CN201422945Y - An adjustable mandibular front OSAHS treatment device - Google Patents
An adjustable mandibular front OSAHS treatment device Download PDFInfo
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- CN201422945Y CN201422945Y CN2009200263270U CN200920026327U CN201422945Y CN 201422945 Y CN201422945 Y CN 201422945Y CN 2009200263270 U CN2009200263270 U CN 2009200263270U CN 200920026327 U CN200920026327 U CN 200920026327U CN 201422945 Y CN201422945 Y CN 201422945Y
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- guide rod
- dentition
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- resin base
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- 208000001797 obstructive sleep apnea Diseases 0.000 title claims abstract description 13
- 210000004513 dentition Anatomy 0.000 claims abstract description 25
- 230000036346 tooth eruption Effects 0.000 claims abstract description 25
- 239000011347 resin Substances 0.000 claims abstract description 21
- 229920005989 resin Polymers 0.000 claims abstract description 21
- 230000014759 maintenance of location Effects 0.000 claims abstract description 7
- 210000004373 mandible Anatomy 0.000 abstract description 13
- 230000001225 therapeutic effect Effects 0.000 abstract description 9
- 230000000694 effects Effects 0.000 abstract description 8
- 210000001738 temporomandibular joint Anatomy 0.000 abstract description 4
- 230000002411 adverse Effects 0.000 abstract description 3
- 230000009286 beneficial effect Effects 0.000 abstract description 3
- 206010041235 Snoring Diseases 0.000 description 3
- 210000002105 tongue Anatomy 0.000 description 3
- 230000006870 function Effects 0.000 description 2
- 201000002859 sleep apnea Diseases 0.000 description 2
- 210000001584 soft palate Anatomy 0.000 description 2
- 208000007590 Disorders of Excessive Somnolence Diseases 0.000 description 1
- 206010021133 Hypoventilation Diseases 0.000 description 1
- 208000001705 Mouth breathing Diseases 0.000 description 1
- 206010049816 Muscle tightness Diseases 0.000 description 1
- 241001282135 Poromitra oscitans Species 0.000 description 1
- 206010041349 Somnolence Diseases 0.000 description 1
- 206010048232 Yawning Diseases 0.000 description 1
- 208000008784 apnea Diseases 0.000 description 1
- QVGXLLKOCUKJST-UHFFFAOYSA-N atomic oxygen Chemical compound [O] QVGXLLKOCUKJST-UHFFFAOYSA-N 0.000 description 1
- 239000008280 blood Substances 0.000 description 1
- 210000004369 blood Anatomy 0.000 description 1
- 210000000988 bone and bone Anatomy 0.000 description 1
- 230000008859 change Effects 0.000 description 1
- 230000007547 defect Effects 0.000 description 1
- 210000002455 dental arch Anatomy 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 230000035622 drinking Effects 0.000 description 1
- 210000001847 jaw Anatomy 0.000 description 1
- 238000000034 method Methods 0.000 description 1
- 238000012544 monitoring process Methods 0.000 description 1
- 229910052760 oxygen Inorganic materials 0.000 description 1
- 239000001301 oxygen Substances 0.000 description 1
- 210000003254 palate Anatomy 0.000 description 1
- 230000009467 reduction Effects 0.000 description 1
- 230000000087 stabilizing effect Effects 0.000 description 1
- 208000024891 symptom Diseases 0.000 description 1
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Abstract
本实用新型公开了一种可调型下颌前置式OSAHS治疗器，包括上颌全牙列树脂基托、下颌全牙列树脂基托、两根下颌前置导杆，其中，上、下颌全牙列树脂基托内上均埋有固位邻间及导杆连接圈，下颌前置导杆两端与导杆连接圈连接，上、下颌全牙列树脂基托通过下颌前置导杆非固定式连接；固位邻间钩用于加强基托固位；全牙列树脂基托利于增加牙列的稳定性。本实用新型具有以下优点：易于在治疗中调节下颌的位置，便于医生获得不同患者最佳气道打开的下颌位置。由于允许下颌作适当范围的开闭口及侧方运动，大大缓解了患者戴用治疗器可能给颞颌关节的不利影响。
The utility model discloses an adjustable mandibular front OSAHS treatment device, which comprises a resin base for the full dentition of the upper jaw, a resin base for the full dentition of the lower jaw, and two front guide rods for the lower jaw. Retention interproximal and guide rod connection rings are embedded in the resin bases of each column. The two ends of the mandibular front guide rod are connected with the guide rod connection rings. The upper and lower full dentition resin bases are not fixed through the mandibular front guide rods. The interproximal hook is used to strengthen the base retention; the full dentition resin base is beneficial to increase the stability of the dentition. The utility model has the following advantages: it is easy to adjust the position of the mandible during treatment, and it is convenient for doctors to obtain the best mandibular position for opening the airway of different patients. Because the mandible is allowed to open and close in an appropriate range and move sideways, it greatly alleviates the adverse effects on the temporomandibular joint that may be caused by the patient wearing the therapeutic device.
