CN1192667A - Tongue thrust oral habit retrainer - Google Patents
Tongue thrust oral habit retrainer Download PDFInfo
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- CN1192667A CN1192667A CN96196157A CN96196157A CN1192667A CN 1192667 A CN1192667 A CN 1192667A CN 96196157 A CN96196157 A CN 96196157A CN 96196157 A CN96196157 A CN 96196157A CN 1192667 A CN1192667 A CN 1192667A
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
- A61F5/50—Devices for preventing finger-sucking
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Abstract
The invention relates to a tongue thrust habit oral corrective device designed to be retained by the posterior teeth, and to train the tongue to avoid thrusting against the front teeth during swallowing. The device including a teeth fitting segment adapted to fit under at least the upper first posterior teeth, a palatal bridge extending from the teeth fitting segment adapted to avoid contacting the palate, and a downward projection adapted to create with the teeth fitting segment and the upper projection, a rearwardly opening pouch or channel in which the user's tongue is engulfed at a central location within the mouth so that the tip of the tongue is positioned properly and accurately for initiating a normal swallow.
Description
The present invention relates to a kind of apparatus for correcting, be used to correct the habit that when swallowing, very sticks out one's tongue and other oral habit.
When normally swallowing, the tip of the tongue at first withstands on the upper jaw of the front portion of palate or the tight back of labial teeth.Then, tongue and top surface thereof head on upwards motion backward of hard palate when swallowing.Have tongue very to stretch the people of problem (normally child) and generally make tongue be positioned at too lower position and too forward when beginning to swallow in the oral cavity, swallowing act makes the tongue reach head on the top labial teeth, is swallowing the front portion that moves on to the top labial teeth when finishing.This tongue very stretch continuous multiple pressure that habit forms usually make the top labial teeth and all around bone upwards and move forward, thereby about forming open spaces between the nipper.This open spaces is called the front portion and opens a malocclusion.The user that tongue is very stretched also makes its lower lip be pressed against on the rear portion of top labial teeth incorrect during slowly swallowing frequently, and this has further increased the weight of malocclusion again.
The applicant had before proposed a kind of device that tongue is very stretched habit of correcting in U.S. Patent No. 4997182.The applicant finds that this device can be corrected the habit that tongue is very stretched effectively, and helps correcting the incorrect malocclusion that causes with other oral habit of swallowing.This device is considered to carry out work by the trained reflex of stereotaxis, wherein, training be extremely by innerv the tip of the tongue surface, the front curve of the hard palate that itself and the extreme that is positioned at the tight back of labial teeth, top innervate is contacted.This training position is the tram when beginning normally to swallow.Yet the device of U.S. Patent No. 4997,182 needs to improve, because need very masterful technique and patience in the user oral cavity for this device is properly installed on.Thereby added on the straight and upright correcting unit of basic tongue of U.S. Patent No. 4499182 that some help this device is fixed to the parts in the user mouth.The whole explanation of U.S. Patent No. 4997182 is included in herein as a reference.
The invention provides the oral cavity apparatus for correcting that the tongue of first embodiment is very stretched, this device is designed to be fixed on the backteeth of top and trains user to carry out correct swallowing, and does not make tongue pushing labial teeth, and this device comprises:
The part of coupling tooth, it comprises: (1) first occlusal crib, be suitable for being fixed on a side in the user mouth at least one backteeth below; (2) second occlusal cribs, be suitable for being fixed on opposite side in the user mouth at least one backteeth below; (3) forward part, be suitable for being contained at least two top labial teeths below;
Downward protuberance stretches out and is suitable for forming a slope from tooth-matching part and stretches to the soft tissue of the anterior palate front curvature portion of user palatine with the tip of the tongue of guiding user;
The palate bridge, be ring-type, above tooth-matching part and connect first and second occlusal cribs, wherein, the palate bridge is suitable for forming an opening with tooth-matching part and downward protuberance, and this opening makes the tongue of user can touch the anterior palate front curvature portion of user palatine.
Downwards protuberance, tooth-matching part and palate bridge combine and form the open-bag or the groove that swallow up tongue backward.This embodiment can make device be configured in securely in the user mouth, and this device can be fixed by contacting with 3 of dentification before the top with the top backteeth of each side of oral cavity simultaneously.After device tightly has been fixed on user top on the tooth after, preferably cut or grind off that part of device that contacts with the top front tooth earlier, re-use this device, like this, this part installs with regard to the downward of the requirement that can not hinder the top labial teeth and moves backward, just can produce this mobile when the top nipper is broken away from continuous tongue thrust of repetitiousness and lower lip pressure.
