JP2022501077A - 解除可能な口蓋拡張器 - Google Patents
解除可能な口蓋拡張器 Download PDFInfo
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C7/00—Orthodontics, i.e. obtaining or maintaining the desired position of teeth, e.g. by straightening, evening, regulating, separating, or by correcting malocclusions
- A61C7/10—Devices having means to apply outwardly directed force, e.g. expanders
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C7/00—Orthodontics, i.e. obtaining or maintaining the desired position of teeth, e.g. by straightening, evening, regulating, separating, or by correcting malocclusions
- A61C7/002—Orthodontic computer assisted systems
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C7/00—Orthodontics, i.e. obtaining or maintaining the desired position of teeth, e.g. by straightening, evening, regulating, separating, or by correcting malocclusions
- A61C7/02—Tools for manipulating or working with an orthodontic appliance
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C7/00—Orthodontics, i.e. obtaining or maintaining the desired position of teeth, e.g. by straightening, evening, regulating, separating, or by correcting malocclusions
- A61C7/02—Tools for manipulating or working with an orthodontic appliance
- A61C7/023—Tools for manipulating or working with an orthodontic appliance for debonding or removing orthodontic devices
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C7/00—Orthodontics, i.e. obtaining or maintaining the desired position of teeth, e.g. by straightening, evening, regulating, separating, or by correcting malocclusions
- A61C7/08—Mouthpiece-type retainers or positioners, e.g. for both the lower and upper arch
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- Oral & Maxillofacial Surgery (AREA)
- Dentistry (AREA)
- Epidemiology (AREA)
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- Dental Tools And Instruments Or Auxiliary Dental Instruments (AREA)
Abstract
Description
