KR20200103004A - Improved maxillary dilator and whole human device - Google Patents

Abstract

There is provided a medical device and method for extending a patient's maxilla by applying a force generated in the oral cavity or by applying a refractive power generated outside the patient's maxilla. This medical device implements a plurality of constituent devices including only the skeletal fixing device or in combination with a fixed aligner or an adjustable aligner.

Description

Improved maxillary dilator and whole human device

This application relates to a US provisional application filed on June 15, 2018 with serial number 62/685,801 in the US provisional application, and the US provisional application filed with identification number 5437 on November 24, 2017 with serial number 62/590,363, The U.S. Provisional Application filed under identification number 3619 is related to the U.S. Provisional Application filed under serial number 62/67. And with identification number 1055, U.S. provisional application was filed with serial number 62/699,264 and identification number 7667, and U.S. patent application filed 08/29/29, 2018 with serial number 16/115,564 and identification number 6177, all of which This document is incorporated by reference for all purposes.

The current maxillary skeletal fixation dilator (in the background of what is called the "dilator") is a machine that can be used to treat patients with transverse varicose veins as well as anteroposterior deficiency. With a child, the maxillary arch was extended to create a space for permanent teeth to grow, or the upper jaw was widened so that the lower and upper teeth fit together. In some cases, the airway is damaged and the jaw is extended. Some known palatal dilators construct and extend the maxillary arch by means of a tooth (molar) skeleton fixation (band) joined together by an adjustable screw structure (see US5564920 Klapper). Turning the screw creates a bidirectional force against the tooth and jaw, displacing the tooth and maxillary arch. After installation, the adjustable screw is rotated using a tool. Screws are usually made up of two opposite parts, each half having a threaded part. The force from the expansion screw is transmitted through the arm of the device to the bandaged molars, which ultimately results in the expansion and/or increase of the maxillary dental arch in the central palatal suture. Leaving the dilator in place for the duration of the treatment, the patient or the patient's caregiver activates the dilator by rotating the screw for a predetermined period of time depending on the dilator screw configuration, the patient's age, and the conditions under which the treatment is applied (e.g. a turn of 0.25 mm). Movement once a week, ¼½ rotation produces 0.25-0.50mm of movement a day, etc.) After desired expansion, perform a fixation step to keep the expander in place for 3-6 months for stabilization, during this time. Fix the screw in place so that the screw does not reverse. During the fixation phase, the tooth and jaw contact portion is stabilized in the new position and the palatal suture increases together again throughout the space, after which the dilator is removed. The dilator described above expands the space across the palatine suture through a force applied directly only to the teeth.

Another known expansion device is demonstrated in the US 9,318,810 (Moon). The Moon dilator uses four mini-screws and a temporary fixation device to attach a pair of corpses to the palatal ceiling on either side of the palatine suture. Moon said each body, as mentioned above, consists of a pair of extensions similar to those used by Klapper and a pair of tooth fixation bands. The Moon expander consists of a double screw located between the torso. When the Moon's double-end screw rotates, force is applied directly to the tooth as well as the hard palate on both sides of the palatine suture with a small screw. Unlike the Klapper machine, since force is applied directly to the hard palate, less force can be applied to the teeth, and more force can be applied to the bones, reducing the force, which means that pressure on the teeth and jaw contact areas can be reduced. However, the Moon expander also has several drawbacks. By applying a force directly to the hard palate, the small screw is pressed and thus exposed to potential breakage, just like the skeletal structure of the screwed site. In addition, although the Moon exerts little force on the teeth, it nevertheless transmits the force and causes the teeth to move, which may not be desired. For example, when treating a diaphragmatic deficiency in a tooth, the transmission of tooth force can lead to unwanted alveolar effects such as tooth rooting, rooting, and potentially'scissor bites'. In addition, the Moon dilator is supported by only two small implants on either side of the central palatal repair, which often in more crooked mature individuals often produces the desired orthopedic effects, such as the one that surgical fracture surgery may occur after expansion. Inadequate and inefficient to produce. In the case of such crooked maturation, limiting only two mini-implants (total of four) on each side of the central palatal repair is not only inefficient in producing the desired orthopedic extension, but also to each mini-implant and the bones around it. The stress on it will also increase. This demonstrates that the Moon dilator often requires full activation of the expansion screw in mature individuals at an angle of 8 to l2mm with an activation of 8 to l2mm to achieve only the opening of the central palatal suture and l-2mm orthopedic expansion. . As a result of this inefficient skeletal expansion, as the design lacks the ability to interchangeably attach expansion screws of different sizes to the fixed body, in many cases, when treated by adults, at least one of Moon's machines is to achieve satisfactory skeletal expansion. You need two. If the device needs to be removed and installed multiple times, the patient suffers multiple surgical procedures, increased cost, and inconvenience, and the clinician needs more effort. Also, Moon's machine can be used to apply refractive power to patients with anterior-posterior maxillary defects, but relying on teeth for stability does not fully transfer to the bone structure, but at least partially, the need to transfer refractive power to the teeth. There is.

Therefore, one need is an expander that does not directly affect the movement of the teeth during the extension of the palatine suture, so that different expansion screws of different sizes can be attached, and the force applied to the screw as well as the local bone supporting the screw. It can reduce the pressure, but it can be more effective. The force is distributed to the CT along the central palatal suture, enabling true skeletal refraction. In other words, what is needed is a dilator that can reduce discomfort and discomfort for patients and clinicians by removing alveolar and dental effects while generating more practical and efficient orthopedic effects than previous techniques. The maxillary bone deficiency can also occur in the anterior (thalamic) direction. Orthodontic devices, known as Keles face shields, include both externally worn orthodontic devices such as facial bows that transmit lateral and refractive power through a molar band fixed to the patient's denture. The jaw movement transmitted by the Keles device causes an anterior downward growth of the maxilla. Keles devices rely on the natural forces of the teeth, which are less than ideal, as movements that could be transmitted to the maxillary bone are instead transmitted to the teeth.

Another device, invented by De Clerck, uses a bone anchor made of Bollard small metal plates to transmit power forward to the maxilla. The De Clorck device can be used for maxillary joint refraction, but it induces rotation of the maxilla and directs the movement and growth of the maxilla to the anterior and downward direction, and requires relatively invasive mucosal surgery for installation.

What is needed is an orthodontic treatment device capable of delivering forward movement and growth of the maxillary bone and maxillary skeletal complex in an improved manner according to the prior art.

In one embodiment, the present invention is a medical device configured to be coupled to a device external to the patient's maxilla and/or a partial oral cavity in at least two bodies, respectively, and configured to apply a force to the maxillary body without applying a force from at least two bodies. Head to the device. The device should be connected to the patient's teeth. In one embodiment the current invention consists of an adjustment structure configured to variably maintain a distance between at least two bodies. In one embodiment, the current invention consists of a connection structure configured to engage the end of the device. In one embodiment, the present invention constitutes an apparatus. With the present invention as a specific example, the adjustment structure consists of several threads. In one embodiment in which at least two bodies are connected to the hard palate, the control structure is configured to cause transverse movement of the hard palate. In one embodiment in which at least two bodies are bonded to the maxilla, the external oral force applied to the orthodontic appliance causes a combination of an anterior and ascending motion of the maxilla. In one embodiment in which at least two bodies are engaged with a rigid inlet, the extraoral refractive power exerted on the instrument causes an anterior or anterior-upward engagement of the maxillary bone. In one embodiment the external power is applied to the instrument in a direction that is in line with at least two bodies. In one embodiment at least two bodies are configured to be relatedly coupled to the orthodontic device by a fixation device. In one embodiment the securing device is configured to form a suitability for intervention, a snap fit and/or a slip fit. In one embodiment, the device consists of an intraoral portion and an intraoral portion to which the intraoral portion and the extraoral portion are related to each other. In one embodiment at least two bodies are joined by an adjustment structure configured to transmit transverse movement to the maxilla. In one embodiment the adjustment structure constitutes a body with two ends threaded at only one end. In one embodiment the first of the at least two bodies consists of a first aperture and a second aperture, each aperture being discarded along a respective longitudinal axis, and the axis of the first aperture is not parallel to the axis of the second aperture. In one embodiment at least two bodies each constitute a plural or threaded bore configured to receive a thread fixing device. In one embodiment the device consists of a threaded fastening device, each threaded fastening device consisting of two sets of threads, one of the two sets of threads having a respective threaded aperture of one of at least two bodies. And one of the two sets of threads consists of a set of threads. In one embodiment the maxilla is a hard palate. In one embodiment each body of at least two bodies consists of a plurality of paths configured to receive the fixture along a longitudinal axis, wherein the longitudinal axis of hardness is discarded in a relationship not parallel to the longitudinal axis of at least the second path. In one embodiment the longitudinal axis of at least one path is discarded in an angular relationship with respect to the longitudinal axis of the second path between 1 degree and 60 degrees.

In one embodiment, the present invention includes a maxillary dilator, which consists of a pair of bodies consisting of a first body and a second body and a second body, each body pair being intraorally fixed to the taste of the patient. It is configured to be. And the fixed aligner is configured to fix the aligner fixed to the body pair to the face. A pair of corpses must be separated by a predetermined distance. In one specific embodiment, the present invention is to insert the fixed aligner to the body pair by inserting the plurality of fixing devices, the plurality of apertures formed in the vehicle body pair, the plurality of the coincident apertures formed in the fixed aligner, the plurality of the apertures of the body pair. The plurality of fixation devices configured to fix is configured through insertion into a plurality of multiples of the bore in the body pair and the fixed aligner. In one embodiment the current invention consists of four holes formed in a fixed aligner and two apertures formed in each body pair. In one embodiment the present invention consists of a plurality of apertures formed in each body pair. And it is composed of a plurality of fixing devices configured to insert the plurality of fixing devices into the plurality of apertures and fix them to the rigid Gumi. In one embodiment the plurality of apertures of each body pair consists of at least three apertures. In one embodiment the fixed aligner consists of two ends, wherein each body pair is configured to connect with each end of the two ends. In one embodiment the stationary aligner is constructed of lines. In one embodiment the stationary aligner consists of a single material. In one embodiment the dilator is configured to be fixed to the palate with a space existing between the pair of bodies and the tissue covering the palate. In one embodiment the current invention consists of a maxillary dilator: a first pair of bodies configured to connect each body to the patient's teeth and an adjustable aligner configured to be equally secured to the first pair of bodies. Includes you By applying an extension force to the first pair of bodies, the adjustable aligner in one embodiment of the first pair of bodies consists of an extension thread placed between the second pair of bodywork and the second pair of bodywork. In one embodiment the current invention consists of a pair of devices and at least two supports. Each support consists of a first end and a second end. Here, each of the two supports connects and extends from the first pair of bodies, the second end being the second end. Each support is connected to the device. In one embodiment, the adjustable aligner consists of a pair of devices each connected to a second pair of bodies, each of which is configured to match the shape of the inlet. In one embodiment, the device is made of silicone or acrylic. In one embodiment the device is not configured to couple to the patient's teeth. In one embodiment, the first pair of bodywork consists of three apertures configured to receive a fixture. In one embodiment, three bore are threaded through the thread. In one embodiment each of the second body pairs is configured to be coupled to each of the first body pairs with at least two screws.

