DE10029875C2 - Orofacial denture splint - Google Patents

Orofacial denture splint

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Publication number
DE10029875C2
DE10029875C2 DE2000129875 DE10029875A DE10029875C2 DE 10029875 C2 DE10029875 C2 DE 10029875C2 DE 2000129875 DE2000129875 DE 2000129875 DE 10029875 A DE10029875 A DE 10029875A DE 10029875 C2 DE10029875 C2 DE 10029875C2
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DE
Germany
Prior art keywords
splint
teeth
denture
according
material
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Expired - Fee Related
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DE2000129875
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German (de)
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DE10029875A1 (en
Inventor
Bernhard Brinkmann
Original Assignee
Schlieper Joerg W
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Application filed by Schlieper Joerg W filed Critical Schlieper Joerg W
Priority to DE2000129875 priority Critical patent/DE10029875C2/en
Publication of DE10029875A1 publication Critical patent/DE10029875A1/en
Application granted granted Critical
Publication of DE10029875C2 publication Critical patent/DE10029875C2/en
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Classifications

    • 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

Description

The invention relates to an orofacial dentition with one on teeth the row of upper teeth and teeth of the row of lower teeth attachable bit rail, the one with the bit rail Patients advance the mandible to a predetermined extent towards the upper jaw and / or a minimum mouth opening predetermined extent.

The problem of primary snoring, i.e. H. Snoring without relevant breathing interruptions, and obstructive sleep apnea syndrome (OSAS), in which prolonged, repeated pauses in breathing occur with its harmful consequences for the human body and with its disturbing effects on fellow human beings known.

Snoring and breathing interruptions are usually the cause more or less pronounced narrowing in the back Throat area, through the soft palate and tongue, up to the complete closure. The snoring sound comes from the and incomplete closure during inhalation and exhalation mostly caused by a vibration of the soft palate tongue back or too big during sleep. at there is complete occlusion of the back of the throat a cessation of breathing, that is, interruptions in breathing different frequency and length.  

A causal therapy consists of expanding the pharynx, either through surgical interventions (e.g. removal of the tonsils, shortening of the soft palate and the palate and pharynx folds, lower jaw displacement), by means of mechanical breathing assistance during sleep (CPAP, BIPAP) or by moving forward of the lower jaw with mouth opening with the help of an orofacial denture splint (see Bundesanzeiger, year '51, no. 23a, February 4th, 1999, product group 14 , inhalation and breathing therapy devices on page 15).

Remedy has also been attempted with devices that are based exclusively on it aim to put the tongue in a more forward position fix, and which are also called tongue retainers. Examples can be found in WO 95/19156 A1, DE 92 01 026 U1 and DE 40 26 602 C1. Such devices have not proven themselves. You are both medically ineffective as well as very comfortable to be assessed unfavorably. Harmful effects of such devices are known. For example, such devices are anchored a suction device on the palate to severe mucous membrane and Bone damage to the upper jaw.

In contrast, individually made orofacial dentures in medical therapy has proven itself for over five years. By means of such The lower jaw is pushed forward (approx. 7 mm) and opened (approx. 5 mm). The back throat is thereby enlarged and the sinking of the then more forward Tongue in the back of the throat is prevented. Such devices adhere to the teeth, through the self-friction of the Bit splint due to clamping fit.  

Orofacial dentures with mouth closed and sufficient teeth a secure fit and are always easily and easily removed from teeth and mouth. With adequate tooth condition and healthy jaw and TMJ is a damaging effect on the Function of the chewing organ and human tissues scientifically neither known nor proven. To have a negative impact on the to be able to exclude the human body with great certainty the individual adjustment of the denture splints under dental Facts important and essential.

Denture splints that are not individually manufactured correspond to these Claims are not and are therefore generally for a longer one Not suitable for use.

Custom-made orofacial dentures usually have one Upper and one lower jaw splint, with the respective splint the Covers teeth in the area of their dental crowns. By positioning of the two rails to each other is the desired therapeutic Mouth opening (approx. 5 mm) and lower jaw shift to the front (approx. 7 mm) adjustable. Bite splints of this type come in many forms known.

