KR101301525B1 - Oral monobloc mad to prevent snoring with freedom of minor tmj and mandibular movements - Google Patents

Abstract

PURPOSE: An oral device preventing snoring caused by mandibular type lower jaw advancement which enables small movement of a lower jaw and a temporomandibular joint is provided to prevent snoring and a sleep apnea syndrome by smoothening the supply of oxygen through a horizontal thorough hole in the center of a base which supports and forms an upper tooth fixing groove and a lower tooth operating groove as a uniform body. CONSTITUTION: An oral device preventing snoring caused by mandibular type lower jaw advancement which enables small movement of a lower jaw and a temporomandibular joint comprises an upper tooth fixing groove (51) which accommodates upper tooth in a fixed state; a lower tooth operating groove (61) which accommodates the lower tooth in a vertical direction with distance of 0.5-2.0 millimeters and to a horizontal direction with distance of 0.3-0.5 millimeters enabling movement; a maxillomandibular frame which forms the upper tooth fixing groove and the lower tooth operating groove in a uniform body; and a horizontal thorough hole (54) which is formed in the maxillomandibular frame on a corresponding area of front tooth between the upper tooth fixing groove and the lower tooth operating groove.

Description

Oral monobloc MAD to prevent snoring with freedom of minor TMJ and mandibular movements

Conventional mandibular forward snoring oral device frequently causes occlusal or mandibular abnormalities regardless of its upper and lower jaw joints (monobloc) or upper and lower jaw joints (twinbloc). Pain, discomfort, and occlusal abnormalities spread to the system, causing secondary systemic side effects such as headache, cervical spine, shoulder pain, back pain, hip disease, and knee pain.

The present invention relates to an oral device which reliably blocks snoring and sleep apnea without causing such side effects.

The present invention is the upper and lower one-piece lower jaw forward snoring prevention oral device, it has given a number of differentiating function from the existing device.

By providing a certain clearance (h1, w1 in Figure 8) to the inner surface of the lower part of the device, the mandibular and jaw joints were able to have a small range of physiological movement. It does not occur, it is possible to release the stiffness of the mandibular motor muscles and ligaments caused by forcibly advancing the mandible, so that the user does not feel any discomfort.

The part corresponding to the maxillary part of the device (51: upper teeth fixing groove) improves the precision of the contact with the natural tooth, so that the device is separated from the oral cavity only by the frictional force with the natural tooth without any additional retaining device. It was made possible to maintain it.

As a result, the overall volume of the device is reduced, the inconvenience caused by the attachment of the holding device, and the foreign body giving the device are alleviated, the possibility of damage to the device is reduced, and the maintenance and management of the device is simplified.

And in the center of the base front of the device to form an air passage through which the air can be sucked into the oral cavity to increase the oxygen intake if necessary.

Snoring is the relaxation of the soft tissues (tongue, throat, soft palate, tonsils) around the airway while it sleeps and breathes, which partially narrows the airway, and the air flows faster when air passes through this area. Slack soft tissue is a vibrational noise, often accompanied by obstructive sleeping apnea (OSA), which temporarily blocks the airways and prevents air from flowing into the lungs.

Obstructive sleep apnea (OSA) is when the combined number of sleep apneas (Apnea) stops flowing in the mouth and nose for more than 10 seconds and Hypopnea is more than five times per hour. It is reported that blood, carbon dioxide increase in blood, stroke, high blood pressure, heart rate abnormality, sudden death, etc. are directly related to diabetes.

The problem with snoring is that it can cause damage to people around you due to loud noises.However, due to obstructive sleep apnea,

It can be a serious health risk.

In addition, it interferes with sound sleep, leading to chronic drowsiness and chronic fatigue during the day, resulting in poor work ability and quality of life.

The treatment of snoring and obstructive sleep apnea can be largely divided into surgical and non-surgical treatments. The non-surgical treatments include oral devices, persistent upper resuscitation, drug therapy, and behavioral therapy.

The most effective method known to date is continuous resuscitation, which uses a device such as an oxygen respirator to force air into the respiratory tract and expand the closed respiratory tract.

However, this equipment is excellent in terms of efficacy, but the initial purchase cost is high, causing a lot of discomfort when mounted and has a disadvantage of being inconvenient to carry on the go.

And in the case of surgery, there is a risk in accordance with the operation, the recurrence after the operation is frequent, there are disadvantages of the possibility of complications and irreversible treatment irreversible once the operation.

