CN218792549U - Micro-implant assisted digital mandibular molar advancement device - Google Patents
Micro-implant assisted digital mandibular molar advancement device Download PDFInfo
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- CN218792549U CN218792549U CN202222472342.6U CN202222472342U CN218792549U CN 218792549 U CN218792549 U CN 218792549U CN 202222472342 U CN202222472342 U CN 202222472342U CN 218792549 U CN218792549 U CN 218792549U
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Abstract
The utility model discloses a micro-implant auxiliary digital mandibular molar advancing device, which comprises a planting nail and a traction bracket; the traction bracket comprises a cap part, a left connecting rod, a right connecting rod, a left traction hook, a left pasting wing, a right traction hook and a right pasting wing; the left pasting wing is connected to the left connecting rod, and the end part of the left traction hook is connected to the left pasting wing; the right pasting wing is connected to the right connecting rod, and the end part of the right traction hook is connected to the right pasting wing. Or the traction bracket comprises a cap part, a left connecting rod, a right connecting rod, a left traction hook, a right traction hook and a clamping pipe; the end parts of the left connecting rod and the right connecting rod are respectively connected with a clamping pipe, or the cap cover part is connected with the clamping pipes through vertical rods. The utility model discloses can advance two side lower jaw molars simultaneously, it can not lead to the interlock height to increase, can not lead to the lower jaw cisoid, and it only needs implant 1 piece of planting nail, and utilizes planting nail to provide support and spacing to pulling the support, pulls the support and does not produce the oppression to the gum, has reduced the wound to the patient.
Description
Technical Field
The utility model relates to the technical field of tooth correcting appliances, in particular to a mandibular molar advancing device.
Background
An's II errorsIs a common mistake>Deformities, which require neutral relationships to be achieved by correcting the molar distantly relationship. But in certain special class II errors>In middle, correction of molar class II relationships remains a difficult problem: for patients with bone type II complicated with crowding of anterior teeth or lip compensation, the upper and lower first premolar teeth are usually required to be pulled out to relieve crowding or remove compensation, and the correction of the subsequent molar relationship is complicated; if it is bone II, open->Patients with temporomandibular joint disorders who experience mandibular traction can cause joint discomfort. Currently, clinically common methods for improving the molar class II relationship include: inter-jaw class II elastic traction, forsus appliances, and the like. However, it has been reported in the literature that inter-jaw class II traction causes clockwise rotation of the occlusal plane, aggravates mandibular recession, is not conducive to class II facial correction, and the efficacy depends on patient compliance. The forsus appliance may cause depression of the maxillary first molar and undesirable irritation of the soft intraoral tissue. Therefore, it can be seen that the conventional methods for correcting the remote relationship of molars have limitations.
To correct the molar mesial relationship, the bilateral mandibular molars can be moved mesially to achieve a good molar neutral relationship. If the mandibular molar is moved mesially, the anterior anchorage needs to be strengthened, and if the mandibular molar is moved anteriorly as a dental anchorage, adduction of the anterior teeth and poor mesial movement of the molar may occur, so that a more stable anchorage is sought to reduce the influence on the anterior teeth. Current miniscrew has become a recognized reliable method of providing temporary anchorage, which is easier to place and remove, smaller, and more cost effective than traditional anchorage methods. Several researchers have used micro-implants as stable anchorage substitutes for mesial displacement of molars. We can therefore consider correcting the type II relationship with implant anchorage advancing mandibular molar.
Currently, the common method for correcting molar II relationship by using a planting nail clinically comprises the following steps: 2 planting nails are respectively implanted between the lower jaw back part or the lower jaw side incisor and the cuspid to draw the molar to move in the middle. Wu JC et al, however, believe that implanting implant mesial moving molars on both sides of the posterior mandible, respectively, may cause rotation of the occlusal plane and prolong the treatment time. If the implant is implanted between the lateral mandibular incisors and the cuspids on both sides, the soft tissue of the mucosa may be compressed during the mesial movement of the elastically drawn mandibular molars due to the anatomical morphological characteristics of the mandible, resulting in injury and inflammation of the mucosa. Therefore, a more ideal position for implanting the implant to strengthen the anterior anchorage is required. The literature suggests that micro-implants in the anterior mandibular region may be used clinically for the impaction of lower incisors, mandibular fixation and molar advancement. Total bone thickness (OBT) and Cortical Bone Thickness (CBT) were measured in the mandibular union region of CBCT in 32 adolescent and adult patients, zhang shizhen et al. The results show that CBT and OBT are the largest in position between the two lower central incisors, and that the quality of the alveolar bone on the labial side of the roots of the mandibular incisors is sufficient to accommodate the mini-implant without the risk of root damage. The recommended optimal implant site is 6-10mm from the top of the CEJ between the two lower central incisors. Therefore, the lower anterior interdental is a more ideal implant implantation site, but if the molar is pulled by the elasticity of the implant directly in the anterior area, the gingiva is compressed, and how to reasonably utilize the anchorage of the implant is a problem to be considered. It is therefore desirable to more rationally design a device that can utilize the anterior mandibular area implant anchorage to move the bilateral mandibular molars medially and correct the molar distancing relationship.