Conventional orofacial dentition splints often have a very voluminous shape. This will narrow the mouth. As a result, the space in the back of the throat is narrowed yes should just be expanded. Examples of voluminous  Denture rails are shown in US 4 901 731 A, EP 0 312 368 A1 and US 6 041 784 A.

With some of the conventional orofacial denture splints (e.g. US 4 901 731 A and EP 0 312 268 A1) are the maxillary splint and the Lower jaw splint integrated into a one-piece plastic structure. As a result, the mouth opening and the lower jaw are advanced caused by the bit rail, in no longer changeable Way set. Often, however, the optimal mouth opening and the optimal lower jaw advancement for a specific patient are determined in a test phase in which the mouth opening and the forward mandibular displacement can sometimes be changed several times have to. With a denture splint, in which the maxillary splint and the mandibular splint into a one-piece plastic structure such changes are no longer possible.

There are also adjustable bit rails, in which the The upper jaw splint and the lower jaw splint as two separate parts are formed, the positioning of each other by means of a Adjustment device is changeable. Examples of this are shown in US 4 901 737 A, US 6 041 784 A, US 4 551 095 and EP 0 128 744 B1. For this adjustability is the well-known bit rails not only a complex but also a relatively large volume of Bite rail leading adjustment mechanism required. In the Bit rail according to US 6 041 784 is the adjustment mechanism a number of metallic plates and screws formed, which are between the incisor areas of the maxillary splint and the Lower jaw splint, with at least one between Upper jaw splint and lower jaw splint extending screw  Irritation and possibly damage to the tip of the tongue can lead. Also with this known bit rail Adjustability is not infinitely variable but only in a predefined one Distance grid possible. In the bit rail according to US 4 901 737 in the left molar area and in the right molar area Denture rail each arranged an adjustment mechanism, the one Tapped hole in the respective side of the mandibular splint and one using a screwdriver in its longitudinal position changeable threaded bolt includes. With this solution it happens not to impair the tip of the tongue. The However, the need for a double adjustment mechanism results in one relatively high total effort for the bit rail.

Bit rails are known in which the position of the Lower jaw adjusted with the help of a telescopic device and thus can be changed. Examples are shown in US 4,551,095 and EP 0 128 744 B1. A telescopic device for this is also shown in DE 197 46 157 C2. With such bit rails, the fact is taken into account worn that can not be known from the outset when a certain lower jaw setting to the desired therapeutic Success leads, namely snoring reduction, frequency reduction and Length of the misfire. However, it is questionable whether through a Adjustment with such a telescopic device of the individual Adjustment of the denture splint according to the clinical situation sufficient account can be taken. Because the Change in position of the maxillary splint and the mandibular splint such a bit rail is carried out with the aid of the telescopic device linear and therefore does not correspond to the curved ones Mouth movements. It also affects the hard  Plastic material of such bit rails and which are located in the molar region Liche telescope device negatively on the comfort.

From US 5 884 628 A, US 5 611 355 A and DE 36 25 790 C2 are from Plastic-made denture rails known, each an upper jaw splint and have a mandibular splint, which means by means of intervening bee Stigungselemente are releasably connected to each other, in the case of US 5 884 628 A. by means of mushroom-shaped latching elements, in the case of US Pat. No. 5,611,355 A. by means of Velcro elements and in the case of DE 36 25 790 C2 by means of plates or Threads made of a permanent magnetic material. From US 5 611 355 A it is also known to build up the two parts of the bit rail in two layers, namely with an outer flexible part and an inner, deformable part. WO 97/29719 A1 and FR 2 727 008 A1 also show plastic existing denture rails, each with an upper jaw splint and a lower jaw have rail, which is located in between by means of fastening material are not releasably connected. All of these bit rails is common that their upper jaw splints and their lower jaw splints are all teeth. Since they also extend over the incisors, who which they usually perceive as a foreign body from the tip of the patient's tongue found, which can be felt from the tip of the tongue and which is frequent to perma challenging palpation with the tip of the tongue. This can lead to irritation and even lead to injuries to the tip of the tongue. Are particularly disruptive very voluminous denture rails such as the Ge known from FR 2 727 008 A1 Bite splint, in which the upper jaw splint and the lower jaw splint by means of of a plastic holding them together, which is almost over extends the entire length of the rows of teeth and only in the tip of the tongue ne relatively small recess around the tongue tip a certain amount of space to leave space and still allow mouth breathing.

