JP4634430B2 - A dental medical device for the treatment of temporomandibular disorders that stabilizes jaw movement and makes effective use of toothpaste to improve circulation of the temporomandibular joint. - Google Patents

A dental medical device for the treatment of temporomandibular disorders that stabilizes jaw movement and makes effective use of toothpaste to improve circulation of the temporomandibular joint. Download PDF

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JP4634430B2
JP4634430B2 JP2007279625A JP2007279625A JP4634430B2 JP 4634430 B2 JP4634430 B2 JP 4634430B2 JP 2007279625 A JP2007279625 A JP 2007279625A JP 2007279625 A JP2007279625 A JP 2007279625A JP 4634430 B2 JP4634430 B2 JP 4634430B2
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益弘 古川
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本発明は、顎関節症を治療するために、就寝時の歯軋りを、人体の敏感な部分である中切歯等でセンシングして、有効活用して、顎関節部の循環の改善及び、安定な顎運動の誘導のための、歯並びに関する。In order to treat temporomandibular disorders, toothpaste at bedtime is sensed by a central incisor or the like which is a sensitive part of the human body and effectively utilized to improve and stabilize the circulation of the temporomandibular joint. Tooth alignment for induction of various jaw movements.

コンピューター技術の発展による、高次元コンピューターイメージ解析の進化。
変形性膝関節症治療等、整形外科学の発展。
顎前方位スプリント等、顎の医学の臨床の成果。
顎関節症患者さんの、治療に対する関心の高度化。
脳医学の進化によるストレス軽減。
再生医学の充実による、人間の価値の重要性の高度化。
Evolution of high-dimensional computer image analysis through the development of computer technology.
Development of orthopedic surgery such as treatment of knee osteoarthritis.
Clinical results of jaw medicine, such as anterior chin splint.
Increasing interest in treatment for patients with temporomandibular disorders.
Stress reduction by evolution of brain medicine.
Advancement of regenerative medicine enhances the importance of human value.

顎関節症の治療のため、臼歯部には、圧下の力を与えずに、顎関節部の、循環を改善する。In order to treat temporomandibular disorders, the circulation of the temporomandibular joint is improved without applying a reduction force to the molar part.

歯軋り等は、顎関節症等の原因でもあり、歯と歯周組織を傷つけるので、防ぎたい。Toothing is also a cause of temporomandibular disorders and damages the teeth and periodontal tissue, so we want to prevent it.

歯軋り等、抗ストレス運動のリラックス効果を高める。Increase the relaxation effect of anti-stress exercise, such as teething.

歯牙を削ったりしないで、ハリウッドスマイルの歯並びを、就寝時の可撤式装置の装着で、保持する。Hold your Hollywood Smile's teeth with a removable device at bedtime without scraping your teeth.

上顎中切歯と上顎側切歯の、下顎中切歯側切歯との最も距離の短い部位を、物理的に、間隔を空ける。臼歯部の咬合面は、覆わない。 The portion of the maxillary central incisor and the maxillary incisor with the shortest distance from the mandibular central incisor is physically spaced. The occlusal surface of the molar part is not covered.

口蓋も、上顎歯列の保持を強めるために、覆うこともある。The palate may also be covered to enhance retention of the maxillary dentition.

上顎歯列の唇頬側には、金属製のワイヤーで、歯列の保持を図る。On the lip cheek side of the maxillary dentition, the dentition is held with a metal wire.

本発明の実施の形態の脱落を防ぐため、金属ワイヤーにて、歯牙にクラスプ等を、かける。In order to prevent omission of the embodiment of the present invention, a clasp or the like is applied to the tooth with a metal wire.

上下顎前歯の挺出を防ぐために、咬頭嵌合位において、上顎の中切歯・側切歯の、下顎中切歯側切歯との最も距離の短い箇所を覆う。 In order to prevent the upper and lower jaw front teeth from protruding, the position of the shortest distance between the maxillary central and lateral incisors and the mandibular central incisors is covered in the intercuspal position.

口蓋を覆う部分と間隔保持シート(前歯挙上シートは、樹脂や義歯用金属でつくる。 The part covering the palate and the spacing sheet ( anterior tooth lifting sheet ) are made of resin or denture metal.

躯体部分は、金属で補強する。The frame part is reinforced with metal.