本特許出願は、「解除可能な口蓋拡張器」の名称で2018年4月11日に出願された米国仮特許出願第62/656,289号と、「解除可能な口蓋拡張器」の名称で2018年9月24日に出願された米国仮特許出願第62/735,658号の優先権を主張し、参照によりその各々が全体として本願に援用される。
本明細書に言及されるすべての公報及び特許出願は、各個別の公報又は特許出願が具体的かつ個別的に参照により援用されると記される場合と同じ程度に、その全体が参照によりここに援用される。
103,103’ 歯牙嵌合領域
105 口蓋領域
107 装着領域
108 凹状底面
150 口蓋拡張器
153 口蓋横断領域
154 咬合面
163 口蓋拡張器の正中線
167 破断領域
251 装着テンプレート
258 上方口蓋拡張器
259 中間口蓋拡張器
260 最終口蓋拡張器
261 受動的ホルダ
267,267’,267” 破断領域
301,303 溝部
302,304 装着具
305,307 装着具結合領域
306,308 ラッチ
311,313 解除制御部
315,317 本体部分
401,403 フック
402,404 タブ
415 口蓋拡張器
420 解除制御部
422 突出制御部
423 縁部
424 可撓性アーチ
425 口蓋拡張器
428 留置部
430 装着窓部
432 可撓性アーム
435 留置部
437 患者の歯牙
438 口蓋拡張器
442 タブ
455 切除領域
457 口蓋拡張器
466 歯牙
467,467’,467”,467”’,467”” 破断領域
471 咬合側
480,480’,480”,480”’ 引張力
497 咬合部分
498 装着部分
499 頬側
501 口蓋拡張器
502 可撓性領域
503 フック
505,507 装着具
551,552 装着具
602,604 可撓性突部
606 ボール/スナップ
608 可撓性領域
610,612 装着具
616 空洞/開口
620,622 アーム/突起
621 口蓋拡張器
623 開口/溝部
630 解除制御部
632 留置部
636 口蓋拡張器
638 装着具
640 歯牙
701 付勢ピン
703 バネ
705 シリンダ
707 内側ロッド
751 除去タブ
752 装着具
753,753’ スリット
759 延出部
761 歯肉線
767 破断領域
780 ギャップ(図6B)
788,788’ 脱着領域
798 装着領域
801,803 ネジ付きナット
807 歯牙
844 除去工具
851,851’,851” 脱着領域
853 引張力
857 口蓋拡張器
898,898’ 嵌合領域
1003 リング
1009 外側領域
1011 指
1013 支点
1066 脱着領域
1103 フック状遠位端領域
1107 湾曲部
1205 フック状遠位端部分
1206 長形支持アーム
1207 第2支持アーム
1213 支点領域
1219 制御部
1266 脱着領域
1305 嵌合領域
1311 支点領域
1318 ハンドル部分
1405 フック
1411 支点領域
1418 ハンドル部分
1453 ねじり
1455,1455’ フック端部分
1457 カンチレバー部分
1504 除去工具
1507 端部
1509 把持領域
1705,1705’ 嵌合領域
1706,1706’ ハンドル
1709 口蓋拡張器
1805,1805’ 遠位嵌合端部
2100 装置
2200 装具
2203 爪
2205 装着具
〔付記1〕
口蓋拡張器具であって、
前方から後方に各々が延在して患者の歯牙に装用されるように構成される一対の歯牙嵌合領域であって、咬合側と頬側とを各々が包含する歯牙嵌合領域と、
前記一対の歯牙嵌合領域を接続する口蓋領域であって、前記患者により器具が装用された時に前記一対の歯牙嵌合領域の間に横力を印加するように構成される口蓋領域と、
前方から後方に延在する破断領域であって、前記一対の歯牙嵌合領域のいずれか又は両方の前記頬側に引張力が印加された時に予測可能に屈曲又は損壊するように構成される破断領域と、
を包含する器具。
〔付記2〕
前記破断領域のいずれかの側に隣接する領域の機械的強度より低い機械的強度を前記破断領域が有する、付記1に記載の器具。
〔付記3〕
前記破断領域が穿孔領域を包含する、付記1に記載の器具。
〔付記4〕
前記破断領域が折り目又は溝部を包含する、付記1に記載の器具。
〔付記5〕
口蓋拡張器シェル器具内で前記破断領域が一つ以上の空隙を包含する、付記1に記載の器具。
〔付記6〕
前記破断領域がヒンジを包含する、付記1に記載の器具。
