EP2640477B1 - Protection intra-buccale adaptable aeropermeable machoires serrees - Google Patents

Protection intra-buccale adaptable aeropermeable machoires serrees Download PDF

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Publication number
EP2640477B1
EP2640477B1 EP11797104.4A EP11797104A EP2640477B1 EP 2640477 B1 EP2640477 B1 EP 2640477B1 EP 11797104 A EP11797104 A EP 11797104A EP 2640477 B1 EP2640477 B1 EP 2640477B1
Authority
EP
European Patent Office
Prior art keywords
adaptable
framework
mouthguard
tab
skeleton
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Active
Application number
EP11797104.4A
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German (de)
English (en)
French (fr)
Other versions
EP2640477A1 (fr
Inventor
Hervé OHRENSSTEIN
Philippe Poisson
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
OHRENSSTEIN, HERVE
Universite de Bordeaux
Original Assignee
Universite Victor Segalen Bordeaux 2
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Publication date
Application filed by Universite Victor Segalen Bordeaux 2 filed Critical Universite Victor Segalen Bordeaux 2
Publication of EP2640477A1 publication Critical patent/EP2640477A1/fr
Application granted granted Critical
Publication of EP2640477B1 publication Critical patent/EP2640477B1/fr
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Classifications

    • AHUMAN NECESSITIES
    • A63SPORTS; GAMES; AMUSEMENTS
    • A63BAPPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B71/00Games or sports accessories not covered in groups A63B1/00 - A63B69/00
    • A63B71/08Body-protectors for players or sportsmen, i.e. body-protecting accessories affording protection of body parts against blows or collisions
    • A63B71/085Mouth or teeth protectors

