CN212650933U

CN212650933U - Dentition correcting kit

Info

Publication number: CN212650933U
Application number: CN202021304183.3U
Authority: CN
Inventors: 黄奇卿; 高紫筠
Original assignee: Individual
Current assignee: Individual
Priority date: 2020-07-06
Filing date: 2020-07-06
Publication date: 2021-03-05
Anticipated expiration: 2030-07-06

Abstract

The utility model provides an orthodontic kit, which is used for being placed in the oral cavity of a dental patient to carry out phased orthodontic tooth malocclusion or orthodontic problem, and comprises a first-stage orthodontic tooth socket and a second-stage orthodontic tooth socket, wherein the first-stage orthodontic tooth socket comprises a first-stage dental arch part, a plurality of first-stage anchoring groove positions and a plurality of first-stage matching groove positions, which are arranged on the first-stage dental arch part, and the first-stage anchoring groove positions correspond to the first large molar teeth of the dental patient; the second-order orthodontic tooth socket comprises a second-order dental arch part, a plurality of second-order anchoring groove positions and a plurality of second-order matching groove positions, wherein the second-order anchoring groove positions and the second-order matching groove positions are arranged on the second-order dental arch part, the positions of the second-order anchoring groove positions are the same as those of the first-order anchoring groove positions, and the second-order matching groove positions move or rotate by taking the first-order matching groove positions as references.

Description

Dentition correcting kit

Technical Field

The utility model relates to an orthodontic external member of dentistry especially is about one kind can carry out multistage arch, orthodontic, can also carry out sprouting induction, the growth anchoring of first big molar to and correct the insufficient problem of dental arch excessive development and arrange, renovate alveolar bone form with help the tooth, and have the orthodontic external member of mouth breathing, sleep improvement function.

Background

The world health organization data shows that seven of every ten people worldwide have different degrees of problems such as irregular tooth and jaw, malocclusion, crowded tooth rows, gaps between teeth, bruxism, scooping, deep biting, open biting and the like. These conditions cause not only aesthetic problems but also various dental problems such as disturbance of masticatory function of teeth, easy tooth decay, easy traumatic fracture of anterior teeth, temporal mandibular joint disorder, periodontal disease, disturbance of pronunciation learning, and inhibition of normal development of jaw bones …. The causes of such malocclusion and malocclusion are many, and most of them are from innate inheritance, such as: protrusion of the upper jaw, retrosystole of the lower jaw, congenital missing teeth, more grown teeth, etc., and a few are caused by acquired personal habits. Why is the reason? Malocclusions, or malocclusions, can be treated by dental orthodontic treatment to achieve improvements in oral health, function and aesthetics.

Referring to fig. 1, fig. 1 is a schematic view illustrating a conventional metal bracket corrector. As shown in fig. 1, a metal bracket appliance 8 is adapted to be placed against the lips 96 of a skewed tooth 95 of a dental patient. In a few clinical cases, the metal bracket orthosis 8 may be installed on the tongue side, but the metal bracket orthosis 8 is installed on the lip 96 side or the orthosis selected by most people, depending on the ease of cleaning, the ease of installation and the overall cost. Typically, the metal bracket appliance 8 is attached to the plurality of appliances 82 via a metal wire 81 (typically steel wire, steel wire) and the plurality of appliances 82 are attached to the plurality of skewed teeth 95 of the dental patient; then, the mechanical force of the wire 81 is used to forcibly twist and adjust the plurality of teeth 95, so that the plurality of teeth 95 are gradually adjusted and moved to the correct tooth positions in a three-dimensional space, thereby achieving the technical effects of "orthodontics", and "dentition".

However, the conventional metal bracket aligner 8 has errors in calculation of mechanical force and control force of the metal wire 81 during installation, and thus has a series of control problems such as the skew tooth 95 being adjusted to pass over and over the correct tooth slot when the twisting/moving force of the metal wire 81 is too strong, the skew tooth 95 being insufficiently displaced and the straightening period being too long … … when the twisting/moving force of the metal wire 81 is too weak. In addition, the metal bracket appliance 8 of fig. 1 can make the patient for dental correction inconvenient to clean, and increase the occurrence probability of dental caries and periodontal disease; of course, the difficulty of cleaning the teeth during brushing, the method of straightening with the metal bracket straightener 8, also limits the possibility of straightening for children.

Therefore, it is an object of the present invention to eliminate the lack of orthodontic control of the metal wire 81, so that the dental patients can maintain normal tooth brushing and oral cavity cleaning during the orthodontic period, and the orthodontic treatment is suitable for patients of different ages such as adults and children.

SUMMERY OF THE UTILITY MODEL

The utility model discloses the main objective is eliminating the disappearance of metal silk correction control, overcomes the correction displacement of traditional metal bracket unscrambler, corrects angle control problem for reach the correction control of accurate displacement, accurate angle.