Preferably make the palate bridge avoid contacting palate.Preferably make downward protuberance avoid when user is remained silent, lower teeth or jaw being exerted pressure.Each occlusal crib preferably has the hole of a grappling polymeric materials.This Kongzui has well and is suitable for the sloping edge that engages with polymeric materials, thereby helps the combination between device and the polymeric materials.Preferably assemble the palate bridge like this, make the top of annular element and palate at a distance of 2～4cm.Tongue is very stretched apparatus for correcting and is also comprised the one or more sidepiece moulded projections that protrude from tooth-matching part, and this protuberance is embedded in the user mouth, is positioned at the front (promptly being embedded in the cheek side of this rear portion tooth) of at least one rear portion tooth.The sidepiece moulded projections does not preferably hinder the side to utilize top six tongues of user to grind one's teeth in sleep age.Tongue is very stretched apparatus for correcting and is comprised also that preferably at least one is positioned at the labelling on this device centrage of being positioned on the forward collimation protuberance of labial teeth and this collimation protuberance, so that apparatus for correcting is aimed at the slit between (1) two labial teeth, or is aimed at the centrage of (2) user face.
The oral cavity apparatus for correcting that the present invention also provides the tongue of second embodiment very to stretch, this device are designed to be fixed on the backteeth of top and push labial teeth without tongue when training user to swallow, and this device comprises:
The part of coupling tooth, this part comprises: (1) first occlusal crib, be suitable for being assemblied in user oral cavity one side at least one backteeth below; (2) second occlusal cribs, be suitable for being assemblied in user oral cavity opposite side at least one backteeth below;
Protuberance protrudes from tooth-matching part and is suitable for forming a slope downwards, so that the lip of the tongue of guiding user stretches to the soft tissue of the anterior palate front curvature portion of user palatine;
The palate bridge, this palate bridge is an annular, above tooth-matching part and connect first and second occlusal cribs, wherein the palate bridge be suitable for tooth-matching part and downwards protuberance form a perforate, this perforate can make the soft tissue of anterior palate front curvature portion of the tongue contact user palatine of user;
One or more sidepiece moulded projections that protrude from tooth-matching part, this protuberance are fit to embed in the user mouth, are positioned at least one backteeth outside or inboard on every side.
Apparatus for correcting of the present invention is fixed in the user mouth, and used method is, polymeric materials is molded on the apparatus for correcting, carries out moldedly according to the backteeth of user, makes material cured become to meet the elastic solid (Hookean body) of these thread form shapes subsequently.For effectively device is fixed on the user tooth around, the solidified material of this shaping must be consistent with the external surface shape of user tooth, and the polymeric material that is shaped must be engaged on the apparatus for correcting securely.Sidepiece moulded projections of the present invention makes polymeric materials can easily cooperate the external surface shape that is engaged tooth.Because this sidepiece moulded projections of preform when making apparatus for correcting is so they constitute firm maintenance wall, so that molded user exterior of teeth.The sidepiece moulded projections also provides before curing behind molded tooth the important supporting of polymeric materials and the volume of the polymeric materials of packing into.The preferred embodiment of first embodiment also is applicable to second embodiment.
The oral cavity apparatus for correcting that the present invention also provides the tongue of the 3rd embodiment very to stretch, this device are designed to be fixed on the backteeth of top and train user to lean labial teeth without tongue when swallowing, and this device comprises:
Cooperate the part of tooth, comprising: (1) first occlusal crib, be suitable for being contained in user oral cavity one side at least one backteeth below; (2) second occlusal cribs, be suitable for being contained in user oral cavity opposite side at least one rear portion tooth below, wherein each occlusal crib has the hole of grappling polymeric materials;
Protrude from the downward protuberance of tooth-matching part, this protuberance is suitable for forming a slope, stretches to the soft tissue of the anterior palate front curvature portion of user palatine with the tip of the tongue that guides user;
The palate bridge, be annular, on tooth-matching part and connect first and second occlusal cribs, wherein the palate bridge be suitable for tooth-matching part and downwards protuberance form a perforate, this perforate makes the tongue of user can contact the soft tissue of the anterior palate front curvature portion of user palatine.
The hole of this embodiment helps at preformed device and is used for this device is fixed on combination between the polymeric materials of user mouth.This Kongzui has the edge of bevel or inclination well, so that diameter is molded in the both sides in hole greater than that part of polymeric materials in hole.These major diameters partly play a part connector thing or recessed portion, are used for the stable polymerization material, and it is not separated with pre-forming device.The preferred embodiment of first embodiment is applicable to the 3rd embodiment.
The present invention also provides a kind of method that tongue is very stretched apparatus for correcting of installing, and this method may further comprise the steps:
Polymeric materials is contained on the upper surface of first and second occlusal cribs;
According to the shape molding polymeric materials of user top tooth, the center collimation in the centrage that makes device with visual method and user tooth or oral cavity and guarantee to form at stable 3 and contact respectively with between the backteeth of top labial teeth and both sides, oral cavity simultaneously at the tooth-matching part of device:
Take off apparatus for correcting from the tooth that is molded;
Solidify polymeric materials to increase its intensity.