クラスプは、義歯用金属や合成樹脂でつくる。The clasp is made of denture metal or synthetic resin.

クラスプの位置は、使いやすい歯牙を適宜選ぶ。For the position of the clasp, select a tooth that is easy to use.

歯列唇側に付けるワイヤーは、透明あるいは歯牙と同色の合成樹脂でつくるときも、ある。Sometimes, the wire attached to the dentition side is made of a synthetic resin that is transparent or the same color as the teeth.

上下の中切歯側切歯に挟まれる間隔保持シート(前歯挙上シートは、義歯用樹脂で作られるが、金属ワイヤーや合成繊維等により、必要に応じて補強される。この部分の厚み等形態は、適宜調整される。より厚いときは、臼歯の低位移動防止と挺出効果を図る。 The interval holding sheet ( front teeth raising sheet ) sandwiched between the upper and lower middle incisors is made of denture resin , and is reinforced as necessary with metal wires, synthetic fibers, or the like. The thickness and the like of this portion are adjusted as appropriate. If it is thicker, it will prevent the lower molars from migrating and have an extraction effect.

人体の敏感な部分である切歯乳頭と中切歯に、歯軋り等の咬合力の変化を、伝えることによって、歯軋り防止効果を、図る。By transmitting the change of the occlusal force such as toothpaste to the incisor papilla and the middle incisor, which are sensitive parts of the human body, the effect of preventing toothpaste is achieved.

調節された適切な歯軋り等の運動により、就寝時の顎関節部の循環を、良好なものとする。これにより、顎関節症の治療を図る。The temporomandibular joint circulation at bedtime is made good by the adjusted exercise such as toothpaste. As a result, temporomandibular disorders are treated.

中切歯側切歯部分に、物理的に、間隔を空ける物体をはさむことにより、歯並びの保持を図る。これにより、顎運動に対する前歯による誘導が不変のものとなり、顎運動が安定する。 The tooth arrangement is maintained by physically sandwiching an object in the middle incisor side incisor portion. Thereby, the guidance by the front teeth with respect to the jaw movement becomes unchanged, and the jaw movement is stabilized.

過大な力の働く歯軋りが減少することにより、臼歯部の低位移動及び、磨耗、破折が無くなり、顎運動にたいする臼歯部の誘導が不変のものとなり、顎運動が、安定する。By reducing the amount of toothpaste where excessive force acts, the lower movement of the molar part, wear and fracture are eliminated, the induction of the molar part with respect to the jaw movement is unchanged, and the jaw movement is stabilized.

前歯の歯並びが安定して、ハリウッドスマイルの審美性が、長持ちする。The alignment of the front teeth is stable and the aesthetics of Hollywood Smile last for a long time.

前歯の顎運動の誘導は、前歯の歯並びが保持されるために、中切歯と側切歯の干渉が、少なくなり、顎関節部周辺への、不随意の筋緊張が、無くなり、病的筋痛が、減少し、関節部周辺の循環状況が改善する。Induction of jaw movement of the front teeth is maintained because the alignment of the front teeth is maintained, so there is less interference between the central and side incisors, involuntary muscle tension around the temporomandibular joint is eliminated, and pathological Myalgia is reduced and the circulation around the joint is improved.

臼歯部には、低位させる力がほとんど働かないために、本発明は、臼歯部の圧下や磨耗や破折を防ぐ。就寝時のみの装着であるから、ユーザーは、日中は、普段どおりの生活を送ることができる。Since almost no lowering force acts on the molar portion, the present invention prevents the molar portion from being reduced, worn, or broken. Since it is worn only at bedtime, the user can live as usual during the day.

歯軋りは、普通は、奥歯で行われるが、本発明により、前歯が常に接触している状態にあり、わずかな顎を動かす力が、人体で最も敏感な、切歯乳頭、上下中切歯を刺激して、そのリラックス効果を高める。これは、破壊的な過度の歯軋り防止の効果を持つ。この、微小歯軋りは、顎関節部の滑液等の循環を促進する。また、顎関節円板周囲の炎症の鎮静効果をもつ。Toothpaste is usually done with the back teeth, but according to the present invention, the front teeth are always in contact, and the slightest jaw movement force is the most sensitive in the human body. Stimulate and enhance its relaxing effect. This has the effect of preventing destructive excessive tooth decay. This minute tooth decay promotes circulation of synovial fluid or the like in the temporomandibular joint. It also has a sedative effect on inflammation around the temporomandibular joint disc.