In one embodiment, the present invention includes a method of applying force to a patient's teeth without any coupling to the patient's teeth, providing at least two bodies, combining an adjustable expander to at least two bodies. And using an adjustable dilator. The regulating dilator exerts a force on at least two bodies, causing the two bodies to move relative to each other and causing the maxillary bone to expand. In one embodiment the adjustable dilator consists of a thread at the opposite end of the dilator. In one embodiment at least two body movements are used to expand both maxillary bones. In one embodiment the adjustable dilator consists of a thread at one end of the dilator. In one embodiment, the maxillary bone is unilaterally expanded using the movement of at least two bodies. The sites are on either side of the middle palatine repair in one embodiment.

In one embodiment, the present invention is such that a pair of bodies consisting of a first body and a second body, that is, a pair of bodies consisting of a second body, ie, a pair of bodies, are orally coupled to the patient's firm taste. When configured, it is composed of an aligner configured by coupling the aligner to a body pair. Position the pair of torso far apart so that at least one pair of torso with the aligner or patient's teeth causes the expansion of the opening with the aligner or without the aligner. In one embodiment the aligner consists of a fixed aligner or an adjustable aligner. In one embodiment, at least one pair of bodywork is selected from the group consisting of two devices, two wires and two fixing devices. In one embodiment, the pair of bodies is configured to orally engage at least one fixation device. In one embodiment each fixing device consists of two parts. In one embodiment the two parts consist of a threaded part and the two threaded parts are separated into an unthreaded part. In one embodiment the two parts can be separated. In one embodiment, the at least one pair of vehicle bodies is composed of a bore configured to receive a vehicle body having a threaded upper end and a lower end, and the flat bore is composed of a screw thread configured to be coupled to the thread of the upper end. In one embodiment the apertures are translucent. In one embodiment, the upper end thread and the lower end thread are separated into non-threaded portions.

In one embodiment, the present invention provides a first body pair, couples the first body pair to the patient's hard palate, attaches an externally worn device to the first body pair, and applies refractive power to the device. It aims to treat the vasculature defect, which constitutes the next step that causes it. Forward Movement of the First Body Pair In one embodiment, the method provides a dilator between the first body pair, causing the dilator to cause a lateral movement of the first body pair relative to each other. In one embodiment the refractive power is aligned to move only anteriorly or anteriorly and upward of the patient's maxilla. In one embodiment the power of refraction creates little or no moment in the first pair of bodies. One specific power refractive power is applied in a direction passing through the point of the first pair of bodies and the force applied.

In one embodiment, the present invention is directed to a method of transversely extending the patient's maxilla, attaching the first body pair orally to the first body pair while maintaining the first space between the first bodies, The adjustable aligner is attached to the first pair of bodies, and the adjustable aligner consists of the following steps. Expansion force that changes the first space to the second space change, removes the adjustable aligner from the first body pair, and attaches the first fixed aligner to the first body pair to keep the second space between the first body pair. Is applied to the first pair of bodies. The step of creating the first space between the bodies is to attach the second first fixed aligner to the first body pair to create the first space, then remove the first fixed aligner from the first body pair before attaching the adjustable aligner. Consists of In one embodiment, the method consists of attaching the device to each body. In one embodiment, the method consists of coupling the instrument to the patient's teeth rather than to the hard palate. In one embodiment, a first pair of bodies is attached to the palate on either side of the central palatine suture. In one embodiment, the step of attaching the body to the oral cavity comprises inserting at least three fixation devices through each body into the hard palate.

In one embodiment, the present invention is a method of expanding the central palatal suture, providing a first pair of bodies, providing a pair of acrylic instruments, and orally bonding the first body and a pair of acrylic instruments to It consists of keeping the first distance between. An extension force is applied to the first body to change the first distance between the first bodies to the second.

In one embodiment, the present invention is to provide a first pair of bodies, joining the first pair of bodies to a tight fit, attaching an aligner to the first pair of bodies, and putting the first pair of bodies together. It aims at a method of extending the maxillary body comprising steps such as keeping it away from the hard palate. In one embodiment the aligner is an adjustable aligner. In one embodiment the aligner is the first fixed aligner. In one embodiment, the distance is between .1 and 3 mm. In one embodiment the method consists of providing a gap between the first pair of bodies and the hard palate. In one embodiment the pair consists of a threaded fixing device. In one embodiment, the thread of the thread lock is secured with the first pair of bodies to maintain distance.

In one embodiment, the current invention consists of at least two torso configured to connect with a rigid palate having at least two torso and a first distance between the palate, the second distance between the two bodies It consists of an extension configured to maintain. In one embodiment the dilator is configured with a threaded end. In one embodiment, the dilator consists of only one threaded end. In one embodiment, an aligner is further configured. In one embodiment the aligner constitutes at least one body configured to be attached to at least two bodies. In one embodiment the aligner consists of a fixed aligner. One embodiment aligner consists of an adjustable aligner. The aligner constitutes the expander in one embodiment. In one embodiment at least two bodies are configured to receive the securing device. In one embodiment the securing device is configured to be received by one or more side supports extending from each of the at least two vehicle bodies. In one embodiment the fastening device consists of screws. In one embodiment the fixing device consists of two threaded portions, wherein the outermost diameter of one or both threaded portions is less than the outermost diameter of one second of the two threaded portions. In one embodiment the two threaded portions are separated into an unthreaded portion. In one embodiment at least two bodies are treated in a parallel relationship to each other.

In one embodiment, the present invention consists of a method of extending the maxillary bone laterally, providing at least two bodies, bonding at least two bodies to a rigid gummi, and attaching at least one aligner to at least two bodies. It includes the step of. In one embodiment at least one aligner consists of a fixed aligner and/or an adjustable aligner. In one embodiment of attaching at least one aligner, it consists in attaching a fixed aligner and an adjustable aligner. In one embodiment, at least two vehicle bodies are configured as fixing devices. One embodiment fixing device consists of a thread fixing device.

In one embodiment, the present invention includes a medical device configured as follows. At least two or more bodies, each at least partially, are configured to be coupled with devices outside the oral cavity. Here, the device is configured to be at least partially coupled to a device outside the oral cavity. At least two bodies, and within those two bodies, are configured to deliver additional oral force to the maxilla to trigger movement and growth of the maxilla. In one embodiment, at least two bodies consist of a connecting device configured to couple to the ends of the orthodontic treatment device. In one embodiment the device consists of a device. In one embodiment, the device is configured with an orthodontic facial bow. A specific example of one adjustment structure, where at least two bodies are coupled to the maxillary bone, the adjustment structure transmits force to at least two bodies, so that at least two bodies exert a force on the maxilla and control the lateral movement of the maxilla. Is configured to produce. In one embodiment in which at least two bodies are attached to the maxilla, the external force exerted on at least two bodies by the instrument results in a combination of anterior or anterior and upward movements of the maxilla. In one embodiment, the external power is applied to the device in a direction that is in a straight line on at least two bodies. In one embodiment, at least two or more bodies are configured to be associated with the orthodontic equipment. In one embodiment the relevant pair consists of a snap fit and/or slip fit suitable for intervention. In one embodiment, the device consists of an intraoral portion and an intraoral portion to which the intraoral portion and the extraoral portion are related to each other. In one embodiment, the first of the at least two bodies consists of at least a first aperture and a second aperture, each aperture being discarded along a respective longitudinal axis, and the axis of the first aperture is not parallel to the axis of the second aperture. not. In one embodiment at least two bodies each constitute a plural or threaded bore configured to receive a screw fastening device. In one embodiment the device is configured with a thread fixing device, each thread fixing device consisting of two sets of threads, one of the two sets of threads being configured to engage each threaded hole of one of the at least two bodies, , One of the two sets of threads consists of a set of threads. In one embodiment each body of at least two bodies consists of a plurality of channels configured to receive a fixture along a longitudinal axis, wherein the longitudinal axis of the path plurality is at least discarded in a non-parallel relationship with the longitudinal axis of the second path. In one embodiment of the path the longitudinal axis of at least one path is discarded in angular relationship with respect to the longitudinal axis of the second path between 1 degree and 60 degrees.

Other advantages, advantages, and embodiments As described in the detailed description below, the above should not limit the present invention as it is within the scope of the invention.

