ITPI20100023A1 - WE HAVE MADE A MANDIBULAR "STRECHING" METHOD, THROUGH THE USE OF A STRECHING SPRING AND A RESIN CONTAINER, OR OTHER BIO-COMPATIBLE MATERIAL, FOR PACKAGING A STRETCHING BITE. WITH THIS METHOD WE ARE ABLE TO D - Google Patents
WE HAVE MADE A MANDIBULAR "STRECHING" METHOD, THROUGH THE USE OF A STRECHING SPRING AND A RESIN CONTAINER, OR OTHER BIO-COMPATIBLE MATERIAL, FOR PACKAGING A STRETCHING BITE. WITH THIS METHOD WE ARE ABLE TO D Download PDFInfo
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- ITPI20100023A1 ITPI20100023A1 ITPI20100023A ITPI20100023A1 IT PI20100023 A1 ITPI20100023 A1 IT PI20100023A1 IT PI20100023 A ITPI20100023 A IT PI20100023A IT PI20100023 A1 ITPI20100023 A1 IT PI20100023A1
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- reflex
- stretching
- streching
- trigeminal
- mandibular
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- 206010069828 Trigemino-cardiac reflex Diseases 0.000 description 1
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
- A61H1/00—Apparatus for passive exercising; Vibrating apparatus; Chiropractic devices, e.g. body impacting devices, external devices for briefly extending or aligning unbroken bones
- A61H1/02—Stretching or bending or torsioning apparatus for exercising
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
- A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
- A61H2201/12—Driving means
- A61H2201/1207—Driving means with electric or magnetic drive
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
- A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
- A61H2201/12—Driving means
- A61H2201/1253—Driving means driven by a human being, e.g. hand driven
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
- A61H2205/00—Devices for specific parts of the body
- A61H2205/02—Head
- A61H2205/026—Mandible
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- Health & Medical Sciences (AREA)
- Epidemiology (AREA)
- Pain & Pain Management (AREA)
- Physical Education & Sports Medicine (AREA)
- Rehabilitation Therapy (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Rehabilitation Tools (AREA)
- Dental Tools And Instruments Or Auxiliary Dental Instruments (AREA)
- Shaping By String And By Release Of Stress In Plastics And The Like (AREA)
- Medicines That Contain Protein Lipid Enzymes And Other Medicines (AREA)
- Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
Description
Descrizione Description
Nella pratica clinica odontoiatrica facendo “stretching” mandibolare, durante la terapia dei disordini temporomandibolari, abbiamo notato due fenomeni che potrebbero fornire notevole aiuto in alcune patologie. Verranno descritti successivamente in dettaglio: In clinical dental practice doing mandibular "stretching", during the therapy of temporomandibular disorders, we have noticed two phenomena that could provide considerable help in some pathologies. The following will be described in detail:
I. Una riduzione della frequenza cardiaca e della pressione (descritte nella letteratura scientifica come ‘riflesso trigeminocardiaco”), il cui possibile controllo sarebbe di notevole interesse nella terapia dell'ipertensione e di alcune aritmie. I. A reduction in heart rate and pressure (described in the scientific literature as 'trigeminocardiac reflex'), the possible control of which would be of considerable interest in the treatment of hypertension and some arrhythmias.
II. il rilassamento della tensione muscolare sia nel cavo orale che in distretti II. the relaxation of muscle tension both in the oral cavity and in districts
anche a notevole distanza, questo evento è da considerarsi potenzialmente even at a considerable distance, this event is to be considered potentially
nel controllo del dolore muscolo-scheletrico. A tale evento mai descritto in in the control of musculoskeletal pain. To this event never described in
letteratura abbiamo dato il nome di ‘riflesso trigeminale inibitorio del tono literature we have given the name of 'trigeminal tone inhibitory reflex
muscolare”. Abbiamo ipotizzato alcune possibili spiegazioni, come le dimostrate muscle ". We have hypothesized some possible explanations, as demonstrated
correlazioni tra il sistema trigeminale e la formazione reticolare. È infatti noto che correlations between the trigeminal system and the reticular formation. It is in fact known that
una parte di questo sistema, ha importanti funzioni nell'inibizione del tono a part of this system has important functions in the inhibition of tone
muscolare (anche quello del sistema masticatorio). muscle (including that of the masticatory system).
