DD289704A5 - ARRANGEMENT FOR DENTAL REGULATION, PARTICULARLY FOR ORTHODONTIC PURPOSES - Google Patents

Abstract

The invention relates to an arrangement for stimulating muscle contraction in the facial area. It is used for the treatment of tooth and bite abnormalities. Furthermore, the invention is applied to achieve cosmetic effects, in particular a facial shape design. An arrangement for electrostimulation of the mimic and / or masticatory muscles in conjunction with an orthodontic appliance eliminates dental anomalies and / or improves the aesthetics of the face. Skin electrodes are arranged symmetrically with respect to the median saggital plane, depending on the desired treatment target, so that first skin electrodes are arranged in the origin and at least second skin electrodes in the neck of the same facial muscle and advantageously third and further skin electrodes in the origin and / or attachment of further facial muscles. Fig. 1 {stimulation; Muscle; Contraction; Face; cosmetics; Skin; Electrode; Tooth; Gebisz; Shape; Therapy; Device; Orthodontics}

Description

For this 2 pages drawings

Field of application of the invention

The invention relates to an arrangement for tooth regulation. It is used for the treatment of tooth and bite abnormalities from the deciduous dentition through the early and late dentition to the permanent dentition. Furthermore, the invention is applied to achieve cosmetic effects, in particular a facial shape design.

Characteristic of the known state of the art

A major cause in the emergence of anomalies in the jaw-facial area is to search in the disturbed harmonious interaction of all participating in the chewing tissue, according to FRÄNKEL (Fränkel, R .: Functional orthodontics and the oral forecourt as apparative basis .. VEB publishing house people & health, Berlin 1967 ) the static functional dynamic balance between the lip, cheek and tongue muscles plays a dominant role. The local muscle activity is the crucial source of remodeling on the moving teeth, jawbones and joints. In addition to the extraction therapy, there are currently still two on the tooth preservation oriented treatment concepts: In active therapy, the form of the orofacial system is first changed by an activatable by screws and springs orthodontic device in the hope that the function of the modified shape adapts; on the other hand, the therapeutic therapy first alters the functional sequence in order to subsequently change its shape. The principle of functional orthodontics is that the orthodontic appliance causes a disturbance of the neuromuscular dormancy that activates muscle tone. According to SANDER and SCriMUTH (Sander, FE, Schmuth, GPF: The influence of various bite blocks on muscle activity in activator wearers, Kieferorthop. 1 (! [1979] pp. 107-116) is about 500 -700 pulses per night, are too small and too small in the Rigel to achieve temporally nearly the same treatment results as in the active therapy.To achieve this treatment effect, mouth closure is generally required, but not always, and especially not in the sleep phase Very often, and almost exclusively at the beginning of treatment, the orthodontic appliance is lost from the mouth shortly after falling asleep, so the effectiveness of treatment is mainly dependent on the mode of wear during the day Condition treatment is relatively uncomfortable for the patient The device was worn the most unreliable during the day. These problems of the previous therapy influence the treatment success and thus cause a certain recurrence rate.

Arrangements for treatments of the mimic and masticatory muscles for improving the cosmetics of the face are not known.

Object of the invention

The object of the invention is to provide an arrangement for tooth control, in particular for orthodontic purposes, which achieves the orthodontic treatment success in a much shorter time and with greater reliability and brings much less stress for the patient.

In addition, the treatment result should remain more stable after discontinuation of the orthodontic appliance than at

previous procedure.

In addition, the goal of the tooth-regulating device is to improve the aesthetics of the face. Explanation of the essence of the invention The invention has for its object to create an arrangement for tooth control, the shape-changing function

the mimic hen and masticatory muscles and their power effects specifically uses.

The object is achieved in that at least two electrodes on or below the scalp in the field of Geschumuskeln and in the oral cavity an orthodontic device are arranged. The electrodes are each arranged symmetrically to the median sagittal plane so that first electrodes in the origin and

at least second electrodes in the neck of the same facial muscle and advantageously third and further electrodes in the

Origin and / or approach of other facial muscles are arranged. The first electrode or electrodes are at the origin of a chewing muscle and the second electrode or the second electrodes Electrodes in the arum of each masticatory muscle and the third electrode or electrodes are at the origin of the temporal muscle

arranged.

The electrodes are pressed against the facial skin, glued or implanted under the facial skin. Preferably, the electrodes are attached to an elastic head-chin cap. The electrodes are electric with a

programmable muscle stimulation device connected. It is particularly advantageous when the device is integrated into the head-chin cap.

