CN215458810U - Dentition correcting tooth socket - Google Patents

Dentition correcting tooth socket Download PDF

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Publication number
CN215458810U
CN215458810U CN202120289563.2U CN202120289563U CN215458810U CN 215458810 U CN215458810 U CN 215458810U CN 202120289563 U CN202120289563 U CN 202120289563U CN 215458810 U CN215458810 U CN 215458810U
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tooth
hard
teeth
dentition
customized
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黄奇卿
高紫筠
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Priority claimed from TW109204352U external-priority patent/TWM598134U/en
Priority claimed from TW109122925A external-priority patent/TWI733513B/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C7/00Orthodontics, i.e. obtaining or maintaining the desired position of teeth, e.g. by straightening, evening, regulating, separating, or by correcting malocclusions
    • A61C7/08Mouthpiece-type retainers or positioners, e.g. for both the lower and upper arch
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C11/00Dental articulators, i.e. for simulating movement of the temporo-mandibular joints; Articulation forms or mouldings
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C7/00Orthodontics, i.e. obtaining or maintaining the desired position of teeth, e.g. by straightening, evening, regulating, separating, or by correcting malocclusions
    • A61C7/002Orthodontic computer assisted systems
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F5/00Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
    • A61F5/56Devices for preventing snoring
    • A61F5/566Intra-oral devices

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  • Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Epidemiology (AREA)
  • Dentistry (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Vascular Medicine (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Biomedical Technology (AREA)
  • Nursing (AREA)
  • Pulmonology (AREA)
  • Otolaryngology (AREA)
  • General Engineering & Computer Science (AREA)
  • Dental Tools And Instruments Or Auxiliary Dental Instruments (AREA)

Abstract

The utility model provides an orthodontic tooth socket which can be arranged in the oral cavity of a dental patient to treat mouth breathing, snoring and sleep apnea and correct tooth skew, malposition and malocclusions of upper and lower jaws; the dentition correcting tooth socket comprises a hard upper tooth socket part, a hard lower tooth socket part and a soft tooth socket part, wherein the hard upper tooth socket part, the hard lower tooth socket part and the soft tooth socket part are molded and matched through an upper mold and a lower mold, rubber or silica gel is injected, and the dentition correcting tooth socket can be formed after the rubber or the silica gel is hardened; the orthodontic tooth socket has the treatment functions of mouth breathing, snoring and sleep apnea and the double effects of tooth and arch dentition correction.

Description

Dentition correcting tooth socket
Technical Field
The utility model relates to a dental dentition correcting tooth socket, in particular to a dentition correcting tooth socket which can be used for occlusion induction, muscle function correction, nose breathing training, sleep assisting, snoring reduction, tooth arrangement and alveolar bone shape adjustment and correction of inclined and dislocated teeth.
Background
The problem of many people snoring, mouth breathing or sleep interruptions; most people think that the breath-making and mouth breathing should not be cared about, but neglect the sleep apnea caused by the call-making, which is actually the primary cause of the sleep apnea syndrome! Sleep apnea syndrome is a condition in which, during sleep, airflow does not reach the lungs due to airway obstruction, resulting in hypoxia and carbon dioxide rise, and eventually causes a brief arousal, often accompanied by a choke in the throat or a vigorous gasp, causing the airway to reopen, at which time the patient may awaken to inhale a large breath or have several large deep breaths, then fall asleep, and thereafter may immediately produce another apnea, such that this type of cycle is repeated continuously throughout the night, causing sleep to be intermittent at night. If snoring or mouth breathing is accompanied by obstructive sleep apnea syndrome, the vascular endothelium is damaged to cause vascular stenosis after long-term hypoxia, high blood pressure is easy to cause, fatigue, high blood pressure, cardiovascular diseases, autonomic nervous system disorder, blood sugar metabolism disorder and other symptoms are easy to cause damage to heart, kidney and other tissues after long-term use, and sudden death rate is increased. In addition, many people have problems of mouth breathing or tongue hypofunction, which also affects sleep quality and health, due to the problems of mouth breathing that is liable to cause airway hypersensitivity, low tongue, tongue hypertrophy, gland sample and tonsil swelling, and thus tongue dysfunction, swallowing disorder, periodontal disease tooth arrangement disorder, bone growth abnormality and nasal septal curvature.
The most common reason is that the muscles which originally fix and prop up the throat part are relaxed during sleeping, so that the muscles in the oral cavity are retreated, the tongue is too low, and the respiratory tract becomes narrow; the respiratory tract becomes narrow, the air speed of the inhaled air becomes strong, and the relaxed soft jaw, the uvula, the tongue and the tonsil are caused to vibrate, so that the sound is produced. In addition, the causes of mouth breathing include cold, allergy, polyp of sinus, and frenulum (Tongue-tie) in the mouth and nose.
In addition to snoring, mouth breathing and sleep apnea, many patients have dental problems such as tooth deviation, malocclusion, and malocclusion … …, which are usually adjusted to the correct occlusion position by gradually displacing and rotating a plurality of teeth of the dental patient through orthodontic treatment, so as to achieve the Class I dentition relationship of the Angle's Classification, and gradually displacing the bones of the upper and lower jaws to the corresponding relationship of the central position (CR).
Traditionally, to achieve the above improvements in snoring, mouth breathing, sleep apnea, and orthodontic treatment for tooth deviation and malocclusions, it is often necessary to treat the symptoms in two different categories. Because no fundamental treatment is available, the treatment time is prolonged for the patient, the treatment cost is increased, and the method is very undesirable.
