CN203576668U - Orthodontic appliance and orthodontic appliance kit - Google Patents
Orthodontic appliance and orthodontic appliance kit Download PDFInfo
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- CN203576668U CN203576668U CN201320525896.6U CN201320525896U CN203576668U CN 203576668 U CN203576668 U CN 203576668U CN 201320525896 U CN201320525896 U CN 201320525896U CN 203576668 U CN203576668 U CN 203576668U
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C7/00—Orthodontics, i.e. obtaining or maintaining the desired position of teeth, e.g. by straightening, evening, regulating, separating, or by correcting malocclusions
- A61C7/08—Mouthpiece-type retainers or positioners, e.g. for both the lower and upper arch
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Abstract
The utility model relates to an orthodontic appliance and an orthodontic appliance kit. The orthodontic appliance comprises an orthodontic appliance main body installed on an upper dental arch, wherein the orthodontic appliance main body comprises an inner wall, an outer wall and a web plate; the inner wall is positioned on the tongue side of the upper dental arch, the outer wall is positioned on the cheek side of the upper dental arch, and the web plate is used for interconnecting the inner wall and the outer wall; the inner wall and the outer wall both have an upper part, and the upper parts protrude above the web plate to limit an upper dental arch receiving groove; the inner wall and the outer wall both have a lower part, and the lower parts are suspected below the web plate to limit a lower dental arch receiving groove; the upper part of the inner wall is used for limiting a tongue opening for consciously receiving the tongue tip of a patient, and is configured as a shape with which the tongue tip is adjutant to anterior palate when the tongue tip of the patient is received.
Description
Technical field
This utility model relates to a kind of orthodontic appliance.This utility model also relates to the appliance system that is used for the treatment of patient.
Particularly but not exclusively relate to so a kind of orthodontic appliance, that is, it contributes to create for promoting patient's useful flesh function to be accustomed to the optimal internal environment of oral cavity closing for realizing correct tooth to this utility model.Therefore will be convenient to below about this exemplary application, describing this utility model.But must recognize, this utility model can be applied even more extensively. simultaneouslyFor example this utility model can be used for the orthodontic appliance of every other type, comprises that those promote the orthodontic appliance that dental arch expands and tooth is aimed at.
Definition
In description, term " comprises " should be understood to have and is similar to the wide in range meaning that term " comprises " and will be understood to that hint comprises the group of described integer or step or integer or step rather than gets rid of any other integer or the group of step or integer or step.This definition is also suitable for the modification that term " comprises ", such as " having " and " having comprised ".
In description, the invention of all modes of the malocclusion for treating patient should broadly be explained and should be understood to include to term " orthodontic appliance ".It should comprise as just the tinsel of an example of this appliance and band securing member still should not be limited to these devices.It also comprises the training appliance for promoting good flesh function custom.
Background technology
People has and is called as upper jaw bone to form the upper jaw of upper dental arch and to be called as mandibular bone to form the lower jaw of lower dental arch.When upper dental arch coordinates with the size and dimension of lower dental arch while joining make the tooth of the upper jaw and the tooth of lower jaw in jaw closure in the situation that, patient has correct tooth and closes.In addition, the single tooth of upper dental arch and lower dental arch is relative to each other correctly located they is correctly fitted to each other along the length of dental arch.But when upper dental arch and lower dental arch broadly have same size, they are relative to each other difficult for discovering and are offset.Especially the tooth of upper dental arch is positioned at outside the corresponding tooth of lower dental arch at least a portion of each tooth of upper dental arch with respect to the tooth skew of lower dental arch.The front tooth of lower dental arch is positioned at after the front tooth of upper dental arch.But the unmatched malocclusion of size that comprises the upper jaw and lower jaw is relative common situation in global crowd.
At birth, everyone has normal tongue position, and wherein tongue only leans against in upper jaw bone and people passes through respiratory nasal naturally.When baby, the motion indifference of tongue and along with people grows up and becomes and have difference motion.Root of the tongue position is associated and therefore affects upper Mandibular Growth with maxillary position and vertical mandibular rotation.Therefore the movable position of tooth and the position of definite mandibular bone of limiting of tongue.Therefore the balance between pressing from inner tongue and pressing from outside lip cheek must exist relatively with the tram of the root of the tongue, so as tooth-on mandibular bone at growing period, form correct pattern.
But, in many cases, the normal forming process of tongue motion can not occur, and the out-of-the way position of tongue may exert an influence to craniofacial morphology with motion.
