CN209827044U - Tongue side function appliance for guiding lower jaw forwards - Google Patents
Tongue side function appliance for guiding lower jaw forwards Download PDFInfo
- Publication number
- CN209827044U CN209827044U CN201920318845.3U CN201920318845U CN209827044U CN 209827044 U CN209827044 U CN 209827044U CN 201920318845 U CN201920318845 U CN 201920318845U CN 209827044 U CN209827044 U CN 209827044U
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- lingual
- metal
- appliance
- crowns
- jaw
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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
- A61C7/10—Devices having means to apply outwardly directed force, e.g. expanders
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- Health & Medical Sciences (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Dentistry (AREA)
- Epidemiology (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Dental Tools And Instruments Or Auxiliary Dental Instruments (AREA)
Abstract
The utility model discloses a lingual function appliance for guiding the lower jaw forwards, which comprises an upper jaw appliance and a lower jaw appliance, wherein the upper jaw appliance comprises first metal linked crowns arranged on first molar teeth and second front molar teeth or second breast molar teeth on the left side and the right side of the upper jaw and a palate rod used for connecting the first metal linked crowns on the two sides, and an upper jaw barrier is arranged on the lingual side of the first metal linked crowns; the mandibular appliance comprises second metal linked crowns and a lingual arch for connecting the second metal linked crowns, wherein the second metal linked crowns are arranged on first molar teeth and second premolar teeth or second deciduous molar teeth on the left side and the right side of a mandible, the lingual side of each second metal linked crown is provided with a mandible barrier matched with the upper maxillary barrier and used for correcting mandibular retraction, and the mandibular retraction is corrected through the matching of the upper maxillary barrier and the mandible barrier. The utility model discloses to rescue the ware and install in the tongue side, not only increased anchorage, have the aesthetic property, and fixed rescue and the function is rescued and can be gone on in the buccolingual side respectively simultaneously, mutual noninterference.
Description
Technical Field
The utility model belongs to the orthodontic field of the oral cavity, concretely relates to ware is rescued to leading forward lingual side function of lower jaw.
Background
At present, for class II errors with growth and development potentialTreatment of patients with deformities still employs conventional two-stage treatment, i.e., including stage i functional correction and stage ii fixed orthodontic correction. Stage I functional correction is mainly to block or correct skeletal deformity and coordinate the relationship between the upper and lower jaws. The stage II fixed orthodontic correction mainly aims at aligning, leveling and adduction dentitions and adjusting occlusion relation. The two-stage separate treatment has long treatment course and can affect the compliance of patients and the initiative of treatment.
For class II errorsThe deformity function correcting device has two categories of a removable correcting device and a fixed correcting device, the removable correcting device has the problems of large volume, patient matching and the like, the fixed correcting device does not have too high requirement on the compliance of the patient, and the correcting effect is easy to guarantee. Currently for class II errorsThe fixed function of deformity is rescued and is mainly included: 1. the rigid fixing function appliance represented by Herbst leads the mandible forwards through a sleeve structure, and anchorage is concentrated on the posterior teeth, but Herbst has the defects of poor anchorage control, limited lateral movement, large volume, poor comfort of patients and the like; 2.elastic fixing function appliance represented by Jasper Jumper, Forsus and the like pushes the lower jaw forwards through a spring structure, but the elastic fixing function appliance has the problems that the lower jaw incisors are obviously inclined to the lips, the lower jaw lead amount is influenced and the like; 3. a fixed function appliance represented by a MARA (mandibular protrusion reduction appliance) forces the mandible to be in a protruded position by the latch action of the side structures on the upper and lower molars, and as the anchorage is only the first molars of the upper and lower jaws, the sagittal and vertical anchorages are not controlled sufficiently, and sufficient anchorage is still difficult to provide; and because the barrier arm of the lower jaw of the MARA is of a facial-lingual plane structure, the situation of clamping dislocation or deformation is easy to occur when the lateral movement amplitude of the lower jaw is too large.