Therefore, it is an object of the present invention to provide a dental treatment for snoring, mouth breathing, sleep apnea, tooth deviation, and malocclusions to achieve the therapeutic effects of snoring, mouth breathing, sleep apnea, and malocclusions in a single dental treatment.
SUMMERY OF THE UTILITY MODEL
The utility model mainly aims to reduce or eliminate snore and sleep apnea caused by breathing, and enable a patient with sleep apnea or a patient with severe snore to carry out breathing training, recover the nasal breathing function, improve the snore symptom, eliminate the snore sound and frequency and improve the sleep quality.
Another objective of the present invention is to provide a dental patient with muscular function correction, bone reshaping, dentition correction, and occlusal correction, and gradually adjust dentition to be shifted to the Class I dentition relationship of Angel's Classification, and to provide the bones of the upper and lower jaws in the corresponding relationship of the central position (CR) for improving the stability of normal growing occlusion of the upper and lower jaws.
It is still another object of the present invention to improve and treat malocclusion or malalignment of teeth, or to achieve shaping and renovation of alveolar bone by using the histologic biology of orthodontic treatment, and even to correct the problem of insufficient development of dental arch to help the arrangement of teeth, and to allow the dental patients to maintain normal tooth brushing and oral cleaning during orthodontic treatment.
It is yet another object of the present invention to provide orthodontic braces having maxilla and mandibular retention features that allow for alignment of the occlusal aspect of the patient's maxilla and mandibular dentition with the Cusp-fossa relationship (Cusp & fossa).
In order to solve the above and other problems, the present invention provides an orthodontic brace movably disposed in an oral cavity of a dental patient, the oral cavity including a maxillary dentition and a mandibular dentition, and defining a lingual direction, a labial direction and a buccal direction, the orthodontic brace including a hard upper brace portion, a hard lower brace portion and a soft brace portion; the hard upper tooth sleeve part is movably sleeved on the periphery of the upper jaw dentition, the hard lower tooth sleeve part is movably sleeved on the periphery of the lower jaw dentition, the soft tooth sleeve part comprises a bearing part, a first fixing part, a second fixing part, a third fixing part and a fourth fixing part, the first fixing part is attached to the direction of the labial side and the direction of the buccal side of the hard upper tooth sleeve part, the second fixing part is attached to the direction of the labial side and the direction of the buccal side of the hard lower tooth sleeve part, the third fixing part is attached to the direction of the lingual side of the hard upper tooth sleeve part, the fourth fixing part is attached to the direction of the lingual side of the hard lower tooth sleeve part, the first fixing part and the third fixing part are located at the upper half part of the bearing part, and the second fixing part and the fourth fixing part are located at the lower half part of the bearing part.
The orthodontic braces as above, wherein the soft braces further comprises a tongue-abutting portion, the tongue-abutting portion is connected and fixed on the lingual direction of the bearing portion, the third fixing portion or the fourth fixing portion, and the tongue-abutting portion extends out towards the lingual direction; in a further embodiment, the height of the tongue abutting portion in the direction towards the tongue side is gradually reduced, or the tongue abutting portion is curved.
The orthodontic braces as above, wherein the soft braces further comprises a tongue-abutting portion, the tongue-abutting portion is connected and fixed on the lingual direction of the bearing portion, the third fixing portion or the fourth fixing portion, and the tongue-abutting portion extends out along the lingual direction; in a further embodiment, the tongue supporting portion is provided with a tongue supporting groove at the middle.
The orthodontic braces as described above, wherein the hard upper braces portion is provided with a plurality of customized teeth positions, each customized tooth position corresponds to and is sleeved with one tooth of the upper jaw dentition; or, a plurality of customized tooth positions are arranged on the hard lower tooth sleeve part, and each customized tooth position corresponds to and is sleeved with one tooth of the lower jaw dentition.
The orthodontic braces as described above, wherein the hard upper brace portion is provided with two customized teeth and at least one universal tooth, the customized teeth correspond to and are sleeved with the first large molar teeth of the upper jaw dentition, the universal tooth corresponds to and is sleeved with the other multiple teeth of the upper jaw dentition, and the customized teeth are connected to the end portions of the universal teeth; or, the hard lower tooth sleeve part is provided with two customized tooth positions and at least one universal tooth position, the customized tooth positions correspond to and are sleeved with the first large molar teeth of the lower jaw dentition, the universal tooth positions correspond to and are sleeved with other multiple teeth of the lower jaw dentition, and the customized tooth positions are connected to the end parts of the universal tooth positions.
The orthodontic braces as described above, wherein the hard upper braces portion is provided with a universal teeth position corresponding to and sleeved with all teeth of the upper jaw dentition; or the hard lower tooth sleeve part is provided with a universal tooth position which corresponds to and is sleeved with all teeth of the lower jaw dentition.
In order to solve the above and other problems, the present invention provides a method of manufacturing an orthodontic tooth socket, comprising the steps of: step A01: providing a hard upper tooth sleeve part, a hard lower tooth sleeve part, a plaster upper tooth mould and a plaster lower tooth mould; step A02: sleeving the hard upper tooth sleeve part on the plaster upper tooth mold, and sleeving the hard lower tooth sleeve part on the plaster lower tooth mold; step A03: placing the hard upper tooth sleeve part and the gypsum upper tooth mold into an upper mold cavity of an upper mold, and placing the hard lower tooth sleeve part and the gypsum lower tooth mold into a lower mold cavity of a lower mold; step A05: the upper die and the lower die are closed; step A06: filling silica gel into the upper mold cavity or the lower mold cavity; step A07: after the silica gel is hardened, taking out the hard upper tooth sleeve part, the hard lower tooth sleeve part, the plaster upper tooth mold, the plaster lower tooth mold and the hardened silica gel; step A08: separating the upper plaster dental cast from the upper hard dental sleeve part and separating the lower plaster dental cast from the lower hard dental sleeve part; step A10: completing the manufacture of the dentition correction braces.