An example of the abnormal motion of tongue is known as tongue thrusting.Tongue thrusting refers to so a kind of swallowing mode, that is, during swallowing, tongue pushes away forward and/or to one side against tooth and/or between tooth.Swallow and can occur up to every day 2000 times.While being pressed on tooth during tongue is being swallowed, pressure may have harmful effect to the position of tooth, oral cavity osteogenesis, soft tissue situation and a mouthful function.For instance, only need 1.7g power to move tooth above.And tongue can be applied to the power of many 500g.
Because first tongue thrusting is confirmed as being associated with malocclusion and other oral cavity defects, a large amount of appliances that are designed to stop or prevent tongue thrusting have therefore been there are.These appliances generally include certain physical barrier and stuck out one's tongue physically suppressing when swallowing.Other appliances are used nail or other sensor devices to stuck out one's tongue to stop.But such device only has when being worn effective.When being removed, tongue returns to its initial bad habit.Other oral appliances of correct swallowing mode have been proposed tongue to be directed to.Equally, these appliances are only effective when being worn.In addition, the functional characteristic of tongue is very complicated and definite by its size, intensity, motor pattern and resting position.Therefore will be appreciated that to provide simply also helps little to proofreading and correct the problem containing to the obstacle (even resultful words) of tongue motion.
It is also highly important that, tongue is taked suitable resting position.When tongue is during in natural resting position, the tip of the tongue is positioned on the anterior incisive papilla of palate.At the tip of the tongue, in this position in the situation that, the back of tongue is in the crown of upper premolar teeth and 1/3rd places motion of the neck of tooth root.The root of the tongue is walked downwards at the place of grinding one's teeth in sleep, thereby causes at hyoid bone place deeply.When the tip of the tongue is during in its physiological location, its back and root are tending towards being also repositioned at their physiological location, and wherein root declines in the district of grinding one's teeth in sleep.
Although the pressure of the static the tip of the tongue may be light, this pressure be continue and moving teeth only need little pressure.When tongue is during in suitable resting position, tongue produces minimum pressure in structure around, but during movement, pressure increases or reduces at diverse location different time.Abnormal tongue resting position is the main cause of malocclusion.
The oral cavity posture of the difference of the child in growth and custom may cause many problems, such as malocclusion, crowded teeth (crowing), open sting and narrow dental arch form.These problems may adversely affect facial growth pattern.If process these problem failures when also little at the age in the child who grows up conventionally by the physical interventions after needs, such as bracket and/or operation.This is the result of least wanting for patient.
Relocate tongue make its take expect natural resting position be complicated process.The appliance that is intended to change tongue posture can differently act on the various muscle for controlling tongue and must these power of balance.Further, when by function orthopedic device treatment malocclusion, also must consider the musculation of cheek and lip.It is also important that and control cheek and the pressure of lip in the cheek side of tooth, muscle is reduced to minimum and proofreaied and correct tongue posture in the activeness at chin place.For design functionality orthodontia device and therefore treat patient, importantly understand the complex relationship between physiology and tongue, musculation and the mandibular bone of tongue.Research in this complexity field is always underway.
Therefore will be appreciated that being designed in the oral appliance of flesh function treatment, importantly consider that all various factorss and their complexity interact.Concentrate on and proofread and correct a defect and do not consider that other features may allow at most untreated defect to continue or cause in the worst case or increase the weight of other defect.Either way can not provide satisfied result to patient.
Will be appreciated that, in field of orthodontics, be desirable to provide such new appliance and Therapeutic Method, this appliance and Therapeutic Method can provide the replacement scheme of existing appliance and treatment and can provide different or better result for patient to patient always.
Utility model content
According to one side of the present utility model, provide a kind of for be assemblied in have upper dental arch and lower dental arch and tongue patient mouth orthodontic appliance, this orthodontic appliance comprises:
For being arranged on the appliance main body on described upper dental arch, this appliance main body comprises inner and outer wall and the web by this inwall and the interconnection of this outer wall, wherein said inwall is positioned in the tongue side of described upper dental arch, and described outer wall is positioned in patient's the cheek side of upper dental arch;
Described inwall and described outer wall all have top, thereby described top outstanding upper dental arch that limits above described web receives groove; And
Described inwall and described outer wall all have bottom, and described bottom is suspended at described web below and receives groove to limit lower dental arch;
The top of wherein said inwall is defined for the tongue opening of the tip of the tongue that receives consciously patient, and the superstructure of described inwall becomes to make when described patient's the tip of the tongue is received, and the described the tip of the tongue will be adjacent to location with anterior palate.
Described appliance comprises the web that makes the interconnection of described inwall and described outer wall, and described web is positioned between the denture of described upper dental arch and the denture of described lower dental arch when described orthodontic appliance is assemblied in patient's mouth.Therefore, described web is in use largo in the bite plane between the denture of described upper dental arch and the denture of described lower dental arch.