The one known from FR 2 727 008 A1 also has a palate hanger provided, which the two molar areas of the upper denture  connects, is adapted to the palate arch of the denture splint holder and serves to strengthen the denture rail. The two rails must be the do not completely take up the respective row of teeth but certain parts of one or both rails can be omitted, for example in the incisor Area. Experience has shown that such a palate strap works in many patients to nausea. It also prevents the patient's jaw from slipping in into the protrusion position that should be achieved with the denture splint.

GB 2 264 868 A shows a bit rail with a right and a left Rail part, each of the upper and the lower right and left Bac Pick up the row of tooth teeth and lock them together using a palate-side bracket are bound. The tip of the tongue remains unaffected with this bit rail is pregnant and the palate-side bracket is less solid than with the dentition ne according to FR 2 727 008 A1. However, the tendency to vomit is not affected but only worsens the stability of the bit rail.

A bit rail with high stability and improved is therefore desirable Comfort.  

According to the invention, this is achieved with an orofacial denture splint of the in Claim 1 specified type achieved the further claims can be designed according to.

The invention creates an orofacial denture splint with one on teeth the upper jaw row of a patient's upper jaw splint and one that can be placed on teeth of the lower jaw row Mandibular splint, with the maxillary splint and the Mandibular splint two splint parts made of plastic have that for not sitting on the incisors belonging left or right maxillary or mandibular teeth are trained and via one on the outside of the Maxillary incisor upper connecting bracket or one on the inside of the mandibular incisors Sub-connection brackets are connected to each other, each by a slim metal brackets are formed.

The maxillary splint and the mandibular splint each consist of two To produce rail parts, which are only over molars and if necessary, extend canines, and by means of these rail parts Linking slim metal brackets together leads to one considerable volume reduction of the bit rail, especially in Incisor area and thus in the area of the tip of the tongue where any foreign body felt particularly strong and uncomfortable becomes. Since the upper connection bracket is only in front of the When the maxillary incisor runs, it is held by the patient's tongue usually not noticed at all. The inside of the Mandibular incisal brace is due to its production as a slender metal bracket from the tongue  perceived. By forming the sub-connection bracket with a lowering on the tongue side, in particular in the form of a on the mouth arch side, it is achieved that the Interconnect strap from the patient's tongue usually is not noticed at all.

The denture rail according to the invention therefore offers comfort, as it is nowhere near achievable with the well-known bit rails is.

In one embodiment of the invention there is at least one Mandibular splint made of dimensionally stable material.

In a preferred embodiment of the invention, the Upper jaw splint constructed with dimensionally stable material.

By using dimensionally stable material for the maxillary splint and the mandibular splint can stick securely to the teeth by means of clamping fit and the self-friction that can be achieved with it can be reached between the teeth and the bit rail.

In one embodiment of the invention, the upper jaw splint and the lower jaw splint via a removable, if necessary preferably flexible connection material in one predetermined mutual relative position connected to each other. Therefore, the upper jaw splint and the lower jaw splint can Need to be resolved again, for example, to create a new one Relative position between upper jaw splint and lower jaw splint  to be able to make, if the first made Relative position has not yet proven itself sufficiently.

This facilitates the reversible adjustment of the rail. It turns out Lower jaw advance set using the connecting material and / or mouth opening is not optimal for the patent concerned, the connecting material is removed and the Maxillary splint and the mandibular splint by using new ones Connection material in a different relative position connected to each other. The maxillary splint and the Mandibular splint made of rigid material need not be changed.