This method preferably also is included in this step of taking off the before preliminary local solidification of step after the molded step.This method preferably also comprises the solidified device of polishing, and to remove that part of device of four labial teeths in contact top, the device of having polished allows labial teeth motion and growth and allows to regulate local bone lattice, very stretches the malocclusion that defective causes thereby correct by tongue.
Fig. 1 illustrates the embodiment of device;
Fig. 2 illustrates the bottom view of apparatus for correcting embodiment;
Fig. 3 illustrates the side view of apparatus for correcting embodiment;
Fig. 4 illustrates the profile of cutting open along the shown device central symmetry axes;
Fig. 5 is illustrated in the profile that is fixed on the Fig. 4 in the user mouth during the assembling process.
Following term has the connotation of following explanation.
The occlusal surface of patient top backteeth (or cheek tooth): the occlusal surface of patient top backteeth (or cheek tooth) is exactly the position The chewing surfaces of the top tooth behind canine tooth;
Mold walls or protuberance: outer, molded wall or protuberance are exactly the protuberance of occlusal crib one side, this protuberance design One-tenth can be packed into and be supported the polymeric materials of the shape that is molded as some top teeth of patient. This protuberance supporting Polymeric materials and this polymeric materials that helps to be shaped make its shape with top arch and tooth consistent;
Occlusal crib: occlusal crib is that a slice is designed in the shape that helps according to the occlusal surface of grinding one's teeth in sleep and side The laminated structure of the molded device of the present invention of shape;
Polymeric material: polymeric material is can be molded into to accord with also subsequently can of one or more thread form shapes Make it be fixed on any material of molded shape with curing;
The rear portion tooth: the rear portion tooth is the tooth that is positioned at the canine tooth back, and these teeth are called cheek tooth or backteeth sometimes.
Among Fig. 1, the tooth-matching part 1 of device 20 is roughly semicircle, has forward part 2 and two rear sections that are called first occlusal crib 3 and second occlusal crib 4.Forward part 2 by datum line 5 separately, online 5 the place aheads that part of is part 2 ' make device 20 will be cut or grind off after packing in the user mouth.The size of tooth-matching part 1 is made to its first and second occlusal crib 3 can contact the top backteeth with 4.Tooth matching part 1 is preferably at least one rear portion tooth that each side contacts is arranged in two top backteeth in the tight back of tooth canine tooth (promptly first and second grinding one's teeth in sleep).For less than about 10 years old child, tooth-matching part 1 general contact second deciduous molar; For Peter Pan or adult, the permanent bicuspid of tooth-matching part 1 general contact is a premolars.The palate bridge 6 that constitutes glossal canal 11 (Fig. 4) top is annular (glossal canal that can see in the Figure 4 and 5).The top of this palate bridge 6 is fixed on apart from palate 2～4mm place.The first sidepiece moulded projections 7 and the second sidepiece moulded projections 7 ' be suitable for the being fixed on deciduous molar or the permanent bicuspidal next door of user.Adopt handle 14 to help to be assemblied in apparatus for correcting in the user mouth and with its centering.As illustrated in fig. 1 and 2, most of embodiment of apparatus for correcting have two symmetric half ones.Apparatus for correcting is symmetric about axis in Fig. 1, and the profile of Fig. 4 cuts along axis.
Fig. 2 illustrates the bottom view of apparatus for correcting embodiment, on apparatus for correcting, can see first hole 9 and second hole 9 ', this hole helps making polymeric materials and apparatus for correcting to combine.In Fig. 3 of Fig. 2 and side view, can see downward protuberance 8.Protuberance 8 constitutes the lower part of the glossal canal or the bag of cooperation tongue downwards.Glossal canal 11 be shaped as the guiding the tip of the tongue extend upwardly to and contact the forward soft tissue in anterior palate of user palatine.
Fig. 4 illustrates the profile of the intercepting of apparatus for correcting symmetrical centre axis shown in the edge, can see glossal canal 11 in this figure, and this glossal canal is made of palate bridge 6 and downward protuberance 8, the position of its control user tongue 30.
The profile of Fig. 4 when Fig. 5 illustrates device of straightening and is fixed in the user mouth.Tooth shown in the figure 31, gingiva 32, lip 33 and palate 34.Palate bridge 6 forms tongue hole 15 (Fig. 1), and glossal canal 11 (see figure 4)s are guided tongue into tongue hole 15.The size in tongue hole 15 preferably is decided to be to make tongue must stretch out some just to touch palate 34.When the front curvature portion of the palate of encouraging the tip of the tongue and the tight back of labial teeth contacts with each other, the sensory stimuli of two sensory nerve enrichment organs has abundant benefit, make and to be subjected to encouraging constantly to contact again, so just, can meet the requirements of behavior, be about to tongue and be positioned at beginning residing ideal position when correctly swallowing.