Existing for class II errorsAfter the treatment of stage I, the malformation functional orthopedic technology is mostly in a state that anterior teeth are contacted and posterior teeth are opened and closed, and the position of the leading lower jaw in the state is difficult to maintain and the curative effect is extremely unstable; in addition, existing correction of class II errorsThe functional appliance generally has the defects that when the lower jaw is guided in a front manner, the lower front teeth are obviously inclined to the lips, so that the lower jaw guiding space is influenced, and the lower jaw guiding amount is insufficient.
In addition, the removable functional appliance or the fixed functional appliance is positioned on the labial side or on the labial sideOn the face, there is no functional appliance on the lingual side.
Disclosure of Invention
An object of the utility model is to provide a ware is rescued to leading the forward tongue side function of lower jaw, this unscrambler can realize leading the fixed just abnormal simultaneous treatment in the forward and later stage of lower jaw in the tongue side, and not only treatment time is short, treatment is good, moreover aesthetic property is good.
The utility model aims at realizing through the following technical scheme:
a lingual function appliance for guiding the lower jaw forwards, which comprises an upper jaw appliance and a lower jaw appliance,
the upper jaw appliance comprises first metal linked crowns and a jaw rod, wherein the first metal linked crowns are arranged on first molar teeth on the left side and the right side of an upper jaw and on second premolar teeth or second deciduous molar teeth, the jaw rod is used for connecting the first metal linked crowns on the left side and the right side, and an upper jaw blocking body is arranged on the lingual side of the first metal linked crowns;
the mandibular appliance comprises second metal linked crowns arranged on first molar teeth on the left side and the right side of the mandible and second premolar teeth or second deciduous molar teeth and a lingual arch used for connecting the second metal linked crowns on the left side and the right side, a mandible blocking body matched with the maxillary blocking body is arranged on the lingual side of the second metal linked crowns, and the mandible retraction correction is realized through the matching of the maxillary blocking body and the mandible blocking body.
Further, the first and second metal combined crowns are placed on the first and second premolars or second deciduous molars of the upper and lower jaws without coveringAnd (5) kneading.
Furthermore, two buccal tubes are respectively installed on buccal sides of the first metal combined crown and the second metal combined crown, the two buccal tubes are respectively located on the first molar and the second premolar or the second deciduous molar, and the buccal tubes located on the left side and the right side are used for installing and fixing the main arch wire for correction.
Further, the two buccal tubes have different axial inclinations, both of which are directed from mesial to gingival to distal to mesial to gingivalThe faces are inclined.
Furthermore, the lingual side of the first metal combined crown at the first molar is designed with an accessory tube for installing an upper jaw blocking body, and the upper jaw blocking body comprises a sliding rod arranged in the accessory tube and an upper inclined plate arranged at one end of the rod part.
Further, the lower jaw blocking body is a lower inclined plate which is integrally formed with the second metal combined crown and is matched with the upper inclined plate of the upper jaw blocking body.
Further, the upper inclined plate and the lower inclined plate are inclined from the front upper side to the rear lower side.
Furthermore, an adjusting pipe can be arranged between the horizontal sliding rod of the upper jaw barrier body and the accessory pipe.
Further, the first metal combined crown and the palatal bar are integrally formed, the second metal combined crown and the tongue bow are integrally formed, and the first metal combined crown, the palatal bar, the second metal combined crown and the tongue bow are all made of medical grade metal materials.
Further, a spiral bow expander can be processed on the palatal bar.