The use of flexible connecting material between The maxillary splint and the mandibular splint lead to an increase in the Comfort thanks to its shock-absorbing effect. This shock-absorbing effect leads to relief of the teeth, the Tooth support and the temporomandibular joints.

In one embodiment of the invention, there is the mandibular splint also in the areas that come into contact with the tooth surfaces Made of dimensionally stable, hard material, while those with tooth surfaces in Coming surfaces of the maxillary splint with soft elastic material are coated. This not only increases the shock-absorbing effect and thus the comfort of the bit rail but also has the consequence that between the lower teeth and the lower jaw splint a higher friction than between the Maxillary teeth and the maxillary splint exist. Therefore, the Upper jaw teeth slide out of the upper rail before the Mandibular splint detaches from the mandibular teeth and the contact  loses. This also leads to a secure fit of the bit rail Mouth opening and mouth opening movements during sleep. at Opening the mouth while sleeping holds the denture splint against the Lower jaw teeth firmly and is held in the desired position. The denture bar does not get out of the patient's mouth, nor canting occurs within the oral cavity.

The same effect can be achieved with one embodiment, at which completely covers the upper jaw with soft elastic material is constructed.

Because the soft elastic coming into contact with tooth surfaces Material, for example, by disintegration or tooth grinding in the barrel time can be worked off, a maxillary sinus is made dimensionally stable material that is only coated with soft elastic material is preferred. In this case you can use the soft elastic Renew coating after processing and does not need the entire upper jaw to be replaced.

In one embodiment of the invention, the mandibular splint is for a system on the occlusal surfaces and the two side surfaces of the you trained tooth crowns.

In a preferred embodiment of the invention, the Upper jaw splint for a system only on the occlusal surfaces and the Cheek-facing side surfaces of the one to be recorded Dental crowns formed. The maxillary splint can also be used for one Attachment to the occlusal surfaces and the two side surfaces of her tooth crowns to be accommodated.  

In a preferred embodiment of the invention, the Upper jaw splint and lower jaw splint each with hard plastic built up, which is preferably polymethyl methacrylate (PMMA) acts. A is used as the soft elastic material soft elastic plastic used, preferably silicone.

In one embodiment of the invention, the upper jaw splint and the mandibular splint only for sitting on other teeth as incisors, preferably only on molars, trained and have two maxillary splint parts or two Parts of the lower jaw splint which are suitable for sitting on the left or right maxillary or mandibular molars, possibly also Upper and lower jaw canines, are formed and over a Upper connection bracket or a sub-connection bracket with each other are connected. The upper connection bracket and the are preferred Sub-connection bracket each formed by a slim metal bracket. The connection between the metal brackets and the corresponding one Rail parts are made using a mechanical and / or chemical Connection.

The invention will now be explained in more detail using an embodiment.

The drawings show:

FIG. 1 shows an embodiment of a orofacial bite splint according to the invention with an upper jaw splint and a lower jaw splint, which are not yet connected to each other; and

Fig. 2 shows the rail shown in Fig. 1 in a state in which the upper jaw rail and the lower jaw rail are connected to one another by means of connecting material.

Terms such as right, left, outside and inside of the View of a patient wearing a denture splint.

The figures show an embodiment of an orofacial denture splint 11 according to the invention, for which two separate splices are initially made, namely an upper jaw splint 13 and a lower jaw splint 15 .

The upper jaw splint 13 comprises a right upper jaw splint part 17 and a left upper jaw splint part 19 , which are designed for placement only on molars of the right and left row of teeth of the upper jaw. The two upper jaw rail parts 17 and 19 are connected to one another by a metallic upper connecting bracket 21 , the end regions 24 and 26 of which are connected on both sides to the outside of the respective upper jaw rail part 17 and 19 , respectively.