Facciamo riferimento alla metodica descritta Domanda di Brevetto Industriale PI 2008A000105 e modificata secondo l’Istanza di rettifica secondo i chiarimenti richiesti dal Rapporto di Ricerca EPO Protocollatato come N<D>2888 con un allegato a nome di Daniele Tonlorenzi TNLDNL56B17E662C abitante in via Monteverde 39 cap 54033 Carrara e di Bruna Brunetti BRNBRN46S20A271X via Ramazzani 45 cap 60011 Arcevia Ancona di nazionalità italiana, depositata in data 4/2/2010 con il N PI2010V000003. L’invenzione così rettificata prende il nome di "molla per stretching mandibolare e prototipo per costruzione di bite in stretching" e si compone di due cose: We refer to the method described Industrial Patent Application PI 2008A000105 and modified according to the Rectification Request according to the clarifications requested by the EPO Research Report Registered as N <D> 2888 with an attachment in the name of Daniele Tonlorenzi TNLDNL56B17E662C living in via Monteverde 39 cap 54033 Carrara and Bruna Brunetti BRNBRN46S20A271X via Ramazzani 45 cap 60011 Arcevia Ancona of Italian nationality, filed on 4/2/2010 with the N PI2010V000003. The rectified invention is called "mandibular stretching spring and prototype for the construction of bite in stretching" and consists of two things:
1. una sistematica che consente il relax del cavo orale attraverso l'uso di una molla di stretching da apporre tra i denti; 1. a system that allows the relaxation of the oral cavity through the use of a stretching spring to be placed between the teeth;
2. un contenitore per resina altro materiale biocompatibile adatto per il confezionamento di un bite personalizzato attraverso it riempimento di un ‘palloncino o sacchettino", nel cui interno è stato apposto un isolante, per impedire che la resina si attacchi. 2. a container for resin other biocompatible material suitable for the packaging of a customized bite by filling a 'balloon or bag', inside which an insulator has been affixed to prevent the resin from sticking.
Attraverso questa metodica siamo in grado di: Through this method we are able to:
a. stimolare il trigemino per attivare i due riflessi suesposti; to. stimulate the trigeminalis to activate the two aforementioned reflexes;
b. controllarne la risposta sia come intensità che come tempo di durata. b. check the response both in terms of intensity and duration.
Metodo di stimolazione dei riflessi: Reflex stimulation method:
Nella pratica odontoiatrica l’obiettivo è quello (attraverso bite o riabilitazioni protesiche fisse, mobili o rimovibili) di regolarizzare la scarica trigeminale attraverso un corretto rapporto dentale. Pertanto l’obiettivo dei bite deve ripristinare il normale rapporto dentale, quindi anche la normale lunghezza dei muscoli. Quando invece è presente contrattura dei muscoli, del cavo orale e/o di quelli a distanza, oppure vogliamo indurre le modifiche descritte come riflesso trigemino cardiaco, abbiamo ideato questa metodica di estensione dei muscoli della mandibola (stretching). È noto che i fusi neuromuscolari hanno una scarica di base, che si riduce quando i fusi si accorciano (contrattura muscolare) e che aumenta quando i muscoli si allungano (stretching mandibolare). L’allungamento dei muscoli della mandibola corrisponde all'allungamento dei fusi neuromuscolari (che decorrono in parallelo) neuromuscolari stirati. Abbiamo utilizzato ‘la molla’ per un tempo breve e abbiamo riempito il palloncino con un materiale biocompatibile (es. resine, siliconi alimentari, ecc.). In dental practice, the goal is (through bite or fixed, mobile or removable prosthetic rehabilitations) to regularize the trigeminal discharge through a correct dental relationship. Therefore, the goal of the bites must restore the normal dental relationship, therefore also the normal length of the muscles. When, on the other hand, there is contracture of the muscles, of the oral cavity and / or of those at a distance, or we want to induce the changes described as cardiac trigeminal reflex, we have devised this method of extension of the jaw muscles (stretching). Neuromuscular spindles are known to have a basic discharge, which is reduced as the spindles shorten (muscle contracture) and which increases as the muscles lengthen (mandibular stretching). The elongation of the jaw muscles corresponds to the elongation of the neuromuscular spindles (which run in parallel) neuromuscular spindles. We used 'the spring' for a short time and filled the balloon with a biocompatible material (eg resins, food silicones, etc.).
Riflesso trigemino cardiaco. Cardiac trigeminal reflex.
