TWI267370B - An orthodontic method - Google Patents

An orthodontic method Download PDF

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TWI267370B
TWI267370B TW93117409A TW93117409A TWI267370B TW I267370 B TWI267370 B TW I267370B TW 93117409 A TW93117409 A TW 93117409A TW 93117409 A TW93117409 A TW 93117409A TW I267370 B TWI267370 B TW I267370B
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Taiwan
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dentition
correction
orthodontic
teeth
corrector
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TW93117409A
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Chinese (zh)
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TW200600064A (en
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Wen-Long Yao
Jiun-Shing Shiu
Jung-Jiun Yang
Sung-Kuen Chen
Yu-Hau Tsai
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Nat Kaohsiung First University
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Publication of TWI267370B publication Critical patent/TWI267370B/en

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Abstract

This invention relates to an orthodontic method, mainly comprising obtaining the dentition model of a patient and establishing 3D digital pre-ortho data therefrom, separating each tooth of the dentition model individually, rearranging locations according to the post-orthodontic correct position and establishing 3D digital post-ortho data therefrom, comparing the above two 3D digital data to obtain displacement amount of each tooth after rearrangement and required force loading value, producing staged orthodontic occludator, and making the patient wear the appropriate orthodontic occludator by stages depending on the orthodontic progress to achieve orthodontic effect gradually.