Referring to Figures la-c, the markings of the constituent parts of the skeletal fixation device are observed before inwardly engaging the patient's upper palate on both sides of the central maxillary suture.
Referring to Figures 2a-b, markings of the components of the skeletal fixation dilator device are shown during engagement with the hard palate on both sides of the central maxillary suture.
Referring to Fig. 3, a representation of the constituent parts of the skeletal fixation dilator device is shown after connecting the first pair of bodies to the patient's Gumi and after removing the first fixation aligner.
Referring to Figures 4a-j, an indication of the components of a fixed dilator device consisting of an adjustable aligner and/or a pair of first bodies is shown.
Referring to Figures 5a-b, a display of the components including the skeletal fixed dilator device, including a pair and a pair of devices before the device is combined with the first body, is shown.
Referring to Figures 6a-d, an indication of the components of the skeletal fixation dilator device is shown, including a pair of instruments, before and after connecting the adjustable aligner to the first pair of body and instruments.
With reference to Figures 7a-b, an indication of the constituent parts of the components of the skeletal fixed dilator device consisting of the device before and after the distance between the adjustable aligners is increased by the adjustment structure is shown.
Referring to FIG. 8, it can be seen that the first body of a pair is shown after the distance between the adjustable aligner and the aligner adjustable by the amount clinically desired by the device is increased. Referring to FIG. 9, it can be seen that a pair of first bodies and two pairs of third bodies are combined with a pair of first bodies through respective fifth fixing devices, and then a pair of third bodies is shown.
Referring to drawings loa-d, a representation of the components of the skeleton fixed expander device including the second fixed aligner is shown.
With reference to drawing lla-b, a representation of a skeletal fixation dilator device consisting of an additional body is shown.
Referring to figures l2a-c, a representation of a skeletal fixative dilator device is shown that does not necessarily depend on the use of the first body pair.
Referring to Figure 13, it appears to show another embodiment of a skeletal fixation dilator device that does not require the use of the first body lOOa-b.
Referring to Fig. 14, a third fixed aligner device is shown.
Another third fixing device is shown with reference to figures l5a-c.
Another skeleton aligner dilator device is shown with reference to figures l6a-c.
Referring to Figures l7a-c, an expression of a tooth orthodontic appliance composed of a pair of third bodies and an orthodontic appliance combined with an externally worn third body is shown.
Referring to Figure 18, it can be seen that a pair of first bodies are externally coupled to a worn orthodontic treatment device.
Referring to Figures l9a-b, another representation of the orthodontic appliance worn outside is shown.
Referring to Figures 20a-b, an expression of an external force applied to an orthodontic treatment device worn from the outside is shown.
Referring to Figures 2la-b, another representation of the externally worn orthodontic appliance and its use is shown.

DETAILED DESCRIPTION The drawings referenced below indicate the components and features of the present invention with reference indicators. It should be noted that the same component may be presented in different numbers, but it is not used if the cumulative usage of an indicator with the same component is unnecessary or makes it more difficult to identify the component.

Referring to Figures la-c, the markings of the components of the skeletal fixation device are observed before inwardly engaging the patient's maxilla on both sides of the central palatine suture.

In one embodiment, the skeletal fixation device of the present invention consists of a pair of first bodies lOOa-b (only one body shown in Figure la) configured for intraoral attachment along the upper inlets on either side of the central palatine suture. . In one embodiment, each body is configured to face a side configured to face the hard palate and an opposite upper face. In one embodiment, one or both are flat. In other embodiments, the sides are parallel to each other. In one embodiment, at least a portion of one side is not parallel to the other side. In one embodiment, each of the first bodies lOOa-b consists of a plural form of a first opening 101 and a plural form of a second opening 102 treated along the longitudinal axis of the first body. In one embodiment, each first body consists of three first apertures 101 and two second apertures 102. In one embodiment, the first aperture 101 extends through the thickness of the first body lOOa-b. In one embodiment, the 102 second openings extend only a certain distance to the first body lOOa-b and not to the end. In one embodiment the skeletal fixation dilator device also consists of a first fixation aligner 106 having a plurality of third openings 199 configured to receive a threaded first fixation device 110. In one embodiment the first fastening device 110 consists of a screw configured to be received through the third opening and is threaded into the second opening 102. In one embodiment, on the first left side of the first fixed aligner 106, 199 third apertures of the same number are formed on the second side on the opposite right side. In one embodiment the fixed aligner 106 consists of four third openings 199. In one embodiment the fixed aligner 106 consists of a single integral vehicle body. In one embodiment the first fixed aligner 106 is configured as a plate-like structure. In one embodiment the first fixed aligner 106 is configured in an H shape. In another embodiment, the first fixed aligner is geometrically configured to form holes in four comers. In one embodiment, the third hole 199 of the first fixing aligner 106 consists of a vertical gap "B", which is the gap of the first body 100a-b pair with the first fixing device 110 inserted into the opening. Each of the second holes can be joined to 102. In one embodiment, when the pair or the first body lOOa-b is coupled to the first fixed aligner 106 via the fixation device, the lateral spacing 199 of the third gap is such that the first body lOOa-b pair is separated by the distance. Results in "Z". In one embodiment, the first opening 101 is a second fixture 111 (Fig. 1) where the channel sinks backwards into the first body to a first depth less than the thickness of the first body, and the channel is threaded along the first depth. It consists of a channel configured to receive the threaded top end of 2b-c). The protruding lower end of the second fixing device can be inserted into the opening. In one embodiment the first fixed aligner 106 and each first body lOOa-b are dimensioned to the dimensions specified in figures la and lb.

In one usage embodiment (see drawing lc), the rigid muzzle side of the first fixing aligner 106 is placed over each body lOOa-b, and each first fixing device 110 is three of the first fixing aligner 106. Inserted through the first hole 199, each fixing device 110 is screwed into the second hole 102 to engage the first fixing aligner 106. The first body, LOOA-B pair. After joining the first fixed aligner 106 and the first body LOOa-b pair, one of the first bodies LOOa-b is placed on one side of the patient's central palatine suture and the other body. The lOOa-b is placed over the patient's oral cavity so that it is placed opposite the suture.

Referring to Figures 2a-b, markings of the components of the skeletal fixation dilator device are shown during engagement with the hard palate on either side of the central palatine suture.

In one embodiment of the use, after the first fixation aligner 106 and the first body lOOa-b pair have joined together, they are placed over the hard palate on both sides of the central palatal suture and the combination is made through a plurality of screwed second fixation devices. Joined above 111. In one embodiment, each first body consists of a plural of 101 threaded first compartments extending between opposite sides of the first pair of bodies and a rigid entrance facing each other. In one embodiment, each pair of first bodies lOOa-b consists of 101 first bore of three threads. In one embodiment the threaded second fixing device 111 consists of a lower portion configured to screw the hard inlet through a first set of threads and a top portion screwed through the second thread into the first hole 101. In one embodiment the first and second sets of threads are separated into threaded portions. In one embodiment the first set of threads is defended by an outer diameter that is less than the outer diameter of the second set of threads. In one embodiment the second fixing device 111 is dimensioned to the dimensions shown in Figure 2b. In one use embodiment, the lower part of the second fixation device is inserted through the first aperture 101 of each of the first body lOOa-b pair, and after insertion the lower part of the second fixation device 111 is screwed into the oral inlet. Is inserted. While inserting the lower end of the second fastener into the rigid inlet, the upper portion of the second fastener 111 is placed on the first body pair until the surface portion of the second fastener 111 faces the surface portion of the first opening 111. Each thread in the first opening 101 is screwed. In one embodiment, a torque between about .1 nm and .6 nm is applied to the second fixation device to be inserted into the cortical bone of the palatine process of the maxilla and sit face to face with the first body. In one embodiment, reclining the second fixation device 111 against the first body lOOa-b forms a fixed rigid structure, which is made even more rigid by inserting the second fixation device into a rigid inlet.

In one embodiment, before inserting the lower end of the second fixation device 111 into the hard palate, one or more spacings 50 are inserted between the hard palate and the hard palate of the first body 100a-b pair. One or more gaps are intended to define the distance between the first pair of body lOOa-b and the tissue covering the rigid inlet. In one embodiment the distance is .1-3 mm. In one embodiment of use, the second fixing device 111 is screwed to the hard inlet until the first body lOOA-b is lightly attached to at least one gap 50 and at least one gap is lightly attached to the tissue at the hard inlet. In one embodiment the spacing 50 consists of soft silicone. In another embodiment, the gap 50 is made of a material that can be dissolved by the liquid in the mouth. In one embodiment, the gap 50 consists of a material consisting of gluten-free wheat, yeast, salt, and water, and is formed by baking on a thin wafer that can dissolve very quickly when exposed to mouth secretions. In another embodiment the spacing consists of resin or polycarbonate. After one or more gaps 50 are inserted and a pair of first bodies lOOa-b are attached to the oral palate, the gap is removed or dissolved in one embodiment, leaving an open space and an air gap between the first body and the oral cavity. In one embodiment, the space and air gap reduces the likelihood of tissue necrosis by making no or very minimal contact between the first body 100a-b and the hard palate. By doing so, since contact with the palate by the first body lOOa-b is reduced, damage and irritation (necrosis) of the palate soft tissue is reduced, and the force applied to the maximum bone is maximized. For example, it is possible to use a method of temporarily fixing teeth with surgical guides to create spaces and gaps while inserting the second fixation device 111, so the present invention is limited to the formation of spaces and gaps through the use of the described gaps. It shouldn't be. He can remove the temporary marina. Also, the threaded insertion of the upper end of the second fixation device into the paired first body is described as tightly coupling the 111 second fixation device to the body located under the palate, but the present invention is a different embodiment, a biocompatible resin. Or, such as adhesives, should not be limited to use or threads to achieve such a bond. In addition to or instead of the second set of threads described above, a second fixing device 111 can be joined to the first pair of bodies by means of the clamping, locking and interference-compatible linkage structure.

Referring to Figure 3, a representation of the components of the skeletal fixation dilator device is shown after the pair of first bodies are connected to the patient's gums and after the first fixation aligner is removed. In one embodiment of use, after the second fixation device 111 is bonded to the patient's hard palate, the first fixation device 110 is separated from the first body lOOa-b and the first fixation aligner 106 is the first body lOOa-b. Separated from and removed. After removal, it is confirmed that the first pair of bodywork lOOa-b is separated by the distance "D" as determined by the distance "B" of the first fixed aligner 106 (see drawing lb).