The utility model discloses following beneficial effect has:
(1) the method is characterized in that a metal combined crown matched with a first molar and a second premolar or a second deciduous molar is arranged, a buccal tube, an upper blocking body and a lower blocking body are arranged on the metal combined crown, the lower jaw is guided forwards through the upper blocking body and the lower blocking body, the main arch wire is arranged on the buccal tube, and an orthodontic bracket connected with the main arch wire is arranged on the tooth surface to realize fixed orthodontic treatment, so that the functional orthodontic treatment and the fixed orthodontic treatment are combined;
(2) by arranging the metal linked crown matched with the first molar and the second premolar or the second deciduous molar, the anchorage in the vertical direction and the sagittal direction is enhanced compared with the metal single crown (single tooth) in the prior art; meanwhile, the palatal bar and the tongue bow are integrally formed, so that anchorage is further enhanced;
(3) the lower jaw front guiding amount is adjusted according to the length of the adjusting pipe by arranging the adjusting pipe, so that the lower jaw is guided in a front step by step;
(4) the blocking body is arranged on the lingual side, so that the upper and lower jaw blocking structures can be prevented from being dislocated due to excessive lateral movement of the lower jaw, and the stability of the blocking effect of the upper and lower jaw structures can be effectively maintained;
(5) the buccal tube for installing the main arch wire has a certain axial inclination and is arranged on the metal linked crown, so that the front teeth are pressed down to a certain degree, the rear teeth are smoothly occluded while the front teeth are in occlusion contact, the treatment effect is more stable, and the phenomenon that the front teeth are covered can be avoided simultaneouslyUnderjaw lead deficiency caused by the effect of coverage;
(6) the main arch wire is arranged in the buccal tube, the upper jaw barrier body and the lower jaw barrier body are arranged on the lingual side, so that the functional orthopedic treatment and the fixed orthodontic treatment can be carried out simultaneously without mutual interference, if only one treatment is carried out, the other treatment can be removed, and the independent use and the function of the other treatment are not influenced;
(7) can greatly shorten the treatment time, and realize the good combination of mandibular guidance and fixed orthodontic treatment, so that the mandibular guidance effect is more stable.
Drawings
Fig. 1 is a schematic structural diagram of the present invention.
Fig. 2 is a schematic view of the upper jaw of the present invention.
Fig. 3 is a schematic view of the upper jaw barrier of the present invention.
Fig. 4 is a schematic view of the lower jaw of the present invention.
Fig. 5 is a schematic view of the lower jaw barrier of the present invention.
The labels in the figure are: 1. a first metal coping; 2. an upper jaw barrier; 21. a slide bar; 22. an upper sloping plate; 3. a palatal bar; 4. a second metal coping; 5. a lower jaw blocking body; 6. a tongue bow; 71. maxillary buccal tube a; 72. mandibular buccal tube a; 73. maxillary buccal tube B; 74. mandibular buccal tube B; 8. an accessory pipe; 9. and (4) a regulating pipe.
Detailed Description
As shown in fig. 1 to 5, the lingual function appliance for guiding the mandible forward provided by the present embodiment includes a maxillary appliance, a mandibular appliance, a maxillary barrier and a mandibular barrier.
The upper jaw appliance comprises a first metal combined crown 1 arranged on a first molar and a second premolar or a second deciduous molar on the left and right sides of the upper jaw and a palate rod 3 connecting the first metal combined crown 1 on the left and right sides, wherein the first metal combined crown 1 is matched with the crowns of the first molar and the second premolar or the second deciduous molar and does not completely cover the crownsThe palate rod 3 is X-shaped, four side ends of the palate rod are respectively connected with the first metal combined crown 1 on the first molar and the second premolar or the second deciduous molar on the left side and the right side, and the palate rod and the first metal combined crown are integrally formed and can be realized by metal casting or 3D printing technology. The first metal coping 1 of the first molar and the second premolar or second deciduous molar is respectively provided with a buccal tube A71 and a buccal tube B73, the buccal tube A71 and the buccal tube B73 are respectively used for installing the upper dentition main arch wire 11, the upper buccal tube A71 and the upper buccal tube B73 are arranged on the first metal coping 1 with different axial inclinations, and the axial inclinations refer to that the central line of the buccal tube is not parallel to the long axis of the teeth and is far from the near middle to the gum to the far middle to the near middleThe face is inclined, the front teeth are favorably depressed, the problem of insufficient mandibular leading space can be solved, and the amount of depression of the front teeth can be adjusted according to the requirements of the treatment process by different shaft inclinations.
Be located the tongue side of the first metal of first molar and ally oneself with 1 and install annex pipe 8, install the upper jaw in the annex pipe 8 and block body 2, the upper jaw blocks body 2 and includes slide bar 21 and upper sloping plate 22, and slide bar 21 passes and is connected with upper sloping plate 22 behind the annex pipe 8, upper sloping plate 22 is the board of slope, upper sloping plate 22 and toothAn included angle exists between the surfaces, and the included angle is inclined from the front upper part to the rear lower part; the upper jaw blocking body 2 and the accessory pipe 8 are provided with traction hooks, and the upper jaw blocking body 2 can be fixed by binding the two traction hooks through rubber chains, so that the upper jaw blocking body 2 is prevented from falling off from the accessory pipe 8.