Description

1267370 五、發明說明(1) 【發明所屬之技術領域- 本發明有關於一種齒列罐正之、 矯正者口腔内之齒列模型,再予以去,其主要係先取得 位置,並求出每顆牙齒重新排列=重新排列成欲矯正後之 量荷負值,而製造出階段式之咬人^位移量,及所需之力 者依矯正進度分階段佩戴適用之二2齒列矯正器,使矯正 成漸進墙正齒列之效果。 、-式回列矯正器,而達 【先前技術】 按,目前一般人對於牙齒的美 ’因為牙齒不整齊除了會影響到乂二漸的重視及要求 影響到咀嚼 '發音、蛀牙、牙周病^ 2係外,嚴重者更會 關節病等口腔之功能及健康, =異常磨損、顚韻 善之道,而傳統係以金屬線齒列續=二j =的人會尋求改 法」如第七圖所示,該金屬線齒歹12的續正方 上顎之牙齒(2 )表面上安裝矯正托架^ 了真2 =在下顯或 (3)用拱線(4)穿過,並固定於矯正托架上二正托架 正的牙齒作為支撐端產生力量使發 ’精由非矯 '齒檜骨、牙周動帶、齒齦等M成所產生:用牙齒 而完成橋正過程,直斤正之時門生骨頭重塑現象, 齒列矯正療程中,醫師均以臨床數值; =橋正所需的療程及矯正後的齒 :::來判 正後的齒型無法精確的掌握,只' =:::培加上牙:位移量測不易,以及個St 吊、成矯正過程中的誤差,進而延長矯正的時間的 ^1.:: 1267370 五、發明說明(2) 同時矯正者裝上金屬線 間產生死角,造成牙齒 造成發炎病變,同時也 際關^喪失,所以在 爰此,本發明人有 上述種種之缺失,因此 改良,遂得以首創出本 【内容】 本發明之目的係在 於建立人際關係及自信 漸進式之矯正目的,並 取下,以供清潔牙齒, 最佳矯正效果的齒列矯 其特徵在於:A、 内之齒列模型;B、建 ^者於矯正前之齒列模 W作新齒列模型·· 下來,然後根據所欲矯 位;D、建構矯正後齒 後的新齒列模型之各個 料分析比對··對於建構 以和矯正前之齒列數位 歯重新排列後之位移量 續矯正期間必須製造出 t,矯正器後,則造成口腔内牙齒 清潔不易,反而容易藏污納垢,而 會影響到美觀’易造成自信心及人 使用上仍不盡理想。 鑑於習知之齒列矯正方法,係且有 乃潛心力以研究,並經多次試驗及 發明。 提供一種以可避免影響美觀,有助 〜,及可供分多階段配載,而達到 避免續正誤差之產生,同時可活動 具有方便性及保持口腔衛生,達到 正之方法。 取得歯列模型··係取得矯正者口腔 構矯正前齒列數位資料:係根據矯 型’而建構出齒列之3D數位數據; 係將該齒列模型上之各個牙齒切割 正後之正確位置,予以重新排列定 列數位資料:係掃描擷取重新排列 回列點’並取得數據資料;E、資 完成矯正後齒列之數位資料,再予 貧料進行比對分析,以求出每顆牙 ,及所需之力量荷負值,而決定後 多個階段之齒列矯正器數量;F、1267370 V. INSTRUCTION DESCRIPTION OF THE INVENTION (1) Technical Field of the Invention - The present invention relates to a tooth row model of a tooth row can and a corrector's mouth, and then goes to it, mainly by first obtaining a position and finding each one The teeth are rearranged = rearranged into a negative value after correction, and the phased bite displacement is generated, and the required force is worn in stages according to the correcting progress to wear the applicable two-toothed orthodontic device. Corrected to the effect of a progressive wall dentition. --type back to the orthotics, and up to [previous technology] Press, the current general people's beauty of the teeth 'because the teeth are not neat, in addition to affecting the importance of the second step and the requirements affect the chewing' pronunciation, cavities, periodontal disease ^ 2 Departments, in severe cases, the function and health of the joints such as joint disease, = abnormal wear, 顚 rhyme, and the traditional line of metal dents continued = two j = people will seek to change the law, as shown in the seventh figure As shown, the dentition of the metal gingival 12 is mounted on the surface of the tooth (2) on the square side of the shank (2). True 2 = underneath or (3) through the arch line (4) and fixed to the correcting bracket The positive teeth of the upper two positive brackets act as the supporting end to generate force to make the 'precision by the non-corrective' gingival bone, periodontal kinetic band, gums, etc.: the bridge is used to complete the bridge process. Bone remodeling phenomenon, in the dentition correction treatment, the doctors use the clinical value; = the required course of the bridge and the corrected teeth::: after the correction of the tooth type can not be accurately grasped, only ' =::: Penetration plus teeth: displacement measurement is not easy, and a St hang, into the correction process, And the time to extend the correction ^1.:: 1267370 V. Description of the invention (2) At the same time, the corrector installs a dead space between the metal wires, causing the tooth to cause inflammatory lesions, and at the same time, it is lost, so the present invention People have the above-mentioned various kinds of defects, so they can be improved. The purpose of the present invention is to establish the interpersonal relationship and the self-confidence of the progressive correction purpose, and to remove the teeth for cleaning the teeth and the best corrective effect. The column correction is characterized by: A, the internal dentition model; B, the construction of the tooth before the correction of the tooth model W for the new dentition model · · down, and then according to the desired correction; D, after the correction of the posterior teeth The comparison analysis of each material of the new dentition model must be made for the displacement after the rearrangement of the dentition digits before and after the correction. After the aligner, the teeth in the oral cavity are not easily cleaned. On the contrary, it is easy to hide the dirt, but it will affect the aesthetics. It is easy to cause self-confidence and people's use is still not ideal. In view of the conventional method of orthodontic correction, it has been studied with great effort and has been tested and invented many times. Providing a method that avoids affecting the appearance, helps, and can be distributed in multiple stages to avoid the occurrence of continuous error, and at the same time, it is convenient to move and maintain oral hygiene to achieve a positive method. Obtaining the 歯 模型 · 取得 口腔 口腔 口腔 口腔 口腔 口腔 口腔 口腔 口腔 口腔 口腔 口腔 口腔 口腔 口腔 口腔 口腔 口腔 口腔 口腔 口腔 口腔 口腔 口腔 口腔 口腔 口腔 口腔 口腔 口腔 口腔 口腔 口腔 口腔 口腔 口腔 口腔 口腔 口腔 口腔 口腔 口腔 口腔 口腔 口腔 口腔 口腔 口腔, re-arrange the digitized data: scan and retrieve the re-arrangement point and obtain the data; E, the amount of data after the correction of the dentition, and then compare the poor materials to find each The tooth, and the required force load, and determine the number of orthodontic appliances in multiple stages; F,