Referring to Figures 4a-j, a representation of the components of the skeletal fixation dilator device consisting of an adjustable aligner and/or a pair of first bodies configured to promote movement and growth of the patient's maximal skeletal complex is shown. In one embodiment, the skeletal fixation dilator device of the present invention consists of an adjustable aligner 150 (see Figure 4a). In one embodiment the adjustable aligner 150 consists of a second body l5la-b, each body being joined by at least one adjustment structure formed therebetween. In one embodiment, each of the second bodies l5 la-b is elongated along the axis. In one embodiment, when joined by the steering structure 152, each axis is generally parallel to the other axis. In one embodiment the adjustment structure 152 consists of a double ended expansion screw threaded at both ends. In one embodiment, the adjustment structure 152 is configured to rotate relative to the pair of second bodies l5 la-b. Thus, the second body causes each of the second bodies to move towards or away from each other through the threaded hole in each second body and the threaded interaction at its end. In one embodiment, each pair of second bodies l5 la-b consists of openings dimensioned to allow sliding or receiving within or within the ends of one or more stabilizing rods 175. In one embodiment, each of the second bodies l5 la-b is comprised of a plurality of threaded fourth openings 198 configured to extend between a rigid downwardly facing inlet and the top of the second body l5 la-b. In one embodiment the fourth openings 198 are separated by a longitudinal spacing to match the longitudinal spacing between the second openings 102 of the first pair of bodies. In one usage embodiment, the adjustment structure 152 rotates the screwed first tightening device 110 to a position that can be easily inserted into each fourth opening 198 of the adjustable aligner 150, and is inserted into each opening 102 of each body pair. do. After joining in this way, the pair of second bodies l5 la-b are spaced by an initial distance "D" equal to the first body lOOa-b spaced from each other. After pairing, the coordination structure 152 can be used to increase or decrease the transverse distance between the second body l5 la-b, the first body lOOa-b and the first fixation device 110, and this second body pair is the largest skeletal complex. And maximal skeletal complexes can be used to treat maximal defects in patients by bidirectional expansion. The nine bones are represented by the maxilla. In one embodiment, instead of the adjustment structure 152 consisting of a double-ended extension screw threaded at both ends as described above, the adjustment structure 162 is a one-sided extension screw ( See Figure 4d). In one embodiment, the unthreaded end is inserted through the opening of one of the second bodies l5 la-b and is left to the left to rotate freely within the opening, while the threaded end is through the thread to the threaded opening in the other body. Are combined. The unthreaded end is secured by a fastener to limit longitudinal movement within the opening relative to the second body. When the adjustment structure 162 rotates, one of the second bodies l5 la-b remains fixed and the other moves. In one embodiment of use it has been found that the skeletal fixation dilator device consisting of a unilateral expansion screw described above can be used to treat maximal asymmetry. Rotation is described above to cause an increase in the distance between the second body l5la-b, but other structures that can cause the movement of the second body l5la-b are considered to be within the scope of the present invention. For example, springs, micromotors, or other passive or active actuators can be used to induce li. Proximity movement between the second bodies In one embodiment, each of the first bodies LOOa-b is combined with the rigid palate, followed by the first A total of six fixtures will be used, using three fixtures per second body. Compared to using the fixing device of 2 seconds per first body lOOa-b, using the fixing device of 3 seconds per first body of the present invention can reduce the power of the fixing device. Experience during movement of the first body as well as a decrease in force by the local bones supporting the fixation device. If the secondary fixing device 111 is further used, the force applied to the fixing device by the palatal resistance to the movement of the secondary body l5la-b is distributed, and the force generated by any fixing device is reduced. Thus, the fixation device for supporting the fixation device and or the fixation device 111 for receiving the fixation device in other embodiments where it is necessary or desired to reduce the force experienced by the local bone and three or more openings in the first body are of the invention. Included in the scope.

Referring to Figure 4e, it has been described that in some embodiments above a fixed aligner 106 was used to provide initial alignment to the first pair of bodies, but in one embodiment it is possible to provide such an aligner without the use of aligner 106. I can. In one use embodiment, the threaded first fastening device 110 is inserted through each fourth opening 198 of the second body l5la-b and then screwed to each second opening 102 of the first body lOOa-b pair. After joining in this way, the first pair of bodies lOOa-b will be separated at intervals by an initial distance determined by how much the extension structure of 152 or 162 will rotate. The first body lOOa-b pair can then be combined with the top inlet with this initial gap by first inserting a 4 second fixing device 111 into the first hole 101 at both ends of the first body lOOa-b pair. After mating with the upper inlet, the second solid pair l5la-b can be removed, as desired, by inserting it into the first hole 101 in the middle of the first solid pair lOOa-b using the second fixture 111, The third solid pair can be fixed to the hard entrance. If the first body lOOa-b is joined with the top inlet as a complete complement of the second fixture 111, then the second body l5la-b pair is recombined with the first body lOOa-b pair, making the threaded first fixture 110 a fourth. Inserted into hole 198 and then used by additional insertion of second hole 102 e first body lOOa-b.

For example, if you want the first lOOa-b or the second l5la-b body to be initially mounted close to the octopic suture as a fabric, when the initial distance between the second body l5la-b needs to be minimized (Fig. 4f Sans Stabilization The embodiment of the adjustable aligner 150 described in the adjustable aligner 150 of the rod 175) has been found to be useful, where the force transfer against the suture tissue is maximized in this direction. As shown in Figure 4g, in one specific example adjustment structure between the second body l5la-b, the minimum distance between the second bodies is 2.5mm, but also the maximum distance is determined to be 10mm, and the outer end of the adjustment structure is m It also determines how far outward from the second body in the minimum direction in Figure 4f. However, in some cases, it has been confirmed that the protrusion may interfere with the structure of the patient's tongue or mouth when the tip of the adjustment structure protrudes too much. In addition, if an expansion force is applied to the secondary body l5la-b, the body may begin to dig into the palate wall tissue due to the lack of transverse space in the palate with the least space.

See drawing. 4h, the adjustable aligner 150 in some embodiments is configured with an adjustment structure 172 to minimize or eliminate interference with the patient's oral anatomy. In one embodiment the adjustment structure 172 is configured as a telescopic expansion screw structure. In one embodiment, the expansion threaded structure has two threaded openings and two threaded rods l72b at opposite ends, the first threaded end being threaded into each threaded opening, and a second threading mounted on each threaded opening of the second body. It consists of a housing l72a with ends.

In one embodiment of use, it may be desirable to use both, rather than just one of the 152 or 172 coordination structures to achieve the desired expansion of the patient's maxilla and palate. For example, if the first or second body is initially placed close to the palatal suture and a subsequent extension larger than can be provided by the adjustment structure 152 is desired without causing interference by the adjustment structure, the adjustment consisting of the adjustment structure 152 The possible aligner 150 can be used for the arch, after the first distance between the second bodies (e.g. 10 mm distance) is secured, an adjustable aligner is used to achieve the second distance (15 mm) between the second bodies. Can be removed and replaced with an adjustable aligner 150 consisting of an adjustable structure 172. The initial and final distances described above with respect to the use of 152 and 172 of the adjustment structure constitute 152 and 172 in other embodiments of the adjustment structure so that smaller or larger distances are possible, for example through appropriate length selection and/or body modification. It is intended to be an example because it can be done.

Referring to Figures 5a-b, a representation of the components including the skeletal fixation dilator device is shown, including a pair and a pair of devices before the device is combined with the first body. In some cases, the combination of the adjustable aligner 150, first body lOOa-b, and fixation device 111 may be insufficient to achieve the clinically desired maxillary extension due to very thin bones or very thick bone anatomy. Therefore, in order to further reduce the skeletal stress caused by the screw thread fixing device, in one embodiment, the skeletal fixing and expanding device of the present invention consists of a pair of devices. In one embodiment each device consists of at least one extension support 125 (see Figure 5b). In one use embodiment, the first end 130 of each support 125 is configured to be coupled to each second opening of the first body lOOa-b pair, and the opposite end 131 of the support is embedded within each plate 132. In one embodiment each plate is made of acrylic or other sufficiently hard biocompatible material known for use by those skilled in dental instruments. In one embodiment, when embedded in Figure 132, the first end 130 of the extended support 125 is spaced a distance "Y" equal to the second opening 102 of the first body pair. In one embodiment, each first end 130 consists of an opening therein configured to receive a respective securing device 110. In one embodiment, plate 132 is made with a mouth-made mold or digital scan and is dimensioned so that, when used in the oral cavity, it does not come into direct contact with any teeth and is in comfortable contact with the oral tissue.

Referring to Figures 6a-d, an indication of the components of the skeletal fixation dilator device is shown, including a pair of instruments, before and after connecting the adjustable aligner to the first pair of body and instruments. In one use embodiment, the threaded first fastening device 110 is inserted through each of 198 fourth openings of the adjustable aligner 150, and 130 ends of 125 supports of the first body l20a-b (see Figures 6a-b). ), and then screwed into each of the second openings 102 of the first pair of bodies, resulting in: e forming a structure that can be applied to either side of the unopened when it is engaged and extended to the palate via an adjustment screw 152. 3 mating components. In one embodiment (see Fig. 6c), rather than initially providing the devices l20a-b as a separate device from the adjustable aligner 150, each device is incorporated as part of its respective second body l5la-b, making adjustments Possible aligner 150 and each unit can be attached to the first pair of main body lOOa-b as a single integral unit. Figure 6d shows such an integration in which the first set of ends of the supports 125 can be integrated into the second body and the opposite set of ends can be molded by means of a plate (not shown).

With reference to Figures 7a-b, an indication of the components of the skeletal fixation dilator device consisting of a device before and after the distance between the adjustable aligners is increased by the adjustment structure is shown. In one embodiment of use the adjustable aligner 150 is coupled to a pair of first bodies lOOa-b and the distance between the second bodies l5la-b increases through rotation of the adjustment structure 152, which is the first body lOOa-b And increase the distance between the unit l20a-b. In an embodiment the increase occurs using a spanner wrench, activation key, or other device configured to move or rotate the 152/162 adjustment structure. In one embodiment, an incremental increase in the distance l5la-b between the second bodies causes a maximal lateral expansion of the patient, wherein the amount of increase can be achieved by determining the amount of potential expansion. While using the adjustable aligner 150 it is confirmed that part of the second fixture 111 at the insertion point of the hard inlet is exposed by the small space created between the hard inlet and the first body lOOa-b pair and between ( See the use of spacing 50 to create spaces and gaps described in Figure 2 above). Compared to the case where the small space did not exist, the existence of the space is the movement resistance by the palatal suture at one end of the second fixation device mentioned above and the movement by the second body L5L, whereby the second fixation device is inserted into the oral cavity. Causes an increase in the amount of stress at the point. the other end of the a-b fixture. The stress exerted on the fixation device 111 means that the oral palate at each insertion point will also be affected by the stress. The reduction of the local stress applied to the fixation device 111 and the largest bone is thus identified as desired. One approach to reducing fixture stress involves distributing the stress to more fixtures, as described above. However, when instruments l20a-b are also used, since their plate 132 is in contact with the palate, the extension of the second body l5la-b forces the plate to the soft palate, thus applying the force at least partially to the extension by the maxilla. It can lead to a hard palate that can be used to overcome resistance to, which in turn becomes dioxide. It reduces the stress experienced by the fixing device. 111 threaded fasteners that allow the top end of the second fastener 111 to be inserted into the threaded holes in the first pair of bodies, a fastener of at least 2 seconds per first body can be used, either alone or in combination as described above This can provide stability of the first body LOOa-b and the second board. It is not necessary to use a molar and tooth insulation fixing device. Many benefits come from eliminating tooth force transmission. That is, a greater orthopedic effect occurs compared to the pubis or tooth effect. Greater orthopedic effects correlate with greater airway and appearance. In addition, many risks are eliminated by contact and non-invasiveness of teeth, such as root resorption, tooth tilt, and potentially scissor bites. Although non-clinical and contact with the tooth is preferred, it should be understood that nothing prevents the present invention features described above or below from bonding to the tooth when desired or needed to obtain a specific clinical outcome.