Apparatus for correcting 20 can be made into various sizes.Yet a limited number of size just can adapt to most of user.In fact a kind of pervasive size goes for surpassing 4 years old Most of children or adult.This embodiment is determined for the oral cavity that second deciduous molar or bicuspidal outward flange separate about 50～55mm.Apparatus for correcting 20 usefulness elastic solid (Hookean body) plastics for example comprise poly-aromatic carbon acid esters (the General E1ectric of esters of acrylic acid, Merlon and the Lexan of acrylic acid methyl ester., Pittsfield, MA) or other polymer with suitable intensity, biocompatibility, plasticity or associativity make.The most handy injection molding process of this device is made.
The nip that part of tooth-matching part 2 of edge bottom of the top that leans against anterior tooth preferably includes the labelling that indicates the apparatus for correcting centrage.This labelling comprises notch, wrinkle, groove, hummock or colo(u)r streak.This labelling can be to be suitable for being entrenched in the forward collimation protuberance 12 of labial teeth, and this protuberance 12 has the protuberance 13 (Fig. 4 can see 12 and 13) of the recess between two labial teeths of packing into.When the centrage labelling of the uncomfortable cooperation user of user labial teeth oral cavity, can for example nose or chin adopt visual method to align this device with facial markers.
Tooth-matching part 1 is quite flat, is enough to stably contact in both sides, user oral cavity the occlusal crib of user top backteeth (or cheek tooth).Be arranged in that part of tooth-matching part 2 below the labial teeth of some or all of tops ' help device is fixed on the user mouth.Should before inferior portion 2 ' be formed on the 3rd stable contact point between apparatus for correcting and the user top labial teeth.Other two contact points are positioned at (a) between the top backteeth on first occlusal crib 3 and user right side and (b) between the top backteeth in second occlusal crib 4 and user left side.After installing, do not need every day and use should before inferior portion 2 ' preferably cut.Determine this Asia part 2 ' line 5 select like this, make that inferior part 2 ' afterwards, this line makes the forward position of apparatus for correcting be parallel to the arch of top labial teeth and it is conformed to arcual profile cutting.First and second occlusal cribs 3 and 4 are used to support polymeric materials, this material according to user top after the shape of tooth carry out molded, thereby make the device user of very fitly fitting.
Tooth-matching part 1 preferably be contained at least two top labial teeths below, more preferably be contained at least four top labial teeths below.Tooth-matching part also be contained in around at least one top backteeth of each side of oral cavity below, preferably be contained in around at least two top backteeth of each side below.Install in the device 20 at polymeric materials, this device is consistent with the occlusal surface and the side view of these backteeth.
The first and second side moulded projections 7 and 7 ' can be contained in the outside (being the cheek side) of at least one tooth of each side of oral cavity.The first and second side moulded projections 7 and 7 ' preferably are contained in the outside of two backteeth separately.In a preferred embodiment, the first and second side moulded projections 7 and 7 ' not can hinder the side to utilize first forever grind one's teeth in sleep (promptly grinding one's teeth in sleep for six ages).So just allow using grinds one's teeth in sleep for six ages fixes other orthodontic appliance, and the arch tinsel of band, maintenance or correct other holder device of flat overbite for example for example adopts and is fixed in the cheek of grinding one's teeth in sleep for the six ages pipe of grinding one's teeth in sleep.
General the sidepiece moulded projections can grind off after using up for narrow oral cavity, so that molded hardening polymer surrounds the tooth of user.Exterior material remove the comfortableness that has increased user, keep fixedly top backteeth of fully many molded curing polymeric materials simultaneously again.
First and second holes 9 and 9 ' its diameter on tooth-matching part 1 is preferably between about 4～6mm generally at about 2～8mm.First and second holes 9 and 9 ' area generally be no more than the about 30%, 25% relatively good of the gross area that is positioned at the tooth-matching part 1 below the backteeth of top, 20% is best.First and second holes 9 and 9 ' preferably have the edge of inclination, are beneficial at apparatus for correcting 20 and are used for making combination between the polymeric materials of the device person of being used tooth.These diameter major parts play a part connector or recess, and they can prevent that hardened polymer from separating with preformed apparatus for correcting 20.Make at molded polymeric materials that this combination stability is a particular importance in the process of its person's of being used teeth patterning, because compare general more weak after the combination between appliance and polymeric materials uncured or local solidification at this moment and the further curing.
In a preferred embodiment of apparatus for correcting 20, palate bridge 6 is preferably avoided contacting with palate.In a further advantageous embodiment, downwards protuberance 8 is suitable for avoiding running into the lower tooth of user or lower jaw or it is exerted pressure when user closes its upper and lower jaw.Projection 8 is quite far away to the rear portion in oral cavity protrusion downwards, to prevent the back interlock of user at device 20.