Description
技术领域 technical field
本实用新型涉及一种可调型下颌前置式OSAHS治疗器。The utility model relates to an adjustable lower jaw front type OSAHS treatment device.
背景技术 Background technique
阻塞性睡眠呼吸暂停低通气综合征(obstructive sleep apnea-hypopnea syndrome，OSAHS)是指睡时上气道塌陷阻塞引起的呼吸暂停和通气不足、伴有打鼾、睡眠结构紊乱、频繁发生血氧饱和度下降、白天嗜睡等病征，是一种常见病。Obstructive sleep apnea-hypopnea syndrome (OSAHS) refers to apnea and hypoventilation caused by upper airway collapse and obstruction during sleep, accompanied by snoring, sleep structure disturbance, and frequent occurrence of blood oxygen saturation. Symptoms such as depression and daytime sleepiness are common diseases.
口腔矫治器是一种常用的治疗OSAHS的医疗装置，它的作用原理是：睡眠时使下颌被动前伸，改变下颌、舌、软腭、腭垂的位置关系，稳定下颌和舌，增加肌肉张力，从而达到开大和稳定气道的目的。口腔矫治器治疗OSAHS的效应主要是引起以下三种结构中至少一种结构的变化：下颌前移、软腭位置改变、舌位置改变，这些变化使气道口径增加，减少其塌陷的可能性。以往文献报道的绝大数矫治器均是将上下颌整体固定，只有少数矫治器设计能满足允许下颌作适当范围的开闭口及侧方运动，如Herbst矫治器和Klear-way矫治器，但这些口腔矫治器都存在调节下颌位置困难、对颞颌关节功能产生不良影响及患者戴用时由于张口呼吸致疗效降低等缺陷。Oral appliance is a commonly used medical device for the treatment of OSAHS. Its function principle is to passively protrude the mandible during sleep, change the positional relationship of the mandible, tongue, soft palate and palate, stabilize the mandible and tongue, increase muscle tension, So as to achieve the purpose of opening and stabilizing the airway. The effect of oral appliances in the treatment of OSAHS is mainly to cause changes in at least one of the following three structures: mandibular advancement, changes in the position of the soft palate, and changes in the position of the tongue. These changes increase the diameter of the airway and reduce the possibility of its collapse. Most of the appliances reported in the literature in the past fixed the upper and lower jaws as a whole, and only a few appliances were designed to allow a proper range of opening and closing and lateral movement of the mandible, such as the Herbst appliance and the Klear-way appliance, but these Oral appliances have defects such as difficulty in adjusting the position of the mandible, adverse effects on the function of the temporomandibular joint, and reduced curative effect due to mouth breathing when the patient wears it.
发明内容 Contents of the invention
针对上述现有技术，本实用新型提供了一种可调型下颌前置式OSAHS治疗器，其易于在治疗中调节下颌的位置，对患者的活动限制少，疗效好。Aiming at the above-mentioned prior art, the utility model provides an adjustable mandibular front OSAHS treatment device, which is easy to adjust the position of the mandible during treatment, has less restrictions on the patient's activities, and has good curative effect.