The utility model discloses another purpose is providing the tooth socket of correcting of a stage for improve and treat the improper occlusion of tooth or the improper problem of dentition, or utilize the histology biology of orthodontic and reach the shaping of alveolar bone, renovation, can correct the not enough problem of dental arch excessive development even and arrange with the help tooth, and let the dentistry disease still can maintain normal tooth brushing, oral cavity cleaning work in the orthodontic period simultaneously.

The utility model discloses another purpose is letting orthodontics, tooth plastic, orthodontic, interlock correction, can be applicable to the disease of a plurality of different age layers such as adult, children, and reach interlock adjustment, interlock correction, make the first big molar of dental disease induced germinate, or be adjusted displacement to the first class dentition Relation of Angle's Classification gradually, and let the upper and lower jaw bone gradually displace to the corresponding Relation of central point (central Relation, CR) on, be used for improving the stability of upper and lower jaw interlock.

The utility model discloses a further purpose can be used to avoid respiratory tract obstruction, reduces or eliminates snore and the tongue position and crosses "Mouth Breathing" (Breathing) situation that leads to the fact excessively to let sleep pause patient or serious snore patient carry out "Breathing training", be used for improving its symptom of snoring, eliminate the sound and the frequency of snoring, promote its sleep quality.

In order to solve the above and other problems, the present invention provides an orthodontic kit for placing in an oral cavity of a dental patient to perform a staged orthodontic treatment of malocclusion or malocclusion of teeth, the oral cavity of the dental patient defining a labial direction pointing to lips and a buccal direction pointing to cheeks at both sides, the orthodontic kit comprising a first-stage orthodontic shell and a second-stage orthodontic shell; the first-order orthodontic tooth socket comprises a first-order arch part, a plurality of first-order anchoring groove positions and a plurality of first-order matching groove positions, wherein the first-order anchoring groove positions and the first-order matching groove positions are arranged on the first-order arch part, the first-order anchoring groove positions are arranged at positions corresponding to first large molar teeth of a dental patient and point to the buccal side direction by a first expansion distance, and the first-order matching groove positions are arranged at positions corresponding to other teeth of the dental patient and point to the buccal side direction by a second expansion distance; the second-order orthodontic tooth socket comprises a second-order dental arch part, a plurality of second-order anchoring groove positions and a plurality of second-order matching groove positions, wherein the second-order anchoring groove positions and the second-order matching groove positions are arranged on the second-order dental arch part, the positions of the second-order anchoring groove positions are the same as those of the first-order anchoring groove positions, and the second-order matching groove positions move or rotate by taking the first-order matching groove positions as references.

The orthodontic kit as described above, wherein the plurality of first level anchor slots or the plurality of second level anchor slots conform to a first type dentition relationship of the Angle's Classification.

The orthodontic kit as described above, wherein the second distraction distance is less than or equal to 1.2 times the first distraction distance and greater than 0.2 times the first distraction distance.

The orthodontic kit as described above, wherein the position of the second-step fitting groove is shifted by one-fourth to one-third of the tooth cross-sectional width or rotated by an angle less than 30 degrees with respect to the position of the first-step fitting groove.

The dentition correcting kit as described above further includes a third-order correcting dental socket, the third-order correcting dental socket includes a third-order dental arch portion, and a plurality of third-order anchoring grooves and a plurality of third-order matching grooves disposed on the third-order dental arch portion, the third-order anchoring grooves are identical in position to the second-order anchoring grooves, and the third-order matching grooves move or rotate with reference to the second-order matching grooves; in a further embodiment, the third-step engaging slot is shifted by a quarter to a third of the width of the tooth section or rotated by an angle less than 30 degrees with respect to the second-step engaging slot.

The orthodontic kit as described above, further comprising a first-step lingual portion and a second-step lingual portion, wherein the first-step lingual portion is disposed inside the first-step arch portion, and the second-step lingual portion is disposed inside the second-step arch portion; in a further embodiment, the first-stage tongue-abutting portion or the second-stage tongue-abutting portion has a height gradually decreasing in a direction opposite to the labial direction.

The orthodontic kit as described above, further comprising a first-step lingual portion and a second-step lingual portion, wherein the first-step lingual portion is disposed inside the first-step arch portion, and the second-step lingual portion is disposed inside the second-step arch portion; in a further embodiment, a sublingual supporting groove is arranged in the middle of the first-stage tongue resisting part or the second-stage tongue resisting part.

In order to solve the above and other problems, the present invention provides a method for manufacturing a set for correcting dentition, comprising the steps of: step 11: obtaining a tooth position structure diagram of a dental patient; step 12: setting a first expansion distance in a buccal direction pointing to the cheeks of the two sides with reference to a first large molar tooth position of the dental patient; step 13: according to the first large molar tooth, displacing the first expansion distance to set a first-stage anchoring slot position; step 14: setting a second expansion distance of the other teeth in the buccal direction according to the position of the first-stage anchoring groove; step 15: arranging a plurality of first-stage matching groove positions to correspond to other teeth according to the types of the teeth and the corresponding second expansion distances; step 16: forming the first-step anchoring groove position and the first-step matching groove position on a first-step dental arch part to form a 3D digital three-dimensional structure of a first-step correcting tooth socket; and step 17: outputting to obtain the solid structure of the first-order correcting tooth socket; step 21: obtaining a tooth position structural diagram of the dental patient after the first-stage correction; step 22: setting a second-stage anchoring slot position according to the first-stage anchoring slot position; step 23: adjusting and setting a plurality of second-stage matching slot positions according to the plurality of first-stage matching slot positions; step 24: forming the second-order anchoring groove position and the second-order matching groove position on a second-order dental arch part to form a 3D digital three-dimensional structure of a second-order correcting tooth socket; step 25: and outputting to obtain the solid structure of the second-order correcting tooth socket.