The method for manufacturing the orthodontic braces as described above further includes the step a 04: the positions of the upper mold and the lower mold can be selectively adjusted in the lingual direction or the labial direction.
The method for manufacturing the orthodontic braces as described above further includes the step a 09: modifying the outline of the hardened silica gel.
The method for manufacturing an orthodontic shell as described above, wherein the manufacturing process of the hard upper shell portion or the hard lower shell portion includes the following substeps: step B01: carrying out intraoral scanning on a dental patient to obtain the outline of gingiva and teeth in the oral cavity; step B02: inputting the outline of the gum and the tooth gear into dental software, and establishing a digital outline model; step B03: calculating and simulating displacement distances or rotation angles of the orthodontics at a plurality of different time points through the dental software; step B04: determining the displacement distance or the rotation angle of the tooth correction, and calculating to obtain the appearance contour of the hard upper tooth socket part or the hard lower tooth socket part; step B05: outputting and obtaining the hard upper gear sleeve part or the hard lower gear sleeve part.
The method for manufacturing the orthodontic braces as described above, wherein the upper or lower cast is obtained by a cast-over, or by intraoral scanning and 3D printing.
The method for manufacturing the orthodontic braces as described above, wherein the hard upper or lower braces is obtained by intraoral scanning and 3D printing.
For a better understanding of the nature and technical aspects of the present invention, reference should be made to the following detailed description of the utility model, taken in conjunction with the accompanying drawings, which are provided for purposes of illustration and description, and are not intended to be limiting. For a better understanding of the nature and technical aspects of the present invention, reference should be made to the following detailed description of the utility model, which is to be read in connection with the accompanying drawings, wherein the following drawings are provided for purposes of illustration and description only and are not intended to be limiting.
Drawings
FIG. 1A is a flow chart illustrating a method of manufacturing an orthodontic shell of the present invention.
FIG. 1B is a flow chart illustrating the manufacturing process of the hard upper and lower gear sleeves.
Fig. 2A and 2B are perspective and sectional views illustrating a hard upper shell portion, a hard lower shell portion, a plaster upper shell and a plaster lower shell of an orthodontic shell according to a first embodiment of the present invention.
Fig. 3A and 3B are perspective and sectional views illustrating the hard upper shell portion and the plaster upper shell portion of the orthodontic shell and the hard lower shell portion and the plaster lower shell portion of the orthodontic shell according to the first embodiment of the present invention.
Fig. 4A and 4B are perspective and sectional views of the upper and lower molds, respectively, with the upper and lower hard tooth socket portions, the upper and lower plaster cast, respectively.
Fig. 5 is a schematic view showing the upper and lower molds being closed.
FIG. 6 is a schematic view showing the silicone gel filled into the upper and lower cavities.
FIG. 7 is a schematic view of the upper hard shell, the lower hard shell, the upper plaster cast and the lower plaster cast after being demolded.
Figures 8A, 8B and 8C are cross-sectional, front and perspective views of the orthodontic braces of the present invention after manufacture.
Fig. 9A is a schematic view showing the spatial correspondence between the customized teeth and the universal teeth of the orthodontic braces according to the second embodiment of the present invention and the teeth of the cast on plaster.
Fig. 9B is a schematic structural view of the customized teeth positions and the universal teeth positions of the orthodontic braces according to the second embodiment of the utility model.
Fig. 10A is a schematic view showing the spatial correspondence between the customized teeth and the universal teeth of the orthodontic braces according to the third embodiment of the present invention and the teeth of the cast-on-plaster dental cast.
Fig. 10B is a schematic structural view of the customized tooth positions and the universal tooth positions of the orthodontic braces according to the third embodiment of the utility model.
Description of reference numerals: 1-dentition correcting braces; 15-soft gear sleeve part; 151-first fixed part; 152-a second fixed part; 153-third fixed part; 154-a fourth fixation section; 155-a receiving portion; 156-tongue butt; 157-sublingual bracket; 17-hard upper gear sleeve part; 171-inner edge; 172-customized tooth positions; 173-universal tooth site; 18-hard lower gear sleeve part; 181-inner edge; 182-customized tooth positions; 31-upper mould; 32-lower mould; 33-upper mold cavity; 34-lower mold cavity; 35. 36-an inner side wall; 39-injection port; 51-plaster upper dental cast; 52-plaster lower dental cast; 53-upper arch corresponding part; 54-the corresponding part of the lower dental arch; 91-first large molar; LaS-labial direction; BuS-buccal orientation; LiS-lingual direction; X-X-section.