The mandibular appliance comprises a second metal coping 4 arranged on the first molar and the second premolar or second deciduous molar on the left and right sides of the mandible and a lingual arch 6 connecting the second metal coping 4 on the two sides, the second metal coping 4 is matched with the crowns of the first molar and the second premolar or second deciduous molar and does not completely cover the crownsThe tongue bow 6 and the oral cavity wall on the side face of the tongue are not completely attached, a small amount of gaps are reserved, the whole tongue bow is of a smooth structure, if the cross section is oval or round, the tongue bow 6 and the second metal combined crown 4 are formed together, and the integral forming can be realized by adopting metal casting or 3D printing technology. And a buccal tube A72 and a buccal tube B74 are respectively arranged on the second metal coping 4 of the first molar and the second premolar or the second deciduous molar, a lower dentition main arch wire is arranged in the buccal tube A72 and the buccal tube B74, and the buccal tubes have different axial inclinations. A lower jaw blocking body 5 is arranged on the lingual side of the first metal united crown 1 of the second premolar or second deciduous molar, the lower jaw blocking body 5 is matched with a sloping plate 22 of the upper jaw blocking body 2, namely the lower jaw blocking body 5 is a lower sloping plate corresponding to the upper sloping plate 22; the upper jaw blocking body 2 and the lower jaw blocking body 5 are smooth and blunt except the inclined plane of the inclined plate, and are close to the tooth surface as much as possible under the condition of not interfering occlusion, so that the interference to the movement of the tongue body is reduced.
When a patient closes the mouth, the upper jaw blocking body 2 is matched with the lower jaw blocking body 5, the lower jaw blocking body 5 slides forwards and upwards along the inclined plane of the upper jaw blocking body 2, and finally the lower jaw is forced to be in a forwards extending position, so that the lower jaw is guided forwards, in specific use, stepped front guiding is possibly needed due to different lower jaw front guiding amounts, an adjusting pipe 9 is installed on a sliding rod 21 of the upper jaw blocking body 2, the length of the adjusting pipe 9 is set according to the front guiding amount, the stepped front guiding amount is set to be the adjusting pipe 9 with different lengths when the stepped front guiding is carried out, and the stepped front guiding can be realized only by replacing the adjusting pipe 9.
The main arch wire is placed on the buccal tubes on the left side and the right side, and orthodontic brackets are bonded on the front tooth surfaces, so that the fixing and correction are realized. The problem that the upper jaw and the lower jaw are not adjusted even if the lower front lower jaw is incised due to the fact that the lower incisor teeth are inclined towards the lips can be effectively solved by matching the process of adduction and depression of the front teeth in the process of guiding the lower jaw forwards, and the fact that the angle between the lower front lower jaw and the lower incisor teeth is a normal value can be well achieved when the lower guide jaw forwards; and the anterior teeth are pressed down, so that the posterior teeth can establish occlusion contact smoothly, and the correction effect is more stable. And after the front lower jaw is in place, the functional appliance is detached, orthodontic treatment is continuously fixed, II-type traction is kept, the tooth extraction gap is closed, and occlusion is adjusted. Because the two-stage correction is carried out simultaneously, the treatment time can be greatly shortened, and the seamless connection of the leading stage and the holding stage is realized, so that the leading effect is more stable.
The utility model discloses still be suitable for the high angle case, combine to plant the supplementary back tooth that depresses of nail at the in-process that leads the lower jaw forward, combine the depression of front tooth again, make the lower jaw take place anticlockwise preceding rotation, improve the face type.
The first metal combined crown 1 and the palate rod 3 are integrally formed and are cast by medical metal materials or printed by 3D printing technology, and a spiral arch expander can be processed on the palate rod 3 according to the specific condition of a patient (the upper arch is narrow), so that the arch expansion of the upper arch is realized.
The second metal combined crown 4 and the tongue bow 6 are integrally formed and are formed by casting medical metal materials or printing the medical metal materials by a 3D printing technology.