Kratschmer F nel 1870 vide che con la stimolazione della mucosa nasale (ad es. con acqua fredda) si aveva riduzione: Kratschmer F in 1870 saw that with the stimulation of the nasal mucosa (e.g. with cold water) there was a reduction:
1. della frequenza del respiro (bradipnea); 1. the rate of breathing (bradypnea);
2. della frequenza del battito cardiaco 2. heart rate
3. della pressione sanguigna 3. blood pressure
Successivamente studiando i meccanismi vide che questo effetto era interrotto dall’anestesia o da lesione del trigemino. A questo evento venne dato il nome “riflesso trigemino-cardiaco”. Ce ne siamo dimenticati fino all'avvento della chirurgia maxillo facciale delle zone innervate dal trigemino (in qualsiasi sede di questo nervo cranico) in cui la bradicardia diviene un fatto importante dato che talvolta arriva aH'asistolia. (2) Normalmente questo riflesso riduce la pressione del sangue del 20% e la frequenza, del battito cardiaco sotto i 60 battiti al minuto (bradicardia). Quando la frequenza riduce oltre un certo valore si interrompe l’Intervento e si normalizza immediatam' (3) Si è visto che l’attivazione di questo riflesso avviene per stimolazione a tutti i livelli del trigemino e che all'interruzione dell’intervento chirurgico il riflesso scompare immediatamente. (2) (3) Successivamente si è evidenziato che nel riflesso trigemino cardiaco si ha anche una vasodilatazione con aumento della quantità di sangue al distretto cerebrovascolare. Tale fenomeno è spiegato come strategia neuro protettiva endogena. (4) Anche una ipermobilità gastrica è descritta in tale riflesso. (4) Later, studying the mechanisms, he saw that this effect was interrupted by anesthesia or trigeminal injury. This event was given the name "trigeminal-cardiac reflex". We forgot about it until the advent of maxillofacial surgery of the areas innervated by the trigeminal nerve (in any location of this cranial nerve) in which bradycardia becomes an important fact given that sometimes it reaches asystole. (2) Normally this reflex reduces blood pressure by 20% and heart rate below 60 beats per minute (bradycardia). When the frequency decreases beyond a certain value, the intervention is interrupted and normalizes immediately (3). reflex disappears immediately. (2) (3) Subsequently it was shown that in the cardiac trigeminal reflex there is also a vasodilation with an increase in the quantity of blood to the cerebrovascular district. This phenomenon is explained as an endogenous neuro-protective strategy. (4) Gastric hypermobility is also described in this reflex. (4)
I generatori di tale riflesso sono stati spiegati con i rapporti che il nucleo sensitivo mesencefalo contrae con la sostanza reticolare e che questa contrae con il nucleo motore del vago (4). Le domande che ci siamo posti sono: The generators of this reflex have been explained by the relationships that the midbrain sensory nucleus contracts with the reticular substance and that this contracts with the motor nucleus of the vagus (4). The questions we asked ourselves are:
1. È possibile indurre, modulare ed utilizzare a scopo terapeutico iì riflesso trigemino-cardiaco (bradipnea, FC, riduzione della pressione, ecc..) in maniera non invasiva senza ricorrere alla chirurgia -facciale? 1. Is it possible to induce, modulate and use for therapeutic purposes the trigeminal-cardiac reflex (bradypnea, HR, pressure reduction, etc.) in a non-invasive way without resorting to facial surgery?
2. Queste modifiche indotte in modo non invasivo possono avere modifiche permanenti? 2. Can these non-invasively induced changes have permanent changes?
Abbiamo utilizzato il dispositivo descrìtto nella presente invenzione per un tempo adeguato ed abbiamo registrato con uno sfigmomanometro elettronico le modifiche indotte nella frequenza e nella pressione cardiaca. Con nostra sorpresa l’utilizzo del dispositivo attiva il riflesso trigemino cardiaco (il più potente riflesso vagale del vertebrato) e tali modifiche permangono per un tempo sufficientemente lungo. Dato che in bibliografia è We used the device described in the present invention for an adequate time and recorded with an electronic sphygmomanometer the changes induced in heart rate and pressure. To our surprise, the use of the device activates the cardiac trigeminal reflex (the most powerful vagal reflex in the vertebrate) and these changes persist for a sufficiently long time. Since in the bibliography it is
descritta anche una vasodilatazione cerebrale (aumento dì perfusione endocranica) abbiamo utilizzato il suddetto dispositivo (in maniera ripetuta) e misurato la capacità mnemonica. Ai test di ripetizione dei fonemi (batterìe di sillabe es. tac, tic, sic, mie, ecc), come normalmente si usa in neurofisiologia, abbiamo notato un aumento delle prestazioni mnemoniche in quei soggetti a cui era stata applicata ripetutamente lo stretching. also described a cerebral vasodilation (increase in intracranial perfusion) we used the aforementioned device (repeatedly) and measured the memory capacity. In the phoneme repetition tests (syllable beats eg tac, tic, sic, mie, etc.), as is normally used in neurophysiology, we noticed an increase in memory performance in those subjects to whom stretching had been repeatedly applied.