Described inwall comprises upper and lower, and when described appliance is assembled in patient's mouth, described top is projecting upwards above described web and described bottom suspends downwards below described web.
On the top of described inwall (for example, on described inwall approximate centre or along described inwall roughly midway) corresponding to the center line of patient's denture, be formed with described tongue opening.
Described inwall can have two main surfaces,, towards the inside lingual surface of described tongue, and receives outside flute surfaces in groove towards described dental arch that is.
Described outer wall also can have two main surfaces,, towards the outside buccal surface of buccal mucosa, and towards described dental arch, receives the flute surfaces of groove that is.
Described tongue opening can have circular structure.The diameter of described tongue opening is between 1 to 12mm.At the diameter of tongue opening described in a form between 5 to 10mm, for example, between about 6 to 9mm.
Described tongue opening is for receiving consciously the tip of the tongue.By conscious reception, mean that patient must actively and consciously be placed in position tongue.This conscious placement is important for the training process of tongue.Finally, tongue will be trained to naturally in place static.Compared with guiding or power that this can be in place with tongue is provided, in the case of the training effect who almost there is no (if any) tongue guiding in place or power is provided.
Described tongue opening can have different-diameter for different appliances, and this depends on stage and the type of the treatment that patient just standing.The type for the treatment of can reflect patient's denture stage and/or characteristic and the degree of malocclusion.The denture stage is the typical primary dentition at the age between 3 to 5 years old, the mixed dentition at 5 to 8 years old age, 12 to 15 years old age and adult's the constant denture of formation.The degree of malocclusion may also need different dental arch to form degree except retraining tongue.
Whether just the stage for the treatment of relates to patient's begin treatment or until any stage of having treated.Will be appreciated that, in early days during treatment, tongue, about correct resting position and/or the correct in fact indiscipline of swallowing, finishes but approach treatment, and tongue navigates to correct resting position in its final training stage and when removing appliance from mouth automatically by being tending towards.
Treatment stage in early days, when tongue indiscipline and while having incorrect resting position, desired is to provide accurate guiding to help patient to find the tram for the tip of the tongue, the region of this position in incisive papilla.Therefore,, when appliance is ready to use in stage morning for the treatment of, the diameter of tongue opening is no more than about 1mm to 2mm conventionally.Aperture provides the proprioception location of the tip of the tongue in correct resting position, or in other words it is provided for young patient and aims at " target " of the tip of the tongue.
Its tongue can be naturally not static young child usually there is hardly the idea to the tip of the tongue place in fact of living in.Patient is apprised of and the tip of the tongue is remained on to this position when appliance is in place.When removing, child is apprised of the tip of the tongue is remained on to identical position.This makes patient can " educate " tongue and arrives correct position.
Some prior art appliances have labelling or the label of the correct resting position of indication tongue.But the inventor has surprisingly been found that, if moved from correct place, has very little tolerance in the power being produced by tongue.By having labelling or the label in " in place ", in fact this prevented that tongue from taking optimized position.Provide opening to allow the tip of the tongue closer in correct place.The alternate position spike of although it is so very little is thought negligible in the prior art by many technology, but the inventor observes the improved result by appliance of the present utility model surprisingly.
The further advantages of opening are, its permission the tip of the tongue contact palate, thus allow the tip of the tongue to feel the place that it should go, rather than feel artificial label.Therefore, patient can feel that tongue should be how when in tram when appliance is in place better.
The inventor had surprisingly been found that, the aperture that is provided for tongue location for the age younger ones in an age group child between about 3 to 5 years old effective especially.
When treatment advances and patient while starting automatically the tip of the tongue to be placed on to desired locations, thereby the diameter in hole can increase to allow the more the tip of the tongue outstanding by hole contact palate at least in part.This will be discussed further below.
It can be rounding that inwall can form around the circumferential edge of tongue opening and this circumferential edge.The circumferential edge place that the position in this opening is transitioned into lingual surface and the flute surfaces of inwall at tongue opening may be rounding particularly.
When wall is defined for while receiving the upper groove of dental arch and lower groove, two arms that inner and outer wall comprises front portion and extends away from this front portion.
The front portion of inwall is upwards extended and can be receded away from outer wall from web with it.Thereby this angle of inclination is suitably selected to adopt the natural curvature of palate when wearing appliance, to reach its comfort level.
Anterior can comprise that tongue open area and this tongue open area adjacent with tongue opening and that surround this tongue opening can become with horizontal line 25 to 50 degree (for example 30 to 40 degree) to tilt.