上下前歯の位置関係が不変となり、顎運動のアンテリアガイダンスが安定する。臼歯部は、歯軋りによる破壊からまぬがれて、ポステリアガイダンスが安定する。The positional relationship between the upper and lower front teeth remains unchanged, and the anterior guidance for jaw movement is stabilized. The molar portion is cut off from the destruction caused by toothpaste, and the posteria guidance is stabilized.

顎運動が安定することにより、顎関節部の不調が改善する。Stabilization of the jaw movement improves temporomandibular joint disorders.

前歯の歯並びが、保持され、審美性が、保たれる。The alignment of the front teeth is maintained, and aesthetics are maintained.

以下、本発明の実施の形態を図面に基づいて説明する。Hereinafter, embodiments of the present invention will be described with reference to the drawings.

図1は、本発明の、1実施形態に係る可撤式器具を示す平面図である。犬歯と第一小臼歯の噛み合わせが、緊密でないときは、この2本の歯牙の間に金属ワイヤーを通し、左右の犬歯の唇側にワイヤーを通す。上顎中切歯と上顎側切歯の舌側を覆うように、義歯用樹脂又は歯科用金属で、間隔保持(前歯挙上のシートをつくる。上顎歯列舌側には、金属又は、金属で補強された樹脂で密接する躯体をつくる。装置が、はずれないように、適当な歯牙にクラスプをかける。図2は、本発明の1実施形態を側面から見た図である。図3は、本発明の1実施形態における歯科器具のユーザーの咬合段階の矢状断面の模式図である。符号6は、唇側のワイヤーである。符号7は、上顎中切歯である。符号4は、下顎前歯である。本発明の1実施形態は、歯軋り等の咬合力を、鋭敏に、上顎中切歯と切歯乳頭に伝える。図4は、本発明の1実施形態における正面図である。 FIG. 1 is a plan view showing a removable instrument according to an embodiment of the present invention. When the canine teeth and the first premolars are not tightly engaged, a metal wire is passed between the two teeth and a wire is passed to the lip side of the left and right canines. A sheet of interval retention ( anterior teeth elevation ) is made with a denture resin or dental metal so as to cover the lingual side of the maxillary central incisor and maxillary incisor. On the lingual side of the maxillary dentition, a casing that is in close contact with a metal or a resin reinforced with a metal is formed. Clasp the appropriate teeth so that the device does not come off. FIG. 2 is a side view of an embodiment of the present invention. FIG. 3 is a schematic diagram of a sagittal cross-section at the occlusion stage of a user of a dental instrument according to an embodiment of the present invention. Reference numeral 6 denotes a lip side wire. Reference numeral 7 denotes a maxillary central incisor. Reference numeral 4 denotes a mandibular front tooth. In one embodiment of the present invention, occlusal force such as toothpaste is transmitted to the maxillary central incisor and the incisor papilla sharply. FIG. 4 is a front view of an embodiment of the present invention.

上顎歯列の保持力を強化したいときなどは、口蓋を覆う。この本発明の実施の1形態を図で説明する。図5は、本発明の1実施の形態の平面図である。口蓋を覆う材質は、金属で補強されたレジン又は金属である。図6は側面図である。図7は、本発明の1実施の形態の正面図である。図8は、本発明の1実施の形態のユーザーの咬合段階の矢状断面の模式図である。図9は、本発明の1実施形態における歯科器具の上部斜視図である。Cover the palate when you want to strengthen the retention of the maxillary dentition. An embodiment of the present invention will be described with reference to the drawings. FIG. 5 is a plan view of one embodiment of the present invention. The material covering the palate is a resin reinforced with metal or metal. FIG. 6 is a side view. FIG. 7 is a front view of an embodiment of the present invention. FIG. 8 is a schematic diagram of a sagittal cross section at the occlusion stage of the user according to the embodiment of the present invention. FIG. 9 is a top perspective view of a dental instrument in one embodiment of the present invention.

図10は、上下の噛み合わせが緊密であるときで、口蓋を覆う場合で、後方臼歯にクラスプをかけた本発明の1実施の形態の平面図である。図11は、側面図である。FIG. 10 is a plan view of an embodiment of the present invention in which the upper and lower meshes are tight and covers the palate, with the posterior molars clasped. FIG. 11 is a side view.