Definitions

  • the present invention generally relates to the field of adaptive intraoral protections (PIBs) for protecting individuals against the consequences of craniofacial impact.
  • PIBs adaptive intraoral protections
  • the present invention relates in particular, but not exclusively, to adaptable PIBs by thermo-adaptation to hot water.
  • the present invention serves, more particularly, but not exclusively, when practicing sports at risk of oral, maxillofacial, cerebral and cervical trauma. It can target other areas such as health for the prevention of oral trauma that can occur during endotracheal intubation.
  • Sport is one of the main causes of oral trauma.
  • the American Dental Association and the Academy of Sport Odontology have compiled a list of sports and recreational activities at risk for which they recommend the use of a well-adapted GDP, such as, for example, martial arts, baseball, basketball, boxing, cycling, football, gymnastics, weightlifting, handball, hockey, wrestling, parachuting, rugby, skateboarding, skiing, equestrian sports, squash, surfing, volleyball or even water polo.
  • Retention is the ability of GDP to stay in place when the user opens the mouth.
  • Phonation means the ability of the user to express himself orally.
  • PIBs may have lower quality than Type II models in terms of material thickness and tight jaw ventilation ability.
  • GDP type II ie able to shape in the mouth, for example after softening in hot water, represent nearly 90% of GDP currently worn by athletes.
  • the preservation of the material thicknesses of the PIB is necessary for a correct absorption and dissipation of the energy related to the impacts.
  • the aim is therefore to propose an adaptable PIB to guarantee the user's tight oral jaw ventilation and the preservation of the thicknesses of the PIB after the intra-oral shaping procedure.
  • the free space obtained after the shaping of the PIB may be insufficient to allow satisfactory ventilation when the user squeezes the jaws.
  • the presence of the only non-thermo-adaptable material facing the lateral sectors makes it impossible to imprint the mandibular dental arch during the shaping procedure and therefore does not allow meshing between the mandibular dental arches and maxillary.
  • thermo-adaptable material around the skeleton of non-thermo-adaptable material does not allow sufficient meshing between the mandibular and maxillary dental arches during the formatting procedure and therefore neither a sufficient wedging of the mandible nor a sufficient retention of the GDP.
  • the invention aims to remedy these drawbacks by proposing a PIB which, after the shaping procedure, allows tight jaw ventilation to be effective regardless of the dento-maxillo-facial typology of the sportsman, while maintaining minimum thicknesses of material. for optimal GDP participation in the prevention of oral, maxillofacial, cerebral and cervical injuries.
  • adaptive material means that the material becomes malleable during the process of adjusting the PIB.
  • support is meant that the pallet cooperates with the skeleton to allow both a sufficient thickness of material at the incisivo-canine block and a ventilatory space sufficient for good ventilation of the user. Therefore, there may be a layer of thermo-adaptable material between the pallet and the skeleton (which implies a non-direct contact support) without diminishing the effects of the interaction between the pallet and the skeleton.
  • the adaptation of the GDP uses, for example, a thermo-adaptation technique by softening the material with hot water to allow adaptation to the mouth of the user.
  • the term "gutter” means the volume of adaptable material for receiving the upper and lower dental arches.
  • the upper and lower gutters have regular surfaces, and after adjustment of the GDP, the upper and lower gutters present the fingerprints of the teeth.
  • the gutters therefore initially have sufficient thicknesses so that the adaptable material of the adaptable structure can fill a hole left by a missing tooth, and that all the teeth are well covered by the adaptable material to be effectively protected, guarantee the retention of the GDP and secure the mandibular dental arch to the maxillary dental arch.
  • This first area of the palette can have different shapes. It can, for example, be flat, but also plano-convex or biconvex.
  • the first zone of the pallet thus has a length L, a width l and a height h.
  • the first zone of the pallet has a cross section of a surface approximately equal to or greater than 30 millimeters squared.
  • the ventilatory space thus created is sufficient and necessary for good ventilation of the user, especially during an effort. Below this value, the user can not ventilate enough and is then led to open the mouth, which causes the disadvantages mentioned above.
  • the pallet has at least one arm having a free end, for example two arms, comprising a lug, preferably at the free end, said lug being able to fit into a slot provided for this purpose in the adaptable structure , preferably at an occlusal bead, to maintain the position of the PIB during the adaptation phase, and said pin can come into contact with the skeleton.
  • the pallet has a bead in an arc of a circle, preferably at the level of the first zone, adapted to bear on the incisivo-canine block.
  • the stop created by this bead facilitates the positioning of the lugs in their slot during the establishment of the pallet.
  • the joint presence of the arcuate bead and lugs makes it possible to maintain a good positioning of the pallet during the adaptation phase, the correct positioning of the pallet being necessary for the adaptable material of the gutters does not obstruct not the ventilatory space when adapting the GDP.
  • the pallet has a gripping zone, for example, to facilitate its extraction after shaping the GDP.
  • the PIB has a window, for example delimited by the skeleton and the lower gutter, in which the pallet can be housed.
  • the pallet is housed in a window reserved for it to maintain a sufficient ventilation space, or once the adaptable structure softened to adapt to the mouth of a user, the pallet creates or increases a space by sinking into softened adaptable material.
  • the PIB initially has a window
  • the lower gutter has a discontinuity at the incisivo-canine block.