Referring to FIG. 8, it is seen that the first body of a pair is increased after increasing the distance between the adjustable aligner and the adjustable aligner by a clinically desired amount to remove the device. In one embodiment of use, after increasing the distance between the first body lOOa-b to the clinically desired distance "D2", unscrew the first fixing device 110 and use the adjustable aligner 150, and If so, remove device l20a-b. In one embodiment, to enable regeneration of the palatal suture while the distance “D2” is maintained, a pair of third bodies l70a-b are positioned over the first body lOOa-b. In one embodiment, each of the third bodies l70a-b consists of a plurality of 195 fifth openings, each arranged vertically at equal intervals as the second opening 102 of the first body. In one embodiment the 195 openings extend from the palatal face to the upper face of the third pair of bodies l70a-b, where they are configured to receive 191 fifth fasteners.

Referring to Figure 9, a third pair of bodies l70a-b is inserted into the fifth fixing device 195 through each fifth fixing device 191, and each fifth fixing device is screwed into each second hole 1 and then the first Marks of the first and third body pairs are visible. 02 lOOa-b. to join the 02th body to the first of the first body pair.

Referring to figures l0a-d, a representation of the components of the skeletal fixed dilator device including a second fixed aligner is shown. In one embodiment for using "D2" while the primary body lOOa-b and the tertiary body l70a-b are joined together, a second fixed aligner 196 is used. In one embodiment, the second fixed aligner 196 is composed of a body configured to maintain a distance "D2" over the patient's palatine suture, and can regenerate with the bone and maintain the distance without using the embodiment of the present invention. I can. In one embodiment the second fixed aligner 196 is configured to join the third body l70a-b together. In one embodiment, the second fixed aligner 196 consists of a wire that is bent into a shape that allows the ends 166 and 167 to be inserted into each of the sixth holes 197 respectively formed in the third pair of bodies l70a-b. In one embodiment the second fixed aligner 196 is made of stainless spring metal as a single piece. In one embodiment, the second fixed aligner l70a-b is made of a material strong enough to maintain the distance'D2" in the holding and stabilizing phase. The holding and stabilizing phase instead of the fixed aligner 196 being adjustable. When used, it provides a much sleeker and less bulky device, allowing for greater tongue volume and tongue posture during steps, and can increase hygiene and sterilization levels by extending and removing the adjustable aligner. In embodiments, after making the expansion, the adjustable expander may be put in place, and no further adjustment may be made to effectively function as a fixed aligner.

Referring to Figure lla-b, a representation of a skeletal fixation dilator device consisting of an additional body is shown. In some embodiments, while expanding the patient's maxireal complex, the patient's age, sex, bone density, or desired clinical outcome may require stability that some of the embodiments described above are not most suitable to provide. Thus, in one embodiment the skeletal fixation dilator is provided with at least 165 additional two bodies. In body shape, the 165 balls consist of arms, rods, rigid wires or other structures configured to provide an additional point of stability to the skeletal fixation dilator without relying on the support of the teeth. In one embodiment, the at least one body extends laterally at lOOa-b of the first body (see Fig. 11 a) or l5l-a-b of the second body (see Fig. lb), respectively. In one embodiment, one end 165 of each body is integrated with the lOOa-b of the first body or a second body, and the other end consists of an attachment structure 164 configured to provide bonding to the rigid palate. In one embodiment, each attachment structure is configured to receive a fixation device 163 configured to provide a relevant coupling of the attachment structure to the hard inlet. In embodiments, the fixation device 163 may be comprised of screws, rivets, pins, interference type structural biocompatible adhesives, or other dental fixation devices. The body 165 provides an additional connection point that can distribute the force to more attachment points of the skeletal anchor.

Referring to figures l2a-c, a representation of a skeletal fixative dilator device is shown that does not necessarily depend on the use of the first body pair. In one embodiment the skeletal fixation dilator consists of an adjustable aligner 151 or fixed aligner 106. In one embodiment the skeletal fixation dilator consists of a plurality of sixth fixation devices 136. The lower end of each sixth fixation device 136 is configured to be inserted into the maxilla and the opposite upper end is configured to receive and engage the fixation aligner 106 or the adjustable aligner 150. In one embodiment, the respective alignment and spacing of each sixth fixation device 136 compared to another sixth fixation device that engages the patient's hard inlet is determined by the space of the holes formed through the fixation aligner 106. In one embodiment, the top end of the sixth fixation device 136 is initially coupled to the fixation aligner 106 via a recessed intervening mount formed at the bottom of the hole formed in the fixation aligner 106. In this case, each sixth fixing device fixed in the fixed aligner 106 is extended and aligned with the hole. In one use embodiment, the fixation aligner 106 and the sixth fixation device 136 are aligned and arranged with the inlet so that the same number of sixth fixation devices 136 are placed on either side of the palatine suture. In one embodiment of use, each fastening device is then engaged with a rigid inlet. In one embodiment, the lower end of each sixth fixation device 136 consists of a thread that is inserted into the rigid inlet through rotatable interaction with the top end of each fixation device passing through the opening of the fixation aligner 106. In one embodiment of use, after inserting each sixth fixture 136 to the desired depth, the fixation aligner 106 removes the top end of the sixth fixation device from the recess of the fixation aligner hole to separate it from the sixth fixation device 136. do. In one use embodiment the adjustable aligner 150 is combined with a sixth fixation device 136. In one embodiment the attachment structure is provided with the second body l5la-b or on each second body l5la-b and is dimensioned at a vertical distance with the same vertical distance as the opening of the fixed aligner 106. In one embodiment, prior to connecting the sixth fixation device 136, the second body l5la-b is adjusted to provide an attachment structure to the second body l5la-b at the same lateral spacing as the opening of the fixation aligner 106. Use spaces apart. In one embodiment, each attachment structure of the adjustable aligner 150 is configured to hold the adjustable aligner 150 when placing the adjustable aligner 150 over the sixth fixation device 136. In an embodiment, the attachment structure is comprised of an opening configured to engage the sixth fixing device 135 and detach it to the adjustable aligner 150, a snap-fit structure, an interference type structure, an adhesive, or a combination thereof. In one embodiment the attachment structure consists of an opening and a seventh fixture 135 provided with each second body l5la-b, wherein the seventh fixture consists of a fixture, and at the top end of the sixth fixture 136 An opening is provided that receives the lower end of the seventh fixing device 135. In one embodiment the top end of the sixth fixation device 136 and the bottom end of the seventh fixation device 135 are threaded. In one use embodiment, the adjustable aligner 150 is placed over the sixth fixation device 136, then the seventh fixation device 135 is inserted into the hole of the adjustable aligner and engages the sixth fixation device 136. The adjustable aligner 151 can then be used to create a therapeutic extension that can be installed by aligning the fixation 136 without the need to use the first body of 100 a-b described above. In addition, in the sixth fixture, in which 135 can be installed on the palate to a desired depth, in one embodiment, the installation can be carried out so that the upper end of the sixth fixture 135 can protrude a certain distance below the palate. In some cases, one or more of the spacing 50 described above may not be necessary to achieve the desired mount. Spaces and gaps between the adjustable aligner 150 and the palatal tissue 4 6th 136 and 7th 135 fixation devices are shown in drawings l2a-b, but different numbers of fixation devices and attachment structures are for example 6th and 7th fixation It is understood that more than six embodiments and uses of the device are possible, and each attachment structure can be used as needed or may be necessary to distribute the force.

Referring to Figure 13, it appears to show another embodiment of a skeletal fixation dilator device that does not require the use of the first body lOOa-b.

In another embodiment where it is not necessary to use the pair of first bodies lOOa-b discussed above, each of the second bodies l5la-b is configured to extend between the solid inlet facing downwards and the top of the second body l5la-b. It consists of the plural of the fourth opening 198 of the sand mold. Four threaded holes 198 are discussed here, but the present invention can be embodied with a different number of fourth holes within each part of the second body l5la-b to better distribute the force and reduce screw and bone stress. Consider that there is. In one embodiment of use, the second pair of bodies l5la-b is first engaged with the upper inlet by inserting the bottom end second fastener 111 into the fourth hole 198, and the bottom end 111 of the second fastener is rigid. It is inserted like a screw in the entrance. While inserting the lower end into the rigid inlet, the upper end of the second fastener 111 is screwed into the threaded fourth hole 198 of the second body l5la-b pair. In one embodiment the distance between the second body l5la-b and the palate may be made using a spacing of 50 prior to fully screwing the second fixation device 111 into the palate. In one embodiment, when used without the first body pair described above, the second body pair l5la-b is attached to a device, part, rod, stiff line or other structure configured to provide an additional point of stability to the skeletal fixation dilator described above. Can be combined or constructed.

Comparisons of prior art devices with various embodiments of the present invention were conducted, including:

* Prior art device: a dilator assembly connected to the inlet via a tooth and four fixation devices via a molar band (i.e. Moon device as mentioned in the background)

* Specific Example 1: A set of expanders using a primary body lOOa-b and an adjustable aligner 150 connected to the inlet through six fixing devices 111. Here, each fixing device consists of two threads, where one set of threads is threaded on the primary body pair, and the second thread is threaded with the inlet and thread set (see). Figure 2b).

* Specific Example 2: A set of expanders using two main bodies l20a-b (see Fig. 6b) and one main body lOOa-b and an adjustable aligner 150 connected to the inlet via six fixing devices 111. Here, each fixing device consists of two sets of threads (see Fig. 2b), and one thread is threaded into the first body and the second body pair; d The thread is threaded into the palate (Fig. 2b). Reference).

The following peak bone stress was noted.

* Prior art equipment: 98 MPa

* Specific Example 1: 84 MPa (reduced stress on the fixation device and bone compared to the previous technique).

* Specific Example 2: 50 MPa (reduced stress on fixation devices and bones compared to the previous technique).

The following peak palatal variants were mentioned.

