating wing 2, the transverse groove 21, the annular ligating groove 22, the bonding model 6, the hot pressing film template 7, the dentition part 71 and the accessory part 72.
Detailed Description
The invention is described in detail below with reference to the figures and the specific embodiments. The present embodiment is implemented on the premise of the technical solution of the present invention, and a detailed implementation manner and a specific operation process are given, but the scope of the present invention is not limited to the following embodiments.
Examples
A hot pressing film template for bonding multifunctional accessories and a forming method and application thereof are disclosed, wherein the forming method comprises the following steps:
st.1, acquiring a three-dimensional digital model of the dentition of the patient;
st.2, determining the position of the multifunctional attachment 0 on the tooth; referring to fig. 9-12, the multifunctional attachment 0 comprises a base 1 and tie wings 2 separately disposed on the base 1, wherein a transverse groove 21 for bearing an archwire is formed between the two tie wings 2, an annular tie groove 22 for receiving a traction elastic ring 4 or an elastic tie ring 31 is formed on the outer side of each tie wing 2, and the base 1 is fixedly disposed on a tooth. The shape of the base 1 is oval or waist-round; the tie wings 2 are arranged mirror-symmetrically or centrally symmetrically with respect to the transverse slot 21. If the teeth are cuspid teeth, the base 1 is oval; if the teeth are premolars or molars, the shape of the base 1 is a waist circle; if the tooth is a cuspid or premolar, the tie wings 2 are arranged mirror-symmetrically with respect to the transverse slot 21; if the tooth is a molar tooth, the tie wings 2 are arranged symmetrically with respect to the center of the transverse slot 21. The outer edge of the ligating wing 2 is in a rounded structure, and the chamfer R =0.65mm; the width of the transverse groove 21 is 0.56mm, the depth is 0.71mm, and the depth of the annular ligation groove 22 is 0.5mm. The material of the multifunctional accessory 0 includes ceramic or high temperature resistant resin.
St.3, performing bonding model replacement on the multifunctional accessory 0 to obtain a multifunctional accessory bonding model 6, and further obtaining a dentition model containing the multifunctional accessory bonding model for manufacturing the hot-pressing film template; as shown in fig. 7 to 8, the upper surface of the bonding pattern 6 abuts against the surface of the transverse groove 21; corresponding to a straight line filling the transverse slot 21, the side of the adhesive pattern 6 extends outwardly relative to the tie wings 2, tapers inwardly relative to the annular tie groove 22, and extends triangularly relative to the base 1. In particular, the maximum amplitude of the outward extension is 0.5mm; the maximum amplitude of depth change is 0.25mm; the base extension of the triangular extension has a maximum amplitude of 0.25mm and the height extension has a maximum amplitude of 0.25mm.
St.4, 3D printing is carried out on the dentition model containing the bonding model 6 to obtain a solid substrate;
st.5, hot-pressing the elastic polymer membrane on the solid substrate to form a hot-pressing membrane template 7 for bonding the multifunctional accessory, as shown in figure 2, wherein the main component of the elastic polymer membrane is TPU and/or PETG, and the elastic polymer membrane can be purchased from oral cavity materials;
the hot-pressing film template 7 comprises a dentition part 71 abutted against the dentition and an accessory part 72 abutted against the multifunctional accessory 0, and the hot-pressing film template 7 is applied to bonding the multifunctional accessory 0 to teeth and comprises the following specific steps:
step 1, placing a prefabricated multifunctional accessory 0 into a hot-pressing film template 7, coating an adhesive and an adhesive resin on a base 1, and placing the multifunctional accessory 0 at a corresponding position of the hot-pressing film template 7 as shown in fig. 3;
step 2, cleaning the tooth surface, performing acid etching treatment, cleaning an acid etching agent, drying the tooth surface, coating an adhesive, dentition and teeth, and performing acid etching treatment on the corresponding part needing to be adhered with the multifunctional accessory 0 as shown in figure 1;
step 3, putting the hot-pressing film template 7 with the multifunctional accessory 0 into the oral cavity dentition, and carrying out photocuring on the adhesive, as shown in figures 4-5; so that the multifunctional attachment 0 is bonded to the tooth; specifically, an adhesive is coated on a tooth surface acid etching area, an adhesive and adhesive resin are coated on a bottom plate 1, and a hot-pressing film template 7 is sleeved on a tooth row;
and 4, taking down the hot-pressing film template 7 to complete the bonding of the multifunctional accessory 0, and removing the hot-pressing film template 7 as shown in fig. 6, wherein the multifunctional accessory 0 is bonded on the tooth.
In conclusion, the adhesive template of the preformed multifunctional accessory is a preformed adhesive template of the multifunctional accessory, and the hot-pressing film high polymer material is used as the accessory template material, so that the template has elasticity, and the problem of wearing irregular dentition is solved; meanwhile, the buckle design facilitates the taking down of the template after bonding. And simultaneously conforms to the habit of adhering the accessories of the invisible orthodontic appliance.
While the invention has been described with reference to a preferred embodiment, it will be understood by those skilled in the art that various changes may be made and equivalents may be substituted for elements thereof without departing from the scope of the invention. However, any simple modification, equivalent change and modification of the above embodiments according to the technical essence of the present invention will still fall within the protection scope of the technical solution of the present invention.