The lower jaw splint 15 has a left lower jaw splint part 23 and a right lower jaw splint part 25 , which are connected to one another by means of a sub-connecting bracket 27 , the ends 29 and 31 of which are connected on both sides to the outside of the associated lower jaw splint part 23 and 25 , respectively.

The rail parts 17 , 19 , 23 , 25 are made of hard plastic. Polymethyl methacrylate (PMMA) is particularly preferred for this purpose, as is commercially available, for example, under the trade name SR Ivocap plus®. The brackets 21 , 27 are preferably made of steel, titanium or alloys thereof. V3A steel is preferably used for the stirrups 21 and 27 . Such material has a resilient effect and thus promotes the comfort of the bit rail 11 .

A mechanical adhesion between the PMMA and the metal brackets can be achieved by shaping the parts involved to increase the static friction. A particularly good bond strength between the PMMA of the rail parts 17 , 19 , 23 , 25 and the metallic brackets 21 , 27 is achieved by an additional chemical adhesion, preferably by silanizing the surfaces to be joined, for which purpose, for example, an application of the one available under the trade name Silicoater® By means of at least one of the two material surfaces to be connected.

The areas of the upper jaw splint parts 17 and 19 that are in contact with the crowns of the upper jaw teeth are each coated with a thin layer 33 of soft plastic. Silicone is particularly suitable for such a coating, as is commercially available, for example, under the trade names Molloplast® and Flexor®. This coating made of soft plastic serves, as already mentioned above, on the one hand to increase the wearing comfort due to the shock-absorbing effect and also ensures that less friction occurs between the upper jaw splint 13 and the teeth picked up by it than between the lower jaw splint 15 and the latter picked teeth.

Between the right rail parts 17 , 23 and between the left rail parts 19 , 25 there is a right connecting element 35 or a left connecting element 37 , which each consist of removable, preferably soft, elastic plastic, particularly preferably of the silicone already mentioned.

In the embodiment shown in the figures, the connecting elements 35 , 37 are designed as plastic strips. The surfaces of the rail parts 17 , 19 , 23 , 25 cooperating with them are designed as flat surfaces.

Can be shown in FIG. 1, the bite splint 11 is shown in a state in which the two rails 13 and 15 are not yet connected to each other, so that they are in the desired relative position for therapeutic reasons brought together. Thereafter, the connection of the two rails 13 and 15 shown in FIG. 2 takes place via the connecting elements 35 and 37 , in that these are brought into adhesive connection both with the upper jaw rail parts 17 and 19 and with the lower jaw rail parts 23 and 25 . If a change in the positioning of the upper jaw splint 13 and the lower jaw splint 15 relative to one another is then required, only the two connecting elements 35 , 37 need to be removed, the two splint 13 and 15 repositioned relative to one another and connected to one another by new connecting elements 35 , 37 . The connection elements 35 , 37 can be removed in various ways, depending on the material used for this purpose. Connecting elements 35 , 37 to be removed can be separated by tearing or cutting or can also be dissolved by the action of chemical substances, heat or electromagnetic radiation, for example UV radiation.

A mechanical existing between the PMMA and the silicone Adhesion can significantly increase the bond strength chemical adhesion between these materials become. For this purpose, preference is given to at least one of each surfaces of PMMA and silicone to be joined together a Si-H Grouping solvent applied, such as is available under the trade name LITE Line®.

This applies both to the bond between the rail parts 17 , 19 , 23 , 25 and the connecting elements 35 and 37 , and to the bond between the rail parts 17 and 19 and the coatings 33 made of silicone.

By increasing the bond strength between PMMA and metal on the one hand and PMMA and silicone on the other hand by improving chemical adhesion, the connection of the different materials to one another becomes more stable and is between approximately 350 Ncm 2 and approximately 500 Ncm 2 .

The upper connection bracket 21 is designed such that it runs horizontally in front of the upper jaw teeth when the denture splint 11 is worn by the patient. The sub-connection bracket 27 is lowered in its central region between the two mandibular splint parts 23 and 25 on the tongue side, namely in the form of an arch that bulges at the base of the mouth. When the denture splint 11 is worn by the patient, the sub-connection bracket 27 is located on the inside of the mandibular incisors. Due to its arcuate lowering, the sub-connection bracket 27 is not in the way of the tongue.