The method for manufacturing the orthodontic kit as described above, wherein the plurality of first-order anchoring grooves or the plurality of second-order anchoring grooves conform to the first-class dentition relationship of the Angle's Classification.

The method for manufacturing an orthodontic kit as described above, wherein, in step 14, the second expansion distance of the front teeth of the dental patient is less than or equal to 0.4 times the first expansion distance and greater than or equal to 0.2 times the first expansion distance.

The method for manufacturing an orthodontic kit as described above, wherein, in step 14, the second expansion distance of the canine teeth of the dental patient is less than or equal to 0.8 times the first expansion distance and greater than or equal to 0.4 times the first expansion distance.

In the manufacturing method of the orthodontic kit, in step 14, the second expansion distance of other molar teeth of the dental patient is less than or equal to 1.2 times the first expansion distance and greater than or equal to 0.8 times the first expansion distance.

The method for manufacturing the orthodontic kit as described above, wherein, in step 23, the position of the second-step fitting groove is set by shifting the position of the first-step fitting groove by one quarter to one third of the width of the tooth section.

In the method of manufacturing the orthodontic kit as described above, in step 23, the position of the second-step engaging groove is set by being rotated by an angle smaller than 30 degrees from the position of the first-step engaging groove.

The method for manufacturing the orthodontic kit as described above further comprises the steps of: step 31: obtaining a tooth position structural diagram of the dental patient after second-stage correction; step 32: a third-stage anchoring slot is set according to the second-stage anchoring slot step 33: adjusting and setting a plurality of third-order matching slot positions according to the plurality of second-order matching slot positions; step 34: forming the third-order anchoring slot position and the third-order matching slot position on a third-order dental arch part to form a 3D digital three-dimensional structure of a third-order correcting tooth socket; step 35: and outputting to obtain the solid structure of the third-order correcting tooth socket.

Thus, the dentition correcting external member of the utility model can eliminate the loss of metal wire correcting control, overcome the problems of correcting displacement and correcting angle control of the traditional metal bracket corrector, is used for achieving the correcting control of accurate displacement and accurate angle, and achieves the shaping and renovation of alveolar bone by using the tissue change biology of orthodontic jaw, even can correct the problem of insufficient development of dental arch to help the arrangement of teeth; the dental patient can still keep normal tooth brushing and oral cavity cleaning work during the tooth straightening period, and the treatment method of straightening teeth, reshaping teeth, straightening dentition and correcting occlusion can be taken into consideration, so that the dental patient can be suitable for dental patients of different age groups such as adults, children and the like. Furthermore, the utility model discloses an orthodontic kit can let dentistry disease interlock adjustment, interlock correction, makes its first big molar induced sprouting, or by the first class dentition Relation of gradually adjusting displacement to the Angel's Classification, and let the upper and lower jaw bone gradually displace to central point (central Relation, CR) on the corresponding Relation system for improve the stability of upper and lower jaw interlock. Therefore, the method has great potential for clinical application and large-specification commercialization.

For a better understanding of the features and technical content of the present invention, reference should be made to the following detailed description of the present invention and accompanying drawings, which are provided for the purpose of illustration and description and are not intended to limit the present invention. For a better understanding of the features and technical content of the present invention, reference should be made to the following detailed description of the present invention and accompanying drawings, which are provided for purposes of illustration and description and are not intended to limit the present invention.

Drawings

FIG. 1 is a schematic diagram illustrating the use of a conventional metal bracket aligner.

Fig. 2 is a schematic diagram showing stages of manufacturing and using the orthodontic kit.

FIG. 3 is a schematic diagram of a method of manufacturing a first-order orthodontic shell.

FIG. 4 is a schematic view of a dental patient tooth site configuration.

FIGS. 5A-5C are schematic views illustrating a process for manufacturing a first-order orthodontic shell.

Fig. 6A-6B are perspective and top views of a first-order orthodontic brace.

Fig. 7A-7C are schematic views of the upper and lower jaws with their arches and dentitions engaging the first-order orthodontic braces.

Fig. 8 is a schematic view of a dental patient's teeth corresponding to the slots of the first-stage orthodontic braces.

FIG. 9 is a schematic diagram illustrating a method of manufacturing a second-order orthodontic brace.

Figure 10 is a schematic diagram of a slot corresponding to the first and second stage corrective braces.