  • This discontinuity thus forms a window in which is positioned the pallet which is then supported on the skeleton, but not necessarily in direct contact with the skeleton. The presence of the pallet thus makes it possible to prevent this space from becoming clogged at least partially during the adjustment of the GDP by a user.
  • the lower groove is continuous all along the mandibular dental arch; the skeleton and the lower channel form between them, at their interface, a window in which the pallet can be inserted.
  • the mandibular teeth of the incisivo-canine block can also be protected and the anterior ventilatory space preserved during the adaptation phase.
  • the adaptable structure comprises an upper vestibular flap delimiting the upper trough intended to receive the maxillary dental arch.
  • the adaptable structure comprises a lower vestibular flap delimiting the lower gutter intended to receive the mandibular dental arch.
  • the skeleton comprises a fixing arch, for example at the incisivo-canine block.
  • This hoop can be used, for example, to attach the GDP to a helmet grid in American football.
  • the skeleton comprises frontal reinforcements.
  • These frontal reinforcements preferably located at the upper level of the incisivo-canine block, allow in particular to maintain the position and thickness of the upper vestibular flap.
  • the skeleton comprises lateral reinforcements, preferably located at the upper and / or lower level of the outer edges of the lateral sectors.
  • the frontal and lateral reinforcements thus make it possible to guide the correct positioning of the maxillary and mandibular dental arches of the user in the upper (maxillary) and inferior (mandibular) grooves of the adaptable structure during the phase of adaptation of the PIB to the morphology of the individual.
  • the skeleton comprises at least one anchor hole, preferably located in one of the lateral sectors, to ensure the maintenance of the skeleton in the adaptable structure.
  • the holes in the skeleton allow a better integration of the skeleton in the adaptable material of the adaptable structure.
  • the front reinforcements are connected to each other by a junction element, thus delimiting spaces. These spaces make it possible, like the anchoring holes of the lateral sectors, to reinforce the maintenance of the skeleton in the adaptable structure at the level of the incisivo-canine block, as well as the shape of the upper vestibular flap.
  • the present invention further comprises a method of use.
  • a first preliminary step is to make malleable the adaptable structure, for example, by placing the GDP in hot water.
  • the pallet is positioned at its location to maintain the GDP and keep the minimum dimensions of the ventilatory space.
  • a second step is to place the GDP in the mouth of the user who squeezes the jaws and who can press GDP with his fingers and tongue so that the GDP takes the form of intraoral reliefs.
  • a third step is to remove GDP from the mouth.
  • the user waits a few seconds before removing the PIB from his mouth so that the adaptable structure no longer deforms.
  • the PIB can be reshaped at will at any time if the user considers it necessary, by repeating the previous steps.
  • a fourth step is to remove the pallet of GDP. The user can then place the GDP in his mouth to check the adaptation, and, if necessary, repeat the previous steps.
  • the pallet is removed by disengaging the lugs of the free ends of the arms of the slots provided for this purpose in the adaptable structure.
  • the lugs of the free ends of the arms are first disengaged from the slots provided for this purpose in the adaptable structure, then the arms are tightened. one to the other by elastic deformation, and the pallet is then withdrawn through the ventilatory space.
  • the pallet may have a more indented geometry at the junction between the arms to facilitate their elastic deformation.
  • the PIB according to the invention comprises an adaptable structure 1 and a skeleton 2.
  • a PIB generally has a shape that resembles that of the dental arch, i.e. it has an arched area that constitutes the incisivo-canine block, and two lateral sectors corresponding to the positions of premolars and molars.
  • the adaptable structure 1 is made of an adaptable material, i.e. a material which must allow the user to adapt the PIB to its oral morphology, for example, by a thermo-adaptation technique with hot water.
  • the adaptable structure 1 has an upper gutter 122 for receiving the maxillary dental arch, and a lower gutter 121 for receiving the mandibular dental arch.
  • the shape of the maxillary 122 and mandibular 121 gutters of the adaptable structure 1 makes it possible to fill potential edentulous spaces during the phase of adaptation of the PIB to the oral morphology of the user.
  • the adaptable structure 1 has an incisivo-canine block 11 connecting two lateral sectors 12 (a left and a right).
  • the incisivo-canine block 11 is located at the level of the canines and the incisors upper (maxillary) and inferior (mandibular), and the two lateral sectors 12 are located on each side, at the levels of the premolars and upper molars (maxillary) and lower (mandibular).
  • the adaptable structure 1 further comprises an upper vestibular flap 111, which delimits the upper gutter 122 for receiving the maxillary dental arch.
  • the upper vestibular flap 111 has a notch 112 facilitating the position of the brake of the upper lip.
  • the adaptable structure 1 may, according to a second embodiment shown Figure 1 (b) , also include a lower vestibular flap 114, which then delimits the lower groove 121 for receiving the mandibular dental arch.
  • the adaptable structure 1 has a window 113 delimited by the skeleton 2 and the discontinuous lower gutter 121 (or even the lower vestibular flap 114 if it is the second embodiment), in which come to lodge a pallet 3 intended to maintain a sufficient ventilatory space during the shaping of the PIB, while allowing to maintain minimum thicknesses.
  • the shape of the adaptable structure 1 is then in accordance with the standardized oral morphology (depth of the vestibular flap upper (maxillary) 111, and lower (mandibular) 114 if it exists, position of the notch 112, width and length of the arcade, etc.).