〔付記7〕
前記一対の歯牙嵌合領域の一方の前記咬合側に前記破断領域が延在する、付記1に記載の器具。
〔付記8〕
所定値より大きい引張力が前記一対の歯牙嵌合領域の一方の前記頬側へ横外向き方向に印加された時に損壊するように前記破断領域が構成される、付記1に記載の器具。
〔付記9〕
前記所定値が10Nである、付記8に記載の器具。
〔付記10〕
前記所定値が5Nと100Nの間である、付記8に記載の器具。
〔付記11〕
所定値より大きい引張力が前記一対の歯牙嵌合領域の一方の前記頬側へ横外向き方向に印加された時にヒンジ式に屈曲するように前記破断領域が構成される、付記1に記載の器具。
〔付記12〕
前記所定値が10Nである、付記11に記載の器具。
〔付記13〕
前記所定値が5Nと100Nの間である、付記11に記載の装置。
〔付記14〕
前記破断領域が可視ではない、付記1に記載の器具。
〔付記15〕
前記破断領域が口蓋拡張シェル器具の前方端部から口蓋拡張シェル器具の後方端部まで延在する、付記1に記載の器具。
〔付記16〕
前記患者の歯牙に接合された装着具に結合されるように各々が構成される複数の装着領域を更に包含する、付記1に記載の器具。
〔付記17〕
前記破断領域が前後軸線に沿って前記装着領域のうち一つ以上に隣接して延在する、付記16に記載の器具。
〔付記18〕
前記引張力を受け取るように構成される前記一対の一対の歯牙嵌合領域の少なくとも一方の前記頬側に脱着領域を更に包含する、付記1に記載の器具。
〔付記19〕
前記脱着領域が、前記頬側の下縁部に、又は下縁部に隣接して、スロット、レッジ、ノッチ、リップ、又はギャップのうち一つ以上を包含する、付記18に記載の器具。
〔付記20〕
前記頬側の底部から前記破断領域に向かって延在する複数の垂直スロット又はスリットを更に包含する、付記1に記載の器具。
〔付記21〕
口蓋拡張器具であって、
前方から後方に各々が延在して、患者の歯牙に装用されるように構成される一対の歯牙嵌合領域であって、咬合側と頬側とを各々が包含する歯牙嵌合領域と、
前記一対の歯牙嵌合領域を接続する口蓋領域であって、器具が前記患者に装用された時に前記一対の歯牙嵌合領域の間に横力を印加するように構成される口蓋領域と、
前方から後方に延在する破断領域であって、横外向き成分を有する引張力が前記一対の歯牙嵌合領域のいずれか又は両方の前記頬側に印加された時に破断領域が予測可能に屈曲又は損壊するように破断領域のいずれかの側に隣接する領域の機械的強度より低い機械的強度を有する破断領域と、
を包含する器具。
〔付記22〕
口蓋拡張器であって、
凸面幾何学形状を有する口蓋面であって、口蓋拡張器が患者の口蓋へ挿入された時に前記患者の前記口蓋と係合すると口蓋力を加えるように前記凸面幾何学形状が構成される、口蓋面と、
前記口蓋面と反対の舌面であって、口蓋拡張器が前記口蓋へ挿入された時に前記患者の舌と口蓋拡張器との間にギャップを設けるように構成される凹面幾何学形状を有する舌面と、
前記口蓋面と前記舌面の少なくとも一部分を囲繞する複数の側壁であって、口蓋拡張器が前記口蓋へ挿入された時に前記口蓋と前記患者の歯牙の舌領域のうち一つ以上に側壁力を加えるように構成される複数の側壁であり、除去力を受け取る少なくとも一つの除去構造を有する複数の側壁と、
前記除去構造への除去力の印加を受けた本体の実質的な第1変形に対応する第1変形基準を有する本体と、
前記除去構造への前記除去力の印加を受けた前記一つ以上の破断領域の実質的な第2変形に対応する第2変形基準を有する一つ以上の破断領域であって、前記第2変形基準が前記第1変形基準より大きい、一つ以上の破断領域と、
を包含する口蓋拡張器。
〔付記23〕
口蓋拡張器を形成する方法であって、
口蓋面の仮想表現を収集することであって、前記口蓋面が凸面幾何学形状を有し、口蓋拡張器が患者の口蓋へ挿入された時に前記患者の前記口蓋と係合すると口蓋力を加えるように前記突面幾何学形状が構成されることと、
前記口蓋面と反対の舌面の仮想表現を収集することであって、口蓋拡張器が前記口蓋へ挿入された時に前記患者の舌と口蓋拡張器との間にギャップを設けるように構成される凹面幾何学形状を前記舌面が有することと、
前記口蓋面と前記舌面の少なくとも一部分を囲繞する複数の側壁の仮想表現を収集することであって、口蓋拡張器が前記口蓋へ挿入された時に前記口蓋と前記患者の歯牙の舌領域のうち一つ以上に側壁力を加えるように前記複数の側壁が構成され、除去力を受け取る少なくとも一つの除去構造を前記複数の側壁が有することと、