図12は、上下の噛み合わせが緊密であるときで、口蓋を覆わない場合で、最後臼歯にクラスプをかけた本発明の1実施の形態の平面図である。FIG. 12 is a plan view of an embodiment of the present invention in which the upper and lower meshes are tight and the palate is not covered and the last molar is clasped.

平面図 犬歯と第一小臼歯の噛み合わせが、緊密でない。口蓋を覆わない、本発明の1実施の形態の平面図。Top view The canine and first molars are not tightly meshed. The top view of 1 embodiment of this invention which does not cover a palate.

側面図 犬歯と第一小臼歯の噛み合わせが、緊密でない。口蓋を覆わない、本発明の1実施の形態の側面図。Side view The canine and first premolar meshing is not tight. The side view of 1 embodiment of this invention which does not cover a palate.

矢状断面の模式図 犬歯と第一小臼歯の噛み合わせが、緊密でない。口蓋を覆わない、本発明の1実施の形態のユーザーの咬合段階の矢状断面の模式図。Schematic diagram of sagittal section The meshing of the canine and the first premolar is not tight. The schematic diagram of the sagittal section of the occlusion stage of the user of 1 embodiment of this invention which does not cover a palate.

正面図 犬歯と第一小臼歯の噛み合わせが、緊密でない。口蓋を覆わない、本発明の1実施の形態の正面図。Front view The canine and first premolars are not tightly meshed. The front view of 1 embodiment of this invention which does not cover a palate.

平面図 犬歯と第一小臼歯の噛み合わせが、緊密でない。口蓋を覆う、本発明の1実施の形態の平面図。Top view The canine and first molars are not tightly meshed. The top view of 1 embodiment of this invention which covers a palate.

側面図 犬歯と第一小臼歯の噛み合わせが、緊密でない。口蓋を覆う、本発明の1実施の形態の側面図。Side view The canine and first premolars are not tightly meshed. The side view of one embodiment of the present invention which covers a palate.

正面図 犬歯と第一小臼歯の噛み合わせが、緊密でない。口蓋を覆う、本発明の1実施の形態の正面図。Front view The canine and first premolars are not tightly meshed. The front view of 1 embodiment of this invention which covers a palate.

矢状断面の模式図 犬歯と第一小臼歯の噛み合わせが、緊密でない。口蓋を覆う、本発明の1実施の形態のユーザーの咬合段階の矢状断面の模式図。Schematic diagram of sagittal section The meshing of the canine and the first premolar is not tight. The schematic diagram of the sagittal section of the occlusion stage of the user of 1 embodiment of this invention which covers a palate.

上部斜視図 犬歯と第一小臼歯の噛み合わせが、緊密でない。口蓋を覆う、本発明の1実施の形態の上部斜視図。Upper perspective view The meshing of the canine and first premolar is not tight. The top perspective view of one embodiment of the present invention which covers a palate.

平面図 犬歯と第一小臼歯の噛み合わせが、緊密であり。口蓋を覆う、本発明の1実施の形態の平面図。Top view The canine and first premolars are closely meshed. The top view of 1 embodiment of this invention which covers a palate.

側面図 犬歯と第一小臼歯の噛み合わせが、緊密であり。口蓋を覆う、本発明の1実施の形態の側面図。Side view The canine and first premolars are closely meshed. The side view of one embodiment of the present invention which covers a palate.

平面図 犬歯と第一小臼歯の噛み合わせが、緊密であり。口蓋を覆わない、本発明の1実施の形態の平面図。Top view The canine and first premolars are closely meshed. The top view of 1 embodiment of this invention which does not cover a palate.

符号の説明Explanation of symbols

:クラスプ、:躯体、間隔保持シート(前歯挙上シート:下顎切歯、5:舌:唇側ワイヤー、:上顎切歯、8:躯体を補強する金属線9:下顎犬歯に触れないための窪み 1: clasp, 2: building frame, 3: spacing maintaining sheet (anterior elevation seat), 4: mandibular incisors, 5: tongue, 6: labial wire, 7: upper incisors, 8: metal wire for reinforcing the skeleton , 9: Dimple not to touch the lower canine

Claims (2)