Claims (22)

1.Bite splint with an upper jaw splint ( 13 ) which can be placed on teeth of the upper row of teeth of a patient and a lower splint ( 15 ) which can be placed on teeth of the row of lower teeth, the upper jaw splint ( 13 ) and the lower jaw splint ( 15 ) each having two splint parts ( 17 , 19 ) made of plastic ) which are designed for seating on left or right upper or lower jaw teeth which do not belong to the incisors and which are connected to one another via an upper connecting bracket ( 21 ) running on the outside of the upper cutting teeth or a connecting bracket ( 27 ) running on the inside of the lower cutting teeth , which are each formed by a slim metal bracket.
2. Bit rail according to claim 1, wherein the sub-connection bracket ( 27 ) in a region between the lower jaw rail parts ( 23 ) has a tongue-side depression ( 28 ).
3. Denture rail according to claim 2, in which the tongue-side depression ( 28 ) is formed by an arch of the sub-connecting bracket ( 27 ) that bulges out on the mouth bottom.
4. bit rail according to one of claims 1 to 3, with from the Material group steel, titanium and alloys thereof selected Metal strap material.  
5. bit rail according to claim 4, with V3A steel as Metal strap material.
6. Bit rail according to one of claims 1 to 5, in which between the upper connecting bracket ( 21 ) and the upper jaw rail parts ( 17 , 19 ) or between the lower connecting bracket ( 27 ) and the lower jaw rail parts ( 23 , 25 ) each have a mechanical and / or chemical connection consists.
7. Denture splint according to one of claims 1 to 6, wherein the upper jaw splint part ( 19 ) and the lower jaw splint part ( 25 ) for the left rows of teeth with a left-hand connecting element ( 37 ) made of material that can be removed if required, and the upper jaw splint part ( 17 ) and the lower jaw splint part ( 23 ) for the right rows of teeth are connected to a right-hand connecting element ( 35 ) made of material that can be removed if necessary.
8. bit rail according to claim 7, wherein the two connecting elements ( 35 , 37 ) are each strip-shaped.
9. denture splint according to claim 8, wherein the upper jaw splint parts ( 17 , 19 ) and the lower jaw splint parts ( 23 , 25 ) are each formed flat on the sides facing the strip-shaped connecting elements ( 35 , 37 ).
10. bit rail according to one of claims 7 to 9, with removable connecting material ( 35 , 37 ) in the form of flexible material.
11. Denture splint according to one of claims 1 to 10, in which the lower jaw splint ( 15 ) is constructed with hard plastic.
12. Bite splint according to one of claims 1 to 11, in which the upper jaw plate ( 13 ) is constructed with hard plastic.
13. Bit rail according to one of claims 1 to 12, with Hard plastic in the form of polymethyl methacrylate (PMMA).
14. Denture splint according to one of claims 1 to 13, in which the lower jaw splint ( 15 ) is designed for abutment on the occlusal surfaces and the two side surfaces of the tooth crowns to be received by it.
15. Denture splint according to one of claims 1 to 15, in which the upper jaw splint ( 13 ) is designed for contact with at least the chewing surfaces and the cheek-facing side surfaces of the tooth crowns to be received by it.
16. Denture splint according to one of claims 1 to 15, in which surfaces of the upper jaw splint ( 13 ) provided for contact with tooth surfaces of the patient are coated with flexible coating material ( 33 ).
17. Denture splint according to one of claims 1 to 15, in which the upper jaw splint ( 13 ) is constructed with soft-elastic material.
18. Bit rail according to one of claims 10 to 17, in which the soft-elastic connecting material ( 35 , 37 ) and / or the soft-elastic coating material ( 33 ) is formed by a soft-elastic plastic.
19. Bit rail according to claim 18, with soft elastic plastic in the form of silicone.
20. Bite splint according to one of claims 7 to 19, in which there is a mechanical and / or chemical connection between the connecting material ( 35 , 37 ) and the hard plastic.
21. Bit rail according to claim 20, in which to increase the Bond strength of hard and soft plastic from the to connecting surfaces of hard and soft plastic at least is provided with a solvent forming Si-H groups.
22. Bit rail according to one of claims 13 to 21, in which for Increasing the bond strength of PMMA and metal from the to connecting surfaces of PMMA and metal with at least one a silanizing agent causing a silanization is provided.
DE2000129875 2000-06-16 2000-06-16 Orofacial denture splint Expired - Fee Related DE10029875C2 (en)