FIG. 11 is a schematic view of a third-order orthodontic brace made by the method.

Description of reference numerals: 71-a computer; 72-dental software; 8-metal bracket aligners; 81-metal wire; 82-a corrective block; LS-labial orientation; BS-buccal direction; PS-palatal direction; c17-first order anchor slot; c18-first order mating slot; c27-second level anchoring slot; c28-second-stage matching slot position; d 1-first expansion distance; d 2-second expansion distance; 10-first order corrective braces; 11-first step arch; 12-first order tongue-butting part; 13-sublingual bracket; 20-second order orthodontic braces; 21-second step arch; 22-second order tongue-butting part; 91-incisor teeth; 92-canine teeth; 93-first molar; 94-other molars; 95-skewed teeth; 96-lips; 97-tooth row; 98-tongue.

Detailed Description

Orthodontic treatment is a very special oral treatment, and aims to achieve the technical effects of 'orthodontic', 'tooth shaping' and 'orthodontic' through dental treatment means, so that the upper and lower jaw dentitions of a dental patient can have beautiful, tidy and beautiful dental arch contours. In order to achieve the above function, the present invention is expected to achieve the technical effects of orthodontics and tooth plastic by producing an orthodontic kit. Referring to fig. 2, fig. 2 is a schematic diagram illustrating stages in manufacturing and using the dentition correction kit. As shown in fig. 2, a first-order orthodontic shell 10 of an orthodontic kit is manufactured (step X101), a dental patient is subjected to a first-order orthodontic treatment through the first-order orthodontic shell 10 (step X102), a second-order orthodontic shell 20 of an orthodontic kit is manufactured as a result of the first-order orthodontic treatment (step X103), and the dental patient is subjected to a second-order orthodontic treatment through the second-order orthodontic shell 20 (step X104).

Referring to fig. 3, fig. 3 is a schematic view illustrating a method for manufacturing a first-order orthodontic brace. Here, the step X101 may be further developed and subdivided into steps 11 to 17 shown in fig. 3; as shown in fig. 3, a dental anatomical map of a dental patient may be obtained by a Computed Tomography (CT), X-ray, mri, or ultrasound apparatus, or by intraoral scanning, dental cast … (step 11), the dental anatomical map including but not limited to Digital format (DICOM, Digital Imaging and Communications in Medicine) images. Referring to fig. 4, the tooth position structure diagram is read and obtained by a computer 71 (including but not limited to hardware such as computer, mobile phone, server, etc.) or a dental software 72, so as to obtain Visualization (Visualization) features of 3D space and structure, such as "pre-correction" dental arch, dentition 97, and arrangement position, orientation angle, direction, concave-convex contour … of each tooth. Next, from the computer 71 or the dental software 72, a Buccal-Side Direction BS (i.e., "the Direction pointing to" the cheeks on both sides of the dentition 97) is defined for the dental arch and dentition 97 before correction of the dental patient; referring to fig. 5A, as shown in fig. 5A, a first expansion distance d1 is set in the buccal direction BS pointing to the cheeks based on the position of the first large molar tooth 93 of the dental patient (step 12 of fig. 3), and a first-stage anchoring groove C17 is set in the buccal direction BS by the first expansion distance d1 according to the first large molar tooth 93 (step 13 of fig. 3). Here, the first-stage anchoring groove C17 is the spatial position of the first molar tooth 93 of the dental patient after the displacement is expected, and the first-stage anchoring groove C17 conforms to the first-class tooth position relationship of the Angle's Classification. Here, the angler classification is to classify the biting relationship (Occlusion) into three categories according to the front-back relative relationship of the first large molars 93 of the upper and lower dentitions 97, wherein the first category of biting is Class I neutrococcosis, which shows a normal horizontal covering biting, and the upper incisors are slightly bitten in front of the lower incisors within a range of 1 to 3 mm. The second type of occlusion, known as Class II discocculusion, presents either excessive horizontal overbite (process upset) as the upper incisor bites too far in front of the lower incisor, or compensatory retraction of the crown of the upper incisor, which leads to bony bruxism. The third type of occlusion, known as Class III meso clesion, presents the symptoms of a lower incisor biting in front of an upper incisor, resulting in a Negative horizontal overbite or bite (Negative overhead/antioxidant cross bite), causing a lower jaw protrusion (colloquially called a "scoop") or a retropalatal recession.