本体の仮想表現を収集することであって、前記除去構造への除去力の印加を受けた前記本体の実質的な第1変形に対応する第1変形基準を前記本体が有することと、
一つ以上の破断領域の仮想表現を収集することであって、前記除去構造への前記除去力の印加を受けた前記一つ以上の破断領域の実質的な第2変形に対応する第2変形基準を前記一つ以上の破断領域が有して、前記第2変形基準が前記第1変形基準より大きいことと、
口蓋面の前記仮想表現と、舌面の前記仮想表現と、前記複数の側壁の前記仮想表現と、前記本体の前記仮想表現と、前記一つ以上の破断領域の前記仮想表現とを使用して口蓋拡張器を製造する指示を提供することと、
を包含する方法。
〔付記24〕
口蓋拡張器であって、
凸面幾何学形状を有する口蓋面であって、口蓋拡張器が患者の口蓋へ挿入された時に前記患者の前記口蓋と係合すると口蓋力を加えるように前記凸面幾何学形状が構成される、口蓋面と、
前記口蓋面と反対の舌面であって、口蓋拡張器が前記口蓋へ挿入された時に前記患者の舌と口蓋拡張器との間にギャップを設けるように構成される凹面幾何学形状を有する舌面と、
前記口蓋面と前記舌面の少なくとも一部分を囲繞する複数の側壁であって、口蓋拡張器が前記口蓋へ挿入された時に前記口蓋と前記患者の歯牙の舌領域のうち一つ以上に側壁力を加えるように構成される複数の側壁であり、除去力を受け取る少なくとも一つの除去構造を有する複数の側壁と、
前記除去構造への除去力の印加を受けた前記本体の実質的な第1変形に対応する第1変形基準を有する本体と、
前記除去力を受けて口蓋拡張器の一部分を破断する為の一つ以上の手段であって、前記除去構造への前記除去力の印加を受けた前記一つ以上の破断領域の実質的な第2変形に対応する第2変形基準を有する、口蓋拡張器の前記部分を破断させる為の一つ以上の手段であり、前記第2変形基準が前記第1変形基準より大きい、一つ以上の手段と、
を包含する口蓋拡張器。
〔付記25〕
口蓋拡張器であって、
凸面幾何学形状を有する口蓋面であって、口蓋拡張器が患者の口蓋へ挿入された時に前記患者の前記口蓋と係合するように前記凸面幾何学形状が構成される、口蓋面と、
前記口蓋面と反対の舌面であって、口蓋拡張器が前記口蓋へ挿入された時に前記患者の舌と口蓋拡張器との間にギャップを設けるように構成される凹面幾何学形状を有する舌面と、
前記口蓋面と前記舌面の少なくとも一部分を囲繞する複数の側壁であって、口蓋拡張器が前記口蓋へ挿入された時に前記口蓋と前記患者の歯牙の舌領域のうち一つ以上に側壁力を加えるように構成される複数の側壁であり、除去力を受け取る少なくとも一つの除去構造を有する複数の側壁と、
前記除去力に基づく対向力を前記口蓋力と前記側壁力のうち一つ以上と対向する方向に向けることにより、前記対向力が前記口蓋力と前記側壁力との組み合わせより大きい時に前記口蓋からの口蓋拡張器の口蓋拡張器の除去を行うように構成される一つ以上の除去受容構造と、
を包含する口蓋拡張器。
〔付記26〕
患者の口蓋を拡張する為の口蓋拡張システムであって、
第1歯牙嵌合領域と、第2歯牙嵌合領域と、前記第1及び第2歯牙嵌合領域を接続して、前記第1歯牙嵌合領域と前記第2歯牙嵌合領域との間に横力を印加するように構成される口蓋領域とを包含する口蓋拡張器と、
前記第1歯牙嵌合領域の頬側の第1装着具結合領域と、
前記第1歯牙嵌合領域の前記頬側の第1係止具であって、前記第1装着具結合領域へ延出して前記第1装着具結合領域内の第1装着具の留置部と嵌合し、第1係止具が解除されるまで口蓋拡張器を前記患者の歯牙に係止するように構成される第1解除制御部を包含する第1係止具と、
前記第2歯牙嵌合領域の頬側の第2装着具結合領域と、
前記第2歯牙嵌合領域の前記頬側の第2係止具であって、前記第2装着具結合領域へ延出して前記第2装着具結合領域内の第2装着具の留置部と嵌合し、口蓋拡張器を前記患者の歯牙に係止するように構成される第2解除制御部を包含する第2係止具と、
を包含するシステム。
〔付記27〕
患者の口蓋を拡張する為の口蓋拡張システムであって、
口蓋拡張器であり、
第1歯牙嵌合領域と、第2歯牙嵌合領域と、前記第1及び第2歯牙嵌合領域を接続して前記第1歯牙嵌合領域と前記第2歯牙嵌合領域との間に横力を印加するように構成される口蓋領域と、
前記第1歯牙嵌合領域と前記第2歯牙嵌合領域の頬側の複数の装着具結合領域と、
前記第1歯牙嵌合領域と前記第2歯牙嵌合領域の前記頬側の複数の係止具であって、前記複数の装着具結合領域のうちの装着具結合領域へ前記解除制御部が延出する係止構成と、前記解除制御部が前記装着具結合領域から後退する非係止構成とを有する解除制御部を各係止具が包含する、複数の係止具と、