  • the skeleton 2 is included in the adaptable structure 1. It is preferably composed of a non-modifiable (or modelable) texture material by the technique recommended for adapting the adaptable structure 1 to the oral morphology of the user (thermo technique). -adaptation to hot water or other techniques).
  • the skeleton 2 makes it possible to guarantee the conservation, in the areas at risk of trauma, of the minimum thicknesses of material necessary for the absorption and the dissipation of the energy of traumatic impact.
  • the skeleton 2 also has an incisivo-canine block 21 and two lateral sectors 22 (a left and a right).
  • the incisivo-canine block 21 is located at the level of the canines and upper (maxillary) and lower (mandibular) incisors, the lateral sectors 22 being located on each side, at the levels of premolars and upper (maxillary) and lower (mandibular) molars.
  • the skeleton 2 has several reinforcements.
  • the skeleton 2 has three frontal reinforcements 211, but not necessarily exclusively.
  • the shape and the position of these frontal reinforcements 211 allow, first of all, that the PIB keeps a sufficient thickness at the level of the incisors and the canines, then, to contribute to the conservation of the shape of the upper vestibular flap 111 when the material adaptable structure was softened, finally to guide the correct positioning of the maxillary incisors during the adaptation procedure.
  • the front reinforcements 211 of the incisivo-canine block 21 are connected to each other by a connecting element 212 for reinforcing the joining of the front reinforcements 211 and maintaining the upper vestibular flap 111.
  • the skeleton 2 also comprises upper lateral reinforcements 222 and lower 223, preferably at the outer edges of the lateral sectors 22.
  • upper lateral reinforcements 222 and lower 223 may be a continuous band of material or pads.
  • the skeleton 2 comprises upper lateral reinforcements 222 in the form of a continuous strip, and lower lateral reinforcements (223a, 223b, 223c, 223d) in the form of pads.
  • the skeleton 2 also comprises anchor holes 221 in the lateral sectors 22, or even spaces 214 in the incisivo-canine block 21 in the case where a joining element 212 is present.
  • the skeleton 2 is made, for example by molding, and the adaptable structure 1 is obtained by overmolding.
  • the presence of the anchoring holes 221 in the lateral sectors 22 of the skeleton 2, or in some cases spaces 214 at the level of the incisivo-canine block, allows a better integration of the skeleton 2 in the adaptable material of the adaptable structure 1.
  • the skeleton 2 also has a hoop 213 at the incisivo-canine block 21 which can be used to attach the GDP to a helmet grid in American football for example.
  • the PIB further comprises a removable pallet 3 preferably made of a rigid material of non-modifiable (or modelable) texture by the technique recommended for adapting the adaptable structure to the oral morphology of the user (thermo-adaptation technique with hot water or other techniques).
  • the adjustment of the pallet 3 with the skeleton 2 contributes to the guidance of the maxillary dental arch of the user in the upper (maxillary) groove 122 of the adaptable structure 1 during the phase of adaptation of the PIB to the morphology the subject.
  • the pallet 3 has mainly a first zone 33 adapted to cooperate with the skeleton 2 to preserve a sufficient ventilation space while allowing the preservation of the thicknesses of the protection.
  • Said zone 33 is dimensioned so that, during the phase of adaptation of the PIB, the positioning of this zone 33 at the level of the incisivo-canine block, in the space 113 when it exists, and in cooperation with the skeleton 2, makes it possible to preserve, or even create or enlarge, an anterior ventilatory space of sufficient dimensions during the phase of adaptation of the PIB to the oral morphology of the user, so that the latter can benefit from a ventilation effective in tight jaw position, for example during a sports activity.
  • This first zone 33 presents, in particular, in the zone of intersection between the pallet 3 and the incisivo-canine block (when the pallet 3 is in place for the adaptation of the PIB), a cross section 331 defined by a width l and a minimum height h ( figure, 8a), 8b), 10 and 11 ).
  • the dimensions of the ventilatory space are thus guaranteed by the dimensions of this smaller cross section 331 of this first zone 33.
  • this cross section 331 should be designed to maintain, after the GDP shaping procedure, an anterior ventilatory space of a section equal to or greater than 30 millimeters squared.
  • the pallet 3 has, according to a preferred embodiment, two arms 34, a left arm 341 and a right arm 342, each terminated by a lug (343, 344), each lug (343, 344) being adapted to be inserted in slots provided for this purpose in the lateral sectors 12 of the adaptable structure 1 and to bear on the lateral sectors 22 of the skeleton 2 (not necessarily in direct contact) to maintain the pallet 3 in position during the phase of adjustment of GDP.
  • junction (345 or 346) of these two arms 341 and 342 can take different forms: for example, the junction 345 will be more rigid than the junction 346.
  • the junction 346 makes it possible, for example, to facilitate insertion and extraction. of the pallet when the space 113 is formed at the interface between the lower continuous trough 121 and the skeleton 2 (for example, when the PIB is produced according to the second embodiment).
  • the pallet 3 also has a bead 32 in an arc which is preferably precisely fitted to the rim of the incisivo-canine block 11 of the adaptable structure 1 to facilitate the positioning of the lugs (343, 344) in the slots during the formatting in the mouth, and thus maintain the position of the zone 33 for example during the adaptation phase.
  • the pallet 3 has a gripping zone 31.
  • the GDP can finally be realized according to the methods conventionally used.
  • the skeleton made for example by molding, is positioned in a mold in which the material of the adaptable structure is injected.
  • the adaptable structure can therefore ultimately have small holes corresponding to the pads present in the mold to maintain the skeleton in place during the injection of the material of the adaptable structure.