Further, as shown in fig. 5B, the second expansion distance d2 in the buccal direction BS of the remaining teeth (i.e., the incisors 91, the canine teeth 92 and the other molars 94 except for the first large molars 93) is set according to the position of the first-stage anchoring groove C17 (see step 14 of fig. 3). Generally, the second expansion distance d2 of each tooth is determined by a dentist or dental technician according to the size of the oral cavity of a dental patient or a predictable future growth space (e.g., a child whose oral cavity will be re-expanded and enlarged), and clinically, the second expansion distance d2 is generally less than or equal to 1.2 times the first expansion distance d1 and greater than 0.2 times the first expansion distance d1, that is: 0.2 × d1 ≦ d2 ≦ 1.2 × d 1. Specifically, if the door tooth 91 is provided, the second spreading distance d2 of the door tooth 91 is less than or equal to 0.4 times the first spreading distance d1 and greater than or equal to 0.2 times the first spreading distance d1, that is: 0.2 x d1 ≦ d2 ≦ 0.4 x d 1; in the case of the dog-teeth 92, the second expansion distance d2 of the dog-teeth 92 is less than or equal to 0.8 times the first expansion distance d1 and greater than or equal to 0.4 times the first expansion distance d1, i.e.: 0.4 x d1 ≦ d2 ≦ 0.8 x d 1; in the case of the other molars 94, the second expansion distance d2 of the plurality of other molars 94 is less than or equal to 1.2 times the first expansion distance d1 and greater than or equal to 0.8 times the first expansion distance d1, i.e.: 0.8 × d1 ≦ d2 ≦ 1.2 × d 1. That is, the dentist or dental cast technician can determine the adjustment of the second expansion distance d2 according to the type of the tooth, and arrange to set a plurality of first-step fitting slots C18 corresponding to all the other teeth of the first molar 93 (step 15 in fig. 3).

Next, as shown in fig. 5C, a plurality of first-step anchoring grooves C17 and first-step fitting grooves C18 are formed in a first-step arch portion 11 to form a 3D digital three-dimensional structure of the first-step orthodontic shell 10 (step 16 of fig. 3); in this way, the physical structure of the first-order correction mouthpiece 10 can be outputted and obtained by the 3D Printing (3D Printing) technique (step 17 in fig. 3), and the physical structure of the first-order correction mouthpiece 10 is as shown in fig. 6A and 6B.

Referring to fig. 6A and 6B, fig. 6A to 6B are perspective and top views of a first-order orthodontic brace; here, the main body of the manufactured first-order orthodontic shell 10 is the first-order arch part 11, and the first-order arch part 11 has a plurality of first-order anchoring grooves C17 and a plurality of first-order fitting grooves C18. At this time, as shown in fig. 7A, the dental patient opens the mouth to align the upper and lower arch/tooth rows 97 with the first-stage correction mouthpiece 10, and then, as shown in fig. 7B and 7C, the dental patient closes the mouth to bite and bite the first-stage correction mouthpiece 10 with the upper and lower arch/tooth rows 97.

Referring to fig. 5A to 5C and fig. 8, fig. 8 is a schematic diagram illustrating the corresponding slot positions of the teeth of the dental patient and the first-stage orthodontic braces. After the dental patient uses and bites the first-stage correcting socket 10, the first-stage anchoring groove C17 of the first-stage correcting socket 10 corresponds to the first large molar tooth 93 of the dental patient, so that the first-stage anchoring groove C17 is disposed at a first expanding distance d1 in the buccal direction BS. In addition, the first-step engaging grooves C18 correspond to the remaining teeth of the patient (i.e., the incisors 91, the canine teeth 92 and the other molars 94 except the first large molars 93), so the first-step engaging grooves C18 are provided by being shifted by the second expansion distance d2 in the buccal direction BS on the basis of the original positions of the remaining teeth. As described above, when step 12 of fig. 3 is executed, the setting and adjustment of the first expansion distance d1 determine the position, orientation and angle of the first large molar tooth 93 corresponding to the first arch 11; in step 14 of fig. 3, the setting and adjustment of the second expansion distance d2 determine the positions, orientations and angles of the remaining teeth (incisors 91, canines 92 and other molars 94 except for the first large molar 93) corresponding to the first stage arch 11. In this way, the dentist or dental cast technician can plan the "desired displacement and rotation angle" of the first stage of the upper and lower dental arches and dentition 97 in the oral cavity in advance by using the first-stage orthodontic brace 10. Then, the dental patient wears the first stage orthodontic braces 10 to displace and turn each tooth of the arch and the dentition 97, thereby achieving the purpose of first stage orthodontic.

As shown in fig. 6A, the first-order orthodontic braces 10 further include a first-order Tongue abutting portion 12, the first-order Tongue abutting portion 12 is disposed inside the arch portion 11, the first-order Tongue abutting portion 12 is further provided with a Tongue abutting groove 13 in a shape of a broken mouth or a U-groove at the middle, the Tongue abutting groove 13 is used for accommodating the under-Tongue frenulum (Tongue-tie) of a human Tongue, so that when a dental patient bites the first-order orthodontic braces 10 and places the Tongue of the dental patient above the first-order Tongue abutting portion 12, the uncomfortable feeling of the dental patient can be reduced, and the willingness of the patient to use the dental patient can be increased. In addition, as shown in fig. 7C, the first-step tongue abutting portion 12 gradually decreases in height in a direction opposite to the labial direction LS (i.e., in the palatal direction PS); thus, when the dental patient bites the first-stage correcting mouthpiece 10, the tongue 98 in the oral cavity is placed on the first-stage tongue-abutting portion 12, so that the height of the tongue 98 is increased to relax the muscles of the throat, thereby opening the respiratory tract, preventing the respiratory tract from being blocked, and reducing or eliminating the "Mouth Breathing (Breathing) condition" caused by snoring and low tongue position. In addition, through the arrangement of the first-order tongue-resisting part 12, the first-order orthodontic tooth socket 10 of the utility model can also enable the patient with sleep apnea syndrome or the patient with serious snoring to carry out 'breathing training' so as to improve the snoring symptom, eliminate the sound and frequency of snoring and improve the sleep quality.