The bottom of inwall can comprise tongue lifter.Inwall can have lower whole edge regions, and this lower whole edge regions thickens and limit the area supported of the approximate horizontal extension that forms this tongue lifter.This tongue lifter contributes to stop tongue thrusting.
The top of outer wall can have the outwards outstanding projection of flute surfaces of extending from the part along this outer wall of this outer wall.This projection can along outer wall approximate horizontal (that is, being roughly parallel to web) extend.
This projection can be rib structure part, and it contributes to assemble appliance and the front tooth on upper dental arch is alignd.This rib structure part can be from outwards outstanding 1 to 2mm height of flute surfaces.This rib structure part can have 20 to 50mm(for example 30 to 40mm) lineal measure.
Outer wall has front buccal surface and two arm buccal surfaces.The upper and lower of front buccal surface is made their cover the buccal surface of labial teeth by suitably dimensioned, or in other words provide can be for lip only by superincumbent surface.This can offset the power that is applied to tooth by the abnormal motion of mentalis of control lower lip or the motion of overacfivity.For example, lower lip can be applied to the power between 100 to 300gm.
Before lower, buccal surface can have lip training aids.This lip training aids is the form of one or more projections suitably, the mucosa of these projection contact lips and the over-activity of inhibition mentalis.Lip training aids can comprise multiple dimple shape projections of being positioned on the buccal surface arranged in form of array (for example with).
The buccal surface of side arm also can operate to resist the power being applied by the muscle (buccinator muscle) of cheek.
Appliance main body can be made by polymeric material.Particularly, appliance main body for example by injection moulding by making for the polymeric material of polyurethane or silicones.
Appliance main body can be made has multiple different size, and these sizes can be selected such that the selection of most people group energy can be assemblied in the appliance on its upper dental arch by suitable assembling.Conventionally can there is the appliance main body of three to four different sizes.
Appliance can have any or the multiple feature in the feature of the appliance defined in aforementioned aspect of the present utility model.
According on the other hand of the present utility model, orthodontic appliance external member is provided, described orthodontic appliance external member comprises:
As the first orthodontic appliance defined in aforementioned aspect of the present utility model and as aforementioned aspect of the present utility model defined at least the second orthodontic appliance, wherein, these appliances have the tongue opening of different size.
System can have at least three different appliances and this three appliances can have the tongue opening of increased in size gradually.In other embodiments, can there is two or four appliance.
Different appliances can be for different treatment stages, and the first appliance will be used for the first treatment stage and at least the second appliance will be used for the second treatment stage or other treatment stage in this case.
In addition first stage appliance can have 1 to 3mm tongue opening, and second stage appliance can have 4 to 6mm tongue opening and phase III appliance can have 7 to 10mm tongue opening.
Appliance can have one or more feature of appointing in the feature of the appliance defined in aforementioned aspect of the present utility model.
This utility model also relates to the orthodontia system that is used for the treatment of patient, it comprises as the appliance external member defined in aforementioned aspect of the present utility model, described appliance external member comprises respectively having the first stage appliance of uvula opening and second stage appliance at least, and wherein said second stage appliance has the tongue opening that is greater than described first stage appliance.
Described appliance external member can also comprise phase III appliance, and the tongue opening in this phase III appliance is greater than the tongue opening of described the second appliance.
Described appliance external member can also comprise fourth stage appliance, and the tongue opening in this fourth stage appliance is identical with the tongue opening of described the 3rd appliance or be greater than the tongue opening of described the 3rd appliance substantially.
According to first aspect, this utility model relates to a kind of orthodontic appliance, it is characterized in that, described orthodontic appliance comprises:
For being arranged on the appliance main body on upper dental arch, described appliance main body comprises inner and outer wall and web, described inwall is positioned at the tongue side of described upper dental arch, and described outer wall is positioned at the cheek side of patient's upper dental arch, and described web is by described inwall and the interconnection of described outer wall;
Described inwall and described outer wall all have top, and described top is outstanding above described web receives groove to limit upper dental arch; And
Described inwall and described outer wall all have bottom, and described bottom is suspended at described web below, limits lower dental arch and receives groove;
The top of wherein said inwall is defined for the tongue opening of the tip of the tongue that receives consciously patient, and the superstructure of described inwall becomes to make when patient's the tip of the tongue is received, and the described the tip of the tongue will be adjacent to location with anterior palate.
According to second aspect, it is 1 to 12mm circular structure that described tongue opening has diameter.
According to the third aspect, it is 1 to 3mm circular structure that described tongue opening has diameter.
According to fourth aspect, it is 4 to 6mm circular structure that described tongue opening has diameter.