Landscapes

  • Health & Medical Sciences (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)
  • Dental Tools And Instruments Or Auxiliary Dental Instruments (AREA)
  • Pallets (AREA)
  • Housing For Livestock And Birds (AREA)
EP11797104.4A 2010-11-19 2011-11-17 Protection intra-buccale adaptable aeropermeable machoires serrees Active EP2640477B1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
FR1059531A FR2967583B1 (fr) 2010-11-19 2010-11-19 Protection intra-buccale adaptable aeropermeable machoires serrees
PCT/FR2011/052682 WO2012066248A1 (fr) 2010-11-19 2011-11-17 Protection intra-buccale adaptable aeropermeable machoires serrees

Publications (2)

Publication Number Publication Date
EP2640477A1 EP2640477A1 (fr) 2013-09-25
EP2640477B1 true EP2640477B1 (fr) 2014-09-03

Family

ID=44356223

Family Applications (1)

Application Number Title Priority Date Filing Date
EP11797104.4A Active EP2640477B1 (fr) 2010-11-19 2011-11-17 Protection intra-buccale adaptable aeropermeable machoires serrees

Country Status (12)

Country Link
US (1) US9770644B2 (zh)
EP (1) EP2640477B1 (zh)
JP (1) JP6006223B2 (zh)
CN (1) CN103221096B (zh)
AU (1) AU2011331010B2 (zh)
CA (1) CA2816873C (zh)
DK (1) DK2640477T3 (zh)
ES (1) ES2525121T3 (zh)
FR (1) FR2967583B1 (zh)
NZ (1) NZ610240A (zh)
PT (1) PT2640477E (zh)
WO (1) WO2012066248A1 (zh)