1267370 五、發明說明(3) 〜 製作階段咬合式#列續正器:根據牙齒之位移量及墻正者 所能承受之力量,而製造出供矯正者於每一矯正階段時所 配載之齒列續正器。 【實施方法] 首先,請參閱第一圖所示,本發明之矯正方法,包括 有以下之步驟: A、取得齒列模型:其必須先取得矯正者口腔内之齒 列模型,係可利用咬模材料取得矯正者之牙齒(2)〔包含 待矯正之牙齒(2A)、(2B)〕排列形狀,然後利用超硬石膏 製作出齒列模型〔如第二圖所示〕;也可利用T〇m〇設備 (X光機),將牙齒所拍攝出來的X光影像結合定位系統進 2腦t析,❿於電腦上模擬出牙齒之3 D模型數據,然 後據此製造出齒列模型。 所制!矯正前齒列數位資肖:係將矯正者於矯正前 之3D數位數據。 令乃式將其建構出齒列 C 、製作新齒列模】· 齒切割下來,秋後粑掳自“係將遠原齒列模型上之各個牙 之牙齒m)、(二根;所欲橋正後牙齒⑺〔包含待橋正 取得矯正後之新的齒列m:第:以重新排列定位,以 D、建構矯正後 二圖所不〕。 的新齒列模型,利用非双貝料:係可將已重新排列後 個齒列點,由於採用 2觸式田射掃描儀予以掃描擷取各 上之產生,並於影傻哥式之掃為方式,因此會有死角 上开,成有破洞之狀況,所以必須將齒1267370 V. INSTRUCTIONS (3) ~ Production stage occlusion type #列续正器: According to the displacement of the teeth and the force that the wall can bear, it is made for the corrector at each correction stage. Tooth continuation. [Implementation Method] First, referring to the first figure, the correction method of the present invention includes the following steps: A. Obtaining a dentition model: it must first obtain a dentition model in the orthodontic cavity, which can be used to bite The mold material obtains the shape of the corrector's teeth (2) [including the teeth to be corrected (2A), (2B)], and then uses the super-hard gypsum to make the dentition model (as shown in the second figure); 〇m〇 equipment (X-ray machine), the X-ray image taken by the tooth is combined with the positioning system into the brain, and the 3D model data of the tooth is simulated on the computer, and then the dentition model is constructed accordingly. Made! Correcting the front dentition number: It is the 3D digital data of the corrector before correction. Let it be constructed into a tooth row C, and make a new tooth model. · The tooth is cut down. After the autumn, it will be “the teeth of each tooth on the model of the far-end dentition.” The posterior teeth of the bridge (7) [including the new dentition m to be corrected after the bridge is obtained: the first: to rearrange the positioning, to D, to construct the corrected second map, to use the new dentition model, using non-double shell material : The system can rearrange the rear dentition points. Since the two-touch field scanner is used to scan and capture each of them, and the shadow stupid style is used as a way, there will be a dead angle. There is a hole in the situation, so the teeth must be

第8頁 1267370 五、發明說明(4) 列點資料予以舖面、縫織、填滿,使之可供作為製 體之參考資料,以供後續比對分析之用。 、Page 8 1267370 V. INSTRUCTIONS (4) The information on the site shall be paved, sewed and filled to make it available as a reference for the body for subsequent comparison analysis. ,