Detailed Description
First embodiment of Structure
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. To achieve the above-mentioned function, the present invention provides an orthodontic brace 1 and a method for manufacturing the same, referring to fig. 1A, fig. 1A is a flow chart illustrating a method for manufacturing an orthodontic brace according to the present invention. As shown in fig. 1A, first, a hard upper dental socket portion 17, a hard lower dental socket portion 18, a plaster upper dental model 51 and a plaster lower dental model 52 are provided (step a01), and referring to fig. 2A and 2B, the oral cavity of a dental patient includes upper and lower dentitions (the oral cavity and peripheral organs thereof are not shown), so a lingual direction LiS is defined in a direction toward the tongue, a labial direction LaS is defined in a direction toward the lips, and a buccal direction BuS is defined in a direction toward the cheeks on the left and right sides of the dental patient. Here, fig. 2A is a perspective view of the overall structure, and an X-X cross section is vertically cut from the structure of the hard upper shell portion 17, the hard lower shell portion 18, the plaster upper dental cast 51 and the plaster lower dental cast 52 near the center of a dental patient, and the schematic view of the X-X cross section is shown in fig. 2B. The upper and lower plaster molds 51 and 52 may be made from the upper and lower jaw dentitions of an oral cavity of a dental patient by a plaster-copy method, respectively, or in other embodiments, the upper and lower plaster molds 51 and 52 may be obtained by intraoral scanning and 3D printing.
Referring to fig. 1B again, the hard upper gear sleeve portion 17 or the hard lower gear sleeve portion 18 can be obtained by the following manufacturing process: firstly, a dental patient is scanned in the mouth to obtain the contours of the gum and teeth in the mouth (step B01), then the contours of the gum and teeth are input into a dental software, a digital contour model is built (step B02), and then the displacement distances or rotation angles of the teeth correction at a plurality of different time points are calculated and simulated by the dental software (step B03). In this case, the orthodontic conditions at a plurality of different points in time are simulated in order to see whether the teeth in the oral cavity interfere with each other or block each other when they are displaced or rotated during the orthodontic process. Then, the dental technician or dentist checks and determines the displacement distance or rotation angle of the orthodontic tooth, and calculates the outer contour of the hard upper shell 17 or the hard lower shell 18 by the dental software (step B04), so as to output and obtain the hard upper shell 17 or the hard lower shell 18 (step B05). The hard lower tooth socket portion 18 is provided with a plurality of customized tooth positions 182, each customized tooth position 182 corresponds to and is sleeved on one tooth of the lower jaw dentition, that is, each customized tooth position 182 can correspond to and is sleeved on each tooth of the plaster lower tooth mold 52 (because the contour of the plaster lower tooth mold 52 is made by copying the lower jaw dentition). In the same way, please refer to fig. 8B and 8C, the hard upper tooth socket 17 is provided with a plurality of customized teeth 172, and each customized tooth 172 can also correspond to and socket one tooth of the upper jaw teeth row.
Furthermore, the output manufacturing of the hard upper shell part 17 and the hard lower shell part 18 is preferably generally obtained by driving 3D printing by the dental software. In the current common example, the hard upper tooth socket 17 and the hard lower tooth socket 18 can be made of dental and medical plastics made of polyurethane, and the hard upper tooth socket 17 and the hard lower tooth socket 18 are made into a transparent dental arch-shaped tray, which has a thin and elastic structure and can be attached to the dentition surface of the upper jaw dentition or the lower jaw dentition of the dental patient, so that the dental tray does not rub against the oral gum to cause discomfort; the hard upper tooth socket portion 17 and the hard lower tooth socket portion 18 are usually made of transparent material, so they are commonly called "invisible tooth sockets" in workshops. The hard upper and lower tooth socket portions 17, 18 function in that the Customized tooth positions 172, 182 have the same contour as the tooth profile in the oral cavity of the dental patient (i.e., "Customized", meaning of custom), the Customized tooth positions 172, 182 are recessed, and each Customized tooth position 172, 182 can accommodate and fit the corresponding tooth, so that the mechanical strength of the hard material can press some individual teeth in the upper and lower dentitions in different arrangement, dislocation, inversion, skew … …, etc., or perform arch expansion of the upper and lower dentitions, so that the teeth with improper arrangement can be forced to shift or rotate, and finally enter the correct dentition; that is, the hard upper shell portion 17 and the hard lower shell portion 18 push the individual teeth through the plurality of customized teeth 172, 182, so that each tooth can be adjusted to the correct position. Thus, the invisible braces of the hard upper and lower braces 17, 18 can present the beautiful arc-shaped dental arch to the whole dentition of the upper and lower dentition in the oral cavity, and each tooth is orderly arranged and aligned left and right.
The outline of the upper jaw teeth and the peripheral gingiva of the dental patient will be the same as the outline of the upper plaster cast 51, and the outline of the lower jaw teeth and the peripheral gingiva will be the same as the outline of the lower plaster cast 52. Therefore, a series of Dental laboratory or Dental technician works such as Dental restoration, Dental prosthesis manufacture, and orthodontic design can be performed by the upper cast 51 and the lower cast 52 without requiring the Dental patient to provide real teeth on site. Furthermore, the inner edge 171 of the hard upper shell 17 has the same contour as the upper arch corresponding portion 53 of the plaster upper cast 51 and can be coupled to each other, and the inner edge 181 of the hard lower shell 18 has the same contour as the lower arch corresponding portion 54 of the plaster lower cast 52 and can be coupled to each other.
Referring to fig. 3A and 3B, the hard upper tooth socket portion 17 is sleeved on the plaster upper tooth mold 51, and the hard lower tooth socket portion 18 is sleeved on the plaster lower tooth mold 52 (step a 02). Because the inner edge 171 of the hard upper shell 17 is coupled with the upper dental arch corresponding portion 53 of the plaster upper dental cast 51 and the inner edge 181 of the hard lower shell 18 is coupled with the lower dental arch corresponding portion 54 of the plaster lower dental cast 52, after the sheathing in step a02, there is almost no gap between the inner edge 171 of the hard upper shell 17 and the upper dental arch corresponding portion 53 of the plaster upper dental cast 51, and the contours are kept to be matched and attached; similarly, there is almost no gap between the inner edge 181 of the hard lower shell 18 and the corresponding portion 54 of the lower dental arch of the plaster lower dental cast 52, and the contour of the inner edge is kept to be consistent and fit.