On the work model that apparatus for correcting 20 usefulness polymeric materials are fixed on the user tooth or is done with the making ide of the user top tooth and the degree of lip-rounding, this polymeric materials is preferably used up solidified, though also can for example be heating and curing with other curing, chemosetting and pressure-cure.This material should have machinable viscosity before curing, makes it can be processed, and can keep the shape of its shaping at least at short notice.Preferred polymeric materials is urethanes dimethylacrylate (urethanedimethacrylate).The TRIAD VLC Provisional material by name (rope form) that Densply company that for example can York city, Binzhou has bought.During with the TRIAD strand material, appliance before adding strand material the most handy monomer solution for example urethanes dimethylacrylate (urethanedimethacrylate) monomer of the gel form of TRIAS VCL (Densply company) or methyl methacrylate monomer (for example SNAP solution monomer of the Parkell company in the TRIAD VLC binding agent of the solution sold as positive tooth resin of the L.D.Cork branch of the Densply company in Delaware state Milford city, Densply company or New York Farmingdale city) soak.Method by manufacturer's recommended when soaking with TRIAD VLC binding agent is carried out, and the method for recommendation comprises: (a) add binding agent; (b) make and be coated with the binding agent that adds and put 1 minute; (c) make with suitable light source and be coated with the binding agent exposure that adds two minutes.The method of recommending is considered to reduce the amount of methyl methacrylate monomer as far as possible.
Polymeric materials is installed on the upper surface of tooth-matching part 1, this part 1 and then be embedded in the following of backteeth and around backteeth around, specifically be to be contained on the upper surface of first and second occlusal cribs 3,4.Material preferably by fill in first and second holes 9 and 9 that tooth coupling divides ' in be anchored on the apparatus for correcting securely.Some polymeric materials preferably be added in the first and second side moulded projections 7 and 7 ' inner surface on.
Although not shown, should be appreciated that apparatus for correcting can have first and second inner side moulded projections 17 and the 17 ' (not shown).First and second inner side moulded projections 17 and 17 ' be separately fixed at embed first occlusal crib 3 backteeth the inboard and embed the inboard of the backteeth of second occlusal crib 4 so that supporting and comprise polymeric materials.The first and second side the moulded projections 7 and 7 ' general about 4～8mm in the bottom surface that leans backteeth that is higher than first occlusal crib 3 or second occlusal crib 4 respectively.The first and second inner side moulded projections 17 and 17 ＇ are then respectively than the high about 2～3mm in the bottom surface of first occlusal crib 3 or second occlusal crib 4.
Then apparatus for correcting is installed on the backteeth of top, and examine device is alignd with the centrage in top labial teeth or oral cavity.Apparatus for correcting and polymeric materials are impressed on the backteeth or its model of user, and make the bottom surface of the tip contact occlusal crib of tooth, note making the forward part 2 of tooth-matching part 1 placed in the middle and this part is pressed against on the edge of front tooth before the user top simultaneously.When device 20 had for first and second hole 9 and the 9 ' times, during molded, earlier with finger pressure with polymeric materials pressed first and second holes 9 and 9 ', make its fixedly polymeric materials, force the Surface runoff of this material then along the user tooth, and need not be pressed through again first hole 9 and second hole 9 '.Then solidify this material on the ground, state lower part that polymeric materials engages with tooth.If material is to use up solidified then can generally shine 1～2 minute with suitable rayed material.Take off apparatus for correcting and further curing then gently.When polymer is when using photocuring, generally be about 4～6 minutes the hardening time of replenishing.Solidify any unnecessary polymeric materials of back polishing removing.
Solidify and polishing after, odontologist finds sometimes, has been removed with material on some useful matching surfaces of user tooth.Can improve this cooperation, method is to form the polymer of pasty consistency in tooth applying groove, and then is inserted on the tooth of user, makes the useful excessively matching surface of polymer pasty state logistics.The polymer that this polymer pasty state thing can be a self-curing (chemosetting) or with other method cured polymer.For example polymer can be a TRIAD VLC gel, or the polymer that forms like this, promptly at first add positive tooth resin (L.D.Cork branch), and then add SNAP self curing resin (a kind of quick-setting acrylic resin, can buy from the Parkell Biomaterials company in New York Farmingdale city), to form the denseness of a pasty state.Under latter event, need to be coated with repeatedly and add the polymer pasty state thing that two kinds of compositions could form q.s.When paste polymer is cooperated with dental cast, can use for example vaseline of releasing agent, not be bonded on the model to guarantee polymer pasty state thing.
The forward part 2 of tooth mating part 1 is general thicker than the bottom of first and second occlusal cribs 3 and 4.Require a thicker reason be need full intensity come compensation subcell part 2 ' grind off.Another reason is that anterior 2 remainder will contact the anterior lower front tooth of user in use.First and second occlusal cribs 3 and 4 thickness be make when the user interlock can be more firm with contact with backteeth with the lower anterior teeth of user reposefully.When the backteeth of this relatively thin part contact bottom, the power that applies will be by offsetting against the top backteeth of thin part equably, thereby allow these parts thinner than forward part 2, and this forward part 2 is because contact lower anterior teeth and can be subjected to clean torsion.Tooth-matching part 1 generally is contained in below the second molar second tooth of each side canine tooth back (promptly), and the thickness of this part tooth-matching part is between 1～2mm; And be contained in two its thickness of the part below the labial teeth of center preferably slightly greatly, to be suitable for more isostatic contact between device and the user bottom tooth.This bigger thickness is for example between about 3～4mm.When natural interlock, the bottom tooth can carry out the even interlock or the lower jaw that closes thus at three some even contact devices 20 that separate, and a point contacts with labial teeth in three points that separate, and another contacts with the backteeth on right side, and the 3rd contacts with the backteeth in left side.