* Prior art equipment: 0.479

* Specific Example 1: 0.426 (Provides a uniform strain on the palatal bone suture compared to the previous technology)

* Specific Example 2: 0.397 (providing a uniform strain on the palatine suture compared to the previous technique and specific Example 1)

Referring to Fig. 14, a third fixing device is shown. In one embodiment, the third fixation aligner 1901 consists of a surgical guide configured to accurately place and fix a pair of superbody lOOa-b on the palate on either side of the oral suture.

In one embodiment, a geometric cast in the patient's oral cavity is obtained, a mold is made from the cast, and the instrument is made in a frame in the form of a third fixed aligner 1901, and is consistent with the patient's palate, jaw and or dentures. It has a characteristic. In another embodiment, a digital scan (e.g., a palatal and/or CBCT scan of the upper jaw) is performed through a computer-controlled imaging device, and a representation of the patient's palate, jaw, and/or denture is obtained and stored in memory (e.g., STL file) do. The stored representation can then be used by a 3D printing or processing device to form a third fixed aligner 1901, which has features consistent with the palatal, chin, and/or dentures formed on the patient's palate surface. In one embodiment, the fixation aligner is made of a biocompatible material suitable for oral use, as known to those skilled in the art. In one embodiment the third fixed aligner 1901 consists of a hole 1936 formed in the third fixed aligner 1901 to guide the insertion of the second fixing device 111 into the hard inlet. In one embodiment, the 1936 opening is formed along a peripheral notch 1937 formed in a third fixed aligner configured to receive the first body lOOa-b. In one embodiment of use, after installation on the patient's soft palate, the third fixation aligner 1901 guides the first body lOOa-b and the fixation device 111 to the position on both sides of the palatine suture and the fixation device 111 is the first beam. It is used to allow it to rotate with a rigid palate until it is fixed in a pair of. In one embodiment, a denture part of the third fixed aligner 111 for patient consciousness may be inserted to minimize the movement of the first body lOOa-b with respect to the maxillary bone while the fixing device 111 is inserted. In one embodiment of use the third fixed aligner 1901 is to define the space and gap between the first body lOOA-b and the palate. To achieve the desired spacing and gaps, a third fixed aligner 1901 can be manufactured with a thickness around the 1936 opening depending on the specific spacing or spacing desired (e.g., spacing and gaps between about .1 mm and about 3 mm). The third fixed aligner 1901 is relatively hard, but can be made of intangible materials. For example, biocompatible acrylic, resin or polycarbonate. In one embodiment, a third fixed aligner 1901 is provided with one or more thin areas 1938, and the alignment of the aligner along the thinned area so that broken pieces of the aligner can be removed around the fixture and under the first bodywork lOOa-b. The fixed aligner can be removed by subsequent separation. Remove the fixing device with or without removing 111.

Another third fixing device is shown with reference to figures l5a-c. In one embodiment the third fixed aligner 2001 is manufactured using the technique discussed above with reference to the third aligner 1901. In one embodiment the third fixation aligner 2001 is comprised of an alignment feature 2117 configured to receive a first pair of bodies 2100a-b and an opening 2119 configured to receive a plurality of fixation devices including a fixation device 2116 and a fixation device 2111. In one embodiment, the plurality of openings 2119 consists of openings configured with intervals coincident with the intervals of each opening 2115 of the first fixed aligner 2106 and the first body 2100a-b. In one embodiment of use, the first body 2100a-b is arranged against or in shape 2117 on one side of the third fixed aligner 2001, and the first fixed aligner 2106 is the third fixed aligner 2001 Arranged on the opposite side of the, fixing device 2116 is inserted into the opening 2115, through the opening 2119 is inserted into the opening of the first body. The first body and the first fixed aligner are combined to form a set in which the third fixed aligner is fitted between the first body and the first fixed aligner. In one embodiment of use the set is then placed against the palate, and a plurality of fixation devices 2111 are used to secure the set to the palate. In one embodiment of use the third fixed aligner 2001 consists of a thickness Tl of the area configured to receive the first body 2l00a-b in shape 2117, the Tl thickness being thicker than the T2 thickness 2l00a-b of the first body pair, In the set mounted on the palate, the distance is determined by the difference between the thickness of the first body face 2l00a-b and the thickness of the third fixed aligner 2001 and the thickness of the first body pair (for example, a distance of about .lmm and 3mm). Separated from the palate by

In one embodiment the third fixed aligner 2001 and the first fixed aligner 2106 consist of a hole 2139 dimensioned to receive the plurality of fixing devices 2111 as a whole, followed by the second fixed aligner 2106 and three. The second fixed aligner 2001 can be removed by removing the fixing device 2116. While the first pair of bodies is held secured to the rigid inlet via the securing device 2111, the first of the two pairs allows the adjustable aligner 150 to be mated at a distance from the inlet to the distance. In one embodiment, the third fixed aligner 2001 is configured to be fixed to the patient's denture, and is configured to place the body in a specific position of the patient's mouth by bonding between the first body 2100a-b and the fixed aligner 2106. The thickness formed on the first body of the 2100a and the counterbore 2111 are further aligned so that the first body can be accurately mounted on the ceiling of the mouth 2100a-b and the fixing device 2111 on the hard palate.

Referring to Figures l6a-d, another indication of a skeleton fixing device is shown. In some embodiments, it may be difficult to fix certain embodiments described above to the patient's mouth due to the "v" shape, narrow or constricted palate, and if the palatal shape is different from this, 111 threaded in relation to the palate. The vertical orientation of the second fixation device can be difficult to fix in place due to the limited flat area.

In one embodiment the skeletal fixation device consists of a pair of first bodies 100c-d (see Figures 16b-c). In one embodiment (see Figure 16a), the first pair of bodies lOOc-d consists of a second compartment 102 defining a longitudinal channel each having an angle (non-parallel) to the longitudinal channel defining the first compartment 101 do. This allows the first body pair lOOc-d to be secured to the second body pair 151a-b in a manner similar to that described for other previous body types, but with a threaded second fixation inserted into the second hole of one of the first body pairs. The axis of the device 111 is oriented at an angle with respect to the longitudinal direction. An extension 173 may be provided to the first body lOOc-d in one embodiment of the axis of the second fixation device inserted in the other pair of the first body pair to provide additional structural support for the second opening 102. In one embodiment the first body lOOc-d pair with extension 173 consists of a single element. In other embodiments, the first body lOOc-d and the extension can be joined together through various attachment means. It should also be noted that inserting the screw at an angle may have more surface contact to the bone than a vertical screw. Furthermore, the angled screw can be designed to be inserted through the middle palatal suture in a different way than the vertical screw, which may be desirable) In the embodiment of drawings l6a-c the first body is not parallel to the first surface. It is configured to engage the second body along the extended portion 173 of the upper surface. In other embodiments the enlarged portion may be removed such that the top and bottom surfaces of the first body are substantially flat or parallel to each other (see Fig. 16d).

In one embodiment, as can be determined by the palatal shape and anatomy of a particular patient, 100 cd is the angle of the longitudinal axis of the 102nd palate with respect to the longitudinal axis of the first palate 101 in each body is about 0 and about 90. Can be configured between (90 degrees). In another embodiment, the ordinate angle of the second opening 102 relative to the longitudinal axis of the first opening 101 is between about 1 degree and about 60 degrees. In one embodiment, the angle of the longitudinal axis of the second compartment relative to the longitudinal axis of the second compartment of the pair of second bodies lOOc-d may be the same as the angle of the second compartment of the first body lOOc-d pair. . In one embodiment, the angle of the longitudinal axis of the second compartment with respect to the longitudinal axis of the second compartment of the pair of the second body lOOc-d pair may be different from the angle of the second compartment of the first body lOOc-d pair. .

While the embodiments discussed and described above have so far been directed to apparatus and methods used to apply a lateral force to treat a maximal defect, the present invention is that one or more of the embodiments apply an anterior refractive power to treat a maximal defect. Can be used for

In the above embodiment, it was confirmed that a pair of the second l5la-b or the third body l70a-b can be coupled to a pair of the first body lOOa-b, and in one embodiment, the hole of the third body l70a-b pair 197 was configured to couple to spring line 196 (see Fig. lOb) used to maintain the lateral distance between the palatine sutures. Maximize As can be seen in the examples below, the second and third bodies can also be configured with openings that can orally engage with externally worn devices (e.g., orthodontic facial bows). It can be used to enable forward movement and growth. In one embodiment, the device is mounted intraorally to the patient's maxilla in a way that does not cause one or more oral additional refractive powers to cause downward movement and growth of the patient's maxilla, or equivalently in a combination of forward and phase shift and growth. To the body.

Referring to Figures l7a-c, there is shown a representation of an orthodontic device consisting of a pair of third bodies and externally worn instruments coupled with a pair of bodies. In one embodiment (Figure l7a below), a pair of third bodies 2l70a-b are engaged with the palate through a pair of interventional first bodies 2 lOOa-b (below the third body 2l70a-b in Figure l7a). Does not appear to be present). In one embodiment, each of the third bodies 2170a-b is configured to engage each free end of the device 2002 (labeled 2002a-d). In one embodiment, mating is achieved by inserting the free male end of the instrument into the female hole 2197 of the third pair of bodies. In embodiments mating may be maintained through a fastening device, a snap fit, slip fit, and or other relevant engagement formed between the free end and the third body 2l70a-b of the device 2002, suitable for intervention. In some embodiments, aperture 2197 allows for quick and simple coupling and removal of the device 2002 with the original body 2100a-b pair. In some embodiments, the device 2002 is made of one or more of stainless steel, ceramic, cobalt chromium, or other sufficiently strong material.

In another embodiment, the second body of 2l5la-b is joined to the hard palate by intervening 2l00a-b. In one embodiment, each 2l5la-b of the second body is configured to engage each free end of the device 2002. In embodiments, the bond may be maintained through a fastening device, interference fit, snap fit, slip fit, or related bond formed between the 2150a-b and the free end of the device 2002. In one embodiment, mating is achieved by inserting the free male end of the device 2002 into the female hole 2197 formed in the second body.

Referring to Figure 18, it can be seen that the first pair of bodies is coupled with an externally worn device. In one embodiment, from 2002 to the second 2l5la-b or the third 2l70a-b, the appliance is not joined, but with a pair of 2l00a-b primary bodies through the fixing device 2198 provided on the primary body. In one embodiment, the first body 2100a-b consists of an opening similar to hole 2197 described above.