Then, referring to fig. 4A and 4B, the hard upper shell portion 17 and the plaster upper dental cast 51 are placed into an upper cavity 33 of an upper mold 31, and the hard lower shell portion 18 and the plaster lower dental cast 52 are placed into a lower cavity 34 of a lower mold 32 (step a 03). Wherein, the upper cavity 33 of the upper mold 31 is a space reserved by design, and is used for accommodating the combined and mutually sleeved hard upper tooth socket portion 17 and the plaster upper tooth mold 51. For the same reason, the lower cavity 34 of the lower mold 32 is also a space reserved by design for accommodating the combined and mutually sleeved hard lower tooth socket portion 18 and the plaster lower tooth mold 52. The spatial contour and shape of the upper die cavity 33 and the lower die cavity 34 can directly determine the final growth phase and configuration of the dentition correction tooth socket 1, so that the spatial design of the upper die cavity 33 and the lower die cavity 34 needs to consider the future growth curves of the current age, cranium and temporal jaw of a dental patient to reasonably predict the 3D spatial position of each subsequent tooth, and the 3D spatial position involves multiple considerations of craniofacial structure, temporal jaw structure, physiological anatomy … … and the like; in this way, optimal arch and bite correction can be provided to the dental patient. As shown in fig. 4B, after the hard upper shell portion 17 and the plaster upper dental cast 51 are placed in the upper cavity 33 and the hard lower shell portion 18 and the plaster lower dental cast 52 are placed in the lower cavity 34, a certain space is remained between the upper cavity 33 and the lower cavity 34, which is not fully occupied. Then, the positions of the upper and lower molds 31 and 32 are selectively adjusted in the lingual direction LiS or the labial direction LaS (step a04), and the upper and lower molds 31 and 32 are closed (step a05), as shown in fig. 5, the spaces left between the upper and lower cavities 33 and 34 correspond to each other, and the inner sidewalls 35 and 36 of the spaces are matched and aligned with each other. Here, in step a04, the positions of the upper die 31 and the lower die 32 in the lingual direction LiS or the labial direction LaS are adjusted for two purposes: firstly, the inner side wall 35 of the upper mold cavity 33 and the inner side wall 36 of the lower mold cavity 34 are matched and aligned with each other, and secondly, the hard upper tooth socket portion 17 and the hard lower tooth socket portion 18 are made to correspond to each other up and down, so that after the dental patient is corrected and treated, the upper jaw dentition and the lower jaw dentition of the dental patient can meet the first Class occlusion dentition Relation of Class I of Angle's Classification, and the upper and lower jaw bones of the dental patient are displaced to the corresponding Relation of central position (CR), so as to improve the stability of occlusion of the upper and lower jaws. In this way, the utility model can make the finally finished orthodontic braces 1 have the function of retaining the upper and lower dentitions, so that the occlusion of the upper and lower dentitions of the dental patient can be aligned with the Cusp-fossa relationship (Cusp & fossa).
In particular, the angler classification is to classify occlusal relationship (Occlusion) into three categories according to the anteroposterior relative relationship between the upper and lower dentitions in the oral cavity, wherein the first category of occlusions is Class I neutrococcosis, which exhibits normal horizontal occlusions, and the upper incisors are slightly occluded within the range of 1-3 mm in front of the lower incisors. The second type of occlusion is Class II discocculusion, which presents either excessive horizontal overbite (process upset) phenomena with the upper incisor biting too far in front of the lower incisor, or compensatory retraction of the upper incisor crown, resulting in bony bruxism. The third type of Occlusion is Class III medical Occlusion, presenting the symptoms of Negative horizontal overbite or misfit (Negative overhead/antioxidant cross bite, causing mandibular protrusion (commonly called "scoop") or maxillary retrogradation) when the lower incisor bites in front of the upper incisor teeth, the central bite (CO) relationship of 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 occlusal surfaces of the largest teeth, the central position (CR) relationship, i.e., the joint head of the jaw joint, which is the most stable position in the middle of the socket, generally, the stable ideal bite position is the difference between the central bite (CO) position and the central position (CR) of 0.5 to 1mm, and the orthodontic brace 1 of the present invention is expected to cause malaise of the second and third types of Occlusion in Class II, III of dentistry classification, so as to adjust the occlusion and tooth position of the dentition of the patient, and the upper jaw dentition and the lower jaw dentition of the patient are adjusted and corrected to accord with the first Class occlusion position of Class I.
Next, as shown in fig. 6, a silicone gel is poured into the upper mold cavity 33 or the lower mold cavity 34 (step a06), so that the silicone gel fills and fills the space surrounded by the inner sidewalls 35, 36. Here, the silicone gel is filled into the upper cavity 33 and the lower cavity 34 through an injection port 39, and the injection port 39 is disposed on the lower mold 32 in this embodiment and is conducted to the lower cavity 34 and the outside (shown in fig. 5); thus, after the upper mold 31 and the lower mold 32 are closed, the liquid or gel-like silicone rubber can be poured and filled into the space between the upper mold cavity 33 and the lower mold cavity 34 through the injection port 39. In other embodiments, the injection port 39 may be disposed on the upper mold 31.