The above is only the preferred embodiment of the present invention, but the protection scope of the present invention is not limited thereto, and any modification and replacement based on the technical solution and the utility model should be covered in the protection scope of the present invention.
Claims (10)
1. A lingual function appliance for guiding the lower jaw forwards is characterized in that: comprises an upper jaw appliance and a lower jaw appliance,
the upper jaw appliance comprises first metal linked crowns and a jaw rod, wherein the first metal linked crowns are arranged on first molar teeth on the left side and the right side of an upper jaw and on second premolar teeth or second deciduous molar teeth, the jaw rod is used for connecting the first metal linked crowns on the left side and the right side, and an upper jaw blocking body is arranged on the lingual side of the first metal linked crowns;
the mandibular appliance comprises second metal linked crowns arranged on first molar teeth on the left side and the right side of the mandible and second premolar teeth or second deciduous molar teeth and a lingual arch used for connecting the second metal linked crowns on the left side and the right side, a mandible blocking body matched with the maxillary blocking body is arranged on the lingual side of the second metal linked crowns, and the mandible retraction correction is realized through the matching of the maxillary blocking body and the mandible blocking body.
2. The mandibular advancement lingual functional appliance of claim 1, wherein: the first metal combined crown and the second metal combined crown are placed on the first molar and the second premolar or the second deciduous molar of the upper jaw and the lower jaw without coveringAnd (5) kneading.
3. The mandibular advancement lingual function appliance of claim 1 or 2, wherein: two buccal tubes are respectively installed on buccal sides of the first metal combined crown and the second metal combined crown, the two buccal tubes are respectively located on first molar and second premolar or second deciduous molar, and the buccal tubes located on the left side and the right side are used for installing and fixing a main arch wire for correction.
4. The mandibular advancement lingual function appliance of claim 3, wherein: the two buccal tubes have different axial inclinations and are oriented from mesial to gingival to distal to mesial to distalThe faces are inclined.
5. The mandibular advancement lingual functional appliance of claim 1, wherein: the first metal combined crown lingual side located at the first molar is provided with an accessory tube used for installing an upper jaw blocking body, and the upper jaw blocking body comprises a sliding rod arranged in the accessory tube and an upper inclined plate arranged at one end of the rod part.
6. The anterior mandibular lingual functional appliance of claim 5, wherein: the lower jaw blocking body is a lower inclined plate which is integrally formed with the second metal linked crown and is matched with the upper inclined plate of the upper jaw blocking body.
7. The mandibular advancement lingual functional appliance of claim 6, wherein: the upper inclined plate and the lower inclined plate are inclined from the front upper part to the rear lower part.
8. The anterior mandibular lingual functional appliance of claim 5, wherein: an adjusting pipe can be arranged between the horizontal sliding rod of the upper jaw blocking body and the accessory pipe.
9. The mandibular advancement lingual functional appliance of claim 1, wherein: the first metal combined crown and the palate rod are integrally formed, the second metal combined crown and the tongue bow are integrally formed, and the first metal combined crown, the palate rod, the second metal combined crown and the tongue bow are all made of medical-grade metal materials.
10. The mandibular advancement lingual functional appliance of claim 1 or 9, wherein: the palate bar can be processed with a spiral bow expander.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201920318845.3U CN209827044U (en) | 2019-03-13 | 2019-03-13 | Tongue side function appliance for guiding lower jaw forwards |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201920318845.3U CN209827044U (en) | 2019-03-13 | 2019-03-13 | Tongue side function appliance for guiding lower jaw forwards |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN209827044U true CN209827044U (en) | 2019-12-24 |
Family
ID=68906302
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201920318845.3U Expired - Fee Related CN209827044U (en) | 2019-03-13 | 2019-03-13 | Tongue side function appliance for guiding lower jaw forwards |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN209827044U (en) |
-
2019
- 2019-03-13 CN CN201920318845.3U patent/CN209827044U/en not_active Expired - Fee Related
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Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| GR01 | Patent grant | ||
| GR01 | Patent grant | ||
| CF01 | Termination of patent right due to non-payment of annual fee |
Granted publication date: 20191224 Termination date: 20210313 |
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| CF01 | Termination of patent right due to non-payment of annual fee |