Referring again to figure l7a, in one embodiment, the 2002 device consists of two first parts 2002a configured to extend transversely from each free end to the patient's most posterior (eg molar tooth). Here, the second part 2002a is configured to extend past the posterior tooth and then engage. 2002b Third part of 2002c by bending part 2002b. Here, the third part 2002c generally consists of a shape that extends from the curved part along the outer surface of the patient's teeth and the outer part of the patient's mouth. It is configured to be. Integral or non-integral fourth part 2002d or directly. In yet another embodiment, instead of extending laterally to the rear of the distal tooth, the first portion of 2002a may be configured to fit between the spaces existing between the teeth. In another embodiment, the shape of one or more parts of the device 2002 is customized to the specific shape of the patient.

Referring to Figures l9a-b, another representation of the orthodontic appliance worn outside is shown. In one embodiment the 2002 device consists of the fifth part of the 2002e. In one embodiment, the fifth portion is associated with the fourth portion and extends centrally in a generally orthogonal and upward direction relative to the fourth portion. In one embodiment Part 5 of 2002e is joined to Part 4 of 2002d through information to the skilled person, for example through brazing, welding or other fixed connection structures. In one embodiment, part 5 of 2002e consists of two branches extending upward from the fourth part of 2002d and reconnecting over the fourth part of 2002d, which branch is defined as two branches that rejoin, so that two The branch extends to the end. In one embodiment, the fifth part of 2002e may be a hook, ring (see figure l9a), indentation (see figure l9b) or an externally worn articulating frame or elastic or other external force application device of the device. 2002n consists of at least one force application point in the form of other attachment structures. In one embodiment, Part 5 of 2002e is configured to extend upwards so that little or no interference occurs in the patient's nose during use.

Referring to Figures 20a-b, an expression of an external force exerted on an externally worn instrument is shown. As the present inventors have confirmed, when external powers are coupled to the instrument and to a pair of bone anchors mounted at the maximum by the instrument, the application of advancing or advancing and upward forces to the instrument is substantially advancing or advancing at such force. And can only be used to achieve upward growth. If possible, do not create a rotational moment about the skeletal anchor's attachment point about its maximum or minimum. The present invention is a maximum of one pair of movement and growth when forward or forward and upward refraction forces are applied to an apparatus that is coupled to a pair of bodies connected with a maximum at a rigid entrance, and when the rotational moment is rotated by 2l0 in the first pair of bodies. It indicates that this can also be achieved. When combined with the 0a-b maximum, it is removed or substantially minimized. The present invention identifies the moment of rotation transmitted to a pair of bodies, and thus the point of application of the force of the device (see e.g., points A, B, and C) and the maximum when additional oral force is applied to the device in the direction passing through the pair of bodies. It can be practically minimized or eliminated. (See, for example, the first body 2100a-b in Figure 20A) is associated with the maxilla (eg, hard palate). In one embodiment, the skull is applied to the instrument relative to the patient standing facing forward, along an axis passing at an angle of 60 degrees to the horizontal “C” of the instrument and through point “D” in the first body of the pair. With the power of l588gm, only the desired front grows and moves. The moment of the patient's vasculature complex can be achieved. Depending on the skeletal geometry of a particular patient and/or the desired movement or growth of the patient's maximum, the direction of the force exerted on the instrument is aligned with the pair of bodies, depending on the embodiment, and other forces, angles and other positions of the instrument are the scope of the invention. In the text described above, for example, as shown in Figure 20b, the fifth part of 2002e in different locations 2002n as long as the force generally acts in a direction passing through the first body pair and the force application point of the instrument. The refractive power can potentially be applied to.

Referring to Figures 2la-b, another representation of the externally worn orthodontic appliance and its use is shown. In one embodiment, each 2002c of the 2002 device generally extends in opposite directions along the outer surface of the patient's teeth, and intraoral and intraoral joints within 2002p and 2002q and 2002p (e.g., associated joints formed by one or more h) Combined in 2002p by. Rings, snap fits, slip fits, intervention fits, and/or other similar interlocks formed at the ends of intraoral and intraoral parts. During intraoral use of the device 2002, as needed or desired (for example, during periods when the external headgear and device may not be worn in public), in one embodiment, the oral and oral cavity through the relevant joint 2002f I can separate my part. Figures 2la-b show the device joined to one joint in 2002f on each side, but in other embodiments it is understood that the device may consist of more joints than expressed, and thus may constitute a part with higher relevance. do.

Therefore, when using a pair of the first 2l00a-b, the second 2l5la-b, or the third body 2l70a-b with orthodontic treatment devices in 2002, in addition to the maximum transverse expansion and growth, the anterior and phase shift and the patient's maximum growth were also observed. Confirmed that it can be achieved. In the embodiment using the third body 2l70a-b, it was further confirmed that in addition to the movement and growth of both sides, unilateral movement and growth of the epithelial bone can be achieved. It is also confirmed that the use of the first 2l00a-b, second 2l5la-b, and third body 2l70a-b pair eliminates the need to perform the same invasive surgical procedure as required for other devices. In addition, the aspect of the present invention is that it is suitable for use of a device worn by a sleeping patient outside because it can consist of a shape that spans only the top and the whole of the patient's frontal facial anatomy and can minimize sleep on the side. Is confirmed.

The above-described embodiments have been described in some detail to aid understanding, and the described embodiments are regarded as examples and are not limited. It will be apparent to one of the common techniques in the technology that certain changes and modifications may be made within the scope of the added claims.

For example, in some embodiments, one or more shapes may be combined with one or more shapes in other embodiments without departing from the disclosure range. In addition, modifications, additions, or omissions may be made to any specifics without departing from the scope of the disclosure. In addition, dimensions and other materials other than the published dimensions can be used provided they are suitable for human use and are sufficiently robust. In addition, although embodiments of the present invention are described to enable use without requiring combination with a dental or molar band, it should be understood that such use is not excluded and that the present invention can be adapted for use with such devices if desired. . In addition, a specific embodiment of the present invention has been described in connection with use as an orthodontic treatment device for treating an orthodontic condition, for example, as a medical device that can be used for the treatment of biovezi obstructive sleep apnea by Maximal Hippoplarsia. I, in the use of kappa with other surgical procedures, the use is much larger. You should avoid performing the procedure by a surgeon with facial contours that can be treated with medical insurance other than dental insurance.

Claims (107)