If apparatus for correcting 20 have the forward part 2 of tooth-matching part ', this part 2 forms the contact point in foremost in three points that contact with upper tooth between erecting stage, then preferably cut this part after adaptation procedure is finished.Apparatus for correcting 20 has a groove on tooth-matching part in a preferred embodiment, and this groove is along the line of the anterior minimum of a bar shaped apparatus for converting, and this groove will be cut after this device can fit in the user mouth.This groove help initially to cut the forward part 2 of present unwanted apparatus for correcting 20 '.After this initial excision, further sanding apparatus 20 or cut excess stock.
The forward part 2 of tooth-matching part ' preferably removed by polishing is left the about 1～3mm in position of top labial teeth head when the forward part (remainder of part 2) of apparatus for correcting is fixed in the user mouth, preferably be about 2mm.Apparatus for correcting just can not hinder moving of tooth downwards and backward like this, so that they are more desirably grown, this rectification displacement is very to stretch the habit build-up of pressure owing to having eliminated by tongue.The forward part that polishing preferably stays the abundant amount of device 20 upwards and at an upper portion thereof moves its lower lip after the labial teeth to stop user.Thereby swallow training the time will cause the top labial teeth downwards and backward motion reach better alignment, this device of can further polishing in the meantime makes it not interfere this rectification of top labial teeth to move and grow.
Tongue is very stretched apparatus for correcting 20 and is preferably worn every day at least about 2～3 hours (usually after school or after the supper) and whole evening.
Although according to preferred embodiment explanation the present invention, the professional and technical personnel can obviously see, can use the various modification in preferred embodiment and the method, and can implement the present invention with the mode different with the mode that specifies herein.Therefore the present invention includes and be included in all interior modification of spirit and scope of the invention that following claims are determined.
Claims (20)
1. a tongue is very stretched the oral habit apparatus for correcting, and this device is designed to be contained on the backteeth of top and trains user that tongue or lower lip are against on labial teeth, and this device comprises:
Tooth-matching part comprises: (1) first occlusal crib, be applicable at least one backteeth of being contained in user oral cavity one side below; (2) second occlusal cribs, be suitable for being contained in user oral cavity opposite side at least one backteeth below; (3) forward part, be suitable for being contained at least two top labial teeths below;
Protuberance stretches out from tooth-matching part downwards, is suitable for forming a slope, shifts to the soft tissue of the forward bending section in anterior palate of user palatine in order to the guide tongue tip;
The palate bridge, be annular, on tooth-matching part and connect first and second occlusal cribs, wherein the palate bridge be suitable for tooth-matching part and downwards protuberance form a perforate, this perforate allows the soft tissue of anterior palate front curvature portion of palatine of the tongue contact user of user.
2. tongue as claimed in claim 1 is very stretched the habit apparatus for correcting, and wherein, the palate bridge is suitable for avoiding contacting palate.
3. tongue as claimed in claim 1 is very stretched the habit apparatus for correcting, and wherein, protuberance is suitable for not exerting pressure to lower tooth or jaw when user closes its mouthful downwards.
4. tongue as claimed in claim 1 is very stretched the habit apparatus for correcting, and wherein, each occlusal crib has the hole that is used for the grappling polymeric materials.
5. tongue as claimed in claim 1 is very stretched the habit apparatus for correcting, also comprises:
One or more side moulded projections that protrude from tooth-matching part, this protuberance are suitable for embedding the outside or the inboard around at least one backteeth in the oral cavity.
6. tongue as claimed in claim 5 is very stretched the habit apparatus for correcting, and wherein, grind one's teeth in sleep for six ages in the top that the sidepiece moulded projections is suitable for avoiding hindering side direction to utilize user.
7. one kind is assembled the method that tongue as claimed in claim 1 is very stretched the habit apparatus for correcting, and this method may further comprise the steps:
Polymeric materials is contained on the upper surface of first and second occlusal cribs;
According to the shape molding polymeric materials of user upper tooth, the centrage of apparatus for correcting is aimed at user oral cavity centrage, and the tooth-matching part of guaranteeing device respectively with the backteeth of Upper Anterior Teeth and both sides, oral cavity between firm 3 contact;
Take off this device from being molded tooth;
Cured polymeric material.
8. assembling tongue as claimed in claim 7 is very stretched the method for habit apparatus for correcting, also is included in the step of taking off step preliminary local solidification before after the molded step.