E、資料分析比對:對於建構完成矯正後齒列之數位 資料,再予以和矯正前之齒列數位資料進行比對分析, 作位置分析及應力分析’其中位置分析係必須將新齒列模 型上各個牙齒,利用軟體分析出每顆牙齒重新排列後,與 矯正前位於齒列位置之位移量,並取出每顆牙齒位移量^ 最大值,而應力分析則以每顆牙齒之最大位移量作依據, 求出每顆牙齒於橋正時所需之力量荷負值,並根據所求得 之力量負荷值,以及矯正者可承受矯正時之最大力量荷負 值,而決定後續繞正期間必須製造出若干個矯正階段之. 列矯正器為最適當。 A F、製作階段咬合式齒列矯正器··當完成各項資料分 析後,則可依所取得每顆牙齒〔即待矯正之牙齒(2A)、 (2B )〕於矯正前及矯正後位移的位置及所需之力量荷負值 ,並根據矯正者待矯正之牙齒(2A)、(2B)所能承受之力量 荷負值,而決定必須分為幾個階段作為矯正,並根據每一 個矯正階段中,待矯正之牙齒(2A)、(2B)所能位移的最大 極限,製造出可供矯正者於每一個不同矯正階段時配載之 透明狀齒列矯正器(1 )〔如第四、五圖所示〕,該齒列矯 正裔(1)上係相對於待續正之牙齒(2A)、(2B)位置而設有 相對應套合之矯正部(1 A )、( 1 B ),而每一個不同矯正階段 之齒列矯正器(1)上的矯正部(丨A )、(丨β)位置,係根據分 析後所取得的位移量及力量荷負值最大極限而製作。E. Data analysis comparison: For the digital data of the dentition after the reconstruction is completed, the dentition data before the correction is compared and analyzed for position analysis and stress analysis. The position analysis system must have a new dentition model. For each tooth, the soft body is used to analyze the displacement of each tooth after realignment, and the displacement of the tooth before the correction, and the maximum displacement of each tooth is taken out, and the stress analysis is performed with the maximum displacement of each tooth. According to the determination of the force load value required for each tooth in the bridge, and according to the obtained force load value, and the maximum force load value that the corrector can withstand the correction, it is necessary to determine the follow-up period Several correction stages are created. The column aligner is the most appropriate. AF, production stage occlusal orthodontic correction · When the data analysis is completed, each tooth (ie the teeth to be corrected (2A), (2B)) can be displaced before and after correction. The position and the required power load negative value, and according to the negative value of the force load that the corrector can correct (2A), (2B), the decision must be divided into several stages as correction, and according to each correction In the stage, the maximum limit of displacement of the teeth (2A) and (2B) to be corrected is to produce a transparent orthodontic appliance (1) that can be loaded by the corrector at each different correction stage (such as the fourth And the dentition corrections (1) are provided with corresponding correcting parts (1 A ), ( 1 B ) relative to the teeth (2A) and (2B) to be renewed. The position of the correction parts (丨A) and (丨β) on the orthodontic appliance (1) at each different correction stage is made based on the displacement amount obtained after the analysis and the maximum limit of the strength load.