Further, the steps 11 to 17 of fig. 3 are executed to complete the manufacture of the first-order orthodontic braces 10 of step X101 of fig. 2. After the first-stage orthodontic braces 10 are manufactured, as shown in step X102 of fig. 2, the dental patient can be treated with the first-stage orthodontic treatment through the first-stage orthodontic braces 10, wherein the first-stage orthodontic treatment in step X102 is aimed at because the dental patient who needs to be treated with the dentition 97 usually has the problems of too narrow dental arch and insufficient width; therefore, before the individual teeth are corrected by shifting or rotating, the dental arch is appropriately pulled in both buccal directions BS (i.e., left and right sides), the width of the dental arch in both buccal directions BS is widened and enlarged, the positions of the teeth are planned in accordance with a constant tooth size left-right stroke space, and the alveolar bone having an insufficient tooth growth space is expanded or the bone growth is suppressed in the case of excessive alveolar bone growth. This not only can increase the appearance space and the rotational displacement space of each tooth, but also can make the face and chin contour of the dental patient more beautiful. In addition, clinical data of the applicant show that the dental patient using the first-stage orthodontic braces 10 can achieve the orthodontic effect by displacing the individual teeth in the arch and dentition 97 by 1mm for 2 to 6 weeks.

Referring to fig. 9 and 10, fig. 9 is a schematic view illustrating a manufacturing method of a second-order orthodontic shell, and fig. 10 is a schematic view illustrating a groove correspondence between the first-order orthodontic shell and the second-order orthodontic shell. Here, the procedure from step X103 of fig. 2 is expanded and subdivided into steps 21 to 25 shown in fig. 9, and first, a tooth position structural diagram of the dental patient after the "first-order correction" is obtained (step 21) in the same manner as the manufacturing method of the first-order correction mouthpiece 10, including but not limited to CT, X-ray, nuclear magnetic resonance, ultrasonic wave, etc., or intraoral scanning, tooth impression …, etc. Then, a second-step anchor slot C27 is provided according to the first-step anchor slot C17 (step 22), and a plurality of second-step mating slots C28 are adjusted according to the first-step mating slots C18 (step 23). In a further embodiment, in the step 23, the position of the second-step engaging slot C28 can be shifted from the position of the first-step engaging slot C18 by a quarter to a third of the tooth cross-sectional width, or rotated by an angle less than 30 degrees from the position of the first-step engaging slot C18; that is, the position of the second-step engaging slot C28 in step 23 is set by fine-tuning the displacement or the corner on the basis of the first-step engaging slot C18. Therefore, as shown in fig. 10, the dentist or dental cast technician determines the "desired displacement and rotation angle" of each tooth in the "second stage correction" based on the first-stage anchoring slot C17 and the first-stage matching slot C18 of the first stage, and then adjusts and sets the tooth slot of the second stage. Then, the second-step anchoring groove position C27 and the second-step fitting groove position C28 are formed on a second-step arch part 21 to form a 3D digital three-dimensional structure of the second-step orthodontic shell 20 (step 24), and then the solid structure of the second-step orthodontic shell 20 is obtained through output (step 25). Here, the second-order anchor slot C27 conforms to the first-class dentition relationship of the Angle's Classification. In addition, the 3D digital three-dimensional structure and the solid structure of the second-order orthodontic braces 20 in the steps 24 and 25 are the same as those in the first stage, and thus the description thereof is omitted.

Thus, when the manufactured second-step orthodontic braces 20 are provided, the main body thereof is the second-step arch part 21, the second-step arch part 21 is provided with a plurality of second-step anchoring grooves C27 and a plurality of second-step mating grooves C28, the second-step anchoring grooves C27 are identical in position to the first-step anchoring grooves C17, and the second-step mating grooves C28 are moved or rotated based on the first-step mating grooves C18.