9. assembling tongue as claimed in claim 8 is very stretched the method for habit apparatus for correcting, and wherein, above-mentioned polymeric materials is a photocurable materials, and curing comprises uses photocuring.
10. assembling tongue as claimed in claim 7 is very stretched habit apparatus for correcting method, comprise the polishing solidification equipment, remove the part that contacts or restrict four top labial teeths, the device of having polished allows top labial teeth and bone to move and grows, thereby corrects because tongue is very stretched the malocclusion of opening that the habit defective caused.
11. a tongue is very stretched the habit apparatus for correcting, this device is designed to be contained on the backteeth of top and trains user to push the top tooth without tongue when swallowing, and this device comprises:
Tooth-matching part comprises, comprising: (1) first occlusal crib, be suitable for being contained in user oral cavity one side at least one backteeth below; (2) second occlusal cribs, be suitable for being contained in user oral cavity opposite side at least one backteeth below;
Downward protuberance stretches out and is suitable for forming the slope that a guiding user the tip of the tongue stretches to the forward soft tissue in anterior palate of user palatine from tooth-matching part;
The palate bridge, be annular, above tooth-matching part and connect first and second occlusal cribs, wherein the palate bridge be suitable for tooth-matching part and downwards protuberance form a perforate simultaneously, this perforate allows the forward soft tissue in anterior palate of the tongue contact user palatine of user;
One or more sidepiece moulded projections that protrude from tooth-matching part, this protuberance are suitable for being contained at least one backteeth outside or the inboard on every side in the user oral cavity.
12. tongue as claimed in claim 11 is very stretched the habit apparatus for correcting, also comprise at least one collimation protuberance, this protuberance is suitable for being contained in the place ahead of labial teeth, and the labelling that is positioned on the device centrage on the collimation protuberance is used to make device to align with the centrage of user face with center or (2) of (1) two labial teeth.
13. tongue as claimed in claim 11 is very stretched the habit apparatus for correcting, wherein, described one or more sides moulded projections is suitable for being contained in the outside or the inboard of two backteeth.
14. tongue as claimed in claim 13 is very stretched the habit apparatus for correcting, wherein, described one or more sides moulded projections is suitable for opening wide two outsides of grinding one's teeth in sleep above-mentioned six ages, so that be used for fixing other orthodentic appliance.
15. tongue as claimed in claim 11 is very stretched the habit apparatus for correcting, wherein, tooth-matching part also comprises and is suitable for being contained in two forward part below the labial teeth of top.
16. the method that the described tongue of claim 11 is very stretched the habit apparatus for correcting is installed, may further comprise the steps for one kind:
Polymeric materials is contained on the upper surface of first and second occlusal cribs;
According to the shape molding polymeric materials of user top tooth, make the centrage collimation in the centrage of device and user oral cavity simultaneously, and guarantee to form at stable 3 and contact respectively with between the backteeth of top labial teeth and both sides, oral cavity at tooth-matching part;
Take off device from being molded tooth;
Solidify polymeric materials.
17. a tongue is very stretched the oral habit apparatus for correcting, this device designs in being contained on the backteeth of top and training user to push labial teeth without tongue when swallowing, and this device comprises:
Tooth-matching part comprises: (1) is suitable for being contained in first occlusal crib below at least one backteeth of user oral cavity one side; (2) be suitable for being contained in second occlusal crib below at least one backteeth of user oral cavity opposite side, wherein each occlusal crib has the hole of grappling polymeric materials;
Downward protuberance, this part is stretched out and is suitable for forming a slope from tooth-matching part, and the tip of the tongue of this slope guiding user stretches to the forward soft tissue in anterior palate of user palatine;
The palate bridge, be annular, above tooth-matching part and connect first and second occlusal cribs, wherein the palate bridge be suitable for tooth-matching part and downwards protuberance form a perforate simultaneously, this perforate allows the forward soft tissue in anterior palate of the tongue contact user palatine of user.
18. tongue as claimed in claim 17 is very stretched the habit apparatus for correcting, wherein, the hole has sloping edge.
19. the method that the tongue of assembling such as claim 17 is very stretched the habit apparatus for correcting may further comprise the steps:
Polymeric materials is contained on the upper surface of first and second occlusal cribs;
According to the shape molding polymeric materials of user upper tooth, the centrage of device is alignd with the centrage in user oral cavity, and guarantee to form at stable 3 and contact respectively with between the backteeth of top labial teeth and both sides, oral cavity at tooth-matching part;
Take off this device from being molded tooth;
Solidify polymeric materials.
20. one kind the method that the described tongue of claim 14 is very stretched the habit apparatus for correcting is installed, also is included in molded step and takes off step preliminary partial curing schedule before afterwards.