間隔保持シートと躯体部分と唇側ワイヤーとクラスプと窪みとを有する歯科医療器具において、
前記間隔保持シートは、上顎と下顎の中切歯・側切歯の、最も間隔距離の短い部位に対して、物理的に間隔を空けるものであり、
前記窪みは、咬合時に、この歯科医療器具と対咬する下顎犬歯尖頭に、この歯科医療器具が接触しないように、間隔保持シート両端に連続して、上顎側に窪んでいるものであり、
前記躯体は、前記間隔保持シートとは上顎切歯舌側基底結節付近で連結し、前記窪みとは犬歯舌側基底結節付近で連結し、上顎の歯の舌側及び歯の舌側近傍の歯茎及び切歯乳頭に密接するものであり、口蓋を覆う場合と覆わない場合があり、口蓋を覆う場合は口蓋粘膜に接し、
前記クラスプは、この歯科医療器具が脱落するのを防ぐために、前記躯体の必用な位置に、適当な歯牙にかけるためのものであり、
前記唇側ワイヤーは、両側には、それぞれ前記クラスプに連結されていることを特徴とする、ユーザーが着脱自在の、歯軋り予防用又は顎関節症治療用歯科医療器具。
In a dental medical instrument having a spacing sheet, a housing part, a lip side wire, a clasp and a depression,
The spacing sheet is physically spaced with respect to the shortest distance between the maxillary and mandibular central and lateral incisors,
The dent is continuously depressed at both ends of the spacing sheet so as not to come into contact with the cusp of the mandibular canine that is opposed to this dental medical device at the time of occlusion, and is depressed on the upper jaw side,
The housing is connected to the gap maintaining sheet near the upper incisor lingual base nodules, and the depression is connected to the canine lingual base nodules, and the gums on the lingual side of the upper teeth and the lingual side of the teeth And close to the incisor papilla, which may or may not cover the palate.
The clasp is for applying an appropriate tooth to a necessary position of the casing in order to prevent the dental instrument from falling off,
The labial wire is connected to the clasp on both sides, and is detachable by a user, and is a dental medical instrument for preventing tooth cracking or treating temporomandibular disorders.
臼歯部の咬合面は、覆わない特徴を持ち、下顎犬歯に触れないための窪みを持つため、ユーザーは適正な歯軋りが簡単にでき、歯列唇側に付けるワイヤーは、金属製か、審美性のために透明あるいは歯牙と同色の合成樹脂製であり、上下の切歯に挟まれる間隔保持シート部分の厚みと形態は、切歯で適正な歯軋りが楽にできるように、適宜調整されていて、前記間隔保持シートの厚みのために咬合しても臼歯には過大な圧力がかからず、臼歯の低位移動防止効果を持ち、健全な顎運動を醸成することを特徴とする請求項1の歯科医療器具。   The occlusal surface of the molar part has an uncovered feature and has a depression to prevent it from touching the lower canine, making it easy for the user to set the teeth properly, and the wire attached to the dentition side is made of metal or aesthetic It is made of a synthetic resin that is transparent or the same color as the teeth, and the thickness and form of the interval holding sheet portion sandwiched between the upper and lower incisors are appropriately adjusted so that proper indentation can be easily performed with the incisors, The dental system according to claim 1, wherein an excessive pressure is not applied to the molar teeth even when they are occluded due to the thickness of the spacing sheet, and it has an effect of preventing the lower movement of the molar teeth and nurtures a healthy jaw movement. Medical instrument.
JP2007279625A 2007-09-28 2007-09-28 A dental medical device for the treatment of temporomandibular disorders that stabilizes jaw movement and makes effective use of toothpaste to improve circulation of the temporomandibular joint. Active JP4634430B2 (en)

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US9314320B2 (en) 2011-10-19 2016-04-19 Tmj Services Llc Device for mitigation of temporomandibular joint disorder
CN104287847B (en) * 2014-10-23 2017-08-22 夏继明 A kind of interactive rectifier of upper lower jaw
JP6285002B1 (en) * 2016-11-30 2018-02-28 益弘 古川 System and program for treatment of dental diseases such as temporomandibular disorders

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US4468196A (en) * 1982-05-24 1984-08-28 Keller Duane C Method of and apparatus for orthopedic and/or orthodontic treatment

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US4468196A (en) * 1982-05-24 1984-08-28 Keller Duane C Method of and apparatus for orthopedic and/or orthodontic treatment

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