On the other hand, among the non-surgical treatment methods, the dental treatment method has a number of advantages, many studies have been made and there are several reports on its principles and efficacy.

In particular, the treatment method using the oral device is known that the effect is reliable, and various types of oral devices have been invented and used in actual clinical practice.

The principle of anti-snoring oral device is largely divided into two types, one of which is to move the mandible forward and the tongue attached to the mandible is pulled forward. The principle is to press the dog and the neck upward to secure the airway.

Once the airway is secured, the inhaled air is naturally sucked into the airway, so the surrounding soft tissues do not vibrate, so the snoring is extinguished, and the amount of air entering the airway is normally smoothly increased so that obstructive sleep apnea is healed. , 2)

Mandibular forward snoring oral device is divided into upper and lower mandibular type (twin block) method of Korean Utility Model Registration No. 20-0353431, Korean Patent Publication No. 1995-0012642, US Patent No. 6,516,805, US Patent No. 5,566,683 US Patent Registration No. 5,195,385 and the like have been proposed as an upward compression device for pressing the soft palate and the neck upward.

However, existing mandibular forward snoring prevention oral device does not have snoring effect by retreating the mandible which was forcibly advanced by the forwarding device when the mouth is opened unconsciously to make up for insufficient oxygen supply while sleeping There is a problem, the upward compression device has a problem that the rejection is high due to the inconvenience caused by the device soft tissue.

In addition, the upper and lower mandibular separation type (twinbloc, see FIGS. 3 and 4) of the mandibular advancement device is a secondary connecting device (33 in FIG. As a result, the overall volume is increased, as well as to ensure a sophisticated connection state, the difficulty of manufacturing and the maintenance of the connection device (33 of FIG. 3) is a problem.

And the biggest problem is that the upper and lower jaw separately separate type seems to release the stiffness of the mandibular exercise muscle system, but in fact the upper and lower jaw connecting device directly or indirectly as shown in FIG. 33) as well as limiting the natural physiological movement of the mandible, as well as the exact occlusion when the separate maxillary and mandibular device is in contact with the occlusion disorder occurs.

Once the device is installed, it is difficult and uncomfortable to speak, open the mouth, yawn, etc., and excessive pain on the jaw joint disc causes pain in the jaw joint, as well as lateral muscles, as well as related muscles such as thoracic vertebrae, mitral muscles and masticatory muscles. May cause jaw joint disorder.

On the other hand, the mandibular mandibular device of the upper and lower mandibles (monobloc) does not allow any movement of the mandible during sleep, so it is difficult to adapt when worn, and because the upper and lower occlusal surfaces are fixed, it may cause pain or jaw joint disorder due to occlusal disorder and rigid tension. There is.

As a result, occlusal disorders may occur in any way, and the mismatch of the occlusion causes the systemic effects of the mandibular motor muscle system gradually as well as the secondary tertiary.The cause is headache, shoulder pain, neck disc, back pain, knee pain, It can also cause systemic diseases such as rhinitis, autonomic ataxia, and indigestion.

The present invention is a method of using a non-surgical oral device based on the dentistry theory to solve snoring and obstructive sleep apnea, and avoiding the disadvantages of the existing monobloc mandible forward snoring prevention mouth device upper and lower jaw Integral mandibular forward snoring prevention Oral device, but it is possible to move the mandible which was previously considered impossible in the integrated device to solve the side effects that appear in the existing upper and lower body and separate mandibular advancement device to prevent snoring effect and obstructive sleep apnea To solve the problem.

The device is of the upper and lower jaw type to achieve such a purpose, but it has given different functions to the upper and lower parts of the device. (See Fig. 5)

That is, 1) the maxillary part is designed in such a way as to obtain the retaining force of the device itself by using friction force with natural teeth without any additional retaining device, thereby simplifying the device and consequently reducing the total volume, thus making it comfortable after installation in the oral cavity. Increasing the feeling allows the user to easily adapt to the device.

2) The mandibular part is provided with a play that allows vertical horizontal movement of a small range in the device, which enables movement of the mandible and the jaw joint within the small range, so that occlusal disorder does not occur even if worn for a long time without burdening the mandibular musculoskeletal system. It was not.

3) This device is able to speak even when the device is mounted in the oral cavity.