Next, the dental patient wears the second stage orthodontic braces 20 to perform the "second stage" orthodontic treatment (step X104 in fig. 2). The key point of the second stage of correction is that the first large molar tooth 93 is placed in the second-step anchoring slot C27 of the second-step correction socket 20 to serve as the positioning of the occlusion position, and then the second-step anchoring slot C27 serves as an anchoring point to finely move or rotate other teeth on the arch to a predetermined desired tooth position (i.e., the position of the "second-step fitting slot C28") through the training of the occlusion function, so as to achieve the desired effects of occlusion adjustment and occlusion correction of the teeth row 97, so that the first large molar tooth 93 thereof gradually moves to the first type of occlusion relationship of the Angle's Classification, and the upper and lower jaw bones are displaced to the corresponding relationship of the central position (CR), so as to improve the stability of the upper and lower jaw occlusion. In particular, the Central Occlusion (CO) relationship of the teeth is the most closed position of the upper and lower teeth, i.e. the position where the upper and lower teeth bite into the largest occlusal surface of the teeth; the central position (CR) relationship, the joint head of the jaw joint, is the most stable position in the middle of the socket. Generally, the stable ideal occlusion position is a difference between the central occlusion position (CO) and the central position (CR) of 0.5 to 1 mm. And the utility model discloses an orthodontic kit can let the dental patient of second type, the Malocclusion of third type (Malocclusion) in the Angel's classification, come to adjust stage by stage to his dentition interlock and tooth position, make this dental patient's first big molar 93 gradually segmentation ground adjusted, corrected and get into on the first type interlock position (promptly, on the spatial position of this first order anchoring trench C17, second order anchoring trench C27). In this way, the first molar tooth 93 of the dental patient can be guided and anchored in the first type of occlusion position, and the bones of the upper and lower jaws can be kept growing in a central position relationship (central ratio) to maintain the health of the temporal mandibular joint. Even if the dental patient is in the sprouting period when the deciduous teeth are faded and the permanent teeth are in the beginning, the utility model can adjust the external contour of the face, the jaw and the like in the adolescent period, so that the adolescent has more beautiful cheek appearance. In addition, to suffering from muscle dysfunction, like swallowing abnormal tongue thorn disease (tongue) or reverse swallowing (reverse swallowing) symptom's patient, also can improve and chew the function not enough, chew the scheduling problem to one side through the utility model discloses a bite training of correcting the facing. In addition, from the 1990's, it was discovered by scholars that bone forming cells (osteoblasts) and bone absorbing cells (osteoblasts) in alveolar bone interact to affect the growth or contraction of upper and lower jaw dentate bones. When the dental patient uses the orthodontic kit of the present invention, the mechanical occlusion of the upper and lower teeth can stimulate the sensitive cells in the oral cavity, and the mechanical force of the occlusion is converted into the biological chemical nerve signal of the human body, so as to activate and activate the bone forming cells or bone absorbing cells, and further control the bone growth or bone absorption of a local part in the oral cavity. That is, when wearing the dental alignment correction kit of the present invention, the alveolar bone of the dental patients will generate a corresponding reaction to the design contour of the first-stage correction mouthpiece 10 or the second-stage correction mouthpiece 20 to activate and activate bone forming cells or bone absorbing cells, so as to grow or contract the alveolar bone to achieve the purpose of shaping the alveolar bone; thus, the jaw bone shape correction and jaw shape adjustment functions are achieved. Therefore, the shaping, the bone renovation and the bone correction of the alveolar bone are achieved by utilizing the tissue change biology of the orthodontic treatment, and even the problems of excessive development of dental arch or insufficient alveolar bone can be corrected, so as to help the teeth to be arranged at the correct positions.

Certainly, the second-order orthodontic braces 20 also includes a second-order tongue supporting portion and a sublingual supporting slot 13, so as to enable the dental patient wearing the second-order orthodontic braces 20 to raise the height position of the tongue 98 to relax the muscles of the throat, and further open the respiratory tract, so as to avoid the respiratory tract obstruction, reduce or eliminate the snoring and the "Breathing Mouth" condition caused by the low tongue position, and enable the patient with sleep apnea or the patient with severe snoring to perform the "Breathing training", thereby achieving the technical effects of improving the snoring symptom of the patient and eliminating the sound and frequency of the snoring.

Next, a dentist determines whether to accept the correction of the "third stage" according to the corrected condition of the dental patient, and if so, the third stage correction is performed to manufacture the third stage correction mouthpiece, please refer to fig. 11, in which fig. 11 is a schematic diagram illustrating a manufacturing method of the third stage correction mouthpiece. As shown in fig. 11, a tooth position structure diagram of the dental patient after the second-order correction is obtained (step 31), a third-order anchoring slot is provided according to the second-order anchoring slot C27 (step 32), a plurality of third-order matching slots are adjusted and provided according to a plurality of second-order matching slots C28 (step 33), and then the third-order anchoring slot and the third-order matching slots are formed on a third-order dental arch portion to form a 3D digital three-dimensional structure of a third-order correction dental brace (step 34). Finally, the output results in the physical structure of the third order orthodontic shell (step 35). In this way, the manufactured third-order orthodontic braces comprise a third-order dental arch part, a plurality of third-order anchoring groove positions and a plurality of third-order matching groove positions, wherein the third-order anchoring groove positions are arranged on the third-order dental arch part and are the same as the second-order anchoring groove position C27; the third-step engaging slot is moved or rotated with respect to the second-step engaging slot C28, and the adjustment distance of the third-step engaging slot can be one-fourth to one-third of the width of the tooth section, or rotated by an angle smaller than 30 degrees. Here, the manufacturing method of the third-stage orthodontic shell in the third stage is similar to that of the second-stage orthodontic shell 20 in the second stage, and thus, the description thereof is omitted. The third stage of correction is intended to supplement the second stage of correction or to provide a later stage of treatment that allows greater orthodontic correction and further adjusts the dentition profile of the patient.