本实用新型是通过以下技术方案实现的：The utility model is achieved through the following technical solutions:
一种可调型下颌前置式OSAHS治疗器，包括上颌全牙列树脂基托、下颌全牙列树脂基托、两根下颌前置导杆，其中，上、下颌全牙列树脂基托内上均埋有固位邻间及导杆连接圈，下颌前置导杆两端与导杆连接圈连接，上、下颌全牙列树脂基托通过下颌前置导杆非固定式连接；固位邻间钩用于加强基托固位；全牙列树脂基托利于增加牙列的稳定性。An adjustable mandibular front OSAHS treatment device, including the upper jaw full dentition resin base, the mandibular full dentition resin base, and two mandibular front guide rods, wherein, the upper and lower jaw full dentition resin bases Retention interproximal space and guide rod connecting ring are buried on the upper part, both ends of the mandibular front guide rod are connected with the guide rod connecting ring, and the upper and lower full dentition resin bases are non-fixedly connected through the mandibular front guide rod; The interproximal hook is used to strengthen the base retention; the full dentition resin base is beneficial to increase the stability of the dentition.
使用：患者在睡觉前，将本实用新型的治疗器戴入口中，上、下颌基托分别固定在上、下颌牙列上，治疗器的下颌前置导杆就会使下颌骨被动地置于前伸位置，从而达到治疗目的。Use: before going to bed, the patient wears the therapeutic device of the present utility model in the mouth, and the upper and lower jaw bases are respectively fixed on the upper and lower jaw dentition, and the mandibular pre-guiding rod of the therapeutic device will make the mandible be placed passively Protruding position, so as to achieve the purpose of treatment.
应用范围：1、单纯鼾症；2、轻中度OSAHS者；3、拒绝戴用CPAP者。Scope of application: 1. Simple snoring; 2. Mild to moderate OSAHS; 3. Refusal to wear CPAP.
本实用新型治疗器的下颌前置导杆与导杆连接圈是非固定的连接方式，这样，一方面使医生便于拆卸与安装下颌前置导杆，另一方面会大大缓解下颌前移带来的反作用力给颞颌关节带来的压力。另外，下颌前置导杆以“III类牵引的方式”置于上下颌牙弓之间，能使患者无论张、闭口下颌都能处于前伸位置，从而保证良好的治疗效果。通过改变导杆长度，可使临床医生获得患者最佳打开其上气道的下颌前伸位置。The mandibular front guide rod and the guide rod connecting ring of the therapeutic device of the utility model are in a non-fixed connection mode, so that, on the one hand, it is convenient for the doctor to disassemble and install the mandibular front guide rod; Reaction force on the temporomandibular joint. In addition, the mandibular preposition guide rod is placed between the upper and lower dental arches in a "class III traction manner", so that the patient can be in the protruding position no matter whether the mandible is open or closed, so as to ensure a good treatment effect. By changing the length of the guide rod, the clinician can obtain the mandibular protraction position that optimally opens the patient's upper airway.
技术指标：采用本实用新型在2006年至2008年对29例不同程度的OSAHS患者进行治疗，治疗成功的标准为AHI的减少达到或超过50％；治疗结果为：25例患者打鼾及睡眠呼吸暂停状况好转，PSG监测78％患者达到上述成功标准。Technical indicators: 29 cases of OSAHS patients with different degrees were treated with this utility model from 2006 to 2008. The standard of successful treatment was that the reduction of AHI reached or exceeded 50%; the treatment results were: 25 cases of patients with snoring and sleep apnea Condition improved, PSG monitoring 78% of patients met the above success criteria.
本实用新型具有以下优点：1、易于在治疗中调节下颌的位置，便于医生获得不同患者最佳气道打开的下颌位置。2、由于允许下颌作适当范围的开闭口及侧方运动，大大缓解了患者戴用治疗器可能给颞颌关节的不利影响；而且不限制患者语言、饮水及打哈欠等动作，易于患者对治疗更加依从。3、前置导杆使患者无论张、闭口下颌都能处于前伸位置，从而保证良好的治疗效果。The utility model has the following advantages: 1. It is easy to adjust the position of the mandible during treatment, and it is convenient for doctors to obtain the best mandibular position for opening the airway of different patients. 2. Since the mandible is allowed to open and close in an appropriate range and move sideways, it greatly alleviates the adverse effects on the temporomandibular joint that may be caused by the patient wearing the therapeutic device; and it does not restrict the patient's language, drinking and yawning actions, which is easy for the patient to treat. Be more compliant. 3. The front guide rod makes the patient's mandible be in the protruding position regardless of whether the mouth is open or closed, so as to ensure a good therapeutic effect.
附图说明 Description of drawings
图1为本实用新型的结构示意图。Fig. 1 is the structural representation of the utility model.