1267370 五、發明說明(5) 二j =列續正器(1)如係作為上顎或下顎配載使用時 ’則可σ又壬為單排式之形狀,如為上、下顎同時矯正時, 則必/員衣k成為雙排連接式,以供該上、下齒列矯器可以 互相定位使用。 ^ 使用時’如第六圖所示,當齒列矯正器(1)製作完成 後’則橋正者係可根據不同之牙齒矯正階段,而選用適合 該嬌正階段之齒列矯正器(1)〔如第四圖所示〕,予以配 載於矯正者之牙齒(2)上,其中該矯正部(ΙΑ)、(1B)係相 對套合於待矯正之牙齒(2A)、(2B)上,矯正者之牙齒(2) $長期配載後,當待矯正牙齒(2A)、(2B)已位移至該矯正 位置時,則可另外再換配載另-續正階段之齒 )〔如第五圖所示〕,以遂漸將牙齒(2A)、 到有至正確之位置’同時在矯正之過程中,如遇 _之問題時’則可將齒列橋正器⑴予以取下 正二之清當清潔完成後1又可將齒列橋 載’以繼續進行橋正之動作,而可達到最佳之 故由以上說明可知,木終明眚 點: 本毛明貝%例確實具有下列之優 1.本發明係利用逆向工程之技術, 後牙齒之位置’以分析出牙齒位移所 2件矯,:、 牙齒矯正時所需的位移量,而势作 里,而计异出 續正器,以供橋正者分階段:;作正階段之齒列 的,同時可以避免矯正時之誤差產生,/進式之矯正目 而具有最佳之矯正1267370 V. INSTRUCTIONS (5) Two j = column renewal device (1) If used as a top or bottom squat, the sigma can be singularly shaped into a single row, such as when the upper and lower jaws are simultaneously corrected. Then, the clothing/k is a double-row connection type, so that the upper and lower orthodontic appliances can be positioned relative to each other. ^ When using 'As shown in the sixth figure, when the orthodontic appliance (1) is completed, the bridge can be selected according to the different orthodontic stage, and the orthodontic appliance suitable for the delicate stage can be selected. (as shown in the fourth figure), is placed on the corrector's teeth (2), wherein the correcting parts (ΙΑ), (1B) are relatively fitted to the teeth to be corrected (2A), (2B) Upper, corrector's teeth (2) After long-term loading, when the teeth to be corrected (2A), (2B) have been displaced to the corrective position, the teeth of the other-continuation phase can be replaced. As shown in the fifth figure, the tooth bridge (1) can be removed by gradually bringing the tooth (2A) to the correct position and at the same time in the process of correction. After the cleaning is completed, the dentition bridge can be carried out to continue the bridge operation, and the best result can be seen. The above description shows that the wood end point: the sample of Maomingbei does have the following 1. The invention utilizes the technique of reverse engineering, the position of the posterior teeth to analyze the displacement of the teeth, 2: The amount of displacement required for correction, and the potential for the process, and the difference between the positive and negative, for the bridge to be phased:; for the positive phase of the dentition, while avoiding the error in the correction, / Corrected for the best correction

第10頁 1267370 五、發明說明(6) 效果。 2. 本發明之矯正者配載之齒列矯正器係為透明狀,而 且毋庸配載舊式之矯正托架、拱線等,故可避免影響美觀 ,而有助於人際關係及自信心之建立。 3. 本發明之齒列矯正器係可活動取下,以供清潔牙齒 後,再配載回牙齒上,而具有方便性及保持口腔衛生者。 综上所述,本發明確實已具有可供產業上之利用性, 且未見有相同發明之特徵公知、公用在先者,故本發明當Page 10 1267370 V. Description of invention (6) Effect. 2. The orthodontic appliance of the corrector of the present invention is transparent, and it is not necessary to carry the old correcting bracket, arch line, etc., so that the influence of appearance can be avoided, and the establishment of interpersonal relationship and self-confidence can be avoided. . 3. The orthodontic appliance of the present invention can be removed from the movement for cleaning the teeth and then loaded onto the teeth for convenience and to maintain oral hygiene. In summary, the present invention has indeed been available for industrial use, and it is not known that the features of the same invention are known and common, so the present invention

第11頁 1267370 圖式簡單說明 第一圖為本發明之矯正方法流程圖。 第二圖為本發明矯正前之齒列模型示意圖。 第三圖為本發明矯正後之齒列模型示意圖。 第四圖為本發明第一階段之齒列矯正器示意圖。 第五圖為本發明第二階段之齒列矯正器示意圖。 第六圖為本發明之齒列矯正器之使用示意圖。 第七圖係為習知金屬線齒列矯正器之使用示意圖。 【元件符號說明】 (1) 齒列矯正器 (1A) 續正部 (1B) 橋正部 (2) 牙齒 (2A) 牙齒 (2B) 牙齒 (3) 矯正托架 (4) 棋線Page 11 1267370 Brief Description of the Drawing The first figure is a flow chart of the correction method of the present invention. The second figure is a schematic diagram of the dentition model before the correction of the present invention. The third figure is a schematic diagram of the corrected dentition model of the present invention. The fourth figure is a schematic view of the orthodontic appliance of the first stage of the present invention. The fifth figure is a schematic view of the orthodontic appliance of the second stage of the present invention. The sixth figure is a schematic view of the use of the orthodontic appliance of the present invention. The seventh figure is a schematic diagram of the use of a conventional metal wire orthodontic appliance. [Description of component symbols] (1) Orthodontic (1A) continuation (1B) Orthodontic (2) Teeth (2A) Teeth (2B) Teeth (3) Correction bracket (4) Chess line