According to the 5th aspect, it is 7 to 10mm circular structure that described tongue opening has diameter.
According to the 6th aspect, two arms that described inwall and described outer wall include front portion and extend away from this front portion.
According to the 7th aspect, the front portion of described inwall is along with upwards extending from described web and receding away from described outer wall.
According to eight aspect, described front portion comprises adjacent with described tongue opening and surrounds the tongue open area of described tongue opening, and described tongue open area can tilt with the angle of 25 to 50 degree with respect to horizontal line.
According to the 9th aspect, described angle is 30 to 40 degree.
According to the tenth aspect, the bottom of described inwall has lower whole edge regions, and this lower whole edge regions thickening and restriction form the horizontally extending area supported of tongue lifter.
According to the tenth one side, described outer wall has front buccal surface and two arm buccal surfaces, and the suitably dimensioned one-tenth in upper and lower of described front buccal surface makes their cover the buccal surface of labial teeth.
According to the 12 aspect, described pregena face comprises the lip training aids that is one or more projection forms, when described orthodontic appliance is during by patient wear, and the mucosa of described lip training aids contact lip.
According to the tenth three aspects:, described orthodontic appliance external member comprises according to the first appliance described in either side in first aspect to the 12 aspects and at least also comprises according to the second appliance described in either side in first aspect to the 12 aspects, wherein, the tongue opening of described the second appliance is greater than the tongue opening of described the first appliance.
According to the 14 aspect, described orthodontic appliance external member comprises the 3rd appliance, and the tongue opening of described the 3rd appliance is greater than the tongue opening of described the second appliance.
According to the 15 aspect, described orthodontic appliance external member comprises the 4th appliance, and the tongue opening of the tongue opening of described the 4th appliance and described the 3rd appliance is identical or be greater than the tongue opening of described the 3rd appliance.
Accompanying drawing explanation
According to orthodontic appliance of the present utility model, can embody with various forms.Easily, with reference to accompanying drawing, describe several embodiment of the present utility model in detail hereinafter.Provide the object of this detailed description to be to instruct how actual this utility model of implementing to the interesting technical staff of theme of the present utility model.But will be expressly understood, the specific nature of this detailed description can not replace the generality of aforementioned extensive overview.In accompanying drawing:
Fig. 1 is the top axonometric chart according to the orthodontic appliance of an embodiment of the present utility model;
Fig. 2 is the bottom axonometric chart of the orthodontic appliance of Fig. 1;
Fig. 3 is the front view of the orthodontic appliance of Fig. 1;
Fig. 4 is the rearview of the appliance of Fig. 1;
Fig. 5 is the plan view from above of the appliance of Fig. 1;
Fig. 6 is the face upwarding view of the appliance of Fig. 1;
Fig. 7 is the side view of the appliance of Fig. 1;
Fig. 8 is the cross sectional side view of the appliance of Fig. 1, and this section runs through the center line of appliance;
Fig. 9 is the plan view from above for the appliance of the modification of the appliance of Fig. 1, and it has much smaller tongue opening;
Figure 10 is the plan view from above for the appliance of the modification of the appliance of Fig. 1, between the size of the tongue opening of the tongue opening of the size of its tongue opening in Fig. 1 and Fig. 9;
Figure 11 is the plan view from above of a part for the appliance of Fig. 9, shows the tip of the tongue being received in tongue opening;
Figure 12 is the plan view from above of a part for the appliance of Figure 10, shows the tip of the tongue being received in tongue opening;
Figure 13 is the top axonometric chart of a part for the appliance of Fig. 1, shows the tip of the tongue being received in tongue opening; And
Figure 14 is the plan view from above of a part for the appliance of Fig. 1, shows the tip of the tongue being received in tongue opening.
The specific embodiment
In the accompanying drawings, Reference numeral 10 refers to generally according to the orthodontic appliance of an embodiment of the present utility model.
This orthodontic appliance 10 comprises the appliance main body 12 on the upper dental arch for being arranged on user.This appliance main body comprises the inwall 14 and the outer wall 16 that is positioned at its cheek side of the tongue side of the upper dental arch that is positioned at patient.This appliance main body 12 also comprises the web 18 that inwall 14 and outer wall 16 are interconnected, and described web is in use in the bite plane between the denture of upper dental arch and the denture of lower dental arch.Inwall 14 and outer wall 16 and web 18 limit upper dental arch and receive shown in groove 20 and lower dental arch reception groove 20(Fig. 4), the denture that can receive respectively upper dental arch and the denture being associated and lower dental arch and be associated in these two grooves.