SUMMERY OF THE UTILITY MODEL
In view of the above, the present invention provides a digital mandibular molar advancement device assisted by micro-implants to solve the technical problem of using the anterior mandibular molar area to implant anchorage to move the bilateral mandibular molar in the near-middle direction and correct the relationship between the molar and the distal-middle direction.
The micro-implant auxiliary digital mandibular molar advancing device of the utility model comprises an implanting nail and a traction bracket which are used for being implanted at the front part of the mandibular jaw;
the traction bracket comprises a cap part for covering the head part of the implant nail, a left connecting rod and a right connecting rod which are connected to the cap part, a left traction hook, a left pasting wing for pasting on a left mandible cuspid, a right traction hook and a right pasting wing for pasting on a right mandible cuspid; the left pasting wing is connected to the left connecting rod, and the end part of the left traction hook is connected to the left pasting wing or the left connecting rod; the right pasting wing is connected to the right connecting rod, and the end part of the right traction hook is connected to the right pasting wing or the right connecting rod;
or the traction bracket comprises a cap part for covering the head part of the planting nail, a left connecting rod and a right connecting rod which are connected to the cap part, a left traction hook connected to the left connecting rod, a right traction hook connected to the right connecting rod and a clamping pipe for clamping the arch wire; the end parts of the left connecting rod and the right connecting rod are respectively connected with a clamping pipe, or the cap part is connected with the clamping pipe through a vertical rod.
Furthermore, the left pasting wing is connected to the end part of the left connecting rod, and the end part of the left traction hook is connected to the left pasting wing; the right pasting wing is connected to the end of the right connecting rod, and the end of the right traction hook is connected to the right pasting wing.
Furthermore, the left pasting wing and the right pasting wing are respectively connected with an arch wire bracket.
Furthermore, the left traction hook and the right traction hook are respectively provided with two arc-shaped openings used for connecting rubber bands.
The utility model has the advantages that:
1. the utility model discloses digital lower jaw molar antedisplacement device is assisted to micro-implant, it can not lead to the interlock height to increase, can not lead to the lower jaw cisoid.
2. The utility model discloses supplementary digital lower jaw molar antedisplacement device of micro-implant, it only needs implant 1 piece of planting nail, and utilizes planting the nail to provide support and spacing to pulling the support, pulls the support and does not produce the oppression to the gum, has reduced the wound to the patient.
3. The utility model discloses digital lower jaw molar antedisplacement device is assisted to micro-implant, it can antedisplacement two side lower jaw molar simultaneously, rescues two side molar II type relation, has shortened the treatment time.
4. The utility model discloses digital lower jaw molar antedisplacement device is assisted to micro-implant, it can not produce hindrance and interference to the molar antedisplacement, and the anchorage force who provides is sufficient.
5. The micro-implant assisted digital mandibular molar advancement device of the utility model covers the canine teeth and the anterior teethThe coverage impact is small.
6. The utility model discloses the supplementary digital lower jaw molar antedisplacement device of micro-implant compares with current intermaxillary II class draw gear, and is lower to patient compliance requirement.
Drawings
Fig. 1 is a schematic structural diagram of a micro-implant assisted digital mandibular molar advancement device according to the first embodiment;
fig. 2 is another perspective view of the digital mandibular molar advancement device assisted by micro-implants of fig. 1;
FIG. 3 is a schematic perspective view of a traction frame;
FIG. 4 is a schematic view of a traction bracket having an archwire bracket welded thereto;
FIG. 5 is a schematic view of a towing hook on a towing bracket having two arcuate openings;
fig. 6 is a schematic structural view of the digital mandibular molar advancement device with micro-implant assistance as described in example two;
fig. 7 is another schematic structural view of the digital mandibular molars advancement device with micro-implants as described in example two.
Detailed Description
The present invention will be further described with reference to the accompanying drawings and examples.
First embodiment, as shown in fig. 1 to 3, the digital mandibular molar advancement device assisted by micro-implants of the present embodiment comprises a planting nail 1 for planting in the anterior portion of the mandible and a distraction bracket.
The traction bracket comprises a cap part 2 used for covering the head part of the implant nail, a left connecting rod 3 and a right connecting rod 4 connected to the cap part, a left traction hook 5, a left sticking wing 6 used for sticking on a left mandible cuspid, a right traction hook 7 and a right sticking wing 8 used for sticking on a right mandible cuspid; the left pasting wing is connected to the left connecting rod, and the end part of the left traction hook is connected to the left pasting wing; the right pasting wing is connected to the right connecting rod, and the end of the right traction hook is connected to the right pasting wing. Of course, in different embodiments, the end of the left towing hook may be connected to the left connecting rod, and the end of the right towing hook may be connected to the right connecting rod.
As an improvement to the above embodiment, as shown in FIG. 4, the left and right pasting wings are respectively connected with an arch wire bracket 9, in the specific implementation, the arch wire bracket is fixed on the left and right pasting wings by welding. The arch wire bracket is connected with the arch wire, so that the lower jaw molar can move forwards along the direction of the arch wire, and the correcting effect of the molar position can be further improved.