With the help of the muscle stimulation device in connection with the special Hautelektrodenarordnung the mimic and Musculoskeletal stimulated specifically to contraction and thus used to shape-changing function. Advantageously, the electro-stimulation triggers the shape-changing force pulses, both in terms of Pulse duration, pulse rate, temporal pulse distribution and amplitude independent on individual muscles or muscle groups

be optimally adjusted by the will of the patient.

Surprisingly, the combination of the electrical stimulation of mimic and masticatory muscles in conjunction with

a conventional orthodontic appliance, the treatment effect significantly improved and the therapeutic success is more permanent.

The recurrence rates are lower by more than half compared to the usual treatment, the duration of treatment

Shortened significantly, especially in the intended stretching and stretching of the jaw as well as in the bite reduction or

Elevation through rhythmic intrusions of the cheeks or front teeth. Another significant advantage is the possibility

the shift of treatment to the sleep phase, with significantly less burden on the patient. By the

Possibility of optimal adjustment of muscle contraction regardless of the will of the patient Contraction duration, contraction frequency and the strength of the contraction can thus advantageously overloads safely

but also eliminates the problem of unreliable performance of muscle movement by the patient in the course of previous therapy.

embodiment

The invention will be explained in more detail with reference to several embodiments

 Show it

Fig. 1: Arrangement of the skin electrodes on a head-chin cap Fig. 2: Operation of the arrangement for tooth control

According to FIG. 1, a pairwise symmetrical arrangement of skin electrodes 1, 2, 3 with a special head-and-chin cap 4 for the activation of the masticatory muscles is shown in the median sagittal plane. Before going to bed, the head-chin cap 4 is tied down by means of Velcro straps, and then plugged a muscle stimulator in the breast pocket of the nightwear and made the connection by means of an electric cable S to the head-chin cap 4. The skin electrodes 1, 2, 3 are located in the area of origin of the musculus masseter and temporal muscle on the right and left side of the face and are caused by the muscle stimulator by means of electrical impulses to rhythmic contractions with mouth closure and closing bite.

2, the masticatory muscles G are contracted by electrical impulses via the head and chin cap with the integrated skin electrodes 1, 2, 3. The orthodontic appliance 9 acts between the upper jaw 7 and the lower jaw 8. By stimulating the muscle contraction, the chewing forces of the teeth acting in the sagittal direction are deflected in a transverse direction and, as a result, permanently regulated in the intended direction. After insertion of an orthodontic appliance 9, the pre-programmed for the respective intended treatment muscle stimulation device is turned on. For orthodontic treatment purposes, the pulse rate is set to 1 ... 2 pulses per second. This results in 7 hours of sleep per night about 25,000 ... 50,000 chewing movements. The orthodontic appliances without electrical stimulation would have to be worn for about 35 ... 70 nights to achieve a comparable number of Gebissformverändernden impulses. Advantageously, the muscle contraction force is limited to 2... 3N in order to avoid damage due to excessive forces. This power and the set pulse sequence reliably prevent a loss of the device during sleep. This method is particularly effective in case of notorious mouth breathing, where it comes only when swallowing to the mouth, which is significantly reduced as a result of sleep compared to the day. The large number of pulses is sufficient for a reliable tooth-regulating effect, so that particularly advantageous the device must be worn only 1 to 2 hours during the day and at the end of treatment only at night.

Claims (5)

1. Arrangement for tooth regulation, consisting of a programmable, preferably network-independent, miniaturized muscle stimulation device, electrical connections between the Mi.skelstimulationsgerät and electrodes, characterized in that at least two electrodes (1,2,3) at or below the scalp in the facial muscles (6) and in the oral cavity a delivery orthopedic device (9) are arranged. 2. Arrangement according to claim 1, characterized in that electrodes (1,2,3) each symmetrical to the median saggital plane are arranged so that first electrodes (1) in the origin and at least second electrodes (2) in the approach of identical facial muscle (6) and advantageously d ritt υ and further electrodes (3) in the origin and / or approach of other facial muscles (6) are arranged. 3. Arrangement according to claims (1) or 2, characterized in that the first electrode (1) or the first electrode (1) in the origin of a muscle mass and the second electrode (2) or the second electrode (2) in the approach of Muscular muscle and the third electrode (3) or the third electrodes (3) are arranged in the origin of the temporal muscle. 4. Arrangement according to claims 1,2,3, characterized in that the electrodes (1,2,3) are pressed against the facial skin, glued or implanted under the facial skin. 5. Arrangement according to claim 4, characterized in that the electrodes (1,2,3) are attached to an elastic head-chin cap (4).