As shown in Figure 4, inwall 14 comprises top 15 and bottom 17, and when appliance 10 is installed in upper dental arch, this top projects upwards from web 18, and this bottom is outstanding downwards from web 18.Similarly, outer wall 16 comprises the top 19 that is positioned at web 18 tops and the bottom 21 that is positioned at web 18 belows.In addition, inwall 14 has lingual surface 26 and flute surfaces 28.Similarly, outer wall 16 has buccal surface 30 and flute surfaces 32.
Two arms 33,35 that inner and outer wall comprises front portion 31 and extends away from this front portion.The front portion of inwall 14 recedes away from outer wall 16 when its angle with about 30 to 40 degree is upwards extended from web 18.Particularly, the region being represented by Reference numeral 46 in Fig. 5 for forming tongue opening 40 of inwall can recede with the angle of 30 to 40 degree.
The flute surfaces 32 on the top 19 of outer wall 16 has from the outwards projection of the outstanding form that is rib 48 of this flute surfaces 32, and this projection is along linear extend (only shown in the Fig. 1) of outer wall 16.Rib 48 location placed in the middle and apart from the distance of the flute surfaces 32 outstanding 1 to 2mm of outer wall 16.Rib 48 contributes to assembling and tooth alignment.Rib 48 is the optional features that exist only in some embodiments.
The bottom 17 of inwall 14 comprises tongue lifter 50.Inwall 14 has lower whole edge regions 52(referring to Fig. 4), and this lower whole edge regions is thickened to form tongue lifter 50.
The buccal surface 30 of outer wall 16 is sized to and makes it when mouth is closed, cover substantially the buccal surface of backteeth and lower backteeth.Like this, from any power of too active lip muscle, can be distributed on surface 52 rather than be applied to tooth.
On the buccal surface 30 of outer wall 16 below it is positioned at web 18, there is lip training aids 56.This lip training aids 56 comprises the dimple shape projection of a ranking on buccal surface 30, and these projections stop too active mentalis activity.
In use, as shown in Figure 11 to 14, treatment practitioner (such as orthodontist) selects the size of mating most of appliance 10 and applicable patient's dental arch from a series of different sizes.Typically, may there is the appliance of three different sizes that are configured to three different dental arch sizes that are applicable to patient.Appliance 10 be inserted into patient mouth in and be assembled in patient mouth in.This is by being arranged on appliance on patient's upper dental arch and upper dental arch and denture are received in upper dental arch and receive in groove and carry out.The tongue 60 that patient locates them makes its tip of the tongue 62 outstanding by tongue opening 40.Tongue opening 40 is positioned at tongue 60 and is positioned at the desirable or most preferred position of mouth, and this has formed useful flesh function environment.Particularly, described tongue opening has promoted correct swallowing act and this then to promote favourable dental arch to form by tongue 60 and tooth aligns.Intraoral preferred heights place in tongue opening location, is still in wherein for tongue 60.
Appliance is held in place by being maintained between tooth the mouth closure in the situation that, and patient is apprised of and keeps mouthful closed and pass through respiratory nasal.Keeping a mouthful closure is important for a variety of reasons.The correct resting position of tongue requires a mouthful closure.In addition, encourage nasal respiration for closed mouthful.Opening breathe be by many oral cavities defect, caused or owing to the oral habit of these oral cavity defects.In addition, if mouth opens, lip training aids and side buccal surface can not be carried out in the best way it and be intended to function.
Appliance can be arbitrarily assemblied in mouth and from mouth and remove by patient.It can for good and all not be assembled to upper dental arch.Therefore it can by patient optionally according to life style need and consider be assemblied in patient mouth in and from mouth, remove.For example it can be removed to go to school or go to working space from mouth.Typically appliance is worn one or two hour on daytime and the whole night, for example altogether 8 to 14 hours.Appliance can be worn patient evening in bed particularly.
Fig. 9 is the plan view from above for the appliance of the modification of the appliance of Fig. 1.In Fig. 9, identical Reference numeral will be used to refer to and the identical parts of Fig. 1, unless otherwise stated.Following description is by the difference concentrating between this appliance and the appliance of Fig. 1.
Figure 10 is the plan view from above for the appliance of another modification of the appliance shown in Fig. 1.Reference numeral identical in Figure 10 will be used to refer to the Reference numeral identical with Fig. 1, unless otherwise stated.Following description is by the difference concentrating between this appliance and the appliance of Fig. 1.
The tongue opening 40 of this embodiment is intermediate sizes.It can receive more tongue than the tongue opening in Fig. 9.Tongue opening 40 is enough greatly to receive the tip of the tongue to speak.But it is still significantly less than the tongue opening in Fig. 1.It receives a part for tongue and allows the tip of the tongue to be positioned at the front of inwall.