Riflesso trigemino inibitore del tono muscolare. Muscle tone inhibitor trigeminal reflex.
È noto a tutti che lo stretching ha benefici effetti sul dolore muscolo scheletrico, affermazione andrebbe approfondita per la comprensione dei meccanismi con cui tale fenomeno accade. Nel caso di dolore in una sede è frequente l’utilizzo di tecniche di medicina manuale, ma non sono sufficientemente indagati ne i meccanismi d’azione ne eventuali riflessi a distanza. Normalmente in odontoiatrìa effettuiamo metodiche di stretching mandibolare come la manovra di Dowson. Quando tali manovre venivano applicate per un tempo più prolungato, i pazienti riferivano riduzione e/o scomparsa di molti dolori muscoio scheletrici in zone poste anche a distanza dal cavo orale. In seguito a tale osservazione abbiamo utilizzatola metodica descritta nella presente invenzione per effettuare in maniera semplice uno stretching del cavo orale . Per una misurazione di questo fenomeno abbiamo usato un elettromiografo di superficie monitorando muscoli della bocca e muscoli distanti per un tempo prolungato. Abbiamo registrato una riduzione dell’attività elettromiografia per un tempo assai lungo. A tale fenomeno non descritto in letteratura abbiamo dato il nome di “riflesso trigemino inibitore del tono muscolare". It is known to all that stretching has beneficial effects on musculoskeletal pain, this claim should be deepened to understand the mechanisms by which this phenomenon occurs. In the case of pain in one site, the use of manual medicine techniques is frequent, but neither the mechanisms of action nor any distant reflexes are sufficiently investigated. Normally in dentistry we perform mandibular stretching methods such as the Dowson maneuver. When these maneuvers were applied for a longer time, the patients reported reduction and / or disappearance of many musculoskeletal pains in areas located even at a distance from the oral cavity. Following this observation, we have used the method described in the present invention to perform stretching of the oral cavity in a simple way. For a measurement of this phenomenon we used a surface electromyograph monitoring mouth muscles and distant muscles for an extended time. We recorded a reduction in electromyography activity for a very long time. We have given this phenomenon, not described in the literature, the name of “trigeminal reflex inhibiting muscle tone”.
1. KratschmerF. Uber Reflexe von der Nasenschleimhaut auf Athmung und Kreisiauf. Sber Akad Wis Wien 1870; 62: 147-70. 1. KratschmerF. Uber Reflexe von der Nasenschleimhaut auf Athmung und Kreisiauf. Sber Akad Wis Wien 1870; 62: 147-70.
2. Arasho B, Sandu N, Spiriev T, Prabhakar H. Schaller B. Management of thè trìgeminocardiac reflex: facts and own experience. Neuroi India. 2009 Jul-Aug;57(4) 3. Koerbei A, Gharabaghi A, Samii A, Gerganov V, von Gosseln H, Tatagiba M, Samii M . Trìgeminocardiac reflex during skull base surgery: mechanism and management. Acta Neurochir (Wien). 2005 Jul;147(7):727-32; discussion 732-3. Epub 2005 May 13. 2. Arasho B, Sandu N, Spiriev T, Prabhakar H. Schaller B. Management of the trìgeminocardiac reflex: facts and own experience. Neuroi India. 2009 Jul-Aug; 57 (4) 3. Koerbei A, Gharabaghi A, Samii A, Gerganov V, von Gosseln H, Tatagiba M, Samii M. Trìgeminocardiac reflex during skull base surgery: mechanism and management. Acta Neurochir (Wien). 2005 Jul; 147 (7): 727-32; discussion 732-3. Epub 2005 May 13.
4. Schaller B. Trìgeminocardiac reflex. A dinical phenomenon or a new physiological entity? J Neuroi. 2004 Jun;251(6). 4. Schaller B. Trìgeminocardiac reflex. A dinical phenomenon or a new physiological entity? J Neuroi. 2004 Jun; 251 (6).