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US9395P | 1995-06-09 | 1995-06-09 | |
| US60/000,093 | 1995-06-09 |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN1192667A true CN1192667A (en) | 1998-09-09 |
Family
ID=21689888
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN96196157A Pending CN1192667A (en) | 1995-06-09 | 1996-06-07 | Tongue thrust oral habit retrainer |
Country Status (8)
| Country | Link |
|---|---|
| EP (1) | EP0836441A4 (en) |
| JP (1) | JPH11509437A (en) |
| KR (1) | KR19990022757A (en) |
| CN (1) | CN1192667A (en) |
| AU (1) | AU708753B2 (en) |
| BR (1) | BR9609366A (en) |
| CA (1) | CA2224007A1 (en) |
| WO (1) | WO1996041585A1 (en) |
Cited By (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2009079897A1 (en) * | 2007-12-07 | 2009-07-02 | Zhichun Song | Oral cavity functional appliance |
| CN107468358A (en) * | 2017-08-21 | 2017-12-15 | 四川大学 | System is rescued in a kind of muscular function training |
| CN108324411A (en) * | 2018-03-21 | 2018-07-27 | 北京大学口腔医学院 | Oral cavity local anaesthesia treats protector |
| CN109044725A (en) * | 2018-07-09 | 2018-12-21 | 高翰哲 | A kind of lingualis exercising apparatus |
| CN111163724A (en) * | 2017-09-13 | 2020-05-15 | 克里斯托弗·约翰·法雷尔 | Oral training device |
| CN111727029A (en) * | 2017-12-18 | 2020-09-29 | 布洛克快速援助公司 | Functional rehabilitation device, in particular for dysphagia patients |
Families Citing this family (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN113081424B (en) * | 2021-03-04 | 2022-08-26 | 温州医科大学附属口腔医院 | Swallowing trainer |
Family Cites Families (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US2833278A (en) * | 1956-04-05 | 1958-05-06 | Harold M Ross | Protective mouthpiece |
| US3132647A (en) * | 1962-04-19 | 1964-05-12 | Corniello Giuseppe | Anti-snoring device |
| US3478742A (en) * | 1967-10-23 | 1969-11-18 | Edward H Bohlmann | Orthodontic multipurpose repositioner and oral habit conditioner |
| US3871370A (en) * | 1973-07-05 | 1975-03-18 | Lee E Mcdonald | Tongue-thrust correction appliance |
| US4718662A (en) * | 1985-12-26 | 1988-01-12 | North Richard B | Tongue positioning and exercising device |
-
1996
- 1996-06-07 KR KR1019970709199A patent/KR19990022757A/en not_active Application Discontinuation
- 1996-06-07 WO PCT/US1996/009853 patent/WO1996041585A1/en active Search and Examination
- 1996-06-07 CA CA 2224007 patent/CA2224007A1/en not_active Abandoned
- 1996-06-07 JP JP9503231A patent/JPH11509437A/en active Pending
- 1996-06-07 CN CN96196157A patent/CN1192667A/en active Pending
- 1996-06-07 EP EP96921459A patent/EP0836441A4/en not_active Withdrawn
- 1996-06-07 BR BR9609366A patent/BR9609366A/en not_active Application Discontinuation
- 1996-06-07 AU AU62680/96A patent/AU708753B2/en not_active Ceased
Cited By (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2009079897A1 (en) * | 2007-12-07 | 2009-07-02 | Zhichun Song | Oral cavity functional appliance |
| CN107468358A (en) * | 2017-08-21 | 2017-12-15 | 四川大学 | System is rescued in a kind of muscular function training |
| CN111163724A (en) * | 2017-09-13 | 2020-05-15 | 克里斯托弗·约翰·法雷尔 | Oral training device |
| CN111727029A (en) * | 2017-12-18 | 2020-09-29 | 布洛克快速援助公司 | Functional rehabilitation device, in particular for dysphagia patients |
| CN108324411A (en) * | 2018-03-21 | 2018-07-27 | 北京大学口腔医学院 | Oral cavity local anaesthesia treats protector |
| CN109044725A (en) * | 2018-07-09 | 2018-12-21 | 高翰哲 | A kind of lingualis exercising apparatus |
Also Published As
| Publication number | Publication date |
|---|---|
| EP0836441A1 (en) | 1998-04-22 |
| KR19990022757A (en) | 1999-03-25 |
| AU6268096A (en) | 1997-01-09 |
| JPH11509437A (en) | 1999-08-24 |
| BR9609366A (en) | 1999-07-27 |
| CA2224007A1 (en) | 1996-12-27 |
| AU708753B2 (en) | 1999-08-12 |
| WO1996041585A1 (en) | 1996-12-27 |
| MX9709966A (en) | 1998-06-28 |
| EP0836441A4 (en) | 1999-11-10 |
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Legal Events
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| C06 | Publication | ||
| PB01 | Publication | ||
| C10 | Entry into substantive examination | ||
| SE01 | Entry into force of request for substantive examination | ||
| C02 | Deemed withdrawal of patent application after publication (patent law 2001) | ||
| WD01 | Invention patent application deemed withdrawn after publication |