When the micro-implant assisted digital mandibular molar advancing device in the embodiment is used for mandibular molar advancing and pulling, the implant nail 1 is implanted in the middle of the front part of the mandible, the cap part 2 of the traction bracket is covered on the head part of the implant nail, the left sticking wing and the right sticking wing are respectively stuck on the canine teeth on the left and the right sides of the mandible, one end of a rubber band providing traction force is hung on the left traction hook, the other end is hung on the buccal tube stuck on the left mandibular molar, and then one end of the other rubber band providing traction force is hung on the right traction hook, and the other end is hung on the buccal tube stuck on the right mandibular molar, thus providing the mandibular molar on the left and the right sides of the mandible with advancing traction force.
In the embodiment, the micro-implant assisted digital mandibular molar advancement device does not cause the increase of the occlusion height and the pronation of the mandible. It only needs to plant 1 piece of planting nail, and utilizes planting nail to provide support and spacing to pulling the support, pulls the support and does not produce the oppression to the gum, has reduced the wound to the patient.
As a modification of the above embodiment, as shown in FIG. 5, the left and right hooks each have two arc-shaped openings for connecting rubber bands, and the modification allows the rubber bands providing traction force to be connected to different arc-shaped openings, so that the traction force can be adjusted.
Second embodiment, the digital mandibular molar advancement device assisted by micro-implants of this embodiment includes a implantation nail 1 for implantation in the anterior mandibular portion and a distraction bracket. The traction bracket comprises a cap part 2 used for covering the head part of the planting nail, a left connecting rod 3 and a right connecting rod 4 connected to the cap part, a left traction hook 5 connected to the left connecting rod, a right traction hook 6 connected to the right connecting rod and a clamping pipe 10 used for clamping the arch wire, wherein the ends of the left connecting rod and the right connecting rod are respectively connected with one clamping pipe as shown in fig. 6. Of course, in a different embodiment, as shown in fig. 7, it is also possible that the cap portion is connected to the clamping tube by a vertical rod 11. In the micro-implant auxiliary digital mandibular molar advancement device in the embodiment, the gripping tube 10 is connected with the arch wire, and the traction bracket is not connected with the mandibular canine tooth through the pasting wing, so that the mandibular canine tooth is less affected in the process of traction mandibular molar advancement.
As an improvement to the above embodiment, the left traction hook and the right traction hook are respectively provided with two arc-shaped openings for connecting the rubber bands, and the improvement enables the rubber bands for providing traction force to be connected to the arc-shaped openings which are passed through differently, so that the traction force can be adjusted.
Finally, it is noted that the above embodiments are only used for illustrating the technical solutions of the present invention and not for limiting, and although the present invention has been described in detail with reference to the preferred embodiments, it should be understood by those skilled in the art that the technical solutions of the present invention can be modified or replaced by equivalents without departing from the spirit and scope of the technical solutions of the present invention, which should be covered by the scope of the claims of the present invention.
Claims (3)
1. The digital mandibular molar advancing device assisted by micro-implant is characterized in that: comprises a planting nail and a traction bracket which are used for planting in the front part of the lower jaw;
the traction bracket comprises a cap part for covering the head part of the implant nail, a left connecting rod and a right connecting rod which are connected to the cap part, a left traction hook, a left sticking wing for sticking to a left mandible cuspid, a right traction hook and a right sticking wing for sticking to a right mandible cuspid; the left pasting wing is connected to the left connecting rod, and the end part of the left traction hook is connected to the left pasting wing or the left connecting rod; the right pasting wing is connected to the right connecting rod, and the end part of the right traction hook is connected to the right pasting wing or the right connecting rod;
or the traction bracket comprises a cap part used for covering the head part of the planting nail, a left connecting rod and a right connecting rod connected to the cap part, a left traction hook connected to the left connecting rod, a right traction hook connected to the right connecting rod and a clamping pipe used for clamping the arch wire; the end parts of the left connecting rod and the right connecting rod are respectively connected with a clamping pipe, or the cap part is connected with the clamping pipe through a vertical rod.
2. The micro-implant assisted digital mandibular molar advancement device of claim 1, wherein: the left pasting wing is connected to the end part of the left connecting rod, and the end part of the left traction hook is connected to the left pasting wing; the right pasting wing is connected to the end of the right connecting rod, and the end of the right traction hook is connected to the right pasting wing.
3. The micro-implant assisted digital mandibular molar advancement device of claim 1, wherein: and the left traction hook and the right traction hook are respectively provided with two arc-shaped openings for connecting rubber bands.
Priority Applications (1)
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CN202222472342.6U CN218792549U (en) | 2022-09-19 | 2022-09-19 | Micro-implant assisted digital mandibular molar advancement device |
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CN202222472342.6U CN218792549U (en) | 2022-09-19 | 2022-09-19 | Micro-implant assisted digital mandibular molar advancement device |
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CN202222472342.6U Active CN218792549U (en) | 2022-09-19 | 2022-09-19 | Micro-implant assisted digital mandibular molar advancement device |
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