A medical device comprising:
Each of the at least two or more bodies is configured to engage at least an instrument external to the patient's maxilla and/or a partial oral cavity, and at least two or more bodies are configured to apply a force to the patient's teeth without engaging any device. The method of claim 1, further comprising an adjustment structure configured to variably maintain a distance between at least two bodies. The device of claim 1 further comprising a connector configured to connect the ends of the orthodontic device. The device of claim 1, wherein the device is configured as a calibration device. The method of claim 2, wherein the adjustment structure consists of threads. 6. do. 4. . The method of claim 3, wherein when at least two bodies are coupled to the maxilla, extraoral refractive power applied to the orthodontic device induces the anterior or anterior and upward bonding of the maxilla. The method of claim 8, wherein the external power is applied to at least two bodies in a straight line. The device of claim 1, wherein at least two or more bodies are configured to be related to the orthodontic device. 11. The method of claim 10, consisting of intervening part fit, snap fit, and/or slip fit in the relevant pair. The case of claim 4, wherein in the orthodontic device, the intraoral part, the intraoral part, and the non-oral part are combined irrespectively. 13. The combination of claim 12, wherein at least two bodies are joined by an adjustment structure configured to transmit lateral movement to the maxilla. 3. The body according to claim 2, wherein the adjusting structure constitutes a body having two ends, which is threaded only at one end. The method of claim 1, wherein if the first of the at least two bodies constitutes at least a first opening and a second opening, each opening is discarded along a respective longitudinal axis, and the axis of the first opening is with the axis of the second opening. Not parallel The plurality of or threaded openings of claim 1, wherein each of the at least two bodies constitutes a plural or threaded opening configured to receive a threaded fixation device. 17. The method of claim 16, comprising a threaded fixing device, each threaded fixing device consisting of a set of threads, one of the two sets of threads configured to engage each threaded opening of one of at least two bodies, and two Two of the two sets of threads are inserted into the maxilla. 18. The hard palate of claim 17, wherein the maxillary bone has a hard palate. The method of claim 1, wherein each body of the at least two main bodies comprises a plurality of paths configured to receive the fixing device along a longitudinal axis, and the longitudinal axes of the plurality of paths are discarded in a relationship not parallel to the longitudinal axis of at least the second path. 21. The method according to claim 19, is discarded in an angular relationship in the longitudinal axis of the at least one path with respect to the longitudinal axis of the second path between at least 1 degree and 60 degrees. The maxillary dilator consisting of:
A body pair consisting of a first body and a second body, each body pair is configured to be fixed in the oral cavity to the patient's firm taste.
In the fixed aligner, the fixed aligner is configured to be fixed to the vehicle body pair by a predetermined distance. The vehicle body pair according to claim 21, further comprising inserting a plurality of openings formed in a fixed fixing column, a plurality of matching openings formed in a fixed aligner, and a fixed aligner into the opening of the vehicle body pair. A plurality of fixed aligners of fixtures configured to fix. 23. The dilator of claim 22, wherein the dilator comprises four openings formed in the fixed aligner at multiple degrees of the openings and two openings formed in each body pair. 22. The apparatus of claim 21, comprising a plurality of openings formed in each body pair in the dilator, and comprising a plurality of fasteners configured to fix each body pair to a rigid gum by inserting a plurality of fixing mechanisms in the opening pluralities. 25. The dilator of claim 24, comprising at least three openings in a plurality of the openings of each body pair. 23. The dilator of claim 22, wherein the fixed aligner constitutes two ends, and the two body pairs are each configured to be connected to one of the two ends. 27. The dilator of claim 26, wherein the fixed aligner consists of a wire. 23. The dilator of claim 22, wherein the fixed aligner consists of a single material. 25. The dilator of claim 24 wherein the dilator is configured to be secured to the rigid inlet with a space between the pair of torso and the tissue covering the rigid inlet. The maxillary dilator consisting of:
A first pair of bodies and an adjustable aligner configured to connect each of the bodies to the patient's gums, apply an extension force to the first pair of bodies to fix equally on the first pair of bodies to vary the first distance between the first pair of bodies. Constructed adjustable aligner. 31. The dilator of claim 30, wherein the dilator is configured here with an expansion screw that is processed between the second and second body pairs in an adjustable aligner. The method of claim 30, wherein the dilator consists of a pair of orthodontic devices and two or more supports, each support being composed of a first support and a second support, and the first end of the second support is connected to the first support, and It is extended, and the second end of the second support consists of a first support and a second support, each connected to the orthodontic device. 32. The dilator of claim 31, wherein the adjustable aligner comprises a pair of orthodontic devices connected to each of the second pair of bodies, and each orthodontic device is configured to match the shape of the palate. 33. The dilator of claim 32, wherein the orthodontic device is comprised of silicone or acrylic. 33. The dilator of claim 32, wherein the orthodontic device is not configured to couple to the patient's teeth. 31. The dilator of claim 30, comprising at least three openings configured to receive the securing device in each first pair. 37. The dilator of claim 36, wherein the dilator is threaded at three apertures. 33. The dilator of claim 32, wherein each of the second body pairs is configured to be connected to each of the first body pairs with at least two screws. As a method of applying force to the patient's maxillary teeth without binding the patient's teeth at all, the following steps are constructed.
Provides at least two bodies
At least two corpses are joined to the position of the maxillary bone.
Combines adjustable expanders to at least two bodywork.
Using an adjustable dilator, a force is applied to at least two bodies, causing the at least two bodies to move relative to each other and to cause the maxillary bone to expand. 40. The dilator of claim 39, wherein the adjustable dilator is configured with a thread at the opposite end of the dilator. 41. The method of claim 40, wherein at least two bodies are moved to bilaterally expand the maxillary bone. 43. The dilator of claim 42, wherein the adjustable dilator consists of a thread at one end of the dilator. 40. The method of claim 39, wherein a method of unilaterally expanding the maxillary bone is used in the movement of at least two bodies. 40. The method of claim 39, which is located on both sides of the palatal bar. Consisting maxillary dilator: If at least one pair of bodies consisting of a first body and a second body, that is, each body of the second body pair is configured to be orally engaged with the patient's maxillary body, the aligner is coupled to the body pair, and An aligner configured to place a pair of bodies at a distance from each other causes the maxillary bone to expand without engaging the aligner or at least one pair of bodies with teeth of the patient. 47. The maxillary dilator of claim 46, wherein the aligner is comprised of a fixed aligner or an adjustable aligner. 47. The maxillary dilator of claim 46, wherein the maxillary dilator is selected from the group consisting of two instruments, two wires, and two fixation devices in at least one pair of trunks. The method of claim 45, wherein in the maxillary bone expander, in this case, each body of the body pair is configured to be inwardly coupled to the maxillary bone with at least one fixing device. 49. The method of claim 48, wherein the maxillary dilator consists of two parts in each fixation device. 46. The maxillary dilator of claim 45, wherein the two parts consist of a threaded part and the two threaded parts are separated into an unthreaded part. The method of claim 50, wherein the maxillary dilator can be separated in two parts. The method of claim 45, wherein the maxillary dilator comprises an aperture diameter configured to receive a fixing device having a screw thread at the upper end and the lower end of the at least one pair of torso from the at least one pair of torso, and the flat opening has a thread and a thread of the upper end It consists of threads configured to engage. The case of claim 52, wherein the maxillary dilator has a small aperture diameter. 53. The method of claim 52, wherein in the maxillary dilator, the upper end thread and the lower end thread are separated into non-threaded portions. A method of treating a vasculature defect, comprising the following steps.
Comes with a pair of bodies
The pair of bodies is attached to the patient's hard gummi.
Attaching externally worn orthodontic devices to a pair of bodies
Refractive power is applied to the instrument to induce forward movement of the body pair. 56. The method of claim 55, further configured to provide an dilator between the first pair of bodies, the dilator causing lateral movement of the body pair relative to each other. 56. The method of claim 55, wherein the anterior movement comprises only anterior or anterior and upward movements of the patient's maxillary movement. The method of claim 55, wherein the refractive power in the pair of bodies creates little or no moment 56. The point of claim 55, wherein the refractive power is applied in a direction passing through the pair of bodies. As a method of extending the patient's maxillary teeth laterally, it constitutes the following steps.
Oral attachment of a pair of first bodies to the maxillary teeth while maintaining the first space between the first bodies.
Attach the adjustable aligner to the first pair of bodies.
Adjustable aligner adjustment to apply expansion force to the first pair of bodies so that the first space changes with the second space change
Remove the adjustable aligner from the first pair of bodies.
Attach the first fixed aligner to the first pair of bodies to maintain the second space between the first bodies. 61. The first space of claim 60, wherein in the step of making the first space between the bodies, a second first fixed aligner is attached to the first pair of bodies.
Afterwards, remove the first fixed aligner from the first pair of bodywork before attaching the adjustable aligner. 61. The method of claim 60, further comprising attaching the orthodontic device to each body. 63. The method of claim 62, further comprising engaging the orthodontic device with the palate without connecting to the patient's teeth. 61. The hard palate of claim 60, each on either side of the central palatal bar, is attached to the first pair of bodies. 65. The method of claim 64, wherein in premises attaching the body includes inserting at least three securing devices through each body into a rigid inlet. A method of extending the central palatal bar line (口蓋縫線). Constructs the next step, providing the first pair of bodies.
Provides a pair of calibration devices.
The first pair of bodies and the instrument are intraorally engaged while maintaining the first distance between the first pair of bodies.
Applying an expanding force to the first body, such as changing the first distance between the first bodies to the second. How to expand the maxilla, constitute the next step.
Provides a pair of first bodies.
The two first bodies are joined to the hard gummi.
Attach the aligner to the first pair of bodies.
Keep the first pair of bodies down and away from the palate. 68. The aligner of claim 67, wherein the aligner is an adjustable aligner. 68. The method of claim 67, wherein the aligner has a first fixed aligner. 68. The method of claim 67, wherein the distance is between .1 and 3 mm. 68. The method of claim 67, further providing a gap between the first pair of bodies and the hard palate. 68. The method of claim 67, wherein coupling includes the use of a screw fastening device. 68. A distance is maintained by securing the thread of the threaded device to the first pair of trunks. The maxillary dilator consisting of:
There are at least two bodies of at least two bodies each configured to be connected to a rigid palate with a first distance between two or more bodies and a soft palate, and an expander configured to maintain a second distance between the two bodies. 75. The dilator of claim 74, wherein the dilator is configured with a threaded end. 75. The dilator of claim 74, wherein the dilator is configured with only one threaded end. 75. The dilator of claim 74, further comprising an aligner. 78. The dilator of claim 77, wherein the dilator is configured with one or more bodies configured to be attached to at least two or more bodies in the aligner. 79. The dilator of claim 78, wherein the aligner comprises a fixed aligner. 79. The dilator of claim 78, wherein the aligner is configured as an adjustable aligner. 79. The dilator of claim 78, wherein the aligner constitutes a dilator. 79. The dilator of claim 78, wherein at least two or more vehicle bodies are configured to receive a securing device. 83. The dilator of claim 82, wherein the dilator is configured such that the securing device is received by at least one side support extending from each of the at least two vehicle bodies. 84. The dilator of claim 83, wherein the securing device comprises a screw. 83. The dilator of claim 82, wherein the dilator comprises two threaded portions, and the outermost diameter of the one or both threaded portions is less than the outermost diameter of the two threaded portions. 86. The dilator of claim 85 wherein the two threaded portions are separated into non-threaded portions. 75. The dilator of claim 74 wherein at least two corpses are treated in a parallel relationship to each other. As a method of extending the maxillary bone laterally, it constitutes the following steps.
Provides at least 2 bodies.
Combine at least two bodies in a hard gummi.
Attach one or more aligners to two or more bodies. 89. The method of claim 88, wherein the at least one aligner is comprised of a fixed aligner and/or an adjustable aligner. 89. The method of claim 89, wherein when attaching one or more aligners consists of attaching a fixed aligner and an adjustable aligner. 89. The securing device of claim 88, wherein at least two of the trunks constitute the securing device. 89. The device of claim 89, wherein the fastening device comprises a threaded fastening device. A medical device comprising:
At least two bodies configured to be connected to the patient's maxilla are each configured to be connected to an apparatus outside the oral cavity at least partially, and the device is configured to apply additional oral refractive power to at least two bodies, and the two bodies are configured to be transported. There is an external force on the maxilla that causes the maxillary bone to move and grow. 94. The device of claim 93, wherein at least two bodies are comprised of connectors configured to couple to the ends of the orthodontic treatment device. 94. The device of claim 93, wherein the device is configured as a calibration device. 97. The orthodontic device of claim 95, comprising a corrective faceball. 94. The method of claim 93, further comprising an adjustment structure, wherein at least two bodies are configured to apply a force to the maxilla and cause transverse movement of the maxilla. 94. The method of claim 93, wherein when at least two bodies are coupled to the maxilla, a non-oral force exerted on at least two bodies by the instrument induces a combination of an anterior and an upward motion of the maxillary bone. 94. The orthodontic device according to claim 93, wherein an external refractive power is applied to the orthodontic device in a direction acting in a straight line on at least two bodies. 94. The device of claim 93, wherein at least two or more bodies are configured to be associated with the orthodontic appliance. 101. The method of claim 100, comprising an intervening part fit, a snap fit, and or a slip fit in the relevant pair. 94. The device of claim 93, wherein the device is associated with an intraoral portion and an intraoral portion and an extraoral portion regardless. 94. The method of claim 93, wherein if the first of the at least two bodies constitutes at least a first opening and a second opening, each opening is discarded along a respective longitudinal axis, and the axis of the first opening is with the axis of the second opening. Not parallel 94. The apparatus of claim 93, wherein each of the at least two trunks is configured with a plural or threaded aperture configured to receive a threaded fixing device. 105. The device of claim 104, wherein the device includes two sets of threads each, one of the two sets of threads being configured to engage each threaded opening of one of the at least two bodies, and one of two sets of two threads. The dog threaded through the maxilla. 94. The method of claim 93, wherein each body of at least two bodies consists of a plurality of channels configured to receive a fixation device along a longitudinal axis, respectively, wherein the longitudinal axes of the channels are discarded in a relationship not parallel to the longitudinal axis of at least the second channel. . 111. The angular relationship of claim 106, wherein the longitudinal axis of the at least one path is discarded with respect to the longitudinal axis of the second path between 1 and 60 degrees.

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