第12頁Page 12

Claims (1)

1267370 申请專利範圍 ^ :種Ϊ列矯正之方法,包括有以下之步驟: ; 取传齒列模型:係取得矯正者口腔内之齒列模型 前之:列齒列數位㈣:係根據橋正者於矯正 c 挺型’而建構出齒列之3D數位數據; 切割下來製;:係將該嵩列模型上之各個牙齒 列定位;然後根據所欲矮正後之正確位置,予以重新排 後的新齒列;^二:數位貝# .係掃描擷取重新排列 E、 齒列點,並取得數據資料; 資料,再;對::於建構完成墙正後齒列之數位 ,而決定後續矯正期間必須繁造^夕f所需之力量荷負值 數量; Ά出多個階段之齒列矯正器 F、 製作階段咬合式齒列矯正 及矯正者所能承受之力量,而製1 ° ·根據牙齒之位移量 階段時所配載之齒列矯正器。、k供矯正者於每一矯正 2·如申請專利範圍第1項所述 係利用咬模材料取得矯正者之牙=列矯正之方法,其 硬石膏製作出齒列模型。 娜列形狀,然後利用超 3·如申請專利範圍第1項所述之參 係利用Tomo設備(X光機),將牙专N列矯正之方法,其 結合定位系統進行電腦分析,而於斤,攝出來的X光影像 ;¥腦上模擬出牙齒之3 1267370 六、申請專利範圍 D模型數據,然後據此製造出齒列模型。 4. 如申請專利範圍第1項所述之齒列矯正之方法,其 中為上、下顎同時矯正時,則必須製造成為雙排連接式之 齒列矯正器,以供上、下齒列矯器可以互相定位使用。 5. 如申請專利範圍第1項所述之齒列矯正之方法,其 中該齒列矯正器係為透明狀。1267370 Patent Application Range ^: The method of correcting the sputum, including the following steps: ; taking the dentition model: before obtaining the dentition model in the oral cavity of the corrector: the number of the dentition (four): according to the bridge 3D digital data of the dentition is constructed by correcting the c-type; cutting the system; positioning the individual teeth on the array; then rearranging according to the correct position of the short New dentition; ^2: digitile#. The system scans and re-arranges E, dentition points, and obtains data; data, then; ::: After constructing the wall, the digits of the posterior dentition are determined, and the subsequent correction is decided. During the period, it is necessary to make up the number of negative forces required for the power of the eve; the dentition aligner F of the multi-stage, the occlusal dentition correction of the production stage and the force that the corrector can withstand, and 1 ° according to the teeth The orthodontic appliance that is loaded during the displacement phase. , k for the corrector in each correction 2 · As described in the first paragraph of the patent application, the method of obtaining the corrector's teeth = column correction using the bite material, and the anhydrite is used to make a dentition model. Nalene shape, and then use the method of using the Tomo equipment (X-ray machine) as described in the first paragraph of the patent application scope, and the method of correcting the N-column of the dental unit, which is combined with the positioning system for computer analysis, and X-ray image taken; ¥3267370 simulated the teeth on the brain. 6. Apply the patent range D model data, and then create the dentition model accordingly. 4. For the method of orthodontic correction as described in the first paragraph of the patent application, in which the upper and lower jaws are simultaneously corrected, a double-row connected orthodontic appliance must be manufactured for the upper and lower orthodontic appliances. Can be positioned to each other. 5. The method of orthodontic correction according to claim 1, wherein the orthodontic appliance is transparent. 第14頁Page 14
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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
TWI571806B (en) * 2014-05-27 2017-02-21 Metal Ind Res And Dev Centre Tooth body image joining method
TWI613561B (en) * 2016-08-09 2018-02-01 堤歐股份有限公司 Orthodontic digital bracket for using digital library and method of manufacturing the same

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