In use, three appliances shown in Fig. 9, Figure 10 and Fig. 5 are used for the treatment of program.
In the first stage for the treatment of, first use the first stage appliance shown in the Fig. 9 with uvula opening.First this appliance is used for training patient that their tongue is positioned to correct position, and wherein the tip of the tongue is received in little tongue opening.The tip of the tongue can not given prominence to by tongue opening to any appreciable degree.
The flesh function training of tongue requires patient that the tip of the tongue is positioned to correct position energetically towards palate.When tongue is placed with the tip of the tongue and is arranged in hole, it contributes to train tongue to be located at correct position.The having of hole help more easily the tip of the tongue correctly to be located compared with conventional tongue thrust appliance and cause by tongue remain on this position compared with highly conforming properties level.This compliance is important for the training of tongue, and when considering that patient is especially true while having the child of shorter persistence of attention.
The first appliance that simultaneously provides custom to proofread and correct can also contribute to provide some initial tooth alignment.
Typically be at least several months treatment period and part realize after custom proofreaies and correct, positive sound of baby talk doctor can utilize second stage appliance to patient's begin treatment.Second stage appliance has the larger region that receives tongue in larger tongue opening and this opening.Accepted a cycle of training patient about their tongue being positioned to correct resting position, obtained progress.Completely outstanding by tongue opening by this appliance the tip of the tongue.When swallowing, not to be pressed on tooth or between tooth outstanding be also important to tongue.Because larger hole allows more processus hyoideus to go out by described hole, therefore it provides additional advantage to be, it provides some helps to the motion that tongue is directed to tram and/or guide tongue when swallowing.
Depend on the degree of malocclusion, second stage can also further be proofreaied and correct tooth alignment.In this case, appliance can be made by the material harder than the first stage.
After the cycle of training of several months, patient can come the phase III appliance with large tongue opening again.In this stage, tongue can not need " target " of less opening conventionally in its last training stage and patient.Because opening is larger, tongue can more natural mode further contact with pallet.By this appliance, the whole the tip of the tongue region of tongue can be given prominence to by tongue opening completely and be supported against upper dental arch.This is the position of expecting most for tongue.
According to orthodontic appliance of the present utility model advantage, be, it can be used for progressively training patient's tongue to take correct position in oral environment, trains tongue when swallowing, to be positioned at correct position simultaneously.Once be trained in addition, tongue just can be taked the lengthwise position of loosening and expecting in patient's mouth.
Another advantage is, the system with the appliance of the tongue opening size increasing gradually can be used for training patient to accept appliance and develop such behavior, that is, tongue nature and being positioned at by the light of nature in tongue opening, wherein the tip of the tongue is positioned at inwall front and adjacent with the tongue wall of upper dental arch.
Another advantage of the present utility model is, this utility model utilizes the proprioception character of patient's tongue.
Applicant has been found that the tongue opening forming in inwall causes physiological reaction, and this physiological reaction causes patient that its tongue is stretched out forward and passes through opening.This causes the stronger tongue location previously having obtained, and this causes positive tongue custom and the benefit with its generation.
Certainly will recognize, above-mentioned only by illustrated examples of the present utility model, provide and as apparent for those skilled in the art, all such modification to described example and modification are considered to drop on as in broad range of the present utility model described in this paper and boundary.
Claims (15)
1. an orthodontic appliance, is characterized in that, described orthodontic appliance comprises:
For being arranged on the appliance main body on upper dental arch, described appliance main body comprises inner and outer wall and web, described inwall is positioned at the tongue side of described upper dental arch, and described outer wall is positioned at the cheek side of patient's upper dental arch, and described web is by described inwall and the interconnection of described outer wall;
Described inwall and described outer wall all have top, and described top is outstanding above described web receives groove to limit upper dental arch; And
Described inwall and described outer wall all have bottom, and described bottom is suspended at described web below, limits lower dental arch and receives groove;
The top of wherein said inwall is defined for the tongue opening of the tip of the tongue that receives consciously patient, and the superstructure of described inwall becomes to make when patient's the tip of the tongue is received, and the described the tip of the tongue will be adjacent to location with anterior palate.
2. orthodontic appliance according to claim 1, is characterized in that, it is 1 to 12mm circular structure that described tongue opening has diameter.
3. orthodontic appliance according to claim 1, is characterized in that, it is 1 to 3mm circular structure that described tongue opening has diameter.
4. orthodontic appliance according to claim 1, is characterized in that, it is 4 to 6mm circular structure that described tongue opening has diameter.
5. orthodontic appliance according to claim 1, is characterized in that, it is 7 to 10mm circular structure that described tongue opening has diameter.