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE10331531A1 (en) * 2003-07-11 2005-02-10 Schlieper, Jörg W., Dr. Dr. Orofacial denture rails may be adapted for use in top and bottom jaw and are linked together by steel brackets and length-adjustable rods with swivel links
DE102013004517A1 (en) * 2012-11-09 2014-05-15 Andreas Bruderhofer Ioa

Families Citing this family (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE10216242C1 (en) * 2002-04-12 2003-04-24 Joerg W Schlieper Denture rail support, used in sleep disorder therapy, has upper and lower rear sections joined at front by bows, with upper and lower pivoted linkages
ITRM20030165U1 (en) * 2003-10-03 2005-04-04 Alessandro Rampello antistress buccal device.
DE102005031233B3 (en) * 2005-05-27 2006-11-23 Dr. Hinz Dental-Vertriebsgesellschaft Mbh & Co.Kg Method of aligning jaws to reduce snoring has upper and lower jaw rails with markings to control relative positions of jaws
DE102007050309B3 (en) * 2007-10-19 2009-01-29 Schmitt-Bylandt, Jürgen, Dr. med. dent. Lower jaw protrusion system to prevent snoring and apnea comprises upper and lower jaw rails connected by bent sprung metal clamps

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Publication number Priority date Publication date Assignee Title
DE3625790C2 (en) * 1986-07-30 1991-01-17 Horst 2090 Winsen De Qualmann
GB2264868A (en) * 1992-03-06 1993-09-15 Robert Mateljan Mandibular advancement device
FR2727008A1 (en) * 1994-11-23 1996-05-24 Hubert Adda Intra-buccal insert to prevent snoring and apnea
US5611355A (en) * 1993-06-14 1997-03-18 Hilsen; Kenneth L. Snoring and sleep apnea device
WO1997029719A1 (en) * 1996-02-19 1997-08-21 Dentalgruvan 2000 Ab Anti-snoring device
US5884628A (en) * 1997-03-17 1999-03-23 Hilsen; Kenneth Snoring device

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE3625790C2 (en) * 1986-07-30 1991-01-17 Horst 2090 Winsen De Qualmann
GB2264868A (en) * 1992-03-06 1993-09-15 Robert Mateljan Mandibular advancement device
US5611355A (en) * 1993-06-14 1997-03-18 Hilsen; Kenneth L. Snoring and sleep apnea device
FR2727008A1 (en) * 1994-11-23 1996-05-24 Hubert Adda Intra-buccal insert to prevent snoring and apnea
WO1997029719A1 (en) * 1996-02-19 1997-08-21 Dentalgruvan 2000 Ab Anti-snoring device
US5884628A (en) * 1997-03-17 1999-03-23 Hilsen; Kenneth Snoring device

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE10331531A1 (en) * 2003-07-11 2005-02-10 Schlieper, Jörg W., Dr. Dr. Orofacial denture rails may be adapted for use in top and bottom jaw and are linked together by steel brackets and length-adjustable rods with swivel links
DE10331531B4 (en) * 2003-07-11 2005-08-04 Schlieper, Jörg W., Dr. Dr. Connecting linkage and thus equipped Orofaciale denture track
DE102013004517A1 (en) * 2012-11-09 2014-05-15 Andreas Bruderhofer Ioa

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8381 Inventor (new situation)

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Effective date: 20150101