Then, as shown in fig. 7, after the silicone rubber is hardened, the hard upper shell portion 17, the hard lower shell portion 18, the plaster upper shell 51, the plaster lower shell 52 and the hardened silicone rubber are taken out (step a07), which is called a mold release process. Next, the plaster upper shell 51 is separated from the hard upper shell 17, and the plaster lower shell 52 is separated from the hard lower shell 18 (step a 08). After separation, as shown in fig. 8A, 8B and 8C, the hardened silicone rubber is molded into a soft shell portion 15, and the soft shell portion 15 is combined with the hard upper shell portion 17 and the hard lower shell portion 18 to form the orthodontic shell 1 of the present invention. And because of the material property, the soft gear sleeve part 15 is tightly and firmly combined with the hard upper gear sleeve part 17 and the hard lower gear sleeve part 18, and can not fall off, shake or separate. At this time, the contour of the hardened silicone rubber can be modified as required (step a09) so that the overall contour of the structure more conforms to the contour of the mouth of the patient. Thus, the manufacturing of the orthodontic shell 1 of the present invention can be completed (step a 10).
When a dentist carries out orthodontic treatment on a dental patient, the orthodontic tooth socket 1 of the utility model can be used, the hard upper tooth socket part 17 is sleeved on the periphery of the upper jaw dentition in the oral cavity, the inner edge 171 of the hard upper tooth socket part 17 can tightly abut against and be sleeved on the upper jaw teeth in the oral cavity, the hard lower tooth socket part 18 is sleeved on the periphery of the lower jaw dentition in the oral cavity, and the inner edge 181 of the hard lower tooth socket part 18 can tightly abut against and be sleeved on the lower jaw teeth in the oral cavity; that is, the dental patient bites the orthodontic brace 1 by the upper jaw dentition and the lower jaw dentition, so that the dental treatment or the correction can be performed on the dental patient. Thus, the orthodontic braces 1 according to the first embodiment of the present invention have the functions of growth induction (elevation Guide) and Occlusion induction (Occlusion Guide), and can push and rotate individual teeth in a staged manner to adjust the teeth in growth to correct positions, and Guide the normal growth of the bone by using the hard upper and lower braces 17 and 18. In addition, the embodiment is suitable for children 8-12 years old to treat or correct dental diseases such as Crowding (crowing), slotting (Spacing), overlapping (overbite, overjet) and Posterior teeth bite (posteror cross bite). As shown in fig. 8A to 8C, the soft type tooth socket portion 15 of the orthodontic tooth socket 1 includes a receiving portion 155, a tongue abutting portion 156, a first fixing portion 151, a second fixing portion 152, a third fixing portion 153 and a fourth fixing portion 154, the first fixing portion 151 is attached to the labial direction LaS and the buccal direction BuS of the hard type upper tooth socket portion 17, the second fixing portion 152 is attached to the labial direction LaS and the buccal direction BuS of the hard type lower tooth socket portion 18, the third fixing portion 153 is attached to the lingual direction LiS of the hard type upper tooth socket portion 17, the fourth fixing portion 154 is attached to the lingual direction LiS of the hard type lower tooth socket portion 18, the first fixing portion 151 and the third fixing portion 153 are located in the upper half of the receiving portion 155, and the second fixing portion 152 and the fourth fixing portion 154 are located in the lower half of the receiving portion 155. The tongue supporting portion 156 is connected and fixed to the receiving portion 155, the third fixing portion 153 or the fourth fixing portion 154 in the tongue side direction LiS, and the tongue supporting portion 156 extends toward the tongue side direction LiS. In a further embodiment, the tongue supporting portion 156 is curved or has a concave arc structure on its upper edge, which is intended to match the curve and contour of the lower edge of the tongue in the oral cavity, so that when the tongue of the dental patient is placed on the tongue supporting portion 156, the uncomfortable feeling of the patient can be effectively eliminated or reduced, and the use will of the dental row correction mouthpiece 1 worn by the patient can be increased. In addition, the height of the tongue supporting portion 156 gradually decreases toward the lingual direction LiS, so that when the dental patient bites the dentition correction mouthpiece 1 and places the tongue in the Mouth cavity on the tongue supporting portion 156, the height of the tongue is increased to relax the muscles of the throat, thereby opening the respiratory tract to avoid the respiratory tract obstruction and reducing or eliminating the snoring and the "Breathing Mouth (Breathing) condition" caused by the low tongue. By the arrangement of the tongue supporting part 156, the soft tooth socket part 15 of the dentition correction tooth socket 1 of the utility model can also enable patients with sleep apnea or patients with severe snoring to perform breathing training, so as to improve the snoring symptoms, eliminate the sound and frequency of snoring and improve the sleep quality of the patients.
In a further embodiment, as shown in fig. 8C, the tongue supporting portion 156 is further opened with a tongue supporting groove 157 at the middle, and the tongue supporting groove 157 may be a slit-shaped groove or a U-shaped groove. The sublingual supporting groove 157 is used for accommodating a lingual frenulum (Tongue-tie) under the Tongue of a patient, so that when the patient places the Tongue in the oral cavity above the lingual supporting part 156, the uncomfortable feeling of the patient can be reduced, and the willingness of the dental patient to use can be further increased.