其中，1、上颌全牙列树脂基托；2、下颌全牙列树脂基托；3、下颌前置导杆；4、导杆连接圈；5、固位邻间钩。Among them, 1. Maxillary full dentition resin base; 2. Mandibular full dentition resin base; 3. Mandibular front guide rod; 4. Guide rod connecting ring; 5. Interproximal hook for retention.
具体实施方式： Detailed ways:
下面结合附图对本实用新型作进一步的说明Below in conjunction with accompanying drawing, the utility model will be further described
一种可调型下颌前置式OSAHS治疗器，包括上颌全牙列树脂基托1、下颌全牙列树脂基托2、两根下颌前置导杆3，其中，上、下颌全牙列树脂基托里均埋有导杆连接圈4及固位邻间钩5，下颌前置导杆3两端与导杆连接圈4连接，上、下颌全牙列树脂基托通过下颌前置导杆3非固定式连接；固位邻间钩5用于加强基托固位；全牙列树脂基托利于增加牙列的稳定性。An adjustable mandibular front OSAHS treatment device, including the upper jaw full dentition resin base 1, the mandibular full
使用：患者在睡觉前，将本实用新型的治疗器戴入口中，上、下颌全牙列树脂基托分别固定在上、下颌牙列上，治疗器的下颌前置导杆3就会使下颌骨被动地置于前伸位置，从而达到治疗目的。Use: before going to bed, the patient wears the therapeutic device of the present utility model in the mouth, and the upper and lower jaw full dentition resin bases are respectively fixed on the upper and lower jaw dentition, and the mandibular
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| CN2009200263270U CN201422945Y (en) | 2009-05-27 | 2009-05-27 | An adjustable mandibular front OSAHS treatment device |
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| CN2009200263270U CN201422945Y (en) | 2009-05-27 | 2009-05-27 | An adjustable mandibular front OSAHS treatment device |
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Cited By (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN102113929A (en) * | 2011-03-09 | 2011-07-06 | 上海上远齿科技术有限公司 | Snore guard and manufacturing method thereof |
| WO2015118201A1 (en) * | 2014-02-06 | 2015-08-13 | Biotechnology Institute, I Mas D, S.L. | Mandibular advancement device, and method and kit for producing said device |
| CN106456354A (en) * | 2014-05-29 | 2017-02-22 | 塞拉纳产品股份有限公司 | Oral appliance for treating sleep apnea |
| CN109124857A (en) * | 2018-07-18 | 2019-01-04 | 兴康明科技（深圳）有限公司 | Prepare the method and resistance snore method of device for preventing snoring |
| CN112469372A (en) * | 2018-05-30 | 2021-03-09 | 提塔-链接有限责任公司 | Jaw displacement system for treating sleep apnea and/or snoring and method of manufacturing the same |
-
2009
- 2009-05-27 CN CN2009200263270U patent/CN201422945Y/en not_active Expired - Fee Related
Cited By (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN102113929A (en) * | 2011-03-09 | 2011-07-06 | 上海上远齿科技术有限公司 | Snore guard and manufacturing method thereof |
| WO2015118201A1 (en) * | 2014-02-06 | 2015-08-13 | Biotechnology Institute, I Mas D, S.L. | Mandibular advancement device, and method and kit for producing said device |
| CN106456354A (en) * | 2014-05-29 | 2017-02-22 | 塞拉纳产品股份有限公司 | Oral appliance for treating sleep apnea |
| CN106456354B (en) * | 2014-05-29 | 2020-04-10 | 塞拉纳产品股份有限公司 | Oral appliance for treating sleep apnea |
| CN112469372A (en) * | 2018-05-30 | 2021-03-09 | 提塔-链接有限责任公司 | Jaw displacement system for treating sleep apnea and/or snoring and method of manufacturing the same |
| CN112469372B (en) * | 2018-05-30 | 2023-08-25 | 提塔-链接有限责任公司 | Jaw displacement system for treating sleep apnea and/or snoring and method of manufacturing the same |
| CN109124857A (en) * | 2018-07-18 | 2019-01-04 | 兴康明科技（深圳）有限公司 | Prepare the method and resistance snore method of device for preventing snoring |
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Granted publication date: 20100317 Termination date: 20120527 |