6. according to the orthodontic appliance described in any one in claim 1 to 5, it is characterized in that two arms that described inwall and described outer wall include front portion and extend away from this front portion.
7. orthodontic appliance according to claim 6, is characterized in that, the front portion of described inwall is along with upwards extending from described web and receding away from described outer wall.
8. orthodontic appliance according to claim 7, is characterized in that, described front portion comprises adjacent with described tongue opening and surrounds the tongue open area of described tongue opening, and described tongue open area can tilt with the angle of 25 to 50 degree with respect to horizontal line.
9. orthodontic appliance according to claim 8, is characterized in that, described angle is 30 to 40 degree.
10. according to the orthodontic appliance described in any one in claim 1 to 5, it is characterized in that, the bottom of described inwall has lower whole edge regions, and this lower whole edge regions thickening and restriction form the horizontally extending area supported of tongue lifter.
11. orthodontic appliances according to claim 6, is characterized in that, described outer wall has front buccal surface and two arm buccal surfaces, and the suitably dimensioned one-tenth in upper and lower of described front buccal surface makes them cover the buccal surface of labial teeth.
12. orthodontic appliances according to claim 11, is characterized in that, described pregena face comprises the lip training aids that is one or more projection forms, when described orthodontic appliance is during by patient wear, and the mucosa of described lip training aids contact lip.
13. 1 kinds of orthodontic appliance external members, it is characterized in that, described orthodontic appliance external member comprises according to the first appliance described in any one in claim 1 to 12 and at least also comprises according to the second appliance described in any one in claim 1 to 12, wherein, the tongue opening of described the second appliance is greater than the tongue opening of described the first appliance.
14. orthodontic appliance external members according to claim 13, it is characterized in that, described orthodontic appliance external member comprises the 3rd appliance, and the tongue opening of described the 3rd appliance are greater than the tongue opening of described the second appliance.
15. orthodontic appliance external members according to claim 14, it is characterized in that, described orthodontic appliance external member comprises the 4th appliance, and the tongue opening of the tongue opening of described the 4th appliance and described the 3rd appliance is identical or be greater than the tongue opening of described the 3rd appliance.
Applications Claiming Priority (4)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| AU2012903776 | 2012-08-31 | ||
| AU2012903776A AU2012903776A0 (en) | 2012-08-31 | An orthodontic appliance | |
| AU2013205854A AU2013205854B2 (en) | 2012-08-31 | 2013-05-15 | An orthodontic appliance |
| AU2013205854 | 2013-05-15 |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN203576668U true CN203576668U (en) | 2014-05-07 |
Family
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201320525896.6U Expired - Lifetime CN203576668U (en) | 2012-08-31 | 2013-08-27 | Orthodontic appliance and orthodontic appliance kit |
Country Status (5)
| Country | Link |
|---|---|
| CN (1) | CN203576668U (en) |
| AU (1) | AU2013205854B2 (en) |
| DE (1) | DE102013108291B4 (en) |
| FR (1) | FR2994826B1 (en) |
| RU (1) | RU2636196C2 (en) |
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- 2013-05-15 AU AU2013205854A patent/AU2013205854B2/en active Active
- 2013-07-26 FR FR1357393A patent/FR2994826B1/en active Active
- 2013-08-01 DE DE102013108291.2A patent/DE102013108291B4/en active Active
- 2013-08-15 RU RU2013138149A patent/RU2636196C2/en active
- 2013-08-27 CN CN201320525896.6U patent/CN203576668U/en not_active Expired - Lifetime
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| CN110025388A (en) * | 2019-05-23 | 2019-07-19 | 四川大学 | Multifunction invisible appliance |
| CN110025388B (en) * | 2019-05-23 | 2024-04-19 | 四川大学 | Multifunctional invisible appliance |
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| US11712365B2 (en) | 2021-11-24 | 2023-08-01 | Janine Stiene | Oral appliance |
Also Published As
| Publication number | Publication date |
|---|---|
| DE102013108291B4 (en) | 2019-05-23 |
| FR2994826B1 (en) | 2016-04-01 |
| RU2013138149A (en) | 2015-02-20 |
| AU2013205854B2 (en) | 2015-06-04 |
| FR2994826A1 (en) | 2014-03-07 |
| AU2013205854A1 (en) | 2014-03-20 |
| DE102013108291A1 (en) | 2014-03-06 |
| RU2636196C2 (en) | 2017-11-21 |
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| C14 | Grant of patent or utility model | ||
| GR01 | Patent grant | ||
| CX01 | Expiry of patent term |
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| CX01 | Expiry of patent term |