を包含する口蓋拡張器と、
複数の装着具であり、前記係止構成の前記解除制御部と嵌合して口蓋拡張器を前記患者の歯牙に係止するように構成される留置部を各装着具が包含する、複数の装着具と、
を包含するシステム。
〔付記28〕
患者の口蓋を拡張する為の口蓋拡張システムであって、
口蓋拡張器であり、
第1歯牙嵌合領域と、第2歯牙嵌合領域と、前記第1及び第2歯牙嵌合領域を接続して前記第1歯牙嵌合領域と前記第2歯牙嵌合領域との間に横力を印加するように構成される口蓋領域と、
前記第1歯牙嵌合領域と前記第2歯牙嵌合領域の頬側の複数の装着具結合領域と、
複数の係止具であって、前記複数の装着具結合領域のうちの各装着具結合領域が複数の係止具のうちの係止具と関連しており、更に前記装着具結合領域内の装着具と嵌合して口蓋拡張器を前記患者の歯牙に係止するように各係止具が構成される、複数の係止具と、
を包含する口蓋拡張器、
を包含するシステム。
Claims (28)
- 口蓋拡張器具であって、
前方から後方に各々が延在して患者の歯牙に装用されるように構成される一対の歯牙嵌合領域であって、咬合側と頬側とを各々が包含する歯牙嵌合領域と、
前記一対の歯牙嵌合領域を接続する口蓋領域であって、前記患者により器具が装用された時に前記一対の歯牙嵌合領域の間に横力を印加するように構成される口蓋領域と、
前方から後方に延在する破断領域であって、前記一対の歯牙嵌合領域のいずれか又は両方の前記頬側に引張力が印加された時に予測可能に屈曲又は損壊するように構成される破断領域と、
を包含する器具。 - 前記破断領域のいずれかの側に隣接する領域の機械的強度より低い機械的強度を前記破断領域が有する、請求項1に記載の器具。
- 前記破断領域が穿孔領域を包含する、請求項1に記載の器具。
- 前記破断領域が折り目又は溝部を包含する、請求項1に記載の器具。
- 口蓋拡張器シェル器具内で前記破断領域が一つ以上の空隙を包含する、請求項1に記載の器具。
- 前記破断領域がヒンジを包含する、請求項1に記載の器具。
- 前記一対の歯牙嵌合領域の一方の前記咬合側に前記破断領域が延在する、請求項1に記載の器具。
- 所定値より大きい引張力が前記一対の歯牙嵌合領域の一方の前記頬側へ横外向き方向に印加された時に損壊するように前記破断領域が構成される、請求項1に記載の器具。
- 前記所定値が10Nである、請求項8に記載の器具。
- 前記所定値が5Nと100Nの間である、請求項8に記載の器具。
- 所定値より大きい引張力が前記一対の歯牙嵌合領域の一方の前記頬側へ横外向き方向に印加された時にヒンジ式に屈曲するように前記破断領域が構成される、請求項1に記載の器具。
- 前記所定値が10Nである、請求項11に記載の器具。
- 前記所定値が5Nと100Nの間である、請求項11に記載の装置。
- 前記破断領域が可視ではない、請求項1に記載の器具。
- 前記破断領域が口蓋拡張シェル器具の前方端部から口蓋拡張シェル器具の後方端部まで延在する、請求項1に記載の器具。
- 前記患者の歯牙に接合された装着具に結合されるように各々が構成される複数の装着領域を更に包含する、請求項1に記載の器具。
- 前記破断領域が前後軸線に沿って前記装着領域のうち一つ以上に隣接して延在する、請求項16に記載の器具。
- 前記引張力を受け取るように構成される前記一対の一対の歯牙嵌合領域の少なくとも一方の前記頬側に脱着領域を更に包含する、請求項1に記載の器具。
- 前記脱着領域が、前記頬側の下縁部に、又は下縁部に隣接して、スロット、レッジ、ノッチ、リップ、又はギャップのうち一つ以上を包含する、請求項18に記載の器具。
- 前記頬側の底部から前記破断領域に向かって延在する複数の垂直スロット又はスリットを更に包含する、請求項1に記載の器具。
- 口蓋拡張器具であって、
前方から後方に各々が延在して、患者の歯牙に装用されるように構成される一対の歯牙嵌合領域であって、咬合側と頬側とを各々が包含する歯牙嵌合領域と、
前記一対の歯牙嵌合領域を接続する口蓋領域であって、器具が前記患者に装用された時に前記一対の歯牙嵌合領域の間に横力を印加するように構成される口蓋領域と、
前方から後方に延在する破断領域であって、横外向き成分を有する引張力が前記一対の歯牙嵌合領域のいずれか又は両方の前記頬側に印加された時に破断領域が予測可能に屈曲又は損壊するように破断領域のいずれかの側に隣接する領域の機械的強度より低い機械的強度を有する破断領域と、