Families Citing this family (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20160120619A1 (en) * 2014-10-29 2016-05-05 Brian K. Bons Orthotic Device
US10206684B2 (en) 2015-05-07 2019-02-19 Matthew James Ibarra Device and method for treating nosebleeds
US20180024530A1 (en) * 2016-07-22 2018-01-25 ProSomnus Sleep Technologies, Inc. Computer aided design matrix for the manufacture of dental devices
US11974765B2 (en) * 2019-01-08 2024-05-07 Matthew James Ibarra Device and method for treating nosebleeds
CN110063807B (zh) * 2019-05-09 2020-07-28 同济大学 具备前牙美学考量的无牙颌个性化托盘装置及其使用方法
EP4103295A4 (en) * 2020-02-11 2024-03-06 Neomorph Pty Ltd HOT MOLDABLE MOUTHGUARD

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Publication number Priority date Publication date Assignee Title
JPH0724132Y2 (ja) 1991-09-25 1995-06-05 秀士 片瀬 運動用マウスピース
US5339832A (en) 1993-05-24 1994-08-23 E-Z Gard Industries, Inc. Thermoplastic mouthguard with integral shock absorbing framework
US5636379A (en) 1995-08-04 1997-06-10 Williams; Edward D. Jaw-joint protective device
JP2876117B2 (ja) * 1996-08-08 1999-03-31 信隆 吉田 運動用臼歯保護具
DE69738883D1 (de) 1997-04-30 2008-09-18 Quattroti Dentech S R L Mundschutz und Mundstück zur Vermeidung von oro-maxillo-Gesichtstraumas, insbesondere bei Sportaktivitäten
FR2788962B1 (fr) * 1999-01-28 2001-05-04 Philippe Poisson Appareillage intra-buccal aero-permeable destine aux sportifs et procede pour son obtention
DE59903264D1 (de) * 1999-10-11 2002-12-05 Stockhausen Rolf Antischnarcheinrichtung
US6082363A (en) * 1999-10-28 2000-07-04 E-Z Gard Industries, Inc. Triple layer mouthguard having integral shock absorbing framework
US8074658B2 (en) * 2000-09-08 2011-12-13 Bite Tech, Inc. Composite performance enhancing tethered mouthguard
US7299804B2 (en) * 2001-04-06 2007-11-27 Kittelsen Jon D Three part composite performance enhancing mouthguard
NZ525382A (en) * 2002-08-30 2004-09-24 Christopher John Farrell Oral appliance suitable for use as sports guard
DE102006029342A1 (de) 2006-06-23 2008-01-03 Bielomatik Leuze Gmbh + Co.Kg Sammel- und Fördervorrichtung für durch Blattlagen gebildete Stapel
US9028250B2 (en) * 2007-03-14 2015-05-12 Orthoaccel Technologies, Inc. Vibrating dental devices
US8205618B2 (en) * 2008-03-10 2012-06-26 Shield Manufacturing, Inc. Mouthguard

Also Published As

Publication number Publication date
CN103221096A (zh) 2013-07-24
PT2640477E (pt) 2014-12-12
NZ610240A (en) 2014-09-26
AU2011331010B2 (en) 2016-06-30
JP2014500079A (ja) 2014-01-09
CN103221096B (zh) 2016-02-03
WO2012066248A1 (fr) 2012-05-24
US20130298917A1 (en) 2013-11-14
US9770644B2 (en) 2017-09-26
JP6006223B2 (ja) 2016-10-12
CA2816873C (fr) 2018-01-02
AU2011331010A1 (en) 2013-05-30
ES2525121T3 (es) 2014-12-17
EP2640477A1 (fr) 2013-09-25
CA2816873A1 (fr) 2012-05-24
FR2967583A1 (fr) 2012-05-25
FR2967583B1 (fr) 2012-12-14
DK2640477T3 (en) 2014-12-15

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