Second embodiment of Structure
Other embodiments of the orthodontic braces 1 of the present invention may have different configurations. Referring to fig. 9A and 9B, in the orthodontic braces 1 according to the second embodiment of the present invention, the hard upper braces 17 are provided with two customized teeth 172 and three universal teeth 173, the customized teeth 172 correspond to and fit over the first large molars 91 of the upper dentition (the plaster upper cast 51 has the contours of the first large molars 91 because the mouth is made by copying), and the universal teeth 173 can correspond to and fit over other teeth of the upper dentition. Each customized tooth site 172 is connected to an end of the universal tooth site 173 such that the customized tooth site 172 and the universal tooth site 173 form a curved dental arch. The cross-section of the universal teeth 173 is a U-shaped or V-shaped groove, which covers and corresponds to a plurality of teeth, so that the contour of the universal teeth 173 at the U-shaped or V-shaped groove does not match the contour of the corresponding tooth. Generally, the general-purpose tooth site 173 is universal in external contour, so that it is not necessary to perform Customized (custom) structure design by dental software, thereby saving time and cost of human input. The universal teeth 173 can be sleeved on a plurality of teeth with different sizes and shapes, so that when the universal teeth 173 are sleeved on the corresponding teeth, the universal teeth 173 will not be completely attached to and matched with the teeth. The orthodontic brace 1 according to the second embodiment of the utility model is suitable for 7 to 9-year-old children, and can perform dental position anchoring by the first large molar teeth 91 and has an Occlusion induction (Occlusion Guide) function, so that the upper and lower dentitions of 7 to 9-year-old children can conform to the dentition arrangement of Class I of angus classification after growth, and at the same time, enough growth space can be maintained for the anterior teeth of the small molar teeth (i.e., Bicuspid or Pre-molar). In the same way, the hard lower tooth socket portion 18 is provided with two customized teeth 182 and at least one universal teeth, the customized teeth 182 correspond to and are sleeved on the first large molar teeth 91 of the lower jaw dentition, the universal teeth correspond to, cover and are sleeved on other teeth of the lower jaw dentition, and the customized teeth 182 are also connected to the end of the universal teeth (the reference numerals are shown in fig. 2A, fig. 3A and fig. 8B). In addition, the orthodontic braces 1 of the second embodiment of the present invention can also be applied to the manufacturing process shown in fig. 1A and 1B, and the steps thereof are as described above, and thus are not repeated.
Third embodiment of Structure
Referring to fig. 10A and 10B, the hard upper shell portion 17 of the orthodontic braces 1 of the third embodiment of the utility model is provided with a universal tooth position 173 (without the customized tooth positions 172, 182 of the previous embodiment), and the universal tooth position 173 can correspond to, cover and set all the teeth of the upper dentition. In the same way, the hard lower tooth socket part (18) is also only provided with a universal tooth position which corresponds to, covers and sleeves all teeth of the lower jaw dentition. The orthodontic braces 1 of this embodiment is applicable to 5 ~ 7 years old children because the dental patient of this age bracket is in the initial stage of changing teeth, has this hard formula of general formula position 173 design and goes up tooth cover portion 17 and can help this stage children to carry out the growth or the expansion of dental arch to let the permanent tooth of follow-up eruption have growth space, can not crowd together. In addition, the orthodontic braces 1 of the third embodiment of the present invention can also be applied to the manufacturing process shown in fig. 1A and 1B, and the steps thereof are as described above, and thus are not described again.
As described above, the configurations of the three embodiments of the present invention can treat oral muscle dysfunction such as dysphagia (tongue) or reverse swallowing (swallowing) and can improve problems such as insufficient masticatory function and side chewing by performing bite training using the soft shell portion 15 of the orthodontic mouthpiece 1 of the three embodiments of the present invention. The principle is that from 1990, scholars found that bone forming cells (osteoblasts) and bone absorbing cells (osteoblasts) in alveolar bone interacted to affect the growth or contraction of upper and lower jaw dentale bones. When the orthodontic braces 1 of the present invention are used by a dental patient, the mechanical occlusion of the upper and lower teeth can stimulate the sensitive cells of 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 orthodontic braces 1 of the present invention, the alveolar bone of the dental patients will generate corresponding reaction to the design contour of the orthodontic braces 1 to activate and activate bone forming cells or bone absorbing cells, so as to grow or shrink 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.
Thus, the orthodontic braces 1 manufactured by the method for manufacturing orthodontic braces 1 according to the present invention, the "invisible braces" having the hard upper and lower braces 17 and 18, can be used to correct individual teeth having different arrangement, dislocation, inversion, skew … …, etc. in the upper and lower dentitions, or perform arch expansion of the upper and lower dentitions to force the teeth having the wrong arrangement to shift or rotate, so that the entire dentition of the upper or lower dentition exhibits the most beautiful arc-shaped arch, and each tooth is aligned in order and left-right. In addition, the utility model is based on the growth curve, the dentition correcting tooth socket 1 can be customized according to the age and the tooth condition of each person; if the dental patient is in the tooth replacement period, the orthodontic brace 1 of the utility model has the functions of helping bone growth and helping tooth arrangement, and can avoid the need of surgical correction due to bone growth deformity or the need of tooth extraction correction due to malocclusion in the future. In addition, the dentition correcting braces 1 use the hard upper tooth sleeve parts 17 and the hard lower tooth sleeve parts 18 as frameworks, and the material is hard, so the force for correcting or pushing the teeth is large, the whole structure is not easy to be bitten and worn by the teeth, and the correcting time of the dental patients can be shortened. The soft type tooth socket part 15 of the dentition correcting tooth socket 1 can correct the occlusion of the upper jaw dentition and the lower jaw dentition, so that the upper jaw dentition and the lower jaw dentition can satisfy the first type occlusion dentition Relation of Class I of Angel's Classification, and the upper and lower jaw bones of the posterior dental patient can be displaced to the corresponding Relation of the central position (CR), thereby improving the stability of the occlusion of the upper and lower jaws. Therefore, the structure of the soft socket portion 15 can activate and activate bone forming cells or bone absorbing cells, so as to grow or contract the alveolar bone, thereby achieving the purpose of shaping the alveolar bone for the dental patient. In addition, the soft tooth socket 15 can also treat Mouth Breathing symptoms (Mouth Breathing), improve sleep apnea and snoring, and enable the patient to perform Breathing training to improve snoring symptoms, eliminate snoring sound and frequency, and improve sleep quality. Therefore, the present invention combines the hard upper tooth socket part 17 and the hard lower tooth socket part 18 of the invisible tooth socket and the soft tooth socket part 15 made of soft material such as rubber and silica gel, so as to combine the treatment and correction functions of the above symptoms into one structure, thereby having huge dental application potential.