を包含する器具。 - 口蓋拡張器であって、
凸面幾何学形状を有する口蓋面であって、口蓋拡張器が患者の口蓋へ挿入された時に前記患者の前記口蓋と係合すると口蓋力を加えるように前記凸面幾何学形状が構成される、口蓋面と、
前記口蓋面と反対の舌面であって、口蓋拡張器が前記口蓋へ挿入された時に前記患者の舌と口蓋拡張器との間にギャップを設けるように構成される凹面幾何学形状を有する舌面と、
前記口蓋面と前記舌面の少なくとも一部分を囲繞する複数の側壁であって、口蓋拡張器が前記口蓋へ挿入された時に前記口蓋と前記患者の歯牙の舌領域のうち一つ以上に側壁力を加えるように構成される複数の側壁であり、除去力を受け取る少なくとも一つの除去構造を有する複数の側壁と、
前記除去構造への除去力の印加を受けた本体の実質的な第1変形に対応する第1変形基準を有する本体と、
前記除去構造への前記除去力の印加を受けた前記一つ以上の破断領域の実質的な第2変形に対応する第2変形基準を有する一つ以上の破断領域であって、前記第2変形基準が前記第1変形基準より大きい、一つ以上の破断領域と、
を包含する口蓋拡張器。 - 口蓋拡張器を形成する方法であって、
口蓋面の仮想表現を収集することであって、前記口蓋面が凸面幾何学形状を有し、口蓋拡張器が患者の口蓋へ挿入された時に前記患者の前記口蓋と係合すると口蓋力を加えるように前記突面幾何学形状が構成されることと、
前記口蓋面と反対の舌面の仮想表現を収集することであって、口蓋拡張器が前記口蓋へ挿入された時に前記患者の舌と口蓋拡張器との間にギャップを設けるように構成される凹面幾何学形状を前記舌面が有することと、
前記口蓋面と前記舌面の少なくとも一部分を囲繞する複数の側壁の仮想表現を収集することであって、口蓋拡張器が前記口蓋へ挿入された時に前記口蓋と前記患者の歯牙の舌領域のうち一つ以上に側壁力を加えるように前記複数の側壁が構成され、除去力を受け取る少なくとも一つの除去構造を前記複数の側壁が有することと、
本体の仮想表現を収集することであって、前記除去構造への除去力の印加を受けた前記本体の実質的な第1変形に対応する第1変形基準を前記本体が有することと、
一つ以上の破断領域の仮想表現を収集することであって、前記除去構造への前記除去力の印加を受けた前記一つ以上の破断領域の実質的な第2変形に対応する第2変形基準を前記一つ以上の破断領域が有して、前記第2変形基準が前記第1変形基準より大きいことと、
口蓋面の前記仮想表現と、舌面の前記仮想表現と、前記複数の側壁の前記仮想表現と、前記本体の前記仮想表現と、前記一つ以上の破断領域の前記仮想表現とを使用して口蓋拡張器を製造する指示を提供することと、
を包含する方法。 - 口蓋拡張器であって、
凸面幾何学形状を有する口蓋面であって、口蓋拡張器が患者の口蓋へ挿入された時に前記患者の前記口蓋と係合すると口蓋力を加えるように前記凸面幾何学形状が構成される、口蓋面と、
前記口蓋面と反対の舌面であって、口蓋拡張器が前記口蓋へ挿入された時に前記患者の舌と口蓋拡張器との間にギャップを設けるように構成される凹面幾何学形状を有する舌面と、
前記口蓋面と前記舌面の少なくとも一部分を囲繞する複数の側壁であって、口蓋拡張器が前記口蓋へ挿入された時に前記口蓋と前記患者の歯牙の舌領域のうち一つ以上に側壁力を加えるように構成される複数の側壁であり、除去力を受け取る少なくとも一つの除去構造を有する複数の側壁と、
前記除去構造への除去力の印加を受けた前記本体の実質的な第1変形に対応する第1変形基準を有する本体と、
前記除去力を受けて口蓋拡張器の一部分を破断する為の一つ以上の手段であって、前記除去構造への前記除去力の印加を受けた前記一つ以上の破断領域の実質的な第2変形に対応する第2変形基準を有する、口蓋拡張器の前記部分を破断させる為の一つ以上の手段であり、前記第2変形基準が前記第1変形基準より大きい、一つ以上の手段と、
を包含する口蓋拡張器。 - 口蓋拡張器であって、
凸面幾何学形状を有する口蓋面であって、口蓋拡張器が患者の口蓋へ挿入された時に前記患者の前記口蓋と係合するように前記凸面幾何学形状が構成される、口蓋面と、
前記口蓋面と反対の舌面であって、口蓋拡張器が前記口蓋へ挿入された時に前記患者の舌と口蓋拡張器との間にギャップを設けるように構成される凹面幾何学形状を有する舌面と、
前記口蓋面と前記舌面の少なくとも一部分を囲繞する複数の側壁であって、口蓋拡張器が前記口蓋へ挿入された時に前記口蓋と前記患者の歯牙の舌領域のうち一つ以上に側壁力を加えるように構成される複数の側壁であり、除去力を受け取る少なくとも一つの除去構造を有する複数の側壁と、