Claims (10)

1. A forming method of a hot-pressing film template for bonding multifunctional accessories is characterized by comprising the following steps:
acquiring a three-dimensional digital model of the dentition of a patient;
-determining the position of the multifunctional accessory (0) on the tooth;
replacing the bonding model of the multifunctional accessory (0) to obtain a multifunctional accessory bonding model (6), and further obtaining a dentition model containing the multifunctional accessory bonding model for manufacturing the hot-pressing film template;
3D printing is carried out on the dentition model containing the bonding model (6) to obtain a solid substrate;
and (3) hot-pressing the elastic polymer membrane on the solid substrate to form the hot-pressed membrane template (7) for bonding the multifunctional accessory.
2. The forming method of the hot-pressing film template for bonding the multifunctional accessories is characterized in that the multifunctional accessories (0) comprise a base (1) and tie wings (2) which are separately arranged on the base (1), a transverse groove (21) for bearing an arch wire is formed between the two tie wings (2), an annular tie groove (22) for sleeving a traction elastic ring or an elastic tie ring is formed in the outer side of each tie wing (2), and the base (1) is fixedly arranged on teeth.
3. The method for forming a hot-pressing film template for bonding multifunctional accessories according to claim 2, wherein the shape of the base (1) is oval or waist-round; the tie wings (2) are arranged in a mirror symmetry way or in a central symmetry way relative to the transverse groove (21).
4. The method for forming a hot-pressing film template for multifunctional attachment adhesion according to claim 3, wherein the teeth are cuspids, and the shape of the base (1) is oval; the teeth are premolars or molars, and the base (1) is in a waist-round shape; the teeth are cuspid teeth or premolar teeth, and the tie wings (2) are arranged in a mirror symmetry way relative to the transverse groove (21); the teeth are molars, and the tie wings (2) are arranged in a central symmetry way relative to the transverse groove (21).
5. The method for forming a multifunctional attachment bonding hot pressing film template according to claim 2, wherein the outer edge of the ligating wing (2) has a rounded structure, and the rounded structure has a chamfer of R =0.6-0.7mm, preferably R =0.65mm; the width of the transverse groove (21) is 0.5-0.6mm, preferably 0.56mm, the depth is 0.7-0.75mm, preferably 0.71mm, and the depth of the annular ligation groove (22) is 0.4-0.6mm, preferably 0.5mm.
6. The method for forming a hot-press molding plate for bonding a multifunctional accessory according to claim 2, wherein the upper surface of the bonding mold (6) abuts against the surface of the transverse groove (21); the side surface of the bonding model (6) extends outwards relative to the ligating wing (2), changes to be shallow relative to the inward depth of the annular ligating groove (22) and extends in a triangular shape relative to the base (1).
7. The method for forming a hot-press molding plate for multifunctional attachment adhesion according to claim 6, wherein the maximum outward extension is 0.4-0.6mm, preferably 0.5mm; the maximum amplitude of the depth change is 0.2-0.3mm, preferably 0.25mm;
the base extension of the triangular extension has a maximum extent of 0.2-0.3mm, preferably 0.25mm, and the height extension has a maximum extent of 0.2-0.3mm, preferably 0.25mm.
8. The method for forming a hot-press mold for bonding multifunctional accessories according to any one of claims 1 to 6, wherein the multifunctional accessories (0) are made of ceramic or high-temperature resin.
9. A hot-press film template for bonding a multifunctional accessory prepared by the molding method according to any one of claims 1 to 8, wherein the hot-press film template (7) comprises a dentition portion (71) abutting against the dentition and an accessory portion (72) abutting against the multifunctional accessory (0).
10. The use of the hot-pressing film template for multifunctional attachment adhesion according to claim 9, wherein the hot-pressing film template (7) is used for adhering the multifunctional attachment (0) to teeth by the following steps:
putting the prefabricated multifunctional accessory (0) into a hot-pressing film template (7), and coating an adhesive and adhesive resin on the base (1);
cleaning and drying the tooth surface, and then coating an adhesive;
putting a hot-pressing film template (7) with a multifunctional accessory (0) into the oral dentition, and carrying out photocuring on the adhesive;
and (4) taking down the hot-pressing film template (7) to complete the bonding of the multifunctional accessory (0).
CN202211656565.6A 2022-12-22 2022-12-22 Hot-pressing film template for bonding multifunctional accessories and forming method and application thereof Pending CN115969545A (en)

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CN202211656565.6A CN115969545A (en) 2022-12-22 2022-12-22 Hot-pressing film template for bonding multifunctional accessories and forming method and application thereof

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Application Number Priority Date Filing Date Title
CN202211656565.6A CN115969545A (en) 2022-12-22 2022-12-22 Hot-pressing film template for bonding multifunctional accessories and forming method and application thereof

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CN115969545A true CN115969545A (en) 2023-04-18

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