So, the orthodontic external member that the orthodontic external member manufacturing method made, can produce the orthodontic braces of different correction stages stage by stage, set up predetermined tooth and remove or pivoted tooth position, and with this orthodontic braces make the tooth of implementing the oral cavity of dentistry disease correct stage by stage, improve and treat the improper problem of tooth interlock or dentition, or utilize the tissue change biology of orthodontic and reach alveolar bone moulding, renovate, can rectify the too little problem of dental arch in order to help the dentition to arrange in exact position even. Furthermore, the first tongue abutment portion 12 and the second tongue abutment portion 22 of the orthodontic brace can be used to raise the height of the tongue 98 to avoid the airway obstruction, reduce or eliminate the snoring and the "Breathing of Mouth" (caused by the tongue being too low), and enable the patient with sleep apnea or the patient with severe snoring to perform the "Breathing training" to improve the snoring symptom, eliminate the sound and frequency of snoring and improve the sleep quality. Furthermore, the utility model does not need to use the traditional metal wire correction control, and has no control problem of correcting displacement and angle of the metal bracket corrector, so that the correction control of accurate displacement and angle can be achieved; the dental patient can still keep normal tooth brushing and oral cavity cleaning work during the tooth straightening period, and the treatment method of straightening teeth, reshaping teeth, straightening dentition and correcting occlusion can be taken into consideration, so that the dental patient can be suitable for dental patients of different age groups such as adults, children and the like. Therefore, the method has great potential for clinical application and large-specification commercialization.

The present invention is described above with reference to the embodiments, but the present invention is not limited to the claims. The scope of protection is to be determined by the claims appended hereto and their equivalents. It will be appreciated by those skilled in the art that changes may be made and equivalents may be substituted for elements thereof without departing from the true spirit and scope of the invention, which is set forth in the claims below.

Claims

1. An orthodontic kit for placement in a dental patient's mouth defining a Labial (LS) direction to the lips and a Buccal (BS) direction to the cheeks for staged correction of malocclusions or malocclusions, the orthodontic kit comprising:

a first-order orthodontic brace (10) comprising a first-order arch part (11), a plurality of first-order anchoring grooves (C17) and a plurality of first-order matching grooves (C18) which are arranged on the first-order arch part (11), wherein the first-order anchoring grooves (C17) are arranged by shifting a first expansion distance (d1) in a position corresponding to a first large molar (93) of the dental patient in a buccal direction (BS), and the first-order matching grooves (C18) are respectively arranged by shifting a second expansion distance (d2) in a position corresponding to the other teeth of the dental patient in the buccal direction (BS); and

a second-step orthodontic braces (20), including a second-step dental arch portion (21), and a plurality of second-step anchoring slot positions (C27) and a plurality of second-step mating slot positions (C28) disposed on the second-step dental arch portion (21), the position of the second-step anchoring slot position (C27) is the same as the first-step anchoring slot position (C17), and the second-step mating slot position (C28) moves or rotates with the first-step mating slot position (C18) as a reference.

2. The orthodontic kit of claim 1, wherein the plurality of first stage anchor slots (C17) or the plurality of second stage anchor slots (C27) conform to the first type dentition relationships of the angler classification.

3. The orthodontic kit of claim 1, wherein the second distraction distance (d2) is less than or equal to 1.2 times the first distraction distance (d1) and greater than 0.2 times the first distraction distance (d 1).

4. The orthodontic kit as claimed in claim 1, wherein the second step engaging groove (C28) is located shifted by one quarter to one third of the width of the tooth section or rotated by an angle less than 30 degrees with respect to the first step engaging groove (C18).

5. The orthodontic kit of claim 1 further including a third orthodontic shell including a third arch portion, a plurality of third anchoring slots and a plurality of third mating slots disposed in the third arch portion, the third anchoring slots being located at the same position as the second anchoring slots (C27), the third mating slots being movable or rotatable relative to the second mating slots (C28).

6. The orthodontic kit as in claim 5, wherein said third engagement groove is shifted by one quarter to one third of the width of the tooth section or rotated by an angle less than 30 degrees with respect to said second engagement groove (C28).

7. The orthodontic kit as in claim 1, further comprising a first step lingual portion (12) and a second step lingual portion (22), said first step lingual portion (12) being disposed inwardly of said first step arch (11) and said second step lingual portion (22) being disposed inwardly of said second step arch (21).

8. The orthodontic kit as in claim 7, wherein said first lingual portion (12) or said second lingual portion (22) has a height that decreases in a direction opposite to said labial direction (LS).

9. The orthodontic kit as in claim 7, characterized in that said first-stage lingual site (12) or said second-stage lingual site (22) is provided with a sublingual bracket (13) in the middle.