4) Since during the opening and closing movement of the mandible, the jaw does not deviate beyond the limit of the device during sleep. Therefore, even if the mouth is opened, the mandible is retracted backward and the posterior soft tissue is pressed to prevent airways. I never do that. As a result, a kind of physiological breaking effect that prevents snoring effect disappears or sleep apnea does not occur during sleep is possible.

5) Involuntary movements of the mandible are only allowed in the passages allowed, thus eliminating the possibility of the tooth crashing or damaging the device.

6) This device is the front of the base (FIGS. 5 and 52 of Fig. 6) integrally supporting and connecting between the upper teeth fixing groove (51 in Fig. 6) and the lower teeth movable groove (61 in Fig. 6) of the lower jaw area A small air passage (54 in Figs. 5 and 8) extending horizontally in the center of the part is made, allowing the breathing through the nose to be the main breathing, but also the breathing through the mouth, resulting in a smoother oxygen supply. To prevent sleep apnea.

An object of the present invention is to solve the snoring and obstructive sleep apnea by providing a true upper and lower jaw snoring oral device without occlusion disorders and jaw joint disorders and other systemic side effects.

In other words, while utilizing the advantages of the one-piece device that is relatively easy to manufacture and repair, unlike the existing one-piece device, it gives different functions to the maxillary and mandibular parts, the maxillary parts to obtain a holding force without any additional holding device The mandible is designed to allow vertical and horizontal movements of the mandible and the jaw joint within the range of physiological play given in the device. To provide.

Arrange terms before explanation.

Snoring, Oral appliance, Obstructive Sleep Apnea (OSA), Tempo-Mandibular Joint (TMJ), Mandibular Advancement Device (MAD) , Upper and lower mandibular mold (Monobloc), upper and lower mandibular mold (Twinbloc).

The present invention is the upper teeth fixing groove for receiving the upper teeth in a fixed state (see Fig. 6, 7, 8, 51), the lower teeth movable groove for receiving the lower teeth to move vertically in the vertical horizontal (Figs. 6, 7, 7, 8) See 61),

The upper and lower one-piece frame forming the upper teeth fixed groove and the lower teeth movable groove as a single body (see 50 of Figure 5),

Small range of mandibular and jaw joints including horizontal through holes (54 in FIGS. 5, 7 and 8) formed in the base 52 of the upper and lower unitary frame of the corresponding front teeth between the upper teeth fixing groove and the lower teeth movable groove. To provide a mandibular advancement lower jaw anti-snoring oral device that allows exercise.

1. Wearing the device of the present invention prevents snoring and obstructive sleep apnea.

2. The present invention is configured in the form of upper and lower monolithic monoblock fixing the upper teeth and lower teeth at the same time, the upper teeth are fixed to the fixed groove, the lower teeth form a lower teeth movable groove capable of small range movement in the vertical horizontal, the lower range movement of the mandible It enables to function without burden on the mandible even when worn for a long time.

3. The present invention forms a horizontal through-hole in the center of the base integrally supporting and forming between the upper teeth fixing groove and the lower teeth movable groove to enable relief breathing if necessary, so that oxygen supply is smooth, thereby helping to prevent snoring and sleep apnea. do.

4. In the present invention, the maxillary is fixed, and the mandible has a small range of motion so that the occlusal and jaw joints are in an ideal equilibrium state. The tension on the whole body is resolved so that systemic diseases caused by occlusal abnormalities do not occur.

1 is a view of a state in which the airway entrance is blocked snoring
Figure 2 is a view of the snoring is resolved by the oral device
Figure 3 is a perspective view of a twinbloc mandible advance oral device for preventing snoring in the related art
4 is a sectional view taken along the line AA of Fig. 3,
5 is a perspective view of the present invention,
6 is a cross-sectional view taken along line BB ′ of FIG. 5;
7 is a cross-sectional view taken along line CC ′ of FIG. 5;
FIG. 8 is a cross-sectional view taken along line DD ′ of FIG. 5.

Hereinafter, embodiments of the present invention will be described in detail with reference to the drawings.

The present invention is an upper jaw lower jaw forward snoring oral device that allows a small range of movement of the mandible and jaw joint upper teeth fixing groove 51 for receiving the upper teeth in a fixed state;

A lower teeth movable groove 61 accommodating the lower teeth so as to be movable at a vertical distance of 0.5 to 2.0 mm and one side of a horizontal direction of 0.3 to 0.5 mm;

Upper and lower one-piece frame 50 to form the upper teeth fixing groove 51 and the lower teeth movable groove 61 in a single body; And

It comprises a horizontal through-hole 54 formed horizontally in the upper and lower one-piece frame 50 of the corresponding upper teeth between the upper teeth fixing groove 51 and the lower teeth movable groove 61.