The foregoing description is intended to be illustrative rather than limiting, and it will be appreciated by those skilled in the art that many modifications, variations or equivalents may be made without departing from the spirit and scope of the utility model as defined in the appended claims.

Claims (7)

1. The utility model provides an orthodontic braces (1), movably sets up in dental disease's oral cavity, and this oral cavity is including a palatal dentition, a jaw dentition to the definition has a lingual side direction (LiS), a labial side direction (LaS) and buccal side direction (BuS), its characterized in that, this orthodontic braces (1) including:
a hard upper tooth sleeve part (17) which is movably sleeved on the periphery of the upper jaw tooth row;
a hard lower tooth sleeve part (18) which is movably sleeved on the periphery of the lower jaw tooth row; and
a soft type tooth sleeve part (15) which comprises a bearing part (155), a first fixing part (151), a second fixing part (152), a third fixing part (153) and a fourth fixing part (154), the first fixing portion (151) is attached to the hard upper shell portion (17) in the labial (LaS) and buccal (BuS) directions, the second fixing portion (152) is attached to the hard lower shell portion (18) in the labial (LaS) and buccal (BuS) directions, the third fixing portion (153) is attached to the tongue side direction (LiS) of the hard upper shell portion (17), the fourth fixing portion (154) is attached to the tongue side direction (LiS) of the hard lower shell portion (18), the first fixing part (151) and the third fixing part (153) are positioned at the upper half part of the bearing part (155), the second fixing part (152) and the fourth fixing part (154) are located at the lower half part of the bearing part (155).
2. The orthodontic brace (1) of claim 1, wherein the soft brace portion (15) further comprises a tongue abutting portion (156), the tongue abutting portion (156) is connected and fixed to the receiving portion (155), the third fixing portion (153) or the fourth fixing portion (154) in the lingual direction (LiS), and the tongue abutting portion (156) extends toward the lingual direction (LiS).
3. The orthodontic shell (1) as claimed in claim 2, characterized in that said tongue abutment portion (156) is gradually reduced in height in the lingual direction (LiS), or said tongue abutment portion (156) is curved.
4. The orthodontic brace (1) of claim 2 wherein the lingual abutment (156) has a lingual abutment groove (157) formed in the middle thereof.
5. The orthodontic brace (1) of claim 1 wherein the rigid upper shell portion (17) has a plurality of customized teeth (172), each customized tooth (172) corresponding to and fitting over a tooth of the maxillary dentition; or, a plurality of customized tooth positions (182) are arranged on the hard lower tooth socket part (18), and each customized tooth position (182) corresponds to and is sleeved with one tooth of the lower jaw dentition.
6. The orthodontic brace (1) of claim 1 wherein the hard upper shell portion (17) has two customized teeth (172) and at least one universal tooth (173), the customized teeth (172) corresponding to and engaging a first large molar of the upper dentition, the universal tooth (173) corresponding to and engaging a plurality of other teeth of the upper dentition, the customized teeth (172) being connected to the end of the universal tooth (173); or, the hard lower tooth sleeve part (18) is provided with two customized tooth positions (182) and at least one universal tooth position, the customized tooth positions (182) correspond to and are sleeved on the first large molar teeth of the lower jaw dentition, the universal tooth positions correspond to and are sleeved on other multiple teeth of the lower jaw dentition, and the customized tooth positions (182) are connected to the end parts of the universal tooth positions.
7. The orthodontic brace (1) of claim 1 wherein the rigid upper brace portion (17) is provided with a universal tooth site (173), the universal tooth site (173) corresponding to and fitting over all teeth of the maxillary dentition; or the hard lower tooth sleeve part (18) is provided with a universal tooth position which corresponds to and is sleeved on all teeth of the lower jaw dentition.
CN202120289563.2U 2020-04-14 2021-02-02 Dentition correcting tooth socket Active CN215458810U (en)

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TW109204352U TWM598134U (en) 2020-04-14 2020-04-14 Dental occlusion sleeve structure
TW109204352 2020-04-14
TW109122925A TWI733513B (en) 2020-07-07 2020-07-07 Orthodontic suite and its manufacturing method
TW109122925 2020-07-07

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CN202110140352.7A Pending CN113520633A (en) 2020-04-14 2021-02-02 Orthodontic braces and method of making same
CN202120289563.2U Active CN215458810U (en) 2020-04-14 2021-02-02 Dentition correcting tooth socket
CN202110336326.1A Pending CN113520634A (en) 2020-04-14 2021-03-29 Method for manufacturing orthodontic braces

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