Claims (1)
Priority Applications (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
ITPI20100023 ITPI20100023A1 (en) | 2010-03-05 | 2010-03-05 | WE HAVE MADE A MANDIBULAR "STRECHING" METHOD, THROUGH THE USE OF A STRECHING SPRING AND A RESIN CONTAINER, OR OTHER BIO-COMPATIBLE MATERIAL, FOR PACKAGING A STRETCHING BITE. WITH THIS METHOD WE ARE ABLE TO D |
EP11729156A EP2542202A2 (en) | 2010-03-05 | 2011-03-07 | Device for cyclical extension of the jaw |
PCT/IB2011/000492 WO2011107875A2 (en) | 2010-03-05 | 2011-03-07 | Device for treating or preventing cerebral diseases, arterial hypertension, cerebral stroke, neurodegenerative diseases. |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
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ITPI20100023 ITPI20100023A1 (en) | 2010-03-05 | 2010-03-05 | WE HAVE MADE A MANDIBULAR "STRECHING" METHOD, THROUGH THE USE OF A STRECHING SPRING AND A RESIN CONTAINER, OR OTHER BIO-COMPATIBLE MATERIAL, FOR PACKAGING A STRETCHING BITE. WITH THIS METHOD WE ARE ABLE TO D |
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ITPI20100023A1 true ITPI20100023A1 (en) | 2011-09-06 |
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ITPI20100023 ITPI20100023A1 (en) | 2010-03-05 | 2010-03-05 | WE HAVE MADE A MANDIBULAR "STRECHING" METHOD, THROUGH THE USE OF A STRECHING SPRING AND A RESIN CONTAINER, OR OTHER BIO-COMPATIBLE MATERIAL, FOR PACKAGING A STRETCHING BITE. WITH THIS METHOD WE ARE ABLE TO D |
Country Status (3)
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EP (1) | EP2542202A2 (en) |
IT (1) | ITPI20100023A1 (en) |
WO (1) | WO2011107875A2 (en) |
Family Cites Families (12)
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FR2183329A5 (en) * | 1972-05-03 | 1973-12-14 | Restivo Aurelio | |
US3813096A (en) * | 1973-02-21 | 1974-05-28 | R Welch | Elastic facial exerciser |
US4280696A (en) * | 1979-05-25 | 1981-07-28 | Yoav Ramon | Jaw and facial muscle exerciser |
GB2260500A (en) * | 1991-10-14 | 1993-04-21 | Ernest Brian Draper | Facial exerciser |
US5527351A (en) | 1994-09-21 | 1996-06-18 | Friedman; Mark H. | Treatment of vascular and tension headache atypical facial pain allergic rhinitis and cervical muscle hyperactivity |
US5746703A (en) * | 1996-08-26 | 1998-05-05 | Levatino; Samuel R. | Temporomandibular rehabilitator |
DE20115178U1 (en) * | 2001-09-14 | 2002-03-14 | Beier Remo | Facial muscle trainer |
US20030088158A1 (en) * | 2001-11-05 | 2003-05-08 | Kuo-Feng Chien | Expander for the oral cavity's rehabilitation |
DE102004016286A1 (en) * | 2004-04-02 | 2005-10-20 | Remo Beier | Face muscle trainer or U-clamp (sic) consisting of a part with two arms and an axis, strengthened with a Bi-metal spring useful for training face muscles |
US7238145B2 (en) * | 2005-08-09 | 2007-07-03 | Wisconsin Alumni Research Foundation | Oral-lever resistance exercise device |
CA2599491A1 (en) * | 2007-08-29 | 2009-02-28 | Alfred Pfennig | Therapeutic device for buccal exercise to relax the muscles of the jaw, head, nape and neck |
US20110022126A1 (en) | 2009-07-25 | 2011-01-27 | Stephen Taylor | Trigeminal Nerve Stimulation Systems and Methods of Use |
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2010
- 2010-03-05 IT ITPI20100023 patent/ITPI20100023A1/en unknown
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2011
- 2011-03-07 EP EP11729156A patent/EP2542202A2/en not_active Withdrawn
- 2011-03-07 WO PCT/IB2011/000492 patent/WO2011107875A2/en active Application Filing
Also Published As
Publication number | Publication date |
---|---|
EP2542202A2 (en) | 2013-01-09 |
WO2011107875A3 (en) | 2011-12-01 |
WO2011107875A2 (en) | 2011-09-09 |
WO2011107875A8 (en) | 2012-11-22 |
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