The horizontal through hole 54 may be formed at the center of the base 52 between the upper teeth fixing groove 51 and the lower teeth movable groove 61. The base 52 may have a thickness of 1.5 mm.

The lower teeth movable groove 61 is formed so that the movement distance in the vertical rather than horizontal.

The present invention configured as described above is the upper and lower one-piece (monoblock: monobloc) method, so that the upper teeth and lower teeth as settled in the upper teeth fixing groove 51 and the lower teeth movable groove 61 as shown in Figs. Fit into one-piece frame 50.

In this case, the upper teeth 72 are fitted into the upper teeth fixing groove 51 without swinging the upper teeth 72 as shown in FIG. 8, and the lower teeth 74 are placed in the lower teeth movable groove 61.

However, the lower teeth movable groove 61 has a space capable of spaced apart movement with a vertical space (h1) in the vertical direction and a horizontal space (w1) in the left and right and front and rear directions between the lower teeth (74). Small range of movement of the temporomandibular joint becomes possible.

In this case, the vertical distance h1 is larger than the horizontal distance w1 because the vertical movement distance is longer than the horizontal movement distance due to the characteristics of the mandible.

The preferred size of the vertical direction h1 is about 0.5 to 2 mm, and the preferred example of one side horizontal direction w1 is 0.3 to 0.5 mm. When the moving distance due to one side horizontal distance (w1) is added to the left and right or the front and rear distance is 0.6 ~ 1㎜.

As the mandible is advanced by the device, the tongue, which was blocking the airway, moves forward, thus preventing snoring when the airway is secured.

In addition, the mandibular movement of the mandible becomes possible, so that the rigidity of the muscle and ligament due to the fixation of the mandible, which is a frequent side effect in the conventional upper and lower mandibular mandibular forward snoring device, is resolved, so that there is no pain and no occlusion of the mandibular and jaw joints. There is no systemic disease caused by the disorder.

In addition, since the air can be sucked through the horizontal through hole 54 formed horizontally in the base 52 of the front lip part, sufficient oxygen supply is made with air through the non-breathing, which is the main breathing, thereby preventing sleep apnea. Done.

In addition, the weak force derived when the small-range movement of the mandible is spread to the surrounding muscles relatively uniformly through the upper and lower one-piece frame 50, and the stimulus applied to the muscles becomes constant, resulting in muscles supporting the mandible. Similarly, when there is a mandatory deviation of the mandible, which is biased to one side while tension is relaxed, the mandibular deviation is also reestablished based on the center of gravity.

31-Maxillary device 32-Mandibular device 33-Upper and lower jaw joints
50-Upper and lower body frame 51-Upper teeth fixing groove 52-Base part 54-Horizontal through hole
61-Lower teeth 72-Upper teeth 74-Lower teeth h1-Vertical gap
w1-the horizontal separation

Claims (3)

Upper teeth fixing groove 51 for receiving the upper teeth in a fixed state;
A lower teeth movable groove 61 accommodating the lower teeth so as to be movable at a vertical distance of 0.5 to 2.0 mm and one side of a horizontal distance of 0.3 to 0.5 mm;
Upper and lower one-piece frame 50 to form the upper teeth fixing groove 51 and the lower teeth movable groove 61 in a single body;
Upper and lower jaw joints including a horizontal through-hole 54 formed in the upper and lower one-piece frame 50 of the corresponding upper teeth between the fixing groove 51 and the lower teeth movable groove 61 Mandibular mandibular advancement snoring prevention oral device. The lower jaw according to claim 1, wherein the horizontal through hole 54 is formed horizontally in the center of the base 52 between the upper teeth fixing groove 51 and the lower teeth movable groove 61 of the upper and lower one-piece mold 50. Upper and lower integrative mandibular advancement snoring prevention oral device that allows a small range of motion of the jaw and jaw joint. According to claim 2, the lower teeth movable groove 61 is formed in such a way that the movement distance in the vertical direction is greater than the horizontal direction, the upper and lower integral type mandible forward snoring prevention to allow small range movement of the jaw joint Oral device.

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