前記除去力に基づく対向力を前記口蓋力と前記側壁力のうち一つ以上と対向する方向に向けることにより、前記対向力が前記口蓋力と前記側壁力との組み合わせより大きい時に前記口蓋からの口蓋拡張器の口蓋拡張器の除去を行うように構成される一つ以上の除去受容構造と、
を包含する口蓋拡張器。 - 患者の口蓋を拡張する為の口蓋拡張システムであって、
第1歯牙嵌合領域と、第2歯牙嵌合領域と、前記第1及び第2歯牙嵌合領域を接続して、前記第1歯牙嵌合領域と前記第2歯牙嵌合領域との間に横力を印加するように構成される口蓋領域とを包含する口蓋拡張器と、
前記第1歯牙嵌合領域の頬側の第1装着具結合領域と、
前記第1歯牙嵌合領域の前記頬側の第1係止具であって、前記第1装着具結合領域へ延出して前記第1装着具結合領域内の第1装着具の留置部と嵌合し、第1係止具が解除されるまで口蓋拡張器を前記患者の歯牙に係止するように構成される第1解除制御部を包含する第1係止具と、
前記第2歯牙嵌合領域の頬側の第2装着具結合領域と、
前記第2歯牙嵌合領域の前記頬側の第2係止具であって、前記第2装着具結合領域へ延出して前記第2装着具結合領域内の第2装着具の留置部と嵌合し、口蓋拡張器を前記患者の歯牙に係止するように構成される第2解除制御部を包含する第2係止具と、
を包含するシステム。 - 患者の口蓋を拡張する為の口蓋拡張システムであって、
口蓋拡張器であり、
第1歯牙嵌合領域と、第2歯牙嵌合領域と、前記第1及び第2歯牙嵌合領域を接続して前記第1歯牙嵌合領域と前記第2歯牙嵌合領域との間に横力を印加するように構成される口蓋領域と、
前記第1歯牙嵌合領域と前記第2歯牙嵌合領域の頬側の複数の装着具結合領域と、
前記第1歯牙嵌合領域と前記第2歯牙嵌合領域の前記頬側の複数の係止具であって、前記複数の装着具結合領域のうちの装着具結合領域へ前記解除制御部が延出する係止構成と、前記解除制御部が前記装着具結合領域から後退する非係止構成とを有する解除制御部を各係止具が包含する、複数の係止具と、
を包含する口蓋拡張器と、
複数の装着具であり、前記係止構成の前記解除制御部と嵌合して口蓋拡張器を前記患者の歯牙に係止するように構成される留置部を各装着具が包含する、複数の装着具と、
を包含するシステム。 - 患者の口蓋を拡張する為の口蓋拡張システムであって、
口蓋拡張器であり、
第1歯牙嵌合領域と、第2歯牙嵌合領域と、前記第1及び第2歯牙嵌合領域を接続して前記第1歯牙嵌合領域と前記第2歯牙嵌合領域との間に横力を印加するように構成される口蓋領域と、
前記第1歯牙嵌合領域と前記第2歯牙嵌合領域の頬側の複数の装着具結合領域と、
複数の係止具であって、前記複数の装着具結合領域のうちの各装着具結合領域が複数の係止具のうちの係止具と関連しており、更に前記装着具結合領域内の装着具と嵌合して口蓋拡張器を前記患者の歯牙に係止するように各係止具が構成される、複数の係止具と、
を包含する口蓋拡張器、
を包含するシステム。
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- 2019-04-10 CN CN201980025289.3A patent/CN111970990B/zh active Active
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CN111970990A (zh) | 2020-11-20 |
JP7374121B2 (ja) | 2023-11-06 |
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CN116211501A (zh) | 2023-06-06 |
US11564777B2 (en) | 2023-01-31 |
CA3096417A1 (en) | 2019-10-17 |
US20230172692A1 (en) | 2023-06-08 |
KR20200141498A (ko) | 2020-12-18 |
EP3773320B1 (en) | 2024-05-15 |
CN111970990B (zh) | 2023-04-18 |
AU2019251474A1 (en) | 2020-10-29 |
WO2019200008A1